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1.
Afr Health Sci ; 22(Spec Issue): 71-79, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-36321117

RESUMO

Introduction: Individual Development Plan (IDP) is a multi-component career planning worksheet that guides trainees through an iterative self-assessment. This paper provides the first investigation of IDP use and experiences among junior faculty at academic institutions in low- and middle-income countries (LMICs) where IDP is seldomly used by trainees. Methods: An online survey determined the utilization and impact of IDP among junior faculty trainees enrolled on "NURTURE" mentored research program to support career development for faculty at Makerere University College of Health Sciences (MakCHS) between 2016-2020. Responses were received between March and June 2021, a period of intense COVID-19 pandemic in the country. Results: Of 64 trainees 64(39%) were female and 60/64(98%) developed an IDP during the fellowship period; of whom 45/60(75%) had never been exposed to IDP. Trainees' benefits included intentional thinking about own career goals and support to execute the goals as well as self-management skills of time management and communication, among others. Conclusion: IDP was well-received by junior faculty trainees, with several self-management and motivation benefits to the scholars. We recommend that academic programs and faculty at academic institutions in LMIC should consider taking on the IDP approach to promote focused career development for all trainees including junior faculty.


Assuntos
Docentes de Medicina , Tutoria , Feminino , Humanos , Masculino , Pandemias , Universidades
2.
Humanidad. med ; 22(2): 301-310, mayo.-ago. 2022.
Artigo em Espanhol | LILACS-Express | LILACS | ID: biblio-1405093

RESUMO

RESUMEN Al afectar aproximadamente al 5 % de la población infantil la hiperactividad se convierte en uno de los trastornos con mayor prevalencia en este grupo etario, asociada a la desorganización en la esfera cognitiva y comportamental que se manifiesta en todas las áreas de la vida. El objetivo del trabajo es diseñar una estrategia de orientación a las familias de niños hiperactivos para su control y desarrollo, bajo la guía del personal de salud, en aras de potenciar su desarrollo individual y la armonía en su seno familiar.


ABSTRACT Affecting approximately 5 % of the child population, hyperactivity becomes one of the most prevalent disorders in this age group, associated with disorganization in the cognitive and behavioral sphere that manifests itself in all areas of life. The objective of this paper is to design an orientation strategy for families of hyperactive children for their control and development under the guidance of health personnel in order to enhance their individual development and harmony in their familial environment.

3.
Children (Basel) ; 9(7)2022 Jun 28.
Artigo em Inglês | MEDLINE | ID: mdl-35883949

RESUMO

Gross motor coordination (GMC) is essential for the development of specific motor skills and long-term participation in physical activities and sports. Group analysis reveals that, on average, children develop these skills gradually; however, how individuals develop GMC is less clear. The main aim of this study is to increase the understanding of developmental patterns within one school year, and whether children's grade, gender, or baseline GMC proficiency are associated with these developmental patterns. In total, 2594 Dutch children aged 6−12 years performed the modified Körper Koordinations Test für Kinder (KTK3+) twice in one school year (autumn and spring). The KTK3+ includes four subtests: walking backwards, moving sideways, jumping sideways, and eye-hand coordination (EHC) test. On average, children developed significantly on all subtests (p < 0.001). At baseline, children in higher grades scored significantly higher than children in lower grades, and children in grades 5 and 6 (age 9 and 10 years) showed most development (raw scores on average, p < 0.001). Boys outperformed girls on EHC across all grades, whereas girls outperformed boys on walking backwards. Nevertheless, both boys and girls developed similarly. Children with lower scores at baseline developed more quickly across all grades. Noteworthy is that 12.1−24% (depending on the test item) of the children scored lower in the spring than in the autumn tests. On average, children develop their GMC; however, we report large differences in their individual trajectories and note that a substantial number did not show a positive GMC development. Further research should examine GMC development with more possible influencing factors as well as over a longer time span to better understand differences in children's GMC development. This may result in more individualized programs in PE lessons, enabling children to optimally develop their GMC, and better use of GMC assessment tools to monitor children's development.

