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1.
PLoS One ; 15(6): e0233099, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32502145

RESUMO

The relationship between age and well-being is U-shaped. One recent explanation for this empirical pattern is related to unmet aspirations theory, pointing out that optimism bias decreases life satisfaction at younger ages, whereas pessimism bias increases it at later stages of life. This paper investigates the effects of Internet use on subjective well-being over the life cycle. Our model investigates the proposition that Internet use affects aspirations, and that this effect is relatively stronger at younger and older ages. To investigate moderation effects of Internet use on the U-shape of life, we use the Eurobarometer annual surveys for the years 2010 to 2016, which provide rich information for around 150,000 individuals in all European countries. We focus on the EU Digital Agenda policy program, and exploit exogenous variation in broadband Internet take-up across European countries to identify the causal effects of Internet on life satisfaction for different age groups. The results of 2SLS estimations for a recursive bivariate ordered probit model show that active Internet users have a different well-being pattern over the life cycle compared to less active users. Specifically, we find that Internet use makes the U-shape of life steeper. Country-level evidence on aspiration levels for different demographic and Internet user groups indicates that our empirical results are consistent with unmet aspirations theory.


Assuntos
Envelhecimento Saudável/psicologia , Internet/tendências , Qualidade de Vida/psicologia , Adolescente , Adulto , Fatores Etários , Idoso , Viés , Europa (Continente) , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Modelos Teóricos , Autoavaliação , Inquéritos e Questionários
4.
J Headache Pain ; 21(1): 60, 2020 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-32487050

RESUMO

BACKGROUND: Epidemiological research of headache is vital but resource consuming prerequisite for evidence-based development in the field. Rapid evolution of information technology may provide new opportunities for population-based surveys. The aim of this study was to evaluate the applicability of web-based solutions in epidemiological studies of primary headaches. METHODS: An online survey was conducted among 20-64 year old Estonian citizens, using a previously validated headache questionnaire. The participants were accessed through most popular portals and e-mail domains to get the maximum coverage of Estonian digital community. The resulting one-year headache prevalences were compared to those acquired in parallel from a population-based cross-sectional person-to-person study in Estonia. RESULTS: Five thousand seven hundred eight entries were made by 5347 participants in the online study. Of the participants, 3896 (72.9%) had no headache, 1436 (26.8%) had only one and 15 (0.3%) had more than one type of headache. The study sample demographics were statistically significantly different from Estonian population and the prevalences were adjusted by age, gender, education and habitat. The proportion of headache sufferers was smaller in the online study sample (23.1% vs 41.0% in the population-based parallel person-to-person study). Among the headache sufferers the proportions of different headache diagnoses were similar across the two studies with the exceptions of episodic migraine and episodic tension-type headache. There were less migraine and more tension-type headache sufferers in the online study sample. DISCUSSION: This is the first study addressing applicability of web-based solutions in headache related large epidemiological studies. Online approach presents a much faster means of data collection, larger samples, has mechanisms of avoiding data contamination and distinguishes the proportions of most primary headache disorders among the headache sufferers. However, the present online survey was significantly biased towards the people without headache, leading to underestimation of headache prevalence. This stems from the shortcomings related to method of sampling, access and engagement. CONCLUSION: Online headache epidemiology research could be a resource saving alternative to person-to-person studies, however, further research is needed to overcome the problems related to methods of sampling, access and engagement.


Assuntos
Pesquisa Biomédica/métodos , Cefaleia/diagnóstico , Cefaleia/epidemiologia , Internet , Inquéritos e Questionários , Adulto , Pesquisa Biomédica/tendências , Estudos Transversais , Estônia/epidemiologia , Feminino , Transtornos da Cefaleia Primários/diagnóstico , Transtornos da Cefaleia Primários/epidemiologia , Humanos , Internet/tendências , Masculino , Pessoa de Meia-Idade , Transtornos de Enxaqueca/diagnóstico , Transtornos de Enxaqueca/epidemiologia , Cefaleia do Tipo Tensional/diagnóstico , Cefaleia do Tipo Tensional/epidemiologia , Adulto Jovem
6.
PLoS One ; 15(5): e0233278, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32437383

