Base de dados : MEDLINE
Pesquisa : N04.452.528 [Categoria DeCS]
Referências encontradas : 798 [refinar]
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[PMID]:29216615
[Au] Autor:Medi-Dose Inc. / EPS Inc.
[Ti] Título:Quality Control: Bar Codes and Bar Code Scanners for Unit-Dose Medications in a Healthcare Setting.
[So] Source:Int J Pharm Compd;21(5):384-387, 2017 Sep-Oct.
[Is] ISSN:1092-4221
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Processamento Automatizado de Dados
Assistência à Saúde
Sistemas de Medicação
Controle de Qualidade
[Mh] Termos MeSH secundário: Seres Humanos
[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:IM
[Da] Data de entrada para processamento:171208
[St] Status:MEDLINE


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[PMID]:28505057
[Au] Autor:Kang MJ; Jin Y; Jin T; Lee SM
[Ad] Endereço:College of Nursing, The Catholic University of Korea, Seoul, Korea.
[Ti] Título:Automated Medication Error Risk Assessment System (Auto-MERAS).
[So] Source:J Nurs Care Qual;33(1):86-93, 2018 Jan/Mar.
[Is] ISSN:1550-5065
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This study developed the Automated Medical Error Risk Assessment System (Auto-MERAS), which was incorporated into the electronic health record system. The system itself maintained high predictive validity for medication errors at the area under the receiver operating characteristic curves of above 0.80 at the time of development and validation. This study has found possibilities to predict the risk of medication errors that are sensitive to situational and environmental risks without additional data entry from nurses.
[Mh] Termos MeSH primário: Registros Eletrônicos de Saúde/utilização
Erros de Medicação/prevenção & controle
Sistemas de Medicação/utilização
[Mh] Termos MeSH secundário: Algoritmos
Feminino
Seres Humanos
Masculino
Meia-Idade
Segurança do Paciente
Medição de Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE; VALIDATION STUDIES
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180123
[Lr] Data última revisão:
180123
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:170516
[St] Status:MEDLINE
[do] DOI:10.1097/NCQ.0000000000000266


  3 / 798 MEDLINE  
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[PMID]:28437836
[Au] Autor:Cross R; Bennett PN; Ockerby C; Wang WC; Currey J
[Ad] Endereço:Lecturer, School of Nursing and Midwifery, La Trobe University, Melbourne, Victoria, Australia.
[Ti] Título:Nurses' Attitudes Toward the Single Checking of Medications.
[So] Source:Worldviews Evid Based Nurs;14(4):274-281, 2017 Aug.
[Is] ISSN:1741-6787
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND AND AIM: The policy of single over double checking of medications has been adopted by many health services; however, nurses' attitudes toward single-checking medications remains unclear. The aim of this study was to explore the attitudes of nurses who single check and administer medications in a setting where single checking has been in place for over a decade. METHODS: A cross-sectional survey design using the validated Single Checking Administration Medication Scale-II to registered nurses (n = 299) working in one metropolitan teaching hospital in Victoria, Australia. Descriptive analyses for participants' demographics were examined and confirmatory factor analysis (CFA) was performed on the survey items to represent the main themes of nurses' attitudes toward single checking. RESULTS: Nurses reported single checking allowed a greater accountability as a professional nurse and more control over drug administration. The efficiency of single checking was welcomed by nurses through reductions in administration time and workplace interruptions. Nurses were more likely to adhere to drug administration procedures when single checking and this process facilitated drug knowledge updates. There was significant variance in attitudes amongst nurses based upon current appointment and years of clinical experience. Free text responses indicated nurses' attitudes were situated in the context of the traditional double-checking system. LINKING EVIDENCE TO ACTION: Understanding nurses' attitudes toward single checking may assist health care services to positively address medication safety. Accountability, efficiency and knowledge are important for nurses when administering medications. Nurses' attitudes are varied when correlated with demographic characteristics.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Erros de Medicação/prevenção & controle
Enfermeiras e Enfermeiros/psicologia
[Mh] Termos MeSH secundário: Adulto
Austrália
Competência Clínica/normas
Estudos Transversais
Feminino
Seres Humanos
Masculino
Erros de Medicação/psicologia
Sistemas de Medicação/normas
Meia-Idade
Autonomia Profissional
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170828
[Lr] Data última revisão:
170828
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:170425
[St] Status:MEDLINE
[do] DOI:10.1111/wvn.12201