4.
Lett Appl Microbiol ; 75(5): 1182-1192, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-35852415

RESUMO

To analyse the correlation between the intestinal microbiota (IM) and differential development of Quasipaa spinosa across different stages of metamorphosis, we focused on four key developmental periods (15 days post-hatch [dph; Gosner stage, GS23], 60 dph [GS25], 90 dph [GS41] and 150 dph [GS25, GS41, GS42, GS46]) and used 16S rDNA amplicon sequencing. Results showed that IM diversity in Q. spinosa was related to life history. Specifically, there was a significant difference between the aquatic and terrestrial stages, and IM diversity increased with age. Proteobacteria, Bacteroidetes and Firmicutes were the dominant phyla in tadpoles, whereas Bacteroidetes, Proteobacteria, Firmicutes and Fusobacteria were the dominant phyla at the metamorphosis stages. The composition of the IM at different stages and ages varied considerably, but the changes were not substantial among different development stages at 150 dph. This was probably because age has a greater influence than growth factors, and host selective pressure increases with age. This study provides a theoretical reference for subsequent studies on the IM, as well as for the prevention of amphibian endogenous pathogenic microbial diseases.


Assuntos
Microbioma Gastrointestinal , Animais , Microbioma Gastrointestinal/genética , RNA Ribossômico 16S/genética , Genes de RNAr , Firmicutes/genética , Anuros , DNA Ribossômico/genética
5.
Trends Pharmacol Sci ; 43(6): 457-460, 2022 06.
Artigo em Inglês | MEDLINE | ID: mdl-35469690

RESUMO

Mentoring is a well-known subject, but we know little about it as a science. We need to learn more about how to evolve mentorship. In this article, we propose some new directions for mentorship in the present and the future.


Assuntos
Tutoria , Humanos , Mentores
6.
Animals (Basel) ; 12(6)2022 Mar 18.
Artigo em Inglês | MEDLINE | ID: mdl-35327164

RESUMO

Body size and individual development significantly affect positional behavior and substrate use. However, only a few studies have been conducted on immature wild macaques. We studied wild Tibetan macaques (Macaca thibetana) inhabiting Mt. Huangshan, China, to explore the degree of interspecific variation in positional behavior in relation to body weight and individual development. From September 2020 to August 2021, we used instantaneous scan sampling (duration 5 min, interval 10 min) to record age-sex groups, locomotions, postures, and substrate attributes. The results showed that Tibetan macaques used terrestrial substrates in nearly two-thirds of the recorded observations. The main postural modes were sitting and quadrupedal standing. The main locomotor modes were quadrupedal walking and climbing among all age-sex group records. Positional behavior and substrate use in adults only significantly differed from those in juveniles and infants. Although adult males were larger than the other age-sex groups, they did not climb and bridge more frequently than the other age-sex groups. The frequency of climbing, leaping, and suspension was significantly higher in juveniles than in adults. In addition, adult males used terrestrial and larger substrates more frequently, while juveniles and infants used arboreal substrates and terminals more frequently than adult males during traveling and feeding. We hypothesize that the more positional behavioral spectrum of Tibetan macaque juveniles' may be related to rapid skeletal muscle development. These results suggest that differences in interspecific positional behavior may be caused by the individual development and survival needs of individuals, rather than just body size.

7.
Artigo em Inglês | MEDLINE | ID: mdl-34444636

RESUMO

Energy poverty has negative impacts on the residents' life from various aspects. A comprehensive understanding of these impacts is the top priority in energy poverty governance. Previous qualitative studies have shown that energy poverty has the potential to negatively impact the individual development of residents through multiple pathways. However, few scholars have explored this issue from a quantitative perspective. To fill the gaps in existing research, this study aims to examine the impact of energy poverty on individual development and explore the serial mediating effects of learning behavior and health condition in the relationship. A total of 2289 valid samples are obtained from the dataset of Chinese General Social Survey (CGSS). SPSS 26.0 and PROCESS 3.5 are used to conduct serial mediating effects analysis. The results show that energy poverty can significantly negatively impact the individual development of residents. Learning behavior and health condition are found to independently or serially mediate the relationship between energy poverty and individual development. Health condition has the stronger mediating effect, whereas the mediating effect of learning behavior is weaker. This study may contribute to a better understanding of the consequences of energy poverty in government and academia.


