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[PMID]:28822211
[Au] Autor:Kim TE; Shankel T; Reibling ET; Paik J; Wright D; Buckman M; Wild K; Ngo E; Hayatshahi A; Nguyen LH; Denmark TK; Thomas TL
[Ad] Endereço:Associate Professor and Associate Medical Director, Department of Emergency Medicine, Loma Linda University, Loma Linda, California.
[Ti] Título:Healthcare students interprofessional critical event/disaster response course.
[So] Source:Am J Disaster Med;12(1):11-26, 2017.
[Is] ISSN:1932-149X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Numerous disasters confirm the need for critical event training in healthcare professions. However, no single discipline works in isolation and interprofessional learning is recognized as a necessary component. An interprofessional faculty group designed a learning curriculum crossing professional schools. DESIGN: Faculty members from four healthcare schools within the university (nursing, pharmacy, allied health, and medicine) developed an interdisciplinary course merging both published cross-cutting competencies for critical event response and interprofessional education competencies. SETTING: Students completed a discipline-specific online didactic course. Interdisciplinary groups then participated in a 4-hour synchronous experience. This live course featured high-fidelity medical simulations focused on resuscitation, as well as hands-on modules on decontamination and a mass casualty triage incorporating moulaged standardized patients in an active shooter scenario. PARTICIPANTS: Participants were senior students from allied health, medicine, nursing, and pharmacy. MAIN OUTCOME MEASURES: Precourse and postcourse assessments were conducted online to assess course impact on learning performance, leadership and team development, and course satisfaction. RESULTS: Students participated were 402. Precourse and postcourse evaluations showed improvement in team participation values, critical event knowledge, and 94 percent of participants reported learning useful skills. Qualitative responses evidenced positive response; most frequent recurring comments concerned value of interprofessional experiences in team communication and desire to incorporate this kind of education earlier in their curriculum. Students demonstrated improvement in both knowledge and attitudes in a critical event response course that includes interprofessional instruction and collaboration. Further study is required to demonstrate sustained improvement as well as benefit to clinical outcomes.
[Mh] Termos MeSH primário: Instrução por Computador
Medicina de Desastres/educação
Educação Profissionalizante/organização & administração
Medicina de Emergência/educação
Competência Profissional
[Mh] Termos MeSH secundário: Ocupações Relacionadas com Saúde
Atitude do Pessoal de Saúde
Currículo
Educação Médica/organização & administração
Educação em Enfermagem/organização & administração
Educação Profissional em Saúde Pública/organização & administração
Feminino
Seres Humanos
Relações Interprofissionais
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171103
[Lr] Data última revisão:
171103
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170820
[St] Status:MEDLINE


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[PMID]:28822210
[Au] Autor:Grock A; Aluisio AR; Abram E; Roblin P; Arquilla B
[Ad] Endereço:Assistant Professor Emergency Medicine, Department of Emergency Medicine, University of California, Los Angeles, Los Angeles, California; Medical Education Fellow, Emergency Medicine Department, LAC+USC Medical Center, Los Angeles, California.
[Ti] Título:Evaluation of the association between disaster training and confidence in disaster response among graduate medical trainees: A cross-sectional study.
[So] Source:Am J Disaster Med;12(1):5-9, 2017.
[Is] ISSN:1932-149X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Disasters by definition overwhelm the resources of a hospital and may require a response from a range of practitioners. Disaster training is part of emergency medicine (EM) resident curricula, but less emphasized in other training programs. This study aimed to compare disaster educational training and confidence levels among resident trainees from multiple specialties. DESIGN: A structured questionnaire assessed graduate medical training in disaster education and self-perceived confidence in disaster situations. Cross-sectional sampling of resident trainees from the departments of surgery, pediatrics, internal medicine, and EM was performed. SETTING: The study took place at a large urban academic medical center during March 2013. PARTICIPANTS: Among 331 available residents, a convenience sample of 157 (47.4 percent) was obtained. MAIN OUTCOME MEASURES: Outcomes investigated include resident confidence in various disaster scenarios, volume of disaster training currently received, and preferred education modality. RESULTS: EM trainees reported 7.3 hours of disaster instruction compared to 1.3 hours in non-EM trainees (p < 0.001). EM residents reported significantly more confidence in disaster scenarios compared to non-EM residents except for overall low confidence levels for mega mass casualty incidents. The preferred education modality for both EM and non-EM residents was simulation exercises followed by lecture. CONCLUSIONS: This study demonstrated relatively lower confidence among non-EM residents in disaster response as well as lower number of disaster education time. These data report a learner preference for simulation training.
[Mh] Termos MeSH primário: Competência Clínica
Medicina de Desastres/educação
Medicina de Emergência/educação
Internato e Residência
Corpo Clínico Hospitalar/educação
[Mh] Termos MeSH secundário: Adulto
Estudos Transversais
Currículo
Planejamento em Desastres
Feminino
Seres Humanos
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171103
[Lr] Data última revisão:
171103
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170820
[St] Status:MEDLINE


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[PMID]:28431426
[Au] Autor:Hayanga HK; Barnett DJ; Shallow NR; Roberts M; Thompson CB; Bentov I; Demiralp G; Winters BD; Schwengel DA
[Ad] Endereço:From the *Division of Cardiac Anesthesiology, Department of Anesthesiology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania; †Department of Environmental Health Sciences, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland; ‡Independent Contractor at Natasha Shallow MD SC, Brookfield, Wisconsin; §Department of Anesthesiology, The University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma; ‖Johns Hopkins Bloomberg School of Public Health Biostatistics Center, Baltimore, Maryland; ¶Department of Anesthesiology and Pain Medicine, Harborview Medical Center, University of Washington Medical Center, Seattle, Washington; and #Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins Hospital, Baltimore, Maryland.
[Ti] Título:Anesthesiologists and Disaster Medicine: A Needs Assessment for Education and Training and Reported Willingness to Respond.
[So] Source:Anesth Analg;124(5):1662-1669, 2017 May.
[Is] ISSN:1526-7598
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Anesthesiologists provide comprehensive health care across the emergency department, operating room, and intensive care unit. To date, anesthesiologists' perspectives regarding disaster medicine and public health preparedness have not been described. METHODS: Anesthesiologists' thoughts and attitudes were assessed via a Web-based survey at 3 major academic institutions. Frequencies, percentages, and odds ratios (ORs) were used to assess self-reported perceptions of knowledge and skills, as well as attitudes and beliefs regarding education and training, employee development, professional obligation, safety, psychological readiness, efficacy, personal preparedness, and willingness to respond (WTR). Three representative disaster scenarios (natural disaster [ND], radiological event [RE], and pandemic influenza [PI]) were investigated. Results are reported as percent or OR (95% confidence interval). RESULTS: Participants included 175 anesthesiology attendings (attendings) and 95 anesthesiology residents (residents) representing a 47% and 51% response rate, respectively. A minority of attendings indicated that their hospital provides adequate pre-event preparation and training (31% [23-38] ND, 14% [9-21] RE, and 40% [31-49] PI). Few residents felt that their residency program provided them with adequate preparation and training (22% [14-33] ND, 16% [8-27] RE, and 17% [9-29] PI). Greater than 85% of attendings (89% [84-94] ND, 88% [81-92] RE, and 87% [80-92] PI) and 70% of residents (81% [71-89] ND, 71% [58-81] RE, and 82% [70-90] PI) believe that their hospital or residency program, respectively, should provide them with preparation and training. Approximately one-half of attendings and residents are confident that they would be safe at work during response to a ND or PI (55% [47-64] and 58% [49-67] of attendings; 59% [48-70] and 48% [35-61] of residents, respectively), whereas approximately one-third responded the same regarding a RE (31% [24-40] of attendings and 28% [18-41] of residents). Fewer than 40% of attendings (34% [26-43]) and residents (38% [27-51]) designated who would take care of their family obligations in the event they were called into work during a disaster. Regardless of severity, 79% (71-85) of attendings and 73% (62-82) of residents indicated WTR to a ND, whereas 81% (73-87) of attendings and 70% (58-81) of residents indicated WTR to PI. Fewer were willing to respond to a RE (63% [55-71] of attendings and 52% [39-64] of residents). In adjusted logistic regression analyses, those anesthesiologists who reported knowing one's role in response to a ND (OR, 15.8 [4.5-55.3]) or feeling psychologically prepared to respond to a ND (OR, 6.9 [2.5-19.0]) were found to be more willing to respond. Similar results were found for RE and PI constructs. Both attendings and residents were willing to respond in whatever capacity needed, not specifically to provide anesthesia. CONCLUSIONS: Few anesthesiologists reported receiving sufficient education and training in disaster medicine and public health preparedness. Providing education and training and enhancing related employee services may further bolster WTR and help to build a more capable and effective medical workforce for disaster response.
[Mh] Termos MeSH primário: Anestesiologistas
Anestesiologia
Atitude do Pessoal de Saúde
Medicina de Desastres
Planejamento em Desastres
Educação Médica Continuada/métodos
Conhecimentos, Atitudes e Prática em Saúde
Necessidades e Demandas de Serviços de Saúde
Capacitação em Serviço/métodos
Determinação de Necessidades de Cuidados de Saúde
[Mh] Termos MeSH secundário: Adulto
Anestesiologistas/educação
Anestesiologistas/organização & administração
Anestesiologia/educação
Anestesiologia/organização & administração
Defesa Civil
Competência Clínica
Prestação Integrada de Cuidados de Saúde
Medicina de Desastres/educação
Medicina de Desastres/organização & administração
Planejamento em Desastres/organização & administração
Feminino
Pesquisas sobre Serviços de Saúde
Necessidades e Demandas de Serviços de Saúde/organização & administração
Seres Humanos
Internato e Residência
Modelos Logísticos
Masculino
Meia-Idade
Análise Multivariada
Determinação de Necessidades de Cuidados de Saúde/organização & administração
Razão de Chances
Equipe de Assistência ao Paciente
Papel Profissional
Desenvolvimento de Pessoal
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170703
[Lr] Data última revisão:
170703
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170422
[St] Status:MEDLINE
[do] DOI:10.1213/ANE.0000000000002002


