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[PMID]:29431945
[Au] Autor:Sinitskaya TA; Malinovskaya NN
[Ti] Título:[Toxicological-hygienic justification of the acceptable daily intake of acetamiprid].
[So] Source:Gig Sanit;95(11):1055-8, 2016.
[Is] ISSN:0016-9900
[Cp] País de publicação:Russia (Federation)
[La] Idioma:rus
[Ab] Resumo:Neonicotinoids are currently meaningful component of rotation schemes of insecticides of selective action in the system of integrated pest control, which have agricultural importance in many countries. The research results of the biological impact of acetamiprid (neonicotinoids) on the body of laboratory animals are given in the article. The study showed that the explored active substance is related to the moderately hazardous compounds (hazard category 3) in case of one-time per oral penetration. Acetamiprid has polytropic action in the case of chronic (12 months) oral entering the body of laboratory animals, it gives rise changes in functionality of the central nervous system, blood system, liver functioning. On the base of alterations of the studied indices there were established both the no-effect dose level (NOEL) and acceptable daily intake of acetamiprid for humans.
[Mh] Termos MeSH primário: Células Sanguíneas/efeitos dos fármacos
Sistema Nervoso Central/efeitos dos fármacos
Neonicotinoides
Envenenamento
[Mh] Termos MeSH secundário: Administração Oral
Animais
Comportamento Animal/efeitos dos fármacos
Modelos Animais de Doenças
Testes Hematológicos/métodos
Inseticidas/farmacologia
Inseticidas/toxicidade
Testes de Função Hepática/métodos
Concentração Máxima Permitida
Neonicotinoides/farmacologia
Neonicotinoides/toxicidade
Nível de Efeito Adverso não Observado
Órgãos em Risco
Envenenamento/sangue
Envenenamento/diagnóstico
Envenenamento/etiologia
Ratos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Insecticides); 0 (Neonicotinoids); 5HL5N372P0 (acetamiprid)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180213
[St] Status:MEDLINE


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[PMID]:29205003
[Au] Autor:Yang SM; Li ZY
[Ad] Endereço:Criminal Investigation Team, Dengfeng Public Security Bureau, Zhengzhou 452470, China.
[Ti] Título:[Forensic Analysis of 25 Cases of Unnatural Death in Custody].
[So] Source:Fa Yi Xue Za Zhi;32(5):346-349, 2016 Oct.
[Is] ISSN:1004-5619
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:OBJECTIVES: To screen and collect the cases of unnatural death in custody and analyze the influences and forensic characteristics. METHODS: Total 25 cases of unnatural death in detainees in custody form 2000 to 2015 were collected. Some forensic characteristics such as gender, age, yearly incidence, causes of death, manner of death were analyzed. The public security custodies were also compared with the prisons. RESULTS: All dead involved were male, mostly were young and middle-aged adults. It showed that the number of cases tended to decrease year by year. The incidence of the injury cases were higher in public security custodies (64.7%) than that in the prisons (12.5%). However, there was a higher suicide rate in prisons (62.5%) than that in public security custodies (23.5%). The mainly cause of death were injury and asphyxia, there were also some cases died from intoxication and electricity. CONCLUSIONS: The cases of unnatural death in custody expose some problems such as the imperfectness of law enforcement standardization, supervision loopholes and poor medical standards. A comprehensive and detailed autopsy has important implications for the identification of cause of death in custody.
[Mh] Termos MeSH primário: Causas de Morte
Prisões
[Mh] Termos MeSH secundário: Adulto
Asfixia
Autopsia
Eletricidade
Seres Humanos
Masculino
Meia-Idade
Envenenamento
Suicídio
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171206
[St] Status:MEDLINE
[do] DOI:10.3969/j.issn.1004-5619.2016.05.007


  3 / 17269 MEDLINE  
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[PMID]:29231010
[Au] Autor:Tong F; Liang Y; Shi Q; Zhang L; L WH; Zhou YW
[Ad] Endereço:Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
[Ti] Título:[Advance of Forensic Research in Insulin Poisoning].
