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[PMID]:29430911
[Au] Autor:Elpiner LI
[Ti] Título:[Medical hydrogeology is an independent interdisciplinary branch of the science about groundwater].
[So] Source:Gig Sanit;95(9):800-5, 2016.
[Is] ISSN:0016-9900
[Cp] País de publicação:Russia (Federation)
[La] Idioma:rus
[Ab] Resumo:The use of groundwater in population water supply systems gains more and more importance because of increasing degradation of the quality of surface water sources. At the same time there are changed concepts on ubiquitous high quality of groundwater. The executed analysis offoreign and domestic literature allowed authors to determine the character and causes of negative changes in the composition of groundwater. In the large body of investigations there were established cause-and-effect relationships between a number of noninfectious (including cardiovascular and cancer) and infectious diseases and anthropogenic pollution and the natural composition of groundwater. In the article there is substantiated the formation of a new interdisciplinary scientific direction - medical hydrogeology. On the basis of current data on the medical and ecological significance of the quality, quantity and regime of the groundwater, geological conditions of the shaping of their composition, there was shown the need of the consideration of the hydrological situation in making water supply management solutions safe for the health of the population. In this regard, there were considered the interrelationship and interdependence of allied disciplines - hygiene, ecological toxicology and epidemiology, hydrogeochemistry, hydrogeology. There was pointed the importance of the acquisition of based on hydrogeology medical specialists of the water supply profile for sharing with hygienists of the effective solution of tasks of the management of groundwater sources.
[Mh] Termos MeSH primário: Poluição Ambiental/prevenção & controle
Abastecimento de Água
[Mh] Termos MeSH secundário: Monitoramento Ambiental/métodos
Monitoramento Ambiental/normas
Água Subterrânea/análise
Água Subterrânea/normas
Seres Humanos
Comunicação Interdisciplinar
Saúde Pública/métodos
Federação Russa/epidemiologia
Qualidade da Água/normas
Abastecimento de Água/métodos
Abastecimento de Água/normas
Abastecimento de Água/estatística & dados numéricos
[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:180213
[St] Status:MEDLINE


  2 / 14568 MEDLINE  
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[PMID]:29215420
[Au] Autor:Catlin A
[Ad] Endereço:Anita Catlin is Manager, Research and Redesign, Kaiser Santa Rosa, and Consultant, Ethics Committee, Santa Rosa, CA. The author can be reached via e-mail at acatlin@napanet.net.
[Ti] Título:Interdisciplinary Guidelines for Care of Women Presenting to the Emergency Department With Pregnancy Loss.
[So] Source:MCN Am J Matern Child Nurs;43(1):13-18, 2018 Jan/Feb.
[Is] ISSN:1539-0683
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In April 2016, the National Perinatal Association and Kaiser Permanente Northern California Nursing Research Community Benefits Grant sponsored an interdisciplinary summit to explore the needs of women who present with actual or potential pregnancy loss to the emergency department (ED). Thirty-two experts in the field of pregnancy loss, 17 of whom represented their professional organizations, participated. These experts, which included nurses, physicians, social workers, counselors, authors, and parents, worked together to create guidelines for care of women with a pregnancy loss in the ED. Recommendations for ED healthcare providers are included. Emergency department personnel agreed that improvements in care could be offered and were willing to endorse education for their staff. The guidelines delineate how to better provide physical, emotional, and bereavement support at any stage of gestational loss. Administrative support for policies in the ED is essential to ensure the delivery of family-centered, culturally sensitive practices when a pregnancy ends.
[Mh] Termos MeSH primário: Aborto Espontâneo/psicologia
Aborto Espontâneo/terapia
Guias como Assunto
Gestantes/psicologia
[Mh] Termos MeSH secundário: Adulto
Serviço Hospitalar de Emergência/organização & administração
Feminino
Pessoal de Saúde/educação
Seres Humanos
Comunicação Interdisciplinar
Gravidez
Inquéritos e Questionários
Texas
Revelação da Verdade
[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; N
[Da] Data de entrada para processamento:171208
[St] Status:MEDLINE
[do] DOI:10.1097/NMC.0000000000000399


