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[PMID]:29384744
[Au] Autor:Pradella F; Pinchi V; Focardi M; Grifoni R; Palandri M; Norelli GA
[Ad] Endereço:Section of Medical Forensic Sciences, Department of Health Sciences, University of Florence, Italy.
[Ti] Título:The age estimation practice related to illegal unaccompanied minors immigration in Italy.
[So] Source:J Forensic Odontostomatol;2(35):147-156, 2017 Dec 01.
[Is] ISSN:2219-6749
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:The migrants arrived to the Italian coasts in 2016 were 181.436, 18% more than the previous year and 6% more than the highest number ever since. An "unaccompanied minor" (UAM) is a third-country national or a stateless person under eighteen years of age, who arrives on the territory of the Member State unaccompanied by an adult responsible for him/her whether by law or by the practice of the Member State concerned, and for as long as he or she is not effectively taken into the care of such a person; it includes a minor who is left unaccompanied after he/she entered the territory of the Member States. As many as 95.985 UAMs applied for international protection in an EU member country just in 2015, almost four times the number registered in the previous year. The UAMs arrived in Italy were 28.283 in 2016; 94% of them were males, 92% unaccompanied, 8% of them under 15; the 53,6% is 17; the individuals between 16 and 17 are instead the 82%. Many of them (50%), 6561 in 2016, escaped from the sanctuaries, thus avoiding to be formally identified and registered in Italy in the attempt to reach more easily northern Europe countries, since The Dublin Regulations (2003) state that the asylum application should be held in the EU country of entrance or where parents reside. The age assessment procedures can therefore be considered as a relevant task that weighs in on the shoulders of the forensic experts with all the related issues and the coming of age is the important threshold. In the EU laws on asylum, the minors are considered as one of the groups of vulnerable persons towards whom Member States have specific obligations. A proper EU common formal regulation in the matter of age estimation procedures still lacks. According to the Italian legal framework in the matter, a medical examination should have been always performed but a new law completely changed the approach to the procedures of age estimation of the migrant (excluding the criminal cases) with a better adherence to the notions and concepts of vulnerability and psychological and social maturity.
[Mh] Termos MeSH primário: Determinação da Idade pelo Esqueleto
Determinação da Idade pelos Dentes
Menores de Idade/legislação & jurisprudência
Refugiados/legislação & jurisprudência
Migrantes/legislação & jurisprudência
[Mh] Termos MeSH secundário: União Europeia
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180221
[Lr] Data última revisão:
180221
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:180201
[St] Status:MEDLINE


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[PMID]:29384742
[Au] Autor:Kvaal SI; Haugen M
[Ad] Endereço:Institute of Clinical Dentistry, Faculty of Dentistry, University of Oslo, Norway.
[Ti] Título:Comparisons between skeletal and dental age assessment in unaccompanied asylum seeking children.
[So] Source:J Forensic Odontostomatol;2(35):115-123, 2017 Dec 01.
[Is] ISSN:2219-6749
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: For children with disputed date of birth, age assessments based on skeletal and dental development are recommended. AIM: The aim of this retrospective study was to compare and contrast the results of age assessments from these two methods performed on unaccompanied asylum seeking children in Norway. In addition the aim of the analysis was to see if the skeletal age assessment from hand-wrist was operator sensitive. MATERIALS AND METHODS: Age assessments performed from January 2010 to December 2014 were analysed. Skeletal development of hand-wrist was graded according to Greulich and Pyle (1959). Dental development of the wisdom teeth was scored on orthopantomograms according to Moorrees, Fanning and Hunt (1963) and age assessed from tables published by Liversidge (2008) and Haavikko (1970). In the statistical analysis agreement between the two age assessments was defined according to the asylum seeker's age being assessed to be older or younger than 18 years. The statistical analysis included 3333 boys and 486 girls. RESULTS: The agreement was 83% for boys and 79% for girls. Approximately 70% of the boys and girls were 18 years or older by both methods. It was more common that the skeletal age was assessed older than 18 years and dental age younger than 18 years for both genders. It could be demonstrated that the age assessment based on skeletal maturation was not operator sensitive. CONCLUSION: The analyses demonstrate that there is good agreement between the two age assessments, but a method to combine the results would increase the reliability of the age assessments.
[Mh] Termos MeSH primário: Determinação da Idade pelo Esqueleto/métodos
Determinação da Idade pelos Dentes/métodos
Ossos da Mão/diagnóstico por imagem
Ossos da Mão/crescimento & desenvolvimento
Dente Serotino/diagnóstico por imagem
Dente Serotino/crescimento & desenvolvimento
[Mh] Termos MeSH secundário: Adolescente
Criança
Feminino
Seres Humanos
Masculino
Radiografia Panorâmica
Refugiados
Estudos Retrospectivos
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180221
[Lr] Data última revisão:
180221
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:180201
[St] Status:MEDLINE


