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1.
Zhonghua Yu Fang Yi Xue Za Zhi ; 54(11): 1175-1179, 2020 Nov 06.
Artigo em Chinês | MEDLINE | ID: mdl-33147912

RESUMO

Occupational stress is one of the major occupational health problems in industrialized countries. In Europe, the United States, Japan, and other countries, occupational stress has been included in the prevention and control of occupational hazards in the workplace. This problem has also become a major risk factor affecting the physical and mental health of the working population in China. Over the last three decades, China had carried out a lot of research on occupational stress and made significant progress, but there is still a big gap between China and industrialized countries in terms of theoretical research on occupational stress, development of measurement tools, research topics and methods, formulation of regulations and standards, and practice of prevention and control. Articles in this key issue report the research on the core scale of occupational stress measurement for the Chinese working population, the scale scoring norm of manufacturing and medical personnel, the research on the relationship between positive psychology variables, and occupational stress and its role in the relationship between occupational stress and health outcomes.


Assuntos
Doenças Profissionais , Saúde do Trabalhador , Estresse Ocupacional , China , Humanos , Saúde Mental , Doenças Profissionais/prevenção & controle , Estresse Ocupacional/prevenção & controle , Estresse Psicológico/prevenção & controle , Estados Unidos , Local de Trabalho
2.
Work ; 67(2): 269-279, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33044208

RESUMO

BACKGROUND: Pregnancy is a vulnerable period of growth and enrichment along with many physiological and psychological challenges. These changes can lead to complications if compounded by external stress and anxiety. COVID-19 has emerged as a chief stressor among the general population and is a serious threat among vulnerable populations. Therefore, there is a need for stress management tools, such as Yoga and physical exercises, both at home and at work. These can be adopted during the pandemic with proper maintenance of social distancing. OBJECTIVE: To evaluate and compile literature that has reported the health outcomes of Yoga intervention on pregnancy at the workplace and analyzes both the restrictions as well as advantages of its beneficial effects in comparison to physical exercises. METHODOLOGY: A comprehensive literature review was conducted utilizing PubMed and Google Scholar. The keywords used for the search include "Yoga", "work", "complications", "physical exercise", "drugs" and "COVID" indifferent permutations and combinations with "pregnancy". We compiled the literature with respect to pregnancy complications and the effects of drugs, physical activity and Yoga for preventing these complications. RESULTS: We noted that pregnancy-related complications are becoming more prevalent because of a sedentary lifestyle, restricted physical activity and growing stress. In such situations, a home or workplace Yoga protocol can combine both exercise and mindfulness-based alleviation of anxiety for both working and non-working women. CONCLUSION: Yoga can be effective for combating stress and anxiety besides boosting immunity in pregnant working women confronted with the COVID-19 pandemic.


Assuntos
Infecções por Coronavirus/psicologia , Pneumonia Viral/psicologia , Complicações na Gravidez/psicologia , Estresse Psicológico/psicologia , Mulheres Trabalhadoras/psicologia , Ioga/psicologia , Ansiedade/etiologia , Ansiedade/psicologia , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Depressão/etiologia , Depressão/psicologia , Feminino , Humanos , Atenção Plena , Pandemias , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Gravidez , Comportamento Sedentário , Estresse Psicológico/prevenção & controle
4.
Cleve Clin J Med ; 87(10): 613-618, 2020 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-33004322

RESUMO

The COVID-19 pandemic has dramatically affected every aspect of daily life. Parents of adolescents, in particular, may be facing unique challenges in helping them navigate unexpected changes to their daily routine. This article discusses how adolescents may respond to stressful and traumatic situations and provides recommendations for clinicians who may be advising parents of adolescents or parenting their own children.


