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1.
Chem Senses ; 37(8): 755-66, 2012 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-22832482

RESUMO

Early experiences are of potential importance in shaping long-term behavior. This study examined the relative influence of prenatal and/or early postnatal experience of chemosensory stimuli on subsequent olfactory and dietary preferences of cats as newborns, at 9-10 weeks, and at 6 months. Cats were exposed to vanillin or 4-ethylguaiacol via their mother's diet either prenatally, postnatally, perinatally (prenatal and postnatal), or experienced no exposure to the stimuli (control). Newborns were given a two-choice olfactory test between the familiar "odor" and no odor; 9-10 week olds were tested for their preference between two food treats, one flavored with the familiar stimulus and the other unflavored; at 6 months, cats were given a choice of two bowls of food, one flavored with the familiar stimulus and the other unflavored. At all ages, cats preferred the familiar, and avoided the unfamiliar, stimulus. Perinatal exposure exerted the strongest influence on preference. Prenatal exposure influenced preference at all ages and postnatal exposure exerted a stronger effect as the cat aged. We conclude that long-term chemosensory and dietary preferences of cats are influenced by prenatal and early (nursing) postnatal experience, supporting a natural and biologically relevant mechanism for the safe transmission of diet from mother to young.


Assuntos
Envelhecimento , Dieta , Preferências Alimentares , Efeitos Tardios da Exposição Pré-Natal , Animais , Animais Recém-Nascidos , Benzaldeídos/administração & dosagem , Benzaldeídos/efeitos adversos , Gatos , Feminino , Preferências Alimentares/efeitos dos fármacos , Guaiacol/administração & dosagem , Guaiacol/efeitos adversos , Guaiacol/análogos & derivados , Percepção Olfatória/efeitos dos fármacos , Gravidez , Desmame
2.
Arch Dis Child ; 96(3): 252-8, 2011 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-20522466

RESUMO

OBJECTIVE: Interventions to reduce health inequalities for young children and their mothers are important: involving peers is recommended, but evidence of value for this approach is limited. The authors aimed to examine the effect of an innovative tailored peer-mentoring programme, based on perceived needs, for first-time mothers in socio-economically deprived communities. DESIGN: Randomised controlled trial; parallel qualitative study with purposive samples using semistructured interviews. SETTING: Socio-economically disadvantaged areas, Belfast. PARTICIPANTS: Primigravidae, aged 16-30 years, without significant co-morbidity. INTERVENTION: Peer-mentoring by a lay-worker fortnightly during pregnancy and monthly for the following year, tailored to participants' wishes (home visits/telephone contacts), additional to usual care. MAIN OUTCOME MEASURES: Infant psychomotor and mental development (Bayley Scales of Infant Development (BSID-II)) at 1 year, assessed by an observer blinded to group allocation. Mothers' health at 1 year postnatal (SF-36). RESULTS: Of 534 women invited, 343(64%) participated; 85%, with their children, completed outcome assessments (140 of 172 intervention; 152 of 171 controls). Intervention and control groups did not differ in BSID-II psychomotor (mean difference 1.64, 95% CI -0.94 to 4.21) or mental (-0.81, -2.78 to 1.16) scores, nor SF-36 physical functioning (-5.4, -11.6 to 0.7) or mental health (-1.8, -6.1 to 2.6). Women valued advice given in context of personal experience of child-rearing. Mentors gained health-related knowledge, personal skills and new employment opportunities. CONCLUSIONS: Despite possible longer-term social advantage, this peer-mentoring programme showed no benefit for infant development or maternal health at 1 year. Further rigorous evaluation of important outcomes of complex interventions promoting health for children in socially disadvantaged communities is warranted. TRIAL REGISTRATION NO: ISRCTN 55055030.


