Management of dysphagia in the patient with head and neck cancer during COVID-19 pandemic: Practical strategy.
Identifieur interne : 000470 ( Main/Exploration ); précédent : 000469; suivant : 000471Management of dysphagia in the patient with head and neck cancer during COVID-19 pandemic: Practical strategy.
Auteurs : Peter K M. Ku [Hong Kong] ; Floyd Christopher Holsinger [États-Unis] ; Jason Y K. Chan [Hong Kong] ; Zenon W C. Yeung [Hong Kong] ; Becky Y T. Chan [Hong Kong] ; Michael C F. Tong [Hong Kong] ; Heather M. Starmer [États-Unis]Source :
- Head & neck [ 1097-0347 ] ; 2020.
Descripteurs français
- KwdFr :
- Betacoronavirus (MeSH), Enregistrement sur magnétoscope (MeSH), Exposition environnementale (prévention et contrôle), Exposition professionnelle (prévention et contrôle), Filtres à air (MeSH), Humains (MeSH), Infections à coronavirus (MeSH), Oesophagoscopie (MeSH), Pandémies (MeSH), Pneumopathie virale (MeSH), Produits de contraste (MeSH), Prévention des infections (organisation et administration), Quarantaine (MeSH), Radioscopie (MeSH), Sulfate de baryum (MeSH), Troubles de la déglutition (diagnostic), Troubles de la déglutition (étiologie), Tumeurs de la tête et du cou (complications), Télémédecine (MeSH), Équipement de protection individuelle (MeSH).
- MESH :
- diagnostic : Troubles de la déglutition.
- organisation et administration : Prévention des infections.
- prévention et contrôle : Exposition environnementale, Exposition professionnelle.
- étiologie : Troubles de la déglutition.
- Betacoronavirus, Enregistrement sur magnétoscope, Filtres à air, Humains, Infections à coronavirus, Oesophagoscopie, Pandémies, Pneumopathie virale, Produits de contraste, Quarantaine, Radioscopie, Sulfate de baryum, Tumeurs de la tête et du cou, Télémédecine, Équipement de protection individuelle.
English descriptors
- KwdEn :
- Air Filters (MeSH), Barium Sulfate (MeSH), Betacoronavirus (MeSH), COVID-19 (MeSH), Contrast Media (MeSH), Coronavirus Infections (MeSH), Deglutition Disorders (diagnosis), Deglutition Disorders (etiology), Environmental Exposure (prevention & control), Esophagoscopy (MeSH), Fluoroscopy (MeSH), Head and Neck Neoplasms (complications), Humans (MeSH), Infection Control (organization & administration), Occupational Exposure (prevention & control), Pandemics (MeSH), Personal Protective Equipment (MeSH), Pneumonia, Viral (MeSH), Quarantine (MeSH), SARS-CoV-2 (MeSH), Telemedicine (MeSH), Video Recording (MeSH).
- MESH :
- chemical : Barium Sulfate, Contrast Media.
- complications : Head and Neck Neoplasms.
- diagnosis : Deglutition Disorders.
- etiology : Deglutition Disorders.
- organization & administration : Infection Control.
- prevention & control : Environmental Exposure, Occupational Exposure.
- Air Filters, Betacoronavirus, COVID-19, Coronavirus Infections, Esophagoscopy, Fluoroscopy, Humans, Pandemics, Personal Protective Equipment, Pneumonia, Viral, Quarantine, SARS-CoV-2, Telemedicine, Video Recording.
