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        "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">Encontram-se publicados m&#250;ltiplos trabalhos sobre o papel das determina&#231;&#245;es do &#243;xido n&#237;trico no ar exalado &#40;FE<span class="elsevierStyleInf">NO</span>&#41; no &#226;mbito do estudo da inflama&#231;&#227;o br&#244;nquica que nos permitem afirmar que se trata duma medi&#231;&#227;o simples&#44; n&#227;o invasiva e de grande utilidade na avalia&#231;&#227;o do doente asm&#225;tico&#46;</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall">No decurso de um estudo prospectivo sobre o impacto da polui&#231;&#227;o do ar sobre a sa&#250;de da popula&#231;&#227;o na cidade de Viseu &#40;Projecto Saud&#8217;AR&#41;&#44; foram identificadas crian&#231;as com hist&#243;ria cl&#237;nica de sibil&#226;ncia&#44; mediante a aplica&#231;&#227;o de question&#225;rios do <span class="elsevierStyleItalic">International Study of Asthma and Allergy in Childhood</span> &#40;ISAAC&#41;&#46; As crian&#231;as foram submetidas posteriormente a um question&#225;rio padronizado&#44; testes cut&#226;neos <span class="elsevierStyleItalic">prick</span> para aeroalerg&#233;nios&#44; espirometria com prova de broncodilata&#231;&#227;o e medi&#231;&#227;o de FE<span class="elsevierStyleInf">NO</span>&#46; A idade m&#233;dia era de 7&#44;8<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>1&#44;1 anos&#46; Comparando os doentes com queixas de sibil&#226;ncia e&#47;ou dispneia nos 6 meses anteriores &#224; avalia&#231;&#227;o &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>27&#41; com os que n&#227;o apresentaram estes sintomas&#44; observaram-se diferen&#231;as estatisticamente significativas para o &#916;FEV1 &#40;mediana&#58; 4&#44;5&#37; <span class="elsevierStyleItalic">vs</span> 8&#37;&#44; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;0399&#41; e para o FE<span class="elsevierStyleInf">NO</span> &#40;mediana&#58; 12 ppb <span class="elsevierStyleItalic">vs</span> 23 ppb&#44; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;0195&#44; respectivamente&#41;&#46; Se olharmos para as crian&#231;as que recorreram a broncodilatador nos seis meses anteriores &#224; avalia&#231;&#227;o &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>19&#41; e as compararmos com as que n&#227;o necessitaram&#44; encontramos diferen&#231;as para o FE<span class="elsevierStyleInf">NO</span>&#58; mediana de 27 ppb <span class="elsevierStyleItalic">versus</span> mediana de 11 ppb&#44; respectivamente&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;0001&#46; Ao compararmos as crian&#231;as que recorreram a uma consulta de urg&#234;ncia nos seis meses anteriores &#224; avalia&#231;&#227;o &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>9&#41; e as compararmos com as que n&#227;o recorreram&#44; encontramos tamb&#233;m diferen&#231;as estatisticamente significativas para o FE<span class="elsevierStyleInf">NO</span>&#58; mediana de 28 ppb <span class="elsevierStyleItalic">versus</span> mediana de 13 ppb&#44; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;0029&#46;</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">Constatou-se assim que a exist&#234;ncia de sintomas se associou melhor com o FE<span class="elsevierStyleInf">NO</span> de que com a espirometria&#46;</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2007&#59; XIV &#40;2&#41;&#58; 195-218</span></p></span>"
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        "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall">The body of published work on the role of exhaled nitric oxide &#40;FE<span class="elsevierStyleInf">NO</span>&#41; in the study of bronchial inflammation allows it to be classed as a simple&#44; non-invasive measurement that is very useful in evaluating asthmatic patients&#46;</p><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall">During a prospective study into the effects of air pollution on the health of the population of Viseu &#40;Saud&#39;AR Project&#41;&#44; children with a clinical history of wheezing were identified through using the International Study of Asthma and Allergy in Childhood &#40;ISAAC&#41; questionnaire&#46; Children later filled in a new standardised questionnaire and underwent skin-prick-tests&#44; spirometry and FE<span class="elsevierStyleInf">NO</span> measurement&#46; Their mean age was 7&#46;8<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>1&#46;1 years&#46; Comparing those who wheezed in the 6 months before evaluation &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>27&#41; with those who didn&#8217;t&#44; statistical differences for &#916;FEV1 &#40;8&#37; median versus 4&#46;5&#37;&#44; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;0399&#41; and for FE<span class="elsevierStyleInf">NO</span> &#40;23 ppb median versus 12 ppb&#44; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;0195&#44; respectively&#41; were observed&#46; Concerning children who needed a bronchodilator in the six previous months &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>19&#41; and those who didn&#8217;t&#44; there was also a statistically significant difference in FE<span class="elsevierStyleInf">NO</span>&#58; 27 ppb median versus 11 ppb median&#44; respectively&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;0001&#46; When comparing children who needed an unscheduled medical appointment in the six months previous to the evaluation &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>9&#41; and those who didn&#8217;t&#44; there was also significant differences for FE<span class="elsevierStyleInf">NO</span>&#58; 28 ppb median versus 13 ppb median&#44; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;0029&#46; In conclusion&#44; the existence of symptoms seems to be better related to FE<span class="elsevierStyleInf">NO</span> than spirometry&#46;</p><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2007&#59; XIV &#40;2&#41;&#58; 195-218</span></p></span>"
