Base de dados : MEDLINE
Pesquisa : N01.824.417.700.662 [Categoria DeCS]
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[PMID]:29450516
[Au] Autor:Riano NS; Linos E; Accurso EC; Sung D; Linos E; Simard JF; Mangurian C
[Ad] Endereço:Department of Psychiatry, University of California, San Francisco.
[Ti] Título:Paid Family and Childbearing Leave Policies at Top US Medical Schools.
[So] Source:JAMA;319(6):611-614, 2018 02 13.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Política Organizacional
Licença Parental/estatística & dados numéricos
Faculdades de Medicina/organização & administração
[Mh] Termos MeSH secundário: Médicas
Licença Médica/estatística & dados numéricos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180217
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2017.19519


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[PMID]:29471755
[Au] Autor:Halonen JI; Solovieva S; Virta LJ; Laaksonen M; Martimo KP; Hiljanen I; Lallukka T; Autti-Rämö I; Viikari-Juntura E
[Ad] Endereço:1 Finnish Institute of Occupational Health, Finland.
[Ti] Título:Sustained return to work and work participation after a new legislation obligating employers to notify prolonged sickness absence.
[So] Source:Scand J Public Health;46(19_suppl):65-73, 2018 Feb.
[Is] ISSN:1651-1905
[Cp] País de publicação:Sweden
[La] Idioma:eng
[Ab] Resumo:AIMS: Return to work (RTW) after prolonged sickness absence benefits both the individual and society. However, the effectiveness of legislation aiming to improve RTW remains uncertain. We examined whether sustained RTW and work participation were different before and after a legislative change enacted in 2012 (i.e. an intervention) that obligated employers to give notice of prolonged sickness absence to occupational health services. METHODS: Two random samples (2010 and 2013) of the Finnish working aged population (70%, ~2.6 million each) were drawn. Using survival analysis, we assessed sustained RTW (≥28 consecutive working days) during a two-month follow-up after a sickness absence minimum of 30 calendar days in the pre- and post-intervention period. We also identified pathways for RTW with cluster analysis and calculated relative gain in work participation in the total sample and by several population subgroups. RESULTS: In the total sample, sustained RTW was 4% higher and the mean time to sustained RTW was 0.42 days shorter in the post- than in the pre-intervention period. The estimates were larger among women than men and among those with mental disorders compared with other diagnoses. Changes in the pathways for sustained RTW indicated a 4.9% relative gain in work participation in the total sample. The gain was larger among those who lived in areas of low unemployment rate (20.6%) or worked in the public sector (11.9%). CONCLUSIONS: From 2010 to 2013, RTW and work participation increased among the employees with prolonged sickness absence, suggesting that the legislative change enhanced RTW. The change in work participation varied by population subgroup.
[Mh] Termos MeSH primário: Emprego/legislação & jurisprudência
Emprego/estatística & dados numéricos
Retorno ao Trabalho/estatística & dados numéricos
Licença Médica/legislação & jurisprudência
[Mh] Termos MeSH secundário: Adolescente
Adulto
Feminino
Finlândia
Seres Humanos
Masculino
Meia-Idade
Serviços de Saúde do Trabalhador
Licença Médica/estatística & dados numéricos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180224
[St] Status:MEDLINE
[do] DOI:10.1177/1403494817732445


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[PMID]:29243453
[Au] Autor:Vuokko A; Tuisku K
[Ti] Título:New self-assessment tools for evaluating work ability.
[So] Source:Duodecim;133(7):667-74, 2017.
[Is] ISSN:0012-7183
[Cp] País de publicação:Finland
[La] Idioma:eng
[Ab] Resumo:Assessment and support of the work ability and function is an elementary responsibility of health care. The focus of assessment lies in the remaining functional capacity and its sufficiency with respect to occupational demands. Objective and subjective perspectives, personal resources and limitations, and the subject's relationship to the environment are taken into account according to biopsychosocial models of work ability. We recommend three useful self-report measurement tools for work ability and function. Return-to-Work-Readiness Questionnaire (RTW-RQ), Return-to-Work Self-Efficacy (RTW-SE) and Sheehan Disability Scale (SDS). These tools structure an interactive evaluation providing possibilities for follow-up. They provide means to discuss one's personal resources and limitations and to promote return-to-work.
[Mh] Termos MeSH primário: Retorno ao Trabalho
Autoavaliação
Avaliação da Capacidade de Trabalho
[Mh] Termos MeSH secundário: Avaliação da Deficiência
Seres Humanos
Licença Médica
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180115
[Lr] Data última revisão:
180115
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171216
[St] Status:MEDLINE


