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[PMID]:29431340
[Au] Autor:Kenessaryiev UI; Yerzhanova AE; Kenessary DU; Kenessary AU
[Ti] Título:[Trends of change in demographic indices of population in the area of oil and gas deposits of the republic of Kazakhstan].
[So] Source:Gig Sanit;95(10):946-9, 2016.
[Is] ISSN:0016-9900
[Cp] País de publicação:Russia (Federation)
[La] Idioma:rus
[Ab] Resumo:According to assured resources of hydrocarbons the Republic of Kazakhstan (RK) is among ten largest oil countries in the world, trailing only some states of the Middle East, Latin America, as well Russia and the USA. Public health state is the one of most important indices of social development, the manifestation of the economic and sanitaryhygienic welfare, as well as national defense capability and cultural potential of the state. In relation with the intensive development of oil and gas fields the problems of environmental protection and healthcare of the population in these regions occur critically. Therefore, it causes keen interest both from the side of researches and practical health care workers. Rapid development of the oil and gas industry leads to changes in a medical and demographic situation of given regions that is related both with the natural migration of the population and other migratory processes. According to data of the Ministry of Energetics and natural resources of RK, the Karachaganak oil-gas condensate deposit is considered to be the one of the largest in the world. For the next 40 years, the field is becoming the stable financial donor of the country. Currently Karachaganak field is considered to be the one of the largest investment projects in Kazakhstan. The studied oil and gas condensate field is located in the Burlin district of West Kazakhstan region, which is 140 km far from the city of Uralsk and 160 km far from the city of Orenburg. The field was discovered in 1984.
[Mh] Termos MeSH primário: Demografia/estatística & dados numéricos
Indústria de Petróleo e Gás/organização & administração
Saúde Pública
Regionalização/organização & administração
[Mh] Termos MeSH secundário: Conservação dos Recursos Naturais/métodos
Nível de Saúde
Seres Humanos
Desenvolvimento Industrial/estatística & dados numéricos
Cazaquistão/epidemiologia
Mortalidade
Campos de Petróleo e Gás
Dinâmica Populacional
Saúde Pública/métodos
Fatores Socioeconômicos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180213
[St] Status:MEDLINE


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[PMID]:29431322
[Au] Autor:Shinkaruk EV; Agbalyan EV
[Ti] Título:[Cytogenetic status of the residents of the Gydansky Peninsula (Gydan)].
[So] Source:Gig Sanit;95(9):865-8, 2016.
[Is] ISSN:0016-9900
[Cp] País de publicação:Russia (Federation)
[La] Idioma:rus
[Ab] Resumo:The relevance of the study on the Gydansky Peninsula lies in poor knowledge and inaccessibility of the territory, planned intensive industrial development of the Gydansky Peninsula, in 2011 there were received licenses for the exploration of license areas at the peninsula up to 2031. Industrial development will inevitably lead to certain environmental shifts, emission of the harmful substances into biosphere, the accumulation of anthropogenic pollutants in soil and water sources. The proposed development of the territory of the Peninsula Gydan sets the task of assessment of the impact of gas and oil production in conditions of the far North on health, as well indigenous persons as employees recruited to this of the region. One of the informative approaches to the assessment of population health is the assessment of the cytogenetic status with the use of noninvasive analysis of buccal epithelium. The aim of the study is to determine the cytogenetic status of the inhabitants of the village of Antipayuta of the Yamal-Nenets Autonomous Okrug for the assessment of the impact of environmental factors on the health of the population at the present stage of the industrial development of the territory. Samples of buccal epithelium of 81 alien and indigenous people of the Yamal-Nenets Autonomous district were the object of the investigation. There was performed the analysis of indices of cells of buccal epithelium of the residents living in the village in comparison with the control group. The analysis of samples was performed on a Nikon Eclipse E100 microscope. For the assessment of the cytogenetic status of the individual there was used the proposed by Sycheva L. P. (2012-Index of accumulation of cytogenetic damages (Iac). It is shown that the frequency of occurrence of micronucleus and nuclear protrusions does not exceed the performance of the control group. The index of accumulation of cytogenetic damage for the population of the village is 0.78±0.07% and corresponds to a low level. The analysis of indices of buccal epithelial cells of residents living in rural areas was performed in the comparison with the control group The prevalence rate of cells with micronuclei and protrusions were shown to account of 14.6% andfail to exceed indices in the control group. Accumulation index of cytogenetic damages for the village population is 0.78 ± 0.07 % and corresponds to the low level. The amount of cells with micronuclei and protrusions in the current study is by 14.6% lower than the average of the control group. The intensity of proliferative processes and apoptosis in the comparison groups occurs evenly.
[Mh] Termos MeSH primário: Análise Citogenética
Exposição Ambiental
Desenvolvimento Industrial/tendências
Saúde Pública
Regionalização/organização & administração
[Mh] Termos MeSH secundário: Regiões Árticas/epidemiologia
Análise Citogenética/métodos
Análise Citogenética/estatística & dados numéricos
Exposição Ambiental/análise
Exposição Ambiental/prevenção & controle
Exposição Ambiental/normas
Implementação de Plano de Saúde/métodos
Implementação de Plano de Saúde/tendências
Seres Humanos
Saúde da População/estatística & dados numéricos
Saúde Pública/normas
Saúde Pública/tendências
Federação Russa/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180213
[St] Status:MEDLINE


