Disability assessment in temporomandibular disorders and masticatory system rehabilitation
Identifieur interne : 005349 ( Main/Exploration ); précédent : 005348; suivant : 005350Disability assessment in temporomandibular disorders and masticatory system rehabilitation
Auteurs : R. Ohrbach [États-Unis]Source :
- Journal of Oral Rehabilitation [ 0305-182X ] ; 2010-06.
Descripteurs français
- Wicri :
- topic : Santé mentale.
English descriptors
- KwdEn :
- Abundant evidence, Aesthetic concerns, Arch phys, Atypical odontalgia, Available evidence, Behaviour, Behavioural, Better measures, Biological organization, Biological tissue, Biopsychosocial, Biopsychosocial model, Blackwell, Blackwell publishing, Brain states, Brief pain inventory, Checklist, Chronic pain, Chronic pain scale, Clin, Clin epidemiol, Clinic, Clinical examinations, Clinical measures, Clinical models, Clinical reality, Clinical trials, Cognitive, Common example, Commun dent, Community dent, Complex mixture, Conceptual framework, Conventional dentures, Craniomandibular disorders, Daily functions, Dent, Dent educ, Dental anxiety, Dental arches, Dental practice, Dental problems, Dental research, Dentistry, Dentofacial, Dentofacial concerns, Dentofacial disorders, Dentofacial problems, Diagnostic accuracy, Diagnostic accuracy studies, Diagnostic research, Different levels, Disability, Disability assessment, Disability measures, Disability need, Disablement, Disablement hierarchy, Disablement model, Disablement models, Disablement status, Disc repositioning, Disease impact, Disorder, Dworkin, Environmental factors, Epidemiol, Example measures, Factor structure, Functional limitation, Functional limitation measure, Functional limitation scale, Functional problems, Functional status, Further exploration, Gcps, Gcps depsom, General health, General population, Generic, Generic measure, Global functions, Greater detail, Greater utility, Health condition, Health qual life outcomes, Health survey, Healthrelated quality, Hierarchical levels, Hrqol, Hrqol measure, Icidh, Immpact, Immpact recommendations, Impairment, Impairment questionnaire, Implant, Index measure, Individual items, Instrument author table, Instrument development, Iqola project, Item content, Item response, Item response theory, Items item response, Korff, Lawrence erlbaum, Leresche, Limitation, Limitation measure, Limitation scale, Little relationship, Lower levels, Manchester orofacial pain disability scale, Mastication, Masticatory, Masticatory system, Measurement scale, Medical disability, Mental health, Mfiq, Molar, Multidimensional pain inventory, Musculoskeletal, Musculoskeletal conditions, Musculoskeletal pain, Myofascial, Myofascial disorder, Myofascial pain, Myofascial pain disorder, Ndings, Objective measures, Objective tests, Observable behaviours, Occlusal units, Ohip, Ohrbach, Oral conditions, Oral health, Oral health impact, Oral hrqol, Oral quality, Oral rehabil, Oral rehabilitation, Oral symptoms, Organ system, Organ system hrqol, Organ systems, Orofac, Orofac pain, Orofacial, Orofacial pain, Orthod dentofacial orthop, Orthodontic treatment, Other factors, Other form, Other instruments, Other measures, Other pain disorders, Other words, Pain assessment, Pain disorder, Pain disorders, Pain intensity, Pain perception, Pathophysiology, Patient perception, Periodontal, Persistent pain, Person level, Personal factors, Physical disability, Physical function, Physical status, Political model, Positive health, Primary care, Psychological disability, Psychological status, Psychological variables, Psychometric, Psychometric considerations, Psychosocial, Psychosocial disability, Psychosocial factors, Qual life, Quality assessment, Recent years, Reference frame, Rehabil, Reliability, Report interference, Respondent behaviour, Response options, Restorative dentistry, Rheumatoid arthritis, Richard ohrbach, Second model, Second molars, Selfreport measures, Short occlusion, Skeletal malocclusion, Social aspects, Social context, Social function, Somatization, Standard instrument, Standardized instruments, Stard, Statistical models, Subjective measures, Subscales, Subtypes, Such data, Such individuals, Such instruments, Such measures, Such studies, Symptom, Symptom expression, Systematic review, Target instrument, Taste experience, Temporomandibular, Temporomandibular disorder pain, Temporomandibular disorders, Tooth loss, Various aspects, World health organization.
