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[PMID]:29267419
[Au] Autor:de Pierrefeu I; Corbière M; Pachoud B
[Ad] Endereço:Laboratoire CRPMS, Université Sorbonne Paris Cité, France.
[Ti] Título:[Supervisors and Employment Counselors in Messidor Transitional Social Firms Supporting People with Psychiatric Disability to Gain Competitive Employment].
[Ti] Título:Les accompagnants à l'insertion professionnelle en milieu ordinaire pour les personnes en situation de handicap psychique au sein des ESAT de transition Messidor..
[So] Source:Sante Ment Que;42(2):155-171, 2017.
[Is] ISSN:0383-6320
[Cp] País de publicação:Canada
[La] Idioma:fre
[Ab] Resumo:Objectives Some programs have been developed in France for helping people with a psychiatric disability to get competitive employment, especially prevocational programs such as transitional social firms. However, these programs have not been studied until now. Studies on supported employment programs (evidence-based practices) conducted in other countries demonstrated that variation of work outcomes is due, among other factors, to employment specialists' competencies. These results highlight the need for describing more specifically the work of the two professionals, employment counselors and supervisors, working in transitional social firms in order to better understand their role, tasks and competencies. Therefore, the objective of this study aims at describing the roles, tasks and competencies of these two professionals working in transitional social firms, to better understand how they support people with psychiatric disability for eventually obtaining competitive employment.Methods A qualitative method was used to describe roles, tasks and competencies of employment counselors and supervisors working in the transitional social firms of the Messidor's association (7 regions). In sum, 24 individual interviews with employment counselors and supervisors of these social firms as well as 7 focus groups with the two types of professionals, were conducted.Results This study allowed to define the work of the two professionals (role and tasks) and a list of 110 competencies for employment counselors as well as 155 competencies for supervisors working in these transitional social firms, emerged from qualitative analyses. This "double support" has been defined as a complementary approach helping workers to change their own perceptions, becoming more confident in their work abilities, and thus helping them to gain competitive employment. On the one hand, the employment counselor supports each worker in developing strategies and actions to reach competitive employment, and put in place "job development skills" to coordinate his role with key stakeholders (e.g. psychiatrist, employers) involved in the work integration of people with severe mental disorders. On the other hand, the supervisor is following each worker all day long, training and helping them to overcome potential difficulties regarding the work to do, and building confidence and self-esteem in the workers under their supervision, which are all key elements to gain competitive employment.Conclusion Clinical implications are suggested regarding the recruitment of professionals working in transitional social firms, and thus improving work outcomes for people with a severe mental illness.
[Mh] Termos MeSH primário: Conselheiros
Readaptação ao Emprego
Pessoas com Deficiência Mental
[Mh] Termos MeSH secundário: França
Seres Humanos
Transtornos Mentais
Apoio Social
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171222
[St] Status:MEDLINE


  2 / 2347 MEDLINE  
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[PMID]:29267416
[Au] Autor:Couhet G; Dupérier JP; Maysonnave I; Merceron K
[Ad] Endereço:Centre de Réhabilitation Psychosociale de la Tour de Gassies. Bruges (33).
[Ti] Título:[A Model of Support System for the Professional Insertion of People with Psychological Disability].
[Ti] Título:Présentation d'un dispositif d'accompagnement vers l'insertion professionnelle de personnes présentant un handicap psychique..
[So] Source:Sante Ment Que;42(2):105-118, 2017.
[Is] ISSN:0383-6320
[Cp] País de publicação:Canada
[La] Idioma:fre
[Ab] Resumo:Objectives Psychosocial rehabilitation, particularly work integration, is currently a public health preoccupation, as evidenced by recent publications on this topic and the development of new professional insertion program. This article aims to present a French health facility focused on psychosocial rehabilitation of persons in state of psychic disability, in order to highlight its specific programs of professional insertion.Methods After a brief remind about the theoretical foundations of psychosocial rehabilitation, psychic disability and recovery, we present the means used by our healthcare facility, illustrating our remarks with 2 case studies.Results Our rehabilitation programs demonstrate the need of a multidisciplinary in interventions, the need for multiplicity in proposals of activities, the importance of self-determination, of healthcare professionals in management of the public admitted in our healthcare facility, and the importance of fighting the stigma caused by mental disorders.Conclusion Our programs need to be placed in the French context, in which persist stigmatization towards persons with psychiatric disorders, and huge barriers to employment.
[Mh] Termos MeSH primário: Emprego
Transtornos Mentais/reabilitação
Pessoas com Deficiência Mental
Reabilitação Vocacional
[Mh] Termos MeSH secundário: Emprego/organização & administração
Seres Humanos
Modelos Organizacionais
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171222
[St] Status:MEDLINE


  3 / 2347 MEDLINE  
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[PMID]:29267412
[Au] Autor:Laflamme AM
[Ad] Endereço:Faculté de droit, Université Laval; Centre de recherche interuniversitaire sur la mondialisation et le travail (CRIMT).
[Ti] Título:[Mental Disorders and Reasonable Accommodation at Work: The Potential of Quebec Law].
[Ti] Título:Troubles mentaux et accommodement raisonnable au travail : les potentialités du droit québécois..
[So] Source:Sante Ment Que;42(2):39-56, 2017.
[Is] ISSN:0383-6320
[Cp] País de publicação:Canada
[La] Idioma:fre
[Ab] Resumo:Objectives Being able to work constitutes a powerful social integration vector for those suffering from mental health disorders, while also providing therapeutic benefits for them. Yet, despite some advances in this regard, such persons are still denied employment. The obstacles to their full workforce integration reside in the prejudices surrounding the disorders affecting them and the need to adapt tasks to their needs and abilities. The International Convention on the Rights of Persons with Disabilities, adopted by the United Nations in 2006, points out that disability results from the interaction between persons with impairments and attitudinal and environmental barriers that hinder their full and effective participation in society on the basis of equality with others. It stresses the importance of the right to work of persons with disabilities and, in particular, the implementation of reasonable accommodation for these persons in all workplaces. From this perspective, this article aims to explore the impacts of the legal obligation of accommodation.Methods In Canada, the fundamental rights approach and, in particular, the obligation for reasonable accommodation with regard to handicapped workers, has been well established in case law since the mid 1980s. This obligation is of a constitutional nature and its extended range is limited only by the proof of undue hardship. It thus forcefully prompts labour markets to take into consideration the needs and capacities of disabled workers. Through a study of Quebec case law, this article looks at the potential of the duty to accommodate with regard to promoting access to and retention of employment among people with mental disorders.Results The study found that the duty to accommodate imposes an innovative approach that takes into account the particular situation of the disabled person and involves the participation of all stakeholders. Accommodation allows employees to maintain an employment relationship despite repeated absences caused by illness, thus enabling them to do their work. Employers must provide adjustments relating to working time and allow gradual return when necessary. Moreover, the accommodation may involve changing the work itself or its psychosocial aspects.Conclusion By implementing measures to change the psychosocial work environment, accommodation not only promotes access to and retention of employment among people with mental disorders, but also opens the way to first stage prevention for the benefit of all.
[Mh] Termos MeSH primário: Emprego/legislação & jurisprudência
Transtornos Mentais
[Mh] Termos MeSH secundário: Emprego/normas
Seres Humanos
Pessoas com Deficiência Mental
Quebeque
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171222
[St] Status:MEDLINE


  4 / 2347 MEDLINE  
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[PMID]:29267410
[Au] Autor:Joly L
[Ad] Endereço:Université de Bordeaux, COMPTRASEC - UMR CNRS 5114.
[Ti] Título:[Employment of People with Mental Disorders in Terms of the Policies Developed by the European and International Institutions].
[Ti] Título:L'emploi des personnes atteintes de troubles psychiques à l'aune des politiques développées par les institutions européennes et internationales..
[So] Source:Sante Ment Que;42(2):17-30, 2017.
[Is] ISSN:0383-6320
[Cp] País de publicação:Canada
[La] Idioma:fre
[Ab] Resumo:Objectives The aim of this article is to present an overview of the reflections led by various European and international organizations on the employment of people with mental disorders.Methods This study is based on data from websites of international organizations and interviews taken place with a disability specialist at the International Labour Organisation (ILO) and members of the European Commission.Results Unlike the French law of 11 February 2005 which refers expressly to psychic disability, this notion is not explicitly dedicated by various European and international legal rules. However, these standards like the United Nations Convention on the Rights of Persons with Disabilities have adopted the contemporary model which presents disability as the result of an interaction between person and environment. Thus they acknowledge that disabled people include people suffering from mental disorders because in the person's environment, a psychiatric impairment could lead to limitations of activities or restrictions of social participation that constitute a situation of disability of psychiatric origin. Therefore, the legal mechanisms often do not provide appropriate answers to the characteristics of psychiatric disability.Besides, negative attitudes, stereotypes and discrimination towards people with a psychiatric disability are still observed in the workplace, in spite of intensified anti-discrimination legislation.This study inventories the different proposals to remedy to substantial barriers to the employment of people with a psychiatric condition. In the European Union's strategy for increasing the employment of these persons, particular consideration is given to put forward a series of key recommendations to improve practices of reasonable accommodation in the workplace. Nonetheless, it must be emphasized that it is necessary to conceive adequate measures in order to take into account the changeability and the unpredictability of mental disorders. Indeed, situations of psychiatric disability require flexibility and reactivity more than any other situation of disability. The discrimination experienced by people with a psychiatric disability is likely to continue as long as specific responses are not implemented. In this perspective, ILO highlights a number of best practices addressing the challenges of psychiatric disabled people's employment. That is why a disability network was created to share knowledge. The great added value of this network is the opportunity to share best practices between companies, best practices between countries in order to increase the ability to include people with mental disorders. Focus is put on strategies to combat discrimination in employment, by raising awareness, exploring measures and good practices to improve mental health in the workplace.Conclusion Finally, this study shows similar challenges in the prevention of the mental health and the issue of the psychiatric handicap, including to remedy to the insufficient attention paid to provide reasonable accommodation to persons with mental disorders.
[Mh] Termos MeSH primário: Emprego/legislação & jurisprudência
Transtornos Mentais
[Mh] Termos MeSH secundário: Europa (Continente)
Seres Humanos
Agências Internacionais
Pessoas com Deficiência Mental
Políticas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171222
[St] Status:MEDLINE


  5 / 2347 MEDLINE  
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[PMID]:29368468
[Au] Autor:Dyck E
[Ti] Título:A Eugenics Experiment: Sterilization, Hyperactivity and Degeneration.
[So] Source:Clio Med;95:260-80, 2016.
[Is] ISSN:0045-7183
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Mh] Termos MeSH primário: Eugenia (Ciência)/história
Pessoas com Deficiência Mental/história
Esterilização Reprodutiva/história
[Mh] Termos MeSH secundário: Alberta
Castração/história
Feminino
História do Século XX
Seres Humanos
Masculino
Ovariectomia/história
[Pt] Tipo de publicação:HISTORICAL ARTICLE; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180215
[Lr] Data última revisão:
180215
[Sb] Subgrupo de revista:IM; QIS
[Da] Data de entrada para processamento:180126
[St] Status:MEDLINE


  6 / 2347 MEDLINE  
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[PMID]:28045280
[Au] Autor:Telwatte A; Anglim J; Wynton SKA; Moulding R
[Ad] Endereço:School of Psychology, Deakin University.
[Ti] Título:Workplace accommodations for employees with disabilities: A multilevel model of employer decision-making.
[So] Source:Rehabil Psychol;62(1):7-19, 2017 Feb.
[Is] ISSN:1939-1544
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: Existing research suggests that the decision to grant or deny workplace accommodations for people with disabilities is influenced by a range of legal and nonlegal factors. However, less is known about how these factors operate at the within-person level. Thus, we proposed and tested a multilevel model of the accommodation decision-making process, which we applied to better understand why people with psychological disabilities often experience greater challenges in obtaining accommodations. METHOD: A sample of 159 Australian adults, composed mostly of managers and HR professionals, read 12 vignettes involving requests for accommodations from existing employees. The requests differed in whether they were for psychological or physical disabilities. For each vignette, participants rated their empathy with the employee, the legitimacy of the employee's disability, the necessity for productivity, the perceived cost, and the reasonableness, and indicated whether they would grant the accommodation. RESULTS: Multilevel modeling indicated that greater empathy, legitimacy, and necessity, and lower perceived cost predicted perceptions of greater reasonableness and greater granting. Accommodation requests from employees with psychological disabilities were seen as less reasonable and were less likely to be granted; much of this effect seemed to be driven by perceptions that such accommodations were less necessary for productivity. Ratings on accommodations were influenced both by general between-person tendencies and within-person appraisals of particular scenarios. CONCLUSIONS: The study points to a need for organizations to more clearly establish guidelines for how decision-makers should fairly evaluate accommodation requests for employees with psychological disabilities and disability more broadly. (PsycINFO Database Record
[Mh] Termos MeSH primário: Estruturas de Acesso/métodos
Tomada de Decisões
Pessoas com Deficiência/reabilitação
Análise Multinível
Reabilitação Vocacional/métodos
Local de Trabalho
[Mh] Termos MeSH secundário: Adulto
Estruturas de Acesso/legislação & jurisprudência
Austrália
Pessoas com Deficiência/legislação & jurisprudência
Feminino
Conhecimentos, Atitudes e Prática em Saúde
Necessidades e Demandas de Serviços de Saúde/legislação & jurisprudência
Seres Humanos
Masculino
Pessoas com Deficiência Mental/legislação & jurisprudência
Pessoas com Deficiência Mental/reabilitação
Meia-Idade
Preconceito
Estereotipagem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170830
[Lr] Data última revisão:
170830
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170104
[St] Status:MEDLINE
[do] DOI:10.1037/rep0000120


  7 / 2347 MEDLINE  
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[PMID]:27906720
[Au] Autor:Van Norman GA
[Ad] Endereço:Department of Anesthesiology and Pain Medicine and as Adj Professor of Bioethics, University of Washington, Seattle, Washington, USA.
[Ti] Título:Decisions regarding forgoing life-sustaining treatments.
[So] Source:Curr Opin Anaesthesiol;30(2):211-216, 2017 Apr.
[Is] ISSN:1473-6500
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE OF REVIEW: Decisions to forego life-sustaining treatments are complex, and disagreements between physicians and patients occur. This review discusses recent findings regarding what factors influence physicians and patients or their surrogates in these decisions and considers whether futility arguments regarding life-sustaining treatments should be abandoned. RECENT FINDINGS: Cardiopulmonary resuscitation is one paradigm in the literature for studying end-of-life decision-making. Outcomes for cardiopulmonary resuscitation are poor, and physicians tend to over-rely on tacit versus evidence-based knowledge for resuscitation decisions. Physician decisions are often inherently biased regarding elderly and intellectually impaired patients. Patient decisions regarding life-sustaining treatments are poorly understood by physicians, and also include inherent bias against the elderly and intellectually impaired. Although patients and their decision-makers frequently incorporate religious or spiritual beliefs in their decisions, physicians rarely discuss these factors with them. Defining 'futility' is problematic, and futility arguments have limited utility in clinical end-of-life treatment discussions. SUMMARY: Further research is needed about factors that affect both physicians and patients with regard to forgoing life-sustaining interventions. Physicians need more information regarding religious/spiritual preferences of patients and decision-makers. 'Futility' arguments in end-of-life decision-making are flawed and should probably be abandoned.
[Mh] Termos MeSH primário: Reanimação Cardiopulmonar/ética
Tomada de Decisões/ética
Futilidade Médica/ética
Religião e Medicina
Ordens quanto à Conduta (Ética Médica)/ética
Suspensão de Tratamento/ética
[Mh] Termos MeSH secundário: Medicina Baseada em Evidências
Seres Humanos
Pessoas com Deficiência Mental
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[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:161202
[St] Status:MEDLINE
[do] DOI:10.1097/ACO.0000000000000436


  8 / 2347 MEDLINE  
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[PMID]:27888382
[Au] Autor:Rifkin L
[Ad] Endereço:Georgetown University, Washington, DC, USA. lsr@georgetown.edu.
[Ti] Título:"Say Your Favorite Poet in the World is Lying There": Eileen Myles, James Schuyler, and the Queer Intimacies of Care.
[So] Source:J Med Humanit;38(1):79-88, 2017 Mar.
[Is] ISSN:1573-3645
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This article closely reads "Chelsea Girls," an autobiographical short story by Eileen Myles that depicts her experience caring for the diabetic, bipolar poet James Schuyler when she was a young writer getting started in East Village in the late 1970s. Their dependency relationship is a form of queer kinship, an early version of the caring relations between lesbians and gay men that HIV/AIDS would demand over the next two decades as chosen families emerged to nurture gay men and lesbians rejected by their families of origin. The representation of queer kinship offers an alternative to more traditional portrayals of care in literature that focus on the heteronormative family, a site of care that feminist dependency theory also paradoxically privileges. This article synthesizes insights from queer theory and critical disability studies in order to expand our understanding of the roles participants in care can play, the ways they can feel, and the outcomes they can achieve. Myles and Schuyler's dependency relationship was sustaining for both of them and also critical for her development as a pioneering lesbian poet in an art world still dominated by men.
[Mh] Termos MeSH primário: Cuidadores
Dependência (Psicologia)
Homossexualidade
[Mh] Termos MeSH secundário: Feminino
Feminismo
Seres Humanos
Masculino
Pessoas com Deficiência Mental
Teoria Psicológica
[Pt] Tipo de publicação:JOURNAL ARTICLE
[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:161127
[St] Status:MEDLINE
[do] DOI:10.1007/s10912-016-9415-3


  9 / 2347 MEDLINE  
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[PMID]:27878951
[Au] Autor:Hodes MW; Meppelder M; de Moor M; Kef S; Schuengel C
[Ad] Endereço:VU University Amsterdam, Faculty of Behavioural and Movement Sciences and EMGO+ Institute for Health Research, Amsterdam, the Netherlands.
[Ti] Título:Alleviating Parenting Stress in Parents with Intellectual Disabilities: A Randomized Controlled Trial of a Video-feedback Intervention to Promote Positive Parenting.
[So] Source:J Appl Res Intellect Disabil;30(3):423-432, 2017 May.
[Is] ISSN:1468-3148
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Adapted parenting support may alleviate the high levels of parenting stress experienced by many parents with intellectual disabilities. METHODS: Parents with mild intellectual disabilities or borderline intellectual functioning were randomized to experimental (n = 43) and control (n = 42) conditions. Parents in both groups received care-as-usual. The experimental group also received an adapted version of video-feedback intervention for positive parenting and learning difficulties (VIPP-LD). Measures of parenting stress were obtained pre-test, post-test and 3-month follow-up. RESULTS: Randomization to the experimental group led to a steeper decline in parenting stress related to the child compared to the control group (d = 0.46). No statistically significant effect on stress related to the parent's own functioning or situation was found. CONCLUSIONS: The results of the study suggest the feasibility of reducing parenting stress in parents with mild intellectual disability (MID) through parenting support, to the possible benefit of their children.
[Mh] Termos MeSH primário: Retroalimentação Psicológica
Deficiência Intelectual/reabilitação
Pessoas com Deficiência Mental/psicologia
Poder Familiar/psicologia
Pais/psicologia
Psicoterapia/métodos
Estresse Psicológico/terapia
[Mh] Termos MeSH secundário: Adulto
Criança
Pré-Escolar
Feminino
Seres Humanos
Lactente
Transtornos de Aprendizagem/reabilitação
Masculino
Meia-Idade
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170731
[Lr] Data última revisão:
170731
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161124
[St] Status:MEDLINE
[do] DOI:10.1111/jar.12302


  10 / 2347 MEDLINE  
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[PMID]:27878908
[Au] Autor:Knowles C; Blakely A; Hansen S; Machalicek W
[Ad] Endereço:University of Oregon, Eugene, OR, USA.
[Ti] Título:Parents with Intellectual Disabilities Experiencing Challenging Child Routines: A Pilot Study Using Embedded Self-Determination Practices.
[So] Source:J Appl Res Intellect Disabil;30(3):433-444, 2017 May.
[Is] ISSN:1468-3148
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Practices to facilitate self-determination have not received appropriate attention in research concerning parents with intellectual disabilities (ID). Likewise, parenting interventions for adults with intellectual disabilities have seldom observed both parent and child behavioural outcomes. METHODS: This study evaluated the effectiveness of a parenting intervention embedded with self-determination facilitation practices for two dyads of a parent with intellectual disabilities and their young child. The interventions focused on increasing parents' ability to correctly implement steps of a parenting routine while reducing occurrence of challenging child behaviour. RESULTS: The results of the study demonstrated two basic effects of correctly completed steps of the parenting routine and a reduction of challenging child behaviour. Parents also reported decreased feelings of stress during the routine following completion of the intervention. CONCLUSIONS: Implications for future research and replication of this pilot study are discussed.
[Mh] Termos MeSH primário: Comportamento Infantil/psicologia
Filho de Pais Incapacitados/psicologia
Deficiência Intelectual/reabilitação
Pessoas com Deficiência Mental/psicologia
Relações Pais-Filho
Poder Familiar/psicologia
Autonomia Pessoal
Comportamento Problema/psicologia
Psicoterapia/métodos
[Mh] Termos MeSH secundário: Adulto
Pré-Escolar
Feminino
Seres Humanos
Masculino
Projetos Piloto
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170731
[Lr] Data última revisão:
170731
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161124
[St] Status:MEDLINE
[do] DOI:10.1111/jar.12303



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