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Artigo Original/Original Article
Medição do óxido nítrico no ar exalado: Utilização na avaliação de crianças com história de sibilância
The clinical use of exhaled nitric oxide in wheezing children
Pedro Martins1, Iolanda Caires2, José Rosado Pinto3, Pedro Lopes da Mata4, Simões Torres5, Joana Valente6, Carlos Borrego7, Nuno Neuparth8
1 Assistente Convidado, Departamento Universitário de Fisiopatologia, Faculdade de Ciências Médicas, Universidade Nova de Lisboa (Centro de Estudos de Patologia Respiratória); Assistente Eventual, Serviço de Imunoalergologia, Hospital de Dona Estefânia / Guest Consultant, Department of Physiopathology, Faculty of Medical Sciences, Universidade Nova de Lisboa (Centre for Respiratory Pathology Studies); Future Consultant, Allergy and Clinical Immunology Unit, Hospital de Dona Estefânia
2 Técnica de Cardiopneumologia, Departamento Universitário de Fisiopatologia, Faculdade de Ciências Médicas, Universidade Nova de Lisboa (Centro de Estudos de Patologia Respiratória) / Cardiopulmonology Technician, Department of Physiopathology, Faculty of Medical Sciences, Universidade Nova de Lisboa (Centre for Respiratory Pathology Studies)
3 Director de Serviço, Serviço de Imunoalergologia, Hospital de Dona Estefânia / Allergy and Clinical Immunology Unit, Hospital de Dona Estefânia
4 Especialista em Imunoalergologia, Instituto Clínico de Alergologia / Allergy and Clinical Immunology Specialist, Allergy and Clinical Immunology Institute
5 Director de Serviço, Serviço de Pneumologia, Hospital de São Teotónio / Director, Pulmonology Unit, Hospital de São Teotónio
6 Engenheira do Ambiente, Departamento de Ambiente e Ordenamento, Universidade de Aveiro / Environmental Engineer, Department of Environmental and Land Planning, Universidade de Aveiro
7 Professor Catedrático, Departamento de Ambiente e Ordenamento, Universidade de Aveiro / Cathedratic Professor, Department of Environmental and Land Planning, Universidade de Aveiro
8 Professor Auxiliar, Departamento Universitário de Fisiopatologia, Faculdade de Ciências Médicas, Universidade Nova de Lisboa (Centro de Estudos de Patologia Respiratória); Especialista em Imunoalergologia, Serviço de Imunoalergologia, Hospital de Dona Estefânia / Assistant Professor, Department of Physiopathology, Faculty of Medical Sciences, Universidade Nova de Lisboa (Centre for Respiratory Pathology Studies); Allergy and Clinical Immunology Specialist, Allergy and Clinical Immunology Unit, Hospital de Dona Estefânia
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        "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">Encontram-se publicados m&#250;ltiplos trabalhos sobre o papel das determina&#231;&#245;es do &#243;xido n&#237;trico no ar exalado &#40;FE<span class="elsevierStyleInf">NO</span>&#41; no &#226;mbito do estudo da inflama&#231;&#227;o br&#244;nquica que nos permitem afirmar que se trata duma medi&#231;&#227;o simples&#44; n&#227;o invasiva e de grande utilidade na avalia&#231;&#227;o do doente asm&#225;tico&#46;</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall">No decurso de um estudo prospectivo sobre o impacto da polui&#231;&#227;o do ar sobre a sa&#250;de da popula&#231;&#227;o na cidade de Viseu &#40;Projecto Saud&#8217;AR&#41;&#44; foram identificadas crian&#231;as com hist&#243;ria cl&#237;nica de sibil&#226;ncia&#44; mediante a aplica&#231;&#227;o de question&#225;rios do <span class="elsevierStyleItalic">International Study of Asthma and Allergy in Childhood</span> &#40;ISAAC&#41;&#46; As crian&#231;as foram submetidas posteriormente a um question&#225;rio padronizado&#44; testes cut&#226;neos <span class="elsevierStyleItalic">prick</span> para aeroalerg&#233;nios&#44; espirometria com prova de broncodilata&#231;&#227;o e medi&#231;&#227;o de FE<span class="elsevierStyleInf">NO</span>&#46; A idade m&#233;dia era de 7&#44;8<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>1&#44;1 anos&#46; Comparando os doentes com queixas de sibil&#226;ncia e&#47;ou dispneia nos 6 meses anteriores &#224; avalia&#231;&#227;o &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>27&#41; com os que n&#227;o apresentaram estes sintomas&#44; observaram-se diferen&#231;as estatisticamente significativas para o &#916;FEV1 &#40;mediana&#58; 4&#44;5&#37; <span class="elsevierStyleItalic">vs</span> 8&#37;&#44; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;0399&#41; e para o FE<span class="elsevierStyleInf">NO</span> &#40;mediana&#58; 12 ppb <span class="elsevierStyleItalic">vs</span> 23 ppb&#44; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;0195&#44; respectivamente&#41;&#46; Se olharmos para as crian&#231;as que recorreram a broncodilatador nos seis meses anteriores &#224; avalia&#231;&#227;o &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>19&#41; e as compararmos com as que n&#227;o necessitaram&#44; encontramos diferen&#231;as para o FE<span class="elsevierStyleInf">NO</span>&#58; mediana de 27 ppb <span