- Teeft :
- Abundant evidence, Aesthetic concerns, Arch phys, Atypical odontalgia, Available evidence, Behaviour, Behavioural, Better measures, Biological organization, Biological tissue, Biopsychosocial, Biopsychosocial model, Blackwell, Blackwell publishing, Brain states, Brief pain inventory, Checklist, Chronic pain, Chronic pain scale, Clin, Clin epidemiol, Clinic, Clinical examinations, Clinical measures, Clinical models, Clinical reality, Clinical trials, Cognitive, Common example, Commun dent, Community dent, Complex mixture, Conceptual framework, Conventional dentures, Craniomandibular disorders, Daily functions, Dent, Dent educ, Dental anxiety, Dental arches, Dental practice, Dental problems, Dental research, Dentistry, Dentofacial, Dentofacial concerns, Dentofacial disorders, Dentofacial problems, Diagnostic accuracy, Diagnostic accuracy studies, Diagnostic research, Different levels, Disability, Disability assessment, Disability measures, Disability need, Disablement, Disablement hierarchy, Disablement model, Disablement models, Disablement status, Disc repositioning, Disease impact, Disorder, Dworkin, Environmental factors, Epidemiol, Example measures, Factor structure, Functional limitation, Functional limitation measure, Functional limitation scale, Functional problems, Functional status, Further exploration, Gcps, Gcps depsom, General health, General population, Generic, Generic measure, Global functions, Greater detail, Greater utility, Health condition, Health qual life outcomes, Health survey, Healthrelated quality, Hierarchical levels, Hrqol, Hrqol measure, Icidh, Immpact, Immpact recommendations, Impairment, Impairment questionnaire, Implant, Index measure, Individual items, Instrument author table, Instrument development, Iqola project, Item content, Item response, Item response theory, Items item response, Korff, Lawrence erlbaum, Leresche, Limitation, Limitation measure, Limitation scale, Little relationship, Lower levels, Manchester orofacial pain disability scale, Mastication, Masticatory, Masticatory system, Measurement scale, Medical disability, Mental health, Mfiq, Molar, Multidimensional pain inventory, Musculoskeletal, Musculoskeletal conditions, Musculoskeletal pain, Myofascial, Myofascial disorder, Myofascial pain, Myofascial pain disorder, Ndings, Objective measures, Objective tests, Observable behaviours, Occlusal units, Ohip, Ohrbach, Oral conditions, Oral health, Oral health impact, Oral hrqol, Oral quality, Oral rehabil, Oral rehabilitation, Oral symptoms, Organ system, Organ system hrqol, Organ systems, Orofac, Orofac pain, Orofacial, Orofacial pain, Orthod dentofacial orthop, Orthodontic treatment, Other factors, Other form, Other instruments, Other measures, Other pain disorders, Other words, Pain assessment, Pain disorder, Pain disorders, Pain intensity, Pain perception, Pathophysiology, Patient perception, Periodontal, Persistent pain, Person level, Personal factors, Physical disability, Physical function, Physical status, Political model, Positive health, Primary care, Psychological disability, Psychological status, Psychological variables, Psychometric, Psychometric considerations, Psychosocial, Psychosocial disability, Psychosocial factors, Qual life, Quality assessment, Recent years, Reference frame, Rehabil, Reliability, Report interference, Respondent behaviour, Response options, Restorative dentistry, Rheumatoid arthritis, Richard ohrbach, Second model, Second molars, Selfreport measures, Short occlusion, Skeletal malocclusion, Social aspects, Social context, Social function, Somatization, Standard instrument, Standardized instruments, Stard, Statistical models, Subjective measures, Subscales, Subtypes, Such data, Such individuals, Such instruments, Such measures, Such studies, Symptom, Symptom expression, Systematic review, Target instrument, Taste experience, Temporomandibular, Temporomandibular disorder pain, Temporomandibular disorders, Tooth loss, Various aspects, World health organization.
