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[PMID]:28742449
[Au] Autor:Harrington MJ; Lloyd K
[Ad] Endereço:a Department of Occupational and Environmental Health Sciences, Pacific Northwest Agricultural Safety and Health Center , University of Washington , Seattle , Washington , USA.
[Ti] Título:A Case History Introducing the Oregon Ag Seminar Series-Keys to Program and Research-to-Practice Success.
[So] Source:J Agromedicine;22(4):420-424, 2017.
[Is] ISSN:1545-0813
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:This case history of Oregon state's Ag Seminar Series is consistent with the Socio-Ecological Model, demonstrating how policy at a state level can influence an organizational approach with impacts that ultimately influence safety practices on the farm. From modest beginnings, the Ag Seminar Series, offered through a workers compensation insurance company, now serves over 2,300 Oregon farmers annually in English and Spanish. This case offers unique but also replicable methods for educators, insurers, and researchers in safety education, safety motivators, and research-to-practice (r2p).
[Mh] Termos MeSH primário: Acidentes de Trabalho/história
Doenças dos Trabalhadores Agrícolas/história
Agricultura/educação
Saúde do Trabalhador/educação
Saúde do Trabalhador/história
[Mh] Termos MeSH secundário: Acidentes de Trabalho/economia
Acidentes de Trabalho/prevenção & controle
Doenças dos Trabalhadores Agrícolas/economia
Doenças dos Trabalhadores Agrícolas/prevenção & controle
Agricultura/economia
Agricultura/recursos humanos
História do Século XX
História do Século XXI
Seres Humanos
Saúde do Trabalhador/economia
Saúde do Trabalhador/recursos humanos
Oregon
[Pt] Tipo de publicação:HISTORICAL ARTICLE; JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180223
[Lr] Data última revisão:
180223
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170726
[St] Status:MEDLINE
[do] DOI:10.1080/1059924X.2017.1356777


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[PMID]:29385136
[Au] Autor:Eckmann TC; Wright SG; Simpson LK; Walker JL; Kolmes SA; Houck JE; Velasquez SC
[Ad] Endereço:Department of Environmental Studies, University of Portland, Portland, Oregon, United States of America.
[Ti] Título:Combining Ordinary Kriging with wind directions to identify sources of industrial odors in Portland, Oregon.
[So] Source:PLoS One;13(1):e0189175, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This study combines Ordinary Kriging, odor monitoring, and wind direction data to demonstrate how these elements can be applied to identify the source of an industrial odor. The specific case study used as an example of how to address this issue was the University Park neighborhood of Portland, Oregon (USA) where residents frequently complain about industrial odors, and suspect the main source to be a nearby Daimler Trucks North America LLC manufacturing plant. We collected 19,665 odor observations plus 105,120 wind measurements, using an automated weather station to measure winds in the area at five-minute intervals, logging continuously from December 2014 through November 2015, while we also measured odors at 19 locations, three times per day, using methods from the American Society of the International Association for Testing and Materials. Our results quantify how winds vary with season and time of day when industrial odors were observed versus when they were not observed, while also mapping spatiotemporal patterns in these odors using Ordinary Kriging. Our analyses show that industrial odors were detected most frequently to the northwest of the Daimler plant, mostly when winds blew from the southeast, suggesting Daimler's facility is a likely source for much of this odor.
[Mh] Termos MeSH primário: Monitoramento Ambiental/métodos
Indústrias
Odorantes
Vento
[Mh] Termos MeSH secundário: Oregon
Estações do Ano
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180221
[Lr] Data última revisão:
180221
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180201
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0189175


