Base de dados : MEDLINE
Pesquisa : Z01.107.567.875.560 [Categoria DeCS]
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[PMID]:25816181
[Au] Autor:Burpee H; McDade E
[Ti] Título:Comparative analysis of hospital energy use: pacific northwest and scandinavia.
[So] Source:HERD;8(1):20-44, 2014.
[Is] ISSN:1937-5867
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: This study aimed to establish the potential for significant energy reduction in hospitals in the United States by providing evidence of Scandinavian operational precedents with high Interior Environmental Quality (IEQ) and substantially lower energy profiles than comparable U.S. facilities. These facilities set important precedents for design teams seeking operational examples for achieving aggressive energy and interior environmental quality goals. This examination of operational hospitals is intended to offer hospital owners, designers, and building managers a strong case and concrete framework for strategies to achieve exceptionally high performing buildings. BACKGROUND: Energy efficient hospitals have the potential to significantly impact the U.S.'s overall energy profile, and key stakeholders in the hospital industry need specific, operationally grounded precedents in order to successfully implement informed energy reduction strategies. This study is an outgrowth of previous research evaluating high quality, low energy hospitals that serve as examples for new high performance hospital design, construction, and operation. Through extensive interviews, numerous site visits, the development of case studies, and data collection, this team has established thorough qualitative and quantitative analyses of several contemporary hospitals in Scandinavia and the Pacific Northwest. Many Scandinavian hospitals demonstrate a low energy profile, and when analyzed in comparison with U.S. hospitals, such Scandinavian precedents help define the framework required to make significant changes in the U.S. hospital building industry. METHODS: Eight hospitals, four Scandinavian and four Pacific Northwest, were quantitatively compared using the Environmental Protection Agency's Portfolio Manager, allowing researchers to answer specific questions about the impact of energy source and architectural and mechanical strategies on energy efficiency in operational hospitals. RESULTS: Specific architectural, mechanical, and plant systems make these Scandinavian hospitals more energy efficient than their Pacific Northwest counterparts. More importantly, synergistic systems integration allows for their significant reductions in energy consumption. CONCLUSIONS: This quantitative comparison of operational Scandinavian and Pacific Northwest hospitals resulted in compelling evidence of the potential for deep energy savings in the U.S., and allowed researchers to outline specific strategies for achieving such reductions.
[Mh] Termos MeSH primário: Conservação de Recursos Energéticos/estatística & dados numéricos
Fontes de Energia Elétrica/estatística & dados numéricos
Ambiente de Instituições de Saúde/estatística & dados numéricos
Arquitetura Hospitalar/estatística & dados numéricos
[Mh] Termos MeSH secundário: Noroeste dos Estados Unidos
Países Escandinavos e Nórdicos
Estados Unidos
United States Environmental Protection Agency
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180123
[Lr] Data última revisão:
180123
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150328
[St] Status:MEDLINE
[do] DOI:10.1177/193758671400800104


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[PMID]:28961269
[Au] Autor:Gharouni A; Barbeau MA; Chassé J; Wang L; Watmough J
[Ad] Endereço:Department of Mathematics and Statistics, University of New Brunswick, Fredericton, Canada.
[Ti] Título:Stochastic dispersal increases the rate of upstream spread: A case study with green crabs on the northwest Atlantic coast.
[So] Source:PLoS One;12(9):e0185671, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Dispersal heterogeneity is an important process that can compensate for downstream advection, enabling aquatic organisms to persist or spread upstream. Our main focus was the effect of year-to-year variation in larval dispersal on invasion spread rate. We used the green crab, Carcinus maenas, as a case study. This species was first introduced over 200 years ago to the east coast of North America, and once established has maintained a relatively consistent spread rate against the dominant current. We used a stage-structured, integro-difference equation model that couples a demographic matrix for population growth and dispersal kernels for spread of individuals within a season. The kernel describing larval dispersal, the main dispersive stage, was mechanistically modeled to include both drift and settlement rate components. It was parameterized using a 3-dimensional hydrodynamic model of the Gulf of St Lawrence, which enabled us to incorporate larval behavior, namely vertical swimming. Dispersal heterogeneity was modeled at two temporal scales: within the larval period (months) and over the adult lifespan (years). The kernel models variation within the larval period. To model the variation among years, we allowed the kernel parameters to vary by year. Results indicated that when dispersal parameters vary with time, knowledge of the time-averaged dispersal process is insufficient for determining the upstream spread rate of the population. Rather upstream spread is possible over a number of years when incorporating the yearly variation, even when there are only a few "good years" featured by some upstream dispersal among many "bad years" featured by only downstream dispersal. Accounting for annual variations in dispersal in population models is important to enhance understanding of spatial dynamics and population spread rates. Our developed model also provides a good platform to link the modeling of larval behavior and demography to large-scale hydrodynamic models.
[Mh] Termos MeSH primário: Crustáceos
Processos Estocásticos
[Mh] Termos MeSH secundário: Animais
Oceano Atlântico
Demografia
Noroeste dos Estados Unidos
Estações do Ano
[Pt] Tipo de publicação:JOURNAL ARTICLE
[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:170930
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0185671