Assuntos
Mentores , Mães/educação , Grupo Associado , Apoio Social , Adolescente , Adulto , Desenvolvimento Infantil , Feminino , Humanos , Recém-Nascido , Saúde Mental , Mentores/educação , Mães/psicologia , Avaliação de Resultados em Cuidados de Saúde , Poder Familiar , Áreas de Pobreza , Desempenho Psicomotor , Adulto Jovem
3.
Eur J Orthod ; 27(4): 349-54, 2005 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-15961569

RESUMO

This study investigated the influence of changing lower face vertical proportion on the attractiveness ratings scored by lay people.Ninety-two social science students rated the attractiveness of a series of silhouettes with normal, reduced or increased lower face proportions. The random sequences of 10 images included an image with the Eastman normal lower face height relative to total face height [lower anterior face height/total anterior face height (LAFH/TAFH) of 55 per cent], and images with LAFH/TAFH increased or decreased by up to four standard deviations (SD) from the Eastman norm. All the images had a skeletal Class I antero-posterior (AP) relationship. A duplicate image in each sequence assessed repeatability. The participants scored each image using a 10 point numerical scale and also indicated whether they would seek treatment if the image was their own profile. The profile image with normal vertical facial proportions was rated by the lay people as the most attractive. Attractiveness scores reduced as the vertical facial proportions diverged from the normal value. Images with a reduced lower face proportion were rated as significantly more attractive than the corresponding images with an increased lower face proportion. Images with a reduced lower face proportion were also significantly less likely to be judged as needing treatment than the corresponding images with an increased lower face proportion.


Assuntos
Beleza , Estética Dentária , Face/anatomia & histologia , Arcada Osseodentária/anatomia & histologia , Dimensão Vertical , Adolescente , Adulto , Cefalometria/normas , Feminino , Humanos , Masculino , Valores de Referência
4.
Am J Orthod Dentofacial Orthop ; 120(5): 490-7, 2001 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-11709666

RESUMO

The aim of this study was to review the reported psychosocial benefits of orthognathic surgery. A systematic review of the literature was conducted using MEDLINE (1966 to December 2000), Web of Science (1981 to December 2000), and reference sections of identified articles. We also hand searched key orthodontic, oral surgery, and psychology journals. No language limitations were imposed. Randomized controlled trials, other controlled clinical trials, prospective studies (with or without controls), and retrospective studies (with or without controls) were considered for inclusion. Two reviewers extracted the data and independently assessed the quality of the studies. In all, 29 studies, including a number of prospective and retrospective studies, were identified as relevant. The results of the review indicated that orthognathic patients experience psychosocial benefits as a result of orthognathic surgery, including improved self-confidence, body and facial image, and social adjustment. However, there were wide variations in the study designs and a lack of uniformity in measuring the psychosocial constructs. This made it difficult to quantify the extent and the duration of the psychosocial benefits.


Assuntos
Anormalidades Maxilomandibulares/psicologia , Anormalidades Maxilomandibulares/cirurgia , Má Oclusão/psicologia , Má Oclusão/cirurgia , Procedimentos Cirúrgicos Bucais/psicologia , Humanos , Autoimagem , Desejabilidade Social
5.
Eur J Orthod ; 23(3): 315-23, 2001 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-11471274

RESUMO

The aim of this study was to assess general dental practitioners' and orthodontists' perceptions of the benefits of orthodontic treatment. A specially designed questionnaire was sent to a random sample of 150 general dental practitioners (GDPs) and all orthodontists in Northern Ireland (excluding hospital practitioners) with a postgraduate qualification (n = 29). There was a 93 per cent response rate by the general dental practitioners and all but one specialist practitioner returned the questionnaire. The questionnaire comprised 14 visual analogue scales (VAS) whereby participants were asked to rate the importance of various possible dental health and psychosocial benefits of orthodontic treatment. In addition to the VAS, the influence of dentist variables such as number of years since qualification, orthodontic cases completed, referral rates and attendance at postgraduate lectures were examined. When ratings on the 14 dental health and psychosocial scales were examined overall, GDPs rated an improvement in self-esteem while orthodontists considered an improvement in physical attractiveness as the most important benefit of orthodontic treatment. Even though psychosocial variables received the highest ratings, examination of the mean ratings (and 95 per cent confidence intervals) revealed that some dental health factors were also rated highly by both groups. While the results do indicate an encouraging awareness of the psychosocial benefits of orthodontic treatment, they also suggest that both GDPs and orthodontists have an unrealistic expectation of the dental health gain likely to result from orthodontic treatment.


