Base de dados : MEDLINE
Pesquisa : E05.318.308 [Categoria DeCS]
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  1 / 81381 MEDLINE  
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[PMID]:29437644
[Au] Autor:Sun X; Tan J; Tang L; Guo JJ; Li X
[Ad] Endereço:Chinese Evidence-based Medicine Centre and CREAT Group, State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China sunx79@hotmail.com.
[Ti] Título:Real world evidence: experience and lessons from China.
[So] Source:BMJ;360:j5262, 2018 02 05.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Coleta de Dados/métodos
Medicina Baseada em Evidências
Melhoria de Qualidade
[Mh] Termos MeSH secundário: China
Seres Humanos
Projetos de Pesquisa
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180214
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.j5262


  2 / 81381 MEDLINE  
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[PMID]:29258497
[Au] Autor:Granroth-Wilding H; Primmer C; Lindqvist M; Poutanen J; Thalmann O; Aspi J; Harmoinen J; Kojola I; Laaksonen T
[Ad] Endereço:Department of Biology, University of Turku, Turku, Finland. hanna@granroth-wilding.co.uk.
[Ti] Título:Non-invasive genetic monitoring involving citizen science enables reconstruction of current pack dynamics in a re-establishing wolf population.
[So] Source:BMC Ecol;17(1):44, 2017 Dec 19.
[Is] ISSN:1472-6785
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Carnivores are re-establishing in many human-populated areas, where their presence is often contentious. Reaching consensus on management decisions is often hampered by a dispute over the size of the local carnivore population. Understanding the reproductive dynamics and individual movements of the carnivores can provide support for management decisions, but individual-level information can be difficult to obtain from elusive, wide-ranging species. Non-invasive genetic sampling can yield such information, but makes subsequent reconstruction of population history challenging due to incomplete population coverage and error-prone data. Here, we combine a collaborative, volunteer-based sampling scheme with Bayesian pedigree reconstruction to describe the pack dynamics of an establishing grey wolf (Canis lupus) population in south-west Finland, where wolf breeding was recorded in 2006 for the first time in over a century. RESULTS: Using DNA extracted mainly from faeces collected since 2008, we identified 81 individual wolves and assigned credible full parentages to 70 of these and partial parentages to a further 9, revealing 7 breeding pairs. Individuals used a range of strategies to obtain breeding opportunities, including dispersal to established or new packs, long-distance migration and inheriting breeding roles. Gene flow occurred between all packs but inbreeding events were rare. CONCLUSIONS: These findings demonstrate that characterizing ongoing pack dynamics can provide detailed, locally-relevant insight into the ecology of contentious species such as the wolf. Involving various stakeholders in data collection makes these results more likely to be accepted as unbiased and hence reliable grounds for management decisions.
[Mh] Termos MeSH primário: Conservação dos Recursos Naturais
Fluxo Gênico
Lobos/fisiologia
[Mh] Termos MeSH secundário: Animais
Teorema de Bayes
Coleta de Dados
Feminino
Finlândia
Masculino
Linhagem
Dinâmica Populacional
Lobos/genética
[Pt] Tipo de publicação:JOURNAL ARTICLE
[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:171221
[St] Status:MEDLINE
[do] DOI:10.1186/s12898-017-0154-8


  3 / 81381 MEDLINE  
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[PMID]:28453387
[Au] Autor:Cahill SR; Makadon HJ
[Ad] Endereço:1 Health Policy Research, The Fenway Institute , Fenway Health, Boston, Massachusetts.
[Ti] Título:If They Don't Count Us, We Don't Count: Trump Administration Rolls Back Sexual Orientation and Gender Identity Data Collection.
[So] Source:LGBT Health;4(3):171-173, 2017 Jun.
[Is] ISSN:2325-8306
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The Trump Administration recently removed sexual orientation and gender identity (SOGI) questions from a national aging survey, and decided not to add a sexual orientation category and a transgender identity field to a national disability survey as planned. These actions have raised concerns that the major expansion of SOGI data collection on surveys and in clinical settings, which has occurred in recent years, may be under threat. SOGI data collection is essential to understand lesbian, gay, bisexual, and transgender (LGBT) health and the extent to which LGBT people access critical social services, including elder and disability services essential for living in community.
[Mh] Termos MeSH primário: Coleta de Dados
Identidade de Gênero
Comportamento Sexual
Minorias Sexuais e de Gênero/estatística & dados numéricos
[Mh] Termos MeSH secundário: Envelhecimento
Coleta de Dados/legislação & jurisprudência
Seres Humanos
Inquéritos e Questionários
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[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:170429
[St] Status:MEDLINE
[do] DOI:10.1089/lgbt.2017.0073