  3 / 14568 MEDLINE  
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[PMID]:29389094
[Au] Autor:Myers N
[Ti] Título:Policy Making to Build Relationships: A Grounded Theory Analysis of Interviews and Documents Relating to H1N1, Ebola, and the U.S. Public Health Preparedness Network.
[So] Source:J Health Hum Serv Adm;39(3):313-56, 2016.
[Is] ISSN:1079-3739
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In the last five years, the American public health emergency preparedness and response system has been tested by two significant threats, H1N1 and Ebola. While neither proved as dangerous as initially feared, these viruses highlighted on-going issues with collaborations in the field of public health and health care. Strengths were identified within the network, but also challenges that must be resolved before the U.S. faces a major pandemic. Employing interview data from public health emergency response practitioners and documentary evidence from the H1N1 and Ebola responses, this qualitative analysis uses the grounded theory approach to identify key areas for collaborative improvement. The grounded theory developed calls for a stronger policy framework at the federal level to facilitate more collaboration between U.S. agencies and facilitate more collaboration at the state and local level.
[Mh] Termos MeSH primário: Defesa Civil
Teoria Fundamentada
Doença pelo Vírus Ebola/prevenção & controle
Influenza Humana/prevenção & controle
Formulação de Políticas
Administração em Saúde Pública
[Mh] Termos MeSH secundário: Comportamento Cooperativo
Documentação
Planejamento em Saúde
Doença pelo Vírus Ebola/epidemiologia
Seres Humanos
Vírus da Influenza A Subtipo H1N1
Influenza Humana/epidemiologia
Comunicação Interdisciplinar
Entrevistas como Assunto
Pandemias/prevenção & controle
Pesquisa Qualitativa
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180227
[Lr] Data última revisão:
180227
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:180202
[St] Status:MEDLINE


  4 / 14568 MEDLINE  
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[PMID]:29370857
[Au] Autor:Järhult JD
[Ad] Endereço:Zoonosis Science Center, Department of Medical Sciences, Uppsala University, 75185, Uppsala, Sweden. josef.jarhult@medsci.uu.se.
[Ti] Título:Environmental resistance development to influenza antivirals: a case exemplifying the need for a multidisciplinary One Health approach including physicians.
[So] Source:Acta Vet Scand;60(1):6, 2018 Jan 25.
[Is] ISSN:1751-0147
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:A multidisciplinary approach is a prerequisite for One Health. Physicians are important players in the One Health team, yet they are often hard to convince of the benefits of the One Health approach. Here, the case for multidisciplinarity including physicians is made using the example of environmental resistance development to influenza antivirals. Neuraminidase inhibitors are the major class of anti-influenza pharmaceuticals, and extensively stockpiled globally as a cornerstone of pandemic preparedness, especially important in the first phase before vaccines can be mass-produced. The active metabolite of oseltamivir that is excreted from treated patients degrades poorly in conventional sewage treatment processes and has been found in river waters. Dabbling ducks constitute the natural influenza A virus reservoir and often reside near sewage treatment plant outlets, where they may be exposed to neuraminidase inhibitor residues. In vivo experiments using influenza-infected Mallards exposed to neuraminidase inhibitors present in their water have shown resistance development and persistence, demonstrating that resistance may be induced and become established in the influenza strains circulating in natural hosts. Neuraminidase inhibitor resistance genes may become part of a human-adapted influenza virus with pandemic potential through reassortment or direct transmission. A pandemic caused by a neuraminidase inhibitor-resistant influenza virus is a serious threat as the first line defense in pandemic preparedness would be disarmed. To assess the risk for environmental influenza resistance development, a broad multidisciplinary team containing chemists, social scientists, veterinarians, biologists, ecologists, virologists, epidemiologists, and physicians is needed. Information about One Health early in high school and undergraduate training, an active participation of One Health-engaged physicians in the debate, and more One Health-adapted funding and publication possibilities are suggested to increase the possibility to engage physicians.
[Mh] Termos MeSH primário: Antivirais/análise
Antivirais/metabolismo
Resistência a Medicamentos/fisiologia
Saúde Única
Médicos
[Mh] Termos MeSH secundário: Animais
Antivirais/uso terapêutico
Reservatórios de Doenças/virologia
Patos
Seres Humanos
Influenza Humana/tratamento farmacológico
Comunicação Interdisciplinar
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Antiviral Agents)
[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:180127
[St] Status:MEDLINE
[do] DOI:10.1186/s13028-018-0360-1


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[PMID]:29298694
[Au] Autor:Boqvist S; Söderqvist K; Vågsholm I
[Ad] Endereço:Department of Biomedical Sciences and Veterinary Public Health, Swedish University of Agricultural Sciences, PO Box 7036, 750 07, Uppsala, Sweden. Sofia.Boqvist@slu.se.
[Ti] Título:Food safety challenges and One Health within Europe.
[So] Source:Acta Vet Scand;60(1):1, 2018 Jan 03.
[Is] ISSN:1751-0147
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:This review discusses food safety aspects of importance from a One Health perspective, focusing on Europe. Using examples of food pathogen/food commodity combinations, spread of antimicrobial resistance in the food web and the risk of transmission of zoonotic pathogens in a circular system, it demonstrates how different perspectives are interconnected. The chosen examples all show the complexity of the food system and the necessity of using a One Health approach. Food safety resources should be allocated where they contribute most One Health benefits. Data on occurrence and disease burden and knowledge of source attribution are crucial in assessing costs and benefits of control measures. Future achievements in food safety, public health and welfare will largely be based on how well politicians, researchers, industry, national agencies and other stakeholders manage to collaborate using the One Health approach. It can be concluded that closer cooperation between different disciplines is necessary to avoid silo thinking when addressing important food safety challenges. The importance of this is often mentioned, but more proof of concept is needed by the research community.
[Mh] Termos MeSH primário: Inocuidade dos Alimentos
Saúde Única
[Mh] Termos MeSH secundário: Animais
Europa (Continente)
Seres Humanos
Comunicação Interdisciplinar
Zoonoses/prevenção & controle
Zoonoses/transmissão
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[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:180105
[St] Status:MEDLINE
[do] DOI:10.1186/s13028-017-0355-3


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[PMID]:29390515
[Au] Autor:Li X; He M; Wang H
[Ti] Título:Application of failure mode and effect analysis in managing catheter-related blood stream infection in intensive care unit.
[So] Source:Medicine (Baltimore);96(51):e9339, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In this study, failure mode and effect analysis (FMEA), a proactive tool, was applied to reduce errors associated with the process which begins with assessment of patient and ends with treatment of complications. The aim of this study is to assess whether FMEA implementation will significantly reduce the incidence of catheter-related bloodstream infections (CRBSIs) in intensive care unit.The FMEA team was constructed. A team of 15 medical staff from different departments were recruited and trained. Their main responsibility was to analyze and score all possible processes of central venous catheterization failures. Failure modes with risk priority number (RPN) ≥100 (top 10 RPN scores) were deemed as high-priority-risks, meaning that they needed immediate corrective action. After modifications were put, the resulting RPN was compared with the previous one. A centralized nursing care system was designed.A total of 25 failure modes were identified. High-priority risks were "Unqualified medical device sterilization" (RPN, 337), "leukopenia, very low immunity" (RPN, 222), and "Poor hand hygiene Basic diseases" (RPN, 160). The corrective measures that we took allowed a decrease in the RPNs, especially for the high-priority risks. The maximum reduction was approximately 80%, as observed for the failure mode "Not creating the maximal barrier for patient." The averaged incidence of CRBSIs was reduced from 5.19% to 1.45%, with 3 months of 0 infection rate.The FMEA can effectively reduce incidence of CRBSIs, improve the security of central venous catheterization technology, decrease overall medical expenses, and improve nursing quality.
[Mh] Termos MeSH primário: Bacteriemia/terapia
Patógenos Transmitidos pelo Sangue/isolamento & purificação
Infecções Relacionadas a Cateter/diagnóstico
Infecções Relacionadas a Cateter/terapia
Cateterismo Venoso Central/efeitos adversos
Análise do Modo e do Efeito de Falhas na Assistência à Saúde/métodos
[Mh] Termos MeSH secundário: Centros Médicos Acadêmicos
Bacteriemia/diagnóstico
Cateterismo Venoso Central/métodos
Cuidados Críticos/métodos
Infecção Hospitalar/microbiologia
Infecção Hospitalar/terapia
Feminino
Seres Humanos
Unidades de Terapia Intensiva
Comunicação Interdisciplinar
Masculino
Equipe de Assistência ao Paciente/organização & administração
Melhoria de Qualidade
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180219
[Lr] Data última revisão:
180219
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009339


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[PMID]:29303376
[Au] Autor:Manias E
[Ad] Endereço:a Faculty of Health, School of Nursing and Midwifery , Deakin University , Burwood , Australia.
[Ti] Título:Effects of interdisciplinary collaboration in hospitals on medication errors: an integrative review.
[So] Source:Expert Opin Drug Saf;17(3):259-275, 2018 Mar.
[Is] ISSN:1744-764X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Medication errors are commonly affected by breakdowns in communication. Interdisciplinary collaboration is an important means of facilitating communication between health professionals in clinical practice. To date, there has been little systematic examination of past research in this area. Areas covered: The aims of this integrative review are to examine how interdisciplinary collaboration influences medication errors in hospitals, the araes of interdisciplinary collaboration that have been researched in previous work, and recommendations for future research and practice. An integrative review was undertaken of research papers (N = 30) published from inception to August 2017 using MEDLINE, the Cochrane Library, CINAHL, PsycINFO, and Embase. Expert opinion: Five different areas of interdisciplinary collaboration were identified in research involving medication errors. These areas were: communication through tools including guidelines, protocols, and communication logs; participation of pharmacists in interdisciplinary teams; collaborative medication review on admission and at discharge; collaborative workshops and conferences; and complexity of role differentiation and environment. Despite encouraging results demonstrated in past research, medication errors continued to occur. Increased focus is needed on developing tailored, individualized strategies that can be applied in particular contexts to create further reductions in medication errors. Greater understandings are also needed about the changing roles of various disciplines.
[Mh] Termos MeSH primário: Comunicação Interdisciplinar
Erros de Medicação/prevenção & controle
Equipe de Assistência ao Paciente/organização & administração
[Mh] Termos MeSH secundário: Comportamento Cooperativo
Hospitais
Seres Humanos
Admissão do Paciente
Alta do Paciente
Farmacêuticos/organização & administração
Guias de Prática Clínica como Assunto
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180215
[Lr] Data última revisão:
180215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180106
[St] Status:MEDLINE
[do] DOI:10.1080/14740338.2018.1424830


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[PMID]:29233290
[Au] Autor:Umland EM; Valenzano J; Brown C; Giordano C
[Ad] Endereço:Associate Dean for Academic Affairs and Professor of Pharmacy, Jefferson College of Pharmacy, Thomas Jefferson University, Philadelphia, PA 19107, United States. Electronic address: elena.umland@jefferson.edu.
[Ti] Título:An evaluation of the opportunities for collaborative practice occurring in and the impact of interprofessional education on advanced pharmacy practice experiences.
[So] Source:Curr Pharm Teach Learn;9(3):491-497, 2017 May.
[Is] ISSN:1877-1300
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: To evaluate the impact of interprofessional (IP) education (IPE) programs during the first three years of a four-year doctor of pharmacy program on student preparedness and ability to function as a collaborative team member and to garner student feedback on collaboration experienced during the Advanced Pharmacy Practice Experiences (APPEs). INTERPROFESSIONAL EDUCATION ACTIVITY: Likert scale based statements and open-ended questions were added to the student course evaluations for the APPEs for two graduating classes of students. Quantitative data were analyzed using SPSS (repeated measures ANOVA and MANOVA). Thematic analysis by three reviewers reaching consensus was used to evaluate the qualitative data. Students reported being well prepared for IP collaboration (average ratings ranged from a mean of 3.37-3.46 on a scale of 1-4; 1=not at all prepared and 4=very well prepared). On average, students spent 26-50% of their time working with colleagues from other healthcare professions. In describing their preparedness for IP collaboration, the IP core competency of teams/teamwork was addressed in 50% of the submitted responses. The competencies of values/ethics, roles/responsibilities and IP communication were addressed by 2%, 20% and 28% of the written responses, respectively. DISCUSSION: Required longitudinal IP programs in the first three years of the pharmacy curriculum contribute to the students' perceived preparedness for collaborative practice during their APPEs. Developing practice sites to increase the opportunities for students to practice collaboratively is key. Further education of and emphasis by preceptors relative to the IPE competencies is desired.
[Mh] Termos MeSH primário: Comportamento Cooperativo
Educação em Farmácia/métodos
Comunicação Interdisciplinar
Estudantes de Farmácia
[Mh] Termos MeSH secundário: Processos Grupais
Seres Humanos
Papel Profissional
Avaliação de Programas e Projetos de Saúde
Autoeficácia
Inquéritos e Questionários
Fatores de Tempo
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180214
[Lr] Data última revisão:
180214
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171214
[St] Status:MEDLINE


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[PMID]:29233285
[Au] Autor:Mead T; Pilla D
[Ad] Endereço:Research Family Medicine Residency Program, 450, Kansas City, MO 64131, USA; University of Missouri-Kansas City School of Pharmacy, St., Kansas City, MO 64108, USA. Electronic address: meadt@umkc.edu.
[Ti] Título:Assessment of clinical and educational interventions that Advanced Pharmacy Practice Experience (APPE) students contributed to a family medicine residency program.
[So] Source:Curr Pharm Teach Learn;9(3):460-467, 2017 May.
[Is] ISSN:1877-1300
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND AND PURPOSE: The literature firmly establishes that clinical interventions made by pharmacy students on Advanced Pharmacy Practice Experience (APPE) rotations contribute significantly to cost-savings realized by the hosting practice sites. The Accreditation Council for Pharmacy Education (ACPE) specifies the experiential curricula include opportunities for students to learn about, from, and with other members of the healthcare team through interprofessional education activities. EDUCATIONAL ACTIVITY: This study assesses clinical and educational interventions contributed by APPE students at a family medicine residency program to determine the extent students were engaged in the interprofessional team and physicians' receptiveness to the recommendations. FINDINGS: Student interventions made from January 2009 to September 2012 were recorded in a Microsoft Excel Spreadsheet. Data was evaluated to determine 1) the most common types of clinical and educational interventions, 2) potential associated cost-savings/avoidance, and 3) provider receptiveness to recommendations based upon acceptance rates. A standardized scheme was utilized to assign a cost savings value according to Midwest America Division of Hospital Corporation of America (HCA) clinical savings standards. Pharmacy students contributed 2868 interventions in 3.5 years. A total of 59.2% of interventions were clinical and accounted for an estimated cost savings of $55,892. The remaining 40.8% of interventions were pharmacy care activities, none were associated with a cost savings and three-fourths were considered educational. Intervention acceptance rate was over 80%, showing providers were very receptive to pharmacy students. SUMMARY: This study lends support that APPE students provide substantial clinical and educational contributions to healthcare providers and patients affiliated with family medicine residency programs. Additionally, healthcare providers and patients are very receptive to pharmacy students as members of the interprofessional team.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Estágio Clínico
Redução de Custos
Medicina de Família e Comunidade/educação
Custos de Cuidados de Saúde
Estudantes de Farmácia
[Mh] Termos MeSH secundário: Tratamento Farmacológico/economia
Educação em Farmácia
Seres Humanos
Comunicação Interdisciplinar
Internato e Residência
Equipe de Assistência ao Paciente
Preparações Farmacêuticas/administração & dosagem
Preparações Farmacêuticas/economia
Administração Farmacêutica
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Pharmaceutical Preparations)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180214
[Lr] Data última revisão:
180214
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171214
[St] Status:MEDLINE


  10 / 14568 MEDLINE  
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[PMID]:29407506
[Au] Autor:Ahn JC; Lee JH; Yoon JH; Lee JY; Kim JH
[Ad] Endereço:Department of Orthodontics, National Health Insurance Service Ilsan Hospital, Goyang, Republic of Korea.
[Ti] Título:Interdisciplinary treatment of a patient with multiple missing teeth and periodontitis.
[So] Source:Am J Orthod Dentofacial Orthop;153(2):278-289, 2018 Feb.
[Is] ISSN:1097-6752
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:A 49-year-old woman with several missing and periodontically compromised teeth was referred to the orthodontic department of National Health Insurance Service Ilsan Hospital by the periodontic department for interdisciplinary treatment. Multiple posterior teeth had been extracted 10 days earlier. Her chief complaint was crowding of the anterior teeth, and she wanted to improve both esthetics and function. Orthodontic, periodontic, and prosthodontic treatments were undertaken in the proper timing and sequence with an interdisciplinary approach. As a result, improved periodontal health and a stable occlusion and vertical dimension were achieved. Although there were limited teeth and alveolar bone for anchorage, good esthetic and functional treatment results were obtained through the application of temporary anchorage devices and proper biomechanics.
[Mh] Termos MeSH primário: Comunicação Interdisciplinar
Periodontia/métodos
Periodontite/complicações
Prostodontia/métodos
Perda de Dente/complicações
[Mh] Termos MeSH secundário: Cefalometria
Estética Dentária
Feminino
Seres Humanos
Meia-Idade
Periodontite/diagnóstico por imagem
Periodontite/terapia
Radiografia Dentária
Radiografia Panorâmica
Perda de Dente/diagnóstico por imagem
Perda de Dente/terapia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180213
[Lr] Data última revisão:
180213
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:180207
[St] Status:MEDLINE



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