Abstract
Summary The consequences of a disease or condition such as temporomandibular disorders (TMD) include functional limitation and psychosocial disability. These two concepts refer to the individual’s experience of limitations in function associated with the affected part of the body and to disarray in one’s life, respectively. Models of disability emphasize the individual’s self‐report in describing these states and the centrality of these concepts as part of the disease and illness process. However, assessment approaches typically used in medicine and especially in dentistry do not yet routinely include these domains. TMD, as a musculoskeletal pain condition, can clearly lead to both limitation and disability, and the available evidence suggests that dentofacial disorders can also lead to both consequences. The relatively low contribution of disease impairment (measured changes in function through objective tests), however, to the reported limitation or disability in either TMD or dentofacial disorders remains complex and poorly understood. This article reviews the overall model of disablement, the necessary properties of measures to assess disablement, the present state of knowledge about these concepts, and what measures should be considered as part of routine assessment.
Url:
DOI: 10.1111/j.1365-2842.2009.02058.x
Affiliations:
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Abundant evidence</term>
<term>Aesthetic concerns</term>
<term>Arch phys</term>
<term>Atypical odontalgia</term>
<term>Available evidence</term>
<term>Behaviour</term>
<term>Behavioural</term>
<term>Better measures</term>
<term>Biological organization</term>
<term>Biological tissue</term>
<term>Biopsychosocial</term>
<term>Biopsychosocial model</term>
<term>Blackwell</term>
<term>Blackwell publishing</term>
<term>Brain states</term>
<term>Brief pain inventory</term>
<term>Checklist</term>
<term>Chronic pain</term>
<term>Chronic pain scale</term>
<term>Clin</term>
<term>Clin epidemiol</term>
<term>Clinic</term>
<term>Clinical examinations</term>
<term>Clinical measures</term>
<term>Clinical models</term>
<term>Clinical reality</term>
<term>Clinical trials</term>
<term>Cognitive</term>
<term>Common example</term>
<term>Commun dent</term>
<term>Community dent</term>
<term>Complex mixture</term>
<term>Conceptual framework</term>
<term>Conventional dentures</term>
<term>Craniomandibular disorders</term>
<term>Daily functions</term>
<term>Dent</term>
<term>Dent educ</term>
<term>Dental anxiety</term>
<term>Dental arches</term>
<term>Dental practice</term>
<term>Dental problems</term>
<term>Dental research</term>
<term>Dentistry</term>
<term>Dentofacial</term>
<term>Dentofacial concerns</term>
<term>Dentofacial disorders</term>
<term>Dentofacial problems</term>
<term>Diagnostic accuracy</term>
<term>Diagnostic accuracy studies</term>
<term>Diagnostic research</term>
<term>Different levels</term>
<term>Disability</term>
<term>Disability assessment</term>
<term>Disability measures</term>
<term>Disability need</term>
<term>Disablement</term>
<term>Disablement hierarchy</term>
<term>Disablement model</term>
<term>Disablement models</term>
<term>Disablement status</term>
<term>Disc repositioning</term>
<term>Disease impact</term>
<term>Disorder</term>
<term>Dworkin</term>
<term>Environmental factors</term>
<term>Epidemiol</term>
<term>Example measures</term>
<term>Factor structure</term>
<term>Functional limitation</term>
<term>Functional limitation measure</term>
<term>Functional limitation scale</term>
<term>Functional problems</term>
<term>Functional status</term>
<term>Further exploration</term>
<term>Gcps</term>
<term>Gcps depsom</term>
<term>General health</term>
<term>General population</term>
<term>Generic</term>
<term>Generic measure</term>
<term>Global functions</term>
<term>Greater detail</term>
<term>Greater utility</term>
<term>Health condition</term>
<term>Health qual life outcomes</term>
<term>Health survey</term>
<term>Healthrelated quality</term>
<term>Hierarchical levels</term>
<term>Hrqol</term>
<term>Hrqol measure</term>
<term>Icidh</term>
<term>Immpact</term>
<term>Immpact recommendations</term>
<term>Impairment</term>
<term>Impairment questionnaire</term>