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[PMID]:29430896
[Au] Autor:Kenessariev UI; Zinulin UZ; Yerzhanova AE; Amrin MK; Aybasova ZA
[Ti] Título:[Monitoring of public health in the Kashagan oil and gas field].
[So] Source:Gig Sanit;95(8):729-33, 2016.
[Is] ISSN:0016-9900
[Cp] País de publicação:Russia (Federation)
[La] Idioma:rus
[Ab] Resumo:According to explored hydrocarbon reserves the Republic of Kazakhstan (RK) is among ten top countries rich in oil deposits. In connection with the intensive development of oil and gas industry environmental protection and public health issues became subject of a great interest from both scientists ' and health practitioners ' side. Results of the study included in this article are devoted to the study of health of the population, living near the "Bolashak" installation of complex preparation of oil and gas. There is a preliminary oil refining process coming from the Kashagan field and its further export. Analysis proved air pollution to be the one of the major risk factors for the health of the residing people. In the area there are problems of fresh water supply and frequent accidents at sewage plants. Landfills for municipal solid waste does not meet sanitary standards. The health care system of Makat district is characterized by uncompleted personnel and lack of beds. Indices of the mortality rate over the study period declined by 28.8%. As a result, population growth over the study the period was characterized by a tendency to increase. In 2013 population sought medical advice due to respiratory diseases, injuries and poisoning, diseases of blood and hemopoietic organs, diseases of the skin and subcutaneous tissue and nervous system.
[Mh] Termos MeSH primário: Monitoramento Ambiental/métodos
Desenvolvimento Industrial
Campos de Petróleo e Gás
Regionalização
[Mh] Termos MeSH secundário: Adulto
Criança
Conservação dos Recursos Naturais/métodos
Feminino
Seres Humanos
Cazaquistão/epidemiologia
Masculino
Saúde Pública/métodos
Regionalização/métodos
Regionalização/organização & administração
[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:IM
[Da] Data de entrada para processamento:180213
[St] Status:MEDLINE


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[PMID]:28981506
[Au] Autor:Lover AA; Harvard KE; Lindawson AE; Smith Gueye C; Shretta R; Gosling R; Feachem R
[Ad] Endereço:Malaria Elimination Initiative, Global Health Group at the University of California, San Francisco, San Francisco, California, United States of America.
[Ti] Título:Regional initiatives for malaria elimination: Building and maintaining partnerships.
[So] Source:PLoS Med;14(10):e1002401, 2017 Oct.
[Is] ISSN:1549-1676
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Andrew Lover and colleagues discuss regional malaria initiatives, the strengths and challenges.
[Mh] Termos MeSH primário: Controle de Doenças Transmissíveis
Erradicação de Doenças
Malária
Regionalização
Programas Médicos Regionais/organização & administração
[Mh] Termos MeSH secundário: África Austral/epidemiologia
Ásia Sudeste/epidemiologia
América Central/epidemiologia
Controle de Doenças Transmissíveis/métodos
Controle de Doenças Transmissíveis/organização & administração
Controle de Doenças Transmissíveis/tendências
Erradicação de Doenças/métodos
Erradicação de Doenças/estatística & dados numéricos
Monitoramento Epidemiológico
Política de Saúde/tendências
Seres Humanos
Cooperação Internacional
Malária/epidemiologia
Malária/prevenção & controle
Ilhas do Pacífico/epidemiologia
Regionalização/economia
Regionalização/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171022
[Lr] Data última revisão:
171022
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171006
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pmed.1002401