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[PMID]:29224640
[Au] Autor:Butt JH; Kragholm K; Dalager-Pedersen M; Rørth R; Kristensen SL; Chaudry MS; Valeur N; Østergaard L; Torp-Pedersen C; Gislason GH; Køber L; Fosbøl EL
[Ad] Endereço:Department of Cardiology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark. Electronic address: jawad_butt91@hotmail.com.
[Ti] Título:Return to the workforce following infective endocarditis-A nationwide cohort study.
[So] Source:Am Heart J;195:130-138, 2018 Jan.
[Is] ISSN:1097-6744
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The ability to return to work after infective endocarditis (IE) holds important socioeconomic consequences for both patients and society, yet data on this issue are sparse. We examined return to the workforce and associated factors in IE patients of working age. METHODS: Using Danish nationwide registries, we identified 1,065 patients aged 18-60 years with a first-time diagnosis of IE (1996-2013) who were part of the workforce prior to admission and alive at discharge. RESULTS: One year after discharge, 765 (71.8%) patients had returned to the workforce, 130 (12.2%) were on paid sick leave, 76 (7.1%) received disability pension, 23 (2.2%) were on early retirement, 65 (6.1%) had died, and 6 (0.6%) had emigrated. Factors associated with return to the workforce were identified using multivariable logistic regression. Younger age (18-40 vs 56-60 years; odds ratio, 2.85; 95% CI, 1.71-4.76) and higher level of education (higher educational level vs basic school; 5.47, 2.05-14.6) and income (highest quartile vs lowest; 3.17, 1.85-5.46) were associated with return to the workforce. Longer length of hospital stay (>90 vs 14-30 days; 0.16, 0.07-0.38); stroke during IE admission (0.38, 0.21-0.71); and a history of chronic kidney disease (0.29, 0.11-0.75), chronic obstructive pulmonary disease (0.31, 0.13-0.71), and malignancy (0.39, 0.22-0.69) were associated with a lower likelihood of returning to the workforce. CONCLUSIONS: Seven of 10 patients who were part of the workforce prior to IE and alive at discharge were part of the workforce 1 year later. Younger age, higher socioeconomic status, and absence of major comorbidities were associated with return to the workforce.
[Mh] Termos MeSH primário: Endocardite Bacteriana/epidemiologia
Vigilância da População
Retorno ao Trabalho/estatística & dados numéricos
Licença Médica/tendências
[Mh] Termos MeSH secundário: Adolescente
Adulto
Dinamarca/epidemiologia
Endocardite Bacteriana/reabilitação
Feminino
Seguimentos
Seres Humanos
Incidência
Masculino
Meia-Idade
Fatores de Risco
Classe Social
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171215
[Lr] Data última revisão:
171215
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171212
[St] Status:MEDLINE


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[PMID]:28792574
[Au] Autor:Sylvain C; Durand MJ
[Ad] Endereço:Centre d'action en prévention et réadaptation de l'incapacité au travail (CAPRIT), Centre de recherche - Hôpital Charles-Le Moyne.
[Ti] Título:[Supporting the return to work following sick leave for a depressive disorder: why and how?]
[Ti] Título:Soutenir le retour au travail après un arrêt de travail en raison d'un trouble dépressif : pourquoi et comment faire en soins primaires ?.
[So] Source:Sante Ment Que;42(1):305-318, 2017.
[Is] ISSN:0383-6320
[Cp] País de publicação:Canada
[La] Idioma:fre
[Ab] Resumo:Depressive disorders have become one of the main causes of sick leave in recent years. For the individuals concerned, the risk of long-term work disability is very real and generates considerable human and social costs, not to mention financial costs. Despite its importance, the issue of the return to work is rarely presented to primary care professionals, among others, as a priority to be factored into their clinical interventions. The latter thus have very few guidelines to help them choose the best intervention for promoting a timely return to work and may even question the relevance of such an objective.The purpose of this article is therefore to propose a set of reference points for primary care professionals by answering the following question: why and how should the return to work be supported following sick leave for a depressive disorder? The first part of the article provides an overview of current knowledge that supports the relevance of early intervention to the prevention of long-term work disability. The second part proposes a number of promising interventions for achieving this objective and feasible for primary care professionals. These proposals are based on recent research work by our team.
[Mh] Termos MeSH primário: Transtorno Depressivo/psicologia
Atenção Primária à Saúde
Retorno ao Trabalho
Licença Médica
[Mh] Termos MeSH secundário: Seres Humanos
Quebeque
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171128
[Lr] Data última revisão:
171128
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170810
[St] Status:MEDLINE


