Base de dados : MEDLINE
Pesquisa : N02.278.065.600 [Categoria DeCS]
Referências encontradas : 348 [refinar]
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[PMID]:29280369
[Au] Autor:Barbarska O; Zielinska M; Pawlus B; Wesolowska A
[Ad] Endereço:Laboratory of Human Milk and Lactation Research, Regional Human Milk Bank in Holy Family Hospital, Department of Neonatology, Medical University of Warsaw, Poland
[Ti] Título:Characteristics of the regional human milk bank in Poland - donors, recipients and nutritional value of human milk
[So] Source:Rocz Panstw Zakl Hig;68(4):395-400, 2017.
[Is] ISSN:0035-7715
[Cp] País de publicação:Poland
[La] Idioma:eng
[Ab] Resumo:Background: In case of shortage of breast milk despite proper lactation care or the poor state of the mother's health, breast milk from human milk bank is recommended for feeding preterm infants Objective: This study retrospectively evaluated the first year of the operation of the Regional Human Milk Bank Material and methods: Data concerning donors was collected in the human milk bank during the cooperation. The clinical characteristics of the recipients was made on the basis of medical documentation from the Holy Family Hospital in Warsaw, Poland. Analysis of nutritional value was performed with the human milk analyzer (MIRIS AB) Results: In the first year of activity, 45 voluntary donors established cooperation, donating from 650 to 32030 ml of human milk. The content of nutrients in milk provided by donors was variable - protein 0.4-1.5 g / 100 ml, fat 1.1-7.4 g / 100 ml, carbohydrates 6.3-7.9 g / 100 ml. The average length of using donated human milk was 4 days and the average volume of milk for one infant was 282 ml Conclusions: The donor profiles have a significant impact on the milk composition form HMB. The nutritional value can be improved by recruitment donors from mothers that gave birth prematurely and by beginning donation at earlier stages of lactation as soon as lactation is stabilized. In case of shortage of mothers own milk the immediate implementation of donors milk as a short-term support can significantly reduce the food intolerance incidence in the group of prematurely born infants
[Mh] Termos MeSH primário: Bancos de Leite
Leite Humano/química
Valor Nutritivo
[Mh] Termos MeSH secundário: Carboidratos da Dieta/análise
Gorduras na Dieta/análise
Proteínas na Dieta/análise
Feminino
Seres Humanos
Fenômenos Fisiológicos da Nutrição do Lactente
Recém-Nascido
Polônia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Dietary Carbohydrates); 0 (Dietary Fats); 0 (Dietary Proteins)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE


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[PMID]:29217813
[Au] Autor:Siddiqui SA
[Ad] Endereço:Department of Pediatrics, SN Children Hospital, MLN Medical College, Allahabad, UP, India. sha.akht@yahoo.com.
[Ti] Título:Human Milk Banking in India: Still in Infancy.
[So] Source:Indian Pediatr;54(11):975-976, 2017 11 15.
[Is] ISSN:0974-7559
[Cp] País de publicação:India
[La] Idioma:eng
[Mh] Termos MeSH primário: Bancos de Leite
Leite Humano
[Mh] Termos MeSH secundário: Seres Humanos
Índia
[Pt] Tipo de publicação:LETTER
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171209
[St] Status:MEDLINE