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[PMID]:28330400
[Au] Autor:Yasui K; Kimura Y; Kamiya K; Miyatani R; Tsuyama N; Sakai A; Yoshida K; Yamashita S; Chhem R; Abdel-Wahab M; Ohtsuru A
[Ad] Endereço:1 Fukushima Medical University Hospital, Fukushima, Japan.
[Ti] Título:Academic Responses to Fukushima Disaster.
[So] Source:Asia Pac J Public Health;29(2_suppl):99S-109S, 2017 Mar.
[Is] ISSN:1941-2479
[Cp] País de publicação:China
[La] Idioma:eng
[Ab] Resumo:Since radiation accidents, particularly nuclear disasters, are rarer than other types of disasters, a comprehensive radiation disaster medical curriculum for them is currently unavailable. The Fukushima compound disaster has urged the establishment of a new medical curriculum in preparation for any future complex disaster. The medical education will aim to aid decision making on various health risks for workers, vulnerable people, and residents addressing each phase in the disaster. Herein, we introduce 3 novel educational programs that have been initiated to provide students, professionals, and leaders with the knowledge of and skills to elude the social consequences of complex nuclear disasters. The first program concentrates on radiation disaster medicine for medical students at the Fukushima Medical University, together with a science, technology, and society module comprising various topics, such as public risk communication, psychosocial consequences of radiation anxiety, and decision making for radiation disaster. The second program is a Phoenix Leader PhD degree at the Hiroshima University, which aims to develop future leaders who can address the associated scientific, environmental, and social issues. The third program is a Joint Graduate School of Master's degree in the Division of Disaster and Radiation Medical Sciences at the Nagasaki University and Fukushima Medical University.
[Mh] Termos MeSH primário: Currículo
Medicina de Desastres/educação
Educação Médica/organização & administração
Acidente Nuclear de Fukushima
[Mh] Termos MeSH secundário: Seres Humanos
Japão
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170627
[Lr] Data última revisão:
170627
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170324
[St] Status:MEDLINE
[do] DOI:10.1177/1010539516685400


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[PMID]:28213085
[Au] Autor:Couessurel N; Genotelle N; Fleury C; Bodenan P; Lefort H
[Ad] Endereço:Service départemental métropolitain d'incendie et de secours, 17, rue Rabelais, 69003 Lyon, France.
[Ti] Título:1/10 Responsabilité juridique du soignant en cas d'attentat ou de catastrophe..
[So] Source:Soins;62(812):61-62, 2017 Jan - Feb.
[Is] ISSN:0038-0814
[Cp] País de publicação:France
[La] Idioma:fre
[Mh] Termos MeSH primário: Medicina de Desastres/legislação & jurisprudência
Legislação de Enfermagem
Papel do Profissional de Enfermagem
Terrorismo/legislação & jurisprudência
[Mh] Termos MeSH secundário: Medicina de Desastres/recursos humanos
Vítimas de Desastres/legislação & jurisprudência
Desastres
Emergências/enfermagem
Seres Humanos
Cuidados de Enfermagem/normas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170706
[Lr] Data última revisão:
170706
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170219
[St] Status:MEDLINE


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[PMID]:28192053
[Au] Autor:Hanen L; McGinty M
[Ti] Título:Ensuring Local Capacity for Public Health Disaster Response and Recovery: A National Imperative.
[So] Source:Health Secur;15(1):38-40, 2017 Jan/Feb.
[Is] ISSN:2326-5108
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Fortalecimento Institucional/métodos
Medicina de Desastres/economia
Planejamento em Desastres/organização & administração
Saúde Pública/métodos
[Mh] Termos MeSH secundário: Seres Humanos
Prática de Saúde Pública/normas
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170912
[Lr] Data última revisão:
170912
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170214
[St] Status:MEDLINE
[do] DOI:10.1089/hs.2016.0110


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[PMID]:28060964
[Au] Autor:Orenstein D
[Ad] Endereço:Science News Officer, Brown University.
[Ti] Título:New England Society of Disaster Medicine holds annual meeting at Brown - Preparing for epidemics and natural disasters.
[So] Source:R I Med J (2013);100(1):37-38, 2017 Jan 06.
[Is] ISSN:2327-2228
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Medicina de Desastres/tendências
Planejamento em Desastres
Desastres/prevenção & controle
Epidemias/prevenção & controle
[Mh] Termos MeSH secundário: Congressos como Assunto
Seres Humanos
New England
Sociedades Médicas
[Pt] Tipo de publicação:INTERVIEW
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170425
[Lr] Data última revisão:
170425
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170107
[St] Status:MEDLINE


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[PMID]:28010145
[Au] Autor:Sharma S; Crawley A; O'Kennedy R
[Ad] Endereço:a School of Biotechnology , Dublin City University , Dublin 9 , Ireland.
[Ti] Título:Strategies for overcoming challenges for decentralised diagnostics in resource-limited and catastrophe settings.
[So] Source:Expert Rev Mol Diagn;17(2):109-118, 2017 Feb.
[Is] ISSN:1744-8352
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Globally, both communicable and non-communicable diseases pose a serious threat to populations in developed as well as developing countries. Access to reliable diagnostic testing along with qualified health practitioners is severely limited in low resource and very remote areas and following natural catastrophes. Areas covered: This paper provides an overview of the challenges involved and suggests strategies to address them. The emergence of more robust, user-friendly, cost-effective and 'sample-to-result' point-of-care (POC) tools, along with the proliferation of mobile technologies, may provide a practical approach in addressing some of the challenges. Expert commentary: The successful implementation of POC testing requires the availability of versatile diagnostic technologies, improved platforms and back-up infrastructure, successful leveraging of human resources through training and, finally, engagement/coordination of associated stakeholders, including public health agencies, diagnostics companies, healthcare practitioners and local rural authorities.
[Mh] Termos MeSH primário: Medicina de Desastres
Desastres
Aplicativos Móveis
[Mh] Termos MeSH secundário: Medicina de Desastres/instrumentação
Medicina de Desastres/métodos
Seres Humanos
Sistemas Automatizados de Assistência Junto ao Leito
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171009
[Lr] Data última revisão:
171009
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161225
[St] Status:MEDLINE
[do] DOI:10.1080/14737159.2017.1273773


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[PMID]:27749145
[Au] Autor:Cicero MX; Whitfill T; Overly F; Baird J; Walsh B; Yarzebski J; Riera A; Adelgais K; Meckler GD; Baum C; Cone DC; Auerbach M
[Ti] Título:Pediatric Disaster Triage: Multiple Simulation Curriculum Improves Prehospital Care Providers' Assessment Skills.
[So] Source:Prehosp Emerg Care;21(2):201-208, 2017 Mar-Apr.
[Is] ISSN:1545-0066
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Paramedics and emergency medical technicians (EMTs) triage pediatric disaster victims infrequently. The objective of this study was to measure the effect of a multiple-patient, multiple-simulation curriculum on accuracy of pediatric disaster triage (PDT). METHODS: Paramedics, paramedic students, and EMTs from three sites were enrolled. Triage accuracy was measured three times (Time 0, Time 1 [two weeks later], and Time 2 [6 months later]) during a disaster simulation, in which high and low fidelity manikins and actors portrayed 10 victims. Accuracy was determined by participant triage decision concordance with predetermined expected triage level (RED [Immediate], YELLOW [Delayed], GREEN [Ambulatory], BLACK [Deceased]) for each victim. Between Time 0 and Time 1, participants completed an interactive online module, and after each simulation there was an individual debriefing. Associations between participant level of training, years of experience, and enrollment site were determined, as were instances of the most dangerous mistriage, when RED and YELLOW victims were triaged BLACK. RESULTS: The study enrolled 331 participants, and the analysis included 261 (78.9%) participants who completed the study, 123 from the Connecticut site, 83 from Rhode Island, and 55 from Massachusetts. Triage accuracy improved significantly from Time 0 to Time 1, after the educational interventions (first simulation with debriefing, and an interactive online module), with a median 10% overall improvement (p < 0.001). Subgroup analyses showed between Time 0 and Time 1, paramedics and paramedic students improved more than EMTs (p = 0.002). Analysis of triage accuracy showed greatest improvement in overall accuracy for YELLOW triage patients (Time 0 50% accurate, Time1 100%), followed by RED patients (Time 0 80%, Time 1 100%). There was no significant difference in accuracy between Time 1 and Time 2 (p = 0.073). CONCLUSION: This study shows that the multiple-victim, multiple-simulation curriculum yields a durable 10% improvement in simulated triage accuracy. Future iterations of the curriculum can target greater improvements in EMT triage accuracy.
[Mh] Termos MeSH primário: Medicina de Desastres/normas
Avaliação Educacional/normas
Serviços Médicos de Emergência/normas
Auxiliares de Emergência/educação
Auxiliares de Emergência/normas
Triagem/normas
[Mh] Termos MeSH secundário: Criança
Competência Clínica
Currículo
Técnica Delfos
Medicina de Desastres/educação
Seres Humanos
Incidentes com Feridos em Massa
Simulação de Paciente
Estudos Prospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170622
[Lr] Data última revisão:
170622
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161018
[St] Status:MEDLINE
[do] DOI:10.1080/10903127.2016.1235239


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[PMID]:27999820
[Au] Autor:Ikegaya N; Seki G; Ohta N
[Ad] Endereço:Department of Medicine, Yaizu City Hospital, 1000 Dobara, Yaizu, Shizuoka 425-8505, Japan.
[Ti] Título:How Should Disaster Base Hospitals Prepare for Dialysis Therapy after Earthquakes? Introduction of Double Water Piping Circuits Provided by Well Water System.
[So] Source:Biomed Res Int;2016:9647156, 2016.
[Is] ISSN:2314-6141
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:After earthquakes, continuing dialysis for patients with ESRD and patients suffering from crush syndrome is the serious problem. In this paper, we analyzed the failure of the provision of dialysis services observed in recent disasters and discussed how to prepare for disasters to continue dialysis therapy. Japan has frequently experienced devastating earthquakes. A lot of dialysis centers could not continue dialysis treatment owing to damage caused by these earthquakes. The survey by Japanese Society for Dialysis Treatment (JSDT) after the Great East Japan Earthquake in 2011 showed that failure of lifelines such as electric power and water supply was the leading cause of the malfunction of dialysis treatment. Our hospital is located in Shizuoka Prefecture, where one of the biggest earthquakes is predicted to occur in the near future. In addition to reconstructing earthquake-resistant buildings and facilities, we therefore have adopted double electric and water lifelines by introducing emergency generators and well water supply systems. It is very important to inform politicians, bureaucrats, and local water departments that dialysis treatment, a life sustaining therapy for patients with end stage renal diseases, requires a large amount of water. We cannot prevent an earthquake but can curb the extent of a disaster by preparing for earthquakes.
[Mh] Termos MeSH primário: Medicina de Desastres
Planejamento em Desastres
Terremotos
Diálise Renal
Abastecimento de Água
Poços de Água
[Mh] Termos MeSH secundário: Medicina de Desastres/métodos
Medicina de Desastres/organização & administração
Medicina de Desastres/normas
Planejamento em Desastres/métodos
Planejamento em Desastres/organização & administração
Planejamento em Desastres/normas
Seres Humanos
Diálise Renal/métodos
Diálise Renal/normas
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170224
[Lr] Data última revisão:
170224
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161222
[St] Status:MEDLINE
[do] DOI:10.1155/2016/9647156



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