class="elsevierStyleItalic">versus</span> mediana de 11 ppb&#44; respectivamente&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;0001&#46; Ao compararmos as crian&#231;as que recorreram a uma consulta de urg&#234;ncia nos seis meses anteriores &#224; avalia&#231;&#227;o &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>9&#41; e as compararmos com as que n&#227;o recorreram&#44; encontramos tamb&#233;m diferen&#231;as estatisticamente significativas para o FE<span class="elsevierStyleInf">NO</span>&#58; mediana de 28 ppb <span class="elsevierStyleItalic">versus</span> mediana de 13 ppb&#44; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;0029&#46;</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">Constatou-se assim que a exist&#234;ncia de sintomas se associou melhor com o FE<span class="elsevierStyleInf">NO</span> de que com a espirometria&#46;</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2007&#59; XIV &#40;2&#41;&#58; 195-218</span></p></span>"
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      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall">The body of published work on the role of exhaled nitric oxide &#40;FE<span class="elsevierStyleInf">NO</span>&#41; in the study of bronchial inflammation allows it to be classed as a simple&#44; non-invasive measurement that is very useful in evaluating asthmatic patients&#46;</p><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall">During a prospective study into the effects of air pollution on the health of the population of Viseu &#40;Saud&#39;AR Project&#41;&#44; children with a clinical history of wheezing were identified through using the International Study of Asthma and Allergy in Childhood &#40;ISAAC&#41; questionnaire&#46; Children later filled in a new standardised questionnaire and underwent skin-prick-tests&#44; spirometry and FE<span class="elsevierStyleInf">NO</span> measurement&#46; Their mean age was 7&#46;8<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>1&#46;1 years&#46; Comparing those who wheezed in the 6 months before evaluation &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>27&#41; with those who didn&#8217;t&#44; statistical differences for &#916;FEV1 &#40;8&#37; median versus 4&#46;5&#37;&#44; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;0399&#41; and for FE<span class="elsevierStyleInf">NO</span> &#40;23 ppb median versus 12 ppb&#44; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;0195&#44; respectively&#41; were observed&#46; Concerning children who needed a bronchodilator in the six previous months &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>19&#41; and those who didn&#8217;t&#44; there was also a statistically significant difference in FE<span class="elsevierStyleInf">NO</span>&#58; 27 ppb median versus 11 ppb median&#44; respectively&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;0001&#46; When comparing children who needed an unscheduled medical appointment in the six months previous to the evaluation &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>9&#41; and those who didn&#8217;t&#44; there was also significant differences for FE<span class="elsevierStyleInf">NO</span>&#58; 28 ppb median versus 13 ppb median&#44; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;0029&#46; In conclusion&#44; the existence of symptoms seems to be better related to FE<span class="elsevierStyleInf">NO</span> than spirometry&#46;</p><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2007&#59; XIV &#40;2&#41;&#58; 195-218</span></p></span>"
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                            "etal" => false
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                              0 => "N&#46; Marsh"
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                              0 => "K&#46; Alving"
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                        "titulo" => "Papel do &#243;xido n&#237;trico como marcador de inflama&#231;&#227;o em doen&#231;as respirat&#243;rias"
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                          0 => array:2 [
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                              0 => "P&#46; Ara&#250;jo Gon&#231;alves"
                              1 => "P&#46; Lopes da Mata"
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                      0 => array:1 [
                        "Revista" => array:6 [
                          "tituloSerie" => "Rev Port Pneumol"
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                          "numero" => "4"
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                        "titulo" => "Relation between exhaled nitric oxide and bronchial reactivity during induced maximal airway narrowing in asthma"
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                          0 => array:2 [
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                              1 => "T&#46; Gamboa"
                              2 => "A&#46; Bugalho de Almeida"
                              3 => "A&#46; Caires"
                              4 => "J&#46; Rosado Pinto"
                              5 => "A&#46;B&#46; Rendas"
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                        "titulo" => "<span class="elsevierStyleItalic">ERS TASK FORCE REPORT</span> &#8211; Exhaled and nasal nitric oxide measurements&#58; recommendations"
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                          0 => array:2 [
