Base de dados : MEDLINE
Pesquisa : H02.403.670.400 [Categoria DeCS]
Referências encontradas : 2395 [refinar]
Mostrando: 1 .. 10   no formato [Detalhado]

página 1 de 240 ir para página                         

  1 / 2395 MEDLINE  
              next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28763454
[Au] Autor:Brault MA; Ngure K; Haley CA; Kabaka S; Sergon K; Desta T; Mwinga K; Vermund SH; Kipp AM
[Ad] Endereço:University of Connecticut, Department of Anthropology, Storrs, Connecticut, United States of America.
[Ti] Título:The introduction of new policies and strategies to reduce inequities and improve child health in Kenya: A country case study on progress in child survival, 2000-2013.
[So] Source:PLoS One;12(8):e0181777, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:As of 2015, only 12 countries in the World Health Organization's AFRO region had met Millennium Development Goal #4 (MDG#4) to reduce under-five mortality by two-thirds by 2015. Given the variability across the African region, a four-country study was undertaken to examine barriers and facilitators of child survival prior to 2015. Kenya was one of the countries selected for an in-depth case study due to its insufficient progress in reducing under-five mortality, with only a 28% reduction between 1990 and 2013. This paper presents indicators, national documents, and qualitative data describing the factors that have both facilitated and hindered Kenya's efforts in reducing child mortality. Key barriers identified in the data were widespread socioeconomic and geographic inequities in access and utilization of maternal, neonatal, and child health (MNCH) care. To reduce these inequities, Kenya implemented three major policies/strategies during the study period: removal of user fees, the Kenya Essential Package for Health, and the Community Health Strategy. This paper uses qualitative data and a policy review to explore the early impacts of these efforts. The removal of user fees has been unevenly implemented as patients still face hidden expenses. The Kenya Essential Package for Health has enabled construction and/or expansion of healthcare facilities in many areas, but facilities struggle to provide Emergency Obstetric and Neonatal Care (EmONC), neonatal care, and many essential medicines and commodities. The Community Health Strategy appears to have had the most impact, improving referrals from the community and provision of immunizations, malaria prevention, and Prevention of Mother-to-Child Transmission of HIV. However, the Community Health Strategy is limited by resources and thus also unevenly implemented in many areas. Although insufficient progress was made pre-2015, with additional resources and further scale-up of new policies and strategies Kenya can make further progress in child survival.
[Mh] Termos MeSH primário: Serviços de Saúde da Criança/organização & administração
Política de Saúde
Disparidades nos Níveis de Saúde
Disparidades em Assistência à Saúde
[Mh] Termos MeSH secundário: Adulto
Saúde da Criança
Mortalidade da Criança
Pré-Escolar
Feminino
Grupos Focais
Infecções por HIV/prevenção & controle
Seres Humanos
Lactente
Mortalidade Infantil
Recém-Nascido
Transmissão Vertical de Doença Infecciosa/prevenção & controle
Quênia
Masculino
Serviços de Saúde Materna/organização & administração
Neonatologia/organização & administração
Obstetrícia/organização & administração
Gravidez
População Rural
População Urbana
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171010
[Lr] Data última revisão:
171010
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170802
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0181777