[So] Source:Fa Yi Xue Za Zhi;33(1):48-51, 2017 Feb.
[Is] ISSN:1004-5619
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:Insulin as a common clinical hypoglycemic agent can effectively control serves to lower the concentration of blood glucose. However, insulin overdose can lead to death. In the whole fatal cases of insulin overdose, medical accident is the most common, followed by suicide. Though insulin homicide is extremely rare, it deserves great attention. Though there are some researches about insulin poisoning on forensic toxicology and pathology, it is still a difficult task in forensic practice. In this paper, the mechanism of death, pathological changes, detection methods and diagnose criteria of insulin overdose will be discussed in the view of forensic toxicology and pathology. We hope that this paper could enhance relative knowledges of insulin poisoning for medical examiners.
[Mh] Termos MeSH primário: Overdose de Drogas
Toxicologia Forense
Hipoglicemiantes/envenenamento
Insulinas/envenenamento
Envenenamento/patologia
[Mh] Termos MeSH secundário: Acidentes
Morte
Homicídio
Seres Humanos
Hipoglicemiantes/uso terapêutico
Insulinas/uso terapêutico
Suicídio
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Hypoglycemic Agents); 0 (Insulins)
[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:10.3969/j.issn.1004-5619.2017.01.012


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[PMID]:28459061
[Au] Autor:Banderas-Bravo ME; Arias-Verdú MD; Macías-Guarasa I; Aguilar-Alonso E; Castillo-Lorente E; Pérez-Costillas L; Gutierrez-Rodriguez R; Quesada-García G; Rivera-Fernández R
[Ad] Endereço:Intensive Care Unit, Regional University Hospital, Málaga, Spain.
[Ti] Título:Patients Admitted to Three Spanish Intensive Care Units for Poisoning: Type of Poisoning, Mortality, and Functioning of Prognostic Scores Commonly Used.
[So] Source:Biomed Res Int;2017:5261264, 2017.
[Is] ISSN:2314-6141
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:. To evaluate the gravity and mortality of those patients admitted to the intensive care unit for poisoning. Also, the applicability and predicted capacity of prognostic scales most frequently used in ICU must be evaluated. . Multicentre study between 2008 and 2013 on all patients admitted for poisoning. . The results are from 119 patients. The causes of poisoning were medication, 92 patients (77.3%), caustics, 11 (9.2%), and alcohol, 20 (16,8%). 78.3% attempted suicides. Mean age was 44.42 ± 13.85 years. 72.5% had a Glasgow Coma Scale (GCS) ≤8 points. The ICU mortality was 5.9% and the hospital mortality was 6.7%. The mortality from caustic poisoning was 54.5%, and it was 1.9% for noncaustic poisoning ( < 0.001). After adjusting for SAPS-3 (OR: 1.19 (1.02-1.39)) the mortality of patients who had ingested caustics was far higher than the rest (OR: 560.34 (11.64-26973.83)). There was considerable discrepancy between mortality predicted by SAPS-3 (26.8%) and observed (6.7%) (Hosmer-Lemeshow test: = 35.10; < 0.001). The APACHE-II (7,57%) and APACHE-III (8,15%) were no discrepancies. . Admission to ICU for poisoning is rare in our country. Medication is the most frequent cause, but mortality of caustic poisoning is higher. APACHE-II and APACHE-III provide adequate predictions about mortality, while SAPS-3 tends to overestimate.
