Toxocariasis: Incidence, Prevalence And The Time Serum Remains Positive In School Children From Campinas, Sp, Brazil

[No abstract available]563215216Won, K.Y., Deanna, K.-M., Peter, M.S., National seroprevalence and risk factors for zoonotic toxocara spp. infection (2008) Am J Trop Med Hyg, 79, pp. 552-557Pawlowsky, Z., Toxocariasis in humans: clinical expression and treatment dilemma (2001) J Helminthol, 75, pp. 299-305Zarnowska, H., Borecka, A., Gawor, J., A serological and epidemiological evaluation of risk factors for toxocariasis in children in central Poland (2008) J Helminthol, 82, pp. 123-12

Landfills As Risk Factors For Respiratory Disease In Children [o Aterro Sanitário Como Fator De Risco Para Doenças Respiratórias Em Crianças]

Objective: To investigate the relationship between exposure to a landfill site closed 6 years previously and respiratory symptoms in children aged up to 13 years. Methods: This was a cross-sectional study conducted in Várzea Paulista, in the state of São Paulo, Brazil. One adult in every household in a neighborhood close to the landfill and from a randomized sample of households in another neighborhood with similar socioeconomic characteristics but no landfill were interviewed and asked about respiratory symptoms and other variables relating to children aged up to 13. A logistic regression model was used to study this relationship. Results: The likelihood of a child having respiratory symptoms was a function of -2.36 + 0.43 if the child was less than 2 years old; + 0.24 if the child lived in the landfill area; -0.67 if there was a computer at home; + 0.54 if firewood was burnt in the home in the last year; + 0.94 if the child was diagnosed with asthma; + 0.87 if the child visited a health service in the previous 30 days. Conclusion: The authors conclude that living near to a landfill closed 6 years previously may be a risk factor for respiratory diseases in children. Copyright © 2011 by Sociedade Brasileira de Pediatria.874319324Mello-Da-Silva, C.A., Fruchtengarten, L., Riscos químicos ambientais à saúde da criança (2005) J Pediatr, 81, pp. S205-S211. , Rio JBellamy, C., Healthy environments for children (2003) Bulletin of the World Health Organization, 81 (3), p. 157Dherani, M., Pope, D., Mascarenhas, M., Smith, K.R., Weber, M., Bruce, N., Indoor air pollution from unprocessed solid fuel use and pneumonia risk in children aged under five years: A systematic review and meta-analysis (2008) Bull World Health Organ, 86, pp. 390-38CLai, K., Emberlin, J., Colbeck, I., Outdoor environments and human pathogens in air (2009) Environ Health, 8 (SUPPL. 1), pp. S15Mendell, M.J., Indoor residential chemical emissions as risk factors for respiratory and allergic effects in children: A review (2007) Indoor Air, 17 (4), pp. 259-277. , DOI 10.1111/j.1600-0668.2007.00478.xElliott, L., Arbes, S.J., Harvey, E.S., Lee, R.C., Salo, P.M., Cohn, R.D., Dust weight and asthma prevalence in the National Survey of Lead and Allergens in Housing (NSLAH) (2007) Environ Health Perspect, 115, pp. 215-220Classificação do gás proveniente de aterro sanitário (2007) Superintendência de Comercialização e Movimentação de Petróleo, Seus Derivados e Gás Natural (SCM), Superintendência de Abastecimento (SAB), Superintendência de Qualidade de Produtos (SQP), Superintendência de Refino e Processamento de Gás Natural (SRP), p. 7. , ANP ANdP. Petróleo ANd, edSisinno, C.L., Moreira, J.C., Evaluation of environmental contamination and pollution at the area under the influence of the Morro do Céu landfill dump in Niterói, Rio de Janeiro, Brazil (1996) Cad Saude Publica, 12, pp. 515-523Heller, L., Antunes, C.C.A., Solid waste disposal in urban areas and health - The case of Belo Horizonte, Brazil (2003) Waste Management and Research, 21 (6), pp. 549-556Gelberg, K.H., Health study of New York City department of Sanitation landfill employees (1997) Journal of Occupational and Environmental Medicine, 39 (11), pp. 1103-1110. , DOI 10.1097/00043764-199711000-00011Deloraine, A., Zmirou, D., Tillier, C., Boucharlat, A., Bouti, H., Case-control assessment of the short-term health effects of an industrial toxic waste landfill (1995) Environ Res, 68, pp. 124-132Pukkala, E., Ponka, A., Increased incidence of cancer and asthma in houses built on a former dump area (2001) Environmental Health Perspectives, 109 (11), pp. 1121-1125Porta, D., Milani, S., Lazzarino, A.I., Perucci, C.A., Forastiere, F., Systematic review of epidemiological studies on health effects associated with management of solid waste (2009) Environ Health, 8, p. 60Kundi, M., Causality and the interpretation of epidemiologic evidence (2007) Cien Saude Colet, 12, pp. 419-428Wu, F., Takaro, T.K., Childhood asthma and environmental interventions (2007) Environmental Health Perspectives, 115 (6), pp. 971-975. , http://www.ehponline.org/members/2007/8989/8989.pdf, DOI 10.1289/ehp.8989Valent, F., Little, D., Tamburlini, G., Barbone, F., Burden of disease attributable to selected environmental factors and injuries among Europe's children and adolescents (2004) WHO Environmental Burden of Disease Series, (8). , Geneva: WHOAgresti, A., (2002) Categorical Data Analysis, p. 526. , 2. ed. New Jersey: John Wiley & SonsWehrmeister, F.C., Peres, K.G., Desigualdades regionais na prevalência de diagnóstico de asma em crianças: Uma análise da Pesquisa Nacional por Amostra de Domicílios, 2003 (2010) Cad Saude Publica, 26, pp. 1839-1852Lima, R.G., Pastorino, A.C., Casagrande, R.R., Sole, D., Leone, C., Jacob, C.M., Prevalência das doenças alérgicas em crianças de 6 a 7 anos na região oeste da cidade de São Paulo (2007) Clinics, 62, pp. 225-234Soares, M.J.G., Marcopito, L.F., Neves, A.A., De Freitas, T.B., Lima, E.S.A.N., Prevalence of asthma and asthma symptoms among 13 and 14-year-old schoolchildren, Brazil (2004) Revista de Saude Publica, 38 (2), pp. 292-299Khot, A., Burn, R., Evans, N., Seasonal variation and time trends in childhood asthma in England and Wales 1975-81 (1984) British Medical Journal, 289 (6439), pp. 235-237Bartra, T.J., Mullol, J., Del, C.A., Davila, I., Ferrer, M., Jauregui, I., Montoro, J., Valero, A., Air pollution and allergens (2007) Journal of Investigational Allergology and Clinical Immunology, 17 (SUPPL.2), pp. 3-8. , http://www.jiaci.org/issues/vol17s2/2.pdfDeǧer, L., Plante, C., Goudreau, S., Smargiassi, A., Perron, S., Thivierge, R.L., Home environmental factors associated with poor asthma control in Montreal children: A population-based study (2010) J Asthma, 47, pp. 513-520Fullerton, D.G., Bruce, N., Gordon, S.B., Indoor air pollution from biomass fuel smoke is a major health concern in the developing world (2008) Trans R Soc Trop Med Hyg, 102, pp. 843-851Patel, S.P., Järvelin, M.R., Little, M.P., Systematic review of worldwide variations of the prevalence of wheezing symptoms in children (2008) Environ Health, 7, p. 57(2007) Critério Padrão de Classificação Econômica Brasil/2008: O Novo Critério Padrão de Classificação Econômica Brasil, , http://www.viverbem.fmb.unesp.br/docs/classificacaobrasil.pdf, ABEP. Acesso: 27/10/10Campagna, D., Kathman, S.J., Pierson, R., Inserra, S.G., Phifer, B.L., Middleton, D.C., Zarus, G.M., White, M.C., Ambient hydrogen sulfide, total reduced sulfur, and hospital visits for respiratory diseases in northeast Nebraska, 1998-2000 (2004) Journal of Exposure Analysis and Environmental Epidemiology, 14 (2), pp. 180-187. , DOI 10.1038/sj.jea.7500313(2011) What Are Six Common Air Pollutants?, , U.S.A. U.S. Environmental Protection AgencyMoffatt, M.F., Gut, I.G., Demenais, F., Strachan, D.P., Bouzigon, E., Heath, S., A large-scale, consortium-based genomewide association study of asthma (2010) N Engl J Med, 363, pp. 1211-1221Nguyen, T., Lurie, M., Gomez, M., Reddy, A., Pandya, K., Medvesky, M., The National Asthma Survey - New York State: Association of the home environment with current asthma status (2010) Public Health Rep, 125, pp. 877-887Apter, A.J., Communities and health: The case of inner-city violence and asthma (2010) LDI Issue Brief, 16, pp. 1-4Bush, A., Saglani, S., Management of severe asthma in children (2010) Lancet, 376, pp. 814-82

Association Between Unilateral Tonsillar Enlargement And Lymphoma In Children: A Systematic Review And Meta-analysis

Lymphoma is the most common head and neck malignancy in children, and palatine tonsils asymmetry is the most frequent clinical manifestation of tonsillar lymphoma. However, several studies with children with tonsillar asymmetry found no case of lymphoma, showing that the relationship of tonsillar asymmetry with lymphoma is unclear. In this review, we aimed to identify the association between tonsillar asymmetry and tonsillar lymphoma in children by conducting systematic reviews of the literature on children with palatine tonsil lymphoma and tonsillar asymmetry. Articles comprising the paediatric age group (up to 18 years) with information concerning clinical manifestations of tonsillar lymphoma or the diagnosis of the tonsillar asymmetry were included. The main cause of asymmetry of palatine tonsils was lymphoid hyperplasia, followed by lymphoma and nonspecific benign changes. The asymmetry of tonsils was present in 73.2% of cases of lymphoma. There was an association between asymmetric palatine tonsils and lymphoma, with a likelihood ratio of 43.5 for children with asymmetry of palatine tonsils and 8938.4 for children with asymmetry of tonsils and other signs of suspicion for malignancy. We also provide recommendations on the management of suspicious cases of palatine tonsil lymphoma.933304311Kaatsch, P., Epidemiology of childhood cancer (2010) Cancer Treat Rev, 36, pp. 277-285Sengupta, S., Pal, R., Clinico pathological correlates of pediatric head and neck cancer (2009) J Cancer Res Ther, 5 (3), pp. 181-185Mohammadianpanah, M., Omidvai, S., Mosalei, A., Treatment results of tonsillar lymphoma: a 10-year experience (2005) Ann Hematol, 84, pp. 223-226Guimarães, A.C., de Carvalho, G.M., Bento, L.R., Correa, C., Gusmão, R.J., Clinical manifestations in children with tonsillar lymphoma: a systematic review (2014) Crit Rev Oncol Hematol, 90 (2), pp. 146-151Urquhart, A., Berg, R., Hodgkin's and non-Hodgkin's lymphoma of the head and neck (2001) Laryngoscope, 111 (9), pp. 1565-1569Mohammadianpanah, M., Daneshbod, Y., Ramzi, M., Primary tonsillar lymphomas according to the new World Health Organization classification: to report 87 cases and literature review and analysis (2010) Ann Hematol, 89 (10), pp. 993-1001Vega, F., Lin, P., Medeiros, L.J., Extranodal lymphomas of the head and neck (2005) Ann Diagn Pathol, 9 (6), pp. 340-350Gao, Y., Li, Y., Yuan, Z., Prognostic factors in patients with primary non-Hodgkin's lymphoma of the tonsil (2002) Zhonghua Zhong Liu Za Zhi, 24 (5), pp. 483-485Harley, E.H., Asymmetric tonsil size in children (2002) Arch Otolaryngol Head Neck Surg, 128 (7), pp. 767-769van Lierop, A.C., Prescott, C.A., Fagan, J.J., Sinclair-Smith, C.C., Is diagnostic tonsillectomy indicated in all children with asymmetrically enlarged tonsils? (2007) S Afr Med J, 97 (5), pp. 367-370Cinar, F., Significance of asymptomatic tonsil asymmetry (2004) Otolaryngol Head Neck Surg, 131 (1), pp. 101-103Berkowitz, R.G., Mahadevan, M., Unilateral tonsillar enlargement and tonsillar lymphoma in children (1999) Ann Otol Rhinol Laryngol, 108, pp. 876-879Spinou, E., Kubba, H., Konstantinidis, I., Tonsillectomy for biopsy in children with unilateral tonsillar enlargement (2002) Int J Pediatr Otorhinolaryngol, 63, pp. 15-17Akcay, A., Kara, C.O., Dagdeviren, E., Zencir, M., Variation in tonsil size in 4- to 17-year-old schoolchildren (2006) J Otolaryngol, 35 (4), pp. 270-274Liberati, A., Altman, D.G., Tetzlaff, J., The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration (2009) BMJ, 339, p. b2700Amit, S., Purwar, N., Agarwal, A., Lalchandani, D., Tonsillar follicular lymphoma in a child (2012) BMJ Case Rep, 2012. , pii: bcr2012006848Ballin, A.C., Koerner, H.N., Ballin, C.H., Palatine tonsils asymmetry: 10 years experience of the otorhinolaryngology service of the Clinical Hospital of the Federal University of Paraná (2011) Int Arch Otorhinolaryngol, 15 (1), pp. 67-71Banthia, V., Jen, A., Kacker, A., Sporadic Burkitt's lymphoma of the head and neck in the pediatric population (2003) Int J Pediatr Otorhinolaryngol, 67 (1), pp. 59-65Booth, C.L., Wang, J., Occult hematologic malignancy