Assuntos
Comportamento do Adolescente , Infecções por Coronavirus , Educação não Profissionalizante , Pandemias , Poder Familiar , Pneumonia Viral , Resiliência Psicológica , Estresse Psicológico/prevenção & controle , Adolescente , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/psicologia , Humanos , Relações Pais-Filho , Pneumonia Viral/epidemiologia , Pneumonia Viral/psicologia
6.
BMC Emerg Med ; 20(1): 82, 2020 10 15.
Artigo em Inglês | MEDLINE | ID: mdl-33059583

RESUMO

BACKGROUND: Emergency department personnel routinely bear witness to traumatic experiences and critical incidents that can affect their own well-being. Peer support through debriefing has demonstrated positive impacts on clinicians' well-being following critical incidents. This study explored community hospital emergency department staff's perceptions of critical incidents, assessed openness to debriefing and measured baseline well-being. Our analysis provides a baseline of provider well-being immediately prior to the local onset of COVID-19. The potential need for additional resources to support frontline providers during the pandemic can be evaluated. METHOD: We conducted a cross-sectional study for 4-weeks prior to the first COVID-19 case in Connecticut using a survey offered to an interprofessional group of emergency department clinical staff. The main outcome measures were the Hospital Anxiety and Depression Scale (HADS) and the Professional Quality of Life (ProQOL) scale. Pearson's chi-square test was used to identify significant differences in perceptions of critical incidents and debriefings between professional categories. One-way ANOVA and Tukey's test were used to analyze significant differences in well-being between professional categories. RESULTS: Thirty-nine clinical personnel from St. Vincent's Emergency Department responded to the survey. Events frequently selected as critical incidents were caring for critically ill children (89.7%), mass casualty events (84.6%), and death of a patient (69.2%). Critical incidents were commonly reported (81.6%) as occurring once per week. Additionally, 76.2% of participants reported wanting to discuss a critical incident with their team. Across all respondents, 45.7% scored borderline or abnormal for anxiety, 55.9% scored moderate for burnout, and 55.8% scored moderate to high for secondary traumatic stress. CONCLUSIONS: At baseline, providers reported caring for critically ill children, mass casualty events, and death of a patient as critical incidents, which typically occurred once per week. Death of a patient occurs at increased frequency during the protracted mass casualty experience of COVID-19 and threatens provider well-being. Receptiveness to post-event debriefing is high but the method is still underutilized. With nearly half of staff scoring borderline or abnormal for anxiety, burnout, and secondary traumatic stress at baseline, peer support measures should be implemented to protect frontline providers' well-being during and after the pandemic.


Assuntos
Infecções por Coronavirus/epidemiologia , Serviço Hospitalar de Emergência/organização & administração , Retroalimentação , Promoção da Saúde/organização & administração , Recursos Humanos em Hospital/psicologia , Pneumonia Viral/epidemiologia , Local de Trabalho/psicologia , Adulto , Betacoronavirus , Esgotamento Profissional/epidemiologia , Esgotamento Profissional/prevenção & controle , Estudos Transversais , Feminino , Hospitais Comunitários/organização & administração , Humanos , Masculino , Incidentes com Feridos em Massa/psicologia , Pessoa de Meia-Idade , Pandemias , Percepção , Qualidade de Vida , Apoio Social , Fatores Socioeconômicos , Estresse Psicológico/epidemiologia , Estresse Psicológico/prevenção & controle
7.
Medicine (Baltimore) ; 99(43): e22888, 2020 Oct 23.
Artigo em Inglês | MEDLINE | ID: mdl-33120834

RESUMO

The aim of this study was to explore the relationship between social support, self-efficacy, coping style, and psychological stress in children with malignant tumors during the treatment, and to clarify the mediating effects.From May 2019 to August 2019, selected by convenience sampling method, 141 children with malignant tumors in the treatment period were evaluated using the Social Support Questionnaire, General Self-efficacy Scale, Simplified Coping Style Questionnaire, and Depression-Anxiety-Stress Scale.The results of correlation analysis showed that depression was negatively correlated with coping style, self-efficacy, affirmation and support, satisfaction, company, and intimacy, but positively correlated with conflict and punishment; both anxiety and stress were significantly negatively correlated with coping style, self-efficacy, affirmation and support, company, and intimacy. The results of the model indicated that gender, social support, self-efficacy, and coping style could directly predict the psychological stress of children with malignant tumors in the treatment period, social support and self-efficacy could indirectly predict the psychological stress of children with malignant tumors, and the total effect of self-efficacy on the psychological stress of children was the largest. Through 2000 bootstrap tests of mediating effect, it not only confirmed the mediating effect of self-efficacy and coping style but also had a chain-mediating effect.Appropriate social support can improve the self-efficacy of children with malignant tumors in the treatment period and encourage them to take a positive response to the disease, thereby effectively preventing or reducing the occurrence of psychological stress.