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[PMID]:29195543
[Au] Autor:Linck R; Osman M
[Ad] Endereço:Minnesota School of Nursing, Minneapolis, Minnesota, USA.
[Ti] Título:Reflections From the Other Side: The Refugee Journey to Health and Well-Being.
[So] Source:Creat Nurs;22(4):283-288, 2016 Nov 01.
[Is] ISSN:1078-4535
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The refugee crisis is an urgent global health issue; the number of displaced people has escalated to its worst point in recorded history. To explore the refugee phenomenon as a social determinant of health, this article examines the experience of Somali refugees in Minnesota. Health care barriers unique to refugees are explored through the firstperson perspective of one Somali woman who ultimately became a nurse.
[Mh] Termos MeSH primário: Barreiras de Comunicação
Carência Cultural
Assistência à Saúde Culturalmente Competente/organização & administração
Assistência à Saúde Culturalmente Competente/utilização
Papel do Profissional de Enfermagem
Refugiados/psicologia
Determinantes Sociais da Saúde
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Atitude Frente à Saúde
Feminino
Seres Humanos
Masculino
Meia-Idade
Minnesota
Somália
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171203
[St] Status:MEDLINE
[do] DOI:10.1891/1078-4535.22.4.283


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[PMID]:29195535
[Au] Autor:Felsman IC
[Ti] Título:Supporting Health and Well-Being for Resettled Refugee Women: The Global Women's Group.
[So] Source:Creat Nurs;22(4):226-232, 2016 Nov 01.
[Is] ISSN:1078-4535
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Women refugees arrive in the United States often having experienced extreme levels of poverty, deprivation, and violence, including gender-based violence, which can severely affect their physical and psychological health and well-being. A women's group was initiated to improve the health and well-being of refugee women in Durham, North Carolina, through a collaboratively designed, culturally appropriate health literacy intervention for women based on mutually identified needs; to empower them to seek preventive health services and screening through knowledge and skills about health needs and access to care; and to create an environment for the development of a supportive social/peer network for the prevention of social isolation and mental health issues related to the refugee experience.
[Mh] Termos MeSH primário: Necessidades e Demandas de Serviços de Saúde/organização & administração
Serviços de Saúde Mental/organização & administração
Aceitação pelo Paciente de Cuidados de Saúde/psicologia
Refugiados/educação
Refugiados/psicologia
Serviços de Saúde da Mulher/organização & administração
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Feminino
Seres Humanos
Meia-Idade
North Carolina
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171203
[St] Status:MEDLINE
[do] DOI:10.1891/1078-4535.22.4.226


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Texto completo SciELO Saúde Pública
[PMID]:28453111
[Au] Autor:Henríquez-Mendoza GM
[Ad] Endereço:Oficina de Promoción Social. Ministerio de Salud y Protección Social de Colombia. Instituto Nacional de Cancerología. Bogotá, Colombia. gm.henriquez74@uniandes.edu.co.
[Ti] Título:[Inequalities in the continuity of outpatient care to displaced population in Colombia, 2012 - 2013].
[Ti] Título:Desigualdades en la continuidad de la atención ambulatoria de población desplazada en Colombia 2012-2013..
[So] Source:Rev Salud Publica (Bogota);18(5):687-699, 2016 Sep-Oct.
[Is] ISSN:0124-0064
[Cp] País de publicação:Colombia
[La] Idioma:spa
[Ab] Resumo:Objective : To establish inequalities in the continuity of outpatient care to displaced population diagnosed with depression. Methods: A cross-sectional study, based on clinical records, was performed during the period between June 1, 2012 and June 30, 2013, on population diagnosed with depression and reduced to displaced population. The odds ratio was used to associate the type of population with the outpatient care control by professionals, adjusted by sex, age, affiliation and region. Results: The following information was obtained from 74 713 records: 3 149 related to displaced population and 71 564 to non-displaced population; non-displaced population had 24 % more ambulatory care (OR: 1.24 p<0.001; CI 1.10 to 1.39), and the advantage was greater when adjusting the information to data, based on affiliation to the health system. In the displaced population group, men had greater rates of outpatient care compared to women (OR:1.40 p<0.001 CI: 1.08 to 1.83). The disadvantage was also high for non-displaced women (OR:1.26 p<0.001 CI: 1.10 to 1.44). Although these results were obtained for outpatient care in mild and moderate depressive patients, severe depression was excluded; the first type of depression was diagnosed in 92 % of people. Discussion : The performance record showed inequalities in the continuity of outpatient care and, despite the improvement of quality, its coverage is still incomplete. During the first year of the unified plan for the Health System, apparently, the coverage has not achieved to avoid by itself differences in care of displaced population. Improvement of records and interoperability is necessary for designing health policies with an equitable approach.
[Mh] Termos MeSH primário: Assistência Ambulatorial/normas
Transtorno Depressivo Maior/terapia
Disparidades em Assistência à Saúde
Refugiados
Populações Vulneráveis
[Mh] Termos MeSH secundário: Adulto
Idoso
Colômbia/epidemiologia
Estudos Transversais
Transtorno Depressivo Maior/epidemiologia
Feminino
Seres Humanos
Masculino
Meia-Idade
Razão de Chances
Refugiados/psicologia
Refugiados/estatística & dados numéricos
Fatores Socioeconômicos
Populações Vulneráveis/psicologia
Populações Vulneráveis/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180216
[Lr] Data última revisão:
180216
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE


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[PMID]:29301428
[Au] Autor:Barkil-Oteo A; Abdallah W; Mourra S; Jefee-Bahloul H
[Ad] Endereço:From the Department of Psychiatry, Yale University, New Haven, Conn.; the Department of Psychiatry, Howard University Hospital, Washington, DC; the Department of Psychiatry, David Geffen School of Medicine at UCLA, Los Angeles; and the Department of Psychiatry, UMass Medical School, Worcester, Mass.
[Ti] Título:Trauma and Resiliency: A Tale of a Syrian Refugee.
[So] Source:Am J Psychiatry;175(1):8-12, 2018 Jan 01.
[Is] ISSN:1535-7228
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Ansiedade
Depressão
Exposição à Violência/psicologia
Psicoterapia/métodos
Refugiados/psicologia
Inibidores da Captação de Serotonina/administração & dosagem
Transtornos de Estresse Pós-Traumáticos
Síncope
[Mh] Termos MeSH secundário: Adulto
Ansiedade/diagnóstico
Ansiedade/terapia
Depressão/diagnóstico
Depressão/psicologia
Feminino
Seres Humanos
Sintomas Inexplicáveis
Dor/etiologia
Dor/psicologia
Processos Psicoterapêuticos
Campos de Refugiados
Resiliência Psicológica
Autogestão/métodos
Apoio Social
Transtornos de Estresse Pós-Traumáticos/complicações
Transtornos de Estresse Pós-Traumáticos/diagnóstico
Transtornos de Estresse Pós-Traumáticos/psicologia
Síncope/etiologia
Síncope/psicologia
Síria
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Serotonin Uptake Inhibitors)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180207
[Lr] Data última revisão:
180207
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180106
[St] Status:MEDLINE
[do] DOI:10.1176/appi.ajp.2017.17030358


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[PMID]:29228982
[Au] Autor:Rask O; Suneson K; Holmström E; Bäckström B; Johansson BA
[Ad] Endereço:Department of Clinical Sciences, Division of Pediatrics, Lund University, Lund, Sweden. olof.rask@med.lu.se.
[Ti] Título:Electroconvulsive therapy for manic state with mixed and psychotic features in a teenager with bipolar disorder and comorbid episodic obsessive-compulsive disorder: a case report.
[So] Source:J Med Case Rep;11(1):345, 2017 Dec 12.
[Is] ISSN:1752-1947
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Comorbidity of bipolar disorder and obsessive-compulsive disorder is common in adolescence. Obsessive-compulsive disorder symptoms may be episodic and secondary to alterations in mood, and display specific features. Management of pediatric bipolar disorder-obsessive-compulsive disorder is challenging, as pharmacotherapy of obsessive-compulsive disorder may induce or exacerbate manic episodes and there is limited evidence of treatment efficacy. Electroconvulsive therapy is sparsely used in children and adolescents, but is documented to be a safe and efficacious intervention in adults with bipolar disorder. In view of the severity of symptoms in juvenile mania, studies on treatment strategies are warranted. We report a case of an adolescent with bipolar disorder-obsessive-compulsive disorder who was successfully treated with electroconvulsive therapy during an episode of severe mania. CASE PRESENTATION: A 16-year-old girl of Middle East origin first presented to us with depressed mood, irritability, and increased obsessive-compulsive disorder symptoms, which were initially interpreted in the context of acute stress secondary to migration. She had been diagnosed with bipolar disorder and obsessive-compulsive disorder in her previous home country, but had difficulties in accounting for earlier psychiatric history. During hospitalization her mood switched to a manic state with mixed and psychotic features, at times showing aggression toward others. Interruption in her lithium treatment for a short period and possibly the introduction of an atypical antipsychotic could in part have been triggering factors. After 8 weeks of in-patient care and psychotropic drug trials, electroconvulsive therapy was initiated and administered every second or third day for 4 weeks, with marked positive response. No apparent side effects were reported. CONCLUSIONS: This case demonstrates the need for a detailed medical history, taking special note of periodicity and character of obsessive-compulsive disorder symptoms, in adolescents with mood disorders. When treating culturally diverse patients, extra consideration should be taken. Special concerns in the pharmacological treatment to avoid the patient's condition from worsening must be addressed, including giving priority to mood stabilization before obsessive-compulsive disorder symptoms. There are potential benefits in considering electroconvulsive therapy in young patients with severe mania where first-line treatment options have failed.
[Mh] Termos MeSH primário: Transtorno Bipolar/terapia
Eletroconvulsoterapia/métodos
Transtorno Obsessivo-Compulsivo/terapia
Refugiados
[Mh] Termos MeSH secundário: Adolescente
Antimaníacos/uso terapêutico
Antipsicóticos/uso terapêutico
Transtorno Bipolar/epidemiologia
Transtorno Bipolar/psicologia
Comorbidade
Feminino
Haloperidol/uso terapêutico
Seres Humanos
Compostos de Lítio/uso terapêutico
Oriente Médio/etnologia
Transtorno Obsessivo-Compulsivo/epidemiologia
Transtorno Obsessivo-Compulsivo/psicologia
Suécia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antimanic Agents); 0 (Antipsychotic Agents); 0 (Lithium Compounds); J6292F8L3D (Haloperidol)
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180130
[Lr] Data última revisão:
180130
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171213
[St] Status:MEDLINE
[do] DOI:10.1186/s13256-017-1508-8


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[PMID]:29243474
[Au] Autor:Barker S
[Ti] Título:REFUGEES IN NAURU.
[So] Source:Aust Nurs Midwifery J;24(3):30, 2016 Sep.
[Is] ISSN:2202-7114
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:A report alleging appalling abuse and neglect of refugees and asylum seekers living in detention on Nauru has recently been released based on Amnesty International and Human Rights Watch's investigations. The report detailed inhumane conditions, abuse and assault of detainees including neglect by locals and healthcare providers. The Department of Immigration has lashed out strongly refuting many of the claims in the report. Registered Nurse and citizen of Nauru Sue Barker also says the treatment of refugees and asylum seekers is very different to the one painted by the media. Sue has written to the ANMJ asking to give her account about the humane support refugees and asylum seekers are given by the locals on Nauru.
[Mh] Termos MeSH primário: Acesso aos Serviços de Saúde
Direitos Humanos
Refugiados
[Mh] Termos MeSH secundário: Austrália
Seres Humanos
Meios de Comunicação de Massa
Micronésia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180118
[Lr] Data última revisão:
180118
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171216
[St] Status:MEDLINE


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[PMID]:29236400
[Au] Autor:Heartfield K
[Ti] Título:Being uprooted, finding her place.
[So] Source:Can Nurse;112(7):22-4, 2016 Oct.
[Is] ISSN:0008-4581
[Cp] País de publicação:Canada
[La] Idioma:eng
[Mh] Termos MeSH primário: Enfermeiras e Enfermeiros
Refugiados
[Mh] Termos MeSH secundário: Adulto
Camboja
Canadá
Feminino
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180118
[Lr] Data última revisão:
180118
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:171214
[St] Status:MEDLINE


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[PMID]:29303720
[Au] Autor:Nezafat Maldonado BM; Murphy L; Jones L; Miller A; Le Deaut D
[Ad] Endereço:School of Medicine, University of Liverpool, Liverpool L69 3GE, UK. Electronic address: behrouz.m.nezafat@gmail.com.
[Ti] Título:Changes to NHS charges: what does this mean for our most vulnerable patients?
[So] Source:Lancet;390(10114):2766-2767, 2018 12 23.
[Is] ISSN:1474-547X
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Emigrantes e Imigrantes
Honorários e Preços
Refugiados
Medicina Estatal/economia
Populações Vulneráveis
[Mh] Termos MeSH secundário: Inglaterra
Seres Humanos
Reino Unido
[Pt] Tipo de publicação:LETTER
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180117
[Lr] Data última revisão:
180117
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180106
[St] Status:MEDLINE



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