Base de dados : MEDLINE
Pesquisa : A02.835.232.043.825.781 [Categoria DeCS]
Referências encontradas : 1463 [refinar]
Mostrando: 1 .. 10   no formato [Detalhado]

página 1 de 147 ir para página                         

  1 / 1463 MEDLINE  
              next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29231664
[Au] Autor:Hem E; Brodal P
[Ti] Título:Skamben bør kastes ut av ordbøkene..
[So] Source:Tidsskr Nor Laegeforen;137(23-24), 2017 12 12.
[Is] ISSN:0807-7096
[Cp] País de publicação:Norway
[La] Idioma:nor
[Mh] Termos MeSH primário: Osso Púbico
Terminologia como Assunto
[Mh] Termos MeSH secundário: Seres Humanos
Noruega
[Pt] Tipo de publicação:LETTER
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171213
[St] Status:MEDLINE
[do] DOI:10.4045/tidsskr.17.0914


  2 / 1463 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
[PMID]:29182108
[Au] Autor:Baki ME; Abdioglu A; Aydin H; Kerimoglu S; Bak C
[Ti] Título:Triple pelvic osteotomy for the treatment of symptomatic acetabular dysplasia in adolescents and adults : A review of 42 hips.
[So] Source:Acta Orthop Belg;82(4):699-704, 2016 Dec.
[Is] ISSN:0001-6462
[Cp] País de publicação:Belgium
[La] Idioma:eng
[Ab] Resumo:We treated 42 hips with symptomatic acetabular dysplasia using triple pelvic osteotomy. The mean age of the patients was 20.7 years (12-47). The median follow-up was 50.3 months. The average Harris hip score improved from 74 to 92 points. Significant improvement from the preoperative to the latest follow-up evaluation was seen radiologically with reference to the center-edge angle, the anterior center-edge angle, the acetabular index and the femoral head extrusion index. Shenton's line was intact in 9 hips before the operation and it was intact in 40 hips at the latest follow-up. The cross-over sign was present in 15 hips before the operation and it was present in one hip after the operation. The results of this study demonstrated that triple pelvic osteotomy provides improved radiographic results and good symptomatic relief in acetabular dysplasia.
[Mh] Termos MeSH primário: Luxação Congênita de Quadril/cirurgia
Ílio/cirurgia
Ísquio/cirurgia
Osteotomia/métodos
Osso Púbico/cirurgia
[Mh] Termos MeSH secundário: Acetábulo/diagnóstico por imagem
Adolescente
Adulto
Criança
Feminino
Seguimentos
Luxação Congênita de Quadril/diagnóstico por imagem
Seres Humanos
Ílio/diagnóstico por imagem
Ísquio/diagnóstico por imagem
Masculino
Meia-Idade
Complicações Pós-Operatórias/epidemiologia
Osso Púbico/diagnóstico por imagem
Radiografia
Remissão Espontânea
Estudos Retrospectivos
Neuropatia Ciática/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171228
[Lr] Data última revisão:
171228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE


  3 / 1463 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
[PMID]:28299753
[Au] Autor:Madden-Fuentes RJ; Peterson AC
[Ti] Título:Pubic Bone Osteomyelitis and Pubosymphyseal Urinary Fistula: A Poorly Recognized Complication in Prostate Cancer Survivors.
[So] Source:Oncology (Williston Park);31(3):169-73, 2017 Mar 15.
[Is] ISSN:0890-9091
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Osteomielite/epidemiologia
Neoplasias da Próstata/radioterapia
Osso Púbico/efeitos da radiação
Lesões por Radiação/epidemiologia
Radioterapia Adjuvante/efeitos adversos
Sobreviventes
Fístula Urinária/epidemiologia
[Mh] Termos MeSH secundário: Seres Humanos
Masculino
Osteomielite/diagnóstico por imagem
Osteomielite/cirurgia
Prostatectomia
Neoplasias da Próstata/epidemiologia
Neoplasias da Próstata/cirurgia
Osso Púbico/diagnóstico por imagem
Osso Púbico/cirurgia
Lesões por Radiação/diagnóstico por imagem
Lesões por Radiação/cirurgia
Medição de Risco
Fatores de Risco
Resultado do Tratamento
Fístula Urinária/diagnóstico por imagem
Fístula Urinária/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170606
[Lr] Data última revisão:
170606
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170317
[St] Status:MEDLINE