Assuntos
Odontólogos/psicologia , Odontologia Geral , Ortodontia Corretiva/psicologia , Ortodontia , Estética Dentária , Feminino , Humanos , Modelos Lineares , Masculino , Irlanda do Norte , Saúde Bucal , Avaliação de Resultados em Cuidados de Saúde/métodos , Autoimagem , Inquéritos e Questionários
6.
Early Hum Dev ; 59(2): 85-93, 2000 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-10996746

RESUMO

Fetuses of diabetic mothers exhibit maturational delays in their behaviour and disturbances in behavioural and intellectual functioning in childhood. This suggests an effect of maternal diabetes on the central nervous system of the fetus. The habituation technique enables the functioning of the higher central nervous system to be examined. A normal habituation pattern reflects an intact central nervous system. Previous studies have found abnormalities in the fetal central nervous system are reflected in habituation performance. This paper examined the habituation ability of fetuses of diabetic mothers and of non-diabetic mothers. The fetuses were tested at 28, 32 and 36 weeks of gestation. After 2 min of fetal inactivity a series of vibroacoustic stimuli were presented to the fetus. This continued until no response was observed on five consecutive stimulus presentations. The number of stimulus presentations to habituate at each gestational age was recorded. The results reveal that there was a highly significant main effect of group (F(1,47)=19.65, P<0.001). Fetuses of diabetic pregnancies took longer to habituate. There was a significant effect of gestational age (F(2,94)=44.67, P<0.0001). In both groups the number of trials to habituate decreased with advancing gestation. There was no relationship between random blood glucose levels and habituation performance. The results demonstrate that maternal diabetes affects higher aspects of central nervous system functioning in the fetus.


Assuntos
Habituação Psicofisiológica , Gravidez em Diabéticas/fisiopatologia , Adulto , Índice de Apgar , Peso ao Nascer , Glicemia/análise , Sistema Nervoso Central/fisiopatologia , Feminino , Idade Gestacional , Humanos , Gravidez
7.
Perception ; 29(1): 111-5, 2000.
Artigo em Inglês | MEDLINE | ID: mdl-10820595

RESUMO

The domestic dog is able to identify both individual conspecifics, i.e. other dogs, and individual interspecifics, e.g. humans, by smell. Whilst humans can recognise individual members of their own species using olfactory information, it is unknown whether they can identify members of any other species in this manner. We examined the ability of humans to identify individual dogs by smell. Twenty-six dog owners were required to smell two blankets, one impregnated with the odour of their own dog, the other impregnated with the odour of an unfamiliar dog. Participants were required to indicate which of the odours smelt the strongest, which smelt the most pleasant, and which of the odours belonged to their own dog. Most of the participants (88.5%) were able to recognise the odour of their own dog. They showed no significant bias, however, in responding which of the odours they thought smelt the strongest or most pleasant. The results indicate that dogs produce odours that are individually distinctive to their owners, and highlight the fact that humans can recognise members of another species using olfactory cues--an ability presumably acquired without conscious effort.


Assuntos
Animais Domésticos , Discriminação Psicológica/fisiologia , Cães , Olfato/fisiologia , Adulto , Animais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Testes Psicológicos
8.
Lancet ; 355(9203): 537-41, 2000 Feb 12.
Artigo em Inglês | MEDLINE | ID: mdl-10683004

RESUMO

BACKGROUND: Children with specific reading difficulties have problems that extend beyond the range of underlying language-related deficits (eg, they have difficulties with balance and motor control). We investigated the role of persistent primary reflexes (which are closely linked in the earliest months of life to the balance system) in disrupting the development of reading skills. METHODS: We assessed the efficacy of an intervention programme based on replicating the movements generated by the primary-reflex system during fetal and neonatal life. A randomised, individually matched, double-blind, placebo-controlled design was used and children (aged 8-11 years) with persistent primary reflexes and a poor standard of reading were enrolled into one of three treatment groups: experimental (children were given a specific movement sequence); placebo-control (children were given non-specific movements); and control (no movements). FINDINGS: From an initial sample of 98 children, 60 children, 20 in each group were matched on age, sex, verbal intelligence quotient (IQ), reading ability, and persistent asymmetrical tonic neck reflex. For asymmetrical tonic neck-reflex levels there was a significant (group by time) interaction (p<0.001). The experimental group showed a significant decrease in the level of persistent reflex over the course of the study (mean change -1.8 [95% CI -2.4 to -1.2], p<0.001), whereas the changes in the placebo-control and control groups were not significant (-0.2 [-0.9 to 0.6] and -0.4 [-0.9 to 0.2]). INTERPRETATION: This study provides further evidence of a link between reading difficulties and control of movement in children. In particular, our study highlights how the educational functioning of children may be linked to interference from an early neurodevelopmental system (the primary-reflex system). A new approach to the treatment of children with reading difficulties is proposed involving assessment of underlying neurological functioning, and appropriate remediation.