Assuntos
Aprendizagem , Pobreza , Pesquisa Qualitativa
8.
F1000Res ; 10: 626, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-35083035

RESUMO

Background: As greater career development support for doctoral students and postdoctoral researchers has been emphasized, the individual development plan (IDP) has become a recommended mentoring tool. However, little is known about the effect of IDPs on mentoring and career development. This study proposed two conceptual models to examine the interrelationships among the use of IDPs, mentoring support, and career preparedness with a diverse sample of doctoral students and postdoctoral researchers in the life sciences. Methods: The data leveraged for this study was collected over a three-month period, March 2016 to June 2016, as part of a cross-sectional, online survey. The survey was distributed through social media and direct email to participants enrolled in life/biological/medical or physical/applied doctoral programs at U.S. institutions. To test the proposed conceptual models, this study employed the design-based multilevel structural equation modeling. Results: The analytic sample comprised 660 doctoral students and postdoctoral researchers in the life sciences from 91 institutions. The results suggested that 1) using the IDP could enhance mentoring support and career preparedness of doctoral students and postdoctoral researchers; 2) greater mentoring support and career preparedness would motivate mentees to continue utilizing the IDP with their principal investigator (PI) or advisor; and 3) females, postdoctoral researchers, and international scholars might need more support throughout the mentoring and career development process. Conclusions: This research demonstrated the empirical evidence an IDP has within mentorship and career preparedness, and that an IDP is an important career development tool that enhances trainees' overall career preparation.


Assuntos
Disciplinas das Ciências Biológicas , Tutoria , Feminino , Humanos , Estudos Transversais , Tutoria/métodos , Mentores , Filosofia , Planejamento Social
9.
J Clin Transl Sci ; 3(5): 211-217, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31660245

RESUMO

Formal mentoring programs are increasingly recognized as critical for faculty career development. We describe a mentoring academy (MA) developed for faculty across tracks (i.e., researchers, clinicians, educators) within a "school of health" encompassing schools of medicine and nursing. The program is anchored dually in a clinical and translational science center and a school of health. The structure includes the involvement of departmental and center mentoring directors to achieve widespread uptake and oversight. A fundamental resource provided by the MA includes providing workshops to enhance mentoring skills. Initiatives for junior faculty emphasize establishing and maintaining strong mentoring relationships and implementing individual development plans (IDPs) for career planning. We present self-report data on competency improvement from mentor workshops and data on resources and barriers identified by junior faculty (n = 222) in their IDPs. Mentors reported statistically significantly improved mentoring competency after workshop participation. Junior faculty most frequently identified mentors (61%) and collaborators (23%) as resources for goal attainment. Top barriers included insufficient time and time-management issues (57%), funding limitations (18%), work-life balance issues (18%), including inadequate time for self-care and career development activities. Our MA can serve as a model and roadmap for providing resources to faculty across traditional tracks within medical schools.

10.
Am J Pharm Educ ; 83(6): 6825, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31507277

RESUMO

Objective. To create and implement individual development plans (IDPs) to assist pharmacy students in career planning and tracking their achievement of ACPE Standards 2016, Standard 4, for Personal and Professional Development. Methods. First-year Doctor of Pharmacy students completed IDPs, which were subsequently reviewed to ensure they addressed components of the ACPE Standard 4 key elements: self-awareness, leadership, innovation and entrepreneurship, and professionalism. Faculty advisors were surveyed regarding the utility of IDPs. Descriptive statistics were used to evaluate the results. Results. Self-awareness (100%) and professionalism (100%) were the key elements most commonly documented by pharmacy students, followed by leadership (51%), and innovation and entrepreneurship (22%). Faculty advisors reported IDPs as beneficial for stimulating individualized career planning and tracking achievement of ACPE Standard 4. Conclusion. Most students enter pharmacy school recognizing the importance of self-awareness and professionalism, but require additional training to instill leadership and innovation/entrepreneurship skills. Individual development plans can be implemented in pharmacy education as a cornerstone of personal and professional development planning, as well as a means of tracking a school's progress toward meeting accreditation standards.