  4 / 1463 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28063761
[Au] Autor:Schindler BR; Venderley MB; Mikula JD; Chahla J; Dornan GJ; Turnbull TL; LaPrade RF; Philippon MJ
[Ad] Endereço:Department of BioMedical Engineering, Steadman Philippon Research Institute, Vail, Colorado, U.S.A.
[Ti] Título:Comparison of Radiographs and Computed Tomography for the Screening of Anterior Inferior Iliac Spine Impingement.
[So] Source:Arthroscopy;33(4):766-772, 2017 Apr.
[Is] ISSN:1526-3231
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To compare radiographic and 3-dimensional (3D) computed tomography (CT) imaging modalities for the screening of anterior inferior iliac spine (AIIS) impingement by establishing imaging measurement related to the AIIS. METHODS: Anteroposterior and false-profile radiographs and 3D CT scans were obtained on 10 human cadaveric pelvises. On the anteroposterior view for each methodology, 2 measurements were calculated: distance to the most lateral AIIS from the 12 o'clock position on the acetabular rim, and the angle between the lateral AIIS and the sagittal plane. On the false-profile view for each methodology, 2 measurements were calculated: distance to the anterior AIIS from the 12 o'clock position on the acetabular rim, and the angle between the anterior AIIS and the sagittal plane. Inter-rater and intrarater reliability analyses were performed for both methods in addition to an intermethod analysis. RESULTS: The radiographic false-profile view was the most repeatable orientation, with intraclass correlation coefficients showing excellent reproducibility in both inter-rater (angle: 0.980, distance: 0.883) and intrarater (angle: 0.995, distance: 0.995) analyses. The mean distance from the 12 o'clock position of the acetabular rim to the most anterior/lateral aspect of the AIIS was 41.4 mm and 16.0 mm on the radiographic false-profile and anteroposterior views, respectively. Intermethod analysis showed a systematic, quantitative bias between modalities (anteroposterior view: -4.1 mm, 6.7°; false-profile view: -0.1 mm, 8.3°), which will remain relatively consistent as evidenced by the strong individual reproducibility of each measurement. CONCLUSIONS: AIIS morphology in relation to the acetabular rim 12 o'clock position and its angle relative to the sagittal plane can be quantitatively determined using either radiographic or 3D CT imaging modalities. CLINICAL RELEVANCE: Radiographic evaluation may be a valuable tool in the screening of AIIS impingement.
[Mh] Termos MeSH primário: Impacto Femoroacetabular/diagnóstico por imagem
[Mh] Termos MeSH secundário: Acetábulo/diagnóstico por imagem
Idoso
Feminino
Impacto Femoroacetabular/patologia
Seres Humanos
Ílio/diagnóstico por imagem
Ílio/patologia
Imagem Tridimensional/métodos
Masculino
Programas de Rastreamento/métodos
Meia-Idade
Osso Púbico/diagnóstico por imagem
Radiografia
Reprodutibilidade dos Testes
Tomografia Computadorizada por Raios X/métodos
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170109
[St] Status:MEDLINE