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[PMID]:28433400
[Au] Autor:Rantanen P; Parkkari T; Leikola S; Airaksinen M; Lyles A
[Ad] Endereço:Validia Rehabilitation, Helsinki, Finland.
[Ti] Título:An In-home Advanced Robotic System to Manage Elderly Home-care Patients' Medications: A Pilot Safety and Usability Study.
[So] Source:Clin Ther;39(5):1054-1061, 2017 May.
[Is] ISSN:1879-114X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: We examined the safety profile and usability of an integrated advanced robotic device and telecare system to promote medication adherence for elderly home-care patients. METHODS: There were two phases. Phase I aimed to verify under controlled conditions in a single nursing home (n = 17 patients) that no robotic malfunctions would hinder the device's safe use. Phase II involved home-care patients from 3 sites (n = 27) who were on long-term medication. On-time dispensing and missed doses were recorded by the robotic system. Patients' and nurses' experiences were assessed with structured interviews. FINDINGS: The 17 nursing home patients had 457 total days using the device (Phase I; mean, 26.9 per patient). On-time sachet retrieval occurred with 97.7% of the alerts, and no medication doses were missed. At baseline, Phase II home-dwelling patients reported difficulty remembering to take their medicines (23%), and 18% missed at least 2 doses per week. Most Phase II patients (78%) lived alone. The device delivered and patients retrieved medicine sachets for 99% of the alerts. All patients and 96% of nurses reported the device was easy to use. IMPLICATIONS: This trial demonstrated the safety profile and usability of an in-home advanced robotic device and telecare system and its acceptability to patients and nurses. It supports individualized patient dosing schedules, patient-provider communications, and on-time, in-home medication delivery to promote adherence. Real time dose-by-dose monitoring and communication with providers if a dose is missed provide oversight generally not seen in home care.
[Mh] Termos MeSH primário: Serviços de Assistência Domiciliar
Sistemas de Medicação
Robótica
[Mh] Termos MeSH secundário: Idoso
Feminino
Seres Humanos
Masculino
Adesão à Medicação
Casas de Saúde
Preparações Farmacêuticas
Projetos Piloto
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Pharmaceutical Preparations)
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171108
[Lr] Data última revisão:
171108
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170424
[St] Status:MEDLINE


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[PMID]:28225664
[Au] Autor:Johnsen EF; Pohlman KJ
[Ti] Título:Historic Leadership.
[So] Source:NASN Sch Nurse;32(2):94-99, 2017 Mar.
[Is] ISSN:1942-6038
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:School nursing practice establishes itself in the midst of both education and nursing philosophies, ethics, standards, laws, and regulations. Treading these two worlds is difficult at times and requires that a school nurse possess a strong foundational knowledge base, seek professional collaboration, and navigate conflicting professional demands in order to promote student and public safety. This article is Part 2 of a four-part series that recounts the inspiring story of a school nurse, Ellen Johnsen, who did just that back in the 1980s in Broken Arrow, Oklahoma. Part 2 describes how Ellen's actions led the Broken Arrow Public Schools to revise its unsafe and illegal medication administration policy, which brought the policy into partial compliance with the nurse practice act but culminated in Ellen losing her job. The purpose of this series is to enhance understanding of the legal parameters governing school nurse practice, provide examples of ethical decision making, and review the challenges associated with serving as a leader.
[Mh] Termos MeSH primário: Liderança
Sistemas de Medicação/legislação & jurisprudência
Sistemas de Medicação/normas
Padrões de Prática em Enfermagem/legislação & jurisprudência
Padrões de Prática em Enfermagem/normas
Serviços de Enfermagem Escolar/legislação & jurisprudência
Serviços de Enfermagem Escolar/normas
[Mh] Termos MeSH secundário: História do Século XX
Seres Humanos
Papel do Profissional de Enfermagem/história
Oklahoma
Padrões de Prática em Enfermagem/história
Serviços de Enfermagem Escolar/história
[Pt] Tipo de publicação:HISTORICAL ARTICLE; JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170713
[Lr] Data última revisão:
170713
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170223
[St] Status:MEDLINE
[do] DOI:10.1177/1942602X16688322


