Base de dados : MEDLINE
Pesquisa : M01.526.485.650.835 [Categoria DeCS]
Referências encontradas : 99 [refinar]
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  1 / 99 MEDLINE  
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[PMID]:28485475
[Au] Autor:Sin MK
[Ad] Endereço:Seattle University College of Nursing, Seattle, WA, USA.
[Ti] Título:Lung cancer disparities and African-Americans.
[So] Source:Public Health Nurs;34(4):359-362, 2017 Jul.
[Is] ISSN:1525-1446
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:African-Americans, as historically disadvantaged minorities, have more advanced stages of cancer when diagnosed, lower survival rates, and lower rates of accessing timely care than do Caucasians. Lung cancer incidence and mortality, in particular, are high among African-Americans. The U.S. Preventive Services Task Force recently released an evidence-based lung cancer screening technology called low-dose computerized tomography. High-risk African-Americans might benefit greatly from such screening but not many are aware of this technology. Public health nurses can play a key role in increasing awareness of the technology among African-American communities and encouraging qualified African-Americans to obtain screening. This study discusses issues with lung cancer and smoking among African-Americans, a recently released evidence-based lung cancer screening technology, and implications for public health nurses to enhance uptake of the new screening technology among high-risk African-Americans.
[Mh] Termos MeSH primário: Afroamericanos/estatística & dados numéricos
Disparidades nos Níveis de Saúde
Neoplasias Pulmonares/etnologia
Grupos Minoritários/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Detecção Precoce de Câncer
Grupo com Ancestrais do Continente Europeu/estatística & dados numéricos
Prática Clínica Baseada em Evidências
Feminino
Seres Humanos
Incidência
Masculino
Enfermeiras de Saúde Pública
Medição de Risco
Fumar/etnologia
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170801
[Lr] Data última revisão:
170801
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:170510
[St] Status:MEDLINE
[do] DOI:10.1111/phn.12335


  2 / 99 MEDLINE  
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[PMID]:28302990
[Au] Autor:Fukukawa K; Okamoto R; Koide K
[Ad] Endereço:Doctorate course, Graduate School of Health Sciences, Okayama University.
[Ti] Título:Public health nurses' descriptions of "healthcare targets and results".
[So] Source:Nihon Koshu Eisei Zasshi;64(2):61-69, 2017.
[Is] ISSN:0546-1766
[Cp] País de publicação:Japan
[La] Idioma:jpn
[Ab] Resumo:Objectives This study examined the sentences that public health nurses (PHNs) use to describe "healthcare targets and results"; how they use the four components-target, result, term, and achievement degree-necessary for explaining, for example, a plan for healthcare activities; and what kind of contents they describe.Methods The participants were full-time PHNs working at randomly chosen prefectural public health centers or municipal health centers. Questionnaires were distributed by mail, and the subjects were asked to give a sentence describing "healthcare targets and results." The contents of the sentences were examined, four components were extracted, and the sentences were classified by their contents. Depending on the number of components, the sentences were classified into five groups: 4, 3, 2, 1, and 0. We ascertained the ratio of each component and group, and the combinations of components in sentences. Related factor measures were years of PHN experience and municipality.Results Of the 1,615 participants, 1,088 (67.4%) responded, and 961 (59.5%) responses were valid. The ratio of sentences expressing "target" was 81.0%, "result" was 58.8%, "term" was 3.4%, and "achievement degree" was 18.5%. Most of the answers for "target" expressed attributes. The answers for "result" expressed not only specific indicators of activity or health, but also a general vision or output (not the results like outcome) of the process of PHNs' healthcare activities. The answers for "term" expressed the time limit of the evaluation, and those for "achievement degree" expressed a specific rate, ratio, or number. Within each component group, the sentences were classified as follows: Group 4 (2.4%), Group 3 (15.6%), Group 2 (33.8%), Group 1 (37.7%), and Group 0 (10.5%), which were found to lack the component "term," "achievement degree," "result," and "target" respectively. The ratio of Group 4 increased with more years of PHN experience and larger municipality, but there were no significant differences.Conclusion A few of the PHNs' sentences described all the components of "healthcare targets and results," and the fewest described "term" and "achievement degree." In addition, these sentences expressed abstract contents or the process of PHNs' healthcare activities. PHNs should be able to describe the target's specific health issue, the time limit for solution, and numerical target results.
[Mh] Termos MeSH primário: Enfermeiras de Saúde Pública/psicologia
Enfermagem em Saúde Pública
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Japão
Masculino
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170818
[Lr] Data última revisão:
170818
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170318
[St] Status:MEDLINE
[do] DOI:10.11236/jph.64.2_61


