Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 3.596
Filtrar
2.
Lakartidningen ; 1162019 Oct 14.
Artigo em Sueco | MEDLINE | ID: mdl-31613374

RESUMO

The development of accelerometers has revolutionized measurement of physical activity, and they are used to a large extent in research and have started to be implemented into clinical settings. However, achievement of reliable outcomes requires good methodological knowledge and skills by the user. Otherwise, significant measurement errors may occur, interfering with assessment of the physical activity level in the population, group differences, associations with health parameters or effect of treatments. This paper by the Swedish Network for Objective Measurement of Movement (NORM) provides an overview of physical activity measurement including sections of data collection, processing of raw data into useful metrics and statistical analysis. It targets users of accelerometer in research, health care and national surveys.


Assuntos
Acelerometria/normas , Exercício , Coleta de Dados/normas , Interpretação Estatística de Dados , Humanos
3.
J Nurs Adm ; 49(10): 496-502, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31517757

RESUMO

OBJECTIVE: The purpose of this research study was to develop an innovative, standardized taxonomy for leader demographic data to gather consistent and comparable data across healthcare leadership studies. BACKGROUND: Minimum data sets help ensure consistent data collection strategies for standardized comparison among similar variables across settings. A standardized approach to collecting demographic data of healthcare workforce leadership will provide the structure necessary for researchers to more adequately compare the role of demographic characteristics in research outcomes. METHODS: This study was conducted using systematic literature review methodology with comparative analysis across demographic data sets. Two separate literature reviews were conducted: the 1st for studies of approaches to establishing minimum data sets and another for studies of healthcare leadership. RESULTS: The outcome of this study is the Shillam-Clipper Leadership Minimum Demographic Data Set tool that includes a comprehensive list of minimum demographic variables applicable to healthcare leadership research, a glossary of operational definitions for the identified demographic variables, and a clearly articulated set of instructions for consistent and accurate data collection. CONCLUSION: This standardized taxonomy will result in a consistent data set that will improve the effectiveness of comparative research.


Assuntos
Coleta de Dados/normas , Pesquisa sobre Serviços de Saúde/organização & administração , Projetos de Pesquisa/normas , Terminologia como Assunto , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Liderança , Masculino , Pessoa de Meia-Idade , Fatores Socioeconômicos
4.
PLoS Negl Trop Dis ; 13(9): e0007721, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31545803

RESUMO

This study aimed to assess the impact of the Zika epidemic on the registration of birth defects in Brazil. We used an interrupted time series analysis design to identify changes in the trends in the registration of congenital anomalies. We obtained monthly data from Brazilian Live Birth Information System and used two outcome definitions: 1) rate of congenital malformation of the brain and eye (likely to be affected by Zika and its complications) 2) rate of congenital malformation not related to the brain or eye unlikely to be causally affected by Zika. The period between maternal infection with Zika and diagnosis of congenital abnormality attributable to the infection is around six months. We therefore used September 2015 as the interruption point in the time series, six months following March 2015 when cases of Zika started to increase. For the purposes of this analysis, we considered the period from January 2010 to September 2015 to be "pre-Zika event," and the period from just after September 2015 to December 2017 to be "post-Zika event." We found that immediately after the interruption point, there was a great increase in the notification rate of congenital anomalies of 14.9/10,000 live births in the brain and eye group and of 5.2/10,000 live births in the group not related with brain or eye malformations. This increase in reporting was in all regions of the country (except in the South) and especially in the Northeast. In the period "post-Zika event", unlike the brain and eye group which showed a monthly decrease, the group without brain or eye malformations showed a slow but significant increase (relative to the pre-Zika trend) of 0.2/10,000 live births. These findings suggest an overall improvement in the registration of birth malformations, including malformations that were not attributed to Zika, during and after the Zika epidemic.