  5 / 1463 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28012720
[Au] Autor:Ragsdale MI; Wong FS; Boutin RD; Meehan JP
[Ad] Endereço:Department of Orthopedic Surgery, University of California, Davis, Sacramento, California.
[Ti] Título:Pelvic Tilt Evaluation From Frontal Radiographs: The Validity, Interobserver Reliability and Intraobserver Reproducibility of the Sacro-Femoral-Pubic Parameter.
[So] Source:J Arthroplasty;32(5):1665-1669, 2017 May.
[Is] ISSN:1532-8406
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The sacro-femoral-pubic (SFP) parameter, calculated using the SFP angle measured on a frontal pelvis radiograph, has previously been shown to have a strong correlation with sagittal pelvic tilt (PT) measured on a lateral x-ray. The purpose of this study is to assess the validity, interobserver reliability and intraobserver reproducibility of the SFP parameter in predicting the sagittal PT. METHODS: This is a retrospective study of 100 patients with frontal and lateral radiographs of the pelvis. Two observers independently measured the SFP angle on frontal x-ray (midpoint of S1 end plate to centroid of acetabula to upper midpoint of the pubic symphysis) and PT on lateral x-ray (midpoint of sacral plate to the centroid of acetabula to vertical plane). The SFP parameter was defined using the equation: SFP parameter = 75 - SFP angle. The interobserver reliability and intraobserver reproducibility were calculated using interclass correlation coefficient (ICC). Validity of the SFP parameter was calculated using Pearson correlation coefficient. RESULTS: The intraobserver reproducibility of the SFP parameter was excellent (ICC >0.90) for both observers. The interobserver reliability of all measurements was substantial for the SFP parameter (ICC >0.80) and PT (ICC >0.70). The concurrent validity of the SFP parameter was substantial (r = 0.70). CONCLUSION: Calculating PT from a frontal radiograph using the equation for the SFP parameter is a valid, reliable, and reproducible formula that may be used to predict sagittal PT.
[Mh] Termos MeSH primário: Artroplastia de Quadril
Fêmur/diagnóstico por imagem
Pelve/diagnóstico por imagem
Osso Púbico/diagnóstico por imagem
Sacro/diagnóstico por imagem
[Mh] Termos MeSH secundário: Acetábulo
Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Placas Ósseas
Feminino
Seres Humanos
Masculino
Meia-Idade
Variações Dependentes do Observador
Radiografia
Reprodutibilidade dos Testes
Estudos Retrospectivos
Raios X
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170615
[Lr] Data última revisão:
170615
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161226
[St] Status:MEDLINE


  6 / 1463 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:27920223
[Au] Autor:Osterberg EC; Gaither TW; Awad MA; Truesdale MD; Allen I; Sutcliffe S; Breyer BN
[Ad] Endereço:Department of Urology, University of California-San Francisco, San Francisco, California, USA.
[Ti] Título:Correlation between pubic hair grooming and STIs: results from a nationally representative probability sample.
[So] Source:Sex Transm Infect;93(3):162-166, 2017 May.
[Is] ISSN:1472-3263
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: STIs are the most common infections among adults. Concurrently, pubic hair grooming is prevalent. Small-scale studies have demonstrated a relationship between pubic hair grooming and STIs. We aim to examine this relationship in a large sample of men and women. DESIGN: We conducted a probability survey of US residents aged 18-65 years. The survey ascertained self-reported pubic hair grooming practices, sexual behaviours and STI history. We defined extreme grooming as removal of all pubic hair more than 11 times per year and high-frequency grooming as daily/weekly trimming. Cutaneous STIs included herpes, human papillomavirus, syphilis and molluscum. Secretory STIs included gonorrhoea, chlamydia and HIV. We analysed lice separately. RESULTS: Of 7580 respondents who completed the survey, 74% reported grooming their pubic hair, 66% of men and 84% of women. After adjusting for age and lifetime sexual partners, ever having groomed was positively associated with a history of self-reported STIs (OR 1.8; 95% CI 1.4 to 2.2), including cutaneous STIs (OR 2.6; CI 1.8 to 3.7), secretory STIs (OR 1.7; CI 1.3 to 2.2) and lice (OR 1.9; CI 1.3 to 2.9). These positive associations were stronger for extreme groomers (OR 4.4; CI 2.9 to 6.8) and high-frequency groomers (OR 3.5; CI 2.3 to 5.4) with cutaneous STIs, and for non-extreme groomers (OR 2.0; CI 1.3 to 3.0) and low-frequency groomers (OR 2.0; CI 1.3 to 3.1) with lice. CONCLUSIONS: Among a representative sample of US residents, pubic hair grooming was positively related to self-reported STI history. Further research is warranted to gain insight into STI risk-reduction strategies.
[Mh] Termos MeSH primário: Remoção de Cabelo/estatística & dados numéricos
Osso Púbico
Comportamento Sexual
Doenças Sexualmente Transmissíveis/epidemiologia
[Mh] Termos MeSH secundário: Adulto
Imagem Corporal/psicologia
Estudos Transversais
Feminino
Cabelo
Seres Humanos
Higiene
Masculino
Prevalência
Amostragem
Autorrelato
Parceiros Sexuais
Doenças Sexualmente Transmissíveis/prevenção & controle
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170616
[Lr] Data última revisão:
170616
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161207
[St] Status:MEDLINE
[do] DOI:10.1136/sextrans-2016-052687


  7 / 1463 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:27720302
[Au] Autor:Martin HD; Khoury AN; Schröder R; Johnson E; Gómez-Hoyos J; Campos S; Palmer IJ
[Ad] Endereço:Hip Preservation Center, Baylor Scott & White Health, Dallas, Texas, U.S.A.. Electronic address: haldavidmartin@yahoo.com.
[Ti] Título:Contribution of the Pubofemoral Ligament to Hip Stability: A Biomechanical Study.
[So] Source:Arthroscopy;33(2):305-313, 2017 Feb.
[Is] ISSN:1526-3231
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To determine the isolated function of the pubofemoral ligament of the hip capsule and its contribution to hip stability in external/internal rotational motion during flexion greater than 30° and abduction. METHODS: Thirteen hips from 7 fresh-frozen pelvis-to-toe cadavers were skeletonized from the lumbar spine to the distal femur with the capsular ligaments intact. Computed tomographic imaging was performed to ensure no occult pathological state existed, and assess bony anatomy. Specimens were placed on a surgical table in supine position with lower extremities resting on a custom-designed polyvinylchloride frame. Hip internal and external rotation was measured with the hip placed into a combination of the following motions: 30°, 60°, 110° hip flexion and 0°, 20°, 40° abduction. Testing positions were randomized. The pubofemoral ligament was released and measurements were repeated, followed by releasing the ligamentum teres. RESULTS: Analysis of the 2,106 measurements recorded demonstrates the pubofemoral ligament as a main controller of hip internal rotation during hip flexion beyond 30° and abduction. Hip internal rotation was increased up to 438.9% (P < .001) when the pubofemoral ligament was released and 412.9% (P < .001) when both the pubofemoral and teres ligament were released, compared with the native state. CONCLUSIONS: The hypothesis of the pubofemoral ligament as one of the contributing factors of anterior inferior hip stability by controlling external rotation of the hip in flexion beyond 30° and abduction was disproved. The pubofemoral ligament maintains a key function in limiting internal rotation in the position of increasing hip flexion beyond 30° and abduction. This cadaveric study concludes previous attempts at understanding the anatomical and biomechanical function of the capsular ligaments and their role in hip stability. CLINICAL RELEVANCE: The present study contributes to the understanding of hip stability and biomechanical function of the pubofemoral ligament.
[Mh] Termos MeSH primário: Articulação do Quadril/fisiologia
Ligamentos Articulares/fisiologia
[Mh] Termos MeSH secundário: Fenômenos Biomecânicos
Cadáver
Fêmur/anatomia & histologia
Articulação do Quadril/anatomia & histologia
Seres Humanos
Ligamentos Articulares/anatomia & histologia
Osso Púbico/anatomia & histologia
Amplitude de Movimento Articular
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171005
[Lr] Data última revisão:
171005
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161011
[St] Status:MEDLINE


  8 / 1463 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:27630094
[Au] Autor:Shende P; Gandhewar M; Gaikwad P; Nanaware S; Risbud Joshi P
[Ad] Endereço:Department of Obstetrics and Gynecology, E.S.I.P.G.I.M.S.R. and Model Hospital Andheri, Mumbai, India.
[Ti] Título:Labial swelling: a rare presentation of pubic bone tuberculosis.
[So] Source:Trop Doct;47(2):176-178, 2017 Apr.
[Is] ISSN:1758-1133
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Tuberculosis (TB), being a global health problem, represents variedly. Its presentation as a labial swelling secondary to pubic bone TB has been reported rarely in literature. We report a case of pubic bone TB presenting as a labial swelling in a woman of reproductive age. Early diagnosis with fine needle aspiration cytology, acid-fast bacillus (AFB) staining, AFB culture and magnetic resonance imaging with early initiation of treatment resulted in a favourable outcome.
[Mh] Termos MeSH primário: Edema/diagnóstico
Osso Púbico
Tuberculose Osteoarticular/diagnóstico
Doenças da Vulva/diagnóstico
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Vulva
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170620
[Lr] Data última revisão:
170620
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160916
[St] Status:MEDLINE
[do] DOI:10.1177/0049475516666246


  9 / 1463 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:27610701
[Au] Autor:Baauw M; van Hellemondt GG; Spruit M
[Ti] Título:A Custom-made Acetabular Implant for Paprosky Type 3 Defects.
[So] Source:Orthopedics;40(1):e195-e198, 2017 Jan 01.
[Is] ISSN:1938-2367
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Acetabular revision is a challenging operation, especially when dealing with major bone loss and poor bone quality. This article describes a detailed approach to defect analysis, including measurement of bone deficiency and bone quality. A custom-made titanium implant, with precisely outlined flanges to the host bones of the ilium, ischium, and pubis, taking into account the bone quality for optimal screw purchase, was used to reconstruct the acetabular defect. Preliminary results for 12 patients who were retrospectively reviewed after a minimum follow-up of 18 months were promising. [Orthopedics. 2017; 40(1):e195-e198.].
[Mh] Termos MeSH primário: Acetábulo/cirurgia
Artroplastia de Quadril/métodos
Parafusos Ósseos
Prótese de Quadril
Desenho de Prótese
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Seres Humanos
Masculino
Meia-Idade
Ossos Pélvicos/cirurgia
Osso Púbico/cirurgia
Reoperação/métodos
Estudos Retrospectivos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170530
[Lr] Data última revisão:
170530
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160910
[St] Status:MEDLINE
[do] DOI:10.3928/01477447-20160902-01


  10 / 1463 MEDLINE  
              first record previous record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:27497946
[Au] Autor:Harr JN; Brody F
[Ad] Endereço:Department of Surgery, The George Washington University, 2150 Pennsylvania Ave, NW, Suite 6B, Washington, DC, 20037, USA.
[Ti] Título:Sports hernia repair with adductor tenotomy.
[So] Source:Hernia;21(1):139-147, 2017 Feb.
[Is] ISSN:1248-9204
[Cp] País de publicação:France
[La] Idioma:eng
[Ab] Resumo:PURPOSE: Sports hernias, or athletic pubalgia, is common in athletes, and primarily involves injury to the fascia, muscles, and tendons of the inguinal region near their insertion onto the pubic bone. However, management varies widely, and rectus and adductor tenotomies have not been adequately described. The purpose of this manuscript is to demonstrate a suture repair and a rectus and adductor longus tenotomy technique for sports hernias. METHODS: After magnetic-resonance-imaging confirmation of sports hernias with rectus and adductor tendonitis, 22 patients underwent a suture herniorrhaphy with adductor tenotomy. The procedure is performed through a 4-cm incision, and a fascial release of the rectus abdominis and adductor tenotomy is performed to relieve the opposing vector forces on the pubic bone. RESULTS: All 22 patients returned to their respective sports and regained their ability to perform at a high level, including professional status. No further surgery was required. CONCLUSION: In athletes with MRI confirmation of rectus and adductor longus injuries, tenotomies along with a herniorraphy may improve outcomes. A suture repair to reinforce the inguinal floor prevents mesh-related complications, especially in young athletes.
[Mh] Termos MeSH primário: Traumatismos em Atletas/cirurgia
Herniorrafia/métodos
Tendinopatia/cirurgia
Tenotomia/métodos
[Mh] Termos MeSH secundário: Adulto
Traumatismos em Atletas/diagnóstico por imagem
Feminino
Virilha/diagnóstico por imagem
Virilha/cirurgia
Hérnia/diagnóstico
Hérnia/diagnóstico por imagem
Seres Humanos
Imagem por Ressonância Magnética
Masculino
Meia-Idade
Músculo Esquelético/diagnóstico por imagem
Músculo Esquelético/cirurgia
Dor/etiologia
Dor/cirurgia
Osso Púbico/lesões
Reto do Abdome/diagnóstico por imagem
Reto do Abdome/lesões
Reto do Abdome/cirurgia
Volta ao Esporte
Técnicas de Sutura
Tendinopatia/diagnóstico por imagem
Tenotomia/estatística & dados numéricos
Coxa da Perna
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171013
[Lr] Data última revisão:
171013
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160808
[St] Status:MEDLINE
[do] DOI:10.1007/s10029-016-1520-8



página 1 de 147 ir para página                         
   


Refinar a pesquisa
  Base de dados : MEDLINE Formulário avançado   

    Pesquisar no campo  
1  
2
3
 
           



Search engine: iAH v2.6 powered by WWWISIS

BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde