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ORIGINAL ARTICLE
Brainstem Auditory Evoked Potentials in infants aged 1 to 24 months during a hearing health care service
Cintia Gonçalves de Lima Bellia, Haraldo Artmann Junior, Jair Mendes Marques, Débora Lüders, Cláudia Giglio de Oliveira Gonçalves
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claudia.goncalves@utp.br

Corresponding author.
Universidade Tuiuti do Parana, Curitiba, PR, BR
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          "en" => "<p id="spara10" class="elsevierStyleSimplePara elsevierViewall">Evolution of absolute latencies of waves I&#44; III&#44; and V &#40;Mean Results and Standard Deviations&#41; by age range &#40;N&#61;123&#41;&#46;</p>"
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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="cesec10" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cestitle60">INTRODUCTION</span><p id="para10" class="elsevierStylePara elsevierViewall">The hearing assessment in infants is of utmost importance&#44; as hearing in this phase is required for the normal development of oral language and cognitive functions&#46; Hearing allows human beings to identify&#44; locate&#44; and develop sensory experiences&#59; this contributes not only to the maturation of the hearing system&#44; but also the cognitive and emotional functions&#46; It is also essential for acquisition and development of the oral and written language&#46;</p><p id="para20" class="elsevierStylePara elsevierViewall">Several organizations &#40;<a class="elsevierStyleCrossRef" href="#bib1">1</a>&#41; and committees have established guidelines to implement Newborn Hearing Screening &#40;NHS&#41;&#46; In Brazil&#44; the Universal Newborn Hearing Screening &#40;UNHS&#41; became mandatory under Federal Law 12&#44;303 and began to be implemented in August 2010&#44; following the model of developed countries &#40;<a class="elsevierStyleCrossRef" href="#bib2">2</a>&#41;&#46;</p><p id="para30" class="elsevierStylePara elsevierViewall">Newborn Hearing Screening &#40;NHS&#41; aims for the early detection of cochlear hearing loss greater than 35 dB HL and may also comprise retrocochlear hearing loss among neonates and infants&#46; Newborn Hearing Screening &#40;NHS&#41; is carried out by means of physiological and electrophysiological hearing measures used to assess the peripheral and central auditory pathways &#40;<a class="elsevierStyleCrossRef" href="#bib3">3</a>&#41;&#46; In Universal Newborn Hearing Screening &#40;UNHS&#41;&#44; there are several actions that need to be performed&#44; including screening&#44; monitoring and performing follow-up assessments for hearing and language development&#44; diagnosis&#44; and rehabilitation&#44; ensuring comprehensive care in childhood&#44; since children diagnosed with hearing loss before 6 months of age have a greater chance of having normal speech development&#44; learning skills&#44; and better quality of life &#40;<a class="elsevierStyleCrossRef" href="#bib4">4</a>&#41;&#46;</p><p id="para40" class="elsevierStylePara elsevierViewall">The Brainstem Auditory Evoked Potentials &#40;BAEP&#41; is an important tool for the diagnosis of hearing impairment in neonates and infants&#44; since it assesses the integrity of the auditory pathways and their maturation in relation to the infants&#39; age on the day of the test&#46; A previous study &#40;<a class="elsevierStyleCrossRef" href="#bib5">5</a>&#41; reported that when a neonate fails the hearing screening&#44; the most important steps to take include verifying the integrity of the auditory pathway&#44; identifying probable retrocochlear hearing loss&#44; determining minimum levels of responses or thresholds at different frequencies and&#44; if applicable&#44; identifying the type of hearing loss&#46;</p><p id="para50" class="elsevierStylePara elsevierViewall">Brainstem Auditory Evoked Potentials &#40;BAEP&#41;&#44; permits assessment of the integrity of the auditory pathway to the brainstem&#44; and identifies electrophysiological threshold in neonates&#44; allowing for the diagnosis of child cochlear or retrocochlear hearing loss &#40;<a class="elsevierStyleCrossRef" href="#bib6">6</a>&#41;&#46;</p><p id="para60" class="elsevierStylePara elsevierViewall">The Auditory Evoked Potentials &#40;AEP&#41; are electrophysiological responses to an acoustic stimulus and provide an objective measure of the integrity of the hearing system as a whole &#40;<a class="elsevierStyleCrossRef" href="#bib3">3</a>&#44;<a class="elsevierStyleCrossRef" href="#bib7">7</a>&#41;&#46; The AEPs consist of a recording of the electrical activity in the auditory system&#44; from the inner ear to the brain cortex&#44; as a response to an acoustic stimulus&#44; and provide information on the maturation of the brainstem auditory pathway &#40;<a