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[PMID]:28742378
[Au] Autor:Arroyo G; Ortiz Barrientos KA; Lange K; Nave F; Miss Mas G; Lam Aguilar P; Soto Galindo MA
[Ad] Endereço:1 Department of Citohistología, Universidad de San Carlos de Guatemala , Guatemala, Guatemala .
[Ti] Título:Effect of the Various Steps in the Processing of Human Milk in the Concentrations of IgA, IgM, and Lactoferrin.
[So] Source:Breastfeed Med;12(7):443-445, 2017 09.
[Is] ISSN:1556-8342
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Human milk immune components are unique and important for the development of the newborn. Milk processing at the Human Milk Banks (HMB), however, causes partial destruction of immune proteins. The objective of this study was to determine the effects that heating during the milk processing procedure at the HMB had on the concentrations of IgA, IgM, and lactoferrin at three critical points in time. MATERIALS AND METHODS: Fifty milk samples (150 mL) were collected from voluntary donors at the HMB at the Hospital Nacional Pedro de Bethancourt, located in Antigua Guatemala. Samples from three critical points in time during the milk processing procedure were selected for analysis: freezing/thawing I, freezing/thawing II, and pasteurization. IgA, IgM, and lactoferrin concentrations were determined during each critical point and compared with a baseline concentration. RESULTS: After milk processing, IgA, IgM, and lactoferrin mean concentrations were reduced by 30.0%, 36.0%, and 70.0%, respectively (p < 0.001). Reduction of biological activity was mainly attributed to pasteurization for IgA and lactoferrin (p < 0.001); the first freezing/thawing processes before pasteurization showed no significant reduction difference between mean concentrations of IgA (p = 0.160) and lactoferrin (p = 0.345) but showed a significant effect on IgM concentration (p = 0.016), and the second freezing/thawing procedure only showed a significant effect on IgA (p < 0.001). CONCLUSIONS: The effects of milk processing on the immune proteins that were evaluated in this study demonstrated a significant reduction.
[Mh] Termos MeSH primário: Conservação de Alimentos/métodos
Imunoglobulina A/análise
Imunoglobulina M/análise
Lactoferrina/análise
Bancos de Leite
Leite Humano/química
[Mh] Termos MeSH secundário: Feminino
Congelamento
Seres Humanos
Valor Nutritivo
Pasteurização
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Immunoglobulin A); 0 (Immunoglobulin M); EC 3.4.21.- (Lactoferrin)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180302
[Lr] Data última revisão:
180302
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170726
[St] Status:MEDLINE
[do] DOI:10.1089/bfm.2016.0154


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[PMID]:28432863
[Au] Autor:Meneses TMX; Oliveira MIC; Boccolini CS
[Ad] Endereço:Universidade Federal Fluminense (UFF), Instituto de Saúde Coletiva, Programa de Pós-Graduação em Saúde Coletiva, Niterói, RJ, Brazil.
[Ti] Título:Prevalence and factors associated with breast milk donation in banks that receive human milk in primary health care units.
[So] Source:J Pediatr (Rio J);93(4):382-388, 2017 Jul - Aug.
[Is] ISSN:1678-4782
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To estimate the prevalence and to analyze factors associated with breast milk donation at primary health care units in order to increase the human milk bank reserves. METHODS: Cross-sectional study carried out in 2013 in Rio de Janeiro, Brazil. A representative sample of 695 mothers of children younger than 1 year attended to at the nine primary health care units with human milk donation services were interviewed. A hierarchical approach was used to obtain adjusted prevalence ratios (APR) by Poisson regression with robust variance. The final model included the variables associated with breast milk donation (p≤0.05). RESULTS: 7.3% of the mothers had donated breast milk. Having been encouraged to donate breast milk by healthcare professionals, relatives, or friends (APR=7.06), receiving information on breast milk expression by the primary health care unit (APR=3.65), and receiving help from the unit professionals to breastfeed (APR=2.24) were associated with a higher prevalence of donation. Admission of the newborn to the neonatal unit was associated with a lower prevalence of donation (APR=0.09). CONCLUSIONS: Encouragement to breast milk donation, and information and help provided by primary health care unit professionals to breastfeeding were shown to be important for the practice of human milk donation.
[Mh] Termos MeSH primário: Comportamento de Ajuda
Bancos de Leite/estatística & dados numéricos
Leite Humano
[Mh] Termos MeSH secundário: Adolescente
Adulto
Brasil
Estudos Transversais
Feminino
Conhecimentos, Atitudes e Prática em Saúde
Seres Humanos
Meia-Idade
Atenção Primária à Saúde
Fatores Socioeconômicos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170423
[St] Status:MEDLINE