Assuntos
Anormalidades Congênitas/epidemiologia , Sistema de Registros/normas , Infecção por Zika virus/complicações , Encéfalo/anormalidades , Brasil/epidemiologia , Anormalidades Congênitas/virologia , Coleta de Dados/normas , Epidemias/estatística & dados numéricos , Anormalidades do Olho/epidemiologia , Feminino , Humanos , Análise de Séries Temporais Interrompida , Gravidez , Complicações Infecciosas na Gravidez/epidemiologia , Complicações Infecciosas na Gravidez/virologia , Zika virus , Infecção por Zika virus/epidemiologia
5.
Eur J Endocrinol ; 181(5): 545-564, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31539875

RESUMO

The treatment and care of individuals who have a difference of sex development (DSD) have been revised over the past two decades and new guidelines have been published. In order to study the impact of treatments and new forms of management in these rare and heterogeneous conditions, standardised assessment procedures across centres are needed. Diagnostic work-up and detailed genital phenotyping are crucial at first assessment. DSDs may affect general health, have associated features or lead to comorbidities which may only be observed through lifelong follow-up. The impact of medical treatments and surgical (non-) interventions warrants special attention in the context of critical review of current and future care. It is equally important to explore gender development early and refer to specialised services if needed. DSDs and the medical, psychological, cultural and familial ways of dealing with it may affect self-perception, self-esteem, and psychosexual function. Therefore, psychosocial support has become one of the cornerstones in the multidisciplinary management of DSD, but its impact remains to be assessed. Careful clinical evaluation and pooled data reporting in a global DSD registry will allow linking genetic, metabolomic, phenotypic and psychological data. For this purpose, our group of clinical experts and patient and parent representatives designed a template for structured longitudinal follow-up. In this paper, we explain the rationale behind the selection of the dataset. This tool provides guidance to professionals caring for individuals with a DSD and their families. At the same time, it collects the data needed for answering unsolved questions of patients, clinicians, and researchers. Ultimately, outcomes for defined subgroups of rare DSD conditions should be studied through large collaborative endeavours using a common protocol.


Assuntos
Coleta de Dados/normas , Transtornos do Desenvolvimento Sexual/diagnóstico , Desenvolvimento Sexual/fisiologia , Criança , Transtornos do Desenvolvimento Sexual/genética , Transtornos do Desenvolvimento Sexual/cirurgia , Feminino , Humanos , Masculino , Qualidade de Vida , Padrões de Referência , Projetos de Pesquisa , Resultado do Tratamento
6.
Lakartidningen ; 1162019 Sep 10.
Artigo em Sueco | MEDLINE | ID: mdl-31503322

RESUMO

According to the Swedish National Board of Health and Welfare, about 3200 people a year die due to accidents. Around 900 of these are classified as "Accidental exposure to other and unspecified factors". A more precise classification with the board has not been recorded in these cases due to incomplete death certificates. This study examined the death certificates for this group in 2016 and compared it to patient records. This study showed that most cases of incomplete classification are in instances of elderly persons who sustained a fall and subsequently died due to complications of the resulting injury. The doctor has in most cases not perceived the death as accidental.This study showed that there is a lack of knowledge among doctors in how to accurately complete a death certificate.


Assuntos
Acidentes por Quedas/mortalidade , Causas de Morte , Coleta de Dados/normas , Atestado de Óbito , Documentação/normas , Distribuição por Idade , Idoso , Idoso de 80 Anos ou mais , Competência Clínica/normas , Feminino , Humanos , Masculino , Registros Médicos/normas , Pessoa de Meia-Idade , Médicos/normas , Distribuição por Sexo , Suécia/epidemiologia , Fatores de Tempo
8.
J Autism Dev Disord ; 49(12): 4807-4819, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31448383

RESUMO

Adolescence is a time of remarkable biopsychosocial change, which may be particularly challenging for youth with autism spectrum disorder (ASD), necessitating enhanced understanding and accurate assessment of pubertal maturation. The study compared physical examination to parent- and self-report measures in 200 participants (134 males and 66 females) ages 10.0-13.5 years. Both participants with typical development (TD, n = 78) and ASD (n = 122) were included. Concordance ranged from slight-to-fair for self-assessments (κ = .17-.32) and slight-to-moderate for parent-report (κ = .21-.44). Concordance of physical exam with self- and parent-report of the ASD group was somewhat lower than for the TD group. Findings indicate pubertal assessments by parent or child are not reliable indices of precise pubertal staging.


