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  1 / 2070 MEDLINE  
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[PMID]:29484746
[Au] Autor:Hauge SC; Jensen CK; Nielsen LK; Pedersen OB; Sørensen E; Thørner LW; Hjalgrim H; Erikstrup C; Nielsen KR; Kaspersen KA; Didriksen M; Dziegiel M; Ullum H
[Ad] Endereço:Department of Clinical Immunology, Copenhagen University Hospital, Copenhagen, Denmark.
[Ti] Título:The association of IgA deficiency on infection rate, self-perceived health, and levels of C-reactive protein in healthy blood donors.
[So] Source:APMIS;126(3):248-256, 2018 Mar.
[Is] ISSN:1600-0463
[Cp] País de publicação:Denmark
[La] Idioma:eng
[Ab] Resumo:The clinical importance of immunoglobulin A (IgA) deficiency in otherwise healthy individuals is not well described. We aimed to investigate the self-reported mental and physical health and the risk of infection in IgA-deficient blood donors compared to healthy control blood donors. Infectious events, recorded in public health registries either as prescriptions filled of any antimicrobial medicine or as hospital infections, were compared between 177 IgA-deficient blood donors and 1770 control blood donors. A subset of the IgA-deficient donors were further characterized by self-reported health (Short Form-12, n = 28) and circulating C-reactive protein (CRP) (n = 10). IgA-deficient individuals had lower self-reported mental health (p = 0.01) and higher CRP (p < 0.05). A strong trend was found regarding prescription of antimicrobial medicine (hazard ratio = 1.19, p = 0.05). No association was found with hospital infections (hazard ratio = 1.02, p = 0.95) or self-reported physical health (p = 0.86). IgA-deficient blood donors have impaired self-reported mental health, enhanced inflammation and possibly an increased risk of infection. Despite these findings, this study does not provide sufficient evidence to warrant specific health precautions for donors with IgA deficiency.
[Mh] Termos MeSH primário: Proteína C-Reativa/metabolismo
Autoavaliação Diagnóstica
Predisposição Genética para Doença
Deficiência de IgA/imunologia
Imunoglobulina A/imunologia
Infecção/epidemiologia
[Mh] Termos MeSH secundário: Adulto
Doadores de Sangue
Dinamarca/epidemiologia
Feminino
Seres Humanos
Deficiência de IgA/genética
Imunoglobulina A/genética
Infecção/imunologia
Masculino
Meia-Idade
Risco
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Immunoglobulin A); 9007-41-4 (C-Reactive Protein)
[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:180228
[St] Status:MEDLINE
[do] DOI:10.1111/apm.12807


  2 / 2070 MEDLINE  
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[PMID]:28464861
[Au] Autor:Wang W; Xie QY; Jia ZY; Cui L; Liu D; Wang CR; Zheng W
[Ad] Endereço:Department of Orthopedics, Chengdu Military General Hospital, Tianhui Road 270, Chengdu, People's Republic of China.
[Ti] Título:Cross-cultural translation of the Western Ontario Cuff Index in Chinese and its validation in patients with rotator cuff disorders.
[So] Source:BMC Musculoskelet Disord;18(1):178, 2017 05 02.
[Is] ISSN:1471-2474
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The Western Ontario Rotator Cuff Index (WORC) is a scale designed to evaluate the impact of rotator cuff (RC) disorders on patients' general quality of life. Our study aims to adapt the WORC for Chinese patients and to assess its reliability, validity, and responsiveness in Chinese patients with RC disorders. METHODS: First, we developed the Chinese version of the WORC (C-WORC) in a five-step procedure of translation and cross-cultural adaptation. Next, the recruiting patients finished all three rounds of scales of the C-WORC, the Medical Outcomes Study Short-Form 36 (SF-36), and the Oxford Shoulder score (OSS). Then we calculated Cronbach's alpha, the intra-class correlation coefficient (ICC), Pearson's or Spearman's correlation coefficient (r or r ), the effect size (ES), and the standardized response mean (SRM) to evaluate the reliability, validity and responsiveness of the C-WORC, respectively. RESULTS: Overall, 124 patients with RC disorders successfully completed the first two rounds of the scales, and 108 patients completed the last round of the scales. Good or excellent internal consistency (Cronbach's alpha = 0.872-0.954) was found in the overall scale and subscales of C-WORC, as well as good or excellent test-retest reliability (ICC = 0.828-0.961). Moderate or good correlations (r/r = 0.472-0.787) were obtained between the physical subscales of the C-WORC and the OSS and the physical subscales of SF-36; the results were also obtained for the emotions subscale of the C-WORC and the mental subscales of SF-36 (r/r = 0.520-0.713), which, adequately illustrated that good validity was included in the C-WORC. In addition, good responsiveness was also observed in the overall scale and subscales of the C-WORC (ES = 1.57-2.27, SRM = 1.52-2.28). CONCLUSIONS: The C-WORC scale is reliable, valid and responsible for the evaluation of Chinese-speaking patients with RC disorders and would be an effective instrument.
[Mh] Termos MeSH primário: Lesões do Manguito Rotador/diagnóstico
Índice de Gravidade de Doença
[Mh] Termos MeSH secundário: Adulto
Idoso
Grupo com Ancestrais do Continente Asiático
Comparação Transcultural
Autoavaliação Diagnóstica
Feminino
Seres Humanos
Masculino
Meia-Idade
Qualidade de Vida
Inquéritos e Questionários
Traduções
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE
[do] DOI:10.1186/s12891-017-1536-y