class="elsevierStyleCrossRef" href="#bib8">8</a>&#41;&#46; They can be detected by means of electrodes placed in strategic sites on the patient&#39;s skin and recorded using the proper equipment&#44; connected with a computer &#40;<a class="elsevierStyleCrossRef" href="#bib5">5</a>&#41;&#44; with different classifications depending on the recording time&#46;</p><p id="para70" class="elsevierStylePara elsevierViewall">Studies &#40;<a class="elsevierStyleCrossRef" href="#bib5">5</a>&#44;<a class="elsevierStyleCrossRef" href="#bib6">6</a>&#44;<a class="elsevierStyleCrossRef" href="#bib9">9</a>&#44;<a class="elsevierStyleCrossRef" href="#bib10">10</a>&#41; report the age effect on the latencies of Brainstem Auditory Evoked Potentials &#40;BAEP&#41; waves&#44; having detected important changes in the maturation process of the brainstem auditory pathways&#44; which occur in full-term and premature neonates&#46; Such changes continue throughout the first year of life&#44; and by the end of the second year&#44; the latencies of neonates are equal to those of adults&#46; Previous studies &#40;<a class="elsevierStyleCrossRef" href="#bib3">3</a>&#44;<a class="elsevierStyleCrossRef" href="#bib6">6</a>&#44;<a class="elsevierStyleCrossRef" href="#bib11">11</a>&#41; report that AEPs of adults and children differ&#46; Only infants that are at least 18 to 24 months of age have responses that pair with those of adults &#40;<a class="elsevierStyleCrossRef" href="#bib6">6</a>&#41;&#59; thus&#44; morphological wave features vary based on age&#46; Some studies &#40;<a class="elsevierStyleCrossRef" href="#bib6">6</a>&#44;<a class="elsevierStyleCrossRef" href="#bib11">11</a>&#41; report that waves I&#44; III&#44; and V can be analyzed from the 30th to the 32nd week of gestational age&#46; Wave latency I can be close to normal at 3 months of age &#40;<a class="elsevierStyleCrossRef" href="#bib6">6</a>&#44;<a class="elsevierStyleCrossRef" href="#bib11">11</a>&#41;&#44; and waves III and V decrease during the first year of life&#44; in which full-term infants between 18 and 24 months display similar values to those observed in adults&#46; In case of premature neonates&#44; age must be corrected based on the gestational time at the time of testing&#46; Regarding the types of probable responses&#44; there are regulation parameters for each equipment&#44; as well as references of regulation values from different services that can be found in the literature &#40;<a class="elsevierStyleCrossRef" href="#bib12">12</a>&#44;<a class="elsevierStyleCrossRef" href="#bib13">13</a>&#41;&#46;</p><p id="para80" class="elsevierStylePara elsevierViewall">Based on literature and equipment features&#44; the expected normality standards of the Brainstem Auditory Evoked Potentials &#40;BAEP&#41; devices for each subject&#39;s age can be found in their handbooks and software&#46; These data&#44; provided by the handbooks&#44; may not reflect normality of a different population on which the equipment is used&#46; Thus&#44; literature recommends a biological calibration of the equipment&#44; according to the screened population &#40;<a class="elsevierStyleCrossRef" href="#bib5">5</a>&#44;<a class="elsevierStyleCrossRef" href="#bib8">8</a>&#44;<a class="elsevierStyleCrossRef" href="#bib12">12</a>&#41;&#46;</p><p id="para90" class="elsevierStylePara elsevierViewall">This study aims to analyze the results of Brainstem Auditory Evoked Potentials &#40;BAEP&#41; in children with risk factors for hearing loss&#46;</p></span><span id="cesec20" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cestitle70">MATERIAL AND METHODS</span><p id="para100" class="elsevierStylePara elsevierViewall">This is a cross-sectional study&#44; which analyzed the Brainstem Auditory Evoked Potentials &#40;BAEP&#41; results in 123 infants between 1 and 24 months of age at an accredited clinic of the Brazilian Unified Health System &#40;Public Service-High Complexity Service in Hearing Health care&#41;&#46; The children were referred to the hearing health care service to undergo hearing diagnosis when they presented risk factors for hearing loss or failed the Newborn Hearing Screening &#40;NHS&#41;&#46;</p><p id="para110" class="elsevierStylePara elsevierViewall">The study was approved by the Ethics Research Board under number 105&#46;576&#46; The free informed consent form was signed by parents&#47;legal guardians before initiating the procedures&#46;</p><p id="para120" class="elsevierStylePara elsevierViewall">The inclusion factors for the research were as follows&#58; children presenting a hearing assessment result within the normal standards based on Brainstem Auditory Evoked Potentials &#40;BAEP&#41;&#44; considering the electrophysiological threshold at 25 dBHL&#44; tested with at least two wave markings&#44; corresponding to waves I&#44; III and V&#44; in both ears&#44; and disclosure of all anamnesis data&#46; Testing was carried out by audiologists from the service&#44; with the same standards as those used to carry out Brainstem Auditory Evoked Potentials &#40;BAEP&#41;&#44; result interpretation&#44; and diagnostic report&#46; Out of the 123 infants assessed&#44; 57 &#40;46&#46;34&#37;&#41; were female and 66 &#40;53&#46;65&#37;&#41; were male&#46;</p><p id="para130" class="elsevierStylePara elsevierViewall">VIVOSONIC&#44; Integrity Sistem&#8482; V500 &#40;<a class="elsevierStyleCrossRef" href="#bib14">14</a>&#41; equipment was used&#46; By using the Vivosonic equipment&#44; the child could be screened when they were either awake &#40;<a class="elsevierStyleCrossRef" href="#bib15">15</a>&#44;<a class="elsevierStyleCrossRef" href="#bib16">16</a>&#41; or asleep without sedation&#59; they could even be screened if they were playing quietly&#44; but not if they were restless or crying&#46;</p><p id="para140" class="elsevierStylePara elsevierViewall">The protocol used to carry out the testing was as follows &#40;<a class="elsevierStyleCrossRef" href="#bib14">14</a>&#41;&#58; the children&#39;&#180;s skin was cleaned with alcohol and abrasive&#47;conducting paste&#59; the recording electrodes &#40;Neuroline<span class="elsevierStyleSup">Tm</span> 720-00-S&#41; were placed as recommended by the handbook&#44; on both mastoids &#40;negatives - left M1 and right M2&#41;&#44; high forehead &#40;positive - Fz&#41;&#44; and low forehead &#40;ground - Fpz&#41;&#46; The impedance between the electrodes was less than 5 KOhms&#59; broadband rarefaction click stimuli were presented by insertion phones &#40;ER 3&#41; at an initial intensity of 80 dBHL with a repetition rate of 27&#46;5 clicks&#47;second and an average of 2&#46;000 stimuli&#46; The sweep duration was 12 ms&#44; and the equipment used the Kalman weighted algorithm for signal processing&#46; Duplicate recordings were made to examine reproducibility&#46; The acoustic stimulus was later presented decreasing intensities&#44; every 20 dBHL&#44; up to the limit of 25 dBHL&#44; a value considered normal&#46;</p><p id="para150" class="elsevierStylePara elsevierViewall">For data analysis&#44; such as absolute latencies of waves I&#44; III and V&#44; the interpeak intervals I-III&#44; III-V and I-V were considered at an intensity of 80 dBHL and were also analyzed as interaural differences of wave V&#46; Consider as age groups in months&#46; These data were compared to equipment standards&#46; Differences between the right and left ears and sex were analyzed&#46; Preterm infants&#44; born at less than 37 weeks&#44; had their ages corrected using the Capurro method &#40;<a class="elsevierStyleCrossRef" href="#bib17">17</a>&#41;&#46;</p><p id="para160" class="elsevierStylePara elsevierViewall">Software Stat&#237;stica 13&#46;3 and Mat Lab 6&#46;0 and statistical procedures&#44; such as the odds ratio test&#44; Student&#39;s t-test&#44; and analyses of central tendency &#40;means&#44; standard deviation&#44; medians&#41; of the findings were used&#46; In addition&#44; data were compared by gestational age and sex&#44; based on the standards suggested in the equipment handbook&#46; The adopted level of significance was 0&#46;05 &#40;5&#37;&#41;&#46;</p></span><span id="cesec30" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cestitle80">RESULTS</span><p id="para170" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRef" href="#tbl1">Table 1</a> shows the values found for absolute latencies and interpeak intervals by age range in months&#44; and <a class="elsevierStyleCrossRef" href="#fig1">Figure 1</a> shows the evolution of absolute latencies&#44; mean results&#44; and standard deviations of waves I&#44; III and V by age range in months&#46;</p><elsevierMultimedia ident="tbl1"></elsevierMultimedia><elsevierMultimedia ident="fig1"></elsevierMultimedia><p id="para180" class="elsevierStylePara elsevierViewall">In <a class="elsevierStyleCrossRef" href="#tbl1">Table 1</a>&#44; an unsteady decrease in the absolute latencies and interpeak intervals was observed&#44; correlated to the increase in chronological age&#46;</p><p id="para190" class="elsevierStylePara elsevierViewall">In <a class="elsevierStyleCrossRef" href="#tbl2">Table 2</a>&#44; a statistically significant difference was observed at age 1 to 3 months in interpeak intervals I-III&#44; III-V&#44; and I-V&#44; which was greater among male infants&#46; In the age range between 7 and 9 months&#44; a statistically significant difference occurred in absolute latency of wave III&#44; which was also greater among male infants&#46;</p><elsevierMultimedia ident="tbl2"></elsevierMultimedia><p id="para200" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRef" href="#tbl3">Table 3</a> shows the comparison of the main result of BAEP &#40;Brainstem Auditory Evoked Potentials&#41; by gender and age range for the left ear&#46;</p><elsevierMultimedia