  4 / 81381 MEDLINE  
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[PMID]:29258975
[Au] Autor:Keller MS; Park HJ; Cunningham ME; Fouladian JE; Chen M; Spiegel BMR
[Ad] Endereço:Cedars-Sinai Center for Outcomes Research and Education, Cedars-Sinai Medical Center, Los Angeles, CA, United States.
[Ti] Título:Public Perceptions Regarding Use of Virtual Reality in Health Care: A Social Media Content Analysis Using Facebook.
[So] Source:J Med Internet Res;19(12):e419, 2017 Dec 19.
[Is] ISSN:1438-8871
[Cp] País de publicação:Canada
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Virtual reality (VR) technology provides an immersive environment that enables users to have modified experiences of reality. VR is increasingly used to manage patients with pain, disability, obesity, neurologic dysfunction, anxiety, and depression. However, public opinion regarding the use of VR in health care has not been explored. Understanding public opinion of VR is critical to ensuring effective implementation of this emerging technology. OBJECTIVE: This study aimed to examine public opinion about health care VR using social listening, a method that allows for the exploration of unfiltered views of topics discussed on social media and online forums. METHODS: In March 2016, NBC News produced a video depicting the use of VR for patient care. The video was repackaged by NowThis, a social media news website, and distributed on Facebook by Upworthy, a news aggregator, yielding 4.3 million views and 2401 comments. We used Microsoft Excel Power Query and ATLAS.ti software (version 7.5, Scientific Software Development) to analyze the comments using content analysis and categorized the comments around first-, second-, and third-order concepts. We determined self-identified gender from the user's Facebook page and performed sentiment analysis of the language to analyze whether the perception of VR differed by gender using a Pearson's chi-square test. RESULTS: Out of the 1614 analyzable comments, 1021 (63.26%) were attributed to female Facebook users, 572 (35.44%) to male users, and 21 (1.30%) to users of unknown gender. There were 1197 comments coded as expressing a positive perception about VR (74.16%), 251 coded as expressing a negative perception and/or concern (15.56%), and 560 coded as neutral (34.70%). Informants identified 20 use cases for VR in health care, including the use of VR for pain and stress reduction; bed-bound individuals; women during labor; and patients undergoing chemotherapy, dialysis, radiation, or imaging procedures. Negative comments expressed concerns about radiation, infection risk, motion sickness, and the ubiquity of and overall dependence on technology. There was a statistically significant association between the language valence of the Facebook post and the gender of the Facebook user; men were more likely to post negative perceptions about the use of VR for health care, whereas women were more likely to post positive perceptions (P<.001). CONCLUSIONS: Most informants expressed positive perceptions about the use of VR in a wide range of health care settings. However, many expressed concerns that should be acknowledged and addressed as health care VR continues to evolve. Our results provide guidance in determining where further research on the use of VR in patient care is needed, and offer a formal opportunity for public opinion to shape the VR research agenda.
[Mh] Termos MeSH primário: Coleta de Dados/métodos
Mídias Sociais/utilização
Realidade Virtual
[Mh] Termos MeSH secundário: Assistência à Saúde
Feminino
Seres Humanos
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171221
[St] Status:MEDLINE
[do] DOI:10.2196/jmir.7467


  5 / 81381 MEDLINE  
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[PMID]:28463151
[Au] Autor:O'Callaghan ME; Raymond E; Campbell JM; Vincent AD; Beckmann K; Roder D; Evans S; McNeil J; Millar J; Zalcberg J; Borg M; Moretti K
[Ad] Endereço:South Australian Prostate Cancer Clinical Outcomes Collaborative; Freemasons Foundation Centre for Men's Health, University of Adelaide; Urology Unit, Repatriation General Hospital, SA Health; Flinders Centre for Innovation in Cancer. Electronic address: elspeth.raymond@health.sa.gov.au.
[Ti] Título:Patient-Reported Outcomes After Radiation Therapy in Men With Prostate Cancer: A Systematic Review of Prognostic Tool Accuracy and Validity.
[So] Source:Int J Radiat Oncol Biol Phys;98(2):318-337, 2017 06 01.
[Is] ISSN:1879-355X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To identify, through a systematic review, all validated tools used for the prediction of patient-reported outcome measures (PROMs) in patients being treated with radiation therapy for prostate cancer, and provide a comparative summary of accuracy and generalizability. METHODS AND MATERIALS: PubMed and EMBASE were searched from July 2007. Title/abstract screening, full text review, and critical appraisal were undertaken by 2 reviewers, whereas data extraction was performed by a single reviewer. Eligible articles had to provide a summary measure of accuracy and undertake internal or external validation. Tools were recommended for clinical implementation if they had been externally validated and found to have accuracy ≥70%. RESULTS: The search strategy identified 3839 potential studies, of which 236 progressed to full text review and 22 were included. From these studies, 50 tools predicted gastrointestinal/rectal symptoms, 29 tools predicted genitourinary symptoms, 4 tools predicted erectile dysfunction, and no tools predicted quality of life. For patients treated with external beam radiation therapy, 3 tools could be recommended for the prediction of rectal toxicity, gastrointestinal toxicity, and erectile dysfunction. For patients treated with brachytherapy, 2 tools could be recommended for the prediction of urinary retention and erectile dysfunction. CONCLUSIONS: A large number of tools for the prediction of PROMs in prostate cancer patients treated with radiation therapy have been developed. Only a small minority are accurate and have been shown to be generalizable through external validation. This review provides an accessible catalogue of tools that are ready for clinical implementation as well as which should be prioritized for validation.
[Mh] Termos MeSH primário: Disfunção Erétil/etiologia
Gastroenteropatias/etiologia
Medidas de Resultados Relatados pelo Paciente
Neoplasias da Próstata/radioterapia
Retenção Urinária/etiologia
[Mh] Termos MeSH secundário: Idoso
Braquiterapia/efeitos adversos
Coleta de Dados/métodos
Seres Humanos
Masculino
Prognóstico
Estudos Prospectivos
Neoplasias da Próstata/patologia
Qualidade de Vida
Reprodutibilidade dos Testes
Estudos Retrospectivos
Transtornos Urinários/etiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1707
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170503
[St] Status:MEDLINE


  6 / 81381 MEDLINE  
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[PMID]:29222180
[Au] Autor:Montori VM
[Ad] Endereço:Mayo Clinic, Rochester, MN, USA.
[Ti] Título:Big Science for patient centred care.
[So] Source:BMJ;359:j5600, 2017 12 08.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Pesquisa Biomédica/métodos
Assistência Centrada no Paciente
[Mh] Termos MeSH secundário: Coleta de Dados/métodos
Seres Humanos
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180222
[Lr] Data última revisão:
180222
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171210
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.j5600


  7 / 81381 MEDLINE  
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[PMID]:29381730
[Au] Autor:Biervoye A; Meert G; Apperly IA; Samson D
[Ad] Endereço:Psychological Sciences Research Institute, Université catholique de Louvain, Louvain-la Neuve, Belgium.
[Ti] Título:Assessing the integrity of the cognitive processes involved in belief reasoning by means of two nonverbal tasks: Rationale, normative data collection and illustration with brain-damaged patients.
[So] Source:PLoS One;13(1):e0190295, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Every day, we engage in social interactions with other people which require understanding their as well as our own mental states. Such capacity is commonly referred to as Theory of Mind (ToM). Disturbances of ToM are often reported in diverse pathologies which affect brain functioning and lead to problems in social interactions. Identifying ToM deficits is thus crucial to guide the clinicians in the establishment of adequate rehabilitation strategies for patients. Previous studies have demonstrated that ToM is not a unitary function yet currently there are very few standardized tests which allow identifying the type of cognitive processes affected when a patient exhibits a ToM deficit. In the current study, we present two belief reasoning tasks which have been used in previous research to disentangle two types of processes involved in belief reasoning: self-perspective inhibition and the spontaneous inference of another person's belief. A three-step procedure was developed to provide clinicians with the tools to interpret the patients' performances on the tasks. First, these tasks were standardized and normative data was collected on a sample of 124 healthy participants aged between 18 and 74. Data collected showed a decrease in performance as a function of age only in the task that loaded most in spontaneous other-perspective demands. There was however no effect of gender or educational level. Cut-off scores to identify deficits were then calculated for the different age groups separately. Secondly, the three-step procedure was applied to 21 brain-damaged patients and showed a large diversity of profiles, including selective deficits of the two targeted ToM processes. The diversity of profiles shows the importance to take into account the multiple facets of ToM during the diagnosis and rehabilitation of patients with suspected ToM deficits.
[Mh] Termos MeSH primário: Lesões Encefálicas/fisiopatologia
Transtornos Cognitivos/fisiopatologia
Cognição
Análise e Desempenho de Tarefas
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Lesões Encefálicas/complicações
Transtornos Cognitivos/complicações
Coleta de Dados
Feminino
Seres Humanos
Masculino
Meia-Idade
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180221
[Lr] Data última revisão:
180221
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180131
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0190295


  8 / 81381 MEDLINE  
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[PMID]:29315317
[Au] Autor:Marshall HH; Griffiths DJ; Mwanguhya F; Businge R; Griffiths AGF; Kyabulima S; Mwesige K; Sanderson JL; Thompson FJ; Vitikainen EIK; Cant MA
[Ad] Endereço:Centre for Ecology and Conservation, University of Exeter, Penryn Campus, Cornwall, United Kingdom.
[Ti] Título:Data collection and storage in long-term ecological and evolutionary studies: The Mongoose 2000 system.
[So] Source:PLoS One;13(1):e0190740, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Studying ecological and evolutionary processes in the natural world often requires research projects to follow multiple individuals in the wild over many years. These projects have provided significant advances but may also be hampered by needing to accurately and efficiently collect and store multiple streams of the data from multiple individuals concurrently. The increase in the availability and sophistication of portable computers (smartphones and tablets) and the applications that run on them has the potential to address many of these data collection and storage issues. In this paper we describe the challenges faced by one such long-term, individual-based research project: the Banded Mongoose Research Project in Uganda. We describe a system we have developed called Mongoose 2000 that utilises the potential of apps and portable computers to meet these challenges. We discuss the benefits and limitations of employing such a system in a long-term research project. The app and source code for the Mongoose 2000 system are freely available and we detail how it might be used to aid data collection and storage in other long-term individual-based projects.
[Mh] Termos MeSH primário: Evolução Biológica
Ecossistema
Monitoramento Ambiental/métodos
[Mh] Termos MeSH secundário: Animais
Computadores
Coleta de Dados
Bases de Dados Factuais
Feminino
Herpestidae
Seres Humanos
Masculino
Gravidez
Smartphone
Uganda
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180221
[Lr] Data última revisão:
180221
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180110
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0190740


