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Texto completo SciELO Brasil
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Id: biblio-840858
Autor: Hsu, Chi-Sen; Wang, Chung-Jing; Chang, Chien-Hsing; Tsai, Po-Chao; Chen, Hung-Wen; Su, Yi-Chun.
Título: Emergency percutaneous nephrostomy versus emergency percutaneous nephrolithotomy in patients with sepsis associated with large uretero-pelvic junction stone impaction: a randomized controlled trial
Fonte: Int. braz. j. urol;43(3):481-488, May.-June 2017. tab, graf.
Idioma: en.
Resumo: ABSTRACT Introduction A randomized trial was conducted prospectively to evaluate the efficacy, related complications, and convalescence of emergency percutaneous nephrolithotomy compared to percutaneous nephrostomy for decompression of the collecting system in cases of sepsis associated with large uretero-pelvic junction stone impaction. Materials and Methods The inclusion criteria included a WBC count of 10.000/mm3 or more and/or a temperature of 38°C or higher. Besides, all enrolled patients should maintain stable hemodynamic status and proper organ perfusions. A total of 113 patients with large, obstructive uretero-pelvic junction stones and clinical signs of sepsis completed the study protocol. Of those, 56 patients were placed in the emergency percutaneous nephrostomy group, while the other 57 patients were part of the percutaneous nephrolithotomy group. The primary end point was the time until normalization of white blood cells (WBC) at a count of 10.000/mm3 or less, and a temperature of 37.4°C or lower. The secondary end points included the comparison of analgesic consumption, length of stay, and related complications. Statistical analysis was performed using SPSS® version 14.0.1. The Mann-Whitney U test, chi-square test, and Fisher’s exact test were used as appropriate. Results The length of hospital stays (in days) was 10.09±3.43 for the emergency percutaneous nephrostomy group and 8.18±2.72 for the percutaneous nephrolithotomy group. This set of data noted a significant difference between groups. There was no difference between groups in regard to white blood cell count (in mm3), time to normalization of white blood cell count (in days), body temperature (in ºC), time to normalization of body temperature (in days), C-reactive proteins (in mg/dL), time taken for C-reactive proteins to decrease over 25% (in days), procalcitonin (in ng/mL), or complication rates. Conclusions This study confirms that emergency percutaneous nephrolithotomy may be as safe as early percutaneous nephrolithotomy in a selected low risk patients with sepsis-associated large, obstructive stone.
Descritores: Obstrução Ureteral/cirurgia
Obstrução Ureteral/epidemiologia
Nefrostomia Percutânea/métodos
Sepse/cirurgia
Sepse/epidemiologia
-Complicações Pós-Operatórias
Taiwan/epidemiologia
Nefrostomia Percutânea/efeitos adversos
Estatísticas não Paramétricas
Emergências
Pelve Renal/cirurgia
Tempo de Internação
Pessoa de Meia-Idade
Limites: Humanos
Masculino
Feminino
Adulto
Idoso
Idoso de 80 Anos ou mais
Tipo de Publ: Ensaio Clínico Controlado Aleatório
Responsável: BR1.1 - BIREME


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Id: biblio-1133422
Autor: Hsu, Yu-Ling; Su, Deng-Huang; Kuo, Su-Chen.
Título: Health literacy and depression in women with type 2 diabetes mellitus
Fonte: Clinics;75:e1436, 2020. tab.
Idioma: en.
Resumo: OBJECTIVES: The prevalence of diabetes mellitus has recently increased in Taiwan, and depression is common among these patients. Moreover, a lack of health literacy may lead to depression. In this study, we explored the correlation between health literacy and depression in diabetic women. METHODS: In this cross-sectional study, 152 women with type 2 diabetes mellitus were recruited from the outpatient clinic of a regional teaching hospital in Taiwan. The data were collected through medical records and a self-reported structured questionnaire, which included items on basic attributes, self-rated health status, the Center for Epidemiologic Studies Depression Scale (CES-D), and Chinese Health Literacy Scale for Diabetes (CHLSD). The results were analyzed using descriptive statistical analyses, bivariate correlation tests, and linear regression analyses. RESULTS: One hundred thirty-five valid questionnaires were obtained. Approximately 20% of the participants had a higher tendency toward depression as per their CES-D score, and the CHLSD results showed that 13.33% had poor health literacy. There was a negative correlation between health literacy and depressive tendencies after adjusting for self-rated health status, economic satisfaction status, employment status, and education level using multivariate linear regression analyses. For each 1-point rise in the CHLSD score, the CES-D score decreased by 0.17 points (z=−2.05, p=0.042). CONCLUSIONS: A negative correlation was identified between health literacy and depression. Self-rated health status, economic satisfaction, employment status, and higher education level are factors that also affect depressive tendency among diabetic women.
Descritores: Diabetes Mellitus Tipo 2
Letramento em Saúde
-Taiwan
Estudos Transversais
Inquéritos e Questionários
Depressão
Limites: Humanos
Feminino
Responsável: BR1.1 - BIREME