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[PMID]:28991423
[Au] Autor:Lichtman-Sadot S; Bell NP
[Ti] Título:Child Health in Elementary School Following California's Paid Family Leave Program.
[So] Source:J Policy Anal Manage;36(4):790-827, 2017.
[Is] ISSN:0276-8739
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:We evaluate changes in elementary school children health outcomes following the introduction of California's Paid Family Leave (PFL) program, which provided parents with paid time off following the birth of a child. Our health outcomes--overweight, ADHD, and hearing-related problems--are characterized by diagnosis rates that only pick up during early elementary school. Moreover, our health outcomes have been found to be negatively linked with many potential implications of extended maternity leave--increased breastfeeding, prompt medical checkups at infancy, reduced prenatal stress, and reduced non-parental care during infancy. Using the Early Childhood Longitudinal Studies (ECLS) within a difference-in-differences framework, our results suggest improvements in health outcomes among California elementary school children following PFL's introduction. Furthermore, the improvements are driven by children from less advantaged backgrounds, which is consistent with the notion that California's PFL had the greatest effect on leave-taking duration after childbirth mostly for less advantaged mothers who previously could not afford to take unpaid leave.
[Mh] Termos MeSH primário: Saúde da Criança/estatística & dados numéricos
Licença para Cuidar de Pessoa da Família/normas
Licença Parental/estatística & dados numéricos
[Mh] Termos MeSH secundário: Transtorno do Deficit de Atenção com Hiperatividade
Aleitamento Materno
California
Criança
Transtornos da Comunicação
Feminino
Perda Auditiva
Seres Humanos
Lactente
Recém-Nascido
Infecção
Seguro por Invalidez
Masculino
Saúde Materna
Grupos Minoritários
Avaliação de Resultados (Cuidados de Saúde)
Sobrepeso
Licença Médica
Fatores Socioeconômicos
Estresse Fisiológico
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:171011
[St] Status:MEDLINE


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[PMID]:28877165
[Au] Autor:Backhausen MG; Tabor A; Albert H; Rosthøj S; Damm P; Hegaard HK
[Ad] Endereço:Department of Obstetrics, Copenhagen University Hospital (Rigshospitalet), Copenhagen, Denmark.
[Ti] Título:The effects of an unsupervised water exercise program on low back pain and sick leave among healthy pregnant women - A randomised controlled trial.
[So] Source:PLoS One;12(9):e0182114, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Low back pain is highly prevalent among pregnant women, but evidence of an effective treatment are still lacking. Supervised exercise-either land or water based-has shown benefits for low back pain, but no trial has investigated the evidence of an unsupervised water exercise program on low back pain. We aimed to assess the effect of an unsupervised water exercise program on low back pain intensity and days spent on sick leave among healthy pregnant women. METHODS: In this randomised, controlled, parallel-group trial, 516 healthy pregnant women were randomly assigned to either unsupervised water exercise twice a week for a period of 12 weeks or standard prenatal care. Healthy pregnant women aged 18 years or older, with a single fetus and between 16-17 gestational weeks were eligible. The primary outcome was low back pain intensity measured by the Low Back Pain Rating scale at 32 weeks. The secondary outcomes were self-reported days spent on sick leave, disability due to low back pain (Roland Morris Disability Questionnaire) and self-rated general health (EQ-5D and EQ-VAS). RESULTS: Low back pain intensity was significantly lower in the water exercise group, with a score of 2.01 (95% CI 1.75-2.26) vs. 2.38 in the control group (95% CI 2.12-2.64) (mean difference = 0.38, 95% CI 0.02-0.74 p = 0.04). No difference was found in the number of days spent on sick leave (median 4 vs. 4, p = 0.83), disability due to low back pain nor self-rated general health. There was a trend towards more women in the water exercise group reporting no low back pain at 32 weeks (21% vs. 14%, p = 0.07). CONCLUSIONS: Unsupervised water exercise results in a statistically significant lower intensity of low back pain in healthy pregnant women, but the result was most likely not clinically significant. It did not affect the number of days on sick leave, disability due to low back pain nor self-rated health. TRIAL REGISTRATION: ClinicalTrials.gov NCT02354430.
[Mh] Termos MeSH primário: Terapia por Exercício
Dor Lombar/terapia
Licença Médica/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Parto Obstétrico
Feminino
Seguimentos
Seres Humanos
Recém-Nascido
Gravidez
Fatores de Tempo
Resultado do Tratamento
Água
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
059QF0KO0R (Water)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171016
[Lr] Data última revisão:
171016
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170907
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0182114


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[PMID]:28784838
[Au] Autor:Halonen JI; Kivimäki M; Vahtera J; Pentti J; Virtanen M; Ervasti J; Oksanen T; Lallukka T
[Ad] Endereço:Finnish Institute of Occupational Health, Helsinki, Finland.
[Ti] Título:Childhood adversity, adult socioeconomic status and risk of work disability: a prospective cohort study.
[So] Source:Occup Environ Med;74(9):659-666, 2017 Sep.
[Is] ISSN:1470-7926
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To examine the combined effects of childhood adversities and low adult socioeconomic status (SES) on the risk of future work disability. METHODS: Included were 34 384 employed Finnish Public Sector study participants who responded to questions about childhood adversities (none vs any adversity, eg, parental divorce or financial difficulties) in 2008, and whose adult SES in 2008 was available. We categorised exposure into four groups: neither (reference), childhood adversity only, low SES only or both. Participants were followed from 2009 until the first period of register-based work disability (sickness absence >9 days or disability pension) due to any cause, musculoskeletal or mental disorders; retirement; death or end of follow-up (December 2011). We ran Cox proportional hazard models adjusted for behavioural, health-related and work-related covariates, and calculated synergy indices for the combined effects. RESULTS: When compared with those with neither exposure, HR for work disability from any cause was increased among participants with childhood adversity, with low SES, and those with both exposures. The highest hazard was observed in those with both exposures: HR 2.53, 95% CI 2.29 to 2.79 for musculoskeletal disability, 1.55, 95% CI 1.36 to 1.78 for disability due to mental disorders and 1.29, 95% CI 1.20 to 1.39 for disability due to other reasons. The synergy indices did not indicate synergistic effects. CONCLUSIONS: These findings indicate that childhood psychosocial adversity and low adult SES are additive risk factors for work disability.
[Mh] Termos MeSH primário: Pessoas com Deficiência
Emprego
Transtornos Mentais/etiologia
Doenças Musculoesqueléticas/etiologia
Doenças Profissionais/etiologia
Classe Social
[Mh] Termos MeSH secundário: Adulto
Fatores Etários
Pessoas com Deficiência/psicologia
Relações Familiares/psicologia
Feminino
Finlândia
Seguimentos
Seres Humanos
Masculino
Saúde Mental
Meia-Idade
Pensões
Modelos de Riscos Proporcionais
Aposentadoria
Fatores de Risco
Licença Médica
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170907
[Lr] Data última revisão:
170907
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170809
[St] Status:MEDLINE
[do] DOI:10.1136/oemed-2017-104319


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[PMID]:28749947
[Au] Autor:Boschman JS; Noor A; Sluiter JK; Hagberg M
[Ad] Endereço:Academic Medical Center, University of Amsterdam, Department: Coronel Institute of Occupational Health, Amsterdam Public Health research institute, Amsterdam, The Netherlands.
[Ti] Título:The mediating role of recovery opportunities on future sickness absence from a gender- and age-sensitive perspective.
[So] Source:PLoS One;12(7):e0179657, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:A lack of sufficient recovery during and after work may help to explain impaired health in the long run. We aimed to increase knowledge on the mediating role of recovery opportunities (RO) during and after work on future sickness absence from a gender- and age-sensitive perspective. We used data on RO from a Swedish national survey in 2011 and linked these to sickness absence (>14 days) two years later among the general working population (N = 7,649). Mediation of the relationship between gender and sickness absence by exposure to RO was studied through linear regression. We conducted separate analyses for RO during and after work and for three different age groups (16-29; 30-49; 50-64). The sample consisted of 3,563 men and 4,086 women. Sickness absence was higher among the women than among the men (11 days vs 5 days, p<0.001). Men reported statistically significantly more positive on their RO than women. RO during (ß 0.3-1.8) and after work (ß 0.4-0.6) mediated the relationship between gender and sickness absence. Mediation effects existed across age groups, with the strongest effects of RO during work found among the age group between 50 and 64 years of age (attenuation 36%). Our results indicate that gender inequality is also reflected in worse RO among women. This partially explains the increased risk of future sickness absence, particularly among those above 50 years of age. These findings show that RO during work deserve more attention in working life research.
[Mh] Termos MeSH primário: Fatores Sexuais
Licença Médica/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Fatores Etários
Feminino
Seres Humanos
Modelos Lineares
Masculino
Meia-Idade
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171009
[Lr] Data última revisão:
171009
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170728
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0179657