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[PMID]:27777373
[Au] Autor:Kurth L; Doney B; Weinmann S
[Ad] Endereço:Respiratory Health Division, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, West Virginia, USA.
[Ti] Título:Occupational exposures and chronic obstructive pulmonary disease (COPD): comparison of a COPD-specific job exposure matrix and expert-evaluated occupational exposures.
[So] Source:Occup Environ Med;74(4):290-293, 2017 Mar.
[Is] ISSN:1470-7926
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To compare the occupational exposure levels assigned by our National Institute for Occupational Safety and Health chronic obstructive pulmonary disease-specific job exposure matrix (NIOSH COPD JEM) and by expert evaluation of detailed occupational information for various jobs held by members of an integrated health plan in the Northwest USA. METHODS: We analysed data from a prior study examining COPD and occupational exposures. Jobs were assigned exposure levels using 2 methods: (1) the COPD JEM and (2) expert evaluation. Agreement (Cohen's κ coefficients), sensitivity and specificity were calculated to compare exposure levels assigned by the 2 methods for 8 exposure categories. RESULTS: κ indicated slight to moderate agreement (0.19-0.51) between the 2 methods and was highest for organic dust and overall exposure. Sensitivity of the matrix ranged from 33.9% to 68.5% and was highest for sensitisers, diesel exhaust and overall exposure. Specificity ranged from 74.7% to 97.1% and was highest for fumes, organic dust and mineral dust. CONCLUSIONS: This COPD JEM was compared with exposures assigned by experts and offers a generalisable approach to assigning occupational exposure.
[Mh] Termos MeSH primário: Poluentes Ocupacionais do Ar/análise
Exposição Ocupacional/análise
Doença Pulmonar Obstrutiva Crônica/epidemiologia
[Mh] Termos MeSH secundário: Estudos de Casos e Controles
Poeira/análise
Gases/análise
Seres Humanos
Exposição por Inalação/análise
National Institute for Occupational Safety and Health (U.S.)
Ocupações/classificação
Oregon
Doença Pulmonar Obstrutiva Crônica/etiologia
Reprodutibilidade dos Testes
Medição de Risco/métodos
Sensibilidade e Especificidade
Estados Unidos
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Air Pollutants, Occupational); 0 (Dust); 0 (Gases)
[Em] Mês de entrada:1706
[Cu] Atualização por classe:180124
[Lr] Data última revisão:
180124
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161026
[St] Status:MEDLINE
[do] DOI:10.1136/oemed-2016-103753


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[PMID]:29210235
[Au] Autor:Millar CI; Heckman K; Swanston C; Schmidt K; Westfall RD; Delany DL
[Ti] Título:Radiocarbon dating of American pika fecal pellets provides insights into population extirpations and climate refugia.
[So] Source:Ecol Appl;24(7):1748-68, 2014.
[Is] ISSN:1051-0761
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The American pika (Ochotona princeps) has become a species of concern for its sensitivity to warm temperatures and potential vulnerability to global warming. We explored the value of radiocarbon dating of fecal pellets to address questions of population persistence and timing of site extirpation. Carbon was extracted from pellets collected at 43 locations in the western Great Basin, USA, including three known occupied sites and 40 sites of uncertain status at range margins or where previous studies indicated the species is vulnerable. We resolved calibrated dates with high precision (within several years), most of which fell in the period of the mid-late 20th century bomb curve. The two-sided nature of the bomb curve renders far- and near-side dates of equal probability, which are separated by one to four decades. We document methods for narrowing resolution to one age range, including stratigraphic analysis of vegetation collected from pika haypiles. No evidence was found for biases in atmospheric 14C levels due to fossil-derived or industrial CO2 contamination. Radiocarbon dating indicated that pellets can persist for >59 years; known occupied sites resolved contemporary dates. Using combined evidence from field observations and radiocarbon dating, and the Bodie Mountains as an example, we propose a historical biogeographic scenario for pikas in minor Great Basin mountain ranges adjacent to major cordillera, wherein historical climate variability led to cycles of extirpation and recolonization during alternating cool and warm centuries. Using this model to inform future dynamics for small ranges in biogeographic settings similar to the Bodie Mountains in California, extirpation of pikas appears highly likely under directional warming trends projected for the next century, even while populations in extensive cordillera (e.g., Sierra Nevada, Rocky Mountains, Cascade Range) are likely to remain viable due to extensive, diverse habitat and high connectivity.
[Mh] Termos MeSH primário: Distribuição Animal
Clima
Lagomorpha/fisiologia
Datação Radiométrica/veterinária
[Mh] Termos MeSH secundário: Animais
California
Nevada
Oregon
Dinâmica Populacional
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180108
[Lr] Data última revisão:
180108
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171207
[St] Status:MEDLINE


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[PMID]:29210230
[Au] Autor:Merschel AG; Spies TA; Heyerdahl EK
[Ti] Título:Mixed-conifer forests of central Oregon: effects of logging and fire exclusion vary with environment.
[So] Source:Ecol Appl;24(7):1670-88, 2014.
[Is] ISSN:1051-0761
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Twentieth-century land management has altered the structure and composition of mixed-conifer forests and decreased their resilience to fire, drought, and insects in many parts of the Interior West. These forests occur across a wide range of environmental settings and historical disturbance regimes, so their response to land management is likely to vary across landscapes and among ecoregions. However, this variation has not been well characterized and hampers the development of appropriate management and restoration plans. We identified mixed-conifer types in central Oregon based on historical structure and composition, and successional trajectories following recent changes in land use, and evaluated how these types were distributed across environmental gradients. We used field data from 171 sites sampled across a range of environmental settings in two subregions: the eastern Cascades and the Ochoco Mountains. We identified four forest types in the eastern Cascades and four analogous types with lower densities in the Ochoco Mountains. All types historically contained ponderosa pine, but differed in the historical and modern proportions of shade-tolerant vs. shade-intolerant tree species. The Persistent Ponderosa Pine and Recent Douglas-fir types occupied relatively hot­dry environments compared to Recent Grand Fir and Persistent Shade Tolerant sites, which occupied warm­moist and cold­wet environments, respectively. Twentieth-century selective harvesting halved the density of large trees, with some variation among forest types. In contrast, the density of small trees doubled or tripled early in the 20th century, probably due to land-use change and a relatively cool, wet climate. Contrary to the common perception that dry ponderosa pine forests are the most highly departed from historical conditions, we found a greater departure in the modern composition of small trees in warm­moist environments than in either hot­dry or cold­wet environments. Furthermore, shade-tolerant trees began infilling earlier in cold­wet than in hot­dry environments and also in topographically shaded sites in the Ochoco Mountains. Our new classification could be used to prioritize management that seeks to restore structure and composition or create resilience in mixed-conifer forests of the region.
[Mh] Termos MeSH primário: Coniferophyta/fisiologia
Conservação dos Recursos Naturais
Agricultura Florestal
Florestas
Incêndios Florestais
[Mh] Termos MeSH secundário: Meio Ambiente
Monitoramento Ambiental
Oregon
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180108
[Lr] Data última revisão:
180108
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171207
[St] Status:MEDLINE


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[PMID]:29185662
[Au] Autor:Halofsky JS; Halofsky JE; Burcsu T; Hemstrom MA
[Ti] Título:Dry forest resilience varies under simulated climate­management scenarios in a central Oregon, USA landscape.
[So] Source:Ecol Appl;24(8):1908-25, 2014.
[Is] ISSN:1051-0761
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Determining appropriate actions to create or maintain landscapes resilient to climate change is challenging because of uncertainty associated with potential effects of climate change and their interactions with land management. We used a set of climate-informed state-and-transition models to explore the effects of management and natural disturbances on vegetation composition and structure under different future climates. Models were run for dry forests of central Oregon under a fire suppression scenario (i.e., no management other than the continued suppression of wildfires) and an active management scenario characterized by light to moderate thinning from below and some prescribed fire, planting, and salvage logging. Without climate change, area in dry province forest types remained constant. With climate change, dry mixed-conifer forests increased in area (by an average of 21­26% by 2100), and moist mixed-conifer forests decreased in area (by an average of 36­60% by 2100), under both management scenarios. Average area in dry mixed-conifer forests varied little by management scenario, but potential decreases in the moist mixed-conifer forest were lower with active management. With changing climate in the dry province of central Oregon, our results suggest the likelihood of sustaining current levels of dense, moist mixed-conifer forests with large-diameter, old trees is low (less than a 10% chance) irrespective of management scenario; an opposite trend was observed under no climate change simulations. However, results also suggest active management within the dry and moist mixed-conifer forests that creates less dense forest conditions can increase the persistence of larger-diameter, older trees across the landscape. Owing to projected increases in wildfire, our results also suggest future distributions of tree structures will differ from the present. Overall, our projections indicate proactive management can increase forest resilience and sustain some societal values, particularly in drier forest types. However, opportunities to create more disturbance-adapted systems are finite, all values likely cannot be sustained at current levels, and levels of resilience success will likely vary by dry province forest type. Land managers planning for a future without climate change may be assuming a future that is unlikely to exist.
[Mh] Termos MeSH primário: Mudança Climática
Conservação dos Recursos Naturais/métodos
Agricultura Florestal/métodos
Florestas
[Mh] Termos MeSH secundário: Oregon
Pseudotsuga
Fatores de Tempo
Incêndios Florestais/prevenção & controle
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, U.S. GOV'T, NON-P.H.S.
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171221
[Lr] Data última revisão:
171221
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171201
[St] Status:MEDLINE


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[PMID]:28467283
[Au] Autor:Hughes KL; Bildfell RJ; Alcantar B
[Ad] Endereço:Department of Microbiology, Immunology and Pathology, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, Colorado (Hughes).
[Ti] Título:Pigmented tumors in fallow deer ( Dama dama): 11 cases.
[So] Source:J Vet Diagn Invest;29(4):483-488, 2017 Jul.
[Is] ISSN:1943-4936
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Pigmented tumors have been reported infrequently in captive deer. We document herein the clinical progression and gross and histopathologic features of pigmented tumors diagnosed as melanoma and pigmented schwannoma in 11 white fallow deer ( Dama dama). Affected animals were part of a captive herd maintained at a drive-through park in southern Oregon and were 5-17 y of age during the study period (2004-2013). Primary lesion locations included periocular, perineal, and neck tissues, with cutaneous and internal metastases later identified at autopsy in some cases of malignant melanoma. Diagnoses included 7 malignant melanomas, 2 benign melanomas, and 2 pigmented schwannomas. Diagnosis of melanoma was based on typical histomorphologic features, and final diagnosis of pigmented schwannomas was based on histomorphologic features with negative staining for melan A and positive staining for laminin. Metastasis was found in 3 of 7 cases diagnosed as malignant melanoma; 2 had extensive pulmonary involvement and resulted in euthanasia of the animal; 1 animal developed eyelid and ear lesions that also resulted in euthanasia.
[Mh] Termos MeSH primário: Cervos
Melanoma/veterinária
Neurilemoma/veterinária
[Mh] Termos MeSH secundário: Animais
Diagnóstico Diferencial
Feminino
Espécies Introduzidas
Masculino
Melanoma/diagnóstico
Melanoma/patologia
Neurilemoma/diagnóstico
Neurilemoma/patologia
Oregon
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171212
[Lr] Data última revisão:
171212
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE
[do] DOI:10.1177/1040638717707789


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[PMID]:29016491
[Au] Autor:Swartz JJ; Hainmueller J; Lawrence D; Rodriguez MI
[Ad] Endereço:Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, Oregon; and the Department of Political Science, the Immigration Policy Laboratory, and the Graduate School of Business, Stanford University, Stanford, California.
[Ti] Título:Expanding Prenatal Care to Unauthorized Immigrant Women and the Effects on Infant Health.
[So] Source:Obstet Gynecol;130(5):938-945, 2017 Nov.
[Is] ISSN:1873-233X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To measure the effect of access to prenatal care on unauthorized and low-income, new legal permanent resident immigrant women and their offspring. METHODS: We used a difference-in-differences design that leverages the staggered rollout of Emergency Medicaid Plus by county from 2008 to 2013 as a natural experiment to estimate the effect on health service utilization for women and health outcomes for their infants. Regular Medicaid pregnancies were used as an additional control in a triple difference design. RESULTS: Our sample included pregnancies covered by Emergency Medicaid (35,182), Emergency Medicaid Plus (12,510), and Medicaid (166,054). After expansion of access to prenatal care, there was an increase in prenatal visits (7.2 more visits, 95% CI 6.45-7.96), receipt of adequate prenatal care (28% increased rate, CI 26-31), rates of diabetes screening (61% increased rate, CI 56-66), and fetal ultrasonograms (74% increased rate, CI 72-76). Maternal access to prenatal care was also associated with an increased number of well child visits (0.24 more visits, CI 0.07-0.41), increased rates of recommended screenings and vaccines (0.04 increased probability, CI 0.002-0.074), and reduced infant mortality (-1.01/1,000, CI -1.42 to -0.60) and rates of extremely low birth weight (less than 1,000 g) (-1.33/1,000, CI -2.44 to -0.21). CONCLUSION: Our results provide evidence of increased utilization and improved health outcomes for unauthorized immigrants and their children who are U.S. citizens after introduction of prenatal care expansion in Oregon. This study contributes to the debate around reauthorization of the Children's Health Insurance Program in 2017.
[Mh] Termos MeSH primário: Saúde do Lactente/estatística & dados numéricos
Medicaid/estatística & dados numéricos
Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos
Cuidado Pré-Natal/estatística & dados numéricos
Imigrantes Indocumentados/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Emigrantes e Imigrantes/estatística & dados numéricos
Feminino
Acesso aos Serviços de Saúde/estatística & dados numéricos
Seres Humanos
Lactente
Mortalidade Infantil
Recém-Nascido
Oregon
Pobreza/estatística & dados numéricos
Gravidez
Resultado da Gravidez
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171111
[Lr] Data última revisão:
171111
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171011
[St] Status:MEDLINE
[do] DOI:10.1097/AOG.0000000000002275


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[PMID]:28986441
[Au] Autor:Robison SG; Dunn AG; Richards DL; Leman RF
[Ad] Endereço:Immunization Program and steve.g.robison@state.or.gov.
[Ti] Título:Changes in Influenza Vaccination Rates After Withdrawal of Live Vaccine.
[So] Source:Pediatrics;140(5), 2017 Nov.
[Is] ISSN:1098-4275
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Before the start of the 2016-2017 influenza season, the Advisory Committee on Immunization Practices withdrew its recommendation promoting the use of live attenuated influenza vaccines (LAIVs). There was concern that this might lessen the likelihood that those with a previous LAIV would return for an injectable influenza vaccine (IIV) and that child influenza immunization rates would decrease overall. METHODS: Using Oregon's statewide immunization registry, the ALERT Immunization Information System, child influenza immunization rates were compared across the 2012-2013 through 2016-2017 seasons. Additionally, matched cohorts of children were selected based on receipt of either an LAIV or an IIV during the 2015-2016 season. Differences between the IIV and LAIV cohorts in returning for the IIV in the 2016-2017 season were assessed. RESULTS: Overall, influenza immunization rates for children aged 2 to 17 years were unchanged between the 2015-2016 and 2016-2017 seasons. Children aged 3 to 10 with a previous IIV were 1.03 (95% confidence interval, 1.02 to 1.04) times more likely to return for an IIV in 2016-2017 than those with a previous LAIV, whereas children aged 11 to 17 years with a previous IIV were 1.08 (95% confidence interval, 1.05 to -1.09) times more likely to return. CONCLUSIONS: Withdrawal of the LAIV recommendation was not associated with an overall change in child influenza immunization rates across seasons. Children with a previous (2015-2016) IIV were slightly more likely to return during the 2016-2017 season for influenza immunization than those with a previous LAIV.
[Mh] Termos MeSH primário: Imunização/tendências
Vacinas contra Influenza/uso terapêutico
Influenza Humana/epidemiologia
Influenza Humana/prevenção & controle
Retirada de Medicamento Baseada em Segurança/tendências
[Mh] Termos MeSH secundário: Adolescente
Criança
Pré-Escolar
Estudos de Coortes
Feminino
Seres Humanos
Masculino
Oregon/epidemiologia
Sistema de Registros
Estações do Ano
Vacinas Atenuadas/uso terapêutico
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Influenza Vaccines); 0 (Vaccines, Attenuated)
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171008
[St] Status:MEDLINE


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[PMID]:28975232
[Au] Autor:Hedberg K; New C
[Ad] Endereço:From Oregon Health Authority, Portland, Oregon.
[Ti] Título:Oregon's Death With Dignity Act: 20 Years of Experience to Inform the Debate.
[So] Source:Ann Intern Med;167(8):579-583, 2017 Oct 17.
[Is] ISSN:1539-3704
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Twenty years ago, Oregon voters approved the Death With Dignity Act, making Oregon the first state in the United States to allow physicians to prescribe medications to be self-administered by terminally ill patients to hasten their death. This report summarizes the experience in Oregon, including the numbers and types of participating patients and providers. These data should inform the ongoing policy debate as additional jurisdictions consider such legislation.
[Mh] Termos MeSH primário: Suicídio Assistido/ética
Suicídio Assistido/legislação & jurisprudência
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Política de Saúde/legislação & jurisprudência
Seres Humanos
Meia-Idade
Oregon
Papel do Médico
Suicídio Assistido/estatística & dados numéricos
Doente Terminal/legislação & jurisprudência
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171025
[Lr] Data última revisão:
171025
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171005
[St] Status:MEDLINE
[do] DOI:10.7326/M17-2300



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