  3 / 99 MEDLINE  
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[PMID]:28261846
[Au] Autor:Keim-Malpass J; Mitchell EM; Sun E; Kennedy C
[Ad] Endereço:University of Virginia School of Nursing, Charlottesville, Virginia.
[Ti] Título:Using Twitter to Understand Public Perceptions Regarding the #HPV Vaccine: Opportunities for Public Health Nurses to Engage in Social Marketing.
[So] Source:Public Health Nurs;34(4):316-323, 2017 Jul.
[Is] ISSN:1525-1446
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Given the degree of public mistrust and provider hesitation regarding the human papillomavirus (HPV) vaccine, it is important to explore how information regarding the vaccine is shared online via social media outlets. The purpose of this study was to evaluate the content of messaging regarding the HPV vaccine on the social media and microblogging site Twitter, and describe the sentiment of those messages. DESIGN AND SAMPLE: This study utilized a cross-sectional descriptive approach. Over a 2-week period, Twitter content was searched hourly using key terms "#HPV and #Gardasil," which yielded 1,794 Twitter posts for analysis. Each post was then analyzed individually using an a priori coding strategy and directed content analysis. RESULTS: The majority of Twitter posts were written by lay consumers and were sharing commentary about a media source. However, when actual URLs were shared, the most common form of share was linking back to a blog post written by lay users. The vast majority of content was presented as polarizing (either as a positive or negative tweet), with 51% of the Tweets representing a positive viewpoint. CONCLUSIONS: Using Twitter to understand public sentiment offers a novel perspective to explore the context of health communication surrounding certain controversial issues.
[Mh] Termos MeSH primário: Vacinas contra Papillomavirus
Opinião Pública
Mídias Sociais
[Mh] Termos MeSH secundário: Estudos Transversais
Seres Humanos
Enfermeiras de Saúde Pública
Marketing Social
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Papillomavirus Vaccines)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170801
[Lr] Data última revisão:
170801
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:170307
[St] Status:MEDLINE
[do] DOI:10.1111/phn.12318


  4 / 99 MEDLINE  
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[PMID]:28251669
[Au] Autor:Ohashi Y; Taguchi A; Omori J; Ozaki A
[Ad] Endereço:Department of Gerontological and Home Healthcare Nursing, Division of Health Sciences, Graduate School of Medicine, University of Tohoku, Sendai, Japan.
[Ti] Título:Cultural Capital: A Concept Analysis.
[So] Source:Public Health Nurs;34(4):380-387, 2017 Jul.
[Is] ISSN:1525-1446
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Harnessing community assets may help public health nurses address health inequalities. Cultural factor is one such asset, which is assumed to be capital in a community. Cultural capital is a key concept for understanding the causes of public health issues. This paper provided an in-depth analysis of "cultural capital" as a concept. DESIGN AND SAMPLE: Rodgers' evolutionary methodology was used for concept analysis. Forty-two studies published in English between 1998 and 2015 were retrieved from MEDLINE by searching for "cultural capital" in the title field. RESULTS: Antecedents of cultural capital included "educational environment," "belongingness in one's social group," "existing health/social inequalities," and "daily behavior." Cultural capital's identified attributes were "social cultivation," "reproductive rubric," "practical knowledge," and "autogenic ability." Cultural capital's consequences were "improving productivity," "reducing health/social inequality," and "enhancing well-being." CONCLUSIONS: Cultural capital is defined as capital characterized by cultivation, rubric, knowledge, and ability. These aspects of cultural capital are typically autogenic, and accumulate and reproduce through lifelong community membership. Cultural capital reduces inequality and ultimately enhances the well-being of individuals and the community through bonding, bridging, and linking economic and social capital.
[Mh] Termos MeSH primário: Formação de Conceito
Características Culturais
Capital Social
[Mh] Termos MeSH secundário: Disparidades nos Níveis de Saúde
Seres Humanos
Enfermeiras de Saúde Pública
Distribuição Espacial da População
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170801
[Lr] Data última revisão:
170801
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:170303
[St] Status:MEDLINE
[do] DOI:10.1111/phn.12319


  5 / 99 MEDLINE  
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[PMID]:27926793
[Au] Autor:Newman K; Dobbins M; Yost J; Ciliska D
[Ad] Endereço:Assistant Professor, Daphne Cockwell School of Nursing, Ryerson University, Toronto, Ontario, Canada.
[Ti] Título:Information Seeking When Problem Solving: Perspectives of Public Health Professionals.
[So] Source:Worldviews Evid Based Nurs;14(2):145-153, 2017 Apr.
[Is] ISSN:1741-6787
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Given the many different types of professionals working in public health and their diverse roles, it is likely that their information needs, information-seeking behaviors, and problem-solving abilities differ. Although public health professionals often work in interdisciplinary teams, few studies have explored their information needs and behaviors within the context of teamwork. This study explored the relationship between Canadian public health professionals' perceptions of their problem-solving abilities and their information-seeking behaviors with a specific focus on the use of evidence in practice settings. It also explored their perceptions of collaborative information seeking and the work contexts in which they sought information. METHODS: Key Canadian contacts at public health organizations helped recruit study participants through their list-servs. An electronic survey was used to gather data about (a) individual information-seeking behaviors, (b) collaborative information-seeking behaviors, (c) use of evidence in practice environments, (d) perceived problem-solving abilities, and (e) demographic characteristics. RESULTS: Fifty-eight public health professionals were recruited, with different roles and representing most Canadian provinces and one territory. A significant relationship was found between perceived problem-solving abilities and collaborative information-seeking behavior (r = -.44, p < .00, N = 58), but not individual information seeking. The results suggested that when public health professionals take a shared, active approach to problem solving, maintain personal control, and have confidence, they are more likely collaborate with others in seeking information to complete a work task. LINKING EVIDENCE TO ACTION: Administrators of public health organizations should promote collaboration by implementing effective communication and information-seeking strategies, and by providing information resources and retrieval tools. Public health professionals' perceived problem-solving abilities can influence how they collaborate in seeking information. Educators in public health organizations should tailor training in information searching to promote collaboration through collaborative technology systems.
[Mh] Termos MeSH primário: Comportamento Cooperativo
Comportamento de Busca de Informação
Enfermeiras de Saúde Pública/psicologia
Percepção
Resolução de Problemas
[Mh] Termos MeSH secundário: Canadá
Seres Humanos
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170713
[Lr] Data última revisão:
170713
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:161208
[St] Status:MEDLINE
[do] DOI:10.1111/wvn.12187


  6 / 99 MEDLINE  
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[PMID]:27444260
[Au] Autor:Edmonds JK; Campbell LA; Gilder RE
[Ad] Endereço:William F. Connell School of Nursing, Boston College, Chestnut Hill, Massachusetts.
[Ti] Título:Public Health Nursing Practice in the Affordable Care Act Era: A National Survey.
[So] Source:Public Health Nurs;34(1):50-58, 2017 Jan.
[Is] ISSN:1525-1446
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To explore public health nurses' knowledge, perceptions, and practices under the Affordable Care Act (ACA). DESIGN AND SAMPLE: A cross-sectional, web-based survey was completed by a sample of 1,143 public health nurses (PHNs) in the United States. MEASURES: Descriptive statistics were analyzed for variables related to general knowledge and perception of the ACA and for the extent of involvement in activities related to the implementation of the ACA. Qualitative analysis was conducted on free text comments to two open-ended questions about current and future PHNs involvement in the ACA. RESULTS: Approximately 45% of PHNs reported changes in their daily work due to the ACA. PHNs reported being very or somewhat involved in these activities of the ACA: integration of primary care and public health (62%), provision of clinical preventive services (60.3%), care coordination (55.4%), patient navigation (55.3%), establishment of private-public partnerships (55.3%), population health strategies (53.6%), population health data assessment and analysis (53.8%), community health assessments (49%), involvement in medical homes (37.8%), provision of maternal and child health home visiting services (32.1%), and involvement in Accountable Care Organizations (29.2%). CONCLUSION: PHNs are making substantial contributions to implementation of the ACA.
[Mh] Termos MeSH primário: Conhecimentos, Atitudes e Prática em Saúde
Enfermeiras de Saúde Pública/psicologia
Patient Protection and Affordable Care Act
Enfermagem em Saúde Pública
[Mh] Termos MeSH secundário: Adulto
Idoso
Estudos Transversais
Feminino
Pesquisas sobre Serviços de Saúde
Seres Humanos
Meia-Idade
Enfermeiras de Saúde Pública/estatística & dados numéricos
Pesquisa Qualitativa
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170726
[Lr] Data última revisão:
170726
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:160723
[St] Status:MEDLINE
[do] DOI:10.1111/phn.12286