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[PMID]:28945663
[Au] Autor:Parikh ND; Marrero WJ; Sonnenday CJ; Lok AS; Hutton DW; Lavieri MS
[Ad] Endereço:1 Division of Gastroenterology, Department of Internal Medicine, University of Michigan, Ann Arbor, MI.2 Industrial and Operational Engineering, University of Michigan, Ann Arbor, MI.3 Department of Surgery, University of Michigan, Ann Arbor, MI.4 School of Public Health, University of Michigan Ann Arbor, MI.
[Ti] Título:Population-Based Analysis and Projections of Liver Supply Under Redistricting.
[So] Source:Transplantation;101(9):2048-2055, 2017 Sep.
[Is] ISSN:1534-6080
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: To reduce the geographic heterogeneity in liver transplant allocation, the United Network of Organ Sharing has proposed redistricting, which is impacted by both donor supply and liver transplantation demand. We aimed to determine the impact of demographic changes on the redistricting proposal and characterize causes behind geographic heterogeneity in donor supply. METHODS: We analyzed adult donors from 2002 to 2014 from the United Network of Organ Sharing database and calculated regional liver donation and utilization stratified by age, race, and body mass index. We used US population data to make regional projections of available donors from 2016 to 2025, incorporating the proposed 8-region redistricting plan. We used donors/100 000 population age 18 to 84 years (D/100K) as a measure of equity. We calculated a coefficient of variation (standard deviation/mean) for each regional model. We performed an exploratory analysis where we used national rates of donation, utilization and both for each regional model. RESULTS: The overall projected D/100K will decrease from 2.53 to 2.49 from 2016 to 2025. The coefficient of variation in 2016 is expected to be 20.3% in the 11-region model and 13.2% in the 8-region model. We found that standardizing regional donation and utilization rates would reduce geographic heterogeneity to 4.9% in the 8-region model and 4.6% in the 11-region model. CONCLUSIONS: The 8-region allocation model will reduce geographic variation in donor supply to a significant extent; however, we project that geographic disparity will marginally increase over time. Though challenging, interventions to better standardize donation and utilization rates would be impactful in reducing geographic heterogeneity in organ supply.
[Mh] Termos MeSH primário: Área Programática (Saúde)
Prestação Integrada de Cuidados de Saúde/tendências
Acesso aos Serviços de Saúde/tendências
Necessidades e Demandas de Serviços de Saúde/tendências
Disparidades em Assistência à Saúde/tendências
Transplante de Fígado/tendências
Determinação de Necessidades de Cuidados de Saúde/tendências
Avaliação de Processos (Cuidados de Saúde)/tendências
Doadores de Tecidos/provisão & distribuição
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Censos
Bases de Dados Factuais
Feminino
Previsões
Seres Humanos
Masculino
Meia-Idade
Regionalização/tendências
Fatores de Tempo
Obtenção de Tecidos e Órgãos
Estados Unidos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171010
[Lr] Data última revisão:
171010
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170926
[St] Status:MEDLINE
[do] DOI:10.1097/TP.0000000000001785


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[PMID]:28923988
[Au] Autor:van Diepen S; Katz JN; Albert NM; Henry TD; Jacobs AK; Kapur NK; Kilic A; Menon V; Ohman EM; Sweitzer NK; Thiele H; Washam JB; Cohen MG; American Heart Association Council on Clinical Cardiology; Council on Cardiovascular and Stroke Nursing; Council on Quality of Care and Outcomes Research; and Mission: Lifeline
[Ti] Título:Contemporary Management of Cardiogenic Shock: A Scientific Statement From the American Heart Association.
[So] Source:Circulation;136(16):e232-e268, 2017 Oct 17.
[Is] ISSN:1524-4539
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Cardiogenic shock is a high-acuity, potentially complex, and hemodynamically diverse state of end-organ hypoperfusion that is frequently associated with multisystem organ failure. Despite improving survival in recent years, patient morbidity and mortality remain high, and there are few evidence-based therapeutic interventions known to clearly improve patient outcomes. This scientific statement on cardiogenic shock summarizes the epidemiology, pathophysiology, causes, and outcomes of cardiogenic shock; reviews contemporary best medical, surgical, mechanical circulatory support, and palliative care practices; advocates for the development of regionalized systems of care; and outlines future research priorities.
[Mh] Termos MeSH primário: American Heart Association
Hemodinâmica
Choque Cardiogênico/terapia
[Mh] Termos MeSH secundário: Prestação Integrada de Cuidados de Saúde/organização & administração
Custos de Cuidados de Saúde
Seres Humanos
Seleção de Pacientes
Fenótipo
Valor Preditivo dos Testes
Regionalização/organização & administração
Fatores de Risco
Choque Cardiogênico/diagnóstico
Choque Cardiogênico/epidemiologia
Choque Cardiogênico/fisiopatologia
Resultado do Tratamento
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171024
[Lr] Data última revisão:
171024
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170920
[St] Status:MEDLINE
[do] DOI:10.1161/CIR.0000000000000525


