<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-1249</journal-id>
<journal-title><![CDATA[Archivos de Pediatría del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Arch. Pediatr. Urug.]]></abbrev-journal-title>
<issn>1688-1249</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Uruguaya de Pediatría]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-12492019000600305</article-id>
<article-id pub-id-type="doi">10.31134/ap.90.6.2</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Epidemiología de los pacientes pediátricos derivados a un equipo de referencia en violencia doméstica. CASMU- IAMPP, 2016]]></article-title>
<article-title xml:lang="en"><![CDATA[Epidemiology of pediatric patients referred to an Expert Reference Team specialized in Domestic Violence. CASMU- IAMPP, 2016]]></article-title>
<article-title xml:lang="pt"><![CDATA[Epidemiologia dos pacientes pediátricos encaminhados a uma equipe de referência em violência doméstica. CASMU- IAMPP, 2016]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Perdomo]]></surname>
<given-names><![CDATA[Virginia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rubinstein]]></surname>
<given-names><![CDATA[Marisa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gutiérrez]]></surname>
<given-names><![CDATA[Stella]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,UDELAR Facultad de Medicina ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,UDELAR Facultad de Medicina ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>90</volume>
<numero>6</numero>
<fpage>305</fpage>
<lpage>311</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-12492019000600305&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-12492019000600305&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-12492019000600305&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: El maltrato infantil y específicamente el abuso sexual infantil constituyen una violación de los derechos humanos y un importante problema de salud mundial. En Uruguay, los Equipos de Referencia en Violencia Doméstica en las instituciones de salud, asisten a niños víctimas de situaciones de violencia. Este trabajo buscó conocer la incidencia en niños, víctimas de situaciones de maltrato moderado a severo y de probable abuso sexual infantil, asistidos en el equipo de referencia en violencia doméstica de la institución CASMU-IAMPP, y sus características epidemiológicas. Se realizó un estudio observacional, descriptivo, con los usuarios menores de 18 años que fueron derivados en el 2016 a dicho equipo. El total de niños asistidos fue 87, la incidencia anual fue 0,2%. El 38% de los niños fueron víctimas de violencia doméstica, 31% sufrieron probable abuso sexual, 22% violencia física, 24% psicológica y 7% negligencia. En 90% de los casos, las situaciones se detectaron en etapa crónica. El 77% fueron derivados por el sector salud, de ellos un tercio por el pediatra tratante. El 50% convivía con el agresor y en el 38% de las situaciones de abuso sexual, el padre fue el victimario. De las escolares víctimas de abuso sexual, el 65% tenía sobrepeso u obesidad. Se destaca la importancia de conocer la epidemiología de los pacientes atendidos por una patología frecuente y grave para mejorar la calidad de su abordaje.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Summary: Child abuse and specifically child sexual abuse is a violation of Human Rights and a major global health problem. In Uruguay, the expert reference team specialized in domestic violence at health medical institutions assists children who are victims of violence. This paper aims at studying the incidence of children victims of moderate to severe abuse and of probable child sexual abuse assisted at the reference specialized center for domestic violence of the CASMU-IAMPP HMO and its epidemiological characteristics. We carried out an observational, descriptive study with patients under 18 years of age who were referred in 2016. The total number of children assisted was 87, the annual incidence was 0.2%. 38% of the children were victims of domestic violence, 31% suffered probable sexual abuse, 22% physical violence, 24% psychological and 7% negligence. In 90% of the cases, these situations of abuse were detected in the chronic stage. 77% were referred by the health sector; 34% by the treating pediatrician. 50% lived with the aggressor. In 38% of situations of sexual abuse, the father was the abuser. Of the schoolchildren victims of sexual abuse, 65% were overweight or obese. We hereby stress the importance of understanding and knowing the epidemiology of patients treated for a frequent and serious pathology in order to improve their quality of the approach used.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: O abuso infantil e especificamente o abuso sexual infantil são uma violação dos Direitos Humanos e um grande problema de saúde global. No Uruguai, as equipes de referência em violência doméstica das instituições de saúde assistem a crianças vítimas de situações de violência. Este trabalho procurou conhecer a incidência de crianças vítimas de situações de abuso moderado a grave e provável abuso sexual infantil, nas crianças atendidas pela equipe de referência em violência doméstica da instituição CASMU-IAMPP e suas características epidemiológicas. Realizou-se um estudo descritivo e observacional com crianças menores de 18 anos que foram encaminhados em 2016 à referida equipe. O número total de crianças atendidas foi de 87, a incidência anual foi de 0,2%. 38% das crianças foram vítimas de violência doméstica, 31% sofreram provável abuso sexual, 22% violência física, 24% psicológica e 7% negligência. Em 90% dos casos, detectamos os casos em estágio crônico. 77% foram encaminhados pelo setor de saúde, um terço deles pelo pediatra responsável. 50% moravam com o agressor e em 38% das situações de abuso sexual, o pai era o abusador. Das vítimas escolares de abuso sexual, 65% apresentavam sobrepeso ou obesidade. Destaca-se a importância de conhecer a epidemiologia dos pacientes tratados por uma patologia frequente e séria para melhorar a qualidade de sua abordagem.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Abuso sexual infantil]]></kwd>
