Base de dados : MEDLINE
Pesquisa : F04.408 [Categoria DeCS]
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[PMID]:28463455
[Au] Autor:Gros CP; Parr C; Wright DK; Montreuil M; Frechette J
[Ad] Endereço:Catherine Pugnaire Gros, RN, MSc(A), is Assistant Professor, Ingram School of Nursing, McGill University and Clinical Nurse Specialist, Douglas Mental Health University Institute, Montreal, Quebec, Canada.
[Ti] Título:Hospital rules and regulations: The perspectives of youth receiving psychiatric care.
[So] Source:J Child Adolesc Psychiatr Nurs;30(1):18-24, 2017 Feb.
[Is] ISSN:1744-6171
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Rules and regulations represent an aspect of psychiatric hospitalization about which little is known. STUDY PURPOSE: To explore the perceptions of rules from the perspective of youth receiving hospital-based psychiatric services. DESIGN: Qualitative descriptive. METHODS: Perceptions of rules were elicited through semi-structured interviews with a convenience sample of six youth. RESULTS: Rules were perceived as governing virtually all aspects of everyday living in the hospital environment. Rules were used to structure daily activities, routines, and social interactions, and were embedded within clinical protocols and treatment plans. For each participant, "making sense" or "not making sense" were central themes through which rules were interpreted as being either therapeutic or oppressive. Rules that made "no sense" negatively affected youth mood, behavior, treatment adherence, and engagement in a collaborative relationship. CONCLUSION: Working in partnership with youth in psychiatric care to establish, implement, and evaluate rules that "make sense" can promote positive health outcomes and prevent negative, unintended consequences.
[Mh] Termos MeSH primário: Adolescente Hospitalizado
Hospital Dia/organização & administração
Pacientes Internados
Serviços de Saúde Mental/organização & administração
Aceitação pelo Paciente de Cuidados de Saúde
Unidade Hospitalar de Psiquiatria/organização & administração
[Mh] Termos MeSH secundário: Adolescente
Feminino
Seres Humanos
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180307
[Lr] Data última revisão:
180307
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170503
[St] Status:MEDLINE
[do] DOI:10.1111/jcap.12166


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[PMID]:29267423
[Au] Autor:Bordeleau L; Leblanc J
[Ad] Endereço:Université de Sherbrooke.
[Ti] Título:[Interprofessional Collaboration as a Modality to Resolve Therapeutic Impasses in Child Psychiatry: A Review].
[Ti] Título:La collaboration interprofessionnelle comme modalité pour résoudre les impasses thérapeutiques en pédopsychiatrie : une revue de littérature..
[So] Source:Sante Ment Que;42(2):229-243, 2017.
[Is] ISSN:0383-6320
[Cp] País de publicação:Canada
[La] Idioma:fre
[Ab] Resumo:Child and adolescent intervention in child psychiatric clinics generates a high risk of therapeutic impasses for clinicians. Among the factors that contribute to this situation are the increasing severity of the problems of young people who are referred to psychiatric clinics and the obligation for professionals to collaborate with various actors surrounding the patient. This literature review explores the possibility that an intervention targeting indicators of interprofessional collaboration can help resolved the therapeutic impasses encountered by professionals working in child psychiatry. The article begins with a description of the impasse in therapeutic clinical child psychiatry. It then introduces a broad look at research about interprofessional collaboration and its effects on mental health service delivery. Finally, it examines the structuring model of the interprofessional collaboration process of D'Amour et al. in order to highlight the indicators that may be related to the resolution of clinical therapeutic impasses in child psychiatry. This review examines the possible interventions that could be done when targeting indicators of D'Amour et al.'s interprofessional collaboration model in order to improve therapeutic impasses resolution. A promising direction for future research which could contribute to therapeutic impasses resolution in child psychiatry is proposed.
[Mh] Termos MeSH primário: Transtornos Mentais/terapia
Equipe de Assistência ao Paciente
[Mh] Termos MeSH secundário: Criança
Psiquiatria Infantil
Seres Humanos
Serviços de Saúde Mental
Modelos Organizacionais
Equipe de Assistência ao Paciente/organização & administração
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171222
[St] Status:MEDLINE


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[PMID]:29179829
[Au] Autor:Ben Natan M; Drori T; Hochman O
[Ad] Endereço:Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Centre, 38100, P.O.B. 169, Hadera, Israel. Electronic address: meraav@hy.health.gov.il.
[Ti] Título:The Impact of Mental Health Reform on Mental Illness Stigmas in Israel.
[So] Source:Arch Psychiatr Nurs;31(6):610-613, 2017 12.
[Is] ISSN:1532-8228
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This study examined public perception of stigmas relating to mental illness six months after a reform, which integrated mental health care into primary care in Israel. The results reveal that the public feels uncomfortable seeking referral to mental health services through the public health system, with Arab Israelis and men expressing lower levels of comfort than did Jewish Israelis. The current reform has not solved the issue of public stigma regarding mental health care. The study suggests that the current reforms must be accompanied over time with appropriate public education regarding mental illness.
[Mh] Termos MeSH primário: Reforma dos Serviços de Saúde/métodos
Transtornos Mentais/etnologia
Serviços de Saúde Mental/utilização
Estigma Social
[Mh] Termos MeSH secundário: Adulto
Árabes/psicologia
Estudos Transversais
Feminino
Seres Humanos
Israel/epidemiologia
Israel/etnologia
Judeus/psicologia
Masculino
Transtornos Mentais/epidemiologia
Setor Público
Fatores Sexuais
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE


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[PMID]:29179820
[Au] Autor:Penno SJ; Hamilton B; Petrakis M
[Ad] Endereço:St. Vincent's Hospital (Melbourne), Mental Health Service, Melbourne, Australia.
[Ti] Título:Early Intervention in Psychosis: Health of the Nation Outcome Scales (HoNOS) Outcomes From a Five-Year Prospective Study.
[So] Source:Arch Psychiatr Nurs;31(6):553-560, 2017 12.
[Is] ISSN:1532-8228
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Over the last two decades, mental health services internationally have shifted towards intervening early in psychosis. The critical period for intervention is estimated to be five-years and many specialised programs target early psychosis. AIM/QUESTION: This prospective cohort study aimed to evaluate five-year outcomes from an early psychosis program (EPP) that adopted an integrated model, providing nursing and multidisciplinary community mental healthcare to clients aged 16-65years, beyond the typical age range of 16-25years. METHOD: We examined one routine outcome measure, the Health of the Nation Outcome Scales (HoNOS) across episodes of care for clients receiving EPP over a 5year period (n=239), comparing these results with HoNOS outcomes in an Australian national dataset for all public mental health clients. RESULTS: HoNOS improvements were highly significant from intake to discharge and from review to discharge for EPP clients, and these compared well with national outcome performance. CONCLUSION: There is potential for mental health nurses and other clinicians to significantly improve client symptoms and functioning, in a model of early psychosis treatment beyond a youth focus.
[Mh] Termos MeSH primário: Diagnóstico Precoce
Avaliação de Resultados (Cuidados de Saúde)/métodos
Transtornos Psicóticos/terapia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Austrália
Prática Clínica Baseada em Evidências
Feminino
Seres Humanos
Estudos Longitudinais
Masculino
Serviços de Saúde Mental/utilização
Meia-Idade
Estudos Prospectivos
Enfermagem Psiquiátrica
[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; N
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE


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[PMID]:28466972
[Au] Autor:Madsen T; Sadowa Vedtofte M; Nordentoft M; Ravnborg Nissen L; Bo Andersen S
[Ad] Endereço:Psychiatric Center Copenhagen, Copenhagen University Hospital, Hellerup, Denmark.
[Ti] Título:Comparing post-deployment mental health services utilization in soldiers deployed to Balkan, Iraq and Afghanistan.
[So] Source:Acta Psychiatr Scand;135(6):564-572, 2017 06.
[Is] ISSN:1600-0447
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Insight on how different missions have impacted rates of mental health service (MHS) utilization is unexplored. We compared postdeployment MHS utilization in a national cohort of first-time deployed to missions in Balkan, Iraq, and Afghanistan respectively. METHODS: A prospective national cohort study of 13 246 first-time deployed in the period 1996 through 2012 to missions in Balkan area, Iraq, or Afghanistan respectively. Soldiers 'MHS utilization was also compared with a 5:1 sex-, age-, and calendar year-matched never-deployed background population. Postdeployment utilization of MHS was retrieved from national coverage registers. Using Cox survival analyses, participants were followed and compared with regard to receiving three different types of psychiatric services: (i) admission to psychiatric hospital, (ii) psychiatric outpatient contact, and (iii) prescriptions of psychotropics. RESULTS: Utilizing of psychiatric outpatient services and psychotropics was significantly higher in first-time deployed to Iraq and Afghanistan compared with deployed to Balkan. However, the rate of postdeployment admission to psychiatric hospital did not differ between missions. Postdeployment rates of psychiatric admission and psychiatric outpatient treatment were significantly higher in Afghanistan-deployed personnel compared with the background population. CONCLUSIONS: Utilization of MHS differed significantly between mission areas and was highest after the latest mission to Afghanistan.
[Mh] Termos MeSH primário: Campanha Afegã de 2001-
Guerra do Iraque 2003-2011
Serviços de Saúde Mental/utilização
Militares/psicologia
[Mh] Termos MeSH secundário: Adulto
Península Balcânica
Dinamarca/epidemiologia
Feminino
Seres Humanos
Estimativa de Kaplan-Meier
Masculino
Militares/estatística & dados numéricos
Modelos de Riscos Proporcionais
Estudos Prospectivos
Guerra
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; 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:10.1111/acps.12736


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[PMID]:29226443
[Au] Autor:Ellenberg E; Taragin MI; Hoffman JR; Cohen O; Luft-Afik D; Bar-On Z; Ostfeld I
[Ad] Endereço:National Insurance Institute of Israel.
[Ti] Título:Lessons From Analyzing the Medical Costs of Civilian Terror Victims: Planning Resources Allocation for a New Era of Confrontations.
[So] Source:Milbank Q;95(4):783-800, 2017 12.
[Is] ISSN:1468-0009
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Policy Points: Across the globe, the threat from terrorist attacks is rising, which requires a careful assessment of long-term medical support. We found 3 major sources of costs: hospital expenditures, mental health services dedicated to acute stress reactions, and ambulatory follow-up. During the first year, most of the costs were related to hospitalization and support for stress relief. During the second year, ambulatory and rehabilitation costs continued to grow. Public health specialists should consider these major components of costs and their evolution over time to properly advise the medical and social authorities on allocating resources for the medical and nonmedical support of civilian casualties resulting from war or terror. CONTEXT: Across the globe, the threat from terrorist attacks is rising, which requires a careful assessment of long-term medical support. Based on an 18-month follow-up of the Israeli civilian population following the 2014 war in Gaza, we describe and analyze the medical costs associated with rocket attacks and review the demography of the victims who filed claims for disability compensation. We then propose practical lessons to help health care authorities prepare for future confrontations. METHOD: Using the National Insurance Institute of Israel's (NII) database, we conducted descriptive and comparative analyses using statistical tests (Fisher's Exact Test, chi-square test, and students' t-tests). The costs were updated until March 30, 2016, and are presented in US dollars. We included only civilian expenses in our analysis. FINDINGS: We identified 5,189 victims, 3,236 of whom presented with acute stress reactions during the conflict. Eighteen months after the conflict, the victims' total medical costs reached $4.4 million. The NII reimbursed $2,541,053 for associated medical costs and $1,921,792 for associated mental health costs. A total of 709 victims filed claims with the NII for further support, including rehabilitation, medical devices, and disability pensions. CONCLUSION: We found 3 major sources of costs: hospital expenditures, mental health services dedicated to acute stress reactions, and ambulatory follow-up. During the first year, most of the costs were related to hospitalization and support for stress relief. During the second year, ambulatory and rehabilitation costs continued to grow. Public health specialists should consider these major components of costs and their evolution over time to properly advise the medical and social authorities on allocating resources for the medical and nonmedical support of civilian casualties resulting from war or terror.
[Mh] Termos MeSH primário: Assistência Ambulatorial/economia
Vítimas de Crime/economia
Vítimas de Crime/estatística & dados numéricos
Custos de Cuidados de Saúde/estatística & dados numéricos
Hospitalização/economia
Serviços de Saúde Mental/economia
Centros de Reabilitação/economia
Terrorismo/economia
[Mh] Termos MeSH secundário: Assistência Ambulatorial/estatística & dados numéricos
Hospitalização/estatística & dados numéricos
Seres Humanos
Israel
Serviços de Saúde Mental/estatística & dados numéricos
Centros de Reabilitação/estatística & dados numéricos
Terrorismo/estatística & dados numéricos
Guerra
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171212
[St] Status:MEDLINE
[do] DOI:10.1111/1468-0009.12299


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[PMID]:29377897
[Au] Autor:Werbeloff N; Osborn DPJ; Patel R; Taylor M; Stewart R; Broadbent M; Hayes JF
[Ad] Endereço:UCL Division of Psychiatry, University College London, London, United Kingdom.
[Ti] Título:The Camden & Islington Research Database: Using electronic mental health records for research.
[So] Source:PLoS One;13(1):e0190703, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Electronic health records (EHRs) are widely used in mental health services. Case registers using EHRs from secondary mental healthcare have the potential to deliver large-scale projects evaluating mental health outcomes in real-world clinical populations. METHODS: We describe the Camden and Islington NHS Foundation Trust (C&I) Research Database which uses the Clinical Record Interactive Search (CRIS) tool to extract and de-identify routinely collected clinical information from a large UK provider of secondary mental healthcare, and demonstrate its capabilities to answer a clinical research question regarding time to diagnosis and treatment of bipolar disorder. RESULTS: The C&I Research Database contains records from 108,168 mental health patients, of which 23,538 were receiving active care. The characteristics of the patient population are compared to those of the catchment area, of London, and of England as a whole. The median time to diagnosis of bipolar disorder was 76 days (interquartile range: 17-391) and median time to treatment was 37 days (interquartile range: 5-194). Compulsory admission under the UK Mental Health Act was associated with shorter intervals to diagnosis and treatment. Prior diagnoses of other psychiatric disorders were associated with longer intervals to diagnosis, though prior diagnoses of schizophrenia and related disorders were associated with decreased time to treatment. CONCLUSIONS: The CRIS tool, developed by the South London and Maudsley NHS Foundation Trust (SLaM) Biomedical Research Centre (BRC), functioned very well at C&I. It is reassuring that data from different organizations deliver similar results, and that applications developed in one Trust can then be successfully deployed in another. The information can be retrieved in a quicker and more efficient fashion than more traditional methods of health research. The findings support the secondary use of EHRs for large-scale mental health research in naturalistic samples and settings investigated across large, diverse geographical areas.
[Mh] Termos MeSH primário: Bases de Dados Factuais/utilização
Transtornos Mentais/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Pesquisa Biomédica
Estudos de Coortes
Registros Eletrônicos de Saúde/utilização
Feminino
Fundações
Hospitalização
Seres Humanos
Londres/epidemiologia
Masculino
Saúde Mental
Serviços de Saúde Mental
Meia-Idade
Sistema de Registros
Reino Unido/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180226
[Lr] Data última revisão:
180226
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180130
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0190703


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[PMID]:29237598
[Au] Autor:Iacobucci G
[Ad] Endereço:The BMJ.
[Ti] Título:Extra cash for child mental health is being diverted, report warns.
[So] Source:BMJ;359:j5785, 2017 12 13.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Serviços de Saúde da Criança/economia
Acesso aos Serviços de Saúde/economia
Necessidades e Demandas de Serviços de Saúde/economia
Serviços de Saúde Mental/economia
[Mh] Termos MeSH secundário: Adolescente
Criança
Pré-Escolar
Inglaterra
Seres Humanos
Saúde Mental
Transtornos do Neurodesenvolvimento
[Pt] Tipo de publicação:NEWS
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180226
[Lr] Data última revisão:
180226
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171215
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.j5785


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[PMID]:28471210
[Au] Autor:Lau A; Barnett M; Stadnick N; Saifan D; Regan J; Wiltsey Stirman S; Roesch S; Brookman-Frazee L
[Ad] Endereço:Department of Psychology, University of California, Los Angeles.
[Ti] Título:Therapist report of adaptations to delivery of evidence-based practices within a system-driven reform of publicly funded children's mental health services.
[So] Source:J Consult Clin Psychol;85(7):664-675, 2017 Jul.
[Is] ISSN:1939-2117
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: This study examined clinical adaptations reported by community therapists to multiple evidence-based practices (EBPs) currently implemented in children's mental health services. Based on an item set informed by Stirman and colleagues' model (2015), 2 factors emerged describing Augmenting adaptations and Reducing/Reordering adaptations. We used multilevel modeling to examine therapist- and practice-level predictors of therapist reports of each type of adaptation. METHOD: Data were drawn from an online survey, including a novel therapist report measure of EBP adaptations, completed by 572 therapists (89.2% female, Mage = 37.08 years, 33.4% non-Hispanic White) delivering EBPs in the context of a system-driven, fiscally mandated implementation effort. RESULTS: Analyses revealed that the 2 types of therapist adaptations (Augmenting and Reducing/Reordering) could be readily discriminated, with therapists reporting significantly more Augmenting than Reducing/Reordering adaptations. Therapists of Hispanic/Latino ethnicity and with fewer years of experience reported more extensive Augmenting adaptations, but no therapist background characteristics were associated with Reducing/Reordering adaptations. Therapists' general attitudes that EBPs diverged from their personal approach to therapy were associated with reporting more Augmenting and Reducing/Reordering adaptations. In contrast, negative perceptions toward the specific EBP predicted Reducing/Reordering adaptations, but not Augmenting adaptations. CONCLUSIONS: Community therapist reports suggest that most adaptations undertaken involve engaging with the practice to augment the fit of the EBPs for local contexts; however, when practices were perceived negatively, therapists were more likely to make adaptations reducing or rearranging components. (PsycINFO Database Record
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Serviços de Saúde da Criança
Prática Clínica Baseada em Evidências
Transtornos Mentais/terapia
Serviços de Saúde Mental
[Mh] Termos MeSH secundário: Criança
Feminino
Financiamento Governamental
Pesquisas sobre Serviços de Saúde
Seres Humanos
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180226
[Lr] Data última revisão:
180226
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1037/ccp0000215


  10 / 28529 MEDLINE  
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[PMID]:28346079
[Au] Autor:Platt LF; Wolf JK; Scheitle CP
[Ad] Endereço:a Department of Counseling, Rehabilitation Counseling, and Counseling Psychology , West Virginia University , Morgantown , West Virginia , USA.
[Ti] Título:Patterns of Mental Health Care Utilization Among Sexual Orientation Minority Groups.
[So] Source:J Homosex;65(2):135-153, 2018.
[Is] ISSN:1540-3602
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Prior studies of the utilization of mental health professionals by sexual minority populations have relied on data that are now dated or not nationally representative. These studies have also provided mixed findings regarding gender differences in the utilization of mental health professionals among sexual minority individuals. Using data from the 2013-2015 National Health Interview Surveys, this study investigates (1) how sexual minority individuals compare to heterosexual participants in their utilization of mental health professionals; and (2) gender differences in that utilization. The results indicate sexual minority individuals utilize mental health care professionals at higher rates than heterosexual individuals even after controlling for measures of mental health and other demographic characteristics; this is true for both men and women. However, gender moderates the sexual minority effect on utilization rates. Sexual minority men utilize mental health professionals at a high rate, such that their utilization rates are similar to sexual minority women, contrary to the gender gap seen among heterosexuals.
[Mh] Termos MeSH primário: Serviços de Saúde Mental/utilização
Comportamento Sexual/psicologia
Minorias Sexuais e de Gênero/psicologia
[Mh] Termos MeSH secundário: Feminino
Identidade de Gênero
Heterossexualidade
Seres Humanos
Masculino
Saúde Mental
Meia-Idade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[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:170328
[St] Status:MEDLINE
[do] DOI:10.1080/00918369.2017.1311552



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