<term>Implant</term>
<term>Index measure</term>
<term>Individual items</term>
<term>Instrument author table</term>
<term>Instrument development</term>
<term>Iqola project</term>
<term>Item content</term>
<term>Item response</term>
<term>Item response theory</term>
<term>Items item response</term>
<term>Korff</term>
<term>Lawrence erlbaum</term>
<term>Leresche</term>
<term>Limitation</term>
<term>Limitation measure</term>
<term>Limitation scale</term>
<term>Little relationship</term>
<term>Lower levels</term>
<term>Manchester orofacial pain disability scale</term>
<term>Mastication</term>
<term>Masticatory</term>
<term>Masticatory system</term>
<term>Measurement scale</term>
<term>Medical disability</term>
<term>Mental health</term>
<term>Mfiq</term>
<term>Molar</term>
<term>Multidimensional pain inventory</term>
<term>Musculoskeletal</term>
<term>Musculoskeletal conditions</term>
<term>Musculoskeletal pain</term>
<term>Myofascial</term>
<term>Myofascial disorder</term>
<term>Myofascial pain</term>
<term>Myofascial pain disorder</term>
<term>Ndings</term>
<term>Objective measures</term>
<term>Objective tests</term>
<term>Observable behaviours</term>
<term>Occlusal units</term>
<term>Ohip</term>
<term>Ohrbach</term>
<term>Oral conditions</term>
<term>Oral health</term>
<term>Oral health impact</term>
<term>Oral hrqol</term>
<term>Oral quality</term>
<term>Oral rehabil</term>
<term>Oral rehabilitation</term>
<term>Oral symptoms</term>
<term>Organ system</term>
<term>Organ system hrqol</term>
<term>Organ systems</term>
<term>Orofac</term>
<term>Orofac pain</term>
<term>Orofacial</term>
<term>Orofacial pain</term>
<term>Orthod dentofacial orthop</term>
<term>Orthodontic treatment</term>
<term>Other factors</term>
<term>Other form</term>
<term>Other instruments</term>
<term>Other measures</term>
<term>Other pain disorders</term>
<term>Other words</term>
<term>Pain assessment</term>
<term>Pain disorder</term>
<term>Pain disorders</term>
<term>Pain intensity</term>
<term>Pain perception</term>
<term>Pathophysiology</term>
<term>Patient perception</term>
<term>Periodontal</term>
<term>Persistent pain</term>
<term>Person level</term>
<term>Personal factors</term>
<term>Physical disability</term>
<term>Physical function</term>
<term>Physical status</term>
<term>Political model</term>
<term>Positive health</term>
<term>Primary care</term>
<term>Psychological disability</term>
<term>Psychological status</term>
<term>Psychological variables</term>
<term>Psychometric</term>
<term>Psychometric considerations</term>
<term>Psychosocial</term>
<term>Psychosocial disability</term>
<term>Psychosocial factors</term>
<term>Qual life</term>
<term>Quality assessment</term>
<term>Recent years</term>
<term>Reference frame</term>
<term>Rehabil</term>
<term>Reliability</term>
<term>Report interference</term>
<term>Respondent behaviour</term>
<term>Response options</term>
<term>Restorative dentistry</term>
<term>Rheumatoid arthritis</term>
<term>Richard ohrbach</term>
<term>Second model</term>
<term>Second molars</term>
<term>Selfreport measures</term>
<term>Short occlusion</term>
<term>Skeletal malocclusion</term>
<term>Social aspects</term>
<term>Social context</term>
<term>Social function</term>
<term>Somatization</term>
<term>Standard instrument</term>
<term>Standardized instruments</term>
<term>Stard</term>
<term>Statistical models</term>
<term>Subjective measures</term>
<term>Subscales</term>
<term>Subtypes</term>
<term>Such data</term>
<term>Such individuals</term>
<term>Such instruments</term>
<term>Such measures</term>
<term>Such studies</term>
<term>Symptom</term>
<term>Symptom expression</term>
<term>Systematic review</term>
<term>Target instrument</term>
<term>Taste experience</term>
<term>Temporomandibular</term>
<term>Temporomandibular disorder pain</term>
<term>Temporomandibular disorders</term>
<term>Tooth loss</term>
<term>Various aspects</term>
<term>World health organization</term>
</keywords>
<keywords scheme="Teeft" xml:lang="en"><term>Abundant evidence</term>
<term>Aesthetic concerns</term>
<term>Arch phys</term>
<term>Atypical odontalgia</term>
<term>Available evidence</term>
<term>Behaviour</term>
<term>Behavioural</term>
<term>Better measures</term>
<term>Biological organization</term>