Assuntos
Dislexia/terapia , Transtornos dos Movimentos/terapia , Modalidades de Fisioterapia/métodos , Criança , Método Duplo-Cego , Dislexia/etiologia , Feminino , Humanos , Inteligência , Masculino , Transtornos dos Movimentos/complicações , Reflexo
9.
Physiol Behav ; 67(3): 459-62, 1999 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-10497967

RESUMO

A simple procedure for testing newly hatched chicks' responses to olfactory stimuli is described. Chicks that were hand held under a heatlamp became inactive and closed their eyes (as if asleep) within 2 min. Sleeping chicks displayed overt behavioral responses to an odorized q-tip (head shaking, beak clapping) that were not observed in awake chicks. Sleeping latencies were shorter for 1-day-old chicks that had been food deprived prior to testing than for chicks that had ad lib access to food and water. When airborne odors were presented by squeezing a soft plastic odor bottle near the beak, sleeping chicks' reactions to mint were of a greater magnitude than their responses to lavender or orange scents. Nonetheless, all three odors elicited more pronounced behavioral responses than did the water control stimulus. This method allows rapid testing of individual chicks for odor detection and discrimination.


Assuntos
Animais Recém-Nascidos/psicologia , Comportamento Animal/fisiologia , Discriminação Psicológica/fisiologia , Odorantes , Olfato/fisiologia , Análise de Variância , Animais , Galinhas , Intervalos de Confiança , Feminino , Privação de Alimentos/fisiologia , Masculino , Psicofísica/métodos , Sono/fisiologia , Privação de Água/fisiologia
10.
Dev Med Child Neurol ; 41(2): 83-6, 1999 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-10075093

RESUMO

Handedness is the most prominent manifestation of behavioural lateralization in the human population. However, little is known about its ontogeny. This study examined the prenatal development of behavioural lateralization by observing, longitudinally, the occurrence of left- and right-arm movements in 17 human fetuses at 3-week intervals from 12 to 27 weeks gestational age. Fetuses exhibited significantly more right-arm movements than left-arm movements at every gestational age. Throughout all periods of observation, 83.3% of fetuses showed more right-arm than left-arm movements. The number of arm movements observed peaked at 15 to 18 weeks' gestation and declined rapidly in mid-gestation. The occurrence of laterality in early gestation indicates that asymmetric behaviour is probably under muscular or spinal, rather than cortical, control and points to a 'genetic' origin for such behaviour. The presence of lateralized motor behaviour in early gestation suggests it may have a potential causative role for subsequent lateralized behaviour and asymmetric brain development.


Assuntos
Desenvolvimento Embrionário e Fetal/fisiologia , Movimento Fetal/fisiologia , Lateralidade Funcional/fisiologia , Adulto , Dominância Cerebral/fisiologia , Feminino , Humanos , Recém-Nascido , Masculino , Gravidez , Primeiro Trimestre da Gravidez , Segundo Trimestre da Gravidez
11.
Vet Rec ; 144(2): 35-8, 1999 Jan 09.
Artigo em Inglês | MEDLINE | ID: mdl-10028582

RESUMO

The prevalence of diseases suffered by dogs within two weeks of their acquisition from a rescue shelter in Northern Ireland was investigated. A postal questionnaire was completed by 556 people who had purchased a dog from the Ulster Society for the Prevention of Cruelty to Animals (USPCA) to provide information on the diseases suffered by their dog. The majority of the dogs (53.7 per cent) had an ailment the most common being coughing and diarrhoea. Of the respondents who returned their dog to the USPCA, 92 per cent did so because the animal was unhealthy. Stray dogs were more likely to have an ailment than unwanted dogs, specifically coughing, and/or skin problems. More puppies suffered from parvovirus, vomiting, and/or diarrhoea than did juveniles or adults. Adult dogs were more likely to have a cough than juveniles or puppies. There was no association between the sex of the dogs and their ailments.