Assuntos
Transtorno do Espectro Autista/psicologia , Pais/psicologia , Exame Físico/normas , Puberdade/psicologia , Autorrelato/normas , Adolescente , Transtorno do Espectro Autista/diagnóstico , Transtorno do Espectro Autista/fisiopatologia , Criança , Coleta de Dados/métodos , Coleta de Dados/normas , Feminino , Humanos , Estudos Longitudinais , Masculino , Exame Físico/métodos , Estudos Prospectivos , Puberdade/fisiologia , Autoavaliação
9.
Artigo em Inglês | MEDLINE | ID: mdl-31159164

RESUMO

The block walk method (BWM) is one of the more common approaches for assessing physical activity (PA) performed on sidewalks/streets; however, it is non-technical, labor-intensive, and lacks validation. This study aimed to validate the BWM and examine the potential for using a wearable video device (WVD) to assess PA occurring on sidewalks/streets. Trained observers (one wearing and one not wearing the WVD) walked together and performed the BWM according to a previously developed protocol along routes in low, medium, and high walkable areas. Two experts then reviewed the videos. A total of 1150 (traditional) and 1087 (video review) individuals were observed during 900 min of observation. When larger numbers of individuals were observed, the traditional method overestimated the overall number of people as well as those walking and sitting/standing, while underestimating the number of runners. Valid estimates of PA occurring on sidewalks/streets can be obtained by the traditional BWM in low and medium walkability areas and/or with non-common activities (cycling); however, its validity is questionable when sidewalks/streets use volume is high. The use of WVDs in PA assessment has the potential to establish new levels of accuracy, reduce resource requirements, and open up the possibility for retrospective analysis.


Assuntos
Coleta de Dados/métodos , Caminhada/fisiologia , Estudos Transversais , Coleta de Dados/normas , Exercício/fisiologia , Humanos , Reprodutibilidade dos Testes , Projetos de Pesquisa , Estudos Retrospectivos , Dispositivos Eletrônicos Vestíveis
10.
Rev Epidemiol Sante Publique ; 67(4): 239-245, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31146902

RESUMO

BACKGROUND: Completeness, timeliness and accuracy are important qualities for registries. The objective was to estimate the completeness of the first two years of full registration (2008/2009) of a new population-based general cancer registry, at the time of national data centralisation. METHODS: Records followed international standards. Numbers of cases missed were estimated from a three-source (pathology labs, healthcare centres, health insurance services) capture-recapture method, using log-linear models for each gender. Age and place of residence were considered as potential variables of heterogeneous catchability. RESULTS: When data were centralized (2011/2012), 4446 cases in men and 3642 in women were recorded for 2008/2009 in the Registry. Overall completeness was estimated at 95.7% (95% CI: 94.3-97.2) for cases in men and 94.8% (95% CI: 92.6-97.0) in women. Completeness appeared higher for younger than for older subjects, with a significant difference of 4.1% (95% CI: 1.4-6.7) for men younger than 65 compared with their older counterparts. Estimates were collated with the number of cases registered in 2014 for the years 2008/2009 (4566 cases for men/3755 for women), when additional structures had notified cases retrospectively to the Registry. These numbers were consistent with the stratified capture-recapture estimates. CONCLUSION: This method appeared useful to estimate the completeness quantitatively. Despite a rather good completeness for the new Registry, the search for cases among older subjects must be improved.


Assuntos
Confiabilidade dos Dados , Coleta de Dados , Neoplasias/epidemiologia , Sistema de Registros/normas , Adulto , Fatores Etários , Idade de Início , Idoso , Idoso de 80 Anos ou mais , Coleta de Dados/métodos , Coleta de Dados/normas , Atestado de Óbito , Feminino , França/epidemiologia , Humanos , Masculino , Pessoa de Meia-Idade , Vigilância da População/métodos , Registros/normas , Registros/estatística & dados numéricos , Sistema de Registros/estatística & dados numéricos , Estudos Retrospectivos
12.
Public Health Rep ; 134(1_suppl): 46S-56S, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31059416

RESUMO

Criminal justice involvement is a multifaceted construct encompassing various forms of contact with the criminal justice system. It is a sensitive topic to ask about in surveys and also a sensitive topic for respondents to answer. This article provides guidance for writing survey questions on criminal justice involvement, starting with a review of potential causes for reporting error and nonresponse error associated with survey questions on criminal justice involvement. Questions about criminal justice involvement are subject to errors that are common to any survey (eg, misunderstanding questions, recall bias, telescoping). Reponses to these questions are also subject to underreporting because of social desirability concerns. We also address strategies to reduce error for questions pertaining to criminal justice involvement (eg, self-administered data collection, wording of forgiving questions, indirect methods). We then discuss common design decisions associated with writing survey questions on criminal justice involvement (eg, type and frequency of criminal justice involvement, reference period,) and provide examples of questions from current surveys.


Assuntos
Coleta de Dados/normas , Guias como Assunto , Pesquisas sobre Serviços de Saúde/normas , Prisioneiros/estatística & dados numéricos , Inquéritos e Questionários/normas , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estados Unidos
13.
J Nutr Sci Vitaminol (Tokyo) ; 65(2): 148-156, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31061283

RESUMO

Malnutrition is a severe problem among elderly residents living in long-term care facilities. A simple and accurate estimation for total daily energy expenditure (TEE) is required in order to provide them with an adequate amount of food. The purpose of this study was to validate a physical activity assessment tool for estimating TEE among elderly residents. The data of 58 subjects aged 69-99 y were analyzed in this study. The one-day physical activity recall was filled out by facility staff for a typical day. TEE was measured by the doubly labeled water (DLW) method (TEEDLW), and predicted by one-day physical activity recall using the basal metabolic rate (pTEEBMR) and body weight (pTEEBW). The TEEDLW, pTEEBMR and pTEEBW were 1,129±196 kcal/d, 1,186±251 kcal/d and 1,326±236 kcal/d, respectively. In a regression model, body weight, movement means and sex explained 39.0% of the variance in the difference between pTEEBMR and TEEDLW (p<0.05). Percentage of fat mass, body weight, and Barthel Index except mobility explained 47.3% of the variance in the difference between pTEEBW and TEEDLW (p<0.05). The current results suggested that pTEEBW is not recommended to estimate TEE because the error depends on body size, and pTEEBMR was significantly correlated with TEEDLW but also included systematic errors in elderly residents. In order to improve the accuracy of the present assessment to estimate TEE, it is necessary to establish a new equation of basal metabolic rate for elderly residents and consider sex and movement means to estimate TEE.


Assuntos
Metabolismo Energético/fisiologia , Exercício/fisiologia , Assistência de Longa Duração , Idoso , Idoso de 80 Anos ou mais , Antropometria/métodos , Metabolismo Basal/fisiologia , Peso Corporal/fisiologia , Estudos Transversais , Coleta de Dados/normas , Feminino , Humanos , Masculino , Reprodutibilidade dos Testes
14.
BMJ Health Care Inform ; 26(1): 1-10, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31142494

RESUMO

INTRODUCTION: Clinical trials generate a large volume of literature and a vast amount of data. Following the 'open science' model, data sharing has enormous potential to strengthen scientific research. Currently, to the best of our knowledge, there is no existing web based Hellenic biomedical registry that displays available patients for clinical trials, providing direct access to registered physicians to all data, assisting them in finding eligible patients in the initial clinical trial recruitment process. METHODS: This paper describes the design and virtual implementation of a web based prototype biomedical registry in Greece. The system represents an eGovernment framework proposal for the central storage of patients' biomedical information and the operations associated with this process. The increasing tendency to include molecular data as prerequisite elements in clinical trials is adopted in the registry philosophy. The designed system is based on free, open source software and it is implemented virtually on a local host environment. RESULTS: Using colorectal cancer as an example, valid data from patients increases the reliability index, demonstrating the functionality of the web application. CONCLUSION: In conclusion, the combination of biomedical data and information technology in order to display potential participants per health unit, facilitates recruitment for clinical trials.