  6 / 798 MEDLINE  
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[PMID]:28054195
[Au] Autor:Hüsers J; Hübner U; Esdar M; Ammenwerth E; Hackl WO; Naumann L; Liebe JD
[Ad] Endereço:Health Informatics Research Group, Hochschule Osnabrück - UAS, Caprivistraße 30A, D-49076, Osnabrück, Germany.
[Ti] Título:Innovative Power of Health Care Organisations Affects IT Adoption: A bi-National Health IT Benchmark Comparing Austria and Germany.
[So] Source:J Med Syst;41(2):33, 2017 Feb.
[Is] ISSN:1573-689X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Multinational health IT benchmarks foster cross-country learning and have been employed at various levels, e.g. OECD and Nordic countries. A bi-national benchmark study conducted in 2007 revealed a significantly higher adoption of health IT in Austria compared to Germany, two countries with comparable healthcare systems. We now investigated whether these differences still persisted. We further studied whether these differences were associated with hospital intrinsic factors, i.e. the innovative power of the organisation and hospital demographics. We thus performed a survey to measure the "perceived IT availability" and the "innovative power of the hospital" of 464 German and 70 Austrian hospitals. The survey was based on a questionnaire with 52 items and was given to the directors of nursing in 2013/2014. Our findings confirmed a significantly greater IT availability in Austria than in Germany. This was visible in the aggregated IT adoption composite score "IT function" as well as in the IT adoption for the individual functions "nursing documentation" (OR = 5.98), "intensive care unit (ICU) documentation" (OR = 2.49), "medication administration documentation" (OR = 2.48), "electronic archive" (OR = 2.27) and "medication" (OR = 2.16). "Innovative power" was the strongest factor to explain the variance of the composite score "IT function". It was effective in hospitals of both countries but significantly more effective in Austria than in Germany. "Hospital size" and "hospital system affiliation" were also significantly associated with the composite score "IT function", but they did not differ between the countries. These findings can be partly associated with the national characteristics. Indicators point to a more favourable financial situation in Austrian hospitals; we thus argue that Austrian hospitals may possess a larger degree of financial freedom to be innovative and to act accordingly. This study is the first to empirically demonstrate the effect of "innovative power" in hospitals on health IT adoption in a bi-national health IT benchmark. We recommend directly including the financial situation into future regression models. On a political level, measures to stimulate the "innovative power" of hospitals should be considered to increase the digitalisation of healthcare.
[Mh] Termos MeSH primário: Documentação/estatística & dados numéricos
Administração Hospitalar/estatística & dados numéricos
Sistemas de Informação/estatística & dados numéricos
Inovação Organizacional
[Mh] Termos MeSH secundário: Áustria
Benchmarking
Registros Eletrônicos de Saúde/estatística & dados numéricos
Alemanha
Número de Leitos em Hospital/estatística & dados numéricos
Seres Humanos
Unidades de Terapia Intensiva/estatística & dados numéricos
Sistemas de Medicação/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:171027
[Lr] Data última revisão:
171027
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170106
[St] Status:MEDLINE
[do] DOI:10.1007/s10916-016-0671-6