  2 / 2395 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28759586
[Au] Autor:Dahan S; Ducard D; Caeymaex L
[Ad] Endereço:Neonatal Intensive Care Unit, Centre Hospitalier Intercommunal de Créteil, Créteil, France.
[Ti] Título:Apology in cases of medical error disclosure: Thoughts based on a preliminary study.
[So] Source:PLoS One;12(7):e0181854, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Disclosing medical errors is considered necessary by patients, ethicists, and health care professionals. Literature insists on the framing of this disclosure and describes the apology as appropriate and necessary. However, this policy seems difficult to put into practice. Few works have explored the function and meaning of the apology. OBJECTIVE: The aim of this study was to explore the role ascribed to apology in communication between healthcare professionals and patients when disclosing a medical error, and to discuss these findings using a linguistic and philosophical perspective. METHODS: Qualitative exploratory study, based on face-to-face semi-structured interviews, with seven physicians in a neonatal unit in France. Discourse analysis. RESULTS: Four themes emerged. Difference between apology in everyday life and in the medical encounter; place of the apology in the process of disclosure together with explanations, regrets, empathy and ways to avoid repeating the error; effects of the apology were to allow the patient-physician relationship undermined by the error, to be maintained, responsibility to be accepted, the first steps towards forgiveness to be taken, and a less hierarchical doctor-patient relationship to be created; ways of expressing apology ("I am sorry") reflected regrets and empathy more than an explicit apology. CONCLUSION: This study highlights how the act of apology can be seen as a "language act" as described by philosophers Austin and Searle, and how it functions as a technique for making amends following a wrongdoing and as an action undertaken in order that neither party should lose face, thus echoing the sociologist Goffmann's interaction theory. This interpretation also accords with the views of Lazare, for whom the function of apology is a restoration of dignity after the humiliation of the error. This approach to the apology illustrates how meaning and impact of real-life language acts can be clarified by philosophical and sociological ideas.
[Mh] Termos MeSH primário: Perdão
Erros Médicos
Neonatologia/recursos humanos
Relações Médico-Paciente
Revelação da Verdade
[Mh] Termos MeSH secundário: Adulto
Comunicação
Emoções
Empatia
Ética Médica
Feminino
França
Seres Humanos
Masculino
Meia-Idade
Médicos
Pesquisa Qualitativa
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171010
[Lr] Data última revisão:
171010
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170801
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0181854


  3 / 2395 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28694290
[Au] Autor:Chung EK; Gable EK; Golden WC; Hudson JA; Hackman NM; Andrews JP; Jackson DS; Beavers JB; Mirchandani DR; Kellams A; Krevitsky ME; Monroe K; Madlon-Kay DJ; Stratbucker W; Campbell D; Collins J; Rauch D
[Ad] Endereço:Department of Pediatrics, Sidney Kimmel Medical College of Thomas Jefferson University, Philadelphia, Pennsylvania and Nemours/Alfred I. duPont Hospital for Children, Wilmington, Delaware; echung@nemours.org.
[Ti] Título:Current Scope of Practice for Newborn Care in Non-Intensive Hospital Settings.
[So] Source:Hosp Pediatr;7(8):471-482, 2017 08.
[Is] ISSN:2154-1663
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Neonatologia
[Mh] Termos MeSH secundário: Circuncisão Masculina
Seres Humanos
Hiperbilirrubinemia Neonatal/diagnóstico
Hiperbilirrubinemia Neonatal/terapia
Hipoglicemia/diagnóstico
Hipoglicemia/terapia
Fenômenos Fisiológicos da Nutrição do Lactente
Recém-Nascido
Recém-Nascido Prematuro
Ligadura
Freio Lingual/cirurgia
Masculino
Síndrome de Abstinência Neonatal/diagnóstico
Síndrome de Abstinência Neonatal/terapia
Triagem Neonatal
Sepse Neonatal/diagnóstico
Sepse Neonatal/terapia
Polidactilia/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170926
[Lr] Data última revisão:
170926
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170712
[St] Status:MEDLINE
[do] DOI:10.1542/hpeds.2016-0206


  4 / 2395 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28691882
[Au] Autor:Vass G
[Ti] Título:[In memoriam Lilly Dubowitz (March 20, 1930-March 14, 2016)].
[Ti] Título:Dubowitz Lilly emlékére (1930. március 20.­2016. március 14.)..
[So] Source:Orv Hetil;158(28):1116-1117, 2017 Jul.
[Is] ISSN:0030-6002
[Cp] País de publicação:Hungary
[La] Idioma:hun
[Mh] Termos MeSH primário: Triagem Neonatal/história
Neonatologia/história
Exame Neurológico/história
[Mh] Termos MeSH secundário: Idade Gestacional
História do Século XX
História do Século XXI
Seres Humanos
Recém-Nascido
Exame Físico
[Pt] Tipo de publicação:BIOGRAPHY; HISTORICAL ARTICLE; JOURNAL ARTICLE
[Ps] Nome de pessoa como assunto:Dubowitz L
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170711
[St] Status:MEDLINE
[do] DOI:10.1556/650.2017.HO2576