<kwd lng="es"><![CDATA[Maltrato a los niños]]></kwd>
<kwd lng="es"><![CDATA[Violencia doméstica]]></kwd>
<kwd lng="en"><![CDATA[Sexual child abuse]]></kwd>
<kwd lng="en"><![CDATA[Child abuse]]></kwd>
<kwd lng="en"><![CDATA[Domestic violence]]></kwd>
<kwd lng="pt"><![CDATA[Abuso sexual na infancia]]></kwd>
<kwd lng="pt"><![CDATA[Maus-tratos infantis]]></kwd>
<kwd lng="pt"><![CDATA[Violência doméstica]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<collab>Organización Mundial de la Salud</collab>
<source><![CDATA[Maltrato infantil]]></source>
<year>2016</year>
<publisher-loc><![CDATA[Ginebra ]]></publisher-loc>
<publisher-name><![CDATA[OMS]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="book">
<collab>Department of Health and Human Services</collab>
<article-title xml:lang=""><![CDATA[Acta para la prevención y el tratamiento del maltrato infantil. 2010.]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Baita]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Moreno]]></surname>
<given-names><![CDATA[P.]]></given-names>
</name>
</person-group>
<source><![CDATA[Abuso sexual infantil: cuestiones relevantes para su tratamiento en la justicia]]></source>
<year>2015</year>
<publisher-loc><![CDATA[Montevideo ]]></publisher-loc>
<publisher-name><![CDATA[UNICEF]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="book">
<collab>Organización Panamericana de la Salud</collab>
<source><![CDATA[INSPIRE: siete estrategias para poner fin a la violencia contra los niños y las niñas.]]></source>
<year>2017</year>
<publisher-loc><![CDATA[Washington, DC ]]></publisher-loc>
<publisher-name><![CDATA[OPS]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Barudy]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[El dolor invisible de la infancia: una lectura ecosistemática del maltrato infantil]]></source>
<year>1998</year>
<publisher-loc><![CDATA[Barcelona ]]></publisher-loc>
<publisher-name><![CDATA[Paidós Ibérica]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Intebi]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<source><![CDATA[Proteger, reparar, penalizar: evaluación de las sospechas de abuso sexual infantil]]></source>
<year>2011</year>
<publisher-loc><![CDATA[Buenos Aires ]]></publisher-loc>
<publisher-name><![CDATA[Granica]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Perrone]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Nannini]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[Violencia y abusos sexuales en la familia: una visión sistémica de las conductas sociales violentas]]></source>
<year>2010</year>
<publisher-loc><![CDATA[Buenos Aires ]]></publisher-loc>
<publisher-name><![CDATA[Paidós]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lozada]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Saboya]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Abuso sexual infantil, trastornos de la conducta alimentaria y su tratamiento]]></article-title>
<source><![CDATA[Psicol Conoc Soc]]></source>
<year>2013</year>
<volume>3</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>102-34</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Intebi]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<source><![CDATA[Abuso sexual infantil en las mejores familias]]></source>
<year>2013</year>
<publisher-loc><![CDATA[Buenos Aires ]]></publisher-loc>
<publisher-name><![CDATA[Granica]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="">
<source><![CDATA[Decreto 001-4390/2006]]></source>
<year>2006</year>
<publisher-loc><![CDATA[Montevideo ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="book">
<source><![CDATA[Sistema Integral de Protección a la Infancia y a la Adolescencia contra la Violencia. Informe de gestión 2013]]></source>
<year>2013</year>
<publisher-loc><![CDATA[Montevideo ]]></publisher-loc>
<publisher-name><![CDATA[SIPIAV]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="book">
<collab>Ministerio de Salud</collab>
<source><![CDATA[Mapa de ruta para la prevención y la atención de situaciones de maltrato y abuso sexual infantil en el sector salud]]></source>
<year>2009</year>
<publisher-loc><![CDATA[Montevideo ]]></publisher-loc>
<publisher-name><![CDATA[MS]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lozano]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Sande]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Perdomo]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Zunino]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<source><![CDATA[Protocolo para el abordaje de situaciones de violencia sexual hacia niñas, niños y adolescentes en el marco del Sistema Nacional Integrado de Salud]]></source>
<year>2018</year>
<publisher-loc><![CDATA[Montevideo ]]></publisher-loc>
<publisher-name><![CDATA[MS]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="book">
<collab>Fondo Fiduciario de la Naciones Unidas para eliminar la violencia contra las mujeres</collab>
<source><![CDATA[Uruguay unido para poner fin a la violencia hacia mujeres, niñas y adolescentes]]></source>
<year>2014</year>
<publisher-loc><![CDATA[Montevideo ]]></publisher-loc>