Assuntos
Tosse/veterinária , Diarreia/veterinária , Doenças do Cão/epidemiologia , Bem-Estar do Animal , Animais , Tosse/epidemiologia , Diarreia/epidemiologia , Cães , Feminino , Abrigo para Animais , Masculino , Irlanda do Norte/epidemiologia , Prevalência , Inquéritos e Questionários
12.
Neuropsychologia ; 36(6): 531-4, 1998 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-9705063

RESUMO

Behavioural lateralisation is a common feature of everyday behaviour, most familiar in the exhibition of handedness. Despite differing theories about the origins of laterality, little is known about their ontogenesis. This study observed the left and right arm movements of 72 foetuses at 10 weeks of gestational age, the first age at which lateralised behaviour may be observed. There was a highly significant preference for foetuses to move their right arm more than their left arm, 85% exhibiting more right arm than left arm movements. There was no difference in the amount of movements exhibited with the preferred arm, whether it be right or left. Laterality of behaviour at such an early gestational age (probably as early as it is possible for it to be observed) is unlikely to be under brain control but is probably of more muscular or spinal determination. The possibility that early differential motor behaviour may contribute to subsequent laterality of behaviour and asymmetrical brain growth, must be considered.


Assuntos
Movimento Fetal/fisiologia , Feto/fisiologia , Lateralidade Funcional/fisiologia , Braço/embriologia , Braço/fisiologia , Encéfalo/embriologia , Encéfalo/fisiologia , Desenvolvimento Embrionário e Fetal/fisiologia , Feminino , Idade Gestacional , Humanos , Gravidez , Primeiro Trimestre da Gravidez , Ultrassonografia Pré-Natal
13.
Physiol Behav ; 64(2): 133-9, 1998 May.
Artigo em Inglês | MEDLINE | ID: mdl-9662076

RESUMO

Prenatal chemosensory learning has been demonstrated in mammals, fish, amphibians, and insects, but not birds, although there is evidence of the avian's ability to learn auditory stimuli before hatching. This paper examines how exposure to a chemosensory stimulus (strawberry) prior to hatching affects subsequent chemosensory preferences of newly hatched chicks. The chicks' preferences were assessed at 2 days after hatching using an "olfactory" preference test (strawberry-smelling shavings versus water-coated shavings) and at 4 days after hatching using a "gustatory" preference test (strawberry-flavoured water versus unflavoured water). Chicken embryos were exposed to strawberry from Day 15 to Day 20 of incubation by either presenting the odour in the air around the egg, rubbing it onto the shell, or injecting it into the air space. With no exposure to strawberry before hatching, strawberry was highly aversive to chicks after hatching. However, following exposure to strawberry before hatching, chicks expressed a greater preference for (or weaker aversion to) the strawberry stimulus. Chicks exposed to strawberry before hatching drank more strawberry-flavoured water and spent more time in a strawberry-scented area than chicks having no exposure before hatching. This change in preference was specific to the stimulus experienced before hatching and was present in the absence of any posthatching exposure to the stimulus. The results demonstrate that a chick's chemosensory preferences are changed as a result of experience with a stimulus before hatching and are suggestive of learning. The results, similar to those obtained in other animal groups, indicate the universality of "prenatal" chemosensory learning in the animal kingdom. A possible role of embryonic chemosensory learning for recognition is discussed.