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Id: biblio-1052823
Autor: Abudarham, Tomás.
Título: Relación entre el uso de antipsicóticos y riesgo de insuficiencia respiratoria aguda en pacientes con EPOC / Relationship between the use of antipsychotics and risk of acute respiratory failure in COPD patients
Fonte: Evid. actual. práct. ambul;22(4)::e001048, 2019. tab..
Idioma: es.
Descritores: Síndrome do Desconforto Respiratório/induzido quimicamente
Antipsicóticos/efeitos adversos
Doença Pulmonar Obstrutiva Crônica/complicações
-Taiwan
Antipsicóticos/uso terapêutico
Estudos de Casos e Controles
Risco
Estudos de Coortes
Estudos Longitudinais
Estudos Cross-Over
Relação Dose-Resposta a Droga
Limites: Humanos
Masculino
Feminino
Pessoa de Meia-Idade
Idoso
Tipo de Publ: Comentário
Responsável: AR2.1 - Biblioteca Central


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Id: lil-746990
Autor: Pérez Campos, Agnetha; Bravo Paredes, Eduar; Prochazka Zarate, Ricardo; Bussalleu, Alejandro; Pinto Valdivia, José; Valenzuela Granados, Vannessa.
Título: BISAP-O y APACHE-O: utilidad en la predicción de severidad en la pancreatitis aguda según la clasificación modificada de Atlanta / BISAP-O y APACHE-O: utility in predicting severity in acute pancreatitis in modified Atlanta classification
Fonte: Rev. gastroenterol. Perú;35(1):15-24, ene. 2015. ilus, tab.
Idioma: es.
Resumo: Objetivo: Valorar los puntajes BISAP y APACHE II en predecir severidad según la clasificación Atlanta 2012 y determinar si el factor obesidad añadido a dichos puntajes mejora su predicción. Material y métodos: Se realizó un estudio prospectivo entre enero de 2013 y abril de 2014 de todos los pacientes con pancreatitis aguda según la nueva clasificación Atlanta 2012. Se confeccionó curvas ROC para los puntajes BISAP, BISAP-O, APACHE-II y APACHE-O y se seleccionó puntos de corte apropiados con los que se calculó la sensibilidad, especificidad, VPP, VPN, RPP y la RPN. Resultados: Se estudió a 334 pacientes. El 65,27% presentó sobrepeso u obesidad. La etiología fue biliar en el 86,53%. Sólo 8,38% presentó pancreatitis severa y 1,5% falleció. Las áreas bajo la curva ROC y puntos de corte seleccionados fueron: BISAP: 0,8725, 2; BISAP-O: 0,8246, 3; APACHE-II: 0,8547, 5; APACHE-O: 0,8531, 6. Con dichos puntos de corte la sensibilidad, especificidad, VPP, VPN, RPP y la RPN fueron: BISAP: 60,71%, 91,83%, 40,48%, 96,23%, 7,43, 0,43; BISAP-O: 60,71%, 86,93%, 29,82%, 96,03%, 4,76, 0,45; APACHE-II: 85,71%, 76,14%, 24,74%, 98,31%, 3,6, 0,19; APACHE-O: 82,14%, 79,41%, 26,74%, 97,98%, 4, 0,22. Conclusiones: Los sistemas BISAP, BISAP-O, APACHE-II, y APACHE-O pueden usarse para identificar a los pacientes con bajo riesgo de severidad en razón de su alto VPN, sin embargo su uso debe ser prudente considerando que la RPP y RPN no alcanza niveles óptimos, indicando que su valor en la predicción de severidad es limitado. Por otro lado el añadir el factor obesidad no mejoró su capacidad predictiva.