  3 / 2070 MEDLINE  
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[PMID]:28464924
[Au] Autor:Clark DA; Khan U; Kiberd BA; Turner CC; Dixon A; Landry D; Moffatt HC; Moorhouse PA; Tennankore KK
[Ad] Endereço:Division of Nephrology, Dalhousie University, 5070 Dickson Building, 5820 University Avenue, Halifax, B3H 2Y9, NS, Canada.
[Ti] Título:Frailty in end-stage renal disease: comparing patient, caregiver, and clinician perspectives.
[So] Source:BMC Nephrol;18(1):148, 2017 May 02.
[Is] ISSN:1471-2369
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Frailty is associated with poor outcomes for patients on dialysis and is traditionally measured using tools that assess physical impairment. Alternate measurement tools highlight cognitive and functional domains, requiring clinician, patient, and/or caregiver input. In this study, we compared frailty measures for incident dialysis patients that incorporate patient, clinician, and caregiver perspectives with an aim to contrast the measured prevalence of frailty using tools derived from different conceptual frameworks. METHODS: A prospective cohort study of incident dialysis patients was conducted between February 2014 and June 2015. Frailty was assessed at dialysis onset using: 1) modified definition of Fried Phenotype (Dialysis Morbidity Mortality Study definition, DMMS); 2) Clinical Frailty Scale (CFS); 3) Frailty Assessment Care Planning Tool (provides CFS grading, FACT-CFS); and 4) Frailty Index (FI). Measures were compared via correlation and sensitivity/specificity analyses. RESULTS: A total of 98 patients participated (mean age of 61 ± 14 years). Participants were primarily Caucasian (91%), male (58%), and the majority started on hemodialysis (83%). The median score for both the CFS and FACT-CFS was 4 (interquartile range of 3-5). The mean FI score was 0.31 (standard deviation ± 0.16). The DMMS identified 78% of patients as frail. The FACT-CFS demonstrated highest correlation (r = 0.71) with the FI, while the DMMS was most sensitive (97%, 100%) and a CFS ≥ 5 most specific (100%, 77%) at corresponding FI cutoff values (>0.21, >0.45). CONCLUSIONS: Frailty assessments of incident dialysis patients that include clinician, caregiver and patient perspectives have moderate to strong correlation with the FI. At specified FI cutoff values, the FACT-CFS and DMMS are highly sensitive measures of frailty. The CFS and FACT-CFS may represent viable alternative screening tools in dialysis patients.
[Mh] Termos MeSH primário: Autoavaliação Diagnóstica
Avaliação Geriátrica/métodos
Falência Renal Crônica/diagnóstico
Falência Renal Crônica/terapia
Programas de Rastreamento/métodos
Diálise Renal/estatística & dados numéricos
Índice de Gravidade de Doença
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Atitude do Pessoal de Saúde
Cuidadores/estatística & dados numéricos
Feminino
Fragilidade
Avaliação Geriátrica/estatística & dados numéricos
Seres Humanos
Falência Renal Crônica/epidemiologia
Masculino
Meia-Idade
Nova Escócia/epidemiologia
Satisfação do Paciente/estatística & dados numéricos
Prevalência
Reprodutibilidade dos Testes
Fatores de Risco
Sensibilidade e Especificidade
Avaliação de Sintomas/métodos
Avaliação de Sintomas/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE
[do] DOI:10.1186/s12882-017-0558-x