<term>Biological tissue</term>
<term>Biopsychosocial</term>
<term>Biopsychosocial model</term>
<term>Blackwell</term>
<term>Blackwell publishing</term>
<term>Brain states</term>
<term>Brief pain inventory</term>
<term>Checklist</term>
<term>Chronic pain</term>
<term>Chronic pain scale</term>
<term>Clin</term>
<term>Clin epidemiol</term>
<term>Clinic</term>
<term>Clinical examinations</term>
<term>Clinical measures</term>
<term>Clinical models</term>
<term>Clinical reality</term>
<term>Clinical trials</term>
<term>Cognitive</term>
<term>Common example</term>
<term>Commun dent</term>
<term>Community dent</term>
<term>Complex mixture</term>
<term>Conceptual framework</term>
<term>Conventional dentures</term>
<term>Craniomandibular disorders</term>
<term>Daily functions</term>
<term>Dent</term>
<term>Dent educ</term>
<term>Dental anxiety</term>
<term>Dental arches</term>
<term>Dental practice</term>
<term>Dental problems</term>
<term>Dental research</term>
<term>Dentistry</term>
<term>Dentofacial</term>
<term>Dentofacial concerns</term>
<term>Dentofacial disorders</term>
<term>Dentofacial problems</term>
<term>Diagnostic accuracy</term>
<term>Diagnostic accuracy studies</term>
<term>Diagnostic research</term>
<term>Different levels</term>
<term>Disability</term>
<term>Disability assessment</term>
<term>Disability measures</term>
<term>Disability need</term>
<term>Disablement</term>
<term>Disablement hierarchy</term>
<term>Disablement model</term>
<term>Disablement models</term>
<term>Disablement status</term>
<term>Disc repositioning</term>
<term>Disease impact</term>
<term>Disorder</term>
<term>Dworkin</term>
<term>Environmental factors</term>
<term>Epidemiol</term>
<term>Example measures</term>
<term>Factor structure</term>
<term>Functional limitation</term>
<term>Functional limitation measure</term>
<term>Functional limitation scale</term>
<term>Functional problems</term>
<term>Functional status</term>
<term>Further exploration</term>
<term>Gcps</term>
<term>Gcps depsom</term>
<term>General health</term>
<term>General population</term>
<term>Generic</term>
<term>Generic measure</term>
<term>Global functions</term>
<term>Greater detail</term>
<term>Greater utility</term>
<term>Health condition</term>
<term>Health qual life outcomes</term>
<term>Health survey</term>
<term>Healthrelated quality</term>
<term>Hierarchical levels</term>
<term>Hrqol</term>
<term>Hrqol measure</term>
<term>Icidh</term>
<term>Immpact</term>
<term>Immpact recommendations</term>
<term>Impairment</term>
<term>Impairment questionnaire</term>
<term>Implant</term>
<term>Index measure</term>
<term>Individual items</term>
<term>Instrument author table</term>
<term>Instrument development</term>
<term>Iqola project</term>
<term>Item content</term>
<term>Item response</term>
<term>Item response theory</term>
<term>Items item response</term>
<term>Korff</term>
<term>Lawrence erlbaum</term>
<term>Leresche</term>
<term>Limitation</term>
<term>Limitation measure</term>
<term>Limitation scale</term>
<term>Little relationship</term>
<term>Lower levels</term>
<term>Manchester orofacial pain disability scale</term>
<term>Mastication</term>
<term>Masticatory</term>
<term>Masticatory system</term>
<term>Measurement scale</term>
<term>Medical disability</term>
<term>Mental health</term>
<term>Mfiq</term>
<term>Molar</term>
<term>Multidimensional pain inventory</term>
<term>Musculoskeletal</term>
<term>Musculoskeletal conditions</term>
<term>Musculoskeletal pain</term>
<term>Myofascial</term>
<term>Myofascial disorder</term>
<term>Myofascial pain</term>
<term>Myofascial pain disorder</term>
<term>Ndings</term>
<term>Objective measures</term>
<term>Objective tests</term>
<term>Observable behaviours</term>
<term>Occlusal units</term>
<term>Ohip</term>
<term>Ohrbach</term>
<term>Oral conditions</term>
<term>Oral health</term>
<term>Oral health impact</term>
<term>Oral hrqol</term>
<term>Oral quality</term>
<term>Oral rehabil</term>
<term>Oral rehabilitation</term>
<term>Oral symptoms</term>
<term>Organ system</term>
<term>Organ system hrqol</term>
<term>Organ systems</term>
<term>Orofac</term>
<term>Orofac pain</term>
<term>Orofacial</term>
<term>Orofacial pain</term>
<term>Orthod dentofacial orthop</term>