Objective: To assess the BISAP and APACHE II scores in predicting severity according to the 2012 Atlanta classification and whether the obesity factor added to these scores improves prediction. Material and methods: A prospective study between January 2013 and April 2014 including all patients with acute pancreatitis was performed according to the new Atlanta 2012 classification. ROC curves were fabricated for BISAP, BISAP-O, APACHE-II scores and Apache O and appropriate cutoffs were selected to the sensitivity, specificity, PPV, NPV, RPP and RPN. Results: We studied 334 patients. 65.27% were overweighted or obese. The biliar etiology was 86.53%. Only 8.38% had severe pancreatitis and 1.5% died. Areas under the ROC curve and cut points selected were: BISAP: 0.8725, 2; BISAP-O: 0.8246, 3; APACHE-II: 0.8547, 5; APACHE-O: 0.8531, 6. Using these cutoffs the sensitivity, specificity, PPV, NPV, RPP and RPN were BISAP: 60.71%, 91.83%, 40.48%, 96.23 %, 7.43, 0.43; BISAP-O: 60.71%, 86.93%, 29.82%, 96.03%, 4.76, 0.45; APACHE-II: 85.71%, 76.14%, 24.74%, 98.31%, 3.6, 0.19; APACHE-O: 82.14%, 79.41%, 26.74%, 97.98%, 4, 0.22. Conclusions: BISAP, BISAP-O, APACHE-II and APACHE-O systems can be used to identify patients at low risk of severity because of its high NPV, however their use should be cautious considering that the RPP and RPN do not reach optimal levels indicating that their value in predicting severity is limited. On the other hand adding the obesity factor did not improve their predictive ability.
Descritores: Embolia Pulmonar/epidemiologia
Traumatismos da Medula Espinal/epidemiologia
Trombose Venosa/epidemiologia
-Estudos de Coortes
Incidência
Estudos Prospectivos
Embolia Pulmonar/sangue
Embolia Pulmonar/etiologia
Fatores de Risco
Traumatismos da Medula Espinal/sangue
Traumatismos da Medula Espinal/complicações
Taiwan/epidemiologia
Trombose Venosa/sangue
Trombose Venosa/etiologia
Limites: Feminino
Humanos
Masculino
Pessoa de Meia-Idade
Tipo de Publ: Estudo Multicêntrico
Research Support, Non-U.S. Gov't
Responsável: PE1.1 - Oficina Universitária de Biblioteca


  5 / 23 LILACS  
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Texto completo SciELO Brasil
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Id: biblio-949956
Autor: Lin, Li-Ying; Chiou, Shang-Chia.
Título: Influence of facial threading on various physiological parameters of the skin: non-randomized trial involving adult women in Taiwan
Fonte: An. bras. dermatol;93(5):659-664, Sept.-Oct. 2018. tab, graf.
Idioma: en.
Resumo: Abstract: Background: Facial threading involves the removal of hairs to restore facial skin smoothness. However, its effectiveness has not been rigorously evaluated. Objective: To evaluate effects of facial threading on skin roughness, hydration, melanin index, and vellus hair on the face, complemented by a subjective evaluation of the tactile feel of the skin and improvement in skin color. Method: Participants who had not used exfoliators for two weeks before the experiment were included. Each participant underwent one session of facial threading every 21 days, for a total of 3 sessions. A three-dimensional skin roughness instrument and a multifunctional skin testing system were used to evaluate changes in roughness, hydration, and pigmentation on the forehead, cheeks, and corners of the mouth. A photomicrographic camera was used to record changes in vellus hair. Subjective reports of skin smoothness and color were recorded. Result: Eighteen participants completed the study. Facial threading produced a significant decrease in skin roughness on the forehead (22.42%, p = .013), right cheek (77%, p = .02), and left corner of the mouth (33.02%, p = .001). Subjective improvement in tactile feel of the skin and coloring were reported. Study Limitations: The study did not include randomization, with further limitations of a small sample size and a single site. Conclusion: Facial threading reduced skin roughness by 26.74% after three threading sessions, with improved subjective assessment of tactile feel and coloring. Future research should include a comparison with other cosmetic products with similar beautifying effects or a control group.
Descritores: Fenômenos Fisiológicos da Pele
Higiene da Pele/métodos
Cosméticos
Face
Remoção de Cabelo/métodos
-Pele/anatomia & histologia
Taiwan
Beleza
Pigmentação da Pele/fisiologia
Remoção de Cabelo/efeitos adversos
Limites: Humanos
Feminino
Adulto
Adulto Jovem
Responsável: BR1.1 - BIREME


  6 / 23 LILACS  
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Id: biblio-901778
Autor: Alpízar Caballero, Lourdes Bárbara; Borges Oquendo, Lourdes de la Caridad; Grey Fernández, Xiomara.
Título: Dos notables médicos chinos en Cuba en el siglo XIX / Two outstanding Chinese doctors in Cuba in the 19th century
Fonte: Rev. habanera cienc. méd;16(6):857-867, nov.-dic. 2017. ilus.
Idioma: es.
Resumo: Introducción: La llegada a Cuba en el siglo XIX de los culíes contratados para realizar los trabajos agrícolas, conllevó la llegada de médicos chinos, practicantes de la medicina herbolaria. Objetivo: Caracterizar la vida y obra de dos médicos inmigrantes chinos del siglo XIX desde sus historias, quienes alcanzaron notoriedad en su época por sus comportamientos profesional y humano en la práctica de la Medicina, lejanos uno del otro en la Isla. Material y Métodos: Se presenta una revisión bibliográfica de las publicaciones periódicas indexadas en las bases de datos SciELO y Google Académico; libros, artículos periodísticos y publicaciones periódicas de la época que se encuentran como fondos de la Biblioteca Nacional de Cuba José Martí. Se consultaron como fuentes básicas Emilio Roig, Chouffat Latour, Delgado García y Portel Vilá. Desarrollo: Se obtuvo que los médicos herbolarios Siam y Juan Chambombiá permitieron lograr salvar a enfermos desahuciados en esa época, y ganar por ello notoriedad; mostraron cualidades humanas de desinterés y ayuda a los humildes. Las disputas referidas a la paternidad de la frase A ese no lo salva ni el médico chino, que ha quedado en el hablar popular cubano, finalmente fue conferida a Juan Chambombiá. Conclusiones: Siam y Chambombiá se caracterizaron por ser hombres cultos, dedicados a la profesión médica con desinterés y humanismo. Ambos sufrieron persecución e incomprensiones; prejuicios y celos, consecuencia del éxito en el tratamiento a pacientes incurables. Sus huellas han quedado en Cuba por sus comportamientos profesionales y humanos(AU)

Introduction: The arrival of coolies to Cuba in the 19th century, hired to carry out plantation labor, involved the arrival of Chinese doctors who were practicing members of the herbalist medicine. Objective:To characterize the life and work of two Chinese immigrant doctors of the XIX century who became well-known in their epoch because of their human and professional behaviors in the medical practice, even living away from each other in the island. Material and Methods:A bibliographic review of the periodical publications index-linked in SciELO database, and Google Scholar is presented. Books, journalistic articles, and periodical publications of the epoch that are part of the stock of José Martí National Library were reviewed. Basic sources such as Emilio Roig, Chouffat Latour, Delgado García, and Portel Vilá were also consulted. Development:It was known that the herbalist doctors Siam and Juan Chambombiá could cure sick people who were given up all hope of saving in that epoch, thus becoming well-known doctors; they both showed human qualities of lack of interest, and help to the humbles. The arguments referred to the authorship of the phrase: Not even the Chinese doctor can save him, which has remained in the Cuban collection of proverbs, was finally conferred to Juan Chambombiá. Conclusions:Siam and Chambombiá were characterized by being cultured men, dedicated to the medical profession with unselfishness and humanism. Both of them suffered for persecutions, and lack of understanding; prejudices, and jealousy as a consequence of their success in the treatment to incurable patients. Their traces have remained in Cuba because of their professional and human behaviors(AU)
Descritores: Médicos
-Taiwan
Cuba
Emigração e Imigração/história
Limites: Humanos
Masculino
História do Século XIX
Tipo de Publ: Artigo Histórico
Responsável: CU1.1 - Biblioteca Médica Nacional


  7 / 23 LILACS  
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Texto completo SciELO Brasil
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Id: biblio-1019347
Autor: Lee, Jia-In; Yen, Cheng-Fang; Hsiao, Ray C; Hu, Huei-Fan.
Título: Relationships of homophobic bullying during childhood and adolescence with problematic internet and smartphone use in early adulthood among sexual minority men in Taiwan
Fonte: Arch. Clin. Psychiatry (Impr.) = Rev. psiquiatr. clín. (São Paulo) = Psiquiatria clínica;46(4):97-102, July-Aug. 2019. tab.
Idioma: en.
Projeto: Ministry of Science and Technology; . Kaohsiung Medical University Hospital; . Kaohsiung Medical University Hospital; . Kaohsiung Medical University Hospital.
Resumo: Abstract Background Mental health disparity in sexual minorities is a crucial clinical and public health issue worldwide. A total of 500 homosexual or bisexual men aged between 20 and 25 years participated in this study. Objectives The aims of the study were to examine the relationships of victimization of traditional and cyber homophobic bullying during childhood and adolescence with problematic internet and smartphone use and activities during early adulthood among sexual minority men in Taiwan. Methods The seveirities of problematic internet and smartphone use and activities in early adulthood were compared between victims and non-victims of bullying. The severities of problematic internet and smartphone use were also compared among the groups of various types of bullying as well as among the groups of various persistence durations of being bullied. Results Victims of traditional and cyber homophobic bullying had more severe problematic internet and smartphone use than non-victims. Victims of multi-type bullying had more severe problematic internet use than victims of single-type bullying. Prolonged victimization was significantly associated with problematic internet and smartphone use. Discussion: Victimization of traditional and cyber homophobic bullying during childhood and adolescence predicts problematic internet and smartphone use during early adulthood among sexual minority men.
Descritores: Bullying
Homofobia
FREUDIAN THEORYABBREVIATIONS AS TOPIC
-Taiwan
Índice de Gravidade de Doença
Bissexualidade
Homossexualidade
Inquéritos e Questionários
Comportamento Aditivo/prevenção & controle
Vítimas de Crime
Internet
Smartphone
Limites: Humanos
Masculino
Adulto
Responsável: BR66.1 - Divisão de Biblioteca e Documentação


  8 / 23 LILACS  
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Texto completo SciELO Brasil
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Id: biblio-840035
Autor: Lee, Shyh-Chyang; Hu, Li-Yu; Huang, Min-Wei; Shen, Cheng-Che; Huang, Wei-Lun; Lu, Ti; Hsu, Chiao-Lin; Pan, Chih-Chuan.
Título: Risk of Vertebral Fracture in Patients Diagnosed with a Depressive Disorder: A Nationwide Population-Based Cohort Study
Fonte: Clinics;72(1):44-50, Jan. 2017. tab.
Idioma: en.
Resumo: OBJECTIVE: Previous studies have reported that depression may play a crucial role in the occurrence of vertebral fractures. However, a clear correlation between depressive disorders and osteoporotic fractures has not been established. We explored the association between depressive disorders and subsequent new-onset vertebral fractures. Additionally, we aimed to identify the potential risk factors for vertebral fracture in patients with a depressive disorder. METHODS: We studied patients listed in the Taiwan National Health Insurance Research Database who were diagnosed with a depressive disorder by a psychiatrist. The comparison cohort consisted of age- and sex-matched patients without a depressive disorder. The incidence rate and hazard ratios of subsequent vertebral fracture were evaluated. We used Cox regression analysis to evaluate the risk of vertebral fracture among patients with a depressive disorder. RESULTS: The total number of patients with and without a depressive disorder was 44,812. The incidence risk ratio (IRR) between these 2 cohorts indicated that depressive disorder patients had a higher risk of developing a subsequent vertebral fracture (IRR=1.41, 95% confidence interval [CI]=1.26-1.57, p<0.001). In the multivariate analysis, the depressive disorder cohort showed a higher risk of vertebral fracture than the comparison cohort (adjusted hazard ratio=1.24, 95% CI=1.11-1.38, p<0.001). Being older than 50 years, having a lower monthly income, and having hypertension, diabetes mellitus, cerebrovascular disease, chronic obstructive pulmonary disease, autoimmune disease, or osteoporosis were considered predictive factors for vertebral fracture in patients with depressive disorders. CONCLUSIONS: Depressive disorders may increase the risk of a subsequent new-onset vertebral fracture.
Descritores: Transtorno Depressivo/complicações
Fraturas por Osteoporose/etiologia
Fraturas da Coluna Vertebral/etiologia
-Estudos de Coortes
Transtorno Depressivo/epidemiologia
Fraturas por Osteoporose/epidemiologia
Fatores de Risco
Fraturas da Coluna Vertebral/epidemiologia
Taiwan/epidemiologia
Limites: Humanos
Masculino
Feminino
Adulto
Pessoa de Meia-Idade
Responsável: BR1.1 - BIREME


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Id: lil-787439
Autor: Zheng, Jie-Fu; Chen, Yi-Ming; Chen, Der-Yuan; Lin, Ching-Heng; Chen, Hsin-Hua.
Título: The Incidence and Prevalence of Thromboangiitis Obliterans in Taiwan: A Nationwide, Population-based Analysis of Data Collected from 2002 to 2011
Fonte: Clinics;71(7):399-403tab, graf.
Idioma: en.
Resumo: OBJECTIVE: To estimate the incidence and prevalence of thromboangiitis obliterans in Taiwan in the period spanning from 2002 to 2011. METHODS: We identified all incident and prevalent cases with a diagnosis of thromboangiitis obliterans (International Classification of Diseases, Ninth Revision code 443.1) in the period spanning from 2002 to 2011 using Taiwan’s National Health Insurance Research Database. We calculated the age- and sex-specific incidence and prevalence rates of thromboangiitis obliterans during the study period. RESULTS: From 2002 to 2011, 158 patients were diagnosed with thromboangiitis obliterans; of these, 76% were men. Most (63%) of the patients were <50 years old when they were first diagnosed. After reaching 20 years of age, the incidence rate increased with age and peaked among those aged ≥60 years. The average incidence rate of thromboangiitis obliterans during the 2002–2011 period was 0.068 per 105 years. The incidence of thromboangiitis obliterans decreased with time, from 0.10 per 105 years in 2002 to 0.04 per 105 years in 2011. The prevalence increased from 0.26 × 10−5 in 2002 to 0.65 × 10−5 in 2011. CONCLUSION: This is the first epidemiologic study of thromboangiitis obliterans using claims data from a general population in Taiwan. This nationwide, population-based study found that the incidence and prevalence of thromboangiitis obliterans in Taiwan in the 2002–2011 period were lower than those in other countries before 2000. This study also revealed a trend of decreasing incidence with simultaneous increasing prevalence of thromboangiitis obliterans in Taiwan from 2002 to 2011.
Descritores: Tromboangiite Obliterante/epidemiologia
-Distribuição por Idade
Fatores Etários
Doença Catastrófica/epidemiologia
Incidência
Prevalência
Estudos Retrospectivos
Distribuição por Sexo
Taiwan/epidemiologia
Fatores de Tempo
Limites: Humanos
Masculino
Feminino
Lactente
Pré-Escolar
Criança
Adolescente
Adulto
Pessoa de Meia-Idade
Adulto Jovem
Responsável: BR1.1 - BIREME


  10 / 23 LILACS  
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Id: lil-766853
Autor: Zapata L., Rodrigo; Arrese J., Marco.
Título: Curso Train the Trainers en Taipei, Taiwán 2015 / Train the Trainers Workshop Taipei, Taiwan 2015
Fonte: Gastroenterol. latinoam;26(2):108-110, abr.-jun. 2015. ilus.
Idioma: es.
Descritores: Educação Médica Continuada
Gastroenterologia/educação
-Taiwan
Responsável: CL1.1 - Biblioteca Central



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