Abstract
The global pandemic of 2019 novel coronavirus disease (COVID-19) has tremendously altered routine medical service provision and imposed unprecedented challenges to the health care system. This impacts patients with dysphagia complications caused by head and neck cancers. As this pandemic of COVID-19 may last longer than severe acute respiratory syndrome (SARS) in 2003, a practical workflow for managing dysphagia is crucial to ensure a safe and efficient practice to patients and health care personnel. This document provides clinical practice guidelines based on available evidence to date to balance the risks of SARS-CoV-2 exposure with the risks associated with dysphagia. Critical considerations include reserving instrumental assessments for urgent cases only, optimizing the noninstrumental swallowing evaluation, appropriate use of personal protective equipment (PPE), and use of telehealth when appropriate. Despite significant limitations in clinical service provision during the pandemic of COVID-19, a safe and reasonable dysphagia care pathway can still be implemented with modifications of setup and application of newer technologies.
DOI: 10.1002/hed.26224
PubMed: 32348591
PubMed Central: PMC7267655
Affiliations:
- Hong Kong, États-Unis
- Californie
- Sha Tin, Stanford (Californie)
- Université Stanford, Université chinoise de Hong Kong
Links toward previous steps (curation, corpus...)
Le document en format XML
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Ku</name><affiliation wicri:level="1"><nlm:affiliation>Department of Otorhinolaryngology-Head and Neck Surgery, United Christian Hospital and Tseung Kwan O Hospital, Tseung Kwan O, Hong Kong.</nlm:affiliation><country xml:lang="fr">Hong Kong</country><wicri:regionArea>Department of Otorhinolaryngology-Head and Neck Surgery, United Christian Hospital and Tseung Kwan O Hospital, Tseung Kwan O</wicri:regionArea><wicri:noRegion>Tseung Kwan O</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:affiliation>Department of Otorhinolaryngology-Head and Neck Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong.</nlm:affiliation><country xml:lang="fr">Hong Kong</country><wicri:regionArea>Department of Otorhinolaryngology-Head and Neck Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin</wicri:regionArea><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Holsinger, Floyd Christopher" sort="Holsinger, Floyd Christopher" uniqKey="Holsinger F" first="Floyd Christopher" last="Holsinger">Floyd Christopher Holsinger</name><affiliation wicri:level="4"><nlm:affiliation>Division of Head and Neck Surgery, Department of Otolaryngology, Stanford University, Palo Alto, California, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Head and Neck Surgery, Department of Otolaryngology, Stanford University, Palo Alto, California</wicri:regionArea><placeName><region type="state">Californie</region><settlement type="city">Stanford (Californie)</settlement></placeName><orgName type="university">Université Stanford</orgName></affiliation></author><author><name sortKey="Chan, Jason Y K" sort="Chan, Jason Y K" uniqKey="Chan J" first="Jason Y K" last="Chan">Jason Y K. 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Yeung</name><affiliation wicri:level="1"><nlm:affiliation>Department of Otorhinolaryngology-Head and Neck Surgery, United Christian Hospital and Tseung Kwan O Hospital, Tseung Kwan O, Hong Kong.</nlm:affiliation><country xml:lang="fr">Hong Kong</country><wicri:regionArea>Department of Otorhinolaryngology-Head and Neck Surgery, United Christian Hospital and Tseung Kwan O Hospital, Tseung Kwan O</wicri:regionArea><wicri:noRegion>Tseung Kwan O</wicri:noRegion></affiliation></author><author><name sortKey="Chan, Becky Y T" sort="Chan, Becky Y T" uniqKey="Chan B" first="Becky Y T" last="Chan">Becky Y T. Chan</name><affiliation wicri:level="1"><nlm:affiliation>Department of Speech Therapy, Prince of Wales Hospital, Shatin, Hong Kong.</nlm:affiliation><country xml:lang="fr">Hong Kong</country><wicri:regionArea>Department of Speech Therapy, Prince of Wales Hospital, Shatin</wicri:regionArea><wicri:noRegion>Shatin</wicri:noRegion></affiliation></author><author><name sortKey="Tong, Michael C F" sort="Tong, Michael C F" uniqKey="Tong M" first="Michael C F" last="Tong">Michael C F. Tong</name><affiliation wicri:level="4"><nlm:affiliation>Department of Otorhinolaryngology-Head and Neck Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong.</nlm:affiliation><country xml:lang="fr">Hong Kong</country><wicri:regionArea>Department of Otorhinolaryngology-Head and Neck Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin</wicri:regionArea><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Starmer, Heather M" sort="Starmer, Heather M" uniqKey="Starmer H" first="Heather M" last="Starmer">Heather M. Starmer</name><affiliation wicri:level="4"><nlm:affiliation>Division of Head and Neck Surgery, Department of Otolaryngology, Stanford University, Palo Alto, California, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Head and Neck Surgery, Department of Otolaryngology, Stanford University, Palo Alto, California</wicri:regionArea><placeName><region type="state">Californie</region><settlement type="city">Stanford (Californie)</settlement></placeName><orgName type="university">Université Stanford</orgName></affiliation></author></analytic><series><title level="j">Head & neck</title><idno type="eISSN">1097-0347</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Air Filters (MeSH)</term><term>Barium Sulfate (MeSH)</term><term>Betacoronavirus (MeSH)</term><term>COVID-19 (MeSH)</term><term>Contrast Media (MeSH)</term><term>Coronavirus Infections (MeSH)</term><term>Deglutition Disorders (diagnosis)</term><term>Deglutition Disorders (etiology)</term><term>Environmental Exposure (prevention & control)</term><term>Esophagoscopy (MeSH)</term><term>Fluoroscopy (MeSH)</term><term>Head and Neck Neoplasms (complications)</term><term>Humans (MeSH)</term><term>Infection Control (organization & administration)</term><term>Occupational Exposure (prevention & control)</term><term>Pandemics (MeSH)</term><term>Personal Protective Equipment (MeSH)</term><term>Pneumonia, Viral (MeSH)</term><term>Quarantine (MeSH)</term><term>SARS-CoV-2 (MeSH)</term><term>Telemedicine (MeSH)</term><term>Video Recording (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Betacoronavirus (MeSH)</term><term>Enregistrement sur magnétoscope (MeSH)</term><term>Exposition environnementale (prévention et contrôle)</term><term>Exposition professionnelle (prévention et contrôle)</term><term>Filtres à air (MeSH)</term><term>Humains (MeSH)</term><term>Infections à coronavirus (MeSH)</term><term>Oesophagoscopie (MeSH)</term><term>Pandémies (MeSH)</term><term>Pneumopathie virale (MeSH)</term><term>Produits de contraste (MeSH)</term><term>Prévention des infections (organisation et administration)</term><term>Quarantaine (MeSH)</term><term>Radioscopie (MeSH)</term><term>Sulfate de baryum (MeSH)</term><term>Troubles de la déglutition (diagnostic)</term><term>Troubles de la déglutition (étiologie)</term><term>Tumeurs de la tête et du cou (complications)</term><term>Télémédecine (MeSH)</term><term>Équipement de protection individuelle (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Barium Sulfate</term><term>Contrast Media</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Head and Neck Neoplasms</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Deglutition Disorders</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Troubles de la déglutition</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Deglutition Disorders</term></keywords><keywords scheme="MESH" qualifier="organisation et administration" xml:lang="fr"><term>Prévention des infections</term></keywords><keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Infection Control</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Environmental Exposure</term><term>Occupational Exposure</term></keywords><keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Exposition environnementale</term><term>Exposition professionnelle</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Troubles de la déglutition</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Air Filters</term><term>Betacoronavirus</term><term>COVID-19</term><term>Coronavirus Infections</term><term>Esophagoscopy</term><term>Fluoroscopy</term><term>Humans</term><term>Pandemics</term><term>Personal Protective Equipment</term><term>Pneumonia, Viral</term><term>Quarantine</term><term>SARS-CoV-2</term><term>Telemedicine</term><term>Video Recording</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Betacoronavirus</term><term>Enregistrement sur magnétoscope</term><term>Filtres à air</term><term>Humains</term><term>Infections à coronavirus</term><term>Oesophagoscopie</term><term>Pandémies</term><term>Pneumopathie