  5 / 2395 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28525510
[Au] Autor:Tutiven JL; Pruden BT; Banks JS; Stevenson M; Birnbach DJ
[Ad] Endereço:From *Department of Anesthesiology, University of Miami Miller School of Medicine, Miami, Florida; †Jackson Memorial Hospital, Miami, Florida; ‡Department of Radiology, University of Miami Miller School of Medicine, Miami, Florida; §Division of Infectious Diseases, Department of Medicine, University of Miami, Miami Miller School of Medicine, Miami, Florida; and ‖UM-JMH Center for Patient Safety, Department of Anesthesiology, University of Miami Miller School of Medicine, Miami, Florida.
[Ti] Título:Zika Virus: Obstetric and Pediatric Anesthesia Considerations.
[So] Source:Anesth Analg;124(6):1918-1929, 2017 Jun.
[Is] ISSN:1526-7598
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:As of November 2016, the Florida Department of Health (FDH) and the Centers for Disease Control and Prevention have confirmed more than 4000 travel-related Zika virus (ZIKV) infections in the United States with >700 of those in Florida. There have been 139 cases of locally acquired infection, all occurring in Miami, Florida. Within the US territories (eg, Puerto Rico, US Virgin Islands), >30,000 cases of ZIKV infection have been reported. The projected number of individuals at risk for ZIKV infection in the Caribbean and Latin America approximates 5 million. Similar to Dengue and Chikungunya viruses, ZIKV is spread to humans by infected Aedes aegypti mosquitoes, through travel-associated local transmission, via sexual contact, and through blood transfusions. South Florida is an epicenter for ZIKV infection in the United States and the year-round warm climate along with an abundance of mosquito vectors that can harbor the flavivirus raise health care concerns. ZIKV infection is generally mild with clinical manifestations of fever, rash, conjunctivitis, and arthralgia. Of greatest concern, however, is growing evidence for the relationship between ZIKV infection of pregnant women and increased incidence of abnormal pregnancies and congenital abnormalities in the newborn, now medically termed ZIKA Congenital Syndrome. Federal health officials are observing 899 confirmed Zika-positive pregnancies and the FDH is currently monitoring 110 pregnant women with evidence of Zika infection. The University of Miami/Jackson Memorial Hospital is uniquely positioned just north of downtown Miami and within the vicinity of Liberty City, Little Haiti, and Miami Beach, which are currently "hot spots" for Zika virus exposure and transmissions. As the FDH works fervently to prevent a Zika epidemic in the region, health care providers at the University of Miami and Jackson Memorial Hospital prepare for the clinical spectrum of ZIKV effects as well as the safe perioperative care of the parturients and their affected newborns. In an effort to meet anesthetic preparedness for the care of potential Zika-positive patients and perinatal management of babies born with ZIKA Congenital Syndrome, this review highlights the interim guidelines from the Centers for Disease Control and Prevention and also suggest anesthetic implications and recommendations. In addition, this article reviews guidance for the evaluation and anesthetic management of infants with congenital ZIKV infection. To better manage the perioperative care of affected newborns, this article also reviews the comparative anesthetic implications of babies born with related congenital malformations.
[Mh] Termos MeSH primário: Anestesia Obstétrica/métodos
Viroses do Sistema Nervoso Central/terapia
Transmissão Vertical de Doença Infecciosa/prevenção & controle
Microcefalia/terapia
Neonatologia/métodos
Parto
Complicações Infecciosas na Gravidez/terapia
Infecção pelo Zika virus/terapia
[Mh] Termos MeSH secundário: Fatores Etários
Anestesia Obstétrica/efeitos adversos
Animais
Viroses do Sistema Nervoso Central/diagnóstico por imagem
Viroses do Sistema Nervoso Central/virologia
Feminino
Florida/epidemiologia
Hospitais Universitários
Seres Humanos
Recém-Nascido
Masculino
Microcefalia/diagnóstico por imagem
Microcefalia/virologia
Gravidez
Complicações Infecciosas na Gravidez/diagnóstico
Complicações Infecciosas na Gravidez/virologia
Medição de Risco
Fatores de Risco
Infecção pelo Zika virus/diagnóstico
Infecção pelo Zika virus/transmissão
Infecção pelo Zika virus/virologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170814
[Lr] Data última revisão:
170814
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170520
[St] Status:MEDLINE
[do] DOI:10.1213/ANE.0000000000002047