                            "etal" => false
                            "autores" => array:3 [
                              0 => "S&#46; Kharitonov"
                              1 => "K&#46; Alving"
                              2 => "P&#46;J&#46; Barnes"
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                      0 => array:1 [
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                          "tituloSerie" => "Eur Respir J"
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                          "paginaInicial" => "1683"
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                        "titulo" => "Exhaled nitric oxide in asthmatic and non-asthmatic children&#58; influence of type of allergen sensitization and exposure to tobacco smoke"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:9 [
                              0 => "M&#46; Barreto"
                              1 => "M&#46;P&#46; Villa"
                              2 => "S&#46; Martella"
                              3 => "F&#46; Ronchetti"
                              4 => "M&#46;T&#46; Darder"
                              5 => "C&#46; Falasca"
                              6 => "J&#46; Pagani"
                              7 => "F&#46; Massa"
                              8 => "R&#46; Ronchetti"
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                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:7 [
                          "tituloSerie" => "Pediatr Allergy Immunol"
                          "fecha" => "2001"
                          "volumen" => "12"
                          "numero" => "5"
                          "paginaInicial" => "247"
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                        "titulo" => "Exhaled nitric oxide&#44; total serum IgE and allergic sensitization in childhood asthma and allergic rhinitis"
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                          0 => array:2 [
                            "etal" => false
                            "autores" => array:7 [
                              0 => "F&#46; Cardinale"
                              1 => "F&#46;M&#46; de Benedictis"
                              2 => "V&#46; Muggeo"
                              3 => "P&#46; Giordano"
                              4 => "M&#46;S&#46; Loffredo"
                              5 => "G&#46; Iacoviello"
                              6 => "L&#46; Armenio"
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                      0 => array:2 [
                        "doi" => "10.1111/j.1399-3038.2005.00265.x"
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                          "tituloSerie" => "Pediatr Allergy Immunol"
                          "fecha" => "2005"
                          "volumen" => "16"
                          "numero" => "3"
                          "paginaInicial" => "236"
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                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15853953"
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                        "titulo" => "The relationship between exhaled nitric oxide and allergic sensitization in a random sample of school children"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:9 [
                              0 => "J&#46;G&#46; van Amsterdam"
                              1 => "N&#46;A&#46; Janssen"
                              2 => "G&#46; de Meer"
                              3 => "P&#46;H&#46; Fischer"
                              4 => "S&#46; Nierkens"
                              5 => "H&#46; van Loveren"
                              6 => "A&#46; Opperhuizen"
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                              8 => "B&#46; Brunekreef"
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                      0 => array:1 [
                        "Revista" => array:7 [
                          "tituloSerie" => "Clin Exp Allergy"
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                          "volumen" => "33"
                          "numero" => "2"
                          "paginaInicial" => "187"
                          "paginaFinal" => "191"
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                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12580910"
                              "web" => "Medline"
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                        "titulo" => "Environmental exposures and exhaled nitric oxide in children with asthma"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:4 [
                              0 => "A&#46;J&#46; Spanier"
                              1 => "R&#46; Hornung"
                              2 => "M&#46; Lierl"
                              3 => "B&#46;P&#46; Lanphear"
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                      0 => array:2 [
                        "doi" => "10.1016/j.jpeds.2006.04.001"
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                          "tituloSerie" => "J Pediatr"
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                        "titulo" => "Measurements of exhaled nitric oxide in healthy subjects age 4 to 17 years"
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Article information
ISSN: 08732159
Original language: Portuguese
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