virale</term><term>Produits de contraste</term><term>Quarantaine</term><term>Radioscopie</term><term>Sulfate de baryum</term><term>Tumeurs de la tête et du cou</term><term>Télémédecine</term><term>Équipement de protection individuelle</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The global pandemic of 2019 novel coronavirus disease (COVID-19) has tremendously altered routine medical service provision and imposed unprecedented challenges to the health care system. This impacts patients with dysphagia complications caused by head and neck cancers. As this pandemic of COVID-19 may last longer than severe acute respiratory syndrome (SARS) in 2003, a practical workflow for managing dysphagia is crucial to ensure a safe and efficient practice to patients and health care personnel. This document provides clinical practice guidelines based on available evidence to date to balance the risks of SARS-CoV-2 exposure with the risks associated with dysphagia. Critical considerations include reserving instrumental assessments for urgent cases only, optimizing the noninstrumental swallowing evaluation, appropriate use of personal protective equipment (PPE), and use of telehealth when appropriate. Despite significant limitations in clinical service provision during the pandemic of COVID-19, a safe and reasonable dysphagia care pathway can still be implemented with modifications of setup and application of newer technologies.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32348591</PMID><DateCompleted><Year>2020</Year><Month>07</Month><Day>20</Day></DateCompleted><DateRevised><Year>2020</Year><Month>12</Month><Day>18</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1097-0347</ISSN><JournalIssue CitedMedium="Internet"><Volume>42</Volume><Issue>7</Issue><PubDate><Year>2020</Year><Month>Jul</Month></PubDate></JournalIssue><Title>Head & neck</Title><ISOAbbreviation>Head Neck</ISOAbbreviation></Journal><ArticleTitle>Management of dysphagia in the patient with head and neck cancer during COVID-19 pandemic: Practical strategy.</ArticleTitle><Pagination><MedlinePgn>1491-1496</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1002/hed.26224</ELocationID><Abstract><AbstractText>The global pandemic of 2019 novel coronavirus disease (COVID-19) has tremendously altered routine medical service provision and imposed unprecedented challenges to the health care system. This impacts patients with dysphagia complications caused by head and neck cancers. As this pandemic of COVID-19 may last longer than severe acute respiratory syndrome (SARS) in 2003, a practical workflow for managing dysphagia is crucial to ensure a safe and efficient practice to patients and health care personnel. This document provides clinical practice guidelines based on available evidence to date to balance the risks of SARS-CoV-2 exposure with the risks associated with dysphagia. Critical considerations include reserving instrumental assessments for urgent cases only, optimizing the noninstrumental swallowing evaluation, appropriate use of personal protective equipment (PPE), and use of telehealth when appropriate. Despite significant limitations in clinical service provision during the pandemic of COVID-19, a safe and reasonable dysphagia care pathway can still be implemented with modifications of setup and application of newer technologies.</AbstractText><CopyrightInformation>© 2020 Wiley Periodicals, Inc.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ku</LastName><ForeName>Peter K M</ForeName><Initials>PKM</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology-Head and Neck Surgery, United Christian Hospital and Tseung Kwan O Hospital, Tseung Kwan O, Hong Kong.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Otorhinolaryngology-Head and Neck Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Holsinger</LastName><ForeName>Floyd Christopher</ForeName><Initials>FC</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-9594-1414</Identifier><AffiliationInfo><Affiliation>Division of Head and Neck Surgery, Department of Otolaryngology, Stanford University, Palo Alto, California, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chan</LastName><ForeName>Jason Y K</ForeName><Initials>JYK</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-9480-4637</Identifier><AffiliationInfo><Affiliation>Department of Otorhinolaryngology-Head and Neck Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Yeung</LastName><ForeName>Zenon W C</ForeName><Initials>ZWC</Initials><Identifier Source="ORCID">https://orcid.org/0000-0003-4643-6240</Identifier><AffiliationInfo><Affiliation>Department of Otorhinolaryngology-Head and Neck Surgery, United Christian Hospital and Tseung Kwan O Hospital, Tseung Kwan O, Hong Kong.