Assuntos
Células Quimiorreceptoras/embriologia , Células Quimiorreceptoras/fisiologia , Aprendizagem/fisiologia , Animais , Animais Recém-Nascidos/fisiologia , Embrião de Galinha , Preferências Alimentares , Olfato/fisiologia , Estimulação Química , Paladar/fisiologia
14.
Genetica ; 104(3): 199-205, 1998.
Artigo em Inglês | MEDLINE | ID: mdl-10386383

RESUMO

The ability to recognise kin requires the individual to possess a variety of abilities. Individuals must produce a cue which indicates relatedness, they must process this cue to determine relatedness and then must act on this cue. Research has concentrated on the first and final stage of this process, i.e., the cues of kinship and kin correlated behaviour. Little attention has been paid to how individuals process cues to determine relatedness. This paper discusses how individuals 'recognise' kin, the exhibition of kin correlated behaviour and considers the role of the MHC in these processes. Two broad theories have emerged to explain how individuals recognise their kin: either a recognition gene(s) or some experiential mechanism. In mammals there is no evidence to suggest that recognition (the processing of the cue) is under genetic control but rather is the result of experience, learning about related individuals during development. Moreover studies on kin recognition in the domestic dog suggest that all kin are not recognised by the same process but different classes of kin, parents, siblings may well be recognised using different means. Studies of kin correlated behaviour suggest that the behaviour exhibited towards kin by Mongolian gerbils is mediated by the environment. Factors of environmental familiarity, sex and developmental age all affect the response of individuals to kin and non-kin. In these situations the ability to recognise kin does not change but the exhibition of kin correlated behaviour changes according to environmental conditions. These studies indicate that kin recognition may not be the 'unified' process previously thought and thus any explanations of the proximate and ultimate causation of kin recognition need to encompass this complexity. The question remains of whether the MHC is complex enough to do so.


Assuntos
Envelhecimento/psicologia , Animais Recém-Nascidos/crescimento & desenvolvimento , Aprendizagem por Associação , Relações Familiares , Complexo Principal de Histocompatibilidade/fisiologia , Envelhecimento/genética , Envelhecimento/imunologia , Animais , Animais Recém-Nascidos/genética , Animais Recém-Nascidos/imunologia , Sinais (Psicologia) , Humanos , Relações Interpessoais , Relações Pais-Filho
18.
Acta Paediatr Suppl ; 416: 16-20, 1996 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-8997443

RESUMO

Whether fetal memory exists has attracted interest for many thousands of years. The following review draws on recent experimental evidence to consider two questions: does the fetus have a memory? And, if so, what function(s) does it serve? Evidence from fetal learning paradigms of classical conditioning, habituation and exposure learning reveal that the fetus does have a memory. By comparison little attention has been paid to the possible function of memory. Possible functions discussed are: practice, recognition of and attachment to the mother, promotion of breastfeeding, and language acquisition. It is concluded that the fetus does possess a memory but that more attention to the functions of fetal memory will guide future studies of fetal memory abilities.


Assuntos
Feto , Aprendizagem , Memória , Aleitamento Materno , Habituação Psicofisiológica , Humanos , Apego ao Objeto
20.
Neurotoxicology ; 16(1): 139-43, 1995.
Artigo em Inglês | MEDLINE | ID: mdl-7603634

RESUMO

This paper reports a series of ultrasound observations on a human fetus from 21 weeks of gestational age at two weekly intervals to term. The mother, until 18 weeks of gestational age, was a user of cocaine but after this age used cocaine only once at 31 weeks gestation. The behaviour of this fetus was compared to a group of 10 similar aged fetuses who were not exposed to cocaine. Exposure to cocaine resulted in prolonged periods of inactivity interspersed with periods of increased general activity and an increased number of startles. This was particularly evident immediately following exposure to cocaine but behaviour appeared to become more normal with time as the mother stopped using cocaine. The behavioural states of the cocaine exposed fetus were different from unexposed fetuses. Longer periods were spent in States 1F and 4F and less time in State 2F. Furthermore the incidence of periods where no states were observed was considerably higher. These observations demonstrate that maternal cocaine use disrupts the behaviour of the fetus indicating a direct effect on the CNS. The value of prenatal behavioural observations to assess the effects of neurotoxic agents is demonstrated.


Assuntos
Cocaína/toxicidade , Feto/efeitos dos fármacos , Troca Materno-Fetal , Distribuição por Idade , Comportamento/efeitos dos fármacos , Desenvolvimento Embrionário e Fetal/efeitos dos fármacos , Feminino , Humanos , Lactente , Estudos Longitudinais , Movimento , Gravidez , Transtornos Relacionados ao Uso de Substâncias/complicações , Fatores de Tempo
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