Base de dados : MEDLINE
Pesquisa : I01.880.735.140 [Categoria DeCS]
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[PMID]:28727535
[Au] Autor:Yimgang DP; Wang Y; Paik G; Hager ER; Black MM
[Ad] Endereço:Doris P. Yimgang, Yan Wang, Grace Paik, Erin R. Hager, and Maureen M. Black are with the Departments of Pediatrics, and Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore. Maureen M. Black is also with RTI International, Research Triangle Park, NC.
[Ti] Título:Civil Unrest in the Context of Chronic Community Violence: Impact on Maternal Depressive Symptoms.
[So] Source:Am J Public Health;107(9):1455-1462, 2017 Sep.
[Is] ISSN:1541-0048
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To examine changes in maternal-child health surrounding the April 2015 civil unrest in Baltimore, Maryland, following Freddie Gray's death while in police custody. METHODS: We conducted cross-sectional Children's HealthWatch surveys January 2014 through December 2015 in pediatric emergency departments and primary care clinics on maternal-child health and June 2015 through October 2015 on daily and community routines. We used trend analysis and piecewise logistic regression to examine effects of time, residential proximity moderation, and mediation analysis to assess proximity and maternal-child health relations via maternal concerns. RESULTS: Participants comprised 1095 mothers, 93% of whom were African American and 100% of whom had public or no insurance; 73% of participants' children were younger than 24 months. Following the unrest, prevalence of maternal depressive symptoms increased significantly in proximal, but not distal, neighborhoods (b = 0.41; 95% confidence interval [CI] = 0.03, 0.79; P = .03). Maternal concerns were elevated in proximal neighborhoods and associated with depressive symptoms; mediation through maternal concern was not significant. Five months after the unrest, depressive symptoms returned to previous levels. CONCLUSIONS: Civil unrest has an acute effect on maternal depressive symptoms in neighborhoods proximal to unrest. Public Health Implications. To mitigate depressive symptoms associated with civil unrest, maintain stability of community routines, screen for maternal depressive symptoms, and provide parent-child nurturing programs.
[Mh] Termos MeSH primário: Afroamericanos/estatística & dados numéricos
Distúrbios Civis/etnologia
Depressão/psicologia
Mães/estatística & dados numéricos
Violência/etnologia
[Mh] Termos MeSH secundário: Adulto
Afroamericanos/psicologia
Baltimore/epidemiologia
Pré-Escolar
Estudos Transversais
Depressão/epidemiologia
Depressão/etnologia
Serviço Hospitalar de Emergência
Feminino
Seres Humanos
Lactente
Recém-Nascido
Serviços de Saúde Materno-Infantil/utilização
Mães/psicologia
Saúde Pública
Distribuição Espacial da População
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170902
[Lr] Data última revisão:
170902
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170721
[St] Status:MEDLINE
[do] DOI:10.2105/AJPH.2017.303876


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[PMID]:28530374
[Ti] Título:Dracunculiasis eradication: global surveillance summary, 2016.
[Ti] Título:Éradication de la dracunculose: bilan de la surveillance mondiale, 2016..
[So] Source:Wkly Epidemiol Rec;92(20):269-86, 2017 05 19.
[Is] ISSN:0049-8114
[Cp] País de publicação:Switzerland
[La] Idioma:eng; fre
[Mh] Termos MeSH primário: Erradicação de Doenças
Dracunculíase/epidemiologia
Dracunculíase/prevenção & controle
Doenças Endêmicas
[Mh] Termos MeSH secundário: África/epidemiologia
Animais
Distúrbios Civis
Doenças do Cão/epidemiologia
Doenças do Cão/prevenção & controle
Doenças do Cão/transmissão
Cães
Dracunculíase/veterinária
Saúde Global
Seres Humanos
Vigilância da População
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170526
[Lr] Data última revisão:
170526
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170523
[St] Status:MEDLINE


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[PMID]:28263274
[Au] Autor:Lavin R; Goodwin Veenema T; Calvert WJ; Grigsby SR; Cobbina J
[Ad] Endereço:College of Nursing, University of Missouri-St Louis (Drs Lavin and Calvert and Ms Grigsby); Department of Community and Public Health, Johns Hopkins University School of Nursing, Baltimore, Maryland (Dr Goodwin Veenema); Center for Refugee and Disaster Response, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland (Dr Goodwin Veenema); and School of Criminal Justice, Michigan State University, East Lansing (Dr Cobbina).
[Ti] Título:Nurse Leaders' Response to Civil Unrest in the Urban Core.
[So] Source:Nurs Adm Q;41(2):164-169, 2017 Apr/Jun.
[Is] ISSN:1550-5103
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Inequalities in society, culture, and finance have resulted in civil unrest, rioting, and intentional violence throughout our history. Nowhere is this currently more apparent than in the cities of Ferguson and Baltimore. It is not the civil unrest itself, but the resulting rioting and intentional violence that can create a disaster situation. This increases the care burden of health care providers during times when the governmental structure may be overwhelmed or functioning in a less than optimal manner. Beginning with the death of Michael Brown, civil unrest over the last 2 years has necessitated a closer examination of the role nurse leaders play in preparing their staff and facilities for potential results of this civil unrest. The similarities between the results of rioting and violence and natural disaster are obvious, but the differences are significant. Without adequate preparation, providers may not offer the appropriate response. Attention to the 10 "musts" for preparedness for civil unrest will facilitate a planning process and provide for a better response and recovery when communities face these issues.
[Mh] Termos MeSH primário: Defesa Civil/métodos
Distúrbios Civis
Planejamento em Desastres/métodos
Pessoal de Saúde/normas
Liderança
Enfermeiras Administradoras/normas
[Mh] Termos MeSH secundário: Defesa Civil/educação
Seres Humanos
População Urbana
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170720
[Lr] Data última revisão:
170720
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170307
[St] Status:MEDLINE
[do] DOI:10.1097/NAQ.0000000000000223


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[PMID]:28173813
[Au] Autor:Russo G; Pavignani E; Guerreiro CS; Neves C
[Ad] Endereço:International Health and Biostatistics Unit, Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, Rua da Junqueira 100, Lisbon, Portugal. g.russo@qmul.ac.uk.
[Ti] Título:Can we halt health workforce deterioration in failed states? Insights from Guinea-Bissau on the nature, persistence and evolution of its HRH crisis.
[So] Source:Hum Resour Health;15(1):12, 2017 Feb 07.
[Is] ISSN:1478-4491
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Guinea-Bissau is one of the world's poorest and least developed countries. Amid poverty, political turmoil and state withdrawal, its health workforce (HW) has been swamped for the last four decades in a deepening crisis of under-resourcing, poor performance and laissez-faire. METHODS: The present study aimed at analysing the human resources for health (HRH) situation in Guinea-Bissau in light of the recent literature on distressed health systems, with the objective of contributing to understanding the ways health workers react to protracted turmoil, the resulting distortions and the counter-measures that might be considered. Through document analysis, focus group discussions, 14 semi-structured and 5 in-depth interviews, we explored patterns as they became visible on the ground. RESULTS: Since independence, Guinea-Bissau experienced political events that have reflected on the healthcare arena and on the evolution of its health workforce, such as different coup attempts, waves of diaspora and shifting external assistance. The chronic scarcity of funds and a 'stable political instability' have lead to the commercialisation of public health services and to flawed mechanisms for training and deploying health personnel. In absence of any form of governance, health workers have come to own and run the health system. We show that the HRH crisis in Guinea-Bissau can only be understood by looking at its historical evolution and at the wider socio-economic context. There are no quick fixes for the deterioration of HRH in undergoverned states; however, the recognition of the ingrained distortions and an understanding of the forces determining the behaviour of key actors are essential premises for the identification of solutions. CONCLUSIONS: Guinea-Bissau's case study suggests that any policy that does not factor in the limited clout of health authorities over a effectively privatised healthcare arena is doomed from the start. Improving health system governance and quality of training should take precedence over expanding HRH. A bloated and ineffective workforce must be managed through incentives rather than administrative orders, in order to improve skills and productivity against higher remuneration and better working conditions. Donor support might be crucial to trigger positive changes, through realistic and sustained investments.
[Mh] Termos MeSH primário: Distúrbios Civis
Serviços de Saúde Comunitária/recursos humanos
Assistência à Saúde/recursos humanos
Países em Desenvolvimento
Pessoal de Saúde
Administração de Recursos Humanos
Pobreza
[Mh] Termos MeSH secundário: Competência Clínica
Serviços de Saúde Comunitária/normas
Assistência à Saúde/normas
Educação
Organização do Financiamento
Grupos Focais
Governo
Guiné-Bissau
Pessoal de Saúde/educação
Política de Saúde
Acesso aos Serviços de Saúde
Seres Humanos
Cooperação Internacional
Satisfação no Emprego
Política
Privatização
Qualidade da Assistência à Saúde
Remuneração
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170919
[Lr] Data última revisão:
170919
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170209
[St] Status:MEDLINE
[do] DOI:10.1186/s12960-017-0189-0


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[PMID]:28003204
[Au] Autor:Darrouzet-Nardi AF
[Ad] Endereço:Program in Global Health Studies, Allegheny College, Meadville, PA adarrouzetnardi@allegheny.edu.
[Ti] Título:Nonviolent civil insecurity is negatively associated with subsequent height-for-age in children aged <5 y born between 1998 and 2014 in rural areas of Africa.
[So] Source:Am J Clin Nutr;105(2):485-493, 2017 Feb.
[Is] ISSN:1938-3207
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Civil wars and wars between states have occurred less frequently since the start of the 21st century, but civil insecurity outside the contexts of official wars continues to plague many parts of the world. The nutritional consequences of civil insecurity may disproportionately affect children, especially if experienced during sensitive developmental periods. OBJECTIVES: This study estimated the associations between localized nonviolent and violent civil insecurity during key child nutritional periods and subsequent height-for-age z scores (HAZs) in 145,948 children born between 1998 and 2014 in Africa and examined the type of place of residence as a mediating factor. DESIGN: A collection of 61 geo-referenced Demographic and Health Surveys implemented between 1998 and 2014 were merged with data from the high-resolution Armed Conflict Location and Event Data Project to construct a repeat cross-sectional database, which was analyzed by using a difference-in-differences model with maternal fixed-effects. RESULTS: Exposure to 1 nonviolent localized civil insecurity event (mean ± SD: 0.42 ± 1.87 events) during pregnancy for children living in rural areas was associated with a reduction of 0.01 SD in HAZ (P = 0.024). Exposure to 5 localized civil conflict fatalities (mean ± SD: 1.41 ± 10.21 fatalities) for children living in rural areas during the complementary feeding stage was associated with a 0.002-SD decrease in HAZ (P = 0.030). There were no measurable associations between civil insecurity and child heights in urban areas, even though children in urban areas experience more civil insecurity. CONCLUSIONS: Exposure to both violent and nonviolent civil insecurity had negative associations with subsequent HAZ, but only in rural areas. The associations found were small in magnitude but still meaningful from a child-development perspective, because these events do not necessarily occur in the context of official wars, they are often nonviolent, and they are endemic to the region.
[Mh] Termos MeSH primário: Estatura
Desenvolvimento Infantil
Distúrbios Civis
População Rural
[Mh] Termos MeSH secundário: África
Pré-Escolar
Estudos Transversais
Seres Humanos
Lactente
Masculino
Modelos Teóricos
Estado Nutricional
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170627
[Lr] Data última revisão:
170627
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161223
[St] Status:MEDLINE
[do] DOI:10.3945/ajcn.115.123844


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[PMID]:27660898
[Au] Autor:Sawyer CB; Márquez J
[Ad] Endereço:a University of Houston-Clear Lake.
[Ti] Título:Senseless Violence Against Central American Unaccompanied Minors: Historical Background and Call for Help.
[So] Source:J Psychol;151(1):69-75, 2017 Jan 02.
[Is] ISSN:1940-1019
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The southwestern U.S. border has recently seen a significant increase in the number of unaccompanied children from Honduras, Guatemala, and El Salvador illegally crossing the Mexican border into the United States. Many of these children leave home to flee violence, starvation, impoverished living conditions, or other life-threatening situations. The treatment of acute stress, anxiety, and depression associated with traumatic events is crucial in helping these children address these negative psychological events they have experienced so that they can move forward with their lives. Untreated, traumatic events experienced by this population can develop into Post Traumatic Stress Disorder, a potentially life-changing and physically threatening psychological and medical issue. The United States needs to effectively address the serious matter of responding to mental health issues facing refugees from war-torn or impoverished nations so as to help them to successfully adjust to American systems. There is a need for researchers in the mental health field to focus efforts in designing, implementing, and evaluating methodologies that can help these children develop healthy strategies for living with a very difficult and complex past.
[Mh] Termos MeSH primário: Distúrbios Civis/história
Distúrbios Civis/psicologia
Assistência à Saúde Culturalmente Competente/história
Hispano-Americanos/história
Hispano-Americanos/psicologia
Menores de Idade/história
Menores de Idade/psicologia
Política
Racismo/história
Racismo/psicologia
Transtornos de Estresse Pós-Traumáticos/história
Transtornos de Estresse Pós-Traumáticos/psicologia
Imigrantes Indocumentados/história
Imigrantes Indocumentados/psicologia
Violência/história
Violência/psicologia
[Mh] Termos MeSH secundário: América Central/etnologia
Criança
História do Século XX
História do Século XXI
Seres Humanos
Motivação
[Pt] Tipo de publicação:HISTORICAL ARTICLE; JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170424
[Lr] Data última revisão:
170424
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160924
[St] Status:MEDLINE
[do] DOI:10.1080/00223980.2016.1226743


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[PMID]:27659372
[Au] Autor:Ramdass MJ; Harnarayan P
[Ad] Endereço:University of the West Indies , St. Augustine , Trinidad.
[Ti] Título:A decade of major vascular trauma: Lessons learned from gang and civilian warfare.
[So] Source:Ann R Coll Surg Engl;99(1):70-75, 2017 Jan.
[Is] ISSN:1478-7083
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION Trinidad and Tobago is a trans-shipment point for the illegal trade of drugs, arms and ammunition and, as such, has a high incidence of gang-related warfare and drug-related crimes. This has led to a high incidence of gunshot and stab wounds, with associated major vascular injuries. We describe our management strategies learned from a decade of vascular trauma experience. METHODS A retrospective analysis of age, gender, type of trauma, vessel injured, procedure and outcome for all cases of vascular trauma between 2006 and 2015 at two surgical units in Trinidad and Tobago. RESULTS There were 198 vascular trauma cases (232 procedures), involving 159 (80%) males at a mean age of 33 years. Gunshots accounted for 103 (52%) cases, followed by stabs/chops (n=50; 25%) and lacerations (n=15; 8%). The most commonly injured vessels were the radial/ulnar arteries (n=39; 20%) and the superficial femoral artery (n=37; 19%). There were seven pseudoaneurysms and three traumatic arteriovenous fistulae. Repair techniques included primary (n=82; 35%), reversed vein (n=63; 27%), polytetrafluoroethylene (n=58; 25%), oversew (n=24; 10%) and endovascular (n=5; 2%) techniques. There were eight (4%) secondary amputations and eight (4%) deaths. CONCLUSIONS Major vascular trauma causes significant morbidity and mortality in Trinidad and Tobago, with the majority of cases due to gunshot injuries secondary to gang-related warfare and civilian violence. We compare our experience with that in the literature on the epidemiology and management of vascular trauma.
[Mh] Termos MeSH primário: Distúrbios Civis/tendências
Lesões do Sistema Vascular/mortalidade
Guerra
Ferimentos por Arma de Fogo/mortalidade
Ferimentos Perfurantes/mortalidade
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Criança
Distúrbios Civis/estatística & dados numéricos
Crime/estatística & dados numéricos
Crime/tendências
Feminino
Seres Humanos
Masculino
Meia-Idade
Estudos Retrospectivos
Trinidad e Tobago/epidemiologia
Lesões do Sistema Vascular/cirurgia
Ferimentos por Arma de Fogo/cirurgia
Ferimentos Perfurantes/cirurgia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170428
[Lr] Data última revisão:
170428
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160924
[St] Status:MEDLINE
[do] DOI:10.1308/rcsann.2016.0296


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[PMID]:27696433
[Au] Autor:Ayanian AH; Tausch N
[Ad] Endereço:School of Psychology, University of St Andrews, UK.
[Ti] Título:How risk perception shapes collective action intentions in repressive contexts: A study of Egyptian activists during the 2013 post-coup uprising.
[So] Source:Br J Soc Psychol;55(4):700-721, 2016 Dec.
[Is] ISSN:2044-8309
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Social psychological research has overlooked collective action in repressive contexts, where activists face substantial personal risks. This paper examines the social psychological processes motivating activists to engage in collective action in risky contexts. We investigate the idea that perceived risks due to government sanctions can galvanize action through fuelling anger, shaping efficacy beliefs, and increasing identification with the movement. We also argue that anger, efficacy, and identification motivate action intentions directly and indirectly through reducing the personal importance activists attach to these risks. We tested our hypotheses within a sample of Egyptian activists (N = 146) from two protest movements who protested against Morsi's government and the military interventions, respectively, during the 2013 anticoup uprising. In line with our hypotheses, the perceived likelihood of risks was positively associated with anger and identity consolidation efficacy and positively predicted action intentions indirectly through these variables. Risk was also associated with increased political efficacy, but only among antimilitary protesters. Anger and political efficacy predicted action intentions directly and indirectly through reduced risk importance. Results also highlighted differential significance of emotional and instrumental motives for the two protest movements. We discuss directions for future research on the motivators of collective action in repressive contexts.
[Mh] Termos MeSH primário: Distúrbios Civis/etnologia
Política
Identificação Social
Percepção Social
[Mh] Termos MeSH secundário: Adulto
Distúrbios Civis/psicologia
Egito/etnologia
Feminino
Seres Humanos
Masculino
Risco
Guerra
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170213
[Lr] Data última revisão:
170213
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161004
[St] Status:MEDLINE
[do] DOI:10.1111/bjso.12164


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[PMID]:27141726
[Au] Autor:Hahn J
[Ti] Título:[Anarchists, Assassins and Revolutionaries. The Psychopathologization of "Political Criminals" between 1880 and 1920].
[Ti] Título:Anarchisten, Attentäter und Revolutionäre. Zur Psychopathologisierung "politischer Verbrecher" zwischen 1880 und 1920..
[So] Source:Medizinhist J;51(1):40-71, 2016.
[Is] ISSN:0025-8431
[Cp] País de publicação:Germany
[La] Idioma:ger
[Ab] Resumo:"Political criminals" of the early 20th century were adjudged to be psychopaths, a term which was generally accompanied by a negative moral judgement. However, other more positive appraisals were also made at this time. These contradictory moral judgements by psychiatrists expose the need for an examination of the historical development of concepts, traditions and moral debates associated with political criminals (anarchists, assassins, revolutionaries). This will be undertaken in the context of psychiatry/ criminology, security (and surveillance) policy as well as culture and the arts in German-speaking countries from 1880 to the early 1920s.
[Mh] Termos MeSH primário: Transtorno da Personalidade Antissocial/história
Distúrbios Civis/história
Psicologia Criminal/história
Criminosos/história
Dissidências e Disputas/história
Homicídio/história
Psiquiatria/história
Psicopatologia/história
Socialismo/história
[Mh] Termos MeSH secundário: Alemanha
História do Século XIX
História do Século XX
Seres Humanos
[Pt] Tipo de publicação:ENGLISH ABSTRACT; HISTORICAL ARTICLE; JOURNAL ARTICLE
[Em] Mês de entrada:1607
[Cu] Atualização por classe:160504
[Lr] Data última revisão:
160504
[Sb] Subgrupo de revista:IM; QIS
[Da] Data de entrada para processamento:160505
[St] Status:MEDLINE


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Texto completo
[PMID]:27104855
[Au] Autor:Moro A
[Ad] Endereço:Department of Economics, Ca' Foscari University, Venice, Italy.
[Ti] Título:Understanding the Dynamics of Violent Political Revolutions in an Agent-Based Framework.
[So] Source:PLoS One;11(4):e0154175, 2016.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This paper develops an agent-based computational model of violent political revolutions in which a subjugated population of citizens and an armed revolutionary organisation attempt to overthrow a central authority and its loyal forces. The model replicates several patterns of rebellion consistent with major historical revolutions, and provides an explanation for the multiplicity of outcomes that can arise from an uprising. The relevance of the heterogeneity of scenarios predicted by the model can be understood by considering the recent experience of the Arab Spring involving several rebellions that arose in an apparently similar way, but resulted in completely different political outcomes: the successful revolution in Tunisia, the failed protests in Saudi Arabia and Bahrain, and civil war in Syria and Libya.
[Mh] Termos MeSH primário: Algoritmos
Distúrbios Civis
Modelos Teóricos
Violência
Guerras e Conflitos Armados
[Mh] Termos MeSH secundário: Barein
Simulação por Computador
Seres Humanos
Líbia
Política
Dinâmica Populacional
Arábia Saudita
Síria
Tunísia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170327
[Lr] Data última revisão:
170327
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160423
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0154175



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