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chan</LastName><ForeName>Becky Y T</ForeName><Initials>BYT</Initials><AffiliationInfo><Affiliation>Department of Speech Therapy, Prince of Wales Hospital, Shatin, Hong Kong.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tong</LastName><ForeName>Michael C F</ForeName><Initials>MCF</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology-Head and Neck Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Starmer</LastName><ForeName>Heather M</ForeName><Initials>HM</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-1716-9852</Identifier><AffiliationInfo><Affiliation>Division of Head and Neck Surgery, Department of Otolaryngology, Stanford University, Palo Alto, California, USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>05</Month><Day>11</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Head Neck</MedlineTA><NlmUniqueID>8902541</NlmUniqueID><ISSNLinking>1043-3074</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D003287">Contrast Media</NameOfSubstance></Chemical><Chemical><RegistryNumber>25BB7EKE2E</RegistryNumber><NameOfSubstance UI="D001466">Barium Sulfate</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D061808" MajorTopicYN="N">Air Filters</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001466" MajorTopicYN="N">Barium Sulfate</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="Y">Betacoronavirus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000086382" MajorTopicYN="N">COVID-19</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003287" MajorTopicYN="N">Contrast Media</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="Y">Coronavirus Infections</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003680" MajorTopicYN="N">Deglutition Disorders</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004781" MajorTopicYN="N">Environmental Exposure</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004945" MajorTopicYN="N">Esophagoscopy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005471" MajorTopicYN="N">Fluoroscopy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006258" MajorTopicYN="N">Head and Neck Neoplasms</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017053" MajorTopicYN="N">Infection Control</DescriptorName><QualifierName UI="Q000458" MajorTopicYN="Y">organization & administration</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016273" MajorTopicYN="N">Occupational Exposure</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="Y">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000067393" 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Kong</li><li>États-Unis</li></country><region><li>Californie</li></region><settlement><li>Sha Tin</li><li>Stanford (Californie)</li></settlement><orgName><li>Université Stanford</li><li>Université chinoise de Hong Kong</li></orgName></list><tree><country name="Hong Kong"><noRegion><name sortKey="Ku, Peter K M" sort="Ku, Peter K M" uniqKey="Ku P" first="Peter K M" last="Ku">Peter K M. Ku</name></noRegion><name sortKey="Chan, Becky Y T" sort="Chan, Becky Y T" uniqKey="Chan B" first="Becky Y T" last="Chan">Becky Y T. Chan</name><name sortKey="Chan, Jason Y K" sort="Chan, Jason Y K" uniqKey="Chan J" first="Jason Y K" last="Chan">Jason Y K. Chan</name><name sortKey="Ku, Peter K M" sort="Ku, Peter K M" uniqKey="Ku P" first="Peter K M" last="Ku">Peter K M. Ku</name><name sortKey="Tong, Michael C F" sort="Tong, Michael C F" uniqKey="Tong M" first="Michael C F" last="Tong">Michael C F. Tong</name><name sortKey="Yeung, Zenon W C" sort="Yeung, Zenon W C" uniqKey="Yeung Z" first="Zenon W C" last="Yeung">Zenon W C. Yeung</name></country><country name="États-Unis"><region name="Californie"><name sortKey="Holsinger, Floyd Christopher" sort="Holsinger, Floyd Christopher" uniqKey="Holsinger F" first="Floyd Christopher" last="Holsinger">Floyd Christopher Holsinger</name></region><name sortKey="Starmer, Heather M" sort="Starmer, Heather M" uniqKey="Starmer H" first="Heather M" last="Starmer">Heather M. Starmer</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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