  4 / 2070 MEDLINE  
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[PMID]:29424502
[Au] Autor:Kornienko DS; Kozlov AI; Otavina ML
[Ti] Título:[Differences in self-assessment of health and psychological wellbeing between healthy and unhealthy young adults].
[So] Source:Gig Sanit;95(6):577-81, 2016.
[Is] ISSN:0016-9900
[Cp] País de publicação:Russia (Federation)
[La] Idioma:rus
[Ab] Resumo:Self-assessment of health is the one out of the most important characteristics, which gives an idea about the health of the respondent as a psychophysiological continuum. The purpose of this study is to establish the relationship between indices of self-rated health and characteristics of the psychological well-being. Sample 344 young adults - students at an average age of 20.9 ± 1.6 years. Methods. "Self-assessment of health" questionnaire was used; MOSSF36 questionnaire and "Psychological wellbeing scale" developed by K. Riff. Respondents were divided into groups: (1) without chronic diseases; (2) having one or more chronic diseases of any etiology. Results. The presence of chronic diseases was shown to negatively effect on the self-estimation of physical and psychological state. The significant positive correlation (p <0,001) between the perceived health and subjective well-being was found. Healthy individuals perceive the state of their own physical health and psychological wellbeing as unrelated to each other characteristics. In contrast, in cases with even mild chronic health problems there is pronounced the relationship between somatic and psychological health, which forms a complex of physical and psychological factors determining the general state of a person.
[Mh] Termos MeSH primário: Adaptação Psicológica/fisiologia
Doença Crônica/psicologia
Autoavaliação Diagnóstica
Autoavaliação
[Mh] Termos MeSH secundário: Feminino
Nível de Saúde
Seres Humanos
Masculino
Saúde Mental
Federação Russa
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180210
[St] Status:MEDLINE


  5 / 2070 MEDLINE  
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[PMID]:29471756
[Au] Autor:Unger S; Tisch A; Tophoven S
[Ad] Endereço:1 Institute for Employment Research, Germany.
[Ti] Título:Age and gender differences in the impact of labour-market transitions on subjective health in Germany.
[So] Source:Scand J Public Health;46(19_suppl):49-64, 2018 Feb.
[Is] ISSN:1651-1905
[Cp] País de publicação:Sweden
[La] Idioma:eng
[Ab] Resumo:AIMS: Applying a gender- and age group-sensitive approach, we investigated the effect of labour-market transitions (job loss and re-employment) on subjective physical and mental health. METHODS: A combination of the difference-in-differences approach and propensity score matching controls for selectivity and initial health differences. This allowed us to analyse the causal effect of job loss and re-employment on subjective health. We made use of data from the German Panel Study Labour Market and Social Security and combined survey information with administrative records of the Federal Employment Agency for employed and unemployed men and women 31-60 years of age ( n = 2213). We controlled for labour-market experiences before the time period under study and for labour-market transitions between the interviews. Subjective health was assessed using the SF-12 health questionnaire, enabling us to differentiate between subjective mental and physical health functioning. RESULTS: We found that physical health was affected mainly in older persons between 45 and 60 years old. Controlling for covariates using propensity score matching, mental health was affected only when living-wage jobs (i.e. jobs that provide sufficient income to achieve a defined minimum standard of living above the social benefit level) are gained or lost. Younger women showed a significant improvement in mental health after re-employment. In contrast, job loss affected only older individuals' mental health, with a particularly negative effect observed for men. CONCLUSIONS: Our results not only showed that women and men are affected differently by job loss and re-employment, but also that age is an important factor. Older men were affected most severely by job loss, whereas re-employment was found to improve mental health only in women aged 31-44 years. It is therefore important to address the health problems of different socio-demographic groups separately, and to apply active labour-market policies with regard to unemployed men and women with health impairments. Based on our results, we suggest the promotion of employment with income levels above the maximum welfare benefit award.
[Mh] Termos MeSH primário: Autoavaliação Diagnóstica
Emprego/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Fatores Etários
Feminino
Alemanha
Seres Humanos
Masculino
Meia-Idade
Fatores Sexuais
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180224
[St] Status:MEDLINE
[do] DOI:10.1177/1403494817738430