RESUMO

The innovation of a particular company benefits the whole industry when innovation technology transfers to others. Similarly, the development and innovation in internet companies influence the development and innovation of the industry. This investigation has applied a unique approach of meta-frontier analysis to estimate and analyze the innovation in internet companies in China. A unique dataset of Chinese internet companies from 2000 to 2017 has been utilized to estimate and compare the innovation over the period of study. The change in technology gap ratio (TGR) and a shift in production function have translated into innovation which was overlooked by previous studies. It is found that the production function of internet companies is moving upward in the presence of external factors such as smartphones invention, mobile internet, mobile payments, and artificial intelligence, etc. Consequently, a sudden increase in TGR is captured due to the innovation of some companies. Hence, the average TE of the industry falls caused by the increased distance of other companies form industry production function. However, the innovation advantage defused when other companies start imitating and the average TE elevates. A steady increase in the TGR index revealed that the continuous innovation-based growth of some companies lifting the production frontier upward. This provides the opportunity for other companies to imitate and provides continuous growth in the industry. This study provides a novel methodological approach to measure innovation and also provide practical implication by empirical estimation of innovation in Chinese internet companies.


Assuntos
Tecnologia da Informação/tendências , Internet/tendências , Invenções/tendências , China , Tecnologia da Informação/estatística & dados numéricos , Internet/estatística & dados numéricos , Invenções/estatística & dados numéricos
7.
Behav Ther ; 51(1): 54-68, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-32005340

RESUMO

Loneliness has been described as a common source of discomfort based on a subjective discrepancy between the actual and desired social situation. For some people this feeling may become a sustained state that is associated with a wide range of psychiatric and psychosocial problems. While there are few existing treatment protocols, interventions based on cognitive behavioral therapy (CBT) have shown positive effects. The current study investigated the efficacy of an 8-week internet-based treatment containing CBT components aimed at reducing feelings of loneliness. Seventy-three participants were recruited from the general public and randomly allocated to treatment or a wait-list control condition. Participants were assessed with standardized self-report measures of loneliness, depression, social anxiety, worry, and quality of life at pretreatment and posttreatment. Robust linear regression analysis of all randomized participants showed significant treatment effects on the primary outcome measure of loneliness (between group Cohen's d = 0.77), and on secondary outcomes measuring quality of life and social anxiety relative to control at postassessment. The results suggest the potential utility of internet-based CBT in alleviating loneliness but more research on the long-term effects and the mechanisms underlying the effects is needed.


Assuntos
Terapia Cognitivo-Comportamental/métodos , Terapia Cognitivo-Comportamental/tendências , Internet/tendências , Solidão/psicologia , Autorrelato , Adulto , Idoso , Ansiedade/psicologia , Ansiedade/terapia , Depressão/psicologia , Depressão/terapia , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Qualidade de Vida , Resultado do Tratamento , Adulto Jovem
8.
Behav Ther ; 51(1): 99-112, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-32005343

RESUMO

Computerized interpretation bias modification (IBM) programs show promise for the treatment of anxiety disorders, though they have rarely been compared to active treatments. The goal of the present study was to compare the efficacy of IBM to progressive muscle relaxation (PMR) for the treatment of social anxiety disorder (SAD). Sixty-four participants with SAD were recruited from across the United States and randomly assigned to 8 internet-delivered twice-weekly sessions of IBM or PMR. Participants were administered assessments of primary symptom outcomes and interpersonal suicide risk factors at posttreatment and 3-month follow-up. IBM led to significantly lower negative interpretation bias than PMR at posttreatment but not follow-up. Both conditions experienced comparable reductions in social anxiety from pretreatment to follow-up (IBM d = 1.37, PMR d = 1.28). They also experienced significant reductions in depression and general anxiety that did not differ from one another. Additionally, IBM led to greater reductions in thwarted belongingness than PMR at posttreatment but not follow-up. Overall, these findings suggest IBM is not more effective than PMR for reducing social anxiety, though there was some evidence of its superiority in decreasing suicide risk. Limitations and directions for future research are discussed.


Assuntos
Treinamento Autógeno/métodos , Terapia Cognitivo-Comportamental/tendências , Internet/tendências , Relaxamento Muscular/fisiologia , Fobia Social/terapia , Telemedicina/tendências , Adolescente , Adulto , Terapia Cognitivo-Comportamental/métodos , Feminino , Humanos , Masculino , Motivação/fisiologia , Fobia Social/psicologia , Autorrelato , Telemedicina/métodos , Resultado do Tratamento , Adulto Jovem
9.
Transplant Proc ; 52(1): 12-19, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31917000

RESUMO

BACKGROUND: A severe shortage in donor organs is the major driver for organ transplantation-related crimes. The Declaration of Istanbul 2008 (DOI) was created to stop such crimes. We investigated the impact of DOI on Internet reporting of transplantation-related crimes. METHODS: We conducted Google Advanced Searches to collect data on "kidney trade," "kidney sale," "organ trafficking," and "transplant tourism" in 15 original participant and 10 nonparticipant countries, 6 years prior through 8 years after the promulgation of DOI. The data were normalized for population and transformed to a logarithmic scale. Interrupted time series analysis (ITSA) was applied to estimate the changes in slopes of the outcome variables before and after DOI, and then the overall intervention impact was calculated by meta-analysis. RESULTS: The combined results indicated that the overall impact of DOI on the reporting of "organ trafficking" and "transplant tourism" was statistically negative (reporting reduced significantly) as intended but on "kidney sale" and "kidney trade" was statistically positive (reporting increased significantly), and the increase was higher in the nonparticipant countries compared to the participant countries. The rate of reporting on "transplant tourism" declined in the participant countries more pronouncedly than in the nonparticipant countries. CONCLUSIONS: DOI has a positive impact on the reporting of "organ trafficking" and "transplant tourism" but not on the reporting of "kidney sale" and "kidney trade." The increased reporting of "kidney sale" and "kidney trade" can be indicative of an impact of DOI on public awareness and increased reporting of the residual transplantation-related crimes.


Assuntos
Política de Saúde , Internet/tendências , Tráfico de Órgãos/legislação & jurisprudência , Tráfico de Órgãos/prevenção & controle , Tráfico de Órgãos/tendências , Humanos , Análise de Séries Temporais Interrompida , Rim , Turismo Médico/legislação & jurisprudência , Turismo Médico/tendências , Transplante de Órgãos/legislação & jurisprudência
11.
PLoS One ; 14(12): e0224684, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31794555

RESUMO

With the growing popularity of online services such as online banking and online shopping, one of the essential research topics is how to build a privacy-preserving user abnormal behavior recommendation system. However, a machine-learning based system may present a dilemma. On one aspect, such system requires large volume of features to pre-train the model, but on another aspect, it is challenging to design usable features without looking to plaintext private data. In this paper, we propose an unorthodox approach involving graph analysis to resolve this dilemma and build a novel private-preserving recommendation system under a multilayer network framework. In experiments, we use a large, state-of-the-art dataset (containing more than 40,000 nodes and 43 million encrypted features) to evaluate the recommendation ability of our system on abnormal user behavior, yielding an overall precision rate of around 0.9, a recall rate of 1.0, and an F1-score of around 0.94. Also, we have also reported a linear time complexity for our system. Last, we deploy our system on the "Wenjuanxing" crowd-sourced system and "Amazon Mechanical Turk" for other users to evaluate in all aspects. The result shows that almost all feedbacks have achieved up to 85% satisfaction.


Assuntos
Escala de Avaliação Comportamental/normas , Medidas de Segurança/normas , Algoritmos , Humanos , Internet/tendências , Aprendizado de Máquina , Privacidade , Medidas de Segurança/ética
12.
PLoS Comput Biol ; 15(11): e1007518, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31751346

