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[PMID]:29220711
[Au] Autor:Duan Q; Jiao J; Chen X; Wang X
[Ad] Endereço:Department of Medical Imaging, The Affiliated Hospital of Guizhou Medical University, Guiyang, China.
[Ti] Título:Association between water fluoride and the level of children's intelligence: a dose-response meta-analysis.
[So] Source:Public Health;154:87-97, 2018 Jan.
[Is] ISSN:1476-5616
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Higher fluoride concentrations in water have inconsistently been associated with the levels of intelligence in children. The following study summarizes the available evidence regarding the strength of association between fluoridated water and children's intelligence. STUDY DESIGN: Meta-analysis. METHODS: PubMed, Embase, and Cochrane Library databases were systematically analyzed from November 2016. Observational studies that have reported on intelligence levels in relation to high and low water fluoride contents, with 95% confidence intervals (CIs) were included. Further, the results were pooled using inverse variance methods. The correlation between water fluoride concentration and intelligence level was assessed by a dose-response meta-analysis. RESULTS: Twenty-six studies reporting data on 7258 children were included. The summary results indicated that high water fluoride exposure was associated with lower intelligence levels (standardized mean difference : -0.52; 95% CI: -0.62 to -0.42; P < 0.001). The findings from subgroup analyses were consistent with those from overall analysis. The dose-response meta-analysis suggested a significant association between water fluoride dosage and intelligence (P < 0.001), while increased water fluoride exposure was associated with reduced intelligence levels. CONCLUSIONS: Greater exposure to high levels of fluoride in water was significantly associated with reduced levels of intelligence in children. Therefore, water quality and exposure to fluoride in water should be controlled in areas with high fluoride levels in water.
[Mh] Termos MeSH primário: Fluoretação/estatística & dados numéricos
Fluoretos/efeitos adversos
Inteligência
[Mh] Termos MeSH secundário: Criança
Fluoretos/administração & dosagem
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Nm] Nome de substância:
Q80VPU408O (Fluorides)
[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:171209
[St] Status:MEDLINE


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[PMID]:29292326
[Au] Autor:Vishnevetsky A; Mirman J; Bhoopathi V
[Ad] Endereço:Dr. Vishnevetsky was a DMD student at Temple University Maurice H. Kornberg School of Dentistry when this study was conducted and currently is a dental resident at Lehigh Valley Hospital, Allentown, PA; Dr. Mirman was a DMD student at Temple University Maurice H. Kornberg School of Dentistry when this study was conducted and is currently an orthodontic resident there; Dr. Bhoopathi is Assistant Professor, Department of Pediatric Dentistry and Community Oral Health Sciences, Temple University Maurice H. Kornberg School of Dentistry.
[Ti] Título:Effect of Advocacy Training During Dental Education on Pediatric Dentists' Interest in Advocating for Community Water Fluoridation.
[So] Source:J Dent Educ;82(1):54-60, 2018 Jan.
[Is] ISSN:1930-7837
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Dentists, like other health professionals, are uniquely positioned to be public health advocates. One venue where dental students can become skilled public health advocates is in dental education programs. However, debates about the need and importance of integrating advocacy training into dental curricula exist. Therefore, the aim of this study was to assess the association between pediatric dentists' interest in and willingness to participate in an advocacy-related activity and their prior training in advocacy during dental education. The advocacy activity used in the study related to community water fluoridation (CWF). A 22-item pilot-tested online survey was sent in February-May 2016 to 5,394 pediatric dentists who were members of the American Academy of Pediatric Dentistry. The final response rate was 16% (n=830). Most (77%) of the respondents were willing to advocate for CWF initiatives at the community and/or state levels. Only 44% of the respondents reported receiving training in advocacy during their predoctoral dental and/or pediatric dental residency education. The pediatric dentists who were willing to advocate for CWF initiatives had 2.7 times (95% CI: 1.63-4.39, p<0.0001) the odds of having received advocacy training during their dental education compared to those who were unwilling. These results suggest a positive association between the pediatric dentists' willingness to advocate for CWF and their prior advocacy training during dental education. This finding provides support for the Commission on Dental Accreditation's requirement for pediatric dental residency programs to train residents in advocacy. Because dentists are respected leaders in their community, the study results also support the integration of advocacy training into predoctoral dental curricula.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Educação em Odontologia
Fluoretação
Odontopediatria/educação
Papel Profissional
[Mh] Termos MeSH secundário: Adulto
Criança
Currículo
Feminino
Seres Humanos
Masculino
Saúde Bucal
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180112
[Lr] Data última revisão:
180112
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:180103
[St] Status:MEDLINE
[do] DOI:10.21815/JDE.018.008


