Base de dados : MEDLINE
Pesquisa : M01.526.485.810.533 [Categoria DeCS]
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  1 / 14 MEDLINE  
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[PMID]:28692142
[Au] Autor:Callahan KE; Tumosa N; Leipzig RM
[Ad] Endereço:Section on Gerontology and Geriatric Medicine, Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina.
[Ti] Título:Big 'G' and Little 'g' Geriatrics Education for Physicians.
[So] Source:J Am Geriatr Soc;65(10):2313-2317, 2017 10.
[Is] ISSN:1532-5415
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In the July 2016 issue of this journal, Dr. Mary Tinetti proposed that geriatric medicine abandon attempts to increase the numbers of board-certified geriatricians and change focus to the development of a "small elite workforce." What would be gained and what sacrificed by accepting this challenge? We agree that the best clinical use of a scarce resource, specialty trained geriatricians, is to care for frail, complex, severely ill elderly adults and to help design and study novel interventions in research, education, and care models to improve the care of all older adults, but for this to happen, all other providers must attain specific competency in the care of older adults. This article responds and discusses alternative pathways for teaching geriatrics care, training specialists, and geriatrics fellows.
[Mh] Termos MeSH primário: Geriatras
Geriatria/educação
[Mh] Termos MeSH secundário: Adulto
Educação de Pós-Graduação em Medicina
Seres Humanos
Pesquisa
[Pt] Tipo de publicação:JOURNAL ARTICLE; COMMENT
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171025
[Lr] Data última revisão:
171025
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170711
[St] Status:MEDLINE
[do] DOI:10.1111/jgs.14996


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[PMID]:28692138
[Au] Autor:Simpson D; Leipzig RM; Sauvigné K; Donald W. Reynolds Geriatrics Education Collaborative
[Ad] Endereço:Office of Academic Affairs, Aurora Health Care, Milwaukee, Wisconsin.
[Ti] Título:The 2025 Big "G" Geriatrician: Defining Job Roles to Guide Fellowship Training.
[So] Source:J Am Geriatr Soc;65(10):2308-2312, 2017 Oct.
[Is] ISSN:1532-5415
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Changes in health care that are already in progress, including value- and population-based care, use of new technologies for care, big data and machine learning, and the patient as consumer and decision maker, will determine the job description for geriatricians practicing in 2025. Informed by these future certainties, 115 geriatrics educators attending the 2016 Donald W. Reynolds Foundation Annual meeting identified five 2025 geriatrician job roles: complexivist; consultant; health system leader and innovator; functional preventionist; and educator for big "G" and little "g" providers. By identifying these job roles, geriatrics fellowship training can be preemptively redesigned.
[Mh] Termos MeSH primário: Bolsas de Estudo/tendências
Previsões
Geriatras/educação
Geriatria/educação
Geriatria/tendências
Papel do Médico
[Mh] Termos MeSH secundário: Congressos como Assunto
Geriatras/psicologia
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171019
[Lr] Data última revisão:
171019
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170711
[St] Status:MEDLINE
[do] DOI:10.1111/jgs.14995


  3 / 14 MEDLINE  
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[PMID]:28323335
[Au] Autor:Colburn JL; Mohanty S; Burton JR
[Ad] Endereço:Division of Geriatric Medicine and Gerontology, School of Medicine, The Johns Hopkins University, Baltimore, Maryland.
[Ti] Título:Surgical Guidelines for Perioperative Management of Older Adults: What Geriatricians Need to Know.
[So] Source:J Am Geriatr Soc;65(6):1339-1346, 2017 Jun.
[Is] ISSN:1532-5415
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:A multidisciplinary panel of experts representing surgery, anesthesia, and geriatrics recently published guidelines for surgeons on the optimal perioperative management of older adults, including recommendations on postoperative recovery and posthospital transitions of care. Geriatricians have an important role in the care for older adults in the preoperative period as older adults consider surgical options and prepare for surgical procedures, during the perioperative period as inpatient consultants, and in the postoperative period as older adults transition to rehabilitation facilities or to home. This article outlines the perioperative surgical guidelines and describes how they apply to the role of the geriatrician in the care of older adults during the perioperative period.
[Mh] Termos MeSH primário: Geriatras/educação
Guias como Assunto
Assistência Perioperatória/normas
Lista de Medicamentos Potencialmente Inapropriados/normas
[Mh] Termos MeSH secundário: Adulto
Idoso
Seres Humanos
Assistência Perioperatória/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170808
[Lr] Data última revisão:
170808
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170322
[St] Status:MEDLINE
[do] DOI:10.1111/jgs.14877