  3 / 1139 MEDLINE  
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[PMID]:28943016
[Au] Autor:Yarmohammadi H; Uy-Evanado A; Reinier K; Rusinaru C; Chugh H; Jui J; Chugh SS
[Ad] Endereço:Cardiovascular Division, Brigham and Women's Hospital, Boston, MA.
[Ti] Título:Serum Calcium and Risk of Sudden Cardiac Arrest in the General Population.
[So] Source:Mayo Clin Proc;92(10):1479-1485, 2017 Oct.
[Is] ISSN:1942-5546
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To evaluate the potential role of low serum Ca levels in the occurrence of sudden cardiac arrest (SCA) in the community. PATIENTS AND METHODS: We compared 267 SCA cases [177 (66%) men] and 445 controls [314 (71%) men] from a large population-based study (catchment population ∼1 million individuals) in the US Northwest from February 1, 2002, through December 31, 2015. Patients were included if their age was 18 years or older with available creatinine clearance (CrCl) and serum electrolyte levels for analyses to enable adjustment for renal function. For cases, creatinine clearance and electrolyte levels were required to be measured within 90 days of the SCA event. RESULTS: Cases of SCA had higher proportions of blacks [31 (12%) vs 14 (3%); P<.001], diabetes mellitus [122 (46%) vs 126 (28%); P<.001], and chronic kidney disease [102 (38%) vs 73 (16%); P<.001] than did controls. In multivariable logistic regression analysis, a 1-unit decrease in Ca levels was associated with a 1.6-fold increase in odds of SCA (odds ratio, 1.63; 95% CI, 1.06-2.51). Blood Ca levels lower than 8.95 mg/dL (to convert to mmol/L, multiply by 0.025) were associated with a 2.3-fold increase in odds of SCA as compared with levels higher than 9.55 mg/dL (odds ratio, 2.33; 95% CI, 1.17-4.61). Cases of SCA had significantly prolonged corrected QT intervals on the 12-lead electrocardiogram than did controls (465±37 ms vs 425±33 ms; P<.001). CONCLUSION: Lower serum Ca levels were independently associated with an increased risk of SCA in the community.
[Mh] Termos MeSH primário: Cálcio/sangue
Cálcio/deficiência
Morte Súbita Cardíaca/etiologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Morte Súbita Cardíaca/epidemiologia
Feminino
Seres Humanos
Masculino
Meia-Idade
Noroeste dos Estados Unidos/epidemiologia
Razão de Chances
Fatores de Risco
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Nm] Nome de substância:
SY7Q814VUP (Calcium)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170926
[St] Status:MEDLINE