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[PMID]:27889581
[Au] Autor:Zimmer J; Hartl S; Standfuß K; Möhn T; Bertsche A; Frontini R; Neininger MP; Bertsche T
[Ad] Endereço:Department of Clinical Pharmacy and Drug Safety Center, University of Leipzig, Eilenburger Str. 15a, 04317 Leipzig, Germany; Pharmacy Department and Drug Safety Center, University Hospital Leipzig, Liebigstr. 20, 04103 Leipzig, Germany.
[Ti] Título:Handling of hazardous drugs - Effect of an innovative teaching session for nursing students.
[So] Source:Nurse Educ Today;49:72-78, 2017 Feb.
[Is] ISSN:1532-2793
[Cp] País de publicação:Scotland
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Imparting knowledge and practical skills in hazardous drug handling in nursing students' education is essential to prevent hazardous exposure and to preserve nurses' health. OBJECTIVES: This study aimed at comparing routine nursing education with an additional innovative teaching session. DESIGN: A prospective controlled study in nursing students was conducted in two study periods: (i) a status-quo period (routine education on handling hazardous drugs) followed by (ii) an intervention period (additional innovative teaching session on handling hazardous drugs). SETTINGS/PARTICIPANTS: Nursing students at a vocational school were invited to participate voluntarily. METHODS: In both study periods (i) and (ii), the following factors were analysed: (a) knowledge of hazardous drug handling by questionnaire, (b) practical skills in hazardous drug handling (e.g. cleaning) by a simulated handling scenario, (c) contamination with drug residuals on the work surface by fluorescent imaging. RESULTS: Fifty-three nursing students were enrolled. (a) Median knowledge improved from status-quo (39% right answers) to intervention (65%, p<0.001), (b) practical skills improved from status-quo (53% of all participants cleaned the work surface) to intervention (92%, p<0.001). (c) Median number of particles/m decreased from status-quo to intervention (932/97, p<0.001). CONCLUSIONS: Compared with routine education, knowledge and practical skills in hazardous drug handling were significantly improved after an innovative teaching session. Additionally, the amount of residuals on the work surface decreased. This indicates a lower risk for hazardous drug exposure.
[Mh] Termos MeSH primário: Substâncias Perigosas/uso terapêutico
Sistemas de Medicação/normas
Estudantes de Enfermagem/psicologia
Ensino/normas
[Mh] Termos MeSH secundário: Adolescente
Adulto
Competência Clínica/normas
Bacharelado em Enfermagem/métodos
Bacharelado em Enfermagem/normas
Avaliação Educacional/métodos
Feminino
Alemanha
Seres Humanos
Masculino
Exposição Ocupacional/normas
Estudos Prospectivos
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Hazardous Substances)
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170523
[Lr] Data última revisão:
170523
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:161128
[St] Status:MEDLINE


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[PMID]:27796035
[Au] Autor:Send AF; Peters-Klimm F; Bruckner T; Haefeli WE; Seidling HM
[Ad] Endereço:Cooperation Unit Clinical Pharmacy, Department of Clinical Pharmacology and Pharmacoepidemiology, University of Heidelberg, Heidelberg, Germany.
[Ti] Título:A randomized controlled trial to assess the effect of a medication plan containing drug administration recommendations on patients' drug knowledge after 2 months.
[So] Source:J Clin Pharm Ther;42(1):69-74, 2017 Feb.
[Is] ISSN:1365-2710
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:WHAT IS KNOWN AND OBJECTIVE: Patients' drug administration errors are often promoted by poor drug knowledge resulting from inadequate oral or written information. It has previously been shown that a medication plan enhanced with graphical and textual information on drug handling (enhanced medication plan) proved to immediately increase patients' drug knowledge. This study aimed to evaluate the effect of the enhanced medication plan on drug knowledge in outpatients after 2 months (intervention group) compared to patients with a simple medication plan with standard information (control group). METHODS: We recruited patients using ≥5 drugs in four family practices in Germany. After inclusion, patients' knowledge on handling of their drugs was assessed using three questions from a standardized catalog. Thereafter, patients were randomized to the intervention or control group. After 2 months, drug knowledge was reassessed with three different questions from the same standardized catalog. RESULTS AND DISCUSSION: Of 120 enrolled patients, 75% of participants in the control group (42/60 patients) and 78% of participants in the intervention group (46/60; P = 0·71) completed the study. Baseline drug knowledge was similar in both groups (43·7% vs. 40·6% correct answers). After 2 months, patients' drug knowledge showed an absolute increase of 23·2% in the intervention group (P < 0·01) and was unchanged in the control group (46·0%; P = 0·70). WHAT IS NEW AND CONCLUSION: The enhanced medication plan outperformed the effect of a simple medication plan and persistently increased the fraction of correct answers of polypharmacy patients. This demonstrates that the enhanced medication plan may be a useful tool in promoting drug knowledge.
[Mh] Termos MeSH primário: Conhecimentos, Atitudes e Prática em Saúde
Preparações Farmacêuticas/administração & dosagem
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Feminino
Alemanha
Seres Humanos
Masculino
Erros de Medicação/prevenção & controle
Sistemas de Medicação
Meia-Idade
Pacientes Ambulatoriais
Polimedicação
Estudos Prospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
0 (Pharmaceutical Preparations)
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170517
[Lr] Data última revisão:
170517
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161101
[St] Status:MEDLINE
[do] DOI:10.1111/jcpt.12476