  4 / 14 MEDLINE  
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[PMID]:26070733
[Au] Autor:Bücking B; Walz M; Hartwig E; Friess T; Liener U; Knobe M; Ruchholtz S; Bliemel C
[Ad] Endereço:Zentrum für Orthopädie und Unfallchirurgie, Universitätsklinikum Gießen und Marburg GmbH, Standort Marburg, Baldingerstraße, 35043, Marburg, Deutschland. buecking@med.uni-marburg.de.
[Ti] Título:[Interdisciplinary treatment in geriatric traumatology from the trauma surgeons' perspective : Results of a survey in Germany].
[Ti] Título:Interdisziplinäre Behandlung in der Alterstraumatologie aus unfallchirurgischer Sicht : Ergebnisse einer deutschlandweiten Umfrage..
[So] Source:Unfallchirurg;120(1):32-39, 2017 Jan.
[Is] ISSN:1433-044X
[Cp] País de publicação:Germany
[La] Idioma:ger
[Ab] Resumo:BACKGROUND: Many patients treated on trauma surgery wards are geriatric trauma patients. To improve treatment of these often multimorbid patients, various interdisciplinary treatment concepts have been established in Germany between trauma surgeons and geriatricians. OBJECTIVES: The aim of this study was to evaluate the dissemination and the impact of the different orthogeriatric treatment concepts for geriatric trauma in Germany. Material and methods In March and April 2014 an electronic questionnaire for assessing the interdisciplinary treatment of geriatric trauma patients was sent to 691 medical directors of trauma surgery departments in Germany. RESULTS: A total of 259 (37 %) fully answered questionnaires could be analyzed. The analysis revealed that 70 % of all responding trauma surgery departments had an orthogeriatric treatment cooperation. Most of them reported having patient discharge agreements to geriatric rehabilitation facilities (59 %). Geriatric counseling services were reported by 39 % while 24 % reported having regular interdisciplinary visits and orthogeriatric wards were available in 13 %. The need for orthogeriatric services was considered to be high by 79 % of the participants and benefits especially for the patients were expected. These expectations were largely fulfilled. More than 70 % of respondents planned to intensify the orthogeriatric cooperation. In this context difficulties were seen in the lack of personnel resources, especially in a lack of geriatricians. CONCLUSION: The results of this survey underline the impact and the positive experiences in orthogeriatric services. Solutions have to be found to address the emerging problem of capacity constraints.
[Mh] Termos MeSH primário: Assistência à Saúde/utilização
Serviços de Saúde para Idosos/utilização
Determinação de Necessidades de Cuidados de Saúde
Equipe de Assistência ao Paciente/utilização
Padrões de Prática Médica/utilização
Traumatologia/estatística & dados numéricos
[Mh] Termos MeSH secundário: Atitude do Pessoal de Saúde
Geriatras/utilização
Alemanha
Pesquisas sobre Serviços de Saúde
Cirurgiões/utilização
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[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:150614
[St] Status:MEDLINE
[do] DOI:10.1007/s00113-015-0027-6


  5 / 14 MEDLINE  
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[PMID]:27807536
[Au] Autor:Tesarova P
[Ad] Endereço:Department of Oncology, 1st Faculty of Medicine, Charles University in Prague and General University Hospital, Prague, Czech Republic.
[Ti] Título:Specific Aspects of Breast Cancer Therapy of Elderly Women.
[So] Source:Biomed Res Int;2016:1381695, 2016.
[Is] ISSN:2314-6141
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Breast cancer is the leading cause of death among women, and its incidence increases with age. The average age at diagnosis is 61 years, and the majority of deaths occurs after the age of 65 years. Optimal approach to elderly women with breast cancer is still a major challenge. Elderly patients with cancer should have at least a brief geriatric assessment to detect potentially treatable problems not always adequately evaluated by the oncologists. Therapeutic nihilism should be avoided and effective treatment provided, unless there are compelling reasons against it. Sharing the care for the patient with geriatricians or primary care physicians trained in geriatrics should be considered for all vulnerable and frail elderly patients.
[Mh] Termos MeSH primário: Neoplasias da Mama/diagnóstico
Neoplasias da Mama/terapia
[Mh] Termos MeSH secundário: Idoso
Feminino
Geriatras
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170220
[Lr] Data última revisão:
170220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161104
[St] Status:MEDLINE