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[PMID]:28933926
[Au] Autor:Runyan CW; Brooks-Russell A; Brandspigel S; Betz M; Tung G; Novins D; Agans R
[Ad] Endereço:Carol W. Runyan and Sara Brandspigel are with the Department of Epidemiology, Ashley Brooks-Russell is with the Department of Community and Behavioral Health, and Gregory Tung is with the Department of Health Systems Management and Policy, Colorado School of Public Health, Aurora. Marian Betz is wit
[Ti] Título:Law Enforcement and Gun Retailers as Partners for Safely Storing Guns to Prevent Suicide: A Study in 8 Mountain West States.
[So] Source:Am J Public Health;107(11):1789-1794, 2017 Nov.
[Is] ISSN:1541-0048
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To examine the extent to which law enforcement agencies (LEAs) and gun retailers are willing to offer voluntary, temporary storage as a part of an overall suicide prevention effort. METHODS: We invited all LEAs and gun retailers in 8 US states to respond to questionnaires asking about their willingness to offer temporary gun storage and their recommendations to gun owners about safe storage. RESULTS: We collected data in 2016 from 448 LEAs and 95 retailers (response rates of 53% and 25%, respectively). Three quarters of LEAs (74.8%; 95% confidence interval [CI] = 72.1, 77.5) indicated they already provided temporary storage compared with 47.6% (95% CI = 39.2, 56.0) of retailers. LEAs were most willing to provide storage when a gun owner was concerned about the mental health of a family member. Retailers were more receptive than were LEAs to providing storage when visitors were coming or for people wanting storage while traveling. Both groups recommended locking devices within the home, but LEAs were slightly more favorable to storing guns away from the home. CONCLUSIONS: Law enforcement agencies and gun retailers are important resources for families concerned about suicide.
[Mh] Termos MeSH primário: Armas de Fogo
Aplicação da Lei
Segurança
Suicídio/prevenção & controle
[Mh] Termos MeSH secundário: Armas de Fogo/economia
Armas de Fogo/legislação & jurisprudência
Armas de Fogo/normas
Seres Humanos
Relações Interinstitucionais
Noroeste dos Estados Unidos
Segurança/legislação & jurisprudência
Segurança/normas
Sudoeste dos Estados Unidos
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170922
[St] Status:MEDLINE
[do] DOI:10.2105/AJPH.2017.304013


  5 / 1139 MEDLINE  
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[PMID]:28813498
[Au] Autor:Wang X; Kong L; Chen J; Matsukuma A; Li Q
[Ad] Endereço:Key Laboratory of Mariculture, Ministry of Education, Ocean University of China, Qingdao, China.
[Ti] Título:Phylogeography of bivalve Meretrix petechialis in the Northwestern Pacific indicated by mitochondrial and nuclear DNA data.
[So] Source:PLoS One;12(8):e0183221, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The marine clam Meretrix petechialis is an important economic shellfish species in Northwestern Pacific, but little is known about its phylogeographical pattern. Here, we analyzed 311 samples from 22 locations along the northwestern Pacific using combined profiling of one mitochondrial gene (the first subunit of cytochrome coxidase, COI) and one nuclear DNA marker (the internal transcribed spacer region 1, ITS-1) to investigate contemporary genetic structure and reconstruct phylogenetic history of this species. The results revealed that two distinct phylogeographic lineages dominated marginal seas-the East China Sea (ECS) and the South China Sea (SCS) respectively. The estimation of divergence time between two lineages was 2.1-3.8 Ma, corresponding to a period of the early Pleistocene to late Pliocene. The vicariance of the two lineages was connected to the historical isolation of marginal seas and sea surface temperature (SST) gradient, pointing that SST might play an important role in maintaining phylogeographical patterns of M. petachialis. Significant overlaps between two lineages were observed in 23° to 29° N, located at the adjacent area of the ECS and SCS, which might be promoted by the connectivity of China Coast Current. However, the influence of ocean currents on mixings between two lineages was limited. In comparison, significant relationships were found between genetic distances and geographic distances if the North and South populations were analyzed separately, result of which might be due to some small reciprocal, rotating flows along coastal areas and special geographical conditions.
[Mh] Termos MeSH primário: Bivalves/genética
DNA Mitocondrial/genética
[Mh] Termos MeSH secundário: Animais
Bivalves/classificação
China
Noroeste dos Estados Unidos
Filogeografia
Temperatura Ambiente
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (DNA, Mitochondrial)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171013
[Lr] Data última revisão:
171013
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170817
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0183221


  6 / 1139 MEDLINE  
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[PMID]:28753660
[Au] Autor:Lavoué S; Bertrand JAM; Wang HY; Chen WJ; Ho HC; Motomura H; Hata H; Sado T; Miya M
[Ad] Endereço:Institute of Oceanography, National Taiwan University, Taipei, Taiwan.
[Ti] Título:Molecular systematics of the anchovy genus Encrasicholina in the Northwest Pacific.
[So] Source:PLoS One;12(7):e0181329, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The anchovy genus Encrasicholina is an important coastal marine resource of the tropical Indo-West Pacific (IWP) region for which insufficient comparative data are available to evaluate the effects of current exploitation levels on the sustainability of its species and populations. Encrasicholina currently comprises nine valid species that are morphologically very similar. Only three, Encrasicholina punctifer, E. heteroloba, and E. pseudoheteroloba, occur in the Northwest Pacific subregion of the northeastern part of the IWP region. These species are otherwise broadly distributed and abundant in the IWP region, making them the most important anchovy species for local fisheries. In this study, we reconstructed the phylogeny of these three species of Encrasicholina within the Engraulidae. We sequenced 10 complete mitochondrial genomes (using high-throughput and Sanger DNA sequencing technologies) and compared those sequences to 21 previously published mitochondrial genomes from various engraulid taxa. The phylogenetic results showed that the genus Encrasicholina is monophyletic, and it is the sister group to the more-diverse "New World anchovy" clade. The mitogenome-based dating results indicated that the crown group Encrasicholina originated about 33.7 million years ago (nearby the limit Eocene/Oligocene), and each species of Encrasicholina has been reproductively isolated from the others for more than 20 million years, despite their morphological similarities. In contrast, preliminary population genetic analyses across the Northwest Pacific region using four mitogenomic sequences revealed very low levels of genetic differentiation within Encrasicholina punctifer. These molecular results combined with recent taxonomic revisions are important for designing further studies on the population structure and phylogeography of these anchovies.
[Mh] Termos MeSH primário: Peixes/genética
[Mh] Termos MeSH secundário: Animais
Evolução Molecular
Peixes/classificação
Genética Populacional
Genoma Mitocondrial/genética
Noroeste dos Estados Unidos
Filogenia
Filogeografia
[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:IM
[Da] Data de entrada para processamento:170729
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0181329


  7 / 1139 MEDLINE  
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[PMID]:28601478
[Au] Autor:Brant JM; Mohr C; Coombs NC; Finn S; Wilmarth E
[Ad] Endereço:Billings Clinic, Cancer Center, Billings, Montana. Electronic address: jbrant@billingsclinic.org.
[Ti] Título:Nurses' Knowledge and Attitudes about Pain: Personal and Professional Characteristics and Patient Reported Pain Satisfaction.
[So] Source:Pain Manag Nurs;18(4):214-223, 2017 Aug.
[Is] ISSN:1532-8635
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Pain is a nursing sensitive indicator and yet pain is often not well managed in both hospital and ambulatory settings. Improving nurse knowledge and attitudes about pain may translate to improved patient outcomes. The objective of this study was to investigate knowledge and attitudes about pain (KAP) in nurses who work in diverse settings, professional and personal characteristics that predict KAP, and whether KAP correlated with patient satisfaction according to Hospital Consumer Assessment of Healthcare Providers (HCAHPS). Descriptive, cross-sectional, correlational study. A large integrated health care facility in the northwest. A total of 217 registered nurses working in acute, ambulatory, and long-term care. A Pain Knowledge and Attitudes Survey was administered to registered nurses in diverse settings. Scores were examined for personal and professional predictors of KAP and correlated with HCAHPS patient satisfaction surveys. Nurses scored an average of 72%; nurses in long-term care scored the highest. Having more than 5 years of nursing experience, being a certified nurse, and receiving pain education in the last year were predictive of a higher score on the KAP survey, which explained only 9.8% of the variance. Unit mean KAP scores were highly correlated with unit-based HCAHPS scores (r = 0.917, p = .01). Certified nurses scored higher on the KAP survey, consistent with other studies. This study suggests that having more knowledge and better attitudes about pain may improve patient satisfaction of pain. Further studies are needed that link knowledge and attitudes about pain to patient outcomes.
[Mh] Termos MeSH primário: Conhecimentos, Atitudes e Prática em Saúde
Enfermeiras e Enfermeiros/normas
Dor/psicologia
Satisfação do Paciente
[Mh] Termos MeSH secundário: Adulto
Atitude do Pessoal de Saúde
Competência Clínica/normas
Feminino
Seres Humanos
Masculino
Meia-Idade
Noroeste dos Estados Unidos
Enfermeiras e Enfermeiros/psicologia
Manejo da Dor/normas
Estudos Prospectivos
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:170612
[St] Status:MEDLINE


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[PMID]:28433230
[Au] Autor:Cho E
[Ad] Endereço:St Joseph Medical Center, Tacoma, WA, United States.
[Ti] Título:North Pacific Surgical Association Presidential Address 2016 - Us, Them and You.
[So] Source:Am J Surg;213(5):829-833, 2017 May.
[Is] ISSN:1879-1883
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This is the Presidential Address from the 104th meeting of the North Pacific Surgical Association held in Tacoma, Washington November 8-9, 2016.
[Mh] Termos MeSH primário: Cirurgia Geral/organização & administração
Relações Interprofissionais
Relações Médico-Paciente
Qualidade da Assistência à Saúde/organização & administração
Cirurgiões/organização & administração
Cirurgiões/psicologia
[Mh] Termos MeSH secundário: Seres Humanos
Liderança
Noroeste dos Estados Unidos
Sociedades Médicas
[Pt] Tipo de publicação:ADDRESSES; JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170807
[Lr] Data última revisão:
170807
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170424
[St] Status:MEDLINE


  9 / 1139 MEDLINE  
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[PMID]:28263267
[Au] Autor:Newton EE
[Ad] Endereço:CHI Franciscan Health, Tacoma, Washington.
[Ti] Título:Preparing for the Big One: Emergency Preparedness for Nursing Leaders.
[So] Source:Nurs Adm Q;41(2):101-111, 2017 Apr/Jun.
[Is] ISSN:1550-5103
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Nurse executives are responsible for ensuring that their health care facilities are prepared to continue to operate and provide essential patient care during and after emergencies. This article provides information for nursing leaders on emergency management principles including threat assessments, plans, and preparedness activities while focusing on a seismic event.
[Mh] Termos MeSH primário: Defesa Civil/normas
Planejamento em Desastres/normas
Terremotos
Enfermeiras Administradoras
[Mh] Termos MeSH secundário: Defesa Civil/organização & administração
Planejamento em Desastres/organização & administração
Instalações de Saúde
Seres Humanos
Noroeste dos Estados Unidos
Medição de Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170720
[Lr] Data última revisão:
170720
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170307
[St] Status:MEDLINE
[do] DOI:10.1097/NAQ.0000000000000215


  10 / 1139 MEDLINE  
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[PMID]:28189269
[Au] Autor:Steen AJ; Mann JA; Carlberg VM; Kimball AB; Musty MJ; Simpson EL
[Ad] Endereço:Geisel School of Medicine, Dartmouth College, Hanover, New Hampshire; Department of Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire.
[Ti] Título:Understanding the cost of dermatologic care: A survey study of dermatology providers, residents, and patients.
[So] Source:J Am Acad Dermatol;76(4):609-617, 2017 Apr.
[Is] ISSN:1097-6787
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The American Academy of Dermatology recommends dermatologists understand the costs of dermatologic care. OBJECTIVE: This study sought to measure dermatology providers' understanding of the cost of dermatologic care and how those costs are communicated to patients. We also aimed to understand the perspectives of patients and dermatological trainees on how cost information enters into the care they receive or provide. METHODS: Surveys were systematically developed and distributed to 3 study populations: dermatology providers, residents, and patients. RESULTS: Response rates were over 95% in all 3 populations. Dermatology providers and residents consistently underestimated the costs of commonly recommended dermatologic medications but accurately predicted the cost of common dermatologic procedures. Dermatology patients preferred to know the cost of procedures and medications, even when covered by insurance. In this population, the costs of dermatologic medications frequently interfered with patients' ability to properly adhere to prescribed regimens. LIMITATIONS: The surveyed population was limited to the northwestern United States and findings may not be generalizable. Cost estimations were based on average reimbursement rates, which vary by insurer. CONCLUSION: Improving dermatology providers' awareness and communication of the costs of dermatologic care might enhance medical decision-making, improve adherence and outcomes, and potentially reduce overall health care expenditures.
[Mh] Termos MeSH primário: Dermatologia/economia
Custos de Cuidados de Saúde
Dermatopatias/economia
[Mh] Termos MeSH secundário: Adulto
Tomada de Decisões
Fármacos Dermatológicos/economia
Feminino
Pesquisas sobre Serviços de Saúde
Seres Humanos
Cobertura do Seguro
Reembolso de Seguro de Saúde
Internato e Residência
Masculino
Meia-Idade
Noroeste dos Estados Unidos
Cooperação do Paciente
Pacientes/psicologia
Relações Médico-Paciente
Médicos/psicologia
Honorários por Prescrição de Medicamentos
Prática Profissional
Dermatopatias/diagnóstico
Dermatopatias/terapia
Revelação da Verdade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Dermatologic Agents)
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170425
[Lr] Data última revisão:
170425
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170213
[St] Status:MEDLINE



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