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Pesquisa : F04.754.137 [Categoria DeCS]
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[PMID]:29406651
[Au] Autor:Palmer M; Saviet M; Tourish J
[Ti] Título:Understanding and Supporting Grieving Adolescents and Young Adults.
[So] Source:Pediatr Nurs;42(6):275-81, 2016 Nov-Dec.
[Is] ISSN:0097-9805
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The adolescent and young adult years are a time of growth, change, and challenge. Experiencing the loss of a family member or friend during this period of life can have a profound effect on a young person's social functioning, physical and mental health, and development. Research demonstrates that the grief reactions of adolescents and young adults differ from those of adults, and that loss is an individual experience that varies widely throughout each developmental stage. Further, youth who struggle to cope with a significant loss without support and guidance are more likely to experience a greater intensity of grief and distress. When providing support to a grieving adolescent or young adult, it is important to understand normal development, appreciate common grief responses, and identify deviations. It is also important to know about available interventions and supportive strategies, specifically for this age group. With this knowledge, pediatric nurses and other helping professionals can tailor guidance, support, and referrals to suit the specific needs of individual bereaved youth.
[Mh] Termos MeSH primário: Adaptação Psicológica
Comportamento do Adolescente/psicologia
Atitude Frente à Morte
Terapia Comportamental/métodos
Luto
Pesar
Estresse Psicológico/enfermagem
[Mh] Termos MeSH secundário: Adolescente
Adulto
Criança
Feminino
Seres Humanos
Masculino
Adulto Jovem
[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:N
[Da] Data de entrada para processamento:180207
[St] Status:MEDLINE


  2 / 25539 MEDLINE  
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[PMID]:29406644
[Au] Autor:Lopez A; Stuckey P; Mallory D
[Ti] Título:Making Positive Health Changes in Obese/Overweight Children with Hypertension.
[So] Source:Pediatr Nurs;42(5):243-6, 2016 Sep-Oct.
[Is] ISSN:0097-9805
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Well-child visits can be ideal times for health education of children, parents, and caregivers. A trusting relationship with both children and their parents is the foundation for acceptance of any changes in health behaviors. Children grow rapidly, and poor health conditions during this time could be unfavorable or detrimental to their long-term wellbeing. Clinicians play pivotal roles in helping children understand the importance of working toward healthier lifestyles and preventing hypertension and obesity. Hypertension in obese and overweight children continues to increase, but these two conditions are preventable and can also be reversible if managed early. Data from four studies reviewed here indicate that diet and exercise can help reduce the incidence of hypertension in overweight/obese children. Primary care providers can incorporate specifically pointed physical activity and dietary change education into their daily practices, with attention directed toward helping children with hypertension to decrease their blood pressure for life.
[Mh] Termos MeSH primário: Terapia Comportamental/métodos
Hipertensão/etiologia
Hipertensão/terapia
Sobrepeso/complicações
Sobrepeso/psicologia
Obesidade Pediátrica/complicações
Obesidade Pediátrica/psicologia
[Mh] Termos MeSH secundário: Adolescente
Índice de Massa Corporal
Criança
Pré-Escolar
Feminino
Promoção da Saúde/métodos
Seres Humanos
Masculino
Atenção Primária à Saúde/métodos
[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:N
[Da] Data de entrada para processamento:180207
[St] Status:MEDLINE


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[PMID]:27773937
[Au] Autor:Ryder JR; Kaizer A; Rudser KD; Gross A; Kelly AS; Fox CK
[Ad] Endereço:Department of Pediatrics, University of Minnesota Medical School, Minneapolis, MN, USA.
[Ti] Título:Effect of phentermine on weight reduction in a pediatric weight management clinic.
[So] Source:Int J Obes (Lond);41(1):90-93, 2017 Jan.
[Is] ISSN:1476-5497
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Phentermine is the most widely prescribed obesity medication in adults, yet studies of its use in the pediatric population are limited. We conducted a retrospective chart review of adolescents with obesity treated in a pediatric weight management clinic to examine the weight loss effectiveness of phentermine added to standard of care (SOC) lifestyle modification therapy versus SOC alone. All patients receiving phentermine plus SOC (n=25) were matched with a comparison group receiving only SOC (n=274). Differences at 1, 3 and 6 months were evaluated using generalized estimated equations adjusting for age, sex and baseline body mass index (BMI) and robust variance standard error estimates for confidence intervals and P-values. Phentermine use was associated with a greater percent change in BMI at 1 month (-1.6%; 95% confidence interval (CI): -2.6, -0.6%; P=0.001), 3 months (-2.9%; 95% CI: -4.5, -1.4%; P<0.001) and 6 months (-4.1%; 95% CI: -7.1, -1.0%; P=0.009) compared with SOC alone, with no differences in systolic or diastolic blood pressure between groups. Heart rate was higher at all time-points in the phentermine plus SOC compared with SOC-only group. These data suggest that short-term use of phentermine added to SOC may enhance weight loss in adolescents with obesity in the clinical setting.
[Mh] Termos MeSH primário: Fármacos Antiobesidade/uso terapêutico
Obesidade Pediátrica/prevenção & controle
Fentermina/uso terapêutico
Perda de Peso
[Mh] Termos MeSH secundário: Adolescente
Terapia Comportamental
Dieta Redutora
Feminino
Seres Humanos
Masculino
Minnesota/epidemiologia
Obesidade Pediátrica/terapia
Estudos Retrospectivos
Comportamento de Redução do Risco
Resultado do Tratamento
Perda de Peso/efeitos dos fármacos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Obesity Agents); C045TQL4WP (Phentermine)
[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:161025
[St] Status:MEDLINE
[do] DOI:10.1038/ijo.2016.185


  4 / 25539 MEDLINE  
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[PMID]:27776269
[Au] Autor:Lévesque A; Campbell AN; Pavlicova M; Hu MC; Walker R; McClure EA; Ghitza UE; Bailey G; Stitzer M; Nunes EV
[Ad] Endereço:Department of Psychiatry, Mount Sinai West Hospital, New York, NY, United States. Electronic address: alevesque@chpnet.org.
[Ti] Título:Coping strategies as a mediator of internet-delivered psychosocial treatment: Secondary analysis from a NIDA CTN multisite effectiveness trial.
[So] Source:Addict Behav;65:74-80, 2017 Feb.
[Is] ISSN:1873-6327
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Coping strategies are a predictor of abstinence among patients with substance use disorders. However, little is known regarding the role of coping strategies in the effectiveness of the Community Reinforcement Approach (CRA). Using data from a 12week randomized control trial assessing the effectiveness of the Therapeutic Education System (TES), an internet-delivered version of the CRA combined with contingency management, we tested the role of coping strategies as a mediator of treatment effectiveness. METHODS: 507 participants entering 10 outpatient addiction treatment programs received either treatment-as-usual (TAU), a counselor-delivered treatment (Arm 1), or reduced TAU plus TES wherein 2h of TAU per week were replaced by TES (Arm 2). Abstinence from drugs and alcohol was evaluated using urine toxicology and self-report. Coping strategies were measured using the Coping Strategies Scale-Brief Version. Mediation analyses were done following Baron and Kenny's and path analysis approaches. RESULTS: The average baseline coping strategies scores were not significantly different between the two treatment arms. Overall, TES intervention was significantly associated with higher coping strategies scores when accounting for baseline scores (F =8.3, p=0.004). Additionally, higher coping strategies scores at week 12 were associated with an increased likelihood of abstinence during the last 4weeks of the treatment, while accounting for treatment assignment and baseline abstinence. The effect of TES intervention on abstinence was no longer significant after controlling for coping strategies scores at week 12. CONCLUSION: Our results support the importance of coping skills as a partial mediator of the effectiveness of an internet-version of the CRA combined with contingency management.
[Mh] Termos MeSH primário: Adaptação Psicológica
Terapia Comportamental/métodos
Internet
Transtornos Relacionados ao Uso de Substâncias/psicologia
Transtornos Relacionados ao Uso de Substâncias/terapia
Terapia Assistida por Computador/métodos
[Mh] Termos MeSH secundário: Adulto
Feminino
Seguimentos
Seres Humanos
Masculino
Reforço (Psicologia)
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180216
[Lr] Data última revisão:
180216
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE


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[PMID]:29323657
[Au] Autor:Jewkes R
[Ad] Endereço:South African Medical Research Council, Private Bag X385, Pretoria 0001, South Africa. Electronic address: rjewkes@mrc.ac.za.
[Ti] Título:Renewing the focus on health care for sexually assaulted children and adolescents.
[So] Source:Lancet;391(10115):9-11, 2018 01 06.
[Is] ISSN:1474-547X
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Abuso Sexual na Infância/terapia
Guias de Prática Clínica como Assunto
Organização Mundial da Saúde
[Mh] Termos MeSH secundário: Adolescente
Terapia Comportamental
Criança
Abuso Sexual na Infância/psicologia
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180212
[Lr] Data última revisão:
180212
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180112
[St] Status:MEDLINE


  6 / 25539 MEDLINE  
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[PMID]:29319939
[Au] Autor:Food and Drug Administration, HHS.
[Ti] Título:Medical Devices; Neurological Devices; Classification of the Computerized Behavioral Therapy Device for Psychiatric Disorders. Final order.
[So] Source:Fed Regist;82(247):61166-8, 2017 Dec 27.
[Is] ISSN:0097-6326
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The Food and Drug Administration (FDA or we) is classifying the computerized behavioral therapy device for psychiatric disorders into class II (special controls). The special controls that apply to the device type are identified in this order and will be part of the codified language for the computerized behavioral therapy device for psychiatric disorders' classification. We are taking this action because we have determined that classifying the device into class II (special controls) will provide a reasonable assurance of safety and effectiveness of the device. We believe this action will also enhance patients' access to beneficial innovative devices, in part by reducing regulatory burdens.
[Mh] Termos MeSH primário: Terapia Comportamental/classificação
Terapia Comportamental/instrumentação
Segurança de Equipamentos/classificação
Software/classificação
Terapia Assistida por Computador/classificação
Terapia Assistida por Computador/instrumentação
[Mh] Termos MeSH secundário: Seres Humanos
Transtornos Mentais/terapia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180122
[Lr] Data última revisão:
180122
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:180111
[St] Status:MEDLINE


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[PMID]:28464808
[Au] Autor:Woolf BAR; Williams JVA; Lavorato DH; Bulloch AGM; Patten SB
[Ad] Endereço:Christ Church, University of Oxford, St Aldate's, Oxford, OX1 1DP, UK. Benjamin.woolf@chch.ox.ac.uk.
[Ti] Título:A comparison of recommendations and received treatment for mood and anxiety disorders in a representative national sample.
[So] Source:BMC Psychiatry;17(1):155, 2017 05 02.
[Is] ISSN:1471-244X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The exact nature of treatment and management recommendations made, and received, for mood and anxiety disorders in a community population is unclear. In addition, there is limited evidence on the impact of recommendations on actual receipt of treatment or implementation of management strategies. We aim to describe the frequency with which specific recommendations were made and implemented; and thus assess the size of any gap between the recommendation and implementation of treatments and management strategies. METHODS: We used the Survey 'Living with a Chronic Condition in Canada - Mood and Anxiety Disorders (SLCDC-MA), a unique crossectional survey of a large (N = 3358) and representative sample of Canadians with a diagnosed mood or anxiety disorder, which was conducted by Statistics Canada. The survey collected information on recommendations for medication, counselling, exercise, reduction of alcohol consumption, smoking cessation and reduction of street drug use. We also estimate the frequency that recommendations are made and followed, as well the impact of the prior on the latter. We consulted people with lived experience of the disorders to help interpret our results. RESULTS: The results generally showed that most people would receive recommendations, almost all for antidepressant medications (94.6%), with lower proportions for the other treatment and management strategies (e.g. 62.1 and 66% for counselling and exercise). Most recommendations were implemented and had an impact on behaviour. The exception to this was smoking reduction/cessation, which was often not recommended or followed through. Other than with medication, at least 20% of the population, for each recommendation, would not have their recommendation implemented. A substantive group also exists who access treatments, and employ various management strategies, without a recommendation. CONCLUSIONS: The results indicate that there is a gap between recommendations made and the implementation of treatments. However, its size varies substantially across treatments.
[Mh] Termos MeSH primário: Transtornos de Ansiedade/epidemiologia
Transtornos do Humor/epidemiologia
Satisfação do Paciente
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Antidepressivos/uso terapêutico
Transtornos de Ansiedade/terapia
Terapia Comportamental
Canadá/epidemiologia
Estudos Transversais
Feminino
Seres Humanos
Masculino
Meia-Idade
Transtornos do Humor/terapia
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Antidepressive Agents)
[Em] Mês de entrada:1711
[Cu] Atualização por classe:180118
[Lr] Data última revisão:
180118
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE
[do] DOI:10.1186/s12888-017-1316-0


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[PMID]:28454522
[Au] Autor:Becker A; Ehret AM; Kirsch P
[Ad] Endereço:Department of Clinical Psychology, Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, Mannheim, Germany. alena.becker@zi-mannheim.de.
[Ti] Título:From the neurobiological basis of comorbid alcohol dependence and depression to psychological treatment strategies: study protocol of a randomized controlled trial.
[So] Source:BMC Psychiatry;17(1):153, 2017 04 28.
[Is] ISSN:1471-244X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Alcohol use disorder and depression occur commonly in the community. Even though this high-prevalence comorbidity is associated with poorer posttreatment outcomes and greater utilization of costly treatment services, existing treatment trials often exclude patients with comorbid depressive and alcohol use disorders. Past research suggests that symptoms such as craving and anhedonia might be associated with alterations within the reward circuit, while emotion regulation deficits are related to disruptions within the default mode network. The aim of this clinical neuroimaging study is to transfer previous research about the reward circuit and default mode network underlying alcohol use disorder and depression to achieve a better understanding of neural signatures characterizing their comorbidity. In addition, the neurobiological results will be used to test whether two psychotherapeutic intervention programs, mindfulness-based training and behavioral activation training, are able to positively influence the identified pathomechanisms. METHODS: By means of functional magnetic resonance imaging (fMRI), 60 comorbid alcohol dependent and depressed patients are compared to 30 patients with depression only, 30 patients with alcohol use disorder only and 30 healthy control participants. Comorbid patients are randomized to either receive a behavioral activation or mindfulness based training and asked to participate in a second fMRI session and 3 month follow-up assessment. Thereby, we plan to explore whether these brief group psychotherapeutic intervention programs are able to positively influence the identified neurobiological pathomechanisms. The primary outcomes are reward and default mode network activity and connectivity evoked by paradigms measuring different facets of reward and emotion processing. Secondary outcome measures include craving and depression scores, as well as relapse rates. Predictors include participants' characteristics, personality traits and indicators of mental health. DISCUSSION: The objective of the project is to identify common and/or distinct neural signatures underlying the comorbidity of alcohol dependence and depression. If the neurobiological understanding of alcohol addiction and depression is improved, this could potentially serve as a key predictor of treatment response to specific types of behavioral or mindfulness therapies hypothesized to alter reward and resting state systems. TRIAL REGISTRATION: German Clinical Trial Register DRKS00010249 . The trial was registered January 23th 2017.
[Mh] Termos MeSH primário: Alcoolismo/epidemiologia
Alcoolismo/fisiopatologia
Protocolos Clínicos
Depressão/epidemiologia
Depressão/fisiopatologia
Vias Neurais/fisiopatologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Alcoolismo/terapia
Terapia Comportamental/métodos
Comorbidade
Depressão/terapia
Feminino
Neuroimagem Funcional
Alemanha/epidemiologia
Seres Humanos
Imagem por Ressonância Magnética
Masculino
Meia-Idade
Índice de Gravidade de Doença
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1710
[Cu] Atualização por classe:180118
[Lr] Data última revisão:
180118
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170430
[St] Status:MEDLINE
[do] DOI:10.1186/s12888-017-1324-0


  9 / 25539 MEDLINE  
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[PMID]:29211740
[Au] Autor:Tachibana Y; Miyazaki C; Ota E; Mori R; Hwang Y; Kobayashi E; Terasaka A; Tang J; Kamio Y
[Ad] Endereço:Division of Infant and Toddler Mental Health, Department of Psychosocial Medicine, National Centre for Child Health and Development, Tokyo, Japan.
[Ti] Título:A systematic review and meta-analysis of comprehensive interventions for pre-school children with autism spectrum disorder (ASD).
[So] Source:PLoS One;12(12):e0186502, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: There has an increasing number of published trials on psychosocial intervention programmes for pre-school children with autism spectrum disorder (ASD). To achieve better quality of unbiased evidence for the effectiveness of ASD interventions, it is necessary to conduct a comprehensive review that covers studies with adequate quality standards, such as randomised controlled trials (RCTs), and different types of intervention In this study, we categorize interventions for ASD as behavioural, social-communication focused, and multimodal developmental based on Howlin's classification of early interventions for children with ASD. The aim of this study was to compare these three models and investigate the strengths and weaknesses of each type of intervention and to identify the approaches that contribute to a successful outcome for children with autism. METHODS: We performed a systematic review and meta-analysis. We included RCTs targeting children with ASD 6 years old or younger. A random effects model was used to present the effect estimate for the outcomes. This study also performed combined meta-analyses of all the three models to investigate the overall effectiveness of the intervention programmes. RESULTS: 32 randomized controlled studies were found to be eligible for inclusion. The synthesized data included 594 children from 14 RCTs. There was no statistically significant difference in the effects on autism general symptoms between the social-communication-focused model and the multimodal developmental model (p = 0.83). The results suggest that there is evidence of an effect on 'reciprocity of social interaction towards others' (standard mean difference [95% confidential interval] = 0.53[0.29,0.78], p<0.01) and 'parental synchrony' (SMD = 0.99[0.70,1.29], p<0.01). CONCLUSION: The small number of studies included in the present study limited the ability to make inferences when comparing the three models and investigating the strengths and weaknesses of each type of intervention with respect to important outcomes. Since the outcome of 'reciprocity of social interaction towards others' could be a dependent variable that might be context-bound to interactions with the child's parent, we cannot conclude the interventions for pre-school children with ASD have significant effects on a generalized skill to engage in reciprocal interactions with others. However, the outcomes of 'reciprocity of social interaction towards others' and 'parental synchrony' may be promising targets for interventions involving pre-school children with ASD. TRIAL REGISTRATION: Prospero CRD42011001349.
[Mh] Termos MeSH primário: Transtorno do Espectro Autista/terapia
[Mh] Termos MeSH secundário: Terapia Comportamental
Pré-Escolar
Feminino
Seres Humanos
Masculino
Ensaios Clínicos Controlados Aleatórios como Assunto
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180110
[Lr] Data última revisão:
180110
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171207
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0186502


  10 / 25539 MEDLINE  
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[PMID]:28456322
[Au] Autor:Boyce JM
[Ad] Endereço:J.M. Boyce Consulting, LLC, Middletown, CT. Electronic address: jmboyce69@gmail.com.
[Ti] Título:Electronic monitoring in combination with direct observation as a means to significantly improve hand hygiene compliance.
[So] Source:Am J Infect Control;45(5):528-535, 2017 May 01.
[Is] ISSN:1527-3296
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Monitoring hand hygiene compliance among health care personnel (HCP) is an essential element of hand hygiene promotion programs. Observation by trained auditors is considered the gold standard method for establishing hand hygiene compliance rates. Advantages of observational surveys include the unique ability to establish compliance with all of the World Health Organization "My 5 Moments for Hand Hygiene" initiative Moments and to provide just-in-time coaching. Disadvantages include the resources required for observational surveys, insufficient sample sizes, and nonstandardized methods of conducting observations. Electronic and camera-based systems can monitor hand hygiene performance on all work shifts without a Hawthorne effect and provide significantly more data regarding hand hygiene performance. Disadvantages include the cost of installation, variable accuracy in estimating compliance rates, issues related to acceptance by HCP, insufficient data regarding their cost-effectiveness and influence on health care-related infection rates, and the ability of most systems to monitor only surrogates for Moments 1, 4, and 5. Increasing evidence suggests that monitoring only Moments 1, 4, and 5 provides reasonable estimates of compliance with all 5 Moments. With continued improvement of electronic monitoring systems, combining electronic monitoring with observational methods may provide the best information as part of a multimodal strategy to improve and sustain hand hygiene compliance rates among HCP.
[Mh] Termos MeSH primário: Terapia Comportamental/métodos
Desinfecção/métodos
Desinfecção/utilização
Fidelidade a Diretrizes
Higiene das Mãos/métodos
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180108
[Lr] Data última revisão:
180108
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170501
[St] Status:MEDLINE



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