  6 / 2395 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28499484
[Au] Autor:Normand MM; Ejarque Albuquerque M; Grouazel AL; Cottereau MN
[Ad] Endereço:Service de pédiatrie et néonatologie, Centre hospitalier de Chartres, Hôpital Louis-Pasteur, BP 30407, 28018 Chartres cedex, France. Electronic address: mmnormand@ch-chartres.fr.
[Ti] Título:[Adverse events in neonatology, contribution of a standardised register].
[Ti] Título:Événements indésirables en néonatologie, apport d'un registre standardisé..
[So] Source:Soins Pediatr Pueric;38(296):45-47, 2017 May - Jun.
[Is] ISSN:1259-4792
[Cp] País de publicação:France
[La] Idioma:fre
[Ab] Resumo:Despite the recommendation to report all adverse events to the risk management unit, such reporting is far from consistent. An internal, standardised register of adverse events, was put in place in a neonatology unit for six months. An analysis of the reports has led to the reorganisation of the unit and practices as part of a drive to improve the quality of care.
[Mh] Termos MeSH primário: Erros Médicos
Neonatologia
Sistema de Registros
[Mh] Termos MeSH secundário: França
Seres Humanos
Gestão de Riscos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170829
[Lr] Data última revisão:
170829
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170514
[St] Status:MEDLINE


  7 / 2395 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28415984
[Au] Autor:Adams M; Braun J; Bucher HU; Puhan MA; Bassler D; Von Wyl V; Swiss Neonatal Network
[Ad] Endereço:Division of Neonatology, University Hospital Zurich and University of Zurich, Wagistrasse 14, 8952, Schlieren, Switzerland. mark.adams@usz.ch.
[Ti] Título:Comparison of three different methods for risk adjustment in neonatal medicine.
[So] Source:BMC Pediatr;17(1):106, 2017 Apr 17.
[Is] ISSN:1471-2431
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Quality improvement in health care requires identification of areas in need of improvement by comparing processes and patient outcomes within and between health care providers. It is critical to adjust for different case-mix and outcome risks of patient populations but it is currently unclear which approach has higher validity and how limitations need to be dealt with. Our aim was to compare 3 approaches towards risk adjustment for 7 different major quality indicators in neonatal intensive care (21 models). METHODS: We compared an indirect standardization, logistic regression and multilevel approach. Parameters for risk adjustment were chosen according to literature and the condition that they may not depend on processes performed by treating clinics. Predictive validity was tested using the mean Brier Score and by comparing area under curve (AUC) using high quality population based data separated into training and validation sets. Changes in attributional validity were analysed by comparing the effect of the models on the observed-to-expected ratios of the clinics in standardized mortality/morbidity ratio charts. RESULTS: Risk adjustment based on indirect standardization revealed inferior c-statistics but superior Brier scores for 3 of 7 outcomes. Logistic regression and multilevel modelling were equivalent to one another. C-statistics revealed that predictive validity was high for 8 and acceptable for 11 of the 21 models. Yet, the effect of all forms of risk adjustment on any clinic's comparison with the standard was small, even though there was clear risk heterogeneity between clinics. CONCLUSIONS: All three approaches to risk adjustment revealed comparable results. The limited effect of risk adjustment on clinic comparisons indicates a small case-mix influence on observed outcomes, but also a limited ability to isolate quality improvement potential based on risk-adjustment models. Rather than relying on methodological approaches, we instead recommend that clinics build small collaboratives and compare their indicators both in risk-adjusted and unadjusted form together. This allows qualitatively investigating and discussing the residual risk-differences within networks. The predictive validity should be quantified and reported and stratification into risk groups should be more widely used to correct for confounding.
[Mh] Termos MeSH primário: Terapia Intensiva Neonatal/normas
Neonatologia/normas
Melhoria de Qualidade/normas
Risco Ajustado/métodos
[Mh] Termos MeSH secundário: Área Sob a Curva
Feminino
Seres Humanos
Recém-Nascido
Modelos Logísticos
Masculino
Reprodutibilidade dos Testes
Risco Ajustado/normas
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171012
[Lr] Data última revisão:
171012
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170419
[St] Status:MEDLINE
[do] DOI:10.1186/s12887-017-0861-5