  7 / 99 MEDLINE  
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[PMID]:27346458
[Au] Autor:Olsen JM; Baisch MJ; Monsen KA
[Ad] Endereço:Wisconsin Indianhead Technical College, Rice Lake, Wisconsin.
[Ti] Título:Interpretation of Ecological Theory for Physical Activity with the Omaha System.
[So] Source:Public Health Nurs;34(1):59-68, 2017 Jan.
[Is] ISSN:1525-1446
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Physical inactivity is a global health problem. Public health nurses (PHNs) have great potential to influence population health outcomes in this area. However, methods are needed to increase understanding of the problem and the impact PHNs may have on measuring and changing health behavior. One promising option is PHN documentation of client health data. However, literature examining how health behavior theories align with nursing documentation systems that use standardized terminology is sparse. The purpose of this article was to operationalize an ecological theory with the Omaha System standardized terminology using physical activity as an exemplar. The goal was to provide a method for using PHN clinical documentation to examine physical activity from a theoretical perspective in research and practice. We designed and used a three-phase process informed by the literature to conceptually map the ecological model for health promotion and the Omaha System. The results of the mapping process reveal the ecological nature of the Omaha System and provide support for measuring and analyzing health-related behavior problems from an ecological perspective with Omaha System data. This process could be replicated with other health-related problems and standardized terminologies to guide theoretically based nursing care and research.
[Mh] Termos MeSH primário: Fenômenos Ecológicos e Ambientais
Exercício/psicologia
Teoria Psicológica
Vocabulário Controlado
[Mh] Termos MeSH secundário: Documentação/métodos
Promoção da Saúde
Seres Humanos
Enfermeiras de Saúde Pública
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170726
[Lr] Data última revisão:
170726
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:160628
[St] Status:MEDLINE
[do] DOI:10.1111/phn.12277


  8 / 99 MEDLINE  
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[PMID]:27103331
[Au] Autor:Olsen JM; Thorson D; Baisch MJ; Monsen KA
[Ad] Endereço:Wisconsin Indianhead Technical College, Rice Lake, Wisconsin.
[Ti] Título:Using Omaha System Documentation to Understand Physical Activity among Rural Women.
[So] Source:Public Health Nurs;34(1):31-41, 2017 Jan.
[Is] ISSN:1525-1446
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE(S): Examine factors related to physical activity among rural women using Omaha System data. DESIGN AND SAMPLE: Mixed methods: quantitative analysis of de-identified clinical data and thematic analysis of public health nurse (PHN) focus group data. Rural women who received PHN services (N = 852) and purposively selected PHNs (N = 12). MEASURES: Omaha System problems; signs/symptoms; knowledge, behavior, and status ratings; demographics. RESULTS: Physical activity behavior among rural women was inconsistently appropriate (M = 3.27). Age, body mass index, physiological, psychosocial, and environmental domain problems, and physical activity knowledge explained 33.2% of physical activity behavior variance. Almost all women for whom specific problems were documented had insufficient physical activity. This included physiological problems of cognition and pregnancy; psychosocial problems of abuse, caretaking/parenting, mental health, and interpersonal relationship; and environmental problems of neighborhood/workplace safety and income. Having problems in two or more domains was significantly associated with insufficient physical activity behavior (p < .001). PHNs validated findings and expressed concerns that client complexity, priorities, and time constraints may affect client assessment and documentation. CONCLUSIONS: PHNs should assess rural women who are not physically active for potentially serious physiological, psychosocial, and environmental problems. Departmental policies requiring assessment of Omaha System data across programs enabled population health measurement and research.
[Mh] Termos MeSH primário: Documentação/métodos
Exercício/psicologia
Enfermeiras de Saúde Pública
População Rural
Vocabulário Controlado
[Mh] Termos MeSH secundário: Adulto
Feminino
Grupos Focais
Seres Humanos
Masculino
Avaliação em Enfermagem
População Rural/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170726
[Lr] Data última revisão:
170726
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:160423
[St] Status:MEDLINE
[do] DOI:10.1111/phn.12264


  9 / 99 MEDLINE  
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[PMID]:26969905
[Au] Autor:Kagan I; Shachaf S; Rapaport Z; Livne T; Madjar B
[Ad] Endereço:Nursing Administration, Rabin Medical Center, Clalit Health Services, Israel.
[Ti] Título:Public Health Nurses in Israel: A Case Study on a Quality Improvement Project of Nurse's Work Life.
[So] Source:Public Health Nurs;34(1):78-86, 2017 Jan.
[Is] ISSN:1525-1446
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Public health nurses (PHNs) working in Well Baby Clinic in Israel's Haifa district were voicing great distress to inspectors-the impossibility of meeting their workload, feeling overwhelmed, poor physical, and technological conditions. They were feeling tired and frustrated and burn-out was rising. The district's nursing management took the decision, together with Tel Aviv University's nursing research unit, to conduct a quality improvement project based on issues that arose from meetings with focus groups on the nurses' difficulties. This paper is a case study of a quality improvement project targeting nurses daily working life. One of its chief contributions is as a study of meeting PHNs' frustration by integrating focus groups and round-table brainstorming (involving nurses, clinic managers and nursing inspectors) in order to identify targets for practical intervention. This strategy has been very successful. It has provided the district's nursing management a battery of forcefully argued and realistically grounded proposals for making the work of Well Baby clinics more relevant to their communities and giving nurses (a) the conditions to meet their assignments and (b) greater professional self-respect.
[Mh] Termos MeSH primário: Centros de Saúde Materno-Infantil/organização & administração
Enfermeiras de Saúde Pública/psicologia
Enfermagem em Saúde Pública/organização & administração
Melhoria de Qualidade/organização & administração
[Mh] Termos MeSH secundário: Atitude do Pessoal de Saúde
Esgotamento Profissional/psicologia
Grupos Focais
Seres Humanos
Israel
Estudos de Casos Organizacionais
Estresse Psicológico/psicologia
Carga de Trabalho/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170726
[Lr] Data última revisão:
170726
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:160313
[St] Status:MEDLINE
[do] DOI:10.1111/phn.12261


  10 / 99 MEDLINE  
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[PMID]:27543411
[Au] Autor:Nordstrand A; Fridlund B; Sollesnes R
[Ad] Endereço:Barn og unge tjenesten, Alta, Norway.
[Ti] Título:Implementation of national guidelines for the prevention and treatment of overweight and obesity in children and adolescents: a phenomenographic analysis of public health nurses' perceptions.
[So] Source:Int J Qual Stud Health Well-being;11:31934, 2016.
[Is] ISSN:1748-2631
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To explore and describe how public health nurses (PHNs) perceive the implementation of national guidelines for the prevention and treatment of overweight and obesity among children and adolescents in well-baby clinics and school health services. DESIGN, SAMPLE, AND MEASUREMENTS: An explorative descriptive design was carried out through individual interviews with 18 PHNs and analysed according to the phenomenographic tradition. RESULTS: Four implementation strategies were described and assigned a metaphor: the structured PHN, pragmatic PHN, critical PHN, and the resigned PHN. Competence, patient receptiveness, internal consensus, interdisciplinary collaboration, resources, and organizational embedding were the determinants identified that most frequently affect implementation, and these determinants were distributed at different levels of the organization. The extent of facilitation seemed to determine which implementation strategy would be used. CONCLUSIONS: How PHNs implemented the guidelines for overweight and obesity were affected by determinants at different organizational levels. Contextual facilitation of implementation seemed better in larger organizations, but factors such as leadership, drive, and experience compensated in smaller municipalities. The implementation of guidelines was hindered when the barriers exceeded the benefits.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Assistência à Saúde
Fidelidade a Diretrizes
Enfermeiras de Saúde Pública
Obesidade/terapia
Enfermagem em Saúde Pública
[Mh] Termos MeSH secundário: Adolescente
Adulto
Criança
Serviços de Saúde da Criança
Feminino
Seres Humanos
Lactente
Aprendizagem
Meia-Idade
Obesidade/prevenção & controle
Pesquisa Qualitativa
Serviços de Saúde Escolar
[Pt] Tipo de publicação: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:160821
[St] Status:MEDLINE
[do] DOI:10.3402/qhw.v11.31934



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