  6 / 2070 MEDLINE  
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[PMID]:29197685
[Au] Autor:Aguilar-Palacio I; Carrera-Lasfuentes P; Sánchez-Recio R; Alonso JP; Rabanaque MJ
[Ad] Endereço:Microbiology, Preventive Medicine and Public Health Department, Zaragoza University, Domingo Miral S/n, 50009, Zaragoza, Spain; Group of Health Services Research of Aragon, (GRISSA), Spain; IIS Aragon, Spain. Electronic address: iaguilar@unizar.es.
[Ti] Título:Recession, employment and self-rated health: a study on the gender gap.
[So] Source:Public Health;154:44-50, 2018 Jan.
[Is] ISSN:1476-5616
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Employment status and economic recession have been associated with negative effects on self-rated health, and this effect differs by gender. We analysed the effects of the Spanish economic recession in terms of self-rated health, its differential effect among genders and its influence on gender gap. STUDY DESIGN: Repeated cross-sectional study using Spanish health surveys (2001-2014). METHODS: Logistic regression models were conducted to explore the association between self-rated health and employment status and its evolution over time and gender. To test the impact of the economic recession, pooled data regression models were conducted. RESULTS: In this study, we considered 104,577 subjects. During the last 15 years, women have entered the labour market, leading to wide changes in the Spanish traditional family roles. Instead of an increasing proportion of women workers, gender employment differences persist. Therefore, in 2014, the prevalence of workers was 55.77% in men, whereas in women, it was 44.01%. Self-rated health trends during the economic recession differ by gender, with women improving slightly their self-rated health from a low self-rated health prevalence of 38.76% in 2001 to 33.78% in 2014. On the contrary, men seem more vulnerable to employment circumstances, which have led to substantial reduction in the gender gap. CONCLUSIONS: Although a gender gap persists, the change in socio-economic roles seems to increase women's self-rated health, reducing this gap. It is important to promote women's labour market inclusion, even in economic recession periods.
[Mh] Termos MeSH primário: Autoavaliação Diagnóstica
Recessão Econômica/estatística & dados numéricos
Emprego/estatística & dados numéricos
Disparidades nos Níveis de Saúde
Fatores Sexuais
[Mh] Termos MeSH secundário: Adulto
Estudos Transversais
Feminino
Inquéritos Epidemiológicos
Seres Humanos
Masculino
Espanha
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180212
[Lr] Data última revisão:
180212
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171204
[St] Status:MEDLINE


  7 / 2070 MEDLINE  
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[PMID]:29189454
[Au] Autor:Coyle AL
[Ad] Endereço:Amanda L. Coyle is an assistant professor at the Johns Hopkins School of Nursing in Baltimore, Md.
[Ti] Título:Dealing with patient self-triage.
[So] Source:Nursing;47(12):17-18, 2017 Dec.
[Is] ISSN:1538-8689
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Autoavaliação Diagnóstica
Enfermagem em Emergência
Relações Enfermeiro-Paciente
Triagem
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180212
[Lr] Data última revisão:
180212
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171201
[St] Status:MEDLINE
[do] DOI:10.1097/01.NURSE.0000526907.77132.72


  8 / 2070 MEDLINE  
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[PMID]:27779327
[Au] Autor:Leijon O; Balliu N; Lundin A; Vaez M; Kjellberg K; Hemmingsson T
[Ad] Endereço:Swedish Social Insurance Inspectorate, Stockholm, Sweden.
[Ti] Título:Effects of psychosocial work factors and psychological distress on self-assessed work ability: A 7-year follow-up in a general working population.
[So] Source:Am J Ind Med;60(1):121-130, 2017 Jan.
[Is] ISSN:1097-0274
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Toinvestigate the effects of psychosocial work factors (PWF) and psychological distress (PD) on self-assessed work ability. METHODS: This follow-up study included 7,810 individuals (55%women) with good work ability at baseline. PWFandPD (measured by GHQ-12) were assessed at baseline and work ability at 7-year follow-up. Effects of PWF and PD on work ability were analyzed by logistic regression, odds ratios (OR) with 95% CI, and by mediation analysisusing 4-way decomposition. RESULTS: Low support was associated with poor work ability for both women and men (OR 1.78 and 1.89). For men, also low skill discretion was associated with poor work ability (OR 2.07). For both women and men, PD was associated with poor work ability (OR 3.41 and 1.84). PD did not act as an intermediate variablein the association between PWF and work ability. CONCLUSION: Strategies for sustainable work ability should focus on both working conditions and health factors. Am. J. Ind. Med. 60:121-130, 2017. © 2016 Wiley Periodicals, Inc.
[Mh] Termos MeSH primário: Estresse Psicológico/psicologia
Avaliação da Capacidade de Trabalho
Local de Trabalho/psicologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Autoavaliação Diagnóstica
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Autonomia Profissional
Estudos Prospectivos
Apoio Social
Carga de Trabalho/psicologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180109
[Lr] Data última revisão:
180109
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161026
[St] Status:MEDLINE
[do] DOI:10.1002/ajim.22670