ident="tbl3"></elsevierMultimedia><p id="para210" class="elsevierStylePara elsevierViewall">There was a statistically significant difference in interpeak intervals I-III&#44; III-V&#44; and I-V&#44; which was greater among male infants between ages 1 and 3 months&#46; In the age range between 4 and 6 months&#44; a statistically significant difference was observed in absolute latencies of waves III and V&#44; and interpeak intervals I-II and I-V&#44; which was also greater among male infants&#46; In addition&#44; in the age range from 7 to 9 months&#44; a statistically significant difference was observed in the absolute latency of wave III&#44; and interpeak intervals I-III&#44; which was also greater among male infants&#46;</p><p id="para220" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRef" href="#tbl4">Table 4</a> shows the comparisons between absolute latencies of waves observed in this study and the latencies based on the equipment standards&#46;</p><elsevierMultimedia ident="tbl4"></elsevierMultimedia><p id="para230" class="elsevierStylePara elsevierViewall">We compared the sample means to the standard mean &#40;equipment mean&#41; using the Student&#39;s t-test at significance level of 0&#46;05 &#40;5&#37;&#41; and verified a significant difference for age ranges from 4 to 6 months&#44; 13 to 15 months at absolute latencies of waves I and V&#44; and for the age range from 7 to 9 months at wave V&#46; The test was not applied to ages ranging from 10 to 12 months&#44; 15 to 18 months&#44; and 18 to 21 months&#44; since the samples for these age ranges were very small&#46;</p></span><span id="cesec40" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cestitle90">DISCUSSION</span><p id="para240" class="elsevierStylePara elsevierViewall">The population in the study evidenced normal hearing at the time of data collection&#44; identified by the behavioral assessment and Brainstem Auditory Evoked Potentials &#40;BAEP&#41;&#44; with the presence of absolute latencies of waves I&#44; III&#44; V&#44; interpeak intervals I-III&#44; III-V&#44; and I-V&#44; hearing thresholds up to 25 Dbhl&#46;</p><p id="para250" class="elsevierStylePara elsevierViewall">Notably&#44; normative data based on the literature&#44; is used in BAEP equipment for specific populations for correct identification of the hearing loss&#44; early diagnosis&#44; and early initiation of a rehabilitation program when applicable &#40;<a class="elsevierStyleCrossRef" href="#bib5">5</a>&#44;<a class="elsevierStyleCrossRef" href="#bib6">6</a>&#44;<a class="elsevierStyleCrossRef" href="#bib12">12</a>&#41;&#46;</p><p id="para260" class="elsevierStylePara elsevierViewall">Regarding Brainstem Auditory Evoked Potentials &#40;BAEP&#41; standardization&#44; in this study &#40;<a class="elsevierStyleCrossRef" href="#tbl1">Table 1</a>&#41;&#44; a decrease in latency time based on age was observed at waves III and V&#44; and interpeak intervals I-III&#44; I-V&#44; and III-V&#46; This finding corroborates previous literature concerning the maturation of the auditory pathways&#44; with a consequent decrease in the absolute latencies at waves I&#44; III&#44; and V in infants from 0 to 18 months of age&#46; The hearing system matures in two distinct stages&#58; the first occurs during pregnancy&#44; ending around the 6 month mark&#44; when the peripheral auditory pathways are fully developed&#59; and the second&#44; from birth to 18 months of age&#44; when the maturation of the central nervous system&#44; auditory pathways&#44; and brainstem is verified &#40;<a class="elsevierStyleCrossRef" href="#bib6">6</a>&#44;<a class="elsevierStyleCrossRef" href="#bib11">11</a>&#41;&#46; At this stage of the maturation process&#44; authors believe that compared to older infants and adults&#44; the increase in the latencies of waves occurs because of the slower electrical information in the group of younger infants&#46; This electrical &#8220;lagging&#8221; that is verified in younger infants occurs because their auditory pathways are still developing&#44; which includes the progressive increase in the myelination and axial diameter of nerves&#44; enhancement of the neural synchrony&#44; establishment of new effective connections&#44; and greater synaptic efficiency &#40;<a class="elsevierStyleCrossRef" href="#bib13">13</a>&#41;&#46; As age increases&#44; absolute latencies of waves decrease&#46; Authors state that this process of maturation occurs until 18 to 20 months of age&#44; when latency values pair with those of adults &#40;<a class="elsevierStyleCrossRef" href="#bib3">3</a>&#44;<a class="elsevierStyleCrossRef" href="#bib11">11</a>&#44;<a class="elsevierStyleCrossRef" href="#bib18">18</a>&#44;<a class="elsevierStyleCrossRef" href="#bib19">19</a>&#41;&#46;</p><p id="para270" class="elsevierStylePara elsevierViewall">Instead of the expected latency decrease because of the