<publisher-name><![CDATA[CNCLVD, SIPIAV, ONU]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Casella]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Abuso sexual infantil: dimensiones del problema y su detección. Trabajo Final de Grado de la Licenciatura de Psicología. Monografía]]></source>
<year>2016</year>
<publisher-loc><![CDATA[Montevideo ]]></publisher-loc>
<publisher-name><![CDATA[UDELAR, Facultad de Psicología]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="book">
<collab>Sistema Integral de Protección a la Infancia y a la Adolescencia contra la Violencia</collab>
<source><![CDATA[Informe de gestión 2017]]></source>
<year>2017</year>
<publisher-loc><![CDATA[Montevideo ]]></publisher-loc>
<publisher-name><![CDATA[SIPIAV]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Veirano]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Zunino]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Pandolfo]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Vomero]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Guerrero]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Gurin]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Admisión hospitalaria por abuso sexual infantil Centro Hospitalario Pereira Rossell 2010-2014]]></article-title>
<source><![CDATA[Arch Pediatr Urug]]></source>
<year>2017</year>
<volume>88</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>246-53</page-range></nlm-citation>
</ref>
<ref id="B17">
<nlm-citation citation-type="">
<collab>Naciones Unidas. Asamblea General</collab>
<source><![CDATA[Convención de los derechos del niño]]></source>
<year>2018</year>
</nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Patró]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Limiñana]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Víctimas de violencia familiar consecuencias psicológicas en hijos de mujeres maltratadas]]></article-title>
<source><![CDATA[An Psicol]]></source>
<year>2005</year>
<volume>21</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>11-7</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Machado]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Gil]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Ramos]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Pírez]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Sobrepeso/obesidad en niños en edad escolar y sus factores de riesgo]]></article-title>
<source><![CDATA[Arch Pediatr Urug]]></source>
<year>2018</year>
<volume>89</volume>
<numero>S1</numero>
<issue>S1</issue>
<page-range>S16-25</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[López]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Perea]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Loredo]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Obesidad y maltrato infantil Un fenómeno bidireccional]]></article-title>
<source><![CDATA[Acta Pediatr Mex]]></source>
<year>2008</year>
<volume>29</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>342-6</page-range></nlm-citation>
</ref>
<ref id="B21">
<label>21</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Narayan]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Socolar]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[St Claire]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Pediatric residency training in child abuse and neglect in the United States]]></article-title>
<source><![CDATA[Pediatrics]]></source>
<year>2006</year>
<volume>117</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>2215-21</page-range></nlm-citation>
</ref>
<ref id="B22">
<label>22</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Turner]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Finkelhor]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Ormrod]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Hamby]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Infant victimization in a nationally representative sample]]></article-title>
<source><![CDATA[Pediatrics]]></source>
<year>2010</year>
<volume>126</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>44-52</page-range></nlm-citation>
</ref>
<ref id="B23">
<label>23</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lozada]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Epidemiología del abuso sexual infantil]]></article-title>
<source><![CDATA[Rev Psicol GEPU]]></source>
<year>2012</year>
<volume>3</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>201-29</page-range></nlm-citation>
</ref>
<ref id="B24">
<label>24</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Seldes]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Ziperovich]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Viota]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Leiva]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Maltrato infantil experiencia de un abordaje interdisciplinario]]></article-title>
<source><![CDATA[Arch Argent Pediatr]]></source>
<year>2008</year>
<volume>106</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>499-504</page-range></nlm-citation>
</ref>
<ref id="B25">
<label>25</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Platt]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Back]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Hauschild]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Guedert]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Violência sexual contra crianças autores, vítimas e consequências]]></article-title>
<source><![CDATA[Ciênc Saúde Coletiva]]></source>
<year>2018</year>
<volume>23</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>1019-31</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