  9 / 2070 MEDLINE  
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[PMID]:29176368
[Au] Autor:Koroukian SM; Basu J; Schiltz NK; Navale S; Bakaki PM; Warner DF; Dor A; Given CW; Stange KC
[Ad] Endereço:Department of Population and Quantitative Health Sciences, School of Medicine, Case Western Reserve University.
[Ti] Título:Changes in Case-Mix and Health Outcomes of Medicare Fee-for-Service Beneficiaries and Managed Care Enrollees During the Years 1992-2011.
[So] Source:Med Care;56(1):39-46, 2018 Jan.
[Is] ISSN:1537-1948
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Recent studies suggest that managed care enrollees (MCEs) and fee-for-service beneficiaries (FFSBs) have become similar in case-mix over time; but comparisons of health outcomes have yielded mixed results. OBJECTIVE: To examine changes in differentials between MCEs and FFSBs both in case-mix and health outcomes over time. DESIGN: Temporal study of the linked Health and Retirement Study (HRS) and Medicare data, comparing case-mix and health outcomes between MCEs and FFSBs across 3 time periods: 1992-1998, 1999-2004, and 2005-2011. We used multivariable analysis, stratified by, and pooled across the study periods. The unit of analysis was the person-wave (n=167,204). SUBJECTS: HRS participants who were also enrolled in Medicare. MEASURES: Outcome measures included self-reported fair/poor health, 2-year self-rated worse health, and 2-year mortality. Our main covariate was a composite measure of multimorbidity (MM), MM0-MM3, defined as the co-occurrence of chronic conditions, functional limitations, and/or geriatric syndromes. RESULTS: The case-mix differential between MCEs and FFSBs persisted over time. Results from multivariable models on the pooled data and incorporating interaction terms between managed care status and study period indicated that MCEs and FFSBs were as likely to die within 2 years from the HRS interview (P=0.073). This likelihood remained unchanged across the study periods. However, MCEs were more likely than FFSBs to report fair/poor health in the third study period (change in probability for the interaction term: 0.024, P=0.008), but less likely to rate their health worse in the last 2 years, albeit at borderline significance (change in probability: -0.021, P=0.059). CONCLUSIONS: Despite the persistence of selection bias, the differential in self-reported fair/poor status between MCEs and FFSBs seems to be closing over time.
[Mh] Termos MeSH primário: Planos de Pagamento por Serviço Prestado/estatística & dados numéricos
Benefícios do Seguro/estatística & dados numéricos
Programas de Assistência Gerenciada/estatística & dados numéricos
Medicare/estatística & dados numéricos
Avaliação de Resultados da Assistência ao Paciente
[Mh] Termos MeSH secundário: Idoso
Autoavaliação Diagnóstica
Feminino
Seres Humanos
Masculino
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171218
[Lr] Data última revisão:
171218
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171128
[St] Status:MEDLINE
[do] DOI:10.1097/MLR.0000000000000847


  10 / 2070 MEDLINE  
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[PMID]:28973224
[Au] Autor:Insel TR
[Ad] Endereço:Mindstrong Health, Palo Alto, California.
[Ti] Título:Digital Phenotyping: Technology for a New Science of Behavior.
[So] Source:JAMA;318(13):1215-1216, 2017 Oct 03.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Comportamento
Coleta de Dados/métodos
Psiquiatria
Smartphone
[Mh] Termos MeSH secundário: Autoavaliação Diagnóstica
Seres Humanos
Fenótipo
Psiquiatria/tendências
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171004
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2017.11295



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