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[PMID]:28335478
[Au] Autor:Valentine CJ; Morrow G; Reisinger A; Dingess KA; Morrow AL; Rogers LK
[Ad] Endereço:The Division of Obstetrics and Gynecology, The University of Cincinnati, Cincinnati, OH, 45220, USA2OhioHealth Mothers' Milk Bank of Ohio, Columbus, OH, 43215, USA3Akron Children's Hospital, Akron, OH, 44308, USA4Biomolecular Mass Spectrometry and Proteomics, Utrecht Institute for Pharmaceutical Sci
[Ti] Título:Lactational Stage of Pasteurized Human Donor Milk Contributes to Nutrient Limitations for Infants.
[So] Source:Nutrients;9(3), 2017 Mar 18.
[Is] ISSN:2072-6643
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Mother's own milk is the first choice for feeding preterm infants, but when not available, pasteurized human donor milk (PDM) is often used. Infants fed PDM have difficulties maintaining appropriate growth velocities. To assess the most basic elements of nutrition, we tested the hypotheses that fatty acid and amino acid composition of PDM is highly variable and standard pooling practices attenuate variability; however, total nutrients may be limiting without supplementation due to late lactational stage of the milk. METHODS: A prospective cross-sectional sampling of milk was obtained from five donor milk banks located in Ohio, Michigan, Colorado, Texas-Ft Worth, and California. Milk samples were collected after Institutional Review Board (#07-0035) approval and informed consent. Fatty acid and amino acid contents were measured in milk from individual donors and donor pools (pooled per Human Milk Banking Association of North America guidelines). Statistical comparisons were performed using Kruskal-Wallis, Spearman's, or Multivariate Regression analyses with center as the fixed factor and lactational stage as co-variate. RESULTS: Ten of the fourteen fatty acids and seventeen of the nineteen amino acids analyzed differed across Banks in the individual milk samples. Pooling minimized these differences in amino acid and fatty acid contents. Concentrations of lysine and docosahexaenoic acid (DHA) were not different across Banks, but concentrations were low compared to recommended levels. CONCLUSIONS: Individual donor milk fatty acid and amino acid contents are highly variable. Standardized pooling practice reduces this variability. Lysine and DHA concentrations were consistently low across geographic regions in North America due to lactational stage of the milk, and thus not adequately addressed by pooling. Targeted supplementation is needed to optimize PDM, especially for the preterm or volume restricted infant.
[Mh] Termos MeSH primário: Lactação
Bancos de Leite
Leite Humano/química
Valor Nutritivo
Pasteurização
[Mh] Termos MeSH secundário: Adulto
Aminoácidos/análise
Estudos Transversais
Ácidos Docosa-Hexaenoicos/análise
Ácidos Graxos/análise
Feminino
Seres Humanos
Lactente
Lisina/análise
Proteínas do Leite/análise
América do Norte
Estudos Prospectivos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Amino Acids); 0 (Fatty Acids); 0 (Milk Proteins); 25167-62-8 (Docosahexaenoic Acids); K3Z4F929H6 (Lysine)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170914
[Lr] Data última revisão:
170914
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170325
[St] Status:MEDLINE


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[PMID]:28241418
[Au] Autor:Daniels B; Schmidt S; King T; Israel-Ballard K; Amundson Mansen K; Coutsoudis A
[Ad] Endereço:Department of Paediatrics and Child Health, School of Clinical Medicine, University of KwaZulu-Natal, Durban 3001, South Africa. Daniels@ukzn.ac.za.
[Ti] Título:The Effect of Simulated Flash-Heat Pasteurization on Immune Components of Human Milk.
[So] Source:Nutrients;9(2), 2017 Feb 22.
[Is] ISSN:2072-6643
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:A pasteurization temperature monitoring system has been designed using FoneAstra, a cellphone-based networked sensing system, to monitor simulated flash-heat (FH) pasteurization. This study compared the effect of the FoneAstra FH (F-FH) method with the Sterifeed Holder method currently used by human milk banks on human milk immune components (immunoglobulin A (IgA), lactoferrin activity, lysozyme activity, interleukin (IL)-8 and IL-10). Donor milk samples ( = 50) were obtained from a human milk bank, and pasteurized. Concentrations of IgA, IL-8, IL-10, lysozyme activity and lactoferrin activity were compared to their controls using the Student's -test. Both methods demonstrated no destruction of interleukins. While the Holder method retained all lysozyme activity, the F-FH method only retained 78.4% activity ( < 0.0001), and both methods showed a decrease in lactoferrin activity (71.1% Holder vs. 38.6% F-FH; < 0.0001) and a decrease in the retention of total IgA (78.9% Holder vs. 25.2% F-FH; < 0.0001). Despite increased destruction of immune components compared to Holder pasteurization, the benefits of F-FH in terms of its low cost, feasibility, safety and retention of immune components make it a valuable resource in low-income countries for pasteurizing human milk, potentially saving infants' lives.
[Mh] Termos MeSH primário: Temperatura Alta
Leite Humano/imunologia
Pasteurização/métodos
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Imunoglobulina A/análise
Interleucina-10/análise
Interleucina-8/análise
Lactoferrina/análise
Bancos de Leite
Muramidase/análise
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (IL10 protein, human); 0 (IL8 protein, human); 0 (Immunoglobulin A); 0 (Interleukin-8); 130068-27-8 (Interleukin-10); EC 3.2.1.17 (Muramidase); EC 3.4.21.- (Lactoferrin)
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170630
[Lr] Data última revisão:
170630
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170301
[St] Status:MEDLINE