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[PMID]:29058850
[Au] Autor:Chambers DW
[Ti] Título:The Argument From Perfection.
[So] Source:J Calif Dent Assoc;45(2):65, 2017 02.
[Is] ISSN:1043-2256
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Cárie Dentária/prevenção & controle
Dissidências e Disputas
Fluoretação
Perfeccionismo
[Mh] Termos MeSH secundário: Seres Humanos
Política
Estados Unidos
[Pt] Tipo de publicação:NEWS
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:171024
[St] Status:MEDLINE


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[PMID]:28614533
[Au] Autor:Güzel KGU; Kirzioglu Z; Adiloglu AK; Ertürk MSÖ
[Ad] Endereço:PhD, Assistant Professor, Department of Pediatric Dentistry, Faculty of Dentistry, Adnan Menderes University, Aydin, Turkey.
[Ti] Título:Effect of fluoride on salivary immunoglobulins and sialic acid.
[So] Source:Rev Assoc Med Bras (1992);63(4):320-323, 2017 Apr.
[Is] ISSN:1806-9282
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:Objective:: The aim of our study was to evaluate the effect of fluoride on salivary immunoglobulin and sialic acid levels in children with dental fluorosis and healthy teeth who live in places with high fluoride concentration in drinking water. Method:: Fifty-one (51) healthy children between 6 and 12 years old with no caries were randomly selected from primary schools enrolled in the dental-care program operated by the Department of Pediatric Dentistry. The children were divided into two groups: group I comprised 26 children with dental fluorosis [Thylstrup-Fejerskov Dental Fluorosis Index (TFI) = 4] who lived in Isparta (2.7-2.8 ppm), and group II consisted of 25 children without dental fluorosis who were born in low-fluoride areas and had lived in Isparta for only the previous two years. Stimulated and unstimulated saliva were collected and analyzed for fluoride, salivary immunoglobulins and sialic acid levels. Results:: Sialic acid level was correlated negatively with age. Levels of secretory immunoglobulin A (sIgA) and secretory immunoglobulin G (sIgG) were higher in children with dental fluorosis compared with those in group II, although these differences were not significant. Conclusion:: Increased sIgA and sIgG levels may arrest the progression of caries in subjects with dental fluorosis. Given the risks of dental fluorosis, further studies of the effects of different fluoride levels in drinking water on salivary composition of children with mixed dentition are needed to confirm the results of our study and to provide data for comparison.
[Mh] Termos MeSH primário: Cariostáticos/farmacologia
Fluoretos/farmacologia
Fluorose Dentária/fisiopatologia
Imunoglobulina A Secretora/efeitos dos fármacos
Imunoglobulina G/efeitos dos fármacos
Ácido N-Acetilneuramínico/análise
Saliva/efeitos dos fármacos
[Mh] Termos MeSH secundário: Cariostáticos/química
Estudos de Casos e Controles
Criança
Água Potável/química
Ensaio de Imunoadsorção Enzimática
Feminino
Fluoretação/efeitos adversos
Fluoretos/química
Fluorose Dentária/etiologia
Seres Humanos
Imunoglobulina A Secretora/análise
Imunoglobulina G/análise
Masculino
Valores de Referência
Fatores de Risco
Saliva/química
Fatores Sexuais
Estatísticas não Paramétricas
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Cariostatic Agents); 0 (Drinking Water); 0 (Immunoglobulin A, Secretory); 0 (Immunoglobulin G); GZP2782OP0 (N-Acetylneuraminic Acid); Q80VPU408O (Fluorides)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170929
[Lr] Data última revisão:
170929
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170615
[St] Status:MEDLINE


  5 / 4959 MEDLINE  
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Texto completo SciELO Saúde Pública
[PMID]:28513762
[Au] Autor:Frazão P; Narvai PC
[Ad] Endereço:Departamento de Política, Gestão e Saúde. Faculdade de Saúde Pública. Universidade de São Paulo. São Paulo, SP, Brasil.
[Ti] Título:Water fluoridation in Brazilian cities at the first decade of the 21st century.
[So] Source:Rev Saude Publica;51(0):47, 2017 May 15.
[Is] ISSN:1518-8787
[Cp] País de publicação:Brazil
[La] Idioma:eng; por
[Ab] Resumo:OBJECTIVE: To assess the coverage of the fluoridation of the public water supply in Brazilian municipalities at the first decade of the 21st century, according to population size and municipal human development index (MHDI). METHODS: We have used data produced by national information agencies and the United Nations Development Programme. Population size was separated into < 10,000, 10,000-50,000, and > 50,000 inhabitants. The MHDI was classified into < 0.600, 0.600-0.699, 0.700-0.799, and > 0.799. Absolute and relative inequalities between categories were evaluated using indicators of effect and total impact. RESULTS: We have obtained information for 5,558 municipalities. The coverage rate of water fluoridation increased from 67.7% to 76.3%. Approximately 884 (15.9%) municipalities and 29,600,000 inhabitants started being benefited by the measure. We have observed a significant expansion in municipalities with < 10,000 inhabitants (increase of 21.0 percentage points) and low or very low MHDI (17.7 percentage points). CONCLUSIONS: Population coverage of the public policy has increased 8.6%, and we can also see significant reductions in absolute and relative inequality according to population size and MHDI. Regarding municipal coverage rate, there was also a reduction in inequality in all comparisons except for absolute inequality between the categories of MHDI. The public policy has operated as a factor of health protection in the context of the ongoing social protection policies in the country. OBJETIVO: Avaliar a cobertura da fluoretação da água de abastecimento público em municípios brasileiros na primeira década do século XXI, segundo porte demográfico e nível de desenvolvimento humano municipal (IDH-M). MÉTODOS: Foram utilizados dados produzidos por agências nacionais de informação e pelo Programa das Nações Unidas para o Desenvolvimento. O porte demográfico foi separado em < 10 mil; 10-50 mil; > 50 mil habitantes. O IDH-M foi classificado em < 0,600; 0,600-0,699; 0,700-0,799; > 0,799. As desigualdades absoluta e relativa entre as categorias foram avaliadas por meio de indicadores de efeito e de impacto total. RESULTADOS: Foram obtidas informações para 5.558 municípios. A taxa de cobertura da fluoretação da água aumentou de 67,7% para 76,3%. Passaram a ser beneficiados pela medida 884 (15,9%) municípios, e 29,6 milhões de habitantes. Observou-se ampliação expressiva em municípios com < 10 mil habitantes (aumento de 21,0 pontos percentuais) e com IDH-M baixo ou muito baixo (17,7 pontos percentuais). CONCLUSÕES: A cobertura populacional da política pública aumentou 8,6%, sendo expressivas as reduções das desigualdades absoluta e relativa segundo o porte demográfico e o IDH-M. Quanto à taxa de cobertura municipal, houve também redução da desigualdade em todas as comparações com exceção da desigualdade absoluta entre as categorias de IDH-M. A política pública operou como fator de proteção sanitária no contexto das políticas de proteção social em curso no país.
[Mh] Termos MeSH primário: Cidades/estatística & dados numéricos
Fluoretação/estatística & dados numéricos
Densidade Demográfica
[Mh] Termos MeSH secundário: Brasil
Fluoretação/tendências
História do Século XXI
Seres Humanos
Política Pública/tendências
Valores de Referência
Fatores Socioeconômicos
[Pt] Tipo de publicação:HISTORICAL ARTICLE; JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170628
[Lr] Data última revisão:
170628
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170518
[St] Status:MEDLINE


  6 / 4959 MEDLINE  
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[PMID]:28496234
[Au] Autor:Hull and the East Riding of Yorkshire LDC
[Ti] Título:Water fluoridation: It really is this simple.
[So] Source:Br Dent J;222(9):644, 2017 05 12.
[Is] ISSN:1476-5373
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Cárie Dentária
Fluoretação
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171106
[Lr] Data última revisão:
171106
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:170513
[St] Status:MEDLINE
[do] DOI:10.1038/sj.bdj.2017.383


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[PMID]:28493183
[Au] Autor:Martignon S; Opazo-Gutiérrez MO; Velásquez-Riaño M; Orjuela-Osorio IR; Avila V; Martinez-Mier EA; González-Carrera MC; Ruiz-Carrizosa JA; Silva-Hermida BC
[Ad] Endereço:UNICA - Caries Research Unit, Research Vice-rectory, Universidad El Bosque, Av. Cra. 9 No. 131A-02, Edificio Fundadores, 2° piso, Bogotá, 110121, Colombia. martignonstefania@unbosque.edu.co.
[Ti] Título:Geochemical characterization of fluoride in water, table salt, active sediment, rock and soil samples, and its possible relationship with the prevalence of enamel fluorosis in children in four municipalities of the department of Huila (Colombia).
[So] Source:Environ Monit Assess;189(6):264, 2017 Jun.
[Is] ISSN:1573-2959
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Fluoride is an element that affects teeth and bone formation in animals and humans. Though the use of systemic fluoride is an evidence-based caries preventive measure, excessive ingestion can impair tooth development, mainly the mineralization of tooth enamel, leading to a condition known as enamel fluorosis. In this study, we investigated the geochemical characterization of fluoride in water, table salt, active sediment, rock and soil samples in four endemic enamel fluorosis sentinel municipalities of the department of Huila, Colombia (Pitalito, Altamira, El Agrado and Rivera), and its possible relationship with the prevalence of enamel fluorosis in children. The concentration of fluoride in drinking water, table salt, active sediment, rock, and soil was evaluated by means of an ion selective electrode and the geochemical analyses were performed using X-ray fluorescence. Geochemical analysis revealed fluoride concentrations under 15 mg/kg in active sediment, rock and soil samples, not indicative of a significant delivery to the watersheds studied. The concentration of fluoride in table salt was found to be under the inferior limit (less than 180 µg/g) established by the Colombian regulations. Likewise, exposure doses for fluoride water intake did not exceed the recommended total dose for all ages from 6 months. Although the evidence does not point out at rocks, soils, fluoride-bearing minerals, fluoridated salt and water, the hypothesis of these elements as responsible of the current prevalence of enamel fluorosis cannot be discarded since, aqueducts might have undergone significant changes overtime.
[Mh] Termos MeSH primário: Exposição Ambiental/análise
Poluentes Ambientais/análise
Fluoretos/análise
Fluorose Dentária/epidemiologia
Cloreto de Sódio na Dieta/análise
[Mh] Termos MeSH secundário: Animais
Criança
Cidades
Colômbia/epidemiologia
Esmalte Dentário
Exposição Ambiental/estatística & dados numéricos
Monitoramento Ambiental
Fluoretação
Seres Humanos
Fosfatos
Prevalência
Solo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Environmental Pollutants); 0 (Phosphates); 0 (Sodium Chloride, Dietary); 0 (Soil); 15181-43-8 (fluorophosphate); Q80VPU408O (Fluorides)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170512
[St] Status:MEDLINE
[do] DOI:10.1007/s10661-017-5975-6


  8 / 4959 MEDLINE  
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[PMID]:28428600
[Au] Autor:Beal JF; Lennon M
[Ti] Título:Water fluoridation: There is no evidence.
[So] Source:Br Dent J;222(8):564, 2017 04 21.
[Is] ISSN:1476-5373
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Cárie Dentária
Fluoretação
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171106
[Lr] Data última revisão:
171106
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:170422
[St] Status:MEDLINE
[do] DOI:10.1038/sj.bdj.2017.338