<term>Orthodontic treatment</term>
<term>Other factors</term>
<term>Other form</term>
<term>Other instruments</term>
<term>Other measures</term>
<term>Other pain disorders</term>
<term>Other words</term>
<term>Pain assessment</term>
<term>Pain disorder</term>
<term>Pain disorders</term>
<term>Pain intensity</term>
<term>Pain perception</term>
<term>Pathophysiology</term>
<term>Patient perception</term>
<term>Periodontal</term>
<term>Persistent pain</term>
<term>Person level</term>
<term>Personal factors</term>
<term>Physical disability</term>
<term>Physical function</term>
<term>Physical status</term>
<term>Political model</term>
<term>Positive health</term>
<term>Primary care</term>
<term>Psychological disability</term>
<term>Psychological status</term>
<term>Psychological variables</term>
<term>Psychometric</term>
<term>Psychometric considerations</term>
<term>Psychosocial</term>
<term>Psychosocial disability</term>
<term>Psychosocial factors</term>
<term>Qual life</term>
<term>Quality assessment</term>
<term>Recent years</term>
<term>Reference frame</term>
<term>Rehabil</term>
<term>Reliability</term>
<term>Report interference</term>
<term>Respondent behaviour</term>
<term>Response options</term>
<term>Restorative dentistry</term>
<term>Rheumatoid arthritis</term>
<term>Richard ohrbach</term>
<term>Second model</term>
<term>Second molars</term>
<term>Selfreport measures</term>
<term>Short occlusion</term>
<term>Skeletal malocclusion</term>
<term>Social aspects</term>
<term>Social context</term>
<term>Social function</term>
<term>Somatization</term>
<term>Standard instrument</term>
<term>Standardized instruments</term>
<term>Stard</term>
<term>Statistical models</term>
<term>Subjective measures</term>
<term>Subscales</term>
<term>Subtypes</term>
<term>Such data</term>
<term>Such individuals</term>
<term>Such instruments</term>
<term>Such measures</term>
<term>Such studies</term>
<term>Symptom</term>
<term>Symptom expression</term>
<term>Systematic review</term>
<term>Target instrument</term>
<term>Taste experience</term>
<term>Temporomandibular</term>
<term>Temporomandibular disorder pain</term>
<term>Temporomandibular disorders</term>
<term>Tooth loss</term>
<term>Various aspects</term>
<term>World health organization</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Santé mentale</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract">Summary The consequences of a disease or condition such as temporomandibular disorders (TMD) include functional limitation and psychosocial disability. These two concepts refer to the individual’s experience of limitations in function associated with the affected part of the body and to disarray in one’s life, respectively. Models of disability emphasize the individual’s self‐report in describing these states and the centrality of these concepts as part of the disease and illness process. However, assessment approaches typically used in medicine and especially in dentistry do not yet routinely include these domains. TMD, as a musculoskeletal pain condition, can clearly lead to both limitation and disability, and the available evidence suggests that dentofacial disorders can also lead to both consequences. The relatively low contribution of disease impairment (measured changes in function through objective tests), however, to the reported limitation or disability in either TMD or dentofacial disorders remains complex and poorly understood. This article reviews the overall model of disablement, the necessary properties of measures to assess disablement, the present state of knowledge about these concepts, and what measures should be considered as part of routine assessment.</div>
</front>
</TEI>
<affiliations><list><country><li>États-Unis</li>
</country>
<region><li>État de New York</li>
</region>
<settlement><li>Buffalo (New York)</li>
</settlement>
<orgName><li>Université d'État de New York à Buffalo</li>
</orgName>
</list>
<tree><country name="États-Unis"><region name="État de New York"><name sortKey="Ohrbach, R" sort="Ohrbach, R" uniqKey="Ohrbach R" first="R." last="Ohrbach">R. Ohrbach</name>
</region>
</country>
</tree>
</affiliations>
</record>
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