  7 / 5206 MEDLINE  
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Mendonça, Maria Helena Magalhäes de
Viana, Ana Luiza D'Avila
Texto completo SciELO Brasil
Texto completo SciELO Saúde Pública
[PMID]:28832772
[Au] Autor:Bousquat A; Giovanella L; Fausto MCR; Fusaro ER; Mendonça MHM; Gagno J; Viana ALD
[Ad] Endereço:Faculdade de Saúde Publica, Universidade de São Paulo, São Paulo, Brasil.
[Ti] Título:[Structural typology of Brazilian primary healthcare units: the 5 Rs].
[Ti] Título:Tipologia da estrutura das unidades básicas de saúde brasileiras: os 5 R..
[So] Source:Cad Saude Publica;33(8):e00037316, 2017 Aug 21.
[Is] ISSN:1678-4464
[Cp] País de publicação:Brazil
[La] Idioma:por
[Ab] Resumo:The structural typology of Brazil's 38,812 primary healthcare units (UBS) was elaborated on the basis of the results from a survey in cycle 1 of the National Program for Improvement in Access and Quality of Primary Care. Type of team, range of professionals, shifts open to the public, available services, and installations and inputs were the sub-dimensions used. For each sub-dimension, a reference standard was defined and a standardized score was calculated, with 1 as the best. The final score was calculated by factor analysis. The final mean score of Brazilian UBS was 0.732. The sub-dimension with the worst score was "installations and inputs" and the best was "shifts open to the public". The primary healthcare units were classified according to their final score in five groups, from best to worst: A, B, C, D, and E. Only 4.8% of the Brazilian UBS attained the maximum score. The typology showed specific characteristics and a regional distribution pattern: units D and/or E accounted for nearly one-third of the units in the North, and two-thirds of units A were situated in the South and Southeast of Brazil. Based on the typology, primary healthcare units were classified according to their infrastructure conditions and possible strategies for intervention, as follows: failed, rudimentary, limited, fair, and reference (benchmark). The lack of equipment and inputs in all the units except for type A limits their scope of action and case-resolution capacity, thus restricting their ability to respond to health problems. The typology presented here can be a useful tool for temporal and spatial monitoring of the quality of infrastructure in UBS in Brazil.
[Mh] Termos MeSH primário: Assistência à Saúde/organização & administração
Instalações de Saúde/classificação
Acesso aos Serviços de Saúde/organização & administração
Regionalização/organização & administração
[Mh] Termos MeSH secundário: Brasil
Assistência à Saúde/estatística & dados numéricos
Análise Fatorial
Acesso aos Serviços de Saúde/estatística & dados numéricos
Pesquisa sobre Serviços de Saúde
Seres Humanos
Atenção Primária à Saúde
Regionalização/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171106
[Lr] Data última revisão:
171106
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170824
[St] Status:MEDLINE


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[PMID]:28822213
[Au] Autor:Hamer MJM; Reed PL; Greulich JD; Beadling CW
[Ad] Endereço:Center for Global Health Engagement, Uniformed Services University, Bethesda, Maryland; Department of Emergency Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland; National Center for the Study of Preparedness and Catastrophic Event Response, Johns Hopkins University School o
[Ti] Título:Liberia national disaster preparedness coordination exercise: Implementing lessons learned from the West African disaster preparedness initiative.
[So] Source:Am J Disaster Med;12(1):35-41, 2017.
[Is] ISSN:1932-149X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: In light of the recent Ebola outbreak, there is a critical need for effective disaster management systems in Liberia and other West African nations. To this end, the West Africa Disaster Preparedness Initiative held a disaster management exercise in conjunction with the Liberian national government on November 24-25, 2015. DESIGN: During this tabletop exercise (TTX), interactions within and between the 15 counties and the Liberian national government were conducted and observed to refine and validate the county and national standard operating procedures (SOPs). SETTING: The exercise took place in three regional locations throughout Liberia: Monrovia, Buchanan, and Bong. The TTX format allowed counties to collaborate utilizing open-source software platforms including Ushahidi, Sahana, QGIS, and KoBoCollect. PARTICIPANTS: Four hundred sixty-seven individuals (representing all 15 counties of Liberia) identified as key actors involved with emergency operations and disaster preparedness participated in the exercise. MAIN OUTCOME MEASURES: A qualitative survey with open-ended questions was administered to exercise participants to determine needed improvements in the disaster management system in Liberia. RESULTS: Key findings from the exercise and survey include the need for emergency management infrastructure to extend to the community level, establishment of a national disaster management agency and emergency operations center, customized local SOPs, ongoing surveillance, a disaster exercise program, and the need for effective data sharing and hazard maps. CONCLUSIONS: These regional exercises initiated the process of validating and refining Liberia's national and county-level SOPs. Liberia's participation in this exercise has provided a foundation for advancing its preparedness, response, and recovery capacities and could provide a template for other countries to use.
[Mh] Termos MeSH primário: Planejamento em Desastres/organização & administração
Surtos de Doenças/prevenção & controle
Auxiliares de Emergência/educação
Regionalização/organização & administração
[Mh] Termos MeSH secundário: Doença pelo Vírus Ebola/prevenção & controle
Seres Humanos
Libéria
Prevenção Primária/organização & administração
Avaliação de Programas e Projetos de Saúde
Prática de Saúde Pública
Treinamento por Simulação
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171103
[Lr] Data última revisão:
171103
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170820
[St] Status:MEDLINE