Assuntos
Ensaios Clínicos como Assunto , Sistema de Registros/normas , Projetos de Pesquisa/normas , Neoplasias Colorretais , Coleta de Dados/normas , Grécia , Humanos , Software/normas
15.
Eur J Vasc Endovasc Surg ; 57(6): 816-821, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-31128987

RESUMO

OBJECTIVE: To develop a minimum core data set for evaluation of acute limb ischaemia (ALI) revascularisation treatment and outcomes that would enable collaboration among international registries. METHODS: A modified Delphi approach was used to achieve consensus among international multidisciplinary vascular specialists and registry members of the International Consortium of Vascular Registries (ICVR). Variables identified in the literature or suggested by the expert panel, and variables, including definitions, currently used in 15 countries in the ICVR, were assessed to define both a minimum core and an optimum data set to register ALI treatment. Clinical relevance and practicability were both assessed, and consensus was defined as ≥ 80% agreement among participants. RESULTS: Of 40 invited experts, 37 completed a preliminary survey and 31 completed the two subsequent Delphi rounds via internet exchange and face to face discussions. In total, 117 different items were generated from the various registry data forms, an extensive review of the literature, and additional suggestions from the experts, for potential inclusion in the data set. Ultimately, 35 items were recommended for inclusion in the minimum core data set, including 23 core items important for all registries, and an additional 12 more specific items for registries capable of capturing more detail. These 35 items supplement previous data elements recommended for registering chronic peripheral arterial occlusive disease treatment. CONCLUSION: A modified Delphi study allowed 37 international vascular registry experts to achieve a consensus recommendation for a minimum core and an optimum data set for registries covering patients who undergo ALI revascularisation. Continued global harmonisation of registry infrastructure and definition of items allows international comparisons and global quality improvement. Furthermore, it can help to define and monitor standards of care and enable international research collaboration.


Assuntos
Coleta de Dados/normas , Isquemia/cirurgia , Sistema de Registros/normas , Procedimentos Cirúrgicos Vasculares/normas , Doença Aguda , Consenso , Técnica Delfos , Humanos , Isquemia/diagnóstico , Isquemia/fisiopatologia , Medição de Risco , Fatores de Risco , Resultado do Tratamento , Procedimentos Cirúrgicos Vasculares/efeitos adversos
16.
Trials ; 20(1): 227, 2019 Apr 17.
Artigo em Inglês | MEDLINE | ID: mdl-30995932

RESUMO

BACKGROUND: Triggered monitoring in clinical trials is a risk-based monitoring approach where triggers (centrally monitored, predefined key risk and performance indicators) drive the extent, timing, and frequency of monitoring visits. The TEMPER study used a prospective, matched-pair design to evaluate the use of a triggered monitoring strategy, comparing findings from triggered monitoring visits with those from matched control sites. To facilitate this study, we developed a bespoke risk-based monitoring system: the TEMPER Management System. METHODS: The TEMPER Management System comprises a web application (the front end), an SQL server database (the back end) to store the data generated for TEMPER, and a reporting function to aid users in study processes such as the selection of triggered sites. Triggers based on current practice were specified for three clinical trials and were implemented in the system. Trigger data were generated in the system using data extracted from the trial databases to inform the selection of triggered sites to visit. Matching of the chosen triggered sites with untriggered control sites was also performed in the system, while data entry screens facilitated the collection and management of the data from findings gathered at monitoring visits. RESULTS: There were 38 triggers specified for the participating trials. Using these, 42 triggered sites were chosen and matched with control sites. Monitoring visits were carried out to all sites, and visit findings were entered into the TEMPER Management System. Finally, data extracted from the system were used for analysis. CONCLUSIONS: The TEMPER Management System made possible the completion of the TEMPER study. It implemented an approach of standardising the automation of current-practice triggers, and the generation of trigger data to inform the selection of triggered sites to visit. It also implemented a matching algorithm informing the selection of matched control sites. We hope that by publishing this paper it encourages other trialists to share their approaches to, and experiences of, triggered monitoring and other risk-based monitoring systems.


Assuntos
Coleta de Dados/normas , Estudos Multicêntricos como Assunto/normas , Ensaios Clínicos Controlados Aleatórios como Assunto/normas , Projetos de Pesquisa/normas , Algoritmos , Comitês de Monitoramento de Dados de Ensaios Clínicos/normas , Confiabilidade dos Dados , Humanos , Medição de Risco , Fatores de Risco , Fatores de Tempo
17.
IEEE J Biomed Health Inform ; 23(3): 1243-1250, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-30998482

RESUMO

The diversity and number of parameters monitored in an intensive care unit (ICU) make the resulting databases highly susceptible to quality issues, such as missing information and erroneous data entry, which adversely affect the downstream processing and predictive modeling. Missing data interpolation and imputation techniques, such as multiple imputation, expectation maximization, and hot-deck imputation techniques do not account for the type of missing data, which can lead to bias. In our study, we first model the missing data as three types: "neglectable" also known as a.k.a "missing completely at random," "recoverable" a.k.a. "missing at random," and "not easily recoverable" a.k.a. "missing not at random." We then design imputation techniques for each type of missing data. We use a publicly available database (MIMIC II) to demonstrate how these imputations perform with random forests for prediction. Our results indicate that these novel imputation techniques outperformed standard mean filling techniques and expectation maximization with a statistical significance p ≤ 0.01 in predicting ICU mortality.


Assuntos
Coleta de Dados/normas , Registros Eletrônicos de Saúde/normas , Unidades de Terapia Intensiva , Modelos Estatísticos , Humanos , Informática Médica , Controle de Qualidade
19.
Scand J Med Sci Sports ; 29(7): 1031-1039, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-30938904

RESUMO

It is well established that differences in injury definition and recording methodology restrict comparisons between injury surveillance programmes. There is, however, little documentation of the variation that can exist between data recorders. The aim of this study was, therefore, to explore the effect on reported injuries when team recorders or supervisors are involved in research. Injury data collected prospectively over five seasons for the U16, U17, and U18 age groups in a youth football (soccer) academy were used to compare different recording settings based on the research involvement of the clinicians. A research-invested team physiotherapist reported an 8.8 times greater incidence (P < 0.001) of non-time-loss injuries and a 2.5 times greater incidence (P < 0.001) of minimal injuries (1-3 days lost) compared to a setting where neither the team physiotherapists nor the supervisor relied on the collected data for research purposes. When team physiotherapists were not invested in research themselves but were supervised by a researcher, the incidence of non-time-loss injuries and minimal injuries was 2.5 times (P < 0.001) and 2.0 times greater (P < 0.01) than in the non-invested setting, respectively. However, there were no differences between recording settings for overall incidence of time-loss injuries. The results from this study demonstrate that involving clinicians that are relying on the collected data for research purposes can significantly affect the reported rates of non-time-loss and minimal injuries. Time-loss injuries overall were not affected by research investment, and should therefore be preferred for comparisons between teams and seasons.


Assuntos
Traumatismos em Atletas/epidemiologia , Coleta de Dados/normas , Futebol/lesões , Esportes Juvenis/lesões , Adolescente , Humanos , Incidência , Fisioterapeutas , Pesquisadores
20.
Med Ref Serv Q ; 38(1): 22-30, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30942683

RESUMO

Rising collection costs sometimes necessitate tough decisions regarding cancellation of popular products. In 2015-2016, the East Tennessee State University Medical Library subscribed to UpToDate and DynaMed Plus, both clinical point-of-care products, with the understanding that one product would be canceled at the fiscal year end. The librarian team undertook a year-long community engagement campaign to inform library users about the pending product cancellation decision. Ultimately, DynaMed Plus was selected and UpToDate was cancelled. The campaign generated user engagement with the decision making, along with perceived benefits including increased awareness of the library's budget constraints, increased discussion of scholarly publishing, and greater faculty/student knowledge of evaluating evidence-based products.


Assuntos
Comportamento do Consumidor , Coleta de Dados/normas , Medicina Baseada em Evidências , Bibliotecas Médicas/organização & administração , Desenvolvimento de Coleções em Bibliotecas/normas , Sistemas Automatizados de Assistência Junto ao Leito , Publicações/normas , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Tennessee
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA