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  1 / 1912 MEDLINE  
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[PMID]:29197685
[Au] Autor:Aguilar-Palacio I; Carrera-Lasfuentes P; Sánchez-Recio R; Alonso JP; Rabanaque MJ
[Ad] Endereço:Microbiology, Preventive Medicine and Public Health Department, Zaragoza University, Domingo Miral S/n, 50009, Zaragoza, Spain; Group of Health Services Research of Aragon, (GRISSA), Spain; IIS Aragon, Spain. Electronic address: iaguilar@unizar.es.
[Ti] Título:Recession, employment and self-rated health: a study on the gender gap.
[So] Source:Public Health;154:44-50, 2018 Jan.
[Is] ISSN:1476-5616
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Employment status and economic recession have been associated with negative effects on self-rated health, and this effect differs by gender. We analysed the effects of the Spanish economic recession in terms of self-rated health, its differential effect among genders and its influence on gender gap. STUDY DESIGN: Repeated cross-sectional study using Spanish health surveys (2001-2014). METHODS: Logistic regression models were conducted to explore the association between self-rated health and employment status and its evolution over time and gender. To test the impact of the economic recession, pooled data regression models were conducted. RESULTS: In this study, we considered 104,577 subjects. During the last 15 years, women have entered the labour market, leading to wide changes in the Spanish traditional family roles. Instead of an increasing proportion of women workers, gender employment differences persist. Therefore, in 2014, the prevalence of workers was 55.77% in men, whereas in women, it was 44.01%. Self-rated health trends during the economic recession differ by gender, with women improving slightly their self-rated health from a low self-rated health prevalence of 38.76% in 2001 to 33.78% in 2014. On the contrary, men seem more vulnerable to employment circumstances, which have led to substantial reduction in the gender gap. CONCLUSIONS: Although a gender gap persists, the change in socio-economic roles seems to increase women's self-rated health, reducing this gap. It is important to promote women's labour market inclusion, even in economic recession periods.
[Mh] Termos MeSH primário: Autoavaliação Diagnóstica
Recessão Econômica/estatística & dados numéricos
Emprego/estatística & dados numéricos
Disparidades nos Níveis de Saúde
Fatores Sexuais
[Mh] Termos MeSH secundário: Adulto
Estudos Transversais
Feminino
Inquéritos Epidemiológicos
Seres Humanos
Masculino
Espanha
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180212
[Lr] Data última revisão:
180212
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171204
[St] Status:MEDLINE


  2 / 1912 MEDLINE  
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[PMID]:29253418
[Au] Autor:Laliotis I; Ioannidis JPA; Stavropoulou C
[Ad] Endereço:School of Economics, Faculty of Arts and Social Sciences, University of Surrey, Guildford, UK.
[Ti] Título:Total and cause-specific mortality before and after the onset of the Greek economic crisis: an interrupted time-series analysis.
[So] Source:Lancet Public Health;1(2):e56-e65, 2016 Dec.
[Is] ISSN:2468-2667
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Greece was one of the countries hit the hardest by the 2008 financial crisis in Europe. Yet, evidence on the effect of the crisis on total and cause-specific mortality remains unclear. We explored whether the economic crisis affected the trend of overall and cause-specific mortality rates. METHODS: We used regional panel data from the Hellenic Statistical Authority to assess mortality trends by age, sex, region, and cause in Greece between January, 2001, and December, 2013. We used Eurostat data to calculate monthly age-standardised mortality rates per 100 000 inhabitants for each region. Data were divided into two subperiods: before the crisis (January, 2001, to August, 2008) and after the onset of the crisis (September, 2008, to December, 2013). We tested for changes in the slope of mortality by doing an interrupted time-series analysis. FINDINGS: Overall mortality continued to decline after the onset of the financial crisis (-0·065, 95% CI -0·080 to -0·049), but at a slower pace than before the crisis (-0·13, -0·15 to -0·10; trend difference 0·062, 95% CI 0·041 to 0·083; p<0·0001). The trend difference was more evident for females (0·087, 95% CI 0·064-0·11; p<0·0001) than for males (0·040, 0·013-0·066; p=0·007). Those aged at least 75 years experienced more negative effects (trend difference 0·056, 95% CI 0·042 to 0·071; p<0·0001) than did those aged 20-34 years, in whom mortality trends improved (-0·0074, -0·0089 to -0·0059; p<0·0001). Deaths by diseases of the circulatory system declined more slowly after the onset of compared with before the crisis (trend difference 0·043, 95% CI 0·024 to 0·063; p<0·0001), whereas deaths from vehicular accidents declined faster (-0·0062, -0·0090 to -0·0033; p<0·0001), most prominently among men aged 20-34 years (-0·0065, -0·0085 to -0·0044; p<0·0001). Conversely, deaths from suicides (trend difference 0·0021, 95% CI 0·00092-0·0033; p=0·002), diseases of the nervous system (0·0036, 0·0016-0·0056; p=0·002), and mental health problems (0·00073, 0·000047-0·0014 p=0·038) increased after the onset of the crisis. Also, deaths due to adverse events during medical treatment increased significantly after the onset of the crisis (trend difference 0·0020, 95% CI 0·0012-0·0028; p<0·0001). By comparing the expected values of the period after the onset of the crisis with extrapolated values based on the period before the crisis, we estimate that an extra 242 deaths per month occurred after the onset of the crisis. INTERPRETATION: Mortality trends have been interrupted after the onset of compared with before the crisis, but changes vary by age, sex, and cause of death. The increase in deaths due to adverse events during medical treatment might reflect the effects of deterioration in quality of care during economic recessions. FUNDING: None.
[Mh] Termos MeSH primário: Recessão Econômica/estatística & dados numéricos
Mortalidade
[Mh] Termos MeSH secundário: Adolescente
Adulto
Fatores Etários
Idoso
Causas de Morte
Feminino
Grécia/epidemiologia
Seres Humanos
Análise de Séries Temporais Interrompida
Masculino
Meia-Idade
Fatores Sexuais
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180201
[Lr] Data última revisão:
180201
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171219
[St] Status:MEDLINE


  3 / 1912 MEDLINE  
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[PMID]:29281696
[Au] Autor:Travers JL; Cohen CC; Dick AW; Stone PW
[Ad] Endereço:NewCourtland Center for Transitions and Health, University of Pennsylvania School of Nursing, Philadelphia, PA, United States of America.
[Ti] Título:The Great American Recession and forgone healthcare: Do widened disparities between African-Americans and Whites remain?
[So] Source:PLoS One;12(12):e0189676, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: During the Great Recession in America, African-Americans opted to forgo healthcare more than other racial/ethnic groups. It is not understood whether disparities in forgone care returned to pre-recession levels. Understanding healthcare utilization patterns is important for informing subsequent efforts to decrease healthcare disparities. Therefore, we examined changes in racial disparities in forgone care before, during, and after the Great Recession. DESIGN: Data were pooled from the 2006-2013 National Health Interview Survey. Forgone medical, mental, and prescription care due to affordability were assessed among African-Americans and Whites. Time periods were classified as: pre-recession (May 2006-November 2007), early recession (December 2007-November 2008), late recession (December 2008-May 2010) and post-recession (June 2010-December 2013). Multivariable logistic regressions of race, interacted with time periods, were used to identify disparities in forgone care controlling for other demographics, health insurance coverage, and having a usual place for medical care across time periods. Adjusted Wald tests were performed to identify significant changes in disparities across time periods. RESULTS: The sample consisted of 110,746 adults. African-Americans were more likely to forgo medical care during the post- recession compared to Whites (OR = 1.16, CI = 1.06, 1.26); changes in foregone medical care disparities were significant in that they increased in the post-recession period compared to the pre-recession (OR = 1.17, CI = 1.08, 1.28 and OR = 0.89, CI = 0.77, 1.04, respectively, adjusted Wald Test p-value < 0.01). No changes in disparities were seen in prescription and mental forgone care. CONCLUSION: A persistent increase in forgone medical care disparities existed among African-Americans compared to Whites post-Great Recession and may be a result of outstanding issues related to healthcare access, cost, and quality. While health insurance is an important component of access to care, it alone should not be expected to remove these disparities due to other financial constraints. Additional strategies are necessary to close remaining gaps in care widened by the Great Recession.
[Mh] Termos MeSH primário: Afroamericanos/estatística & dados numéricos
Recessão Econômica
Grupo com Ancestrais do Continente Europeu/estatística & dados numéricos
Disparidades em Assistência à Saúde/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Feminino
Acesso aos Serviços de Saúde
Seres Humanos
Masculino
Meia-Idade
Estados Unidos
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180129
[Lr] Data última revisão:
180129
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0189676


  4 / 1912 MEDLINE  
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[PMID]:29303717
[Au] Autor:Yaqub F
[Ti] Título:2017: a year in review.
[So] Source:Lancet;390(10114):2753-2754, 2018 12 23.
[Is] ISSN:1474-547X
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Conflitos Armados
Transtornos da Nutrição Infantil/epidemiologia
Cólera/epidemiologia
Epidemias
Direitos Humanos
Imunoterapia Adotiva/métodos
Leucemia-Linfoma Linfoblástico de Células Precursoras B/terapia
Refugiados
Delitos Sexuais
Assédio Sexual
[Mh] Termos MeSH secundário: Bangladesh
Pré-Escolar
China
Recessão Econômica
Etiópia/epidemiologia
Abastecimento de Alimentos
Política de Saúde
Seres Humanos
Mianmar
Armas Nucleares
Política
Somália/epidemiologia
Linfócitos T/transplante
Transplante Autólogo
Estados Unidos
Venezuela
Organização Mundial da Saúde
Iêmen/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180117
[Lr] Data última revisão:
180117
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180106
[St] Status:MEDLINE


  5 / 1912 MEDLINE  
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[PMID]:28991426
[Au] Autor:Rothstein J; Valletta RG
[Ti] Título:Scraping by: Income and Program Participation After the Loss of Extended Unemployment Benefits.
[So] Source:J Policy Anal Manage;36(4):880-908, 2017.
[Is] ISSN:0276-8739
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Many Unemployment Insurance (UI) recipients do not find new jobs before exhausting their benefits, even when benefits are extended during recessions. Using Survey of Income and Program Participation (SIPP) panel data covering the 2001 and 2007 to 2009 recessions and their aftermaths, we identify individuals whose jobless spells outlasted their UI benefits (exhaustees) and examine household income, program participation, and health-related outcomes during the six months following UI exhaustion. For the average exhaustee, the loss of UI benefits is only slightly offset by increased participation in other safety net programs (e.g., food stamps), and family poverty rates rise substantially. Self-reported disability also rises following UI exhaustion. These patterns do not vary dramatically across household demographic groups, broad income level prior to job loss, or the two business cycles. The results highlight the unique, important role of UI in the U.S. social safety net.
[Mh] Termos MeSH primário: Nível de Saúde
Assistência Pública/utilização
Desemprego/estatística & dados numéricos
[Mh] Termos MeSH secundário: Recessão Econômica
Previsões
Seres Humanos
Renda
Seguro
Pobreza
Assistência Pública/estatística & dados numéricos
Assistência Pública/tendências
Previdência Social/tendências
Previdência Social/utilização
Desemprego/tendências
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:171011
[St] Status:MEDLINE


  6 / 1912 MEDLINE  
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[PMID]:28914520
[Au] Autor:Berlin O
[Ti] Título:Where Have All the Babies Gone?
[So] Source:State Legis;43(8):9, 2017 Sep.
[Is] ISSN:0147-6041
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Coeficiente de Natalidade/tendências
[Mh] Termos MeSH secundário: Adolescente
Adulto
Recessão Econômica/estatística & dados numéricos
Feminino
Seres Humanos
Gravidez
Gravidez na Adolescência/estatística & dados numéricos
Gravidez não Planejada
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171006
[Lr] Data última revisão:
171006
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:170916
[St] Status:MEDLINE


  7 / 1912 MEDLINE  
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[PMID]:28856986
[Au] Autor:Clench-Aas J; Holte A
[Ad] Endereço:1 Norwegian Institute of Public Health, Mental and Physical Health, Oslo, Norway.
[Ti] Título:The financial crisis in Europe: Impact on satisfaction with life.
[So] Source:Scand J Public Health;45(18_suppl):30-40, 2017 Aug.
[Is] ISSN:1651-1905
[Cp] País de publicação:Sweden
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The 2008 financial crisis in Europe came abruptly and surprisingly. Many countries also suffered a second recession during the period 2010-2012. We examined the impact of the crisis on life satisfaction (LS) by country and individual socioeconomic level. METHOD: We used a representative sample from the European Social Survey (2002-2014) with data from 26 countries ( N = 294,407). LS was measured with a single question with 11 response alternatives. Time from start of crisis (either 2008 or 2010-2012) was determined separately for each interview. Data were analyzed by multilevel analysis Results: There was a sharp decrease in LS in the beginning of the crisis in 2008, and another, but not so severe, decline in 2011, each of them of short duration. However, there was also a slight and progressive yearly decrease in LS that continued one to at least 3 years after either financial crisis that was independent of the effect of being unemployed. Associations varied considerably between countries. A negative decline after the financial crisis was especially evident among those in the most educated groups, and in those in the higher occupational levels. CONCLUSIONS: The 2008 financial crisis had a double effect on LS: (1) a sharp short-term decrease consistent with the Easterlin paradox; (2) a slighter long-term progressive decrease that was over and above the strong negative relationship with unemployment that lasted several years. The long-term decline in LS after the start of the financial crisis tended to occur especially in the higher socioeconomic groups.
[Mh] Termos MeSH primário: Recessão Econômica
Satisfação Pessoal
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Europa (Continente)
Feminino
Seres Humanos
Masculino
Meia-Idade
Fatores Socioeconômicos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170908
[Lr] Data última revisão:
170908
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170901
[St] Status:MEDLINE
[do] DOI:10.1177/1403494817718692


  8 / 1912 MEDLINE  
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[PMID]:28856985
[Au] Autor:Nelson K; Tøge AG
[Ad] Endereço:1 The Swedish Institute for Social Research, Stockholm University, Stockholm.
[Ti] Título:Health trends in the wake of the financial crisis-increasing inequalities?
[So] Source:Scand J Public Health;45(18_suppl):22-29, 2017 Aug.
[Is] ISSN:1651-1905
[Cp] País de publicação:Sweden
[La] Idioma:eng
[Ab] Resumo:AIM: The financial crisis that hit Europe in 2007-2008 and the corresponding austerity policies have generated concern about increasing health inequalities, although impacts have been less salient than initially expected. One explanation could be that health inequalities emerged first a few years into the crisis. This study investigates health trends in the wake of the financial crisis and analyses health inequalities across a number of relevant population subgroups, including those defined by employment status, age, family type, gender, and educational attainment. METHODS: This study uses individual-level panel data (EU-SILC, 2010-2013) to investigate trends in self-rated health. By applying individual fixed effects regression models, the study estimates the average yearly change in self-rated health for persons aged 15-64 years in 28 European countries. Health inequalities are investigated using stratified analyses. RESULTS: Unemployed respondents, particularly those who were unemployed in all years of observation, had a steeper decline in self-rated health than the employed. Respondents of prime working age (25-54 years) had a steeper decline than their younger (15-24) and older (55-64) counterparts, while single parents had a more favorable trend in self-rated health than dual parents. We did not observe any increasing health inequalities based on gender or educational attainment. CONCLUSIONS: Health inequalities increased in the wake of the financial crisis, especially those associated with employment status, age, and family type. We did not observe increasing health inequalities in terms of levels of educational attainment and gender.
[Mh] Termos MeSH primário: Recessão Econômica
Disparidades nos Níveis de Saúde
[Mh] Termos MeSH secundário: Adolescente
Adulto
Autoavaliação Diagnóstica
Europa (Continente)
Feminino
Seres Humanos
Masculino
Meia-Idade
Fatores Socioeconômicos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170908
[Lr] Data última revisão:
170908
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170901
[St] Status:MEDLINE
[do] DOI:10.1177/1403494817707088


  9 / 1912 MEDLINE  
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[PMID]:28854226
[Au] Autor:Lostao L; Geyer S; Albaladejo R; Moreno-Lostao A; Santos JM; Regidor E
[Ad] Endereço:Department of Sociology, Medical Sociology, Universidad Pública de Navarra, Pamplona, Spain.
[Ti] Título:Socioeconomic position and health services use in Germany and Spain during the Great Recession.
[So] Source:PLoS One;12(8):e0183325, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The relationship of socioeconomic position with the use of health services may have changed with the emergence of the economic crisis. This study shows that relationship before and during the economic crisis, in Germany and in Spain. METHODS: Data from the 2006 and 2011 Socio-Economic Panel carried out in Germany, and from the 2006 and 2011 National Health Surveys carried out in Spain were used. The health services investigated were physician consultations and hospitalization. The measures of socioeconomic position used were education and household income. The magnitude of the relationship between socioeconomic position and the use of each health services was estimated by calculating the percentage ratio by binary regression. RESULTS: In Germany, in both periods, after adjusting for age, sex, type of health insurance and need for care, subjects belonging to the lower educational categories had a lower frequency of physician consultations, while those belonging to the lower income categories had a higher frequency of hospitalization. In the model comparing the two lower socioeconomic categories to the two higher categories, the percentage ratio for physician consultation by education was 0.97 (95%CI 0.96-0.98) in 2006 and 0.96 (95%CI 0.95-0.97) in 2011, and the percentage ratio for hospitalization by income was 1.14 (95%CI 1.05-1.25) in 2006 and 1.12 (95%CI 1.03-1.21) in 2011. In Spain, no significant socioeconomic differences were observed in either period in the frequency of use of these health services in the fully adjusted model. CONCLUSION: The results suggest that the economic crisis did not alter accessibility to the health system in either country, given that the socioeconomic pattern in the use of these health services was similar before and during the crisis in both countries.
[Mh] Termos MeSH primário: Recessão Econômica
Acesso aos Serviços de Saúde/estatística & dados numéricos
Hospitalização/estatística & dados numéricos
Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos
Fatores Socioeconômicos
[Mh] Termos MeSH secundário: Adulto
Feminino
Alemanha
Acesso aos Serviços de Saúde/economia
Inquéritos Epidemiológicos
Hospitalização/economia
Seres Humanos
Masculino
Meia-Idade
Aceitação pelo Paciente de Cuidados de Saúde/psicologia
Espanha
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171016
[Lr] Data última revisão:
171016
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170831
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0183325


  10 / 1912 MEDLINE  
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[PMID]:28850012
[Au] Autor:Saltkjel T; Holm Ingelsrud M; Dahl E; Halvorsen K
[Ad] Endereço:Oslo and Akershus University College of Applied Sciences, Oslo, Norway.
[Ti] Título:A fuzzy set approach to economic crisis, austerity and public health. Part II: How are configurations of crisis and austerity related to changes in population health across Europe?
[So] Source:Scand J Public Health;45(18_suppl):48-55, 2017 Aug.
[Is] ISSN:1651-1905
[Cp] País de publicação:Sweden
[La] Idioma:eng
[Ab] Resumo:AIMS: Based on the ideal type classification of European countries done in Part I of this paper, Part II explores whether the real 'danger' to public health is the interplay between austerity and crisis, rather than recession itself. METHODS: We constructed two fuzzy sets of changes in population health based on a pooled file of European Union Statistics on Income and Living Conditions (EU-SILC) data (2008 and 2013) including 29 European countries. The linear probability analyses of 'limiting long-standing illness' and 'less than good' health were restricted to the age group 20-64 years. We performed fuzzy set qualitative comparative analysis (fsQCA) and studied whether configurations of 'severe crisis' and 'austerity' were linked to changes in population health. RESULTS: Overall, the results of this fsQCA do not support the 'crisis-austerity' thesis. Results on 'less than good' health were highly inconsistent, while results on 'limiting long-standing illness', contrary to the thesis, showed a two-path model. Countries with either no severe crisis or no austerity were subsets of the set of countries that experienced deteriorated health. Results also show that several countries combined both paths. CONCLUSIONS: This fuzzy set analysis does not support Stuckler and Basu's 'crisis-austerity' thesis, as those European countries that experienced recession and austerity were not consistently the countries with deteriorating health. There may be multiple reasons for this result, including analytical approach and operationalization of key concepts, but also resilient forces such as family support. We suggest more research on the topic based on more recent data and possibly other, or more, dimensions of austerity.
[Mh] Termos MeSH primário: Recessão Econômica
Saúde Pública/economia
Seguridade Social/economia
[Mh] Termos MeSH secundário: Europa (Continente)
Lógica Fuzzy
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170908
[Lr] Data última revisão:
170908
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170830
[St] Status:MEDLINE
[do] DOI:10.1177/1403494817707125



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