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[PMID]:28677879
[Au] Autor:Sippola S; Grönroos J; Tuominen R; Paajanen H; Rautio T; Nordström P; Aarnio M; Rantanen T; Hurme S; Salminen P
[Ad] Endereço:Division of Digestive Surgery and Urology, Turku University Hospital, Turku, Finland.
[Ti] Título:Economic evaluation of antibiotic therapy versus appendicectomy for the treatment of uncomplicated acute appendicitis from the APPAC randomized clinical trial.
[So] Source:Br J Surg;104(10):1355-1361, 2017 Sep.
[Is] ISSN:1365-2168
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: An increasing amount of evidence supports antibiotic therapy for treating uncomplicated acute appendicitis. The objective of this study was to compare the costs of antibiotics alone versus appendicectomy in treating uncomplicated acute appendicitis within the randomized controlled APPAC (APPendicitis ACuta) trial. METHODS: The APPAC multicentre, non-inferiority RCT was conducted on patients with CT-confirmed uncomplicated acute appendicitis. Patients were assigned randomly to appendicectomy or antibiotic treatment. All costs were recorded, whether generated by the initial visit and subsequent treatment or possible recurrent appendicitis during the 1-year follow-up. The cost estimates were based on cost levels for the year 2012. RESULTS: Some 273 patients were assigned to the appendicectomy group and 257 to antibiotic treatment. Most patients randomized to antibiotic treatment did not require appendicectomy during the 1-year follow-up. In the operative group, overall societal costs (€5989·2, 95 per cent c.i. 5787·3 to 6191·1) were 1·6 times higher (€2244·8, 1940·5 to 2549·1) than those in the antibiotic group (€3744·4, 3514·6 to 3974·2). In both groups, productivity losses represented a slightly higher proportion of overall societal costs than all treatment costs together, with diagnostics and medicines having a minor role. Those in the operative group were prescribed significantly more sick leave than those in the antibiotic group (mean(s.d.) 17·0(8·3) (95 per cent c.i. 16·0 to 18·0) versus 9·2(6·9) (8·3 to 10·0) days respectively; P < 0·001). When the age and sex of the patient as well as the hospital were controlled for simultaneously, the operative treatment generated significantly more costs in all models. CONCLUSION: Patients receiving antibiotic therapy for uncomplicated appendicitis incurred lower costs than those who had surgery.
[Mh] Termos MeSH primário: Antibacterianos/economia
Antibacterianos/uso terapêutico
Apendicectomia/economia
Apendicite/tratamento farmacológico
Apendicite/cirurgia
[Mh] Termos MeSH secundário: Doença Aguda
Adolescente
Adulto
Análise Custo-Benefício
Finlândia
Seres Humanos
Tempo de Internação/economia
Levofloxacino/economia
Levofloxacino/uso terapêutico
Metronidazol/economia
Metronidazol/uso terapêutico
Meia-Idade
Recidiva
Licença Médica/economia
Resultado do Tratamento
Adulto Jovem
beta-Lactamas/economia
beta-Lactamas/uso terapêutico
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
0 (Anti-Bacterial Agents); 0 (beta-Lactams); 140QMO216E (Metronidazole); 6GNT3Y5LMF (Levofloxacin); G32F6EID2H (ertapenem)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170830
[Lr] Data última revisão:
170830
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170706
[St] Status:MEDLINE
[do] DOI:10.1002/bjs.10575



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