  9 / 81381 MEDLINE  
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[PMID]:29324851
[Au] Autor:Hoa NT; Tam NM; Peersman W; Derese A; Markuns JF
[Ad] Endereço:Department of Family Medicine, Hue University of Medicine and Pharmacy, Hue University, Hue, Vietnam.
[Ti] Título:Development and validation of the Vietnamese primary care assessment tool.
[So] Source:PLoS One;13(1):e0191181, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To adapt the consumer version of the Primary Care Assessment Tool (PCAT) for Vietnam and determine its internal consistency and validity. DESIGN: A quantitative cross sectional study. SETTING: 56 communes in 3 representative provinces of central Vietnam. PARTICIPANTS: Total of 3289 people who used health care services at health facility at least once over the past two years. RESULTS: The Vietnamese adult expanded consumer version of the PCAT (VN PCAT-AE) is an instrument for evaluation of primary care in Vietnam with 70 items comprising six scales representing four core primary care domains, and three additional scales representing three derivative domains. Sixteen other items from the original tool were not included in the final instrument, due to problems with missing values, floor or ceiling effects, and item-total correlations. All the retained scales have a Cronbach's alpha above 0.70 except for the subscale of Family Centeredness. CONCLUSIONS: The VN PCAT-AE demonstrates adequate internal consistency and validity to be used as an effective tool for measuring the quality of primary care in Vietnam from the consumer perspective. Additional work in the future to optimize valid measurement in all domains consistent with the original version of the tool may be helpful as the primary care system in Vietnam further develops.
[Mh] Termos MeSH primário: Atenção Primária à Saúde
Qualidade da Assistência à Saúde
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Estudos Transversais
Coleta de Dados
Feminino
Seres Humanos
Masculino
Meia-Idade
Satisfação do Paciente/estatística & dados numéricos
Atenção Primária à Saúde/normas
Atenção Primária à Saúde/estatística & dados numéricos
Qualidade da Assistência à Saúde/normas
Qualidade da Assistência à Saúde/estatística & dados numéricos
Inquéritos e Questionários
Tradução
Vietnã
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T; VALIDATION STUDIES
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180112
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0191181


  10 / 81381 MEDLINE  
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[PMID]:29415670
[Au] Autor:Owsley C; McGwin G; Antin JF; Wood JM; Elgin J
[Ad] Endereço:Department of Ophthalmology, School of Medicine, University of Alabama at Birmingham, Birmingham, AL, 35294-0009, USA. owsley@uab.edu.
[Ti] Título:The Alabama VIP older driver study rationale and design: examining the relationship between vision impairment and driving using naturalistic driving techniques.
[So] Source:BMC Ophthalmol;18(1):32, 2018 Feb 07.
[Is] ISSN:1471-2415
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Older drivers aged ≥70 years old have among the highest rates of motor vehicle collisions (MVC) compared to other age groups. Driving is a highly visual task, and older adults have a high prevalence of vision impairment compared to other ages. Most studies addressing visual risk factors for MVCs by older drivers utilize vehicle accident reports as the primary outcome, an approach with several methodological limitations. Naturalistic driving research methods overcome these challenges and involve installing a high-tech, unobtrusive data acquisition system (DAS) in an older driver's own vehicle. The DAS continuously records multi-channel video of driver and roadway, sensor-based kinematics, GPS location, and presence of nearby objects in front of the vehicle, providing an objective measure of driving exposure. In this naturalistic driving study, the purpose is to examine the relationship between vision and crashes and near-crashes, lane-keeping, turning at intersections, driving performance during secondary tasks demands, and the role of front-seat passengers. An additional aim is to compare results of the on-road driving evaluation by a certified driving rehabilitation specialist to objective indicators of driving performance derived from the naturalistic data. METHODS: Drivers ≥70 years old are recruited from ophthalmology clinics and a previous population-based study of older drivers, with the goal of recruiting persons with wide ranging visual function. Target samples size is 195 drivers. At a baseline visit, the DAS is installed in the participant's vehicle and a battery of health and functional assessments are administered to the driver including visual-sensory and visual-cognitive tests. The DAS remains installed in the vehicle for six months while the participant goes about his/her normal driving with no imposed study restrictions. After six months, the driver returns for DAS de-installation, repeat vision testing, and an on-road driving evaluation by a certified driving rehabilitation specialist (CDRS). The data streams recorded by the DAS are uploaded to the data coordinating center for analysis. DISCUSSION: The Alabama VIP Older Driver Study is the first naturalistic older driver study specifically focused on the enrollment of drivers with vision impairment in order to study the relationship between visual dysfunction and driver safety and performance.
[Mh] Termos MeSH primário: Acidentes de Trânsito/prevenção & controle
Condução de Veículo/psicologia
Projetos de Pesquisa
Pessoas com Deficiência Visual/psicologia
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Alabama
Atenção/fisiologia
Coleta de Dados
Feminino
Seres Humanos
Masculino
Estudos Prospectivos
Seleção Visual
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180216
[Lr] Data última revisão:
180216
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180209
[St] Status:MEDLINE
[do] DOI:10.1186/s12886-018-0686-5



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