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[PMID]:28186039
[Au] Autor:Kuo JW; Kuo AM
[Ad] Endereço:Provincial Health Services Authority (PHSA), BC, Canada.
[Ti] Título:Integration of Health Information Systems Using HL7: A Case Study.
[So] Source:Stud Health Technol Inform;234:188-194, 2017.
[Is] ISSN:0926-9630
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Interoperability is a prerequisite for health information systems (HIS) that will reduce waste of unnecessary costs, errors, delays, and futile repetition. Many previous studies had proposed different approaches in the attempt to solve interoperability challenges. In this paper, we report our experiences in using Health Level 7 (HL7) standard and adopting the Common Gateway Model for exchanging heath data. The benefits and challenges of using standards for data interoperability are also described.
[Mh] Termos MeSH primário: Sistemas de Informação em Saúde/organização & administração
Bancos de Leite/organização & administração
Estudos de Casos Organizacionais
[Mh] Termos MeSH secundário: Colúmbia Britânica
Registros Eletrônicos de Saúde
Feminino
Sistemas de Informação em Saúde/normas
Nível Sete de Saúde
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170822
[Lr] Data última revisão:
170822
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:170211
[St] Status:MEDLINE


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[PMID]:28135476
[Au] Autor:Reyes-Foster BM; Carter SK; Hinojosa MS
[Ad] Endereço:1 Department of Anthropology, University of Central Florida, Orlando, FL, USA.
[Ti] Título:Human Milk Handling and Storage Practices Among Peer Milk-Sharing Mothers.
[So] Source:J Hum Lact;33(1):173-180, 2017 Feb.
[Is] ISSN:1552-5732
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Peer milk sharing, the noncommercial sharing of human milk from one parent or caretaker directly to another for the purposes of feeding a child, appears to be an increasing infant-feeding practice. Although the U.S. Food and Drug Administration has issued a warning against the practice, little is known about how people who share human milk handle and store milk and whether these practices are consistent with clinical safety protocols. Research aim: This study aimed to learn about the milk-handling practices of expressed human milk by milk-sharing donors and recipient caretakers. In this article, we explore the degree to which donors and recipients adhere to the Academy of Breastfeeding Medicine clinical recommendations for safe handling and storage. METHODS: Online surveys were collected from 321 parents engaged in peer milk sharing. Univariate descriptive statistics were used to describe the safe handling and storage procedures for milk donors and recipients. A two-sample t-test was used to compare safety items common to each group. Multivariate ordinary least squares regression analysis was used to examine sociodemographic correlates of milk safety practices within the sample group. RESULTS: Findings indicate that respondents engaged in peer milk sharing report predominantly positive safety practices. Multivariate analysis did not reveal any relationship between safety practices and sociodemographic characteristics. The number of safe practices did not differ between donors and recipients. CONCLUSION: Parents and caretakers who participate in peer human milk sharing report engaging in practices that should reduce risk of bacterial contamination of expressed peer shared milk. More research on this particular population is recommended.
[Mh] Termos MeSH primário: Aleitamento Materno/métodos
Manipulação de Alimentos/normas
Conhecimentos, Atitudes e Prática em Saúde
Bancos de Leite
Grupo Associado
[Mh] Termos MeSH secundário: Adulto
Feminino
Manipulação de Alimentos/métodos
Seres Humanos
Leite Humano
Mães/psicologia
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170821
[Lr] Data última revisão:
170821
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170131
[St] Status:MEDLINE
[do] DOI:10.1177/0890334416678830


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[PMID]:28135118
[Au] Autor:Hamilton Spence E; Huff M; Shattuck K; Vickers A; Yun N; Paessler S
[Ad] Endereço:1 Pediatrix Medical Group, Fort Worth, TX, USA.
[Ti] Título:Ebola Virus and Marburg Virus in Human Milk Are Inactivated by Holder Pasteurization.
[So] Source:J Hum Lact;33(2):351-354, 2017 May.
[Is] ISSN:1552-5732
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Potential donors of human milk are screened for Ebola virus (EBOV) using standard questions, but testing for EBOV and Marburg virus (MARV) is not part of routine serological testing performed by milk banks. Research aim: This study tested the hypothesis that EBOV would be inactivated in donor human milk (DHM) by standard pasteurization techniques (Holder) used in all North American nonprofit milk banks. METHODS: Milk samples were obtained from a nonprofit milk bank. They were inoculated with EBOV (Zaire strain) and MARV (Angola strain) and processed by standard Holder pasteurization technique. Plaque assays for EBOV and MARV were performed to detect the presence of virus after pasteurization. RESULTS: Neither EBOV nor MARV was detectable by viral plaque assay in DHM or culture media samples, which were pasteurized by the Holder process. CONCLUSION: EBOV and MARV are safely inactivated in human milk by standard Holder pasteurization technique. Screening for EBOV or MARV beyond questionnaire and self-deferral is not needed to ensure safety of DHM for high-risk infants.
[Mh] Termos MeSH primário: Ebolavirus/crescimento & desenvolvimento
Marburgvirus/crescimento & desenvolvimento
Leite Humano/virologia
Pasteurização/normas
[Mh] Termos MeSH secundário: Adulto
Aleitamento Materno
Feminino
Seres Humanos
Bancos de Leite/normas
Pasteurização/métodos
Testes Sorológicos/normas
Testes Sorológicos/utilização
Texas
Ensaio de Placa Viral/instrumentação
Ensaio de Placa Viral/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171002
[Lr] Data última revisão:
171002
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170131
[St] Status:MEDLINE
[do] DOI:10.1177/0890334416685564


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[PMID]:27994111
[Au] Autor:COMMITTEE ON NUTRITION; SECTION ON BREASTFEEDING; COMMITTEE ON FETUS AND NEWBORN
[Ti] Título:Donor Human Milk for the High-Risk Infant: Preparation, Safety, and Usage Options in the United States.
[So] Source:Pediatrics;139(1), 2017 01.
[Is] ISSN:1098-4275
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The use of donor human milk is increasing for high-risk infants, primarily for infants born weighing <1500 g or those who have severe intestinal disorders. Pasteurized donor milk may be considered in situations in which the supply of maternal milk is insufficient. The use of pasteurized donor milk is safe when appropriate measures are used to screen donors and collect, store, and pasteurize the milk and then distribute it through established human milk banks. The use of nonpasteurized donor milk and other forms of direct, Internet-based, or informal human milk sharing does not involve this level of safety and is not recommended. It is important that health care providers counsel families considering milk sharing about the risks of bacterial or viral contamination of nonpasteurized human milk and about the possibilities of exposure to medications, drugs, or herbs in human milk. Currently, the use of pasteurized donor milk is limited by its availability and affordability. The development of public policy to improve and expand access to pasteurized donor milk, including policies that support improved governmental and private financial support for donor milk banks and the use of donor milk, is important.
[Mh] Termos MeSH primário: Extração de Leite/métodos
Qualidade dos Alimentos
Bancos de Leite/organização & administração
[Mh] Termos MeSH secundário: Canadá
Contaminação de Alimentos/prevenção & controle
Alimentos Fortificados
Alimentos Congelados
Fidelidade a Diretrizes
Seres Humanos
Recém-Nascido
Leite Humano/microbiologia
Pasteurização
Fatores de Risco
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170626
[Lr] Data última revisão:
170626
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161221
[St] Status:MEDLINE



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