maturation process&#44; a significant increase in absolute latency of wave I was observed as infants grew older&#46; Some factors may have influenced this finding&#44; referring to the profile of the babies in the present study&#44; because at the ages of 6 to 24 months of age&#44; babies do not sleep easily for the proper examination&#44; which may have influenced recording of wave I&#46; However&#44; a Brazilian study &#40;<a class="elsevierStyleCrossRef" href="#bib20">20</a>&#41;&#44; which analyzed probable differences in absolute latencies and interpeak intervals between the assessed situations&#44; asleep and awake&#44; with the same equipment used in the current study &#40;Integrity V500&#41;&#44; did not find statistically significant differences &#40;<a class="elsevierStyleCrossRef" href="#bib20">20</a>&#41;&#46; Another possibility for the increase in the absolute latency of wave I could be the features of the equipment&#44; recording wave I slightly above the predicted standard&#46; Other authors &#40;<a class="elsevierStyleCrossRef" href="#bib5">5</a>&#41; observed that small changes in wave I&#44; with lower or higher values compared to the standard values&#44; are acceptable when the expected standard deviation is maintained&#46; Alternatively&#44; an increase in the absolute latency of wave I could be either because of the subjectivity of the wave recording&#44; performed by the professional&#44; not the equipment &#40;<a class="elsevierStyleCrossRef" href="#bib21">21</a>&#41;&#44; or the sampling size in this study&#46; It is possible that different data could be obtained in a larger sample&#46;</p><p id="para280" class="elsevierStylePara elsevierViewall">Studies show a symmetry between the ears&#59; therefore&#44; results found in the right ear can be correlated to those in the left ear &#40;<a class="elsevierStyleCrossRef" href="#bib13">13</a>&#44;<a class="elsevierStyleCrossRef" href="#bib19">19</a>&#44;<a class="elsevierStyleCrossRef" href="#bib22">22</a>&#41;&#46; This similarity is expected because of the potential of the auditory nerve&#44; which specifically reflects the ipsilateral responses of waves I and II&#46; As for waves III&#44; IV&#44; and V&#44; contralateral responses are verified&#44; and it is possible that they are greater in number than the ipsilateral responses&#44; thus presenting a more symmetrical response between the ears than at waves I and III&#46; In the current study&#44; as shown in <a class="elsevierStyleCrossRefs" href="#tbl2">Tables 2 and 3</a>&#44; statistically significant differences were observed in interpeak intervals I-III&#44; III-V&#44; and I-V at ages between 1 and 3 months&#44; which was greater among male infants&#46; At ages 4 to 6 months&#44; statistically significant differences were observed at absolute latencies of waves III and V&#44; and latency interpeak intervals I-II and I-V&#44; which was also greater among male infants&#46;</p><p id="para290" class="elsevierStylePara elsevierViewall">Additionally&#44; at ages 7 to 9 months&#44; a statistically significant difference was verified in the absolute latency of wave III and interpeak intervals I-III&#44; which was also greater among male infants&#46; Based on previous studies &#40;<a class="elsevierStyleCrossRef" href="#bib12">12</a>&#44;<a class="elsevierStyleCrossRef" href="#bib23">23</a>&#44;<a class="elsevierStyleCrossRef" href="#bib24">24</a>&#41;&#44; these results may occur because of the differences in the diameter of the auditory nerve in male infants compared to female infants&#46;</p><p id="para300" class="elsevierStylePara elsevierViewall">A comparison between our study data and standard equipment data &#40;<a class="elsevierStyleCrossRef" href="#tbl4">Table 4</a>&#41; revealed that our findings of the absolute latencies of waves were lower than of those based on equipment standards&#46; A possibility that justifies this situation may be the unique features of the infants in this study&#44; which may differ from those of the population used by the manufacturer to standardize the equipment&#44; since most studies were carried out over 10 years ago&#46; Thus&#44; the standardization of Brainstem Auditory Evoked Potentials &#40;BAEP&#41; results is recommended for services in which Brainstem Auditory Evoked Potentials &#40;BAEP&#41; will be carried out &#40;<a class="elsevierStyleCrossRef" href="#bib5">5</a>&#44;<a class="elsevierStyleCrossRef" href="#bib25">25</a>&#41;&#46;</p><p id="para310" class="elsevierStylePara elsevierViewall">Limitations of this study include use of a sample with infants at risk of hearing loss&#46;</p><p id="para320" class="elsevierStylePara elsevierViewall">However&#44; all infants underwent electrophysiological threshold assessment and those with hearing loss were excluded&#46; In addition&#44; gestational age was also corrected for premature infants&#44; avoiding