Assuntos
Adaptação Psicológica/fisiologia , Neoplasias/psicologia , Estresse Psicológico/prevenção & controle , Adolescente , Ansiedade/psicologia , Criança , China/epidemiologia , Estudos Transversais , Depressão/psicologia , Feminino , Humanos , Masculino , Neoplasias/complicações , Reconhecimento Psicológico/fisiologia , Autoeficácia , Apoio Social , Estresse Psicológico/psicologia , Inquéritos e Questionários/estatística & dados numéricos
8.
Artigo em Inglês | MEDLINE | ID: mdl-32967093

RESUMO

Digital nature can provide a substitute for real nature for those who have limited access to green space, or are confined to their homes, for example during the worldwide COVID-19 lockdown. In a large-scale online survey, respondents (N = 1203) watched videos of digital nature, varying in terms of type of nature (wild versus tended nature) and spaciousness. Results show a significant increase of feelings of connectedness to the community after watching digital nature. Furthermore, tended nature scenes elicited more social aspirations than wild nature scenes. A multiple regression model further shows that living further away from nature was a significant predictor for loneliness scores, while number of nature interactions during a week was not. Results of this study confirm the importance of nature interaction for mental and social wellbeing for the general population and stress the potential of digital nature as a complementary strategy. These findings are of particular relevance to those who lack access to nature due to old age and related mobility constraints or a lockdown.


Assuntos
Infecções por Coronavirus/psicologia , Meio Ambiente , Promoção da Saúde/métodos , Solidão , Natureza , Pneumonia Viral/psicologia , Estresse Psicológico/prevenção & controle , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Humanos , Internet , Pandemias , Pneumonia Viral/epidemiologia , Inquéritos e Questionários
10.
BMC Psychol ; 8(1): 99, 2020 Sep 22.
Artigo em Inglês | MEDLINE | ID: mdl-32962764

RESUMO

BACKGROUND: Pregnancy as a sensitive period of a woman's life can be affected by various psychological factors that can have adverse effects on the woman, her fetus and future baby. Since COVID-19 is a new phenomenon with limited information available, it may have adverse psychological effects on pregnant women. Therefore, this study was conducted to determine the status of depression, stress, anxiety and their predictors in Iranian pregnant women during the outbreak of COVID-19. METHODS: This descriptive-analytical cross-sectional study was performed on 205 pregnant women covered by Tabriz health centers in Iran. The sampling method used was cluster sampling. The data collection tool was the socio-demographic characteristics questionnaire and the DASS-21 (Depression, Anxiety and Stress Scale-21), which were completed online by pregnant women. The general linear model was used to determine the predictive factors of depression, anxiety and stress. RESULTS: The mean (SD) score of depression, stress, and anxiety were 3.91 (3.9), 6.22 (4.25), and 3.79 (3.39), respectively; the score range of 0 to 21. Depression, stress, and anxiety symptoms were observed in 32.7, 32.7, and 43.9% of the participants, respectively, with varying degrees from mild to very severe. Based on the adjusted general linear model, variables of education level, spouse's job and marital life satisfaction were the predictors of depressive symptoms. Variables of spouse's education level, spouse's support, marital life satisfaction and the number of pregnancies were the predictive factors of anxiety symptoms and the variables of spouse's education level, household income sufficiency, spouse's support and marital life satisfaction were predictors of stress symptoms. CONCLUSIONS: Considering the role of marital life satisfaction, high level of spouse's education and income in reducing symptoms of stress, anxiety, and depression in pregnant women in critical situations such as the prevalence of COVID-19, it seems that using strategies to promote marital life satisfaction and socio-economic status can play an effective role in controlling anxiety and reducing stress and depression in pregnant women.


Assuntos
Ansiedade , Infecções por Coronavirus , Depressão , Casamento , Pandemias , Pneumonia Viral , Complicações na Gravidez , Estresse Psicológico , Adulto , Ansiedade/diagnóstico , Ansiedade/epidemiologia , Ansiedade/prevenção & controle , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/psicologia , Estudos Transversais , Depressão/diagnóstico , Depressão/epidemiologia , Depressão/prevenção & controle , Feminino , Humanos , Irã (Geográfico)/epidemiologia , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Pneumonia Viral/psicologia , Gravidez , Complicações na Gravidez/epidemiologia , Complicações na Gravidez/prevenção & controle , Complicações na Gravidez/psicologia , Prevalência , Escalas de Graduação Psiquiátrica , Fatores de Risco , Fatores Socioeconômicos , Estresse Psicológico/diagnóstico , Estresse Psicológico/epidemiologia , Estresse Psicológico/prevenção & controle
11.
Rev. cuba. estomatol ; 57(3): e3445, jul.-set. 2020. tab, graf
Artigo em Inglês | LILACS, CUMED | ID: biblio-1126517

RESUMO

RESUMEN Introducción: La COVID-19 se propaga por vías respiratorias y aerosoles. La pandemia originada por esta enfermedad causa pánico, miedo y estrés en todos los estratos de la sociedad. Al igual que todas las demás profesiones médicas, los dentistas, particularmente los endodoncistas, que están muy expuestos a los aerosoles, pueden mostrar estrés. Objetivo: Encuestar a los endodoncistas indios para comprender mejor sus niveles de estrés psicológico durante el confinamiento de la India durante la pandemia de la COVID-19. Métodos: Del 8 de abril al 16 de abril de 2020 se realizó una encuesta cerrada en las redes sociales de endodoncia. Se utilizó la técnica de muestreo de bola de nieve. Asimismo, se recolectaron datos demográficos básicos, entorno de práctica y otras informaciones relevantes. El estrés psicológico y la angustia percibida se calcularon a través del índice de angustia peritraumática COVID-19 y la escala de estrés percibido. El análisis de regresión multinomial se realizó para estimar la tasa de riesgo relativo y p ≤ 0,05 se consideró significativo. Resultados: Este estudio tuvo 586 endodoncistas indios que completaron esta encuesta. De estos, 311 (53,07 por ciento) eran hombres, 325 (55 por ciento) en el grupo de edad de 25-35 años, 64 por ciento en áreas urbanas, 13,14 por ciento en prácticas individuales y un cuarto de ellos eran residentes. Las mujeres endodoncistas tenían un alto estrés percibido (RRR = 2,46, p = 0,01) en comparación con los hombres, medido por PSS. Los endodoncistas más jóvenes < 25 años (RRR = 9,75; p = 0,002) y 25-35 años (RRR = 4.60; p = 0,004) en comparación con el grupo de edad > 45 años tenían más angustia. Los consultores exclusivos tuvieron RRR = 2,90, p = 0,02, para la angustia leve a moderada en comparación con la normal. Se consideran los factores que impulsan este fenómeno. Conclusiones: Durante el cierre debido a la COVID-19, los endodoncistas indios 1-en-2 tuvieron angustia, según lo medido por CPDI y 4 de cada 5 percibieron estrés, según lo indicado por PSS. Nuestro modelo identificó ciertos factores que impulsan el (des)estrés, lo que ayudaría a los formuladores de políticas a iniciar una respuesta adecuada(AU)


ABSTRACT Background: The novel 2019 COVID-19 spreads by respiratory and aerosols. COVID-19 driven pandemic causes panic, fear and stress among all strata of society. Like all other medical professions, dentists, particularly endodontists, who are highly exposed to aerosols would be exposed to stress. Objective: To survey the Indian endodontists to better understand their levels of psychological stress during the Indian lockdown COVID-19 Pandemic. Methods: From 8th April to 16th April 2020, we conducted an online survey in closed endodontic social media using snowball sampling technique, collecting basic demographic data, practice setting and relevant data. Psychological stress and perceived distress were collected through COVID-19 Peri-traumatic Distress Index and Perceived stress scale. Multinomial regression analysis was performed to estimate relative risk rate and p ≤ 0.05 was considered significant. Results: This study had 586 Indian endodontists completing this survey across India. Of these, 311(53.07 percent) were males, 325(55 percent) in the age group of 25-35 years, 64 percent in urban areas, 13.14 percent in solo-practice and a fourth of them were residents. Female endodontists had high perceived stress (RRR = 2.46, p = 0.01) as compared to males, as measured by PSS. Younger endodontists < 25 years (RRR = 9.75; p = 0.002) and 25-35years (RRR = 4.60; p = 0.004) as compared with > 45 years age-group had more distress. Exclusive consultants had RRR = 2.90, p = 0.02, for mild-to-moderate distress as compared to normal. Factors driving this phenomenon are considered. Conclusions: During the lock down due to COVID-19, 1-in-2 Indian endodontists had distress, as measured by CPDI and 4-in-5 of them had perceived stress, as indicated by PSS. Our model identified certain factors driving the (dis)stress, which would help policy framers to initiate appropriate response(AU)


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Percepção , Estresse Psicológico/prevenção & controle , Infecções por Coronavirus/epidemiologia , Recursos Humanos em Odontologia , Internação Involuntária , Inquéritos e Questionários/estatística & dados numéricos , Índia
12.
Medicine (Baltimore) ; 99(32): e21027, 2020 Aug 07.
Artigo em Inglês | MEDLINE | ID: mdl-32769863

RESUMO

Mind-body training (MBT) programs are effective interventions for relieving stress and improving psychological capabilities. To expand our previous study which demonstrated the short-term effects of an 8-week online MBT program, the present study investigated whether those short-term effects persist up to a month after the end of the intervention.Among previous participants, 56 (64%) participated in this follow-up study, 25 in the MBT group and 31 in the control group. Outcome measures included the stress response, emotional intelligence, resilience, coping strategies, positive and negative affect, and anger expression of both groups at baseline, at 8 weeks (right after the training or waiting period), and at 12 weeks (a month after the training or waiting period).The MBT group showed a greater decrease in stress response at 8 weeks, and this reduction remained a month after the end of the intervention. The effect of MBT on resilience and effective coping strategies was also significant at 8 weeks and remained constant a month later. However, the improvement to emotional intelligence and negative affect did not persist a month after training.These findings suggest that the beneficial short-term effects of MBT may last beyond the training period even without continuous practice, but the retention of these benefits seems to depend on the outcome variables. Through a convenient, affordable, and easily accessible online format, MBT may provide cost-effective solutions for employees at worksites.


Assuntos
Pessoal de Saúde/psicologia , Terapias Mente-Corpo , Estresse Psicológico/prevenção & controle , Telemedicina , Adaptação Psicológica , Adulto , Afeto , Ira , Inteligência Emocional , Feminino , Seguimentos , Humanos , Resiliência Psicológica , Fatores de Tempo
14.
Front Health Serv Manage ; 37(1): 14-19, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32842084

RESUMO

As the CEO of a firm that helps organizations improve performance through culture and learning, and as someone who has spent the past 12 years coaching thousands of individual leaders, staff members, and physicians at hundreds of hospitals and health systems, I have seen both the positive effects of resilience and the negative effects of a lack of resilience. During the COVID-19 pandemic, I and my team have worked with organizations to find ways to help their distressed employees take better care of themselves and, in turn, help their patients as our collective recovery continues.