  6 / 14 MEDLINE  
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[PMID]:27592034
[Au] Autor:Schuers M; Timsit M; Gillibert A; Fred A; Griffon N; Bénichou J; Darmoni SJ; Staccini P
[Ad] Endereço:Service d'informatique biomédicale, centre hospitalier universitaire de Rouen, 76031 Rouen cedex, France; TIBS, LITIS EA 4108, université de Rouen, 76031 Rouen, France; Département de médecine générale, université de Rouen, 76000 Rouen, France. Electronic address: matthieu.schuers@gmail.com.
[Ti] Título:[Benefits and usability of a pharmaceutical record in medical practice. A survey of hospital doctors and pharmacists (MATRIX study)].
[Ti] Título:Intérêt et utilisabilité du dossier pharmaceutique en pratique médicale. Enquête auprès de médecins et pharmaciens hospitaliers (étude MATRIX)..
[So] Source:Rev Epidemiol Sante Publique;64(4):229-36, 2016 Sep.
[Is] ISSN:0398-7620
[Cp] País de publicação:France
[La] Idioma:fre
[Ab] Resumo:BACKGROUND: To evaluate the impact of the pharmaceutical patient record use in emergency, geriatric and anaesthesia and intensive care departments, an experimentation was launched in 2013 in 55 hospitals. The purpose of the study was to assess the opinions of physicians and pharmacists about the benefits and usability of the patient pharmaceutical record. METHODS: An e-mailed self-administered questionnaire was sent to all the pharmacists, anaesthesiologists, geriatricians and emergency physicians of the 55 hospitals involved in the patient pharmaceutical record experimentation. The questionnaire assessed the usability of the patient pharmaceutical record using the "System Usability Scale", as well as its use, its benefits and limitations perceived in clinical practice, and overall user satisfaction. Questionnaires were collected from November 2014 to January 2015. RESULTS: Ninety-six questionnaires were collected, from 47 hospitals, representing 86% of the hospitals involved in the experimentation. The patient pharmaceutical record was effectively operational in 36 hospitals. Data from 73 questionnaires filled by physicians and pharmacists with potential experience with the patient pharmaceutical record were used for evaluation. Forty-two respondents were pharmacists (57%) and 31 were physicians (43%), including 13 geriatricians, 11 emergency physicians and 7 anaesthesiologists. Patient pharmaceutical record overall usability score was 62.5 out of 100. It did not vary with the profession or seniority of the respondent. It was positively correlated with the frequency of use. More than half of respondents reported that they never or uncommonly used the patient pharmaceutical record. The length of access to data period was considered as insufficient. Main obstacles to more utilization of the patient pharmaceutical record were the lack of information about the dosage of dispensed drugs, the low number of patients in possession of their health card and the low number of patients with an activated patient pharmaceutical record. CONCLUSION: Two years after the beginning of the experiment aiming to broaden the access to the patient pharmaceutical record to physicians, these first evaluation results are encouraging. The evaluation of the consequences of the access to the patient pharmaceutical record for physicians remains necessary.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Registros Eletrônicos de Saúde/utilização
Sistemas de Informação Hospitalar/utilização
Farmacêuticos
Médicos
[Mh] Termos MeSH secundário: Anestesiologistas/organização & administração
Anestesiologistas/psicologia
Serviço Hospitalar de Emergência/organização & administração
França
Geriatras/organização & administração
Geriatras/psicologia
Sistemas de Informação Hospitalar/organização & administração
Sistemas de Informação Hospitalar/normas
Hospitais
Seres Humanos
Registro Médico Coordenado
Farmacêuticos/organização & administração
Farmacêuticos/psicologia
Médicos/organização & administração
Médicos/psicologia
Inquéritos e Questionários
[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:160905
[St] Status:MEDLINE


  7 / 14 MEDLINE  
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[PMID]:27460067
[Au] Autor:O'Dowd A
[Ad] Endereço:Herne Bay.
[Ti] Título:Kate Granger.
[So] Source:BMJ;354:i4144, 2016 Jul 26.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Geriatras/história
Promoção da Saúde/história
Relações Profissional-Paciente
[Mh] Termos MeSH secundário: História do Século XXI
Reino Unido
[Pt] Tipo de publicação:BIOGRAPHY; HISTORICAL ARTICLE; JOURNAL ARTICLE; PORTRAITS
[Ps] Nome de pessoa como assunto:Granger K
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160728
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.i4144


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[PMID]:27427467
[Au] Autor:Damier E; Chidlovskii E; Bertrand B; Dang VM; Vanzetto G; Couturier P
[Ad] Endereço:Pôle pluridisciplinaire de médecine et gérontologie clinique, clinique universitaire de médecine gériatrique, CHU Grenoble, 38000 Grenoble, France. Electronic address: dr.damier@gmail.com.
[Ti] Título:[Multidimensional geriatric assessment before transcatheter aortic valve implantation in frail elderly patients with one-year follow-up. Cardio-geriatrician collaboration benefits?].
[Ti] Título:Évaluation gériatrique avant décision de remplacement valvulaire aortique par voie percutanée chez des patients âgés fragiles et suivi à un an : intérêt d'une collaboration cardio-gériatrique ?.
[So] Source:Ann Cardiol Angeiol (Paris);65(4):250-4, 2016 Sep.
[Is] ISSN:1768-3181
[Cp] País de publicação:France
[La] Idioma:fre
[Ab] Resumo:BACKGROUND: Transcatheter aortic valve implantation (TAVI) is a treatment for high-risk patients with symptomatic severe aortic stenosis. The aim of the study is to assess results of comprehensive geriatric assessment before TAVI and geriatrician advices about TAVI procedure feasibility. We report one-year outcomes after TAVI procedure. METHODS: All patients who underwent comprehensive geriatric assessment in geriatric day hospital before TAVI were prospectively included in Grenoble. We report characteristics of the patients, geriatrician advices about TAVI procedure feasibility and risks, and one year follow-up. RESULTS: Twenty-one frail elderly patients underwent geriatric assessment. The mean age was 85.4; demographics included cognitive impairment (76%), renal dysfunction (81%), NYHA functional class III or IV (48%). Eighteen patients were suitable for TAVI according to geriatric assessment, 8 underwent TAVI. None of the 3 patients who were not candidate for TAVI according to geriatricians were implanted. Cardiologists followed geriatrician advices for 56% of cases. Intensive care unit and cardiology stay were prolonged at 3.5 and 7.9days, respectively. Six out of the 8 patients stayed in rehabilitation unit after TAVI. None of the implanted patients died at one-year follow up, despite of the common periprocedural complications: acute kidney injury, ischemic stroke, delirium, pacemaker, hemorrhage. CONCLUSIONS: Cardiologists follow geriatrician advices about TAVI feasibility in frail elderly patients. Comprehensive geriatric assessment also helps preventing complications and providing quick assessment of occurring periprocedural and postprocedural complications. Optimal management of frail elderly patients undergoing TAVI is a multidisciplinary task involving cardiologists, anaesthetists and geriatricians.
[Mh] Termos MeSH primário: Idoso Fragilizado
Avaliação Geriátrica
Equipe de Assistência ao Paciente
Seleção de Pacientes
Substituição da Valva Aórtica Transcateter
[Mh] Termos MeSH secundário: Idoso de 80 Anos ou mais
Estenose da Valva Aórtica/cirurgia
Cardiologistas
Feminino
Seguimentos
França
Geriatras
Seres Humanos
Tempo de Internação
Masculino
Cuidados Pré-Operatórios
Estudos Prospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170222
[Lr] Data última revisão:
170222
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160719
[St] Status:MEDLINE


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[PMID]:27364024
[Au] Autor:Golden AG; Xu P; Wan TT; Issenberg SB
[Ad] Endereço:From the Orlando Veterans Affairs Medical Center, Orlando, Florida, the College of Medicine, the Department of Statistics and the College of Health and Public Affairs, University of Central Florida, Orlando, and the Gordon Center for Research in Medical Education, Miller School of Medicine, Universi
[Ti] Título:Estimating the Net Career Income of a Geriatrician and a Nurse Practitioner: Still Want to Be a Doctor?
[So] Source:South Med J;109(7):409-14, 2016 Jul.
[Is] ISSN:1541-8243
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: With a continual shortage of geriatricians, adult-gerontology primary care nurse practitioners have assumed a greater role in the delivery of outpatient care for older adults. Given the long duration of physician training, the high cost of medical school, and the lower salaries compared with subspecialists, the financial advantage of a career as a geriatrician as opposed to a nurse practitioner is uncertain. This study compares the estimated career earnings of a geriatrician and an adult-gerontology primary care nurse practitioner. METHODS: We used a synthetic model of estimated net earnings during a 43-year career span for a 22-year old person embarking on a career as a geriatrician versus a career as an adult-gerontology primary care nurse practitioner. We estimated annual net income and net retirement savings using different annual compound rates and calculated the financial impact of forgiving medical student loans, shortening the duration of physician training, and reinstituting the practice pathway for geriatric medicine certification. RESULTS: Career net incomes for the geriatrician did not match the nurse practitioner until almost age 40. At 65 years of age, the difference between the geriatrician and nurse practitioner was 30.6%. A higher annual compound rate was associated with an even smaller percentage difference. Combining all three health policy interventions lowered the break-even age to 28 and more than doubled the difference in career earnings. CONCLUSIONS: Small estimated differences in net career earnings exist between geriatricians and adult-gerontology primary care nurse practitioners. Health policy interventions had a dramatic positive effect on geriatricians' lifetime net earnings in calculated estimates.
[Mh] Termos MeSH primário: Educação Médica
Geriatras
Geriatria
Profissionais de Enfermagem
Atenção Primária à Saúde
[Mh] Termos MeSH secundário: Adulto
Escolha da Profissão
Educação Médica/economia
Educação Médica/organização & administração
Geriatras/economia
Geriatras/psicologia
Geriatria/economia
Geriatria/educação
Seres Humanos
Renda
Meia-Idade
Modelos Teóricos
Profissionais de Enfermagem/economia
Profissionais de Enfermagem/psicologia
Atenção Primária à Saúde/economia
Atenção Primária à Saúde/métodos
Atenção Primária à Saúde/organização & administração
Apoio ao Desenvolvimento de Recursos Humanos/métodos
Estados Unidos
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170714
[Lr] Data última revisão:
170714
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160702
[St] Status:MEDLINE
[do] DOI:10.14423/SMJ.0000000000000484


  10 / 14 MEDLINE  
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[PMID]:27087018
[Au] Autor:Etherton-Beer C; Katz B; Naganathan V; Geriatric Medicine Education and Training Committee of the Australian and New Zealand Society for Geriatric Medicine
[Ad] Endereço:Geriatric Medicine, Royal Perth Hospital Unit, School of Medicine and Pharmacology and Centre for Medical Research, University of Western Australia, Perth, Western Australia, Australia.
[Ti] Título:Survey of Australasian geriatricians' satisfaction with, and preferences for, continuing professional development.
[So] Source:Intern Med J;46(7):805-11, 2016 Jul.
[Is] ISSN:1445-5994
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Continuing professional development (CPD) is an obligation for all Australasian geriatricians; however, there are no systematic data regarding Australian and New Zealand geriatricians' satisfaction with, and preferences for, CPD. AIMS: To inform understanding of Australasian geriatricians' satisfaction with, and preferences for, CPD. METHODS: An electronic survey to collect data relating to demographics, current CPD activities, preferred CPD activities and perceived major barriers to CPD was distributed to 706 geriatricians in Australia and New Zealand. RESULTS: Two hundred and thirteen (30%) responses were received. Respondents commonly reported CPD through participation in conferences (n = 205 (96%)) and research/educational activity (n = 146 (70%)). Most respondents agreed that the annual scientific meeting (n = 168 (79%)) and state-based meetings (n = 135 (63%)) are valuable for their CPD. Respondents perceived their professional (n = 155 (73%)) and non-professional (n = 21 (57%)) commitments as the major barriers to quality CPD. Respondents supported additional electronic CPD resources being made available, improved integration of assessment in CPD activities and flexible methods of CPD participation to meet the diverse needs of geriatricians. CONCLUSIONS: Respondents perceived the face-to-face CPD opportunities currently available to them as valuable for their CPD but seek additional, flexible products to enable CPD participation based on individual needs and preferences.
[Mh] Termos MeSH primário: Educação Médica Continuada
Geriatras/educação
Satisfação Pessoal
Desenvolvimento de Pessoal
[Mh] Termos MeSH secundário: Austrália
Feminino
Seres Humanos
Masculino
Nova Zelândia
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170824
[Lr] Data última revisão:
170824
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160419
[St] Status:MEDLINE
[do] DOI:10.1111/imj.13116



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