  9 / 798 MEDLINE  
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[PMID]:27558403
[Au] Autor:Hong YA; Cho J
[Ad] Endereço:Department of Health Promotion and Community Health Sciences, School of Public Health, Texas A&M University, College Station.
[Ti] Título:Has the Digital Health Divide Widened? Trends of Health-Related Internet Use Among Older Adults From 2003 to 2011.
[So] Source:J Gerontol B Psychol Sci Soc Sci;72(5):856-863, 2017 Sep 01.
[Is] ISSN:1758-5368
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Objectives: To examine the trend of health-related Internet use (HRIU) among older adults. Methods: We analyzed data from the 2003, 2005, and 2011-2012 iterations of the National Cancer Institute (NCI)-sponsored Health Information National Trends Survey (HINTS). HRIU was measured by 4 online behaviors: seeking health information, buying medicine, connecting with people with similar health problems, and communicating with doctors. Results: Internet use and HRIU among older adults increased substantially from 2003 to 2011 with more significant increases in seeking health information and communicating with doctors online. Overall, the digital health divide between different demographic groups has narrowed, especially in terms of gender, racial/ethnic group, rural/urban residence, and various health statuses; however, age, education, and household income remain persistent predictors of the digital divide. Those in the oldest group (75 or older), those with less than a high school education, and those with very low income (<$25,000/year) continuously lagged behind their counterparts in all aspects of HRIU. Conclusions: Despite an overall increase in HRIU and a narrowed digital divide, significant variations in HRIU in different demographic groups persisted; therefore, we call for more senior-friendly online resources and culturally appropriate interventions to bridge the digital health divide for vulnerable older adults.
[Mh] Termos MeSH primário: Registros de Saúde Pessoal/psicologia
Internet/tendências
Internet/utilização
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Comunicação
Informação de Saúde ao Consumidor
Exclusão Digital
Feminino
Inquéritos Epidemiológicos
Seres Humanos
Relações Interpessoais
Masculino
Sistemas de Medicação/utilização
Meia-Idade
National Cancer Institute (U.S.)
Relações Médico-Paciente
Estados Unidos
Revisão da Utilização de Recursos de Saúde
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170825
[Lr] Data última revisão:
170825
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160826
[St] Status:MEDLINE
[do] DOI:10.1093/geronb/gbw100


  10 / 798 MEDLINE  
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[PMID]:27455029
[Au] Autor:Wilson D
[Ad] Endereço:Doctoral Student at the University of Texas at Tyler, Tyler, TX.
[Ti] Título:An Overview of the Application of Wearable Technology to Nursing Practice.
[So] Source:Nurs Forum;52(2):124-132, 2017 Apr.
[Is] ISSN:1744-6198
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PROBLEM: Wearable technology is here and nurses are going to be increasingly responsible for patients who use it. Most research in this area has been done in other fields and now is the time for nurses to be more involved in this promising technology to improve patient lives. METHODS: This paper synthesizes the current state of wearable technology, a brief history of nurse satisfaction with technology, current research about wearable technology, and implications for its future use in nursing. FINDINGS: Other areas in health care are already employing wearable technology to improve gait in people with Parkinson's disease, provide automatic defibrillation in cardiac patients, and monitor poststroke rehabilitation. Nurses can be on the front lines of designing and patenting new ideas to improve the lives of their patients. CONCLUSIONS: Nurses have always adopted the newest technologies such as electronic health records, electronic medication administration records, and simulation experiences in education. Wearable technology is the next step in this journey and the possible uses are endless. Involving patients in their own care is a major goal of nursing and more research is needed to connect patients and their caregivers to the benefits of wearable technology.
[Mh] Termos MeSH primário: Atitude Frente à Saúde
Aplicativos Móveis/normas
Aplicativos Móveis/tendências
Cuidados de Enfermagem/métodos
[Mh] Termos MeSH secundário: Registros Eletrônicos de Saúde/instrumentação
Registros Eletrônicos de Saúde/tendências
Equipamentos e Provisões/normas
Seres Humanos
Sistemas de Medicação/tendências
Aplicativos Móveis/utilização
Monitorização Fisiológica/instrumentação
Monitorização Fisiológica/métodos
Cuidados de Enfermagem/normas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170815
[Lr] Data última revisão:
170815
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:160726
[St] Status:MEDLINE
[do] DOI:10.1111/nuf.12177



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