  8 / 2395 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28383745
[Au] Autor:Phuma-Ngaiyaye EE; Adejumo O; Dartey AF
[Ti] Título:Challenges in Neonatal Nursing Clinical Teaching to Nurse-Midwife Technicians in Malawi.
[So] Source:J Nurs Educ;56(4):215-221, 2017 Apr 01.
[Is] ISSN:1938-2421
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Practice-based learning is important in clinical teaching of nursing and midwifery as students develop the necessary competencies and confidence aligned by the outcomes of their learning programs. However, in Malawi, research shows that clinical teaching in neonatal nursing has not been given adequate consideration. This article reports on challenges faced by educators and students in clinical teaching and learning in neonatal nursing for nurse-midwife technicians. METHOD: An explorative qualitative study was conducted. Data were collected through 23 focus group discussions with 140 students and 31 clinical teachers from eight nursing colleges. Audiorecorded data were transcribed verbatim and analyzed using Hennink's content analysis stages. RESULTS: Challenges faced by clinical teachers and students were short duration and variation in clinical placements, lack of emphasis in clinical teaching, and lack of skills among clinical staff. CONCLUSION: Nursing training institutions should maximize student learning opportunities in neonatal nursing practice by creating more practice-based learning opportunities that meet the students' needs. [J Nurs Educ. 2017;56(4):215-221.].
[Mh] Termos MeSH primário: Competência Clínica
Bacharelado em Enfermagem/métodos
Tocologia/educação
Enfermagem Neonatal/educação
[Mh] Termos MeSH secundário: Currículo
Feminino
Grupos Focais
Seres Humanos
Malaui
Masculino
Neonatologia/educação
Pesquisa em Educação de Enfermagem
Estudantes de Enfermagem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171013
[Lr] Data última revisão:
171013
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:170407
[St] Status:MEDLINE
[do] DOI:10.3928/01484834-20170323-05


  9 / 2395 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28277305
[Au] Autor:Lalani SR
[Ad] Endereço:Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA. Electronic address: seemal@bcm.edu.
[Ti] Título:Current Genetic Testing Tools in Neonatal Medicine.
[So] Source:Pediatr Neonatol;58(2):111-121, 2017 Apr.
[Is] ISSN:2212-1692
[Cp] País de publicação:Singapore
[La] Idioma:eng
[Ab] Resumo:With the growing understanding of the magnitude of genetic diseases in newborns and equally rapid advancement of tools used for genetic diagnoses, healthcare providers must have a sufficient knowledge base to both recognize and evaluate genetic diseases in the neonatal period. Genetic assessment has become an essential aspect of medicine, and professionals need to know when genetic evaluation is indispensable. Much progress has been made in recent years in utilizing massively parallel sequencing for rapid diagnosis of genetic conditions in neonates. Next-generation sequencing is increasingly being used for noninvasive prenatal diagnosis, and it may become an essential component of newborn screening. This review will define some basic genetic terms and concepts, explain the gamut of genetic testing available for early diagnosis of genetic diseases, and describe some common chromosomal abnormalities, genomic disorders, and single-gene diseases relevant to neonatal medicine.
[Mh] Termos MeSH primário: Testes Genéticos
Triagem Neonatal
[Mh] Termos MeSH secundário: Aberrações Cromossômicas
Anormalidades Congênitas/diagnóstico
Anormalidades Congênitas/genética
Diagnóstico Precoce
Seres Humanos
Recém-Nascido
Análise em Microsséries
Doenças Mitocondriais/diagnóstico
Doenças Mitocondriais/genética
Neonatologia
Análise de Sequência
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170609
[Lr] Data última revisão:
170609
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170310
[St] Status:MEDLINE


  10 / 2395 MEDLINE  
              first record previous record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28179660
[Au] Autor:Kader H
[Ad] Endereço:Seattle Children's Hospital, Washington, USA.
[Ti] Título:Neonatology: Promote prestigious paediatric centres.
[So] Source:Nature;542(7640):165, 2017 02 08.
[Is] ISSN:1476-4687
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Neonatologia
[Mh] Termos MeSH secundário: Criança
Seres Humanos
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170517
[Lr] Data última revisão:
170517
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170210
[St] Status:MEDLINE
[do] DOI:10.1038/542165e



página 1 de 240 ir para página                         
   


Refinar a pesquisa
  Base de dados : MEDLINE Formulário avançado   

    Pesquisar no campo  
1  
2
3
 
           



Search engine: iAH v2.6 powered by WWWISIS

BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde