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Pesquisa : I01.880.604.622.500 [Categoria DeCS]
Referências encontradas : 820 [refinar]
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[PMID]:28270467
[Au] Autor:Kaster TS; Martin MS; Simpson AI
[Ad] Endereço:Dr. Kaster is a Psychiatry Resident, Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada. Mr. Martin is a PhD Candidate, School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Ottawa, Ontario, Canada. Dr. Simpson is Chief of Forensic Psychiatry, Centre for Addiction and Mental Health, Toronto, Ontario, Canada. No funding was provided for this research. T.S.K. was awarded the Isaac Sakinofsky Essay Prize in Suicidology from the Centre for Addiction and Mental Health for this work. M.S.M. is currently on unpaid educational leave from the Correctional Service of Canada.
[Ti] Título:Preventing Prison Suicide With Life-Trajectory-Based Screening.
[So] Source:J Am Acad Psychiatry Law;45(1):92-98, 2017 Mar.
[Is] ISSN:1943-3662
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:We describe the application of a life-trajectory model of suicide to the prison setting and its implication for suicide risk detection. A model has been developed that describes two distinct trajectories culminating in suicide: one with large amounts of adversity early in life with a young age of suicide and another with chronic, gradually accumulating adversity with a later age of suicide. Support for applying the life-trajectory model to the prison population is found in prison-centric models of suicidal behavior and clinical profiles of individuals at high risk of suicide in prisons. We also describe how the life-trajectory model applies to two recent high-profile suicides within the Canadian prison system. Finally, we propose a screening tool based on the life-trajectory model to quantify an individual's adversity burden at intake and subsequently throughout incarceration. We describe how this proposed tool may improve detection of individuals with increased risk of suicide and describe the steps necessary for the development of this tool.
[Mh] Termos MeSH primário: Acontecimentos que Mudam a Vida
Testes Obrigatórios/legislação & jurisprudência
Prisioneiros/estatística & dados numéricos
Medição de Risco/legislação & jurisprudência
Suicídio/legislação & jurisprudência
Suicídio/prevenção & controle
[Mh] Termos MeSH secundário: Adolescente
Idade de Início
Canadá
Estudos Transversais
Feminino
Seres Humanos
Delinquência Juvenil/legislação & jurisprudência
Delinquência Juvenil/psicologia
Masculino
Prisioneiros/psicologia
Comportamento Autodestrutivo/psicologia
Isolamento Social
Suicídio/estatística & dados numéricos
Tentativa de Suicídio/legislação & jurisprudência
Tentativa de Suicídio/prevenção & controle
Tentativa de Suicídio/psicologia
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; 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:170309
[St] Status:MEDLINE


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[PMID]:27892711
[Au] Autor:Hannah WN; Hakre S; Dawson P; Wu H; Peel SA; Michael NL; Scott PT; Okulicz JF
[Ad] Endereço:a Department of Medicine , San Antonio Military Medical Center , Fort Sam Houston , TX , USA.
[Ti] Título:Clinical indicators associated with HIV acquisition in the United States Air Force.
[So] Source:AIDS Care;29(6):724-728, 2017 Jun.
[Is] ISSN:1360-0451
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Mandatory HIV screening of United States Air Force (USAF) personnel every two years effectively identifies incident cases, however testing frequency limits the ability to detect early HIV infection. Identifying clinical indicators of HIV in the USAF population is necessary to develop a supplemental provider-based targeted testing strategy. We conducted a matched case-control study of male active duty USAF personnel with a new HIV diagnosis (n = 452) between 1996 and 2011 matched to five randomly selected controls (n = 2176). The relationship between clinical diagnoses, determined by ICD-9 codes, and HIV infection was assessed using conditional logistic regression. In unadjusted analyses of ICD-9 codes ever and within the last two years before HIV diagnosis, the conditional odds of HIV infection were greater in those with clinical signs and symptoms of HIV (cOR 5.05, 95% CI 4.00-6.39), mental health diagnoses (cOR 2.61, 95% CI 1.86-3.67), and STI diagnoses (cOR 2.33, 95% CI 1.50-3.60). Compared to those with ≤10 medical encounters in the two years prior to HIV diagnosis, individuals with 11-35 medical encounters (cOR 2.19, 95% CI 1.73-2.79) and >35 medical encounters (cOR 4.15, 95% CI 2.69-6.39) had a higher odds of HIV acquisition. In multivariate analyses, clinical signs and symptoms of HIV within the last two years of HIV diagnosis (cOR 4.10, 95% CI 3.22-5.22) and ever having a mental health diagnosis (cOR 1.97, 95% CI 1.44-2.70) remained significant (p < .01). Clinical encounters, particularly those featuring clinical signs and symptoms of HIV or a history of mental health complaints, provide an opportunity for targeted testing as a supplement to mandated testing at two-year intervals. Provider education to increase HIV testing in persons at risk would enhance early HIV diagnosis and potentially reduce forward transmission in the USAF population.
[Mh] Termos MeSH primário: Infecções por HIV/diagnóstico
Infecções por HIV/transmissão
Militares/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Estudos de Casos e Controles
Comorbidade
Feminino
Seres Humanos
Classificação Internacional de Doenças
Modelos Logísticos
Masculino
Testes Obrigatórios
Transtornos Mentais/complicações
Transtornos Mentais/diagnóstico
Transtornos Mentais/epidemiologia
Medição de Risco
Doenças Sexualmente Transmissíveis/epidemiologia
Doenças Sexualmente Transmissíveis/transmissão
Estados Unidos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM; X
[Da] Data de entrada para processamento:161129
[St] Status:MEDLINE
[do] DOI:10.1080/09540121.2016.1260086


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[PMID]:27885404
[Au] Autor:Wahedi K; Nöst S; Bozorgmehr K
[Ad] Endereço:Abteilung Allgemeinmedizin und Versorgungsforschung, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 130.3, 69120, Heidelberg, Deutschland.
[Ti] Título:[Health examination of asylum seekers: A nationwide analysis of state policies in Germany : § 62 of the asylum law].
[Ti] Título:Die Gesundheitsuntersuchung von Asylsuchenden: Eine bundesweite Analyse der Regelungen in Deutschland : § 62 Asylverfahrensgesetz..
[So] Source:Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz;60(1):108-117, 2017 Jan.
[Is] ISSN:1437-1588
[Cp] País de publicação:Germany
[La] Idioma:ger
[Ab] Resumo:BACKGROUND: A health examination of newly arrived asylum seekers, aimed at detecting infectious diseases and preventing disease outbreaks in accommodation facilities, is mandated by national law in all German states. Due to the decentralized German federal system, different state policies are in place and lead to substantial variation in the content and implementation of the health examination. OBJECTIVES: To compare health examination policies in the 16 German states with a focus on conducted tests, preventive measures and the general procedure. METHODS: A comparative content analysis of policy documents addressing the health examination was conducted. Relevant documents were identified through a nationwide search (conducted June-October 2015) through public sources, inquiries at responsible authorities and interviews with representatives of public health services. RESULTS: In the study period, relevant policy documents for 13 states were identified, of which eight were administrative decrees of the responsible state ministries. Policies differed strongly with respect to the content of the health examination and the selection of compulsory screening measures. We identified three main groups: (A) states with compulsory screening limited to measures enshrined in federal law, (B) states with extended tuberculosis screening for children and pregnant women, and (C) states with extended mandatory screening measures for further infectious diseases beyond tuberculosis. Considerable differences were also found with regard to the implementation of the examinations, and the purchasing and re-imbursement policies. CONCLUSIONS: The stark heterogeneity in health examination policies between the states cannot be rationally explained from a public health perspective. The indication for certain measures remains unclear. A broad discussion of the medical necessity of screening tests, combined with further systematic analyses, is necessary in order to develop nationwide evidence-based recommendations and decision-making tools for the conduct of health examinations of asylum seekers.
[Mh] Termos MeSH primário: Emigração e Imigração/legislação & jurisprudência
Regulamentação Governamental
Política de Saúde/legislação & jurisprudência
Testes Obrigatórios/legislação & jurisprudência
Refugiados/legislação & jurisprudência
Governo Estadual
[Mh] Termos MeSH secundário: Alemanha
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170818
[Lr] Data última revisão:
170818
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161126
[St] Status:MEDLINE
[do] DOI:10.1007/s00103-016-2489-2


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[PMID]:27164754
[Au] Autor:Retnev VM
[Ti] Título:[History of mandatory (set by decree) preliminary and periodic medical examinations of workers in hazardous work conditions].
[So] Source:Med Tr Prom Ekol;(2):45-8, 2016.
[Is] ISSN:1026-9428
[Cp] País de publicação:Russia (Federation)
[La] Idioma:rus
[Ab] Resumo:The article deals with over a hunderd years history of foundation and pregress in organization and process of mandatory preliminary and periodic medical examinations of workers exposed to hazardous work conditions.
[Mh] Termos MeSH primário: Testes Obrigatórios/história
Serviços de Saúde do Trabalhador/história
[Mh] Termos MeSH secundário: História do Século XX
História do Século XXI
Seres Humanos
Testes Obrigatórios/legislação & jurisprudência
Serviços de Saúde do Trabalhador/legislação & jurisprudência
[Pt] Tipo de publicação:ENGLISH ABSTRACT; HISTORICAL ARTICLE; JOURNAL ARTICLE
[Em] Mês de entrada:1606
[Cu] Atualização por classe:160511
[Lr] Data última revisão:
160511
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160512
[St] Status:MEDLINE


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[PMID]:27142435
[Au] Autor:Stich A
[Ad] Endereço:Tropenmedizinische Abteilung, Missionsärztliche Klinik, Salvatorstr. 7, 97074, Würzburg, Deutschland. august.stich@medmissio.de.
[Ti] Título:[Frequent infectious diseases in migrants].
[Ti] Título:Häufige Infektionskrankheiten bei Migranten..
[So] Source:Internist (Berl);57(5):409-15, 2016 May.
[Is] ISSN:1432-1289
[Cp] País de publicação:Germany
[La] Idioma:ger
[Ab] Resumo:The current influx of refugees and the high rate of immigration increase the rate and impact of infectious diseases in Europe. Infections can be detected at the initial examination of arriving refugees as a result of systematic screening or within the framework of general medical care. Diagnosis and treatment require special expertise and in some cases special precautions. The spectrum of infections is determined by the country of origin of migrants and the conditions experienced on fleeing to Germany. In this article the diagnostics and treatment of the most important infections are presented. As far as infections are concerned refugees and migrants do not represent a threat to the general population but instead have to be perceived as a highly vulnerable group.
[Mh] Termos MeSH primário: Controle de Doenças Transmissíveis/organização & administração
Doenças Transmissíveis/diagnóstico
Doenças Transmissíveis/epidemiologia
Testes Obrigatórios/métodos
Migrantes/estatística & dados numéricos
[Mh] Termos MeSH secundário: Controle de Doenças Transmissíveis/métodos
Alemanha/etnologia
Acesso aos Serviços de Saúde/organização & administração
Seres Humanos
Prevalência
Refugiados
Fatores de Risco
Populações Vulneráveis/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170916
[Lr] Data última revisão:
170916
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160505
[St] Status:MEDLINE
[do] DOI:10.1007/s00108-016-0057-3


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[PMID]:27138489
[Au] Autor:Pfeil J; Kobbe R; Trapp S; Kitz C; Hufnagel M
[Ad] Endereço:Kinderheilkunde I, Zentrum für Kinder- und Jugendmedizin, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 430, 69120, Heidelberg, Deutschland.
[Ti] Título:[Recommendations for the diagnosis and prevention of infectious diseases in pediatric and adolescent refugees in Germany : Statement of the German Society of Pediatric Infectious Diseases, the Society of Tropical Pediatrics and International Child Health, and the Professional Association of Pediatricians].
[Ti] Título:Empfehlungen zur infektiologischen Versorgung von Flüchtlingen im Kindes- und Jugendalter in Deutschland : Stellungnahme der Deutschen Gesellschaft für Pädiatrische Infektiologie, der Gesellschaft für Tropenpädiatrie und Internationale Kindergesundheit und des Berufsverbandes der Kinder- und Jugendärzte..
[So] Source:Internist (Berl);57(5):416-33, 2016 May.
[Is] ISSN:1432-1289
[Cp] País de publicação:Germany
[La] Idioma:ger
[Ab] Resumo:Child and adolescent refugees in Germany represent a particularly vulnerable social group and treating infectious diseases forms a crucial part of providing their medical care. From an infectious diseases perspective, refugees themselves, as a result of their difficult personal circumstances, are the ones at highest risk. Even in crisis situations, medical practitioners are medically and ethically obliged to provide a high standard of care. The guidelines presented here propose recommendations for diagnosing and preventing infectious diseases among refugees under 18 in Germany. The guidelines are intended to assist in optimizing vaccine protection and treatment of diseases while taking into consideration factors such as refugees' challenging living conditions, cultural differences and potential language barriers.Upon refugees' arrival at the first housing sites, it is recommended that a basic clinical screening (and not just a brief visual inspection) be provided in order to identify and initiate treatment for acute medical problems and potentially contagious diseases (including tuberculosis), as well as to close gaps in vaccination coverage. Documentation of the clinical findings is critical, both to avoid redundant investigations and to optimize individual medical care. For this, an effective communication system must be established.Once refugees have been transferred into their destination community, outpatient and inpatient care providers should collaborate to bring refugees up-to-date with all vaccines recommended by STIKO (German Standing Committee on Vaccination). The same high standard of medical care should be delivered to refugees as would be to the general population. Due to the high prevalence of multi-resistant organisms (MRO) in the refugees' countries of origin, MRO screening is recommended for most patients receiving inpatient care.
[Mh] Termos MeSH primário: Controle de Doenças Transmissíveis/normas
Doenças Transmissíveis/diagnóstico
Doenças Transmissíveis/terapia
Testes Obrigatórios/normas
Guias de Prática Clínica como Assunto
Refugiados
[Mh] Termos MeSH secundário: Barreiras de Comunicação
Alemanha
Acesso aos Serviços de Saúde/normas
Seres Humanos
Vacinação em Massa/normas
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170916
[Lr] Data última revisão:
170916
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160504
[St] Status:MEDLINE
[do] DOI:10.1007/s00108-016-0040-z


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[PMID]:27118007
[Au] Autor:Salzberger B; Schellong S
[Ad] Endereço:Stabsstelle Infektiologie, Universitätsklinikum Regensburg, Franz-Josef-Strauß-Allee 11, 93042, Regensburg, Deutschland. bernd.salzberger@ukr.de.
[Ti] Título:[Medical care for migrants].
[Ti] Título:Medizin für Migranten..
[So] Source:Internist (Berl);57(5):401, 2016 May.
[Is] ISSN:1432-1289
[Cp] País de publicação:Germany
[La] Idioma:ger
[Mh] Termos MeSH primário: Controle de Doenças Transmissíveis
Doenças Transmissíveis/diagnóstico
Emigração e Imigração
Acesso aos Serviços de Saúde
Testes Obrigatórios
Migrantes
[Mh] Termos MeSH secundário: Barreiras de Comunicação
Alemanha
Seres Humanos
Refugiados
Populações Vulneráveis
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170825
[Lr] Data última revisão:
170825
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160428
[St] Status:MEDLINE
[do] DOI:10.1007/s00108-016-0061-7


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[PMID]:27114236
[Au] Autor:Rauscher C; Salzberger B
[Ad] Endereço:Lehr- und Forschungsstelle Allgemeinmedizin, Universität Regensburg, Regensburg, Deutschland.
[Ti] Título:[Initial examination and screening of migrants : What makes sense and what is evidence-based?].
[Ti] Título:Erstuntersuchung und Screening von Migranten : Was ist sinnvoll, was ist evidenzbasiert?.
[So] Source:Internist (Berl);57(5):452-6, 2016 May.
[Is] ISSN:1432-1289
[Cp] País de publicação:Germany
[La] Idioma:ger
[Ab] Resumo:The medical treatment of migrants and refugees has recently become an important topic in the German healthcare system due to the large numbers of migrants. Healthcare for migrants includes treatment of acute illnesses and trauma on arrival, screening for chronic communicable and non-communicable diseases and in the long term, the integration into the local healthcare system. As health problems of migrants are diverse and dependent on the region of origin, guidelines should be readily available for all healthcare professionals involved in migrant healthcare. A literature search for comprehensive guidelines for screening and treatment of migrant's health problems detected 47 different guidelines including 2 comprehensive ones from the US Centers of Disease Control and Prevention and the Canadian Collaboration for Immigrant and Refugee Health. Comparative analysis of these guidelines could be a starting point for evidence-based European guidelines on migrant health.
[Mh] Termos MeSH primário: Controle de Doenças Transmissíveis/normas
Doenças Transmissíveis/diagnóstico
Emigração e Imigração
Vacinação em Massa/normas
Guias de Prática Clínica como Assunto
Migrantes
[Mh] Termos MeSH secundário: Medicina Baseada em Evidências
Alemanha
Acesso aos Serviços de Saúde
Seres Humanos
Internacionalidade
Testes Obrigatórios/normas
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170916
[Lr] Data última revisão:
170916
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160427
[St] Status:MEDLINE
[do] DOI:10.1007/s00108-016-0056-4


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[PMID]:27106598
[Au] Autor:Schellong J; Epple F; Weidner K
[Ad] Endereço:Klinik und Poliklinik für Psychotherapie und Psychosomatik, Universitätsklinikum Carl Gustav Carus, TU Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland. julia.schellong@uniklinikum-dresden.de.
[Ti] Título:[Psychosomatics and psychotraumatology of refugees and migrants : A Challenge for the Internist].
[Ti] Título:Psychosomatik und Psychotraumatologie bei Geflüchteten und Migranten : Herausforderungen für den Internisten..
[So] Source:Internist (Berl);57(5):434-43, 2016 May.
[Is] ISSN:1432-1289
[Cp] País de publicação:Germany
[La] Idioma:ger
[Ab] Resumo:Many refugees experience severely stressful events in their home countries, during migration and occasionally even after arrival in the country of destination. The individual reactions not only influence the mental health but also somatic well being. Traumatic events may have an essential impact on psychosocial functioning; moreover, the social circumstances during the integration process influence mental stability. Physicians play an important role in identifying possible traumatization and subsequently guiding towards adequate treatment; hence, the healthcare of refugees should regularly include psychosomatic and psychotraumatological aspects. Knowledge of screening instruments, trauma-informed care and interpreter-assisted communication are necessary to meet required standards.
[Mh] Termos MeSH primário: Doenças Transmissíveis/diagnóstico
Refugiados/psicologia
Transtornos de Estresse Pós-Traumáticos/diagnóstico
Transtornos de Estresse Pós-Traumáticos/terapia
Estresse Psicológico/diagnóstico
Estresse Psicológico/terapia
Migrantes/psicologia
[Mh] Termos MeSH secundário: Barreiras de Comunicação
Alemanha
Acesso aos Serviços de Saúde
Seres Humanos
Medicina Interna/métodos
Medicina Interna/organização & administração
Testes Obrigatórios/métodos
Transtornos de Estresse Pós-Traumáticos/psicologia
Estresse Psicológico/psicologia
Populações Vulneráveis/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170916
[Lr] Data última revisão:
170916
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160424
[St] Status:MEDLINE
[do] DOI:10.1007/s00108-016-0055-5


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[PMID]:27098974
[Au] Autor:Mohammadzadeh Z; Jung F; Lelgemann M
[Ad] Endereço:Referat Migration und Gesundheit, Gesundheitsamt Bremen, Horner Str. 60-70, 28203, Bremen, Deutschland. zahra.mohammadzadeh@gesundheitsamt.bremen.de.
[Ti] Título:[Health for refugees - the Bremen model].
[Ti] Título:Gesundheit für Flüchtlinge - das Bremer Modell..
[So] Source:Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz;59(5):561-9, 2016 May.
[Is] ISSN:1437-1588
[Cp] País de publicação:Germany
[La] Idioma:ger
[Ab] Resumo:The Bremen model recognizes that refugee health care has to go beyond merely checking for the prevalence of contagious diseases. Elementary health care offered in the reception centre and transitory facilities is based on voluntary acceptance by the refugees. At the same time, legal requirements for the medical reception of refugees are observed. In addition, doctors performing the initial medical examination are enabled to cover acute care on the spot. During the preliminary phase of immigration refugees are allowed to see a doctor in their facility repeatedly. After a certain time, they are provided with a health card permitting limited access to regular care outside of their facility. The current rise of refugee numbers affects the situation of Bremen health care for adult as well as juvenile refugees. In spite of the increase, health care standards are maintained by means of the health card. From 2011 to 2014, "Factors influencing health status and contact with health services" averaged 29.6 % in the health check data. Diseases of the respiratory system (18.1 %) and "symptoms, signs and abnormal findings not elsewhere classified" (16.9 %) ranked second and third, respectively. Diseases of the digestive system (6.1 %) of the musculoskeletal system (6 %) and of the skin and subcutaneous tissue (3.6 %) followed. Infectious diseases such as HIV infections, hepatitis or tuberculosis were seldom.
[Mh] Termos MeSH primário: Doença Crônica/terapia
Acesso aos Serviços de Saúde/organização & administração
Modelos Organizacionais
Administração em Saúde Pública/métodos
Refugiados
Socorro em Desastres/organização & administração
[Mh] Termos MeSH secundário: Alemanha
Prioridades em Saúde
Promoção da Saúde/organização & administração
Testes Obrigatórios/métodos
Objetivos Organizacionais
Atenção Primária à Saúde/organização & administração
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170302
[Lr] Data última revisão:
170302
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160422
[St] Status:MEDLINE
[do] DOI:10.1007/s00103-016-2331-x



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