Assuntos
Educação em Farmácia/normas , Estudantes de Farmácia/estatística & dados numéricos , Acreditação/normas , Adulto , Escolha da Profissão , Currículo/normas , Empreendedorismo/normas , Docentes/normas , Feminino , Humanos , Liderança , Masculino , Percepção , Profissionalismo/normas , Faculdades de Farmácia/normas , Planejamento Social , Inquéritos e Questionários
11.
J Prof Nurs ; 35(3): 156-161, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31126390

RESUMO

BACKGROUND: How to be an effective mentor is typically not taught formally because good mentoring is thought to beget good mentoring, but there is little concrete data to support that connection. PURPOSE: Scholars in the Robert Wood Johnson Foundation's Nurse Faculty Scholars (NFS) program were surveyed to find out if the mentoring they received influenced their subsequent mentoring. METHOD: The qualities that form the Mentorship Effectiveness Scale were used to investigate if the experience changed scholars' views of mentoring; open-ended questions provided an opportunity for scholars to describe additional insights. RESULTS: Thirty-nine out of 93 scholars (42%) replied. Scholars were influenced by the mentoring they received: they were now more inclined to give guidance on professional issues, provide constructive critiques, suggest resources, acknowledge mentees' contributions, and challenge mentees to extend their abilities. Scholars' experiences made them more aware of the power of mentoring, provided them with insights into how they might do the same, convinced them that mentoring shouldn't be confined to one advisor, made them realize that one style of mentoring doesn't work for everyone, and improved their likelihood of using an individual development plan when they mentored. CONCLUSIONS: Effective mentoring does seem to beget effective mentoring because the interaction with mentors seems to leave a lasting impression and the perceived obligation to "pay it forward."


Assuntos
Docentes de Enfermagem/psicologia , Relações Interprofissionais , Tutoria/estatística & dados numéricos , Desenvolvimento de Pessoal , Mobilidade Ocupacional , Bolsas de Estudo , Feminino , Fundações , Humanos , Masculino , Inquéritos e Questionários , Estados Unidos
12.
MedEdPublish (2016) ; 8: 87, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-38089377

RESUMO

This article was migrated. The article was marked as recommended. Medical scientist trainees who take extended scholarly time in the middle of their training experience challenges during transitions in training. As they complete their dissertation and re-enter the clinical years of medical school, there is marked by a loss of clinical knowledge and skills over a prolonged hiatus from medicine and mismatched expectations. We have developed a re-entry pathway including guidance, support, and a course to provide clinical skills and knowledge training to align expectations, dispel myths, and allow advanced planning to meet milestones. Students reporting satisfaction with their transition from PhD to MD3 and 90% of students reported that the pathway was valuable. We provide 12 tips on how to improve the transition from research to clinical training. Here we demonstrate that a planned pathway for the transition back to medical training can improve the student-mentor experience, reduce anxiety, and create a more seamless and successful transition.

13.
F1000Res ; 7: 1132, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30498569

RESUMO

The individual development plan (IDP) is a career planning tool that aims to assist PhD trainees in self-assessing skills, exploring career paths, developing short- and long-term career goals, and creating action plans to achieve those goals. The National Institutes of Health and many academic institutions have created policies that mandate completion of the IDP by both graduate students and postdoctoral researchers. Despite these policies, little information exists regarding how widely the tool is used and whether it is useful to the career development of PhD trainees. Herein, we present data from a multi-institutional, online survey on the use and effectiveness of the IDP among a group of 183 postdoctoral researchers. The overall IDP completion rate was 54% and 38% of IDP users reported that the tool was helpful to their career development. Positive relationships with one's advisor, confidence regarding completing training, trainees' confidence about their post-training career, and a positive experience with institutional career development resources are associated with respondents' perception that the IDP is useful for their career development. We suggest that there is a need to further understand the nuanced use and effectiveness of the IDP in order to determine how to execute the use of the tool to maximize trainees' career development.


Assuntos
Pesquisa Biomédica/economia , Educação de Pós-Graduação , Pesquisadores , Estudos Transversais , Feminino , Humanos , Estados Unidos
14.
F1000Res ; 7: 722, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30026933

RESUMO

Background: The Individual Development Plan (IDP) was introduced as a tool to aid in career planning for doctoral trainees. Despite the National Institutes of Health and academic institutions creating policies that mandate the use of IDPs, little information exists regarding the actual use and effectiveness of the career planning tool. Methods: We conducted a multi-institutional, online survey to measure IDP use and effectiveness. The survey was distributed to potential respondents via social media and direct email. IDP survey questions were formatted using a five-point Likert scale (strongly agree, agree, neutral, disagree and strongly disagree). For data analysis purposes, responses were grouped into two categories (agree versus does not agree/disagree). The data were summarized as one-way frequencies and the Pearson Chi-square test was used to determine statistical significance. Results: Usage of the IDP among doctoral students was low and the tool produces minimal effectiveness with regard to the perception of whether it is helpful to one's career development. Further, our data suggests that the IDP is most effective when doctoral students complete the tool with faculty mentors with whom they have a positive relationship. Respondents who are confident about completing their doctoral training and their post-training career plans, and who take advantage of career development resources at their institution are also more likely to perceive that the IDP is useful for their career development. Conclusion: Given the nuanced use and effectiveness of the IDP, we call for more research to determine why IDP use and effectiveness is low, exactly how IDPs are being used, and whether there are unintended negative consequences created through the use of the tool. Furthermore, we recommend an enhancement of career development infrastructure that would include mentorship training for faculty in order to provide substantially more career planning support to doctoral trainees.

15.
J Prof Nurs ; 34(4): 289-295, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30055682

RESUMO

From 2008 to 2017, the Robert Wood Johnson Foundation Nurse Faculty Scholars Program inspired, developed, and supported cohorts of next generation national leaders in academic nursing through career development awards. With support from mentors, scholars in the program created individual development plans focused on scholarship, teaching, service, and leadership. The curriculum of the scholar development program combined goals and objectives related to leadership development, enhancement of nursing education skills, and focused programs of research and scholarship. In addition, program outcomes emphasized engagement in institutional, university, and professional governance systems. This article describes and recounts findings from the program participants regarding accomplishments, productivity, and facilitators contributing to their achievement of program outcomes.


Assuntos
Docentes de Enfermagem/estatística & dados numéricos , Bolsas de Estudo , Fundações/organização & administração , Pesquisa em Enfermagem , Avaliação de Programas e Projetos de Saúde , Desenvolvimento de Pessoal/métodos , Estudos Transversais , Currículo , Feminino , Humanos , Liderança , Masculino , Mentores , Ensino
16.
Entropy (Basel) ; 20(6)2018 Jun 08.
Artigo em Inglês | MEDLINE | ID: mdl-33265539

RESUMO

Cardiac activity is involved in the processes of organization of goal-directed behaviour. Each behavioural act is aimed at achieving an adaptive outcome and it is subserved by the actualization of functional systems consisting of elements distributed across the brain and the rest of the body. This paper proposes a system-evolutionary view on the activity of the heart and its variability. We have compared the irregularity of the heart rate, as measured by sample entropy (SampEn), in behaviours that are subserved by functional systems formed at different stages of individual development, which implement organism-environment interactions with different degrees of differentiation. The results have shown that SampEn of the heart rate was higher during performing tasks that included later acquired knowledge (foreign language vs. native language; mathematical vocabulary vs. general vocabulary) and decreased in the stress and alcohol conditions, as well as at the beginning of learning. These results are in line with the hypothesis that irregularity of the heart rate reflects the properties of a set of functional systems subserving current behaviour, with higher irregularity corresponding to later acquired and more complex behaviour.

17.
J Dent Educ ; 80(10): 1212-1218, 2016 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-27694295

RESUMO

Despite the consensus on the importance of reflection for dental professionals, a lack of understanding remains about how students and clinicians should develop their ability to reflect. The aim of this study was to investigate dental students' and mentors' perceptions of mentor groups as an instructional method to facilitate students' reflection in terms of the strategy's learning potential, role of the mentor, group dynamics, and feasibility. At Ghent University in Belgium, third- and fourth-year dental students were encouraged to reflect on their clinical experiences and personal development in three reflective mentor sessions. No preparation or reports afterwards were required; students needed only to participate in the sessions. Sessions were guided by trained mentors to establish a safe environment, frame clinical discussions, and stimulate reflection. Students' and mentors' perceptions of the experience were assessed with a 17-statement questionnaire with response options on a five-point Likert scale (1=totally disagree to 5=totally agree). A total of 50 students and eight mentors completed the questionnaire (response rates 81% and 89%, respectively). Both students and mentors had neutral to positive perceptions concerning the learning potential, role of the mentor, group dynamics, and feasibility. The mean ideal total time for sessions in a year was 99 minutes (third-year students), 111 minutes (fourth-year students), and 147 minutes (mentors). Reported reflective topics related to patient management, frustrations, and practice of dentistry. Overall mean appreciation for the experience ranged from 14.50 to 15.14 on the 20-point scale. These findings about students' and mentors' positive perceptions of the experience suggest that mentor groups may be a potentially valuable strategy to promote dental students' reflection.


Assuntos
Mentores , Estudantes de Odontologia/psicologia , Pensamento , Processos Grupais , Autorrelato
18.
J Clin Sleep Med ; 12(4): 519-28, 2016 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-26888588

RESUMO

STUDY OBJECTIVES: Obstructive sleep apnea syndrome (OSAS) patients benefit from continuous positive airway pressure (CPAP) treatment in a dose-response manner. We determined adherence and weight control, as well as their predictors, among long-term CPAP users. METHODS: Cohort of 1,023 OSAS patients had used CPAP on average of 6.6 ± 1.2 years. BMI was determined at baseline and at follow-up visits. There were 7.4 ± 1.7 BMI and 6.5 ± 1.8 CPAP usage measurements per patient on average. Using the Bayesian hierarchical model, we determined the patients' individual trends of BMI and adherence development. Patients with significantly increasing or decreasing trends were identified at the posterior probability level of > 90%. RESULTS: The mean age in the cohort was 55.6 ± 9.8 years, BMI 33.5 ± 6.4 kg/m(2), apnea-hypopnea index 33.7 ± 23.1, and CPAP usage 6.0 ± 1.8 h/day. The majority of patients had no significant change in BMI (mean annual weight gain 0.04 ± 0.29 kg/m(2)) or CPAP adherence (mean annual increase 11.4 ± 7.0 min/day). However, at the individual level, 10% of the patients showed significant annual weight gain (0.63 ± 0.35 kg/m(2)) during the 5-year follow-up period. At baseline these patients were already more severely obese (mean BMI 40.0 ± 5.9 kg/m(2)) despite being younger (mean 50.9 ± 9.5 years) than the rest of the cohort. CONCLUSIONS: In the majority of CPAP-treated OSAS patients, weight did not significantly change but gained slightly slower than in age-matched population in general. However, in 10% of patients, high adherence to CPAP treatment did not prevent the continuation of weight gain. These patients present a high-risk group for OSAS-related multimorbidity later in life.


Assuntos
Pressão Positiva Contínua nas Vias Aéreas/estatística & dados numéricos , Obesidade/complicações , Cooperação do Paciente/estatística & dados numéricos , Apneia Obstrutiva do Sono/complicações , Apneia Obstrutiva do Sono/terapia , Aumento de Peso , Feminino , Finlândia , Humanos , Masculino , Pessoa de Meia-Idade , Polissonografia , Índice de Gravidade de Doença
19.
J Gerontol Soc Work ; 58(6): 572-89, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26016650

RESUMO

We examine the 10-year follow-up effects on retirement saving of an individual development account (IDA) program using data from a randomized experiment that ran from 1998 to 2003 in Tulsa, Oklahoma. The IDA program included financial education, encouragement to save, and matching funds for several qualified uses of the saving, including contributions to retirement accounts. The results indicate that as of 2009, 6 years after the program ended, the IDA program had no impact on the propensity to hold a retirement account, the account balance, or the sufficiency of retirement balances to meet retirement expenses.


Assuntos
Conta Bancária , Educação de Pacientes como Assunto , Pensões , Pobreza , Aposentadoria/economia , Idoso , Educação/métodos , Declarações Financeiras/estatística & dados numéricos , Humanos , Oklahoma , Educação de Pacientes como Assunto/métodos , Educação de Pacientes como Assunto/organização & administração , Pobreza/economia , Pobreza/estatística & dados numéricos , Desenvolvimento de Programas , Distribuição Aleatória
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