<?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>1683-9803</journal-id>
<journal-title><![CDATA[Pediatría (Asunción)]]></journal-title>
<abbrev-journal-title><![CDATA[Pediatr. (Asunción)]]></abbrev-journal-title>
<issn>1683-9803</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Pediatría]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1683-98032021000200133</article-id>
<article-id pub-id-type="doi">10.31698/ped.48022021008</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Eficacia de la intervención nutricional del programa PANI luego de seis meses de tratamiento en el Hospital Regional de Concepción]]></article-title>
<article-title xml:lang="en"><![CDATA[Efficacy of the nutritional intervention of the PANI program after six months of treatment at the Regional Hospital of Concepción]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Núñez]]></surname>
<given-names><![CDATA[Ninfa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sanabria]]></surname>
<given-names><![CDATA[Marta Cristina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aguilar]]></surname>
<given-names><![CDATA[Gloria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Ministerio de Salud Pública y Bienestar Social Hospital Regional de Concepción ]]></institution>
<addr-line><![CDATA[Concepción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas Hospital de Clínicas]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Nacional de Caaguazú  ]]></institution>
<addr-line><![CDATA[Caaguazú ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2021</year>
</pub-date>
<volume>48</volume>
<numero>2</numero>
<fpage>133</fpage>
<lpage>141</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S1683-98032021000200133&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S1683-98032021000200133&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S1683-98032021000200133&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  Los programas alimentarios han demostrado ser herramientas eficaces para disminuir la prevalencia de desnutrición infantil.  Objetivos:  Evaluar la eficacia de la intervención nutricional del Programa Alimentario Nutricional Integral PANI en los cambios de los indicadores antropométricos y bioquímicos en niños &lt; 5 años en riesgo de desnutrición y desnutridos que acudieron al Hospital Regional de Concepción, al ingreso al programa versus a los seis meses de intervención.  Materiales y métodos:  Diseño prospectivo con componente analítico. Muestreo: 134 niños y niñas &lt;5 años, beneficiarios del PANI en Concepción durante el año 2014. Puntos de corte para desnutrición y anemia según criterios OMS. Se utilizaron medidas paramétricas y no paramétricas, &#967;2, &#964; student. Significancia p&lt; 0,05.  Resultados: 134 niños fueron evaluados. Edad: x 22,4 meses. El 59,7 % fue lactante. Madres con &lt; 6 años de estudio 17,9%, el 80,6% con &#8804; de 3 hijos. Acceso a agua segura, 44,8% y saneamiento básico 40,3%. Lactancia materna exclusiva al 5to mes 7,5 %. La prevalencia de desnutrición disminuyó al 6to.mes del 14,9 % vs 4,4 % (p&lt;0,01). La prevalencia de niños con riesgo de desnutrir disminuyó del 73,1 % al 27,6 % al 6to mes. Anemia al ingreso, 63%. Parasitosis intestinal al ingreso 24,6%. Deserción del PANI 31,3%.  Conclusiones:  La prevalencia de la desnutrición y de la anemia disminuyó al 6to. mes de tratamiento en los niños beneficiarios del PANI en Concepción.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Food programs have proven to be effective tools to reduce the prevalence of child malnutrition.  Objectives: To evaluate the effectiveness of the nutritional intervention of the Comprehensive Nutritional Food Program (PANI) in the changes of anthropometric and biochemical indicators in children &lt;5 years at risk of malnutrition and malnourishment who presented to the Regional Hospital of Concepción, upon admission to the program versus after six months of intervention.  Materials and Methods:  This was a prospective study with an analytical component. Sample size: 134 boys and girls &lt;5 years old, PANI participants in Concepción during 2014. Cut-off points for malnutrition and anemia were according to WHO criteria. Parametric and non-parametric measures were used, &#967;2, &#964; student test was applied. Significance p &lt;0.05.  Results:  134 children were evaluated. Average Age: 22.4 months. 59.7% were breast-fed. Mothers with &lt;6 years of schooling, 17.9%, 80.6% with &#8804; 3 children. Access to safe water, 44.8% and access to basic sanitation 40.3%. Exclusive breastfeeding at the 5th month of age was 7.5%. The prevalence of malnutrition decreased after the 6th month of intervention from 14.9% vs 4.4% (p &lt;0.01). The prevalence of children at risk of malnutrition decreased from 73.1% to 27.6% at the 6th month. Anemia on admission, 63%. Intestinal parasitosis on admission 24.6%. PANI desertion rate was 31.3%.  Conclusions:  The prevalence of malnutrition and anemia decreased after the 6th month of treatment in children participating in PANI in Concepción.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Programa alimentario]]></kwd>
<kwd lng="es"><![CDATA[desnutrición infantil]]></kwd>