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[PMID]:28404475
[Au] Autor:McLaren L; Patterson S; Thawer S; Faris P; McNeil D; Potestio ML; Shwart L
[Ad] Endereço:Department of Community Health Sciences and O'Brien Institute for Public Health, University of Calgary, 3280 Hospital Dr. NW, Calgary, Alberta, T2N 4Z6, Canada. Electronic address: lmclaren@ucalgary.ca.
[Ti] Título:Exploring the short-term impact of community water fluoridation cessation on children's dental caries: a natural experiment in Alberta, Canada.
[So] Source:Public Health;146:56-64, 2017 May.
[Is] ISSN:1476-5616
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Dental caries (tooth decay) is common and can be serious. Dental caries is preventable, and community water fluoridation is one means of prevention. There is limited current research on the implications of fluoridation cessation for children's dental caries. Our objective was to explore the short-term impact of community water fluoridation cessation on children's dental caries, by examining change in caries experience in population-based samples of schoolchildren in two Canadian cities, one that discontinued community water fluoridation and one that retained it. STUDY DESIGN: We used a pre-post cross-sectional design. METHODS: We examined dental caries indices (deft [number of decayed, extracted, or filled primary teeth] and DMFT [number of decayed, missing, or filled permanent teeth]) among grade 2 schoolchildren in 2004/05 and 2013/14 in two similar cities in the province of Alberta, Canada: Calgary (cessation of community water fluoridation in 2011) and Edmonton (still fluoridated). We compared change over time in the two cities. For Calgary only, we had a third data point from 2009/10, and we considered trends across the three points. RESULTS: We observed a worsening in primary tooth caries (deft) in Calgary and Edmonton, but changes in Edmonton were less consistent and smaller. This effect was robust to adjustment for covariates available in 2013/14 and was consistent with estimates of total fluoride intake from biomarkers from a subsample. This finding occurred despite indication that treatment activities appeared better in Calgary. The worsening was not observed for permanent teeth. For prevalence estimates only (% with >0 deft or DMFT), the three data points in Calgary suggest a trend that, though small, appears consistent with an adverse effect of fluoridation cessation. CONCLUSIONS: Our results suggest an increase in dental caries in primary teeth during a time period when community fluoridation was ceased. That we did not observe a worsening for permanent teeth in the comparative analysis could reflect the limited time since cessation. It is imperative that efforts to monitor these trends continue.
[Mh] Termos MeSH primário: Cárie Dentária/epidemiologia
Fluoretação/estatística & dados numéricos
Distribuição Espacial da População
[Mh] Termos MeSH secundário: Alberta/epidemiologia
Criança
Cidades
Estudos Transversais
Seres Humanos
Prevalência
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170808
[Lr] Data última revisão:
170808
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170414
[St] Status:MEDLINE


  10 / 4959 MEDLINE  
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[PMID]:28399864
[Au] Autor:John JR; Mannan H; Nargundkar S; D'Souza M; Do LG; Arora A
[Ad] Endereço:School of Science and Health, Western Sydney University, Campbelltown, NSW, Australia.
[Ti] Título:Predictors of dental visits among primary school children in the rural Australian community of Lithgow.
[So] Source:BMC Health Serv Res;17(1):264, 2017 Apr 11.
[Is] ISSN:1472-6963
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Regular dental attendance is significant in maintaining and improving children's oral health and well-being. This study aims to determine the factors that predict and influence dental visits in primary school children residing in the rural community of Lithgow, New South Wales (NSW), Australia. METHODS: All six primary schools of Lithgow were approached to participate in a cross-sectional survey prior to implementing water fluoridation in 2014. Children aged 6-13 years (n = 667) were clinically examined for their oral health status and parents were requested to complete a questionnaire on fluoride history, diet, last dental visit, and socio-demographic characteristics. Multiple logistic regression analyses were employed to examine the independent predictors of a 6-monthly and a yearly dental visit. RESULTS: Overall, 53% of children visited a dentist within six months and 77% within twelve months. In multiple logistic regression analyses, age of the child and private health insurance coverage were significantly associated with both 6-monthly and twelve-month dental visits. In addition, each serve of chocolate consumption was significantly associated with a 27% higher odds (OR = 1.27, 95% CI: 1.05-1.54) of a 6-monthly dental visit. CONCLUSION: It is imperative that the socio-demographic and dietary factors that influence child oral health must be effectively addressed when developing the oral health promotion policies to ensure better oral health outcomes.
[Mh] Termos MeSH primário: Assistência Odontológica/utilização
Cárie Dentária/terapia
Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Criança
Estudos Transversais
Índice CPO
Demografia
Odontólogos/estatística & dados numéricos
Dieta Cariogênica/efeitos adversos
Feminino
Fluoretação/estatística & dados numéricos
Promoção da Saúde/estatística & dados numéricos
Seres Humanos
Masculino
New South Wales
Pais
Saúde da População Rural/estatística & dados numéricos
Instituições Acadêmicas/estatística & dados numéricos
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170822
[Lr] Data última revisão:
170822
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170413
[St] Status:MEDLINE
[do] DOI:10.1186/s12913-017-2232-1



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