Assuntos
Adaptação Psicológica , Infecções por Coronavirus/psicologia , Infecções por Coronavirus/terapia , Pessoal de Saúde/psicologia , Pneumonia Viral/psicologia , Pneumonia Viral/terapia , Resiliência Psicológica , Estresse Psicológico/prevenção & controle , Adulto , Betacoronavirus , Connecticut , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias , Estados Unidos , Recursos Humanos
16.
BMJ Open ; 10(8): e039646, 2020 08 13.
Artigo em Inglês | MEDLINE | ID: mdl-32792455

RESUMO

INTRODUCTION: The SARS-CoV-2 (COVID-19) pandemic poses immense challenges for national and international healthcare systems. Especially in times of social isolation and governmental restrictions, mental health should not be neglected. Innovative approaches are required to support psychologically burdened people. The e-mental health intervention 'CoPE It' has been developed to offer manualised and evidence-based psychotherapeutic support adapted to COVID-19-related issues in order to overcome psychological distress. In our study, we aim to assess the efficacy of the e-mental health intervention 'CoPE It' in terms of reducing distress (primary outcome), depression and anxiety symptoms as well as improving self-efficacy, quality of life and mindfulness (secondary outcomes). Furthermore, we want to evaluate the programme's usability, feasibility and participants' satisfaction with 'CoPE It' (tertiary outcome). METHODS AND ANALYSIS: The e-mental health intervention 'CoPE It' consists of four 30 min modules, conducted every other day, involving psychotherapeutic techniques of mindfulness-based stress reduction and cognitive-behavioural therapy. The widely applied and previously established content has been adapted to the context of the COVID-19 pandemic by experts in psychosomatic medicine and stress prevention. In our longitudinal study, adult participants-with adequate German language and computer skills, and who have provided informed consent-will be recruited via emergency support hotlines in Germany. Flyers will be distributed, and online channels will be used. Participants will complete a baseline assessment (T0), a postintervention assessment (T1) and assessments 1 and 3 months later (T2 and T3, respectively). We will perform repeated measures analysis of covariance, mixed linear models, standard analyses of variance and regression, and correlation coefficients. In case of binary outcome variables, either mixed logistic regression or χ² tests will be used. ETHICS AND DISSEMINATION: The Ethics Committees of the University of Duisburg-Essen (20-9243-BO) and University of Tübingen (469/2020BO) approved the study. Results will be published in peer-reviewed journals and conference presentations. TRIAL REGISTRATION NUMBER: DRKS00021301.


Assuntos
Adaptação Psicológica , Terapia Cognitivo-Comportamental/métodos , Infecções por Coronavirus/psicologia , Aconselhamento à Distância/métodos , Atenção Plena/métodos , Pneumonia Viral/psicologia , Estresse Psicológico/terapia , Ansiedade/prevenção & controle , Ansiedade/terapia , Betacoronavirus , Depressão/prevenção & controle , Depressão/terapia , Humanos , Pandemias , Satisfação do Paciente , Qualidade de Vida , Autoeficácia , Estresse Psicológico/prevenção & controle
17.
Crit Care Nurs Clin North Am ; 32(3): 407-419, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32773182

RESUMO

Academicians who maintain a critical care clinical practice encounter numerous stressors, especially during the COVID-19 pandemic, which can influence well-being. This article provides historical perspectives on the stressors inherent in working in the critical care environment as well as the stressors of working in the academic environment. It proposes the application of the synergy model as a framework to help improve the well-being of academicians who practice and teach critical care. The most valuable strategy to improve professional well-being is for organizations to take a systems approach. The article focuses on approaches that are potentially within each individual's control.


Assuntos
Enfermagem de Cuidados Críticos/educação , Cuidados Críticos/psicologia , Educação em Enfermagem/organização & administração , Docentes de Enfermagem/psicologia , Estresse Psicológico/prevenção & controle , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/enfermagem , Docentes de Enfermagem/organização & administração , Humanos , Modelos Organizacionais , Pandemias , Pneumonia Viral/epidemiologia , Pneumonia Viral/enfermagem , Estresse Psicológico/epidemiologia
18.
N C Med J ; 81(4): 270-274, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32641467

RESUMO

Medical advances paired with expanding home care technology and shorter hospital stays have placed increased responsibilities on family and friends. Yet, most caregivers report they are ill-prepared for their role. There are services and supports specifically designed to assist family caregivers.


Assuntos
Cuidadores/psicologia , Apoio Social , Estresse Psicológico/prevenção & controle , Adulto , Cuidadores/economia , Cuidadores/estatística & dados numéricos , Humanos , North Carolina
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