RESUMO

Dengue and influenza-like illness (ILI) are two of the leading causes of viral infection in the world and it is estimated that more than half the world's population is at risk for developing these infections. It is therefore important to develop accurate methods for forecasting dengue and ILI incidences. Since data from multiple sources (such as dengue and ILI case counts, electronic health records and frequency of multiple internet search terms from Google Trends) can improve forecasts, standard time series analysis methods are inadequate to estimate all the parameter values from the limited amount of data available if we use multiple sources. In this paper, we use a computationally efficient implementation of the known variable selection method that we call the Autoregressive Likelihood Ratio (ARLR) method. This method combines sparse representation of time series data, electronic health records data (for ILI) and Google Trends data to forecast dengue and ILI incidences. This sparse representation method uses an algorithm that maximizes an appropriate likelihood ratio at every step. Using numerical experiments, we demonstrate that our method recovers the underlying sparse model much more accurately than the lasso method. We apply our method to dengue case count data from five countries/states: Brazil, Mexico, Singapore, Taiwan, and Thailand and to ILI case count data from the United States. Numerical experiments show that our method outperforms existing time series forecasting methods in forecasting the dengue and ILI case counts. In particular, our method gives a 18 percent forecast error reduction over a leading method that also uses data from multiple sources. It also performs better than other methods in predicting the peak value of the case count and the peak time.


Assuntos
Dengue/epidemiologia , Previsões/métodos , Influenza Humana/epidemiologia , Brasil/epidemiologia , Registros Eletrônicos de Saúde , Humanos , Incidência , Internet/tendências , México/epidemiologia , Modelos Estatísticos , Vigilância da População/métodos , Singapura/epidemiologia , Taiwan/epidemiologia , Tailândia/epidemiologia , Fatores de Tempo , Estados Unidos/epidemiologia
13.
Lupus ; 28(12): 1435-1440, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31554457

RESUMO

OBJECTIVE: This study aims at investigating the global public interest in seeking information about systemic lupus erythematosus (SLE) using Google Trends (GT). METHODS: An electronic search was performed using GT with the search term lupus as well as the option of disease from January 2004 to December 2018. Cosinor analysis was applied to detect the seasonality of SLE-related relative search volume (RSV). In addition, analysis on SLE-related topics including "hot topics" and "top rising topics" was also conducted. RESULTS: Overall, SLE-related RSV showed a decreasing trend from January 2004 to December 2013 and then demonstrated a slowly increasing trend from January 2014 to December 2018. Cosinor test showed no significant seasonal variation in SLE-related RSV (p > .025). RSV peaked in May and reached the trough in November. The top seven rising topics were Selena Gomez, Sjögren syndrome, autoimmunity, rheumatoid arthritis, rheumatology, antinuclear antibody and autoimmune disease. CONCLUSION: The results from GT analysis showed slowly increasing internet searches for SLE in recent years. This trend was followed by a peak of RSV in May and reached its lowest level in November. However, globally, the results did not reveal a significant seasonal variation in GT for SLE. Additionally, the top fast-growing topics regarding SLE may be valuable for doctors and nurses to provide timely education of the disease to patients, as well as promote the development of public health.


Assuntos
Internet/instrumentação , Lúpus Eritematoso Sistêmico/epidemiologia , Saúde Pública/tendências , Ferramenta de Busca/métodos , Acesso à Informação , Anticorpos Antinucleares , Artrite Reumatoide , Doenças Autoimunes , Autoimunidade , Educação Médica , Educação em Enfermagem , Humanos , Internet/tendências , Lúpus Eritematoso Sistêmico/diagnóstico , Lúpus Eritematoso Sistêmico/tratamento farmacológico , Enfermeiras e Enfermeiros , Médicos , Ferramenta de Busca/tendências , Estações do Ano , Síndrome de Sjogren
14.
J Nerv Ment Dis ; 207(10): 838-846, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31503174

RESUMO

The study objective was to evaluate the association between depression, anxiety, social anxiety and fear, impulsivity, and aggression and Internet addiction (IA) among Lebanese adolescents. This cross-sectional study, conducted between October 2017 and April 2018, enrolled 1103 young adolescents aged between 13 and 17 years. The Internet Addiction Test (IAT) was used to screen for IA. The results also showed that 56.4% of the participants were average Internet users (IAT score ≤49), 40.0% had occasional/frequent problems (IAT scores between 50 and 79), and 3.6% had significant problems (IAT scores ≥80) because of Internet use. The results of a stepwise regression showed that higher levels of aggression (ß = 0.185), depression (Multiscore Depression Inventory for Children) (ß = 0.219), impulsivity (ß = 0.344), and social fear (ß = 0.084) were associated with higher IA, whereas an increased number of siblings (ß = -0.779) and a higher socioeconomic status (ß = -1.707) were associated with lower IA. Uncontrolled use of the Internet can be associated with addiction and other psychological comorbidities.


Assuntos
Agressão/psicologia , Ira , Comportamento Aditivo/psicologia , Medo/psicologia , Comportamento Impulsivo , Internet , Autoimagem , Adolescente , Comportamento do Adolescente/psicologia , Agressão/fisiologia , Ira/fisiologia , Ansiedade/diagnóstico , Ansiedade/epidemiologia , Ansiedade/psicologia , Comportamento Aditivo/diagnóstico , Comportamento Aditivo/epidemiologia , Estudos Transversais , Depressão/diagnóstico , Depressão/epidemiologia , Depressão/psicologia , Medo/fisiologia , Feminino , Humanos , Comportamento Impulsivo/fisiologia , Internet/tendências , Líbano/epidemiologia , Masculino , Inquéritos e Questionários
15.
J Nerv Ment Dis ; 207(11): 951-957, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31503184

RESUMO

We explored the adherence to a home-delivered, computer-based, cognitive remediation protocol in a first-episode psychosis outpatient cohort. Seventeen patients underwent a cognitive training protocol for 6 months using an online platform accessible from their home under the supervision of a qualified neuropsychologist. Neuropsychological, psychopathological, and functional data were collected at baseline and postintervention, whereas qualitative appraisal of the intervention was assessed monthly. Overall, participants' evaluation of the program was positive. This was reflected in a good adherence rate with 12 (70%) of 17 patients completing 80% of the prescribed sessions. Exploratory analysis revealed significant improvements in sustained attention (p = 0.020) and verbal memory (p = 0.018). A decrease in negative symptoms and an improvement on the Clinical Global Impression were also found (p = 0.009). We believe these are encouraging results to further explore the adopted delivery approach, which could facilitate access to cognitive training earlier and to a larger group of patients.


Assuntos
Remediação Cognitiva/métodos , Intervenção Baseada em Internet , Internet , Transtornos Psicóticos/psicologia , Transtornos Psicóticos/terapia , Terapia Assistida por Computador/métodos , Adolescente , Adulto , Remediação Cognitiva/tendências , Feminino , Humanos , Internet/tendências , Intervenção Baseada em Internet/tendências , Masculino , Testes Neuropsicológicos , Projetos Piloto , Transtornos Psicóticos/diagnóstico , Terapia Assistida por Computador/tendências , Adulto Jovem
16.
Medicina (Kaunas) ; 55(8)2019 Aug 03.
Artigo em Inglês | MEDLINE | ID: mdl-31382569

RESUMO

Background and Objectives: Cancer is an unresolved public health issue in society. With the advent of the internet and the development in the technological sector, access to basic health-related information has become more frequent among patients and healthy individuals. The aim of this study is to evaluate the impact of educational intervention on the participant's willingness to undergo selected medical procedures in case of suspected cancer. Materials and Methods: From 14 May 2015 to 13 November 2016, a total of 1118 who visited the Polish scientific website were enrolled in the 'Polish Online Randomized Intervention aimed at Neoplasm Avoidance' (PORINA) and randomized into two groups (educational and control). The original Cancer Knowledge Index (CKI) was used for the evaluation of participants' cancer-related knowledge. They were asked to declare whether they would consent to undergo selected medical procedures necessary for cancer diagnosis or treatment. Results: Most participants declared their readiness to undergo abdominal ultrasonography, computed tomography, and a nevi excision. The most noticeable changes were found for potential consent to undergo breast fine needle aspiration, mammography and gastroscopy. Conclusions: The level of oncological knowledge has an impact on individual decision to consent to particular medical procedures. Conducted educational intervention has significantly increased the readiness to undergo selected medical procedures.


Assuntos
Letramento em Saúde/normas , Neoplasias/prevenção & controle , Adulto , Feminino , Letramento em Saúde/tendências , Humanos , Internet/tendências , Masculino , Pessoa de Meia-Idade , Polônia , Mídias Sociais/tendências , Inquéritos e Questionários
17.
Adv Physiol Educ ; 43(3): 383-391, 2019 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-31361149

RESUMO

Medical students increasingly utilize social media platforms to supplement their preclinical learning; however, the prevalence of social media use for physiology learning in medical education remains unclear. The aim of the present study was to determine how first-year medical students from both direct entry medicine and graduate entry medicine interacted with social media as a learning tool by assessing its prevalence, perceived benefits, favored platforms, and reason(s) for its use. Seventy-one percent of surveyed students (out of 139 participants) stated that they interacted with social media in general more than 12 times per week. However, 98% had previously used internet platforms to source physiology information, with 89.2% doing so at least once per week during term. YouTube was the primary source of learning for 76% of students. Significantly, 94% of students indicated that they would first search for answers online if they did not understand something in physiology rather than contacting their instructor in person or by e-mail. However, only 31% of students "fact-checked" physiology information obtained from online sources, by using textbooks, papers, and/or instructors. Our study has revealed that most preclinical medical students utilize social media extensively to study physiology. However, the absence of academic and ethical oversight, paired with students' lack of critical appraisal of possibly inaccurate information, does raise concerns about the overall utility of social media as part of physiology education.


Assuntos
Internet/tendências , Fisiologia/educação , Mídias Sociais/tendências , Estudantes de Medicina/psicologia , Inquéritos e Questionários , Adolescente , Feminino , Humanos , Masculino , Adulto Jovem
19.
Nurs Adm Q ; 43(3): 205-211, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31162339

RESUMO

The Internet is a utility, just as water and electricity are, and is directly linked to care outcomes, budgeting considerations, and workforce acquisition. If water or electricity services were to be throttled up and down or commoditized, it would be important for health care leaders to understand and prepare for the resulting disruptions. In 2017, the Federal Communications Commission voted to eliminate consumer protection regulations that stopped Internet service providers from interfering with Internet service put in place under President Bush and maintained during the Obama administration. The elimination of these protections threatens to disrupt the Internet as the platform on which our health care industry builds capacity for health information exchange. The ability of Internet service providers to throttle up and down speed based on their own interests threatens our ability to meet community needs and increases the likelihood of health care disparities, just as would happen if city water providers could ration water based on their own economic interests. Proponents for net in-neutrality argue that not all Internet traffic should be equal. For instance, there could be an advantage for health care if data traffic related to health care operations was prioritized over video streaming a movie or uploading a video, but if health care companies would be required to pay for that speed, there would be financial considerations. Nurse leaders need to understand the real and possible consequences of the Internet's lack of consumer protection regulations.


Assuntos
Assistência à Saúde/métodos , Internet/tendências , Atitude Frente aos Computadores , Assistência à Saúde/tendências , Humanos , Informática Médica/métodos , Informática Médica/tendências
20.
Aktuelle Urol ; 50(4): 386-391, 2019 Aug.
Artigo em Alemão | MEDLINE | ID: mdl-31091542

RESUMO

The Internet has shaped and changed society like no other technology. Culturally, the emergence of the Internet is being described as having the same impact on society as the invention of printing. In 2018, more than 4 billion people had access to the Internet. Among all Internet users, approximately 80 % search the Internet for health-related information, with cancer being the most frequently searched condition. Patients rate the Internet as the second most helpful source of information, outranked only by consultation with a medical doctor. There are more than 2.6 billion active social media users. Among urological residents, 97 % use social media on a regular basis. Digitalisation has the potential to strengthen patients' health literacy and optimise patient care, especially in the oncologic field. In summary, digitalisation bears an enormous potential for the field of urology.


Assuntos
Computadores/tendências , Internet/tendências , Computação em Informática Médica/tendências , Educação de Pacientes como Assunto/tendências , Urologia/tendências , Previsões , Alemanha , Letramento em Saúde , Humanos , Aplicativos Móveis/tendências , Mídias Sociais/tendências , Neoplasias Urológicas/terapia
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