[Mh] Termos MeSH primário: Unidades de Terapia Intensiva/estatística & dados numéricos
Envenenamento
[Mh] Termos MeSH secundário: APACHE
Adulto
Idoso
Seres Humanos
Meia-Idade
Envenenamento/diagnóstico
Envenenamento/epidemiologia
Envenenamento/mortalidade
Prognóstico
Estudos Retrospectivos
Espanha/epidemiologia
Suicídio/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY; OBSERVATIONAL STUDY
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180227
[Lr] Data última revisão:
180227
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE
[do] DOI:10.1155/2017/5261264


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[PMID]:28453168
[Au] Autor:Jamshidi F; Ghorbani A; Darvishi S; Davoodzadeh H
[Ad] Endereço:Department of Forensic Medicine and Toxicology and Social Determinant of Health Research Center, Ahvaz Jundishapur University of Medical Sciences, Iran.
[Ti] Título:Study of laboratory profile in patients with aluminium phosphide poisoning in the southwest of Iran from 2010 to 2015.
[Ti] Título:Badanie profilu laboratoryjnego u pacjentów po zatruciu fosforkiem glinu w poludniowo-zachodnim Iranie w latach 2010­2015..
[So] Source:Arch Med Sadowej Kryminol;66(3):149-157, 2016.
[Is] ISSN:0324-8267
[Cp] País de publicação:Poland
[La] Idioma:eng
[Ab] Resumo:Introduction: Aluminium phosphide or rice tablet is one of the most common pesticides around the world. The substance releases phosphine gas in the presence of water, steam or stomach acid which can lead to poisoning. Phosphine poisoning is more about suicide the number of which is increasing day by day. Two-thirds of patients lose their lives. The aim of this study was to evaluate the data on the clinical epidemiology and laboratory changes in patients poisoned with rice tablets. Material and methods: A total of 23 patients poisoned by aluminium phosphide who referred to Ahvaz Razi hospital within the period of 2010-2015 were studied. The data were analyzed using descriptive statistics and statistical tests. Results: The mean age of the patients was 27.2 ±7.3 years and 60.9% of the patients were male. 8.7% of the patients had hyponatremia and 21.7% of the patients had hypokalemia. In the majority of cases the amount of sodium and potassium was normal. 91% of patients had acidosis and serum bicarbonate was reduced in the majority of cases. The average interval between poisoning and admission was 1.48 ±0.76 hours. Conclusions: The pattern to change the electrolytes and other laboratory factors could be a good marker of the severity of the poisoning and the clinical conditions of the patient, which requires more specific research to prove the process.
[Mh] Termos MeSH primário: Compostos de Alumínio/envenenamento
Praguicidas/envenenamento
Fosfinas/envenenamento
Envenenamento/patologia
Suicídio
[Mh] Termos MeSH secundário: Adulto
Autopsia
Feminino
Seres Humanos
Irã (Geográfico)
Masculino
Meia-Idade
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Aluminum Compounds); 0 (Pesticides); 0 (Phosphines); E23DR6L59S (aluminum phosphide)
[Em] Mês de entrada:1706
[Cu] Atualização por classe:180126
[Lr] Data última revisão:
180126
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE


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[PMID]:29185815
[Au] Autor:Gummin DD; Mowry JB; Spyker DA; Brooks DE; Fraser MO; Banner W
[Ad] Endereço:a Wisconsin Poison Center , Milwaukee , WI , USA.
[Ti] Título:2016 Annual Report of the American Association of Poison Control Centers' National Poison Data System (NPDS): 34th Annual Report.
[So] Source:Clin Toxicol (Phila);55(10):1072-1252, 2017 Dec.
[Is] ISSN:1556-9519
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: This is the 34th Annual Report of the American Association of Poison Control Centers' (AAPCC) National Poison Data System (NPDS). As of 1 January 2016, 55 of the nation's poison centers (PCs) uploaded case data automatically to NPDS. The upload interval was 9.50 [7.33, 14.6] (median [25%, 75%]) min, facilitating a near real-time national exposure and information database and surveillance system. METHODS: We analyzed the case data tabulating specific indices from NPDS. The methodology was similar to that of previous years. Where changes were introduced, the differences are identified. Cases with medical outcomes of death were evaluated by a team of medical and clinical toxicologist reviewers using an ordinal scale of 1-6 to assess the Relative Contribution to Fatality (RCF) of the exposure. RESULTS: In 2016, 2,710,042 closed encounters were logged by NPDS: 2,159,032 human exposures, 54,019 animal exposures, 490,215 information cases, 6687 human confirmed non-exposures, and 89 animal confirmed non-exposures. US PCs also made 2,718,022 follow-up calls in 2016. Total encounters showed a 2.94% decline from 2015, while health care facility (HCF) human exposure cases increased by 3.63% from 2015. All information calls decreased by 12.5% but HCF information calls increased 0.454%, and while medication identification requests (Drug ID) decreased 29.6%, human exposure cases were essentially flat, decreasing by 0.431%. Human exposures with less serious outcomes have decreased 2.59% per year since 2008 while those with more serious outcomes (moderate, major or death) have increased by 4.39% per year since 2000. The top five substance classes most frequently involved in all human exposures were analgesics (11.2%), household cleaning substances (7.54%), cosmetics/personal care products (7.20%), sedatives/hypnotics/antipsychotics (5.84%), and antidepressants (4.74%). As a class, sedative/hypnotics/antipsychotics exposures increased most rapidly, by 10.7% per year (2088 cases/year), over the last 15 years for cases showing more serious outcomes. The top five most common exposures in children age 5 years or less were cosmetics/personal care products (13.3%), household cleaning substances (11.1%), analgesics (9.21%), foreign bodies/toys/miscellaneous (6.48%), and topical preparations (5.07%). Drug identification requests comprised 28.1% of all information calls. NPDS documented 1977 human exposures resulting in death; 1492 (75.5%) of these were judged as related (RCF of 1 - undoubtedly responsible, 2 - probably responsible, or 3 - contributory). CONCLUSIONS: These data support the continued value of PC expertise and need for specialized medical toxicology information to manage more serious exposures, despite a decrease in cases involving less serious exposures. Unintentional and intentional exposures continue to be a significant cause of morbidity and mortality in the US. The near real-time, always current status of NPDS represents a national public health resource for collecting and monitoring US exposure cases and information calls. The continuing mission of NPDS is to provide a nationwide infrastructure for surveillance for all types of exposures (e.g. foreign body, infectious, venomous, chemical agent, or commercial product), and the identification and tracking of significant public health events. NPDS is a model system for the real-time surveillance of national and global public health.
[Mh] Termos MeSH primário: Relatórios Anuais como Assunto
Preparações Farmacêuticas
Centros de Controle de Intoxicações/estatística & dados numéricos
Envenenamento/epidemiologia
[Mh] Termos MeSH secundário: Animais
Bases de Dados Factuais
Seres Humanos
Preparações Farmacêuticas/classificação
Envenenamento/etiologia
Envenenamento/terapia
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Pharmaceutical Preparations)
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171211
[Lr] Data última revisão:
171211
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171130
[St] Status:MEDLINE
[do] DOI:10.1080/15563650.2017.1388087


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[PMID]:28975295
[Au] Autor:Dowell D; Arias E; Kochanek K; Anderson R; Guy GP; Losby JL; Baldwin G
[Ad] Endereço:National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.
[Ti] Título:Contribution of Opioid-Involved Poisoning to the Change in Life Expectancy in the United States, 2000-2015.
[So] Source:JAMA;318(11):1065-1067, 2017 09 19.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Analgésicos Opioides/envenenamento
Expectativa de Vida
Transtornos Relacionados ao Uso de Opioides/mortalidade
[Mh] Termos MeSH secundário: Seres Humanos
Mortalidade/tendências
Envenenamento/mortalidade
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Analgesics, Opioid)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171016
[Lr] Data última revisão:
171016
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171005
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2017.9308


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[PMID]:28938132
[Au] Autor:Gonçalves V; Hazarbassanov NQ; de Siqueira A; Florio JC; Ciscato CHP; Maiorka PC; Fukushima AR; de Souza Spinosa H
[Ad] Endereço:Department of Pathology, School of Veterinary Medicine and Animal Science, University of Sao Paulo, Brazil. Electronic address: vagnergjr@hotmail.com.
[Ti] Título:Development and validation of carbofuran and 3-hydroxycarbofuran analysis by high-pressure liquid chromatography with diode array detector (HPLC-DAD) for forensic Veterinary Medicine.
[So] Source:J Chromatogr B Analyt Technol Biomed Life Sci;1065-1066:8-13, 2017 Oct 15.
[Is] ISSN:1873-376X
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Agricultural pesticides used with the criminal intent to intoxicate domestic and wild animals are a serious concern in Veterinary Medicine. In order to identify the pesticide carbofuran and its metabolite 3- hydroxycarbofuran in animals suspected of exogenous intoxication a high pressure liquid chromatography with diode array detector (HPLC-DAD) method was developed and validated in stomach contents, liver, vitreous humor and blood. The method was evaluated using biological samples from seven different animal species. The following parameters of analytical validation were evaluated: linearity, precision, accuracy, selectivity, recovery and matrix effect. The method was linear at the range of 6.25-100µg/mL and the correlation coefficient (r ) values were >0.9811 for all matrices. The precision and accuracy of the method was determined by coefficient of variation (CV) and the relative standard deviation error (RSE), and both were less than 15%. Recovery ranged from 74.29 to 100.1% for carbofuran and from 64.72 to 100.61% for 3-hydroxycarbofuran. There were no significant interfering peaks or matrix effects. This method was suitable for detecting 25 positive cases for carbofuran amongst a total of 64 animal samples suspected of poisoning brought to the Toxicology Diagnostic Laboratory, School of Veterinary Medicine and Animal Sciences, University of Sao Paulo.
[Mh] Termos MeSH primário: Carbofurano/análogos & derivados
Carbofurano/análise
Cromatografia Líquida de Alta Pressão/métodos
Medicina Legal/métodos
Envenenamento/diagnóstico
Envenenamento/veterinária
Medicina Veterinária/métodos
[Mh] Termos MeSH secundário: Animais
Carbofurano/sangue
Carbofurano/química
Gatos
Cães
Conteúdo Gastrointestinal/química
Limite de Detecção
Modelos Lineares
Fígado/química
Reprodutibilidade dos Testes
Corpo Vítreo/química
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
7J7N7A61BJ (3-hydroxycarbofuran); SKF77S6Y67 (Carbofuran)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171030
[Lr] Data última revisão:
171030
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170923
[St] Status:MEDLINE


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[PMID]:28901626
[Au] Autor:Eyasu M; Dida T; Worku Y; Worku S; Shafie M
[Ad] Endereço:Department of Pharmacology, Saint Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
[Ti] Título:Acute poisonings during pregnancy and in other non-pregnant women in emergency departments of four government hospitals, Addis Ababa, Ethiopia: 2010-2015.
[So] Source:Trop Med Int Health;22(10):1350-1360, 2017 Oct.
[Is] ISSN:1365-3156
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To characterise acute poisonings in pregnant and non-pregnant women treated at emergency departments of government hospitals in Addis Ababa, Ethiopia, between 2010 and 2015. METHODS: All data for acutely poisoned women were retrospectively collected from patient medical charts at the emergency departments of Saint Paul's Hospital Millennium Medical College, Ras Desta Memorial Hospital, Yekatit 12 Hospital Medical College and Zewditu Memorial Hospital. Data were collected by extraction questionnaire and analysed using SPSSv. 20 statistical software. RESULTS: During the study period, 998 cases of acutely poisoned women were listed in the hospital registries. Of these, complete data for inclusion in the study were available for 592. 36.3% of the study participants were in the age group of 20-24, with a mean (±SD) age of 23.03 (±6.3) years. 80.9% were from Addis Ababa; 4.6% were pregnant. The mean arrival time of all cases was 4.14 h. 85.5% of all study cases were due to intentional self-poisoning, of whom 42.1% were discharged without complications. The most common poisons were bleach and organophosphates; 25.9% of pregnant cases and 32.6% of non-pregnant cases were poisoned by bleach; and 18.5% of pregnant cases and 18.9% of non-pregnant cases had organophosphate poisoning. 0.7% had a history of poisoning; all were non-pregnant women. The common route of poison exposure was oral, and the case fatality rate of organophosphate poisoning in pregnant and non-pregnant women was 20 and 1.87%, respectively. The pre-hospital intervention for the majority of the women was milk, in 12.0% of cases. CONCLUSION: Acute poisoning remains a public health problem in our community. Bleach is the most common poisons. Our present findings indicate the necessity of educational programmes on preventable reasons of acute poisonings and their outcomes on pregnant and non-pregnant women.
[Mh] Termos MeSH primário: Serviço Hospitalar de Emergência/estatística & dados numéricos
Envenenamento/epidemiologia
Complicações na Gravidez/epidemiologia
Saúde da Mulher/estatística & dados numéricos
[Mh] Termos MeSH secundário: Doença Aguda
Adolescente
Adulto
Etiópia/epidemiologia
Feminino
Seres Humanos
Meia-Idade
Gravidez
Estudos Retrospectivos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171012
[Lr] Data última revisão:
171012
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170914
[St] Status:MEDLINE
[do] DOI:10.1111/tmi.12940


  10 / 17269 MEDLINE  
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[PMID]:28817333
[Au] Autor:Stein EM; Gennuso KP; Ugboaja DC; Remington PL
[Ad] Endereço:Elizabeth M. Stein is with the Preventive Medicine Residency Program, University of Wisconsin School of Medicine and Public Health, Madison. Keith P. Gennuso is with the Population Health Institute, County Health Rankings, University of Wisconsin Madison School of Medicine and Public Health. Donna C
[Ti] Título:The Epidemic of Despair Among White Americans: Trends in the Leading Causes of Premature Death, 1999-2015.
[So] Source:Am J Public Health;107(10):1541-1547, 2017 Oct.
[Is] ISSN:1541-0048
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To evaluate trends in premature death rates by cause of death, age, race, and urbanization level in the United States. METHODS: We calculated cause-specific death rates using the Compressed Mortality File, National Center for Health Statistics data for adults aged 25 to 64 years in 2 time periods: 1999 to 2001 and 2013 to 2015. We defined 48 subpopulations by 10-year age groups, race/ethnicity, and county urbanization level (large urban, suburban, small or medium metropolitan, and rural). RESULTS: The age-adjusted premature death rates for all adults declined by 8% between 1999 to 2001 and 2013 to 2015, with decreases in 39 of the 48 subpopulations. Most decreases in death rates were attributable to HIV, cardiovascular disease, and cancer. All 9 subpopulations with increased death rates were non-Hispanic Whites, largely outside large urban areas. Most increases in death rates were attributable to suicide, poisoning, and liver disease. CONCLUSIONS: The unfavorable recent trends in premature death rate among non-Hispanic Whites outside large urban areas were primarily caused by self-destructive health behaviors likely related to underlying social and economic factors in these communities.
[Mh] Termos MeSH primário: Causas de Morte
Grupo com Ancestrais do Continente Europeu/estatística & dados numéricos
Mortalidade Prematura/etnologia
Distribuição Espacial da População/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Distribuição por Idade
Doenças Cardiovasculares/etnologia
Grupos de Populações Continentais
Feminino
Infecções por HIV/etnologia
Seres Humanos
Hepatopatias/etnologia
Masculino
Meia-Idade
Neoplasias/etnologia
Envenenamento/etnologia
Suicídio/estatística & dados numéricos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171002
[Lr] Data última revisão:
171002
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170818
[St] Status:MEDLINE
[do] DOI:10.2105/AJPH.2017.303941



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