Determinant-Based Classification of Acute Pancreatitis Severity: An International Multidisciplinary Consultation
Identifieur interne : 000584 ( France/Analysis ); précédent : 000583; suivant : 000585Determinant-Based Classification of Acute Pancreatitis Severity: An International Multidisciplinary Consultation
Auteurs : E. Patchen Dellinger [États-Unis] ; Christopher E. Forsmark [États-Unis] ; Peter Layer [Allemagne] ; Philippe Levy [France] ; Enrique Maravi-Poma [Espagne] ; Maxim S. Petrov [Nouvelle-Zélande] ; Tooru Shimosegawa [Japon] ; Ajith K. Siriwardena [Royaume-Uni] ; Generoso Uomo [Italie] ; David C. Whitcomb [États-Unis] ; John A. Windsor [Nouvelle-Zélande]Source :
- Annals of surgery [ 0003-4932 ] ; 2012.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Classification, Médecine, Chirurgie.
English descriptors
- KwdEn :
Abstract
Objective: To develop a new international classification of acute pancreatitis severity on the basis of a sound conceptual framework, comprehensive review of published evidence, and worldwide consultation. Background: The Atlanta definitions of acute pancreatitis severity are ingrained in the lexicon of pancreatologists but suboptimal because these definitions are based on empiric description of occurrences that are merely associated with severity. Methods: A personal invitation to contribute to the development of a new international classification of acute pancreatitis severity was sent to all surgeons, gastroenterologists, internists, intensivists, and radiologists who are currently active in clinical research on acute pancreatitis. The invitation was not limited to members of certain associations or residents of certain countries. A global Web-based survey was conducted and a dedicated international symposium was organized to bring contributors from different disciplines together and discuss the concept and definitions. Result: The new international classification is based on the actual local and systemic determinants of severity, rather than description of events that are correlated with severity. The local determinant relates to whether there is (peri)pancreatic necrosis or not, and if present, whether it is sterile or infected. The systemic determinant relates to whether there is organ failure or not, and if present, whether it is transient or persistent. The presence of one determinant can modify the effect of another such that the presence of both infected (peri)pancreatic necrosis and persistent organ failure have a greater effect on severity than either determinant alone. The derivation of a classification based on the above principles results in 4 categories of severity-mild, moderate, severe, and critical. Conclusions: This classification is the result of a consultative process amongst pancreatologists from 49 countries spanning North America, South America, Europe, Asia, Oceania, and Africa. It provides a set of concise up-to-date definitions of all the main entities pertinent to classifying the severity of acute pancreatitis in clinical practice and research. This ensures that the determinant-based classification can be used in a uniform manner throughout the world.
Affiliations:
- Allemagne, Espagne, France, Italie, Japon, Nouvelle-Zélande, Royaume-Uni, États-Unis
- Angleterre, Grand Manchester, Hambourg, Pennsylvanie
- Hambourg, Manchester, Pittsburgh
- Université de Manchester, Université de Pittsburgh
Links toward previous steps (curation, corpus...)
- to stream PascalFrancis, to step Corpus: 002929
- to stream PascalFrancis, to step Curation: 001F77
- to stream PascalFrancis, to step Checkpoint: 003901
- to stream Main, to step Merge: 009B87
- to stream Main, to step Curation: 009499
- to stream Main, to step Exploration: 009499
- to stream France, to step Extraction: 000584
Links to Exploration step
Pascal:13-0048933Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">Determinant-Based Classification of Acute Pancreatitis Severity: An International Multidisciplinary Consultation</title>
<author><name sortKey="Patchen Dellinger, E" sort="Patchen Dellinger, E" uniqKey="Patchen Dellinger E" first="E." last="Patchen Dellinger">E. Patchen Dellinger</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Surgery, University of Washington School of Medicine</s1>
<s2>Seattle</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Seattle</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Forsmark, Christopher E" sort="Forsmark, Christopher E" uniqKey="Forsmark C" first="Christopher E." last="Forsmark">Christopher E. Forsmark</name>
<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Division of Gastroenterology, Hepatology, and Nutrition, University of Florida College of Medicine</s1>
<s2>Gainesville</s2>
<s3>USA</s3>
<sZ>2 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Gainesville</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Layer, Peter" sort="Layer, Peter" uniqKey="Layer P" first="Peter" last="Layer">Peter Layer</name>
<affiliation wicri:level="3"><inist:fA14 i1="03"><s1>Department of Internal Medicine, Israelitic Hospital</s1>
<s2>Hamburg</s2>
<s3>DEU</s3>
<sZ>3 aut.</sZ>
</inist:fA14>
<country>Allemagne</country>
<placeName><settlement type="city">Hambourg</settlement>
<region type="land" nuts="2">Hambourg</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Levy, Philippe" sort="Levy, Philippe" uniqKey="Levy P" first="Philippe" last="Levy">Philippe Levy</name>
<affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Pôle des Maladies de I'Appareil Digestif, Service de Gastroentérologie-Pancréatologie, Hôpital Beaujon</s1>
<s2>Clichy</s2>
<s3>FRA</s3>
<sZ>4 aut.</sZ>
</inist:fA14>
<country>France</country>
<wicri:noRegion>Clichy</wicri:noRegion>
<wicri:noRegion>Hôpital Beaujon</wicri:noRegion>
<wicri:noRegion>Clichy</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Maravi Poma, Enrique" sort="Maravi Poma, Enrique" uniqKey="Maravi Poma E" first="Enrique" last="Maravi-Poma">Enrique Maravi-Poma</name>
<affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Servicio de Medicina Intensiva B, Complejo Hospitalario de Navarra</s1>
<s2>Pamplona</s2>
<s3>ESP</s3>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>Espagne</country>
<wicri:noRegion>Pamplona</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Petrov, Maxim S" sort="Petrov, Maxim S" uniqKey="Petrov M" first="Maxim S." last="Petrov">Maxim S. Petrov</name>
<affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Department of Surgery, The University of Auckland</s1>
<s2>Auckland</s2>
<s3>NZL</s3>
<sZ>6 aut.</sZ>
<sZ>11 aut.</sZ>
</inist:fA14>
<country>Nouvelle-Zélande</country>
<wicri:noRegion>Auckland</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Shimosegawa, Tooru" sort="Shimosegawa, Tooru" uniqKey="Shimosegawa T" first="Tooru" last="Shimosegawa">Tooru Shimosegawa</name>
<affiliation wicri:level="1"><inist:fA14 i1="07"><s1>Division of Gastroenterology, Tohoku University Graduate School of Medicine</s1>
<s2>Sendai</s2>
<s3>JPN</s3>
<sZ>7 aut.</sZ>
</inist:fA14>
<country>Japon</country>
<wicri:noRegion>Sendai</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Siriwardena, Ajith K" sort="Siriwardena, Ajith K" uniqKey="Siriwardena A" first="Ajith K." last="Siriwardena">Ajith K. Siriwardena</name>
<affiliation wicri:level="4"><inist:fA14 i1="08"><s1>Department of Surgery, Manchester Royal Infirmary, University of Manchester</s1>
<s2>Manchester</s2>
<s3>GBR</s3>
<sZ>8 aut.</sZ>
</inist:fA14>
<country>Royaume-Uni</country>
<placeName><settlement type="city">Manchester</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Manchester</region>
<settlement type="city">Manchester</settlement>
</placeName>
<orgName type="university">Université de Manchester</orgName>
</affiliation>
</author>
<author><name sortKey="Uomo, Generoso" sort="Uomo, Generoso" uniqKey="Uomo G" first="Generoso" last="Uomo">Generoso Uomo</name>
<affiliation wicri:level="1"><inist:fA14 i1="09"><s1>Department of Internal Medicine, Cardarelli Hospital</s1>
<s2>Naples</s2>
<s3>ITA</s3>
<sZ>9 aut.</sZ>
</inist:fA14>
<country>Italie</country>
<wicri:noRegion>Naples</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Whitcomb, David C" sort="Whitcomb, David C" uniqKey="Whitcomb D" first="David C." last="Whitcomb">David C. Whitcomb</name>
<affiliation wicri:level="4"><inist:fA14 i1="10"><s1>Division of Gastroenterology, Hepatology and Nutrition, Department of Medicine, Department of Cell Biology and Molecular Physiology, and Department of Human Genetics, University of Pittsburgh</s1>
<s2>Pittsburgh, PA</s2>
<s3>USA</s3>
<sZ>10 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName><settlement type="city">Pittsburgh</settlement>
<region type="state">Pennsylvanie</region>
</placeName>
<orgName type="university">Université de Pittsburgh</orgName>
</affiliation>
</author>
<author><name sortKey="Windsor, John A" sort="Windsor, John A" uniqKey="Windsor J" first="John A." last="Windsor">John A. Windsor</name>
<affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Department of Surgery, The University of Auckland</s1>
<s2>Auckland</s2>
<s3>NZL</s3>
<sZ>6 aut.</sZ>
<sZ>11 aut.</sZ>
</inist:fA14>
<country>Nouvelle-Zélande</country>
<wicri:noRegion>Auckland</wicri:noRegion>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">INIST</idno>
<idno type="inist">13-0048933</idno>
<date when="2012">2012</date>
<idno type="stanalyst">PASCAL 13-0048933 INIST</idno>
<idno type="RBID">Pascal:13-0048933</idno>
<idno type="wicri:Area/PascalFrancis/Corpus">002929</idno>
<idno type="wicri:Area/PascalFrancis/Curation">001F77</idno>
<idno type="wicri:Area/PascalFrancis/Checkpoint">003901</idno>
<idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">003901</idno>
<idno type="wicri:doubleKey">0003-4932:2012:Patchen Dellinger E:determinant:based:classification</idno>
<idno type="wicri:Area/Main/Merge">009B87</idno>
<idno type="wicri:Area/Main/Curation">009499</idno>
<idno type="wicri:Area/Main/Exploration">009499</idno>
<idno type="wicri:Area/France/Extraction">000584</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Determinant-Based Classification of Acute Pancreatitis Severity: An International Multidisciplinary Consultation</title>
<author><name sortKey="Patchen Dellinger, E" sort="Patchen Dellinger, E" uniqKey="Patchen Dellinger E" first="E." last="Patchen Dellinger">E. Patchen Dellinger</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Surgery, University of Washington School of Medicine</s1>
<s2>Seattle</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Seattle</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Forsmark, Christopher E" sort="Forsmark, Christopher E" uniqKey="Forsmark C" first="Christopher E." last="Forsmark">Christopher E. Forsmark</name>
<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Division of Gastroenterology, Hepatology, and Nutrition, University of Florida College of Medicine</s1>
<s2>Gainesville</s2>
<s3>USA</s3>
<sZ>2 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Gainesville</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Layer, Peter" sort="Layer, Peter" uniqKey="Layer P" first="Peter" last="Layer">Peter Layer</name>
<affiliation wicri:level="3"><inist:fA14 i1="03"><s1>Department of Internal Medicine, Israelitic Hospital</s1>
<s2>Hamburg</s2>
<s3>DEU</s3>
<sZ>3 aut.</sZ>
</inist:fA14>
<country>Allemagne</country>
<placeName><settlement type="city">Hambourg</settlement>
<region type="land" nuts="2">Hambourg</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Levy, Philippe" sort="Levy, Philippe" uniqKey="Levy P" first="Philippe" last="Levy">Philippe Levy</name>
<affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Pôle des Maladies de I'Appareil Digestif, Service de Gastroentérologie-Pancréatologie, Hôpital Beaujon</s1>
<s2>Clichy</s2>
<s3>FRA</s3>
<sZ>4 aut.</sZ>
</inist:fA14>
<country>France</country>
<wicri:noRegion>Clichy</wicri:noRegion>
<wicri:noRegion>Hôpital Beaujon</wicri:noRegion>
<wicri:noRegion>Clichy</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Maravi Poma, Enrique" sort="Maravi Poma, Enrique" uniqKey="Maravi Poma E" first="Enrique" last="Maravi-Poma">Enrique Maravi-Poma</name>
<affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Servicio de Medicina Intensiva B, Complejo Hospitalario de Navarra</s1>
<s2>Pamplona</s2>
<s3>ESP</s3>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>Espagne</country>
<wicri:noRegion>Pamplona</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Petrov, Maxim S" sort="Petrov, Maxim S" uniqKey="Petrov M" first="Maxim S." last="Petrov">Maxim S. Petrov</name>
<affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Department of Surgery, The University of Auckland</s1>
<s2>Auckland</s2>
<s3>NZL</s3>
<sZ>6 aut.</sZ>
<sZ>11 aut.</sZ>
</inist:fA14>
<country>Nouvelle-Zélande</country>
<wicri:noRegion>Auckland</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Shimosegawa, Tooru" sort="Shimosegawa, Tooru" uniqKey="Shimosegawa T" first="Tooru" last="Shimosegawa">Tooru Shimosegawa</name>
<affiliation wicri:level="1"><inist:fA14 i1="07"><s1>Division of Gastroenterology, Tohoku University Graduate School of Medicine</s1>
<s2>Sendai</s2>
<s3>JPN</s3>
<sZ>7 aut.</sZ>
</inist:fA14>
<country>Japon</country>
<wicri:noRegion>Sendai</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Siriwardena, Ajith K" sort="Siriwardena, Ajith K" uniqKey="Siriwardena A" first="Ajith K." last="Siriwardena">Ajith K. Siriwardena</name>
<affiliation wicri:level="4"><inist:fA14 i1="08"><s1>Department of Surgery, Manchester Royal Infirmary, University of Manchester</s1>
<s2>Manchester</s2>
<s3>GBR</s3>
<sZ>8 aut.</sZ>
</inist:fA14>
<country>Royaume-Uni</country>
<placeName><settlement type="city">Manchester</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Manchester</region>
<settlement type="city">Manchester</settlement>
</placeName>
<orgName type="university">Université de Manchester</orgName>
</affiliation>
</author>
<author><name sortKey="Uomo, Generoso" sort="Uomo, Generoso" uniqKey="Uomo G" first="Generoso" last="Uomo">Generoso Uomo</name>
<affiliation wicri:level="1"><inist:fA14 i1="09"><s1>Department of Internal Medicine, Cardarelli Hospital</s1>
<s2>Naples</s2>
<s3>ITA</s3>
<sZ>9 aut.</sZ>
</inist:fA14>
<country>Italie</country>
<wicri:noRegion>Naples</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Whitcomb, David C" sort="Whitcomb, David C" uniqKey="Whitcomb D" first="David C." last="Whitcomb">David C. Whitcomb</name>
<affiliation wicri:level="4"><inist:fA14 i1="10"><s1>Division of Gastroenterology, Hepatology and Nutrition, Department of Medicine, Department of Cell Biology and Molecular Physiology, and Department of Human Genetics, University of Pittsburgh</s1>
<s2>Pittsburgh, PA</s2>
<s3>USA</s3>
<sZ>10 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName><settlement type="city">Pittsburgh</settlement>
<region type="state">Pennsylvanie</region>
</placeName>
<orgName type="university">Université de Pittsburgh</orgName>
</affiliation>
</author>
<author><name sortKey="Windsor, John A" sort="Windsor, John A" uniqKey="Windsor J" first="John A." last="Windsor">John A. Windsor</name>
<affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Department of Surgery, The University of Auckland</s1>
<s2>Auckland</s2>
<s3>NZL</s3>
<sZ>6 aut.</sZ>
<sZ>11 aut.</sZ>
</inist:fA14>
<country>Nouvelle-Zélande</country>
<wicri:noRegion>Auckland</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j" type="main">Annals of surgery</title>
<title level="j" type="abbreviated">Ann. surg.</title>
<idno type="ISSN">0003-4932</idno>
<imprint><date when="2012">2012</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt><title level="j" type="main">Annals of surgery</title>
<title level="j" type="abbreviated">Ann. surg.</title>
<idno type="ISSN">0003-4932</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acute</term>
<term>Classification</term>
<term>Consultation</term>
<term>Determinant</term>
<term>International</term>
<term>Medicine</term>
<term>Multidisciplinary</term>
<term>Pancreatitis</term>
<term>Surgery</term>
<term>Treatment</term>
<term>World</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Pancréatite</term>
<term>Déterminant</term>
<term>Classification</term>
<term>Aigu</term>
<term>International</term>
<term>Monde</term>
<term>Multidisciplinaire</term>
<term>Consultation</term>
<term>Médecine</term>
<term>Chirurgie</term>
<term>Traitement</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Classification</term>
<term>Médecine</term>
<term>Chirurgie</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Objective: To develop a new international classification of acute pancreatitis severity on the basis of a sound conceptual framework, comprehensive review of published evidence, and worldwide consultation. Background: The Atlanta definitions of acute pancreatitis severity are ingrained in the lexicon of pancreatologists but suboptimal because these definitions are based on empiric description of occurrences that are merely associated with severity. Methods: A personal invitation to contribute to the development of a new international classification of acute pancreatitis severity was sent to all surgeons, gastroenterologists, internists, intensivists, and radiologists who are currently active in clinical research on acute pancreatitis. The invitation was not limited to members of certain associations or residents of certain countries. A global Web-based survey was conducted and a dedicated international symposium was organized to bring contributors from different disciplines together and discuss the concept and definitions. Result: The new international classification is based on the actual local and systemic determinants of severity, rather than description of events that are correlated with severity. The local determinant relates to whether there is (peri)pancreatic necrosis or not, and if present, whether it is sterile or infected. The systemic determinant relates to whether there is organ failure or not, and if present, whether it is transient or persistent. The presence of one determinant can modify the effect of another such that the presence of both infected (peri)pancreatic necrosis and persistent organ failure have a greater effect on severity than either determinant alone. The derivation of a classification based on the above principles results in 4 categories of severity-mild, moderate, severe, and critical. Conclusions: This classification is the result of a consultative process amongst pancreatologists from 49 countries spanning North America, South America, Europe, Asia, Oceania, and Africa. It provides a set of concise up-to-date definitions of all the main entities pertinent to classifying the severity of acute pancreatitis in clinical practice and research. This ensures that the determinant-based classification can be used in a uniform manner throughout the world.</div>
</front>
</TEI>
<affiliations><list><country><li>Allemagne</li>
<li>Espagne</li>
<li>France</li>
<li>Italie</li>
<li>Japon</li>
<li>Nouvelle-Zélande</li>
<li>Royaume-Uni</li>
<li>États-Unis</li>
</country>
<region><li>Angleterre</li>
<li>Grand Manchester</li>
<li>Hambourg</li>
<li>Pennsylvanie</li>
</region>
<settlement><li>Hambourg</li>
<li>Manchester</li>
<li>Pittsburgh</li>
</settlement>
<orgName><li>Université de Manchester</li>
<li>Université de Pittsburgh</li>
</orgName>
</list>
<tree><country name="États-Unis"><noRegion><name sortKey="Patchen Dellinger, E" sort="Patchen Dellinger, E" uniqKey="Patchen Dellinger E" first="E." last="Patchen Dellinger">E. Patchen Dellinger</name>
</noRegion>
<name sortKey="Forsmark, Christopher E" sort="Forsmark, Christopher E" uniqKey="Forsmark C" first="Christopher E." last="Forsmark">Christopher E. Forsmark</name>
<name sortKey="Whitcomb, David C" sort="Whitcomb, David C" uniqKey="Whitcomb D" first="David C." last="Whitcomb">David C. Whitcomb</name>
</country>
<country name="Allemagne"><region name="Hambourg"><name sortKey="Layer, Peter" sort="Layer, Peter" uniqKey="Layer P" first="Peter" last="Layer">Peter Layer</name>
</region>
</country>
<country name="France"><noRegion><name sortKey="Levy, Philippe" sort="Levy, Philippe" uniqKey="Levy P" first="Philippe" last="Levy">Philippe Levy</name>
</noRegion>
</country>
<country name="Espagne"><noRegion><name sortKey="Maravi Poma, Enrique" sort="Maravi Poma, Enrique" uniqKey="Maravi Poma E" first="Enrique" last="Maravi-Poma">Enrique Maravi-Poma</name>
</noRegion>
</country>
<country name="Nouvelle-Zélande"><noRegion><name sortKey="Petrov, Maxim S" sort="Petrov, Maxim S" uniqKey="Petrov M" first="Maxim S." last="Petrov">Maxim S. Petrov</name>
</noRegion>
<name sortKey="Windsor, John A" sort="Windsor, John A" uniqKey="Windsor J" first="John A." last="Windsor">John A. Windsor</name>
</country>
<country name="Japon"><noRegion><name sortKey="Shimosegawa, Tooru" sort="Shimosegawa, Tooru" uniqKey="Shimosegawa T" first="Tooru" last="Shimosegawa">Tooru Shimosegawa</name>
</noRegion>
</country>
<country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Siriwardena, Ajith K" sort="Siriwardena, Ajith K" uniqKey="Siriwardena A" first="Ajith K." last="Siriwardena">Ajith K. Siriwardena</name>
</region>
</country>
<country name="Italie"><noRegion><name sortKey="Uomo, Generoso" sort="Uomo, Generoso" uniqKey="Uomo G" first="Generoso" last="Uomo">Generoso Uomo</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Amérique/explor/PittsburghV1/Data/France/Analysis
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000584 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/France/Analysis/biblio.hfd -nk 000584 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Amérique |area= PittsburghV1 |flux= France |étape= Analysis |type= RBID |clé= Pascal:13-0048933 |texte= Determinant-Based Classification of Acute Pancreatitis Severity: An International Multidisciplinary Consultation }}
This area was generated with Dilib version V0.6.38. |