Brainstem Auditory Evoked Potentials &#40;BAEP&#41; distortions because of the immaturity of the auditory pathways&#46; Some studies observed differences between Brainstem Auditory Evoked Potentials &#40;BAEP&#41; responses from neonates born preterm and at term&#44; showing that responses generated between peripheral and central auditory pathways were influenced by the maturation process and gestational age &#40;<a class="elsevierStyleCrossRef" href="#bib3">3</a>&#44;<a class="elsevierStyleCrossRef" href="#bib7">7</a>&#44;<a class="elsevierStyleCrossRef" href="#bib9">9</a>&#44;<a class="elsevierStyleCrossRef" href="#bib14">14</a>&#41;&#46; The current study did not consider risk factors for hearing loss as a variable&#46; Some authors considered that Brainstem Auditory Evoked Potentials &#40;BAEP&#41; responses might be influenced by complications related to the risk factors for hearing loss&#44; delaying the process of auditory pathway maturation&#46; Studies showed to the effect of low Apgar scores &#40;<a class="elsevierStyleCrossRef" href="#bib10">10</a>&#41;&#44; low birth weight &#40;<a class="elsevierStyleCrossRef" href="#bib3">3</a>&#44;<a class="elsevierStyleCrossRef" href="#bib7">7</a>&#41;&#44; and the need of ICU care &#40;<a class="elsevierStyleCrossRef" href="#bib3">3</a>&#44;<a class="elsevierStyleCrossRef" href="#bib7">7</a>&#44;<a class="elsevierStyleCrossRef" href="#bib10">10</a>&#41; on Brainstem Auditory Evoked Potentials &#40;BAEP&#41; responses&#46; Some authors &#40;<a class="elsevierStyleCrossRef" href="#bib3">3</a>&#41; recommend analysis of interference by the risk factors of hearing loss on Brainstem Auditory Evoked Potentials &#40;BAEP&#41; waves when the maturation process of children&#39;s auditory pathways is complete&#46;</p></span><span id="cesec50" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cestitle100">CONCLUSION</span><p id="para330" class="elsevierStylePara elsevierViewall">Lower values were found in the absolute latencies of waves I and V compared to the standard equipment data and non-reported values in the equipment handbook were found in the absolute latencies of wave III&#44; justifying the need for standardization of the service responsible for performing the assessment&#46;</p><p id="para340" class="elsevierStylePara elsevierViewall">By comparing the latencies of waves found in the study to those reported for the equipment&#44; differences were verified in waves I and V at ages 4 to 6 months and 13 to 15 months&#44; which was also verified in wave V at ages ranging from 7 to 9 months&#46;</p><p id="para350" class="elsevierStylePara elsevierViewall">The values &#63;&#63;found in this study&#44; for waves I&#44; III and V from one to three months will serve as a basis for the analysis of the results of the babies attended at the studied hearing health service&#46;</p><p id="para360" class="elsevierStylePara elsevierViewall">The results will serve as a reference for the standardization of equipment used in the hearing healthcare service&#44; specifically for neonates with risk factors for hearing loss&#46; Therefore&#44; biological calibration is emphasized in the Brainstem Auditory Evoked Potentials &#40;BAEP&#41; test&#46;</p><p id="para370" class="elsevierStylePara elsevierViewall">However&#44; further research with larger samples is needed to confirm our study findings&#46;</p></span><span id="cesec60" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cestitle110">AUTHOR CONTRIBUTIONS</span><p id="para380" class="elsevierStylePara elsevierViewall">Bellia CGL contributed to the project and production of the article&#58; research design&#44; conceptualization&#44; data curation&#44; formal analysis&#44; investigation&#44; methodology&#44; and writing&#46; Junior HA contributed with data curation&#44; investigation&#44; methodology&#44; visualization&#44; and writing&#46; Marques JM contributed with methodology&#44; validation&#44; and formal analysis&#46; L&#252;ders D contributed with methodology&#44; formal analysis&#44; writing-review&#44; and editing&#46; Gon&#231;alves CGO contributed with project administration&#44; conceptualization&#44; formal analysis&#44; supervision&#44; methodology&#44; writing&#44; and review&#46;</p></span></span>"
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    "fechaRecibido" => "2020-03-09"
    "fechaAceptado" => "2020-06-17"
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            1 => "Hearing&#44; Brainstem Auditory Evoked Potential"
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        "resumen" => "<span id="ceabs10" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cestitle10">OBJECTIVES&#58;</span><p id="spara60" class="elsevierStyleSimplePara elsevierViewall">Assessing infants&#39; hearing is of utmost importance&#44; as hearing at this phase is required for the development of oral language&#46; Through hearing&#44; human beings are capable of developing communication&#46; The Brainstem Auditory Evoked Potentials are an indispensable test to diagnose deafness in infants&#46; This study aimed to analyze the results of the Brainstem Auditory Evoked Potentials in children with risk factors for hearing loss&#46;</p></span> <span id="ceabs20" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cestitle20">METHODS&#58;</span><p id="spara70" class="elsevierStyleSimplePara elsevierViewall">This cross-sectional study analyzed the Brainstem Auditory Evoked Potentials in 123 infants aged 1 to 24 months at a hearing health care service&#46; The Vivosonic Integrity V500 equipment&#44; which enabled the child to be awake while the testing was carried out&#44; was used in this study&#46; The data were compared by gestational age and sex&#44; according to the standards suggested in the equipment handbook&#46;</p></span> <span id="ceabs30" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cestitle30">RESULTS&#58;</span><p id="spara80" class="elsevierStyleSimplePara elsevierViewall">A significant difference was verified for age ranges 4 to 6 months&#44; 13 to 15 months &#40;waves I and V&#41;&#44; and 7 to 9 months &#40;wave V&#41;&#46; The lower values in absolute wave latencies were comparable to data from the equipment handbook&#44; justifying the need for standardization of the screening process&#46;</p></span> <span id="ceabs40" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cestitle40">CONCLUSION&#58;</span><p id="spara90" class="elsevierStyleSimplePara elsevierViewall">There are some differences between the standards in the equipment handbook and those observed in our study&#46; These results will serve as a reference for the standardization of the equipment used in the hearing health care service&#46;</p></span>"
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          "en" => "<p id="spara10" class="elsevierStyleSimplePara elsevierViewall">Evolution of absolute latencies of waves I&#44; III&#44; and V &#40;Mean Results and Standard Deviations&#41; by age range &#40;N&#61;123&#41;&#46;</p>"
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                  \t\t\t\t" scope="col">Age range &#40;months&#41;</th><th class="td" title="\n
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                  \t\t\t\t">22-24 &#40;n&#61;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spara20" class="elsevierStyleSimplePara elsevierViewall">Brainstem Auditory Evoked Potentials Mean Results and Standard Deviations &#40;SD&#41; by age range &#40;n&#61;123&#41;&#46;</p>"
        ]
      ]
      2 => array:7 [
        "identificador" => "tbl2"
        "etiqueta" => "Table 2"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "tabla" => array:2 [
          "leyenda" => "<p id="TFN01t02" class="elsevierStyleSimplePara elsevierViewall">Note&#58; &#42;Student&#39;s t-test&#44; significance level of 0&#46;05 &#40;5&#37;&#41;&#59; NA&#61;not applicable &#40;insufficient number of subjects&#41;&#46; Values in milliseconds&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:1 [
              "tabla" => array:1 [
                0 => """
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                  \t\t\t\t  " colspan="7" align="center" valign="\n
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                  \t\t\t\t" scope="col">Male</th><th class="td" title="\n
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                  \t\t\t\t  " colspan="7" align="center" valign="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">Age range &#40;months&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " colspan="3" align="center" valign="\n
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                  \t\t\t\t" scope="col">Absolute wave latencies</th><th class="td" title="\n
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                  \t\t\t\t  " colspan="3" align="center" valign="\n
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                  \t\t\t\t" scope="col">Age range &#40;months&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t" scope="col">III&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t" scope="col">III-V&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t" scope="col">V&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t" scope="col">I-III&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1-3 &#40;n&#61;15&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">6&#46;28&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t">4-6 &#40;n&#61;23&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">1&#46;52&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">4&#46;10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">6&#46;15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">2&#46;57&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t">4-6 &#40;n&#61;26&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">2&#46;51&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t">7-9 &#40;n&#61;10&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7-9 &#40;n&#61;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#46;86&#42;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#46;35&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#46;31&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10-12 &#40;n&#61;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10-12 &#40;n&#61;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13-15 &#40;n&#61;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;46&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13-15 &#40;n&#61;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;52&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t\ttop\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#46;30&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">16-18 &#40;n&#61;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">16-18 &#40;n&#61;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;50&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#46;77&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t">5&#46;42&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t">2&#46;26&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t">3&#46;91&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">19-21 &#40;n&#61;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;68&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#46;91&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#46;45&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;75&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#46;18&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">19-21 &#40;n&#61;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">22-24 &#40;n&#61;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;60&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  """
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            ]
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        "descripcion" => array:1 [
          "en" => "<p id="spara30" class="elsevierStyleSimplePara elsevierViewall">Comparison of the Brainstem Auditory Evoked Potentials Results &#40;Mean&#41; by sex and age range for the right ear &#40;n&#61;123&#41;&#46;</p>"
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      3 => array:7 [
        "identificador" => "tbl3"
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                  \t\t\t\t" scope="col">Absolute latencies of waves</th><th class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t">7-9 &#40;n&#61;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#46;87<a class="elsevierStyleCrossRef" href="#TFN01t03">&#42;</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#46;32<a class="elsevierStyleCrossRef" href="#TFN01t03">&#42;</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#46;31&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10-12 &#40;n&#61;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10-12 &#40;n&#61;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13-15 &#40;n&#61;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;44&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13-15 &#40;n&#61;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;41&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#46;83&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&#46;71&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;88&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#46;62&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">16-18 &#40;n&#61;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t">16-18 &#40;n&#61;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;62&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t">3&#46;77&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t">5&#46;48&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#46;88&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">19-21 &#40;n&#61;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t">1&#46;61&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;64&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#46;19&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">19-21 &#40;n&#61;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">22-24 &#40;n&#61;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t">1&#46;58&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t">22-23 &#40;n&#61;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t">1&#46;48&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t" scope="col">Age range &#40;months&#41;&nbsp;\t\t\t\t\t\t\n
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Article information
ISSN: 18075932
Original language: English
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