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[PMID]:28768945
[Au] Autor:Yoshitake T
[Ad] Endereço:Daiichi University of Pharmacy.
[Ti] Título:Background on Establishing a Working Group to Create Home Clinical Cases for Education.
[So] Source:Yakugaku Zasshi;137(8):929-933, 2017.
[Is] ISSN:1347-5231
[Cp] País de publicação:Japan
[La] Idioma:jpn
[Ab] Resumo:In Japan there are concerns that there will be a surge in social insurance costs such as medical and nursing care expenses as a result of the baby boom generation reaching the late stages of old age (75 years old and beyond) around 2025 ("The 2025 Problem"). In 2012, the "Outline on Social Insurance and Tax Reform" was approved by the Japanese cabinet and government, including "construction of regional comprehensive care". To promote participation in home medical care by pharmacists, this article presents the roles demanded of pharmacists in regional comprehensive care from the standpoint of physicians, and the discussion of case studies bridging the gap from knowledge learned in lectures to practical applications. In the field of medical education, "The 2023 Problem", regarding standards of education on a global level, caused medical schools across Japan to scramble for curriculum reform, specifically in the demand for increased time spent in clinical training and the expansion of community-based medical education. The current state of community-based medical education will be reviewed. In light of these developments, "the working group to create home clinical cases for education" was developed by clinical pharmacists in the field and university faculty members at Daiichi University of Pharmacy.
[Mh] Termos MeSH primário: Estudos de Casos e Controles
Serviços de Saúde Comunitária
Educação Médica
Serviços de Assistência Domiciliar/estatística & dados numéricos
Farmacêuticos
Papel Profissional
Regionalização
[Mh] Termos MeSH secundário: Educação Médica/tendências
Serviços de Assistência Domiciliar/tendências
Seres Humanos
Japão/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171030
[Lr] Data última revisão:
171030
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170804
[St] Status:MEDLINE
[do] DOI:10.1248/yakushi.17-00001-1


  10 / 5206 MEDLINE  
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[PMID]:28652487
[Au] Autor:Collier R
[Ad] Endereço:CMAJ.
[Ti] Título:Manitoba's unique health care burdens stall federal deal.
[So] Source:CMAJ;189(25):E873-E874, 2017 06 26.
[Is] ISSN:1488-2329
[Cp] País de publicação:Canada
[La] Idioma:eng
[Mh] Termos MeSH primário: Diabetes Mellitus Tipo 2/economia
Acesso aos Serviços de Saúde/economia
Serviços de Saúde do Indígena/economia
Disparidades em Assistência à Saúde/economia
Índios Norte-Americanos/estatística & dados numéricos
Atenção Primária à Saúde/economia
[Mh] Termos MeSH secundário: Diabetes Mellitus Tipo 2/epidemiologia
Feminino
Acesso aos Serviços de Saúde/estatística & dados numéricos
Serviços de Saúde do Indígena/estatística & dados numéricos
Disparidades em Assistência à Saúde/estatística & dados numéricos
Seres Humanos
Masculino
Manitoba
Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos
Atenção Primária à Saúde/estatística & dados numéricos
Regionalização/ética
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171030
[Lr] Data última revisão:
171030
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170628
[St] Status:MEDLINE
[do] DOI:10.1503/cmaj.1095443



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BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde