Cadernos de saude publica最新文献

[The symbolic value of drug use for ill-housed people: drug that kills and nourishes]. [对住房条件差的人来说，吸毒的象征意义：毒品既能杀人又能滋养人]。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2024-11-04 eCollection Date: 2024-01-01 DOI: 10.1590/0102-311XPT173323

Claudia Brito, Valeska Holst Antunes

{"title":"[The symbolic value of drug use for ill-housed people: drug that kills and nourishes].","authors":"Claudia Brito, Valeska Holst Antunes","doi":"10.1590/0102-311XPT173323","DOIUrl":"10.1590/0102-311XPT173323","url":null,"abstract":"Drugs have been consumed since ancient times, and their taboo has generated segregation and hindered the proper confrontation of harmful use. This study investigated the real and symbolic values of drug use for ill-housed people beyond pathologization, seeking to understand factors that hinder giving them up, even with intense losses and suffering. It also aimed to understand its implications for health care. This is a phenomenological qualitative research based on participant observation of ill-housed people care provided by the Street Clinic, interviews with ill-housed people and focus group with professionals from the Health Care Network in Rio de Janeiro city, Brazil, between March 2017 and July 2019. Results showed that \"drug use\" interacted with the research categories as follows: drugs are the main reason for living and staying on the streets; drugs motivate having financial activity; drugs cause abandonment of health treatment; drugs soothe and cause depression, suffering and hunger; drugs make them seek shelter and religion to \"escape\" using, but without adequate treatment hope leads to relapse and low self-esteem - which one want to get rid of, but few successes undermine hope. As expected, it is the reason for divergences among professionals regarding the type of care and support for ill-housed people. Given the results, how can we face abusive use that relieves hunger, loneliness, suffering and depression? How to take care of a use that generates hunger, depression, affective, health and self-esteem losses? A cyclical story told by people in situations of extreme vulnerability. Unveiling the symbolic plurality of drug use enables reflections and new ways of caring for ill-housed people.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"40 10","pages":"e00173323"},"PeriodicalIF":1.9,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11540263/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142581460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Impact of telediagnostics on hospitalizations due to cardiovascular diseases: an approach in municipalities of Bahia State, Brazil]. [远程诊断对心血管疾病住院治疗的影响：巴西巴伊亚州各市的做法]。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2024-11-04 eCollection Date: 2024-01-01 DOI: 10.1590/0102-311XPT088123

Thiago Gonçalves do Nascimento Piropo, Francisco de Sousa Ramos

{"title":"[Impact of telediagnostics on hospitalizations due to cardiovascular diseases: an approach in municipalities of Bahia State, Brazil].","authors":"Thiago Gonçalves do Nascimento Piropo, Francisco de Sousa Ramos","doi":"10.1590/0102-311XPT088123","DOIUrl":"10.1590/0102-311XPT088123","url":null,"abstract":"Hospitalization costs due to cardiovascular diseases are high. In 2019, for Bahia State, Brazil, alone, they exceeded BRL 153 million for the Brazilian Unified National Health System, surpassing the costs of cancer hospitalizations. This fact will show an upward trend with the increase in life expectancy in Brazil (7.3 years more by 2060). Introducing new technologies can mitigate the problem. This study analyzes the impact of telediagnostics in electrocardiogram on hospitalizations for cardiovascular diseases in 326 municipalities in Bahia from 2014 to 2020. Diff-in-diff estimator method was used for analysis of the periods before and after the implementation of telediagnostics in Bahia. Results show that the municipalities which introduced the new technology reduced cardiovascular diseases hospitalizations by 6 for each additional year. In the case of families benefiting from the Brazilian Income Transfer Program, the reduction was 3.26 hospitalizations, and 3.08 among municipalities with the specialized service. Hospitalization increase by 7.66 in the 30 to 59 age group and by 5.34 among men for each additional year. Results show a reduction of 1.15 hospitalizations for rheumatologic heart diseases and 1.39 among diabetic people. In terms of ethnicity/color, underreporting was identified in the conditions studied, resulting in more severe prognoses for blacks. Telediagnostics was effective in reducing this inequality by expanding access and reducing hospitalizations, playing a crucial role in public health and impacting mortality reduction. The theme, therefore, deserves further studies with different samples and sample periods.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"40 10","pages":"e00088123"},"PeriodicalIF":1.9,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11540269/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142581291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Intersectoral actions and the recognition of a source of primary care for Brazilian adolescents]. [跨部门行动和对巴西青少年初级保健来源的认可]。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2024-11-04 eCollection Date: 2024-01-01 DOI: 10.1590/0102-311XPT195923

Maísa Mônica Flores Martins, Nília Maria de Brito Lima Prado, Leila Denise Alves Ferreira Amorim, Ana Luiza Queiroz Vilasbôas, Rosana Aquino

{"title":"[Intersectoral actions and the recognition of a source of primary care for Brazilian adolescents].","authors":"Maísa Mônica Flores Martins, Nília Maria de Brito Lima Prado, Leila Denise Alves Ferreira Amorim, Ana Luiza Queiroz Vilasbôas, Rosana Aquino","doi":"10.1590/0102-311XPT195923","DOIUrl":"10.1590/0102-311XPT195923","url":null,"abstract":"This study aimed to analyze the association between the development of intersectoral actions between school/primary health care (PHC) services and the recognition of a usual source of care of PHC among Brazilian adolescents. This is a cross-sectional study, from the Brazilian National Survey of School Health (2015) conducted with a complex sampling of 97,903 adolescents. The association between intersectoral actions between PHC services and schools and the recognition of a usual source of care of PHC were estimated by the prevalence ratio (PR), using the logistic regression model and considering the sample weight factor with Stata 14.0 Of the analyzed adolescents, 72.8% of them studied in schools that developed intersectoral actions with PHC services. Among adolescent students from schools that developed intersectoral actions, an association was observed between the recognition of usual source of care of PHC and intersectoral actions (PR = 1.11; 95%CI: 1.08-1.14). When analyzed for actions of the School Health Program (PR = 1.40; 95%CI: 1.37-1.43), and the development of actions between the school and PHC services (PR = 1.08; 95%CI: 1.05-1.12). The results show that there is a positive association between the recognition of PHC services as a usual source of care and intersectoral actions. However, from the perspective of an intersectoral practice, there are challenges in the articulation between health and education sectors for implementing prevention and promoting adolescent health in school. They involve greater knowledge about the adolescents' perception of the quality of the service offered by health units.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"40 10","pages":"e00195923"},"PeriodicalIF":1.9,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11540268/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142581300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Organizational roles, work-family conflict, job satisfaction, and mental health of teachers regarding affective organizational commitment]. [教师的组织角色、工作与家庭冲突、工作满意度和心理健康与情感组织承诺]。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2024-11-04 eCollection Date: 2024-01-01 DOI: 10.1590/0102-311XPT143723

Virgínia D Carvalho

{"title":"[Organizational roles, work-family conflict, job satisfaction, and mental health of teachers regarding affective organizational commitment].","authors":"Virgínia D Carvalho","doi":"10.1590/0102-311XPT143723","DOIUrl":"10.1590/0102-311XPT143723","url":null,"abstract":"To examine multiple relations between organizational roles, work-family conflict, job satisfaction, mental health, and affective organizational commitment among basic education teachers, a cross-sectional study was conducted with a sample of 438 respondents, to whom the Scale for the Assessment of Psychosocial Stressors in the Workplace (EAEPCL, acronym in Portuguese), the General Job Satisfaction Scale, the General Health Questionnaire (GHQ-12) and the Reduced Affective Organizational Commitment Scale (ECOA, acronym in Portuguese) were applied. Data were analyzed by structural equation modeling and the estimated measurement model indicated convergent and discriminant validity, as well as reliability regarding the latent variables used. Direct effects of conflict and role ambiguity on job satisfaction, common mental disorders (CMD) and affective organizational commitment were observed, as well as indirect effects on the latter two mediated by job satisfaction. As for role overload, its direct effects occurred only in relation to job satisfaction, the latter mediating the effect of the former on CMD and affective commitment, whereas work-family conflict mediated the effect of role overload on CMD. These results highlight the harmful effects of role stressors and job (dis)satisfaction on the mental health of teachers by making them more vulnerable to developing CMD and indicate how these can affect results of interest to the institutions studied, such as affective commitment in school organizations.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"40 10","pages":"e00143723"},"PeriodicalIF":1.9,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11540267/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142581367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

On the margins of suicide: everyday horizons, turning points and trajectories of protection in peripheral young women. 自杀的边缘：边缘年轻女性的日常视野、转折点和保护轨迹。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2024-11-04 eCollection Date: 2024-01-01 DOI: 10.1590/0102-311XEN055824

Orli Carvalho da Silva Filho, Joviana Quintes Avanci, Simone Gonçalves de Assis

{"title":"On the margins of suicide: everyday horizons, turning points and trajectories of protection in peripheral young women.","authors":"Orli Carvalho da Silva Filho, Joviana Quintes Avanci, Simone Gonçalves de Assis","doi":"10.1590/0102-311XEN055824","DOIUrl":"10.1590/0102-311XEN055824","url":null,"abstract":"Suicidal behavior and non-suicidal self-harm in vulnerable groups and population minorities pose a challenge for suicidology, complicating the universality of suicide. The goal of this paper is to analyze the lives of young women from marginalized communities, considering their experiences with suicidality and their relational and violent horizons. Nine women who took part in the fifth wave of a cohort on mental health and violence (2005-2022) in São Gonçalo, Rio de Janeiro State, Brazil, were interviewed (2022) about the contexts that kept them from committing suicide despite significant emotional distress from childhood through youth. From theme-based content analysis, three categories stood out and may contribute to an intersectional, decolonial and socially relevant approach to preventing self-destructive behavior. In the first, views on self-inflicted violence, better explained by the cores concepts of \"sin\" and \"illness\" than by the general violence they experienced. In the second, indirect references to self-harm behavior, where it was recognized that the use of euphemisms reflects not only the taboo but also the silencing of and discrimination against minorities. In the third, layers of protection and turning points, where \"spirituality\", \"occupation\" and \"motherhood\" were interpreted as the main associations between factors of protection and resilience in the trajectories and daily lives of these young women. A closer look that acknowledges the humanity, rights and psychological distress of groups subjected to violence and discrimination not only enhances care and prevention of suicidal behavior but also deepens understanding of this human and universal phenomenon.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"40 10","pages":"e00055824"},"PeriodicalIF":1.9,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11540280/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142581470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Descriptive study of events allegedly attributable to mpox vaccination in Brazil in 2023]. [2023 年巴西发生的据称可归因于麻痘疫苗接种的事件的描述性研究]。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2024-11-04 eCollection Date: 2024-01-01 DOI: 10.1590/0102-311XPT006624

Roberta Mendes Abreu Silva, Carla Dinamerica Kobayashi, Adriano Ferreira Martins, Ana Catarina de Melo Araújo, Paulo Henrique Santos Andrade, Martha Elizabeth Brasil da Nóbrega, Cibelle Mendes Cabral, Monica Brauner de Moraes, Felipe Daniel Cardoso, Thayssa Neiva da Fonseca Victer, Amanda Krummenauer, Rodrigo Otávio Pereira Sayago Soares, Eder Gatti Fernandes, Jadher Percio

{"title":"[Descriptive study of events allegedly attributable to mpox vaccination in Brazil in 2023].","authors":"Roberta Mendes Abreu Silva, Carla Dinamerica Kobayashi, Adriano Ferreira Martins, Ana Catarina de Melo Araújo, Paulo Henrique Santos Andrade, Martha Elizabeth Brasil da Nóbrega, Cibelle Mendes Cabral, Monica Brauner de Moraes, Felipe Daniel Cardoso, Thayssa Neiva da Fonseca Victer, Amanda Krummenauer, Rodrigo Otávio Pereira Sayago Soares, Eder Gatti Fernandes, Jadher Percio","doi":"10.1590/0102-311XPT006624","DOIUrl":"10.1590/0102-311XPT006624","url":null,"abstract":"This study describes the surveillance and safety actions of the mpox (Jynneos) vaccine in Brazil, from 2022 to 2023. A descriptive study of mpox cases and events supposedly attributable to vaccination and/or immunization for Jynneos vaccine, recorded in the information systems, was conducted. Absolute and relative frequencies and reporting coefficients of events supposedly attributable to vaccination and/or immunization per 1,000 administered doses were calculated. A total of 9,596 cases of mpox were registered and 49,000 doses of vaccine were distributed, of which 14,395 (31%) were administered and 65 events supposedly attributable to vaccination and/or immunization (4.5 per 1,000 administered doses) were notified. All events supposedly attributable to vaccination and/or immunization were non-serious, and 22 (33.8%) cases had product-related reactions. Results are within the expected frequency; however, the number of administered doses may not have been sufficient to detect rare or unusual events. Continued surveillance is necessary to ensure vaccination effectiveness and safety, especially among groups at higher risk for the disease.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"40 10","pages":"e00006624"},"PeriodicalIF":1.9,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11540264/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142581284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Socioeconomic inequalities in health problems in the first two years of life: Pelotas (Brazil) birth cohort, 2015. 出生头两年健康问题的社会经济不平等：佩洛塔斯（巴西）出生队列，2015 年。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2024-10-18 eCollection Date: 2024-01-01 DOI: 10.1590/0102-311XEN208022

Bruno Pereira Nunes, Thaynã Ramos Flores, Vanessa Iribarrem Avena Miranda, Bárbara Heather Lutz, Marília Cruz Guttier, Marysabel Silveira, Andréa Dâmaso Bertoldi

{"title":"Socioeconomic inequalities in health problems in the first two years of life: Pelotas (Brazil) birth cohort, 2015.","authors":"Bruno Pereira Nunes, Thaynã Ramos Flores, Vanessa Iribarrem Avena Miranda, Bárbara Heather Lutz, Marília Cruz Guttier, Marysabel Silveira, Andréa Dâmaso Bertoldi","doi":"10.1590/0102-311XEN208022","DOIUrl":"https://doi.org/10.1590/0102-311XEN208022","url":null,"abstract":"Brazil is characterized by an unfinished agenda of health inequalities, which impact health problems in the childhood. This study aimed to evaluate the socioeconomic inequalities of health problems in the early childhood. This is a prospective study, using data from the birth cohort carried out in the city of Pelotas (Rio Grande do Sul State, Brazil) in 2015. The outcomes were health problems presented at 12 and 24 months: cough, breathing difficulty, diarrhea, ear pain, pneumonia, urinary infection, hospitalization, and other health problems. Socioeconomic inequalities were measured applying the slope index of inequality (SII) and the concentration index (CIX), with wealth index and maternal schooling being the socioeconomic variables. The inequalities in the number of health problems were evaluated by Poisson regression. The perinatal sample comprised 4,275 children. At 12 months approximately 74% of the children presented 1 or more health problems, while at 24 months, approximately 44% presented 2 or more health problems. For all period, the mean number of health problems was 2.9 (standard deviation = 2.0). Higher frequencies were observed for children belonging to the poorest income quintile and with lower maternal education, except for 1 or more health problems at 24 months. The greatest absolute and relative inequality was observed for 2 or more health problems at 12 months (SII: -0.23, 95%CI: -0.29; -0.18 and CIX: -0.19, 95%CI: -0.25; -0.14). There is an opposite dose-response relation for the risk of accumulation of health problems according to maternal schooling (1.07, 95%CI: 1.04; 1.09) and wealth categories (1.03, 95%CI: 1.01; 1.04), in the full adjusted models. The study confirms inequalities due to health problems in Brazilian children, especially in the first year of life.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"40 10","pages":"e00208022"},"PeriodicalIF":1.9,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11488821/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142495630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Physical activity: a neglected therapy for dementia. 体育活动：一种被忽视的痴呆症治疗方法。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2024-10-18 eCollection Date: 2024-01-01 DOI: 10.1590/0102-311XEN216123

Natan Feter, Jayne Feter, Gustavo S Silva, Maria Inês Schmidt, Airton José Rombaldi

引用次数: 0

Educational strategies for preventing accidents in childhood: a systematic review. 预防儿童意外事故的教育策略：系统综述。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2024-10-18 eCollection Date: 2024-01-01 DOI: 10.1590/0102-311XEN036224

Gabriela Garcia de Carvalho Laguna, Ana Luiza Ferreira Gusmão, Breno Oliveira Marques, Níkolas Brayan da Silva Bragas, Gabriela Alves de Souza Assis, Karolaine da Costa Evangelista, Natália Oliveira E Silva

{"title":"Educational strategies for preventing accidents in childhood: a systematic review.","authors":"Gabriela Garcia de Carvalho Laguna, Ana Luiza Ferreira Gusmão, Breno Oliveira Marques, Níkolas Brayan da Silva Bragas, Gabriela Alves de Souza Assis, Karolaine da Costa Evangelista, Natália Oliveira E Silva","doi":"10.1590/0102-311XEN036224","DOIUrl":"https://doi.org/10.1590/0102-311XEN036224","url":null,"abstract":"Accidents in childhood have a high morbidity and mortality rate and are often preventable, which reinforces the importance of educational measures to prevent unintentional injuries. This study aimed to identify and describe useful educational strategies for preventing childhood accidents in communities. This systematic review was guided by PRISMA (2020) and registered on the PROSPERO platform (ID: CRD42024500956). A search strategy was developed by combining the descriptors \"Accident Prevention\", \"Child\", and \"Health Education\" with the Boolean operator AND, applied to the PubMed/MEDLINE, Web of Science, LILACS, and SciELO databases. A total of 5,037 studies were located, including observational articles published from 2018 to 2023, with children aged 0-12 years and/or their parents/caregivers. The quality of the studies was assessed based on the Qualitative Studies Checklist and the Research Triangle Institute Item Bank instruments. The bibliographic sample consisted of 30 articles, mostly classified as high quality, with a population of 4,510 adults and 54,190 children from various countries. Educational strategies for accident prevention were described, aimed at parents and guardians, children, and both. This review, addressing innovative educational strategies for preventing childhood accidents, highlights playful approaches for children and visual methods for caregivers. Implementation faces challenges related to evaluation and socioeconomic factors, making rigorous criteria and prolonged follow-ups important for continuous effectiveness.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"40 10","pages":"e00036224"},"PeriodicalIF":1.9,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11488823/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142495627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Health Policy, Planning, and Management: reflections based on CSP's experience. 卫生政策、规划和管理：基于 CSP 经验的思考。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2024-10-18 eCollection Date: 2024-01-01 DOI: 10.1590/0102-311XEN164524

Luciana Dias de Lima, Mônica Martins

引用次数: 0