<kwd lng="es"><![CDATA[riesgo de desnutrir]]></kwd>
<kwd lng="es"><![CDATA[anemia]]></kwd>
<kwd lng="en"><![CDATA[Food program]]></kwd>
<kwd lng="en"><![CDATA[child malnutrition]]></kwd>
<kwd lng="en"><![CDATA[risk of malnutrition]]></kwd>
<kwd lng="en"><![CDATA[anemia]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Terra]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
<name>
<surname><![CDATA[Hopenhaym]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[Estado nutricional y desarrollo psicomotor en los niños de las familias pobres]]></source>
<year>1988</year>
<publisher-loc><![CDATA[Montevideo ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Uauy]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Castillo]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Nutrición de los niños en Chile: dónde estamos, hacia dónde vamos]]></article-title>
<source><![CDATA[Rev. Chil. Pediatr.]]></source>
<year>2001</year>
<volume>72</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Atalah]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Pizarro]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[El avance hacia los Objeticos del Milenio.Análisis de las mejores prácticas recientes en América Latina en Políticas de nutrición para cumplir con los objeticos del Milenio]]></source>
<year>2008</year>
<publisher-loc><![CDATA[Chile ]]></publisher-loc>
<publisher-name><![CDATA[CEPAL]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Parra-Gámez]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Reyes]]></surname>
<given-names><![CDATA[TJ]]></given-names>
</name>
<name>
<surname><![CDATA[Escobar]]></surname>
<given-names><![CDATA[BC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[La desnutrición y sus consecuencias sobre el metabolismo intermedio]]></article-title>
<source><![CDATA[Rev Fac Med UNAM]]></source>
<year>2003</year>
<volume>46</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>32-6</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Larrea]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Freire]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Social inequality and child malnutrition in four Andean countries]]></article-title>
<source><![CDATA[Rev Panam Salud Publica]]></source>
<year>2002</year>
<volume>11</volume>
<numero>5/6</numero>
<issue>5/6</issue>
<page-range>356-64</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cornelio-Nieto]]></surname>
<given-names><![CDATA[JO]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Efectos de la desnutrición proteico calórica en el sistema nervioso nervioso central del niño Rev]]></article-title>
<source><![CDATA[Neurol]]></source>
<year>2007</year>
<volume>44</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>71-4</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Marques]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Lopez]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Braga]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[O crescimento de crianças alimentadas com leite materno exclusivo nos primeiros 6 meses de vida]]></article-title>
<source><![CDATA[J. Pediatr.]]></source>
<year>2004</year>
<volume>80</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Olivares]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Walter]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Consecuencias de las deficiencias de hierro]]></article-title>
<source><![CDATA[Rev. chil. nutr.0]]></source>
<year>2003</year>
<volume>30</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>226-33</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sanabria]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[Plan Estratégico-Programa Nacional de Asistencia Alimentaria Nutricional (PROAN). Informe de consultoría OPS-OMS/UNICEF]]></source>
<year>2005</year>
<publisher-loc><![CDATA[Asunción ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="">
<collab>Ministerio de Salud Pública y Bienestar Social</collab>
<collab>Instituto Nacional de Alimentación y Nutrición</collab>
<source><![CDATA[Situación de Nutrición y alimentación Paraguay 2000 - 2013]]></source>
<year>2013</year>
<publisher-loc><![CDATA[Asunción ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="">
<collab>Ministerio de Salud Pública y Bienestar Social</collab>
<collab>Instituto Nacional de Alimentación y Nutrición</collab>
<source><![CDATA[Manual operativo del PANI]]></source>
<year>2013</year>
<publisher-loc><![CDATA[Asunción ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Martorell]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Khan]]></surname>
<given-names><![CDATA[LK]]></given-names>
</name>
<name>
<surname><![CDATA[Schroeder]]></surname>
<given-names><![CDATA[DG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Reversibility of stunting epidemiological findings in children from developing countries]]></article-title>
<source><![CDATA[Eur J Clin Nutr]]></source>
<year>1994</year>
<volume>48</volume>
<numero>^s1</numero>
<issue>^s1</issue>
<supplement>1</supplement>
<page-range>S45-57</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Martorell]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Rivera]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Kaplowitz]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Consequences of stunting in early childhood for adult body size in rural Guatemala]]></article-title>
<source><![CDATA[Ann Nestlé]]></source>
<year>1990</year>
<volume>48</volume>
<page-range>85-92</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Galeano]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Sanabria]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Olmedo]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Navarro]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Caballero]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[De Jesús]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Estado nutricional materno y peso al nacer en un servicio de referencia neonatal]]></article-title>
<source><![CDATA[Revista Paraguaya de Gineco Obstetricia]]></source>
<year>2005</year>
<numero>82</numero>
<issue>82</issue>
</nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mendoza]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Sánchez Bernal]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Estado nutricional de embarazadas en el último mes de gestación y su asociación con las medidas antropométricas de sus recién nacidos]]></article-title>
<source><![CDATA[Pediatr. (Asunción)]]></source>
<year>2010</year>
<volume>37</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>91-6</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Alves]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Conceição]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Lima]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Determinantes dos déficits ponderal e de crescimento linear de crianças menores de dois anos]]></article-title>
<source><![CDATA[Rev Saúde Pública]]></source>
<year>2006</year>
<volume>40</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>874-82</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hurtado]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Hagel]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Araujo]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Palenque]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Creencias y prácticas alimentarias e higiénicas en madres, según el estado nutricional de su hijo]]></article-title>
<source><![CDATA[An Venez Nutr]]></source>
<year>2004</year>
<volume>17</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>42-56</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="book">
<collab>The Lancet</collab>
<source><![CDATA[Serie 2013 sobre nutrición materno infantil: intervenciones basadas en evidencia para el mejoramiento de la nutrición materno infantil]]></source>
<year>2014</year>
<publisher-loc><![CDATA[Guatemala ]]></publisher-loc>
<publisher-name><![CDATA[INCAP]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sanabria]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[Análisis de la situación de salud infantil y antropometría en menores de 5 años del Paraguay EPH 2005]]></source>
<year>2006</year>
<publisher-loc><![CDATA[PNUD ]]></publisher-loc>
<publisher-name><![CDATA[Asunción]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Echague]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Sosa]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Díaz]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Funes]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Pistilli]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Zenteno]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<source><![CDATA[Evaluación del estado nutricional en menores de 5 años de edad de comunidades rurales del departamento de Caazapá]]></source>
<year>2012</year>
<publisher-loc><![CDATA[Asunción ]]></publisher-loc>
<publisher-name><![CDATA[Instituto de investigación en Cs. de la Salud Universidad Nacional de Asunción. Departamento de análisis clínicos y microbiológicos. Fundación contra el hambre]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B21">
<label>21</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hertrampf]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Olivares]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Pizarro]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Walter]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Impact of iron fortified milk in infants evaluation of effectiveness. XVII Internacional Congress of Nutrition. Viena, 27-31 de Agosto de 2001]]></article-title>
<source><![CDATA[Ann Nutr Metab]]></source>
<year>2001</year>
<volume>45</volume>
<numero>Suppl 1</numero>
<issue>Suppl 1</issue>
<page-range>117</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[Irala]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Gonzalez]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Sánchez]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Acosta]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Practicas alimentarias y factores asociados al estado nutricional de lactantes ingresados al Programa Alimentario Nutricional Integral en un servicio de salud]]></article-title>
<source><![CDATA[Pediatr. (Asunción)]]></source>
<year>2019</year>
<volume>46</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>82-9</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