in routine tonsillectomy specimens: a single institutional experience and review of the literature (2013) Am J Clin Pathol, 140 (6), pp. 807-812Broughton, S., McClay, J.E., Murray, A., The effectiveness of tonsillectomy in diagnosing lymphoproliferative disease in pediatric patients after liver transplantation (2000) Arch Otolaryngol Head Neck Surg, 126 (12), pp. 1444-1447Cianci, P., Tono, V., Sala, A., A boy with Burkitt lymphoma associated with Noonan syndrome due to a mutation in RAF1 (2013) Am J Med Genet A, 161 A (6), pp. 1401-1404Dolev, Y., Daniel, S.J., The presence of unilateral tonsillar enlargement in patients diagnosed with palatine tonsil lymphoma: experience at a tertiary care pediatric hospital (2008) Int J Pediatr Otorhinolaryngol, 72 (1), pp. 9-12Garavello, W., Romagnoli, M., Sordo, L., Incidence of unexpected malignancies in routine tonsillectomy specimens in children (2004) Laryngoscope, 114, pp. 1103-1105García-Ortega, F.P., BonnínOtal, J., Durán, R., Carreño Villarreal, M., AlemánLópez, O., MalluguizaCalvo, J.R., Burkitt lymphoma of a palatine tonsil (1999) Acta Otorrinolaringol Esp, 50 (7), pp. 579-582Gheorghe, G., Albano, E.A., Porter, C.C., Posttransplant Hodgkin lymphoma preceded by polymorphic posttransplant lymphoproliferative disorder: report of a pediatric case and review of the literature (2007) J Pediatr Hematol Oncol, 29 (2), pp. 112-116Guimarães, A.C., Carvalho, G.M., Gusmão, R.J., Linfoma tonsilar em crianças com assimetria tonsilar (2012) Rev Paul Pediatr, 30 (2), pp. 288-291Kraus, M.D., Crawford, D.F., Kaleem, Z., Shenoy, S., MacArthur, C.A., Longtine, J.A., T gamma/delta hepatosplenic lymphoma in a heart transplant patient after an Epstein-Barr virus positive lymphoproliferative disorder: a case report (1998) Cancer, 82 (5), pp. 983-992Meirelles, R.C., Figueiredo, F.A., Vidal, A.R.C., Casali, A.R., Atherino, C.C.T., Burkitt's lymphoma with initial tonsil involvement: report of two cases (1998) Rev Bras Otorrinolaringol, 64 (1), pp. 62-66Oluwasanmi, A.F., Wood, S.J., Baldwin, D.L., Sipaul, F., Malignancy in asymmetrical but otherwise normal palatine tonsils (2006) Ear Nose Throat J, 85 (10), pp. 661-663Papoiliakos, S., Karkos, P.D., Korres, G., Comparison of clinical and histopathological evaluation of tonsils in pediatric and adult patients (2009) Eur Arch Otorhinolaryngol, 266, pp. 1309-1313Pellier, I., N'Golet, L., Rachieru, P., Disseminated nasal-type natural killer/T-cell lymphoma in a child: a case report (2009) J Pediatr Hematol Oncol, 31 (5), pp. 362-366Prim Espada, M.P., Diego Sastre, J.I., Hardisson Hernáez, D., Lymphoproliferative disorders of Waldeyer's ring (2002) An Esp Pediatr, 57 (4), pp. 317-320Sahni, J.K., Kumar, S., Wadhwa, V., Kathuria, G., Proteus syndrome with huge tonsillar mass causing dysphagia: a rare case (2006) J Laryngol Otol, 120 (5), pp. 408-410Sayed, H., Van Savell, H., Hutchison, R.E., Review of tonsillar lymphoma in pediatric patients from the pediatric oncology group: what can be learned about some indications for microscopic examination? (2005) Pediatr Dev Pathol, 8 (5), pp. 533-540Smitheringale, A., Lymphomas presenting in Waldeyer's ring (2000) J Otolaryngol, 29 (3), pp. 183-185Tewfik, T.L., Bond, M., al-Ghamdi, K., Bernard, C., Burkitt's lymphoma of the tonsil in children (1996) J Otolaryngol, 25 (3), pp. 205-208Koral, K., Margraf, L., Deskin, R., Management of intratonsillar abscess in children (2013) Pediatr Int, 55 (4), pp. 455-460Williams, M.D., Brown, H.M., The adequacy of gross pathological examination of routine tonsils and adenoids in patients 21 years old and younger (2003) Hum Pathol, 34, pp. 1053-1057Yadav, S.P., Chanda, R., Gathwala, G., Yadav, R.K., Actinomycosis of tonsil masquerading as tumour in a 12-year old child (2002) Int J Pediatr Otorhinolaryngol, 63, pp. 73-75Zeglaoui, I., Belcadhi, M., Sriha, B., Bouzouita, K., NasalNK/T-cell lymphoma in the paediatric population. Two case reports (2009) B-ENT, 5 (2), pp. 119-123Brodsky, L., Modern assessment of tonsils and adenoids (1989) Pediatr Clin North Am, 36, pp. 1551-1569Friedman, M., Tanyeri, H., Caldarelli, D., Clinical predictors of obstructive sleep apnea (1999) Laryngoscope, 109, pp. 1901-1907Stengel, D., Bauwens, K., Sehouli, J., Ekkernkamp, A., Porzsolt, F., A likelihood ratio approach to meta-analysis of diagnostic studies (2003) J Med Screen, 10 (1), pp. 47-51Randall, D.A., Martin, P.J., Thompson, L.D.R., Routine histologic examination is unnecessary for tonsillectomy or adenoidectomy (2007) Laryngoscope, 117, pp. 1600-160

Evaluation Of Innovative Strategies In The Organization Of Primary Health Care

Objective: To compare the performance of Primary Care Units according to the implementation of new arrangements and strategies in primary care and mental health. Methodological Procedures: Evaluative research with triangulation of methods and theoretical framework of critical hermeneutics, carried out at six Primary Care Units of the two most populous health districts of the city of Campinas (Southeastern Brazil) in 2007. The Primary Care Units were analyzed according to clinical resolution, articulation between the primary care and mental health networks and implementation of health promotion strategies. Two groups were defined by cluster analysis: one with higher and another one with lower degree of implementation of the actions. The groups were compared based on the improvement in clinical follow-up, given by the occurrence of cerebral vascular accident; evaluation of dispensation of psychiatric medicines; focal groups with workers, users and community health agents; and interviews with users and relatives. Inclusive and participatory research strategies were employed. Analysis of Results: There were no pure models, but a mosaic of organizational proposals. Positive advances were identified in the group with higher implementation of innovative strategies in relation to better integration of the community agents in the Units' teams; to the workers' and agents' perception of improvement in the assistance; and to the facility for referrals and assistance of mental health cases. The difficulties identified in both groups were: communication among the levels of care and within the teams, in the implementation of matrix support, and incipient health promotion actions. Conclusions: The development and implementation of mechanisms to fix professionals in Primary Care in large cities are necessary. The community health agents are fundamental to perform the territorial work proposed by the Family Health Strategy, using mechanisms to integrate the community health agents into the healthcare teams in order to counterbalance the tendency to isolation. The researched arrangements proved to be potent to produce this integration.4614350Berra, K., Does nurse case management improve implementation of guidelines for cardiovascular disease risk reduction (2011) J Cardiovasc Nurs, 26 (2), pp. 145-167. , DOI:10.1097/ JCN.0b013e3181ec1337Campbell, S.M., Gately, C., Gask, L., Identifying the patient perspective of the quality of mental healthcare for common chronic problems: a qualitative study (2007) Chronic Illn, 3 (1), pp. 46-65. , DOI:10.1177/1742395307079193Campos, G.W.S., Equipes de referência e apoio especializado matricial: um ensaio sobre a reorganização do trabalho em saúde (1999) Cienc Saude Coletiva, 4 (2), pp. 393-403. , DOI:10.1590/S1413-81231999000200013Denzin, N.K., Lincoln, Y.S., (1994) Handbook of qualitative research, , editors. Thousand Oaks: SageEveritt, B., (1974) Cluster analysis, , LondonHeinemann Educational for the Social Science research Council(Reviews of Current Research, 11)Furtado, J.P., Campos, R.O., Participação, produção de conhecimento e pesquisa avaliativa: a inserção de diferentes atores em uma investigação em saúde mental (2008) Cad Saude Publica, 24 (11), pp. 2671-2680. , DOI:10.1590/S0102-311X2008001100022Gadamer, H.-G., (1997) Verdade e método: traços fundamentais de uma hermenêutica filosófica, , Petrópolis: VozesGondim, S.M.G., Grupos focais como técnica de investigação qualitativa: desafios metodológicos (2002) Paideia (Ribeirao Preto), 12 (24), pp. 149-161. , DOI:10.1590/S0103-863X2002000300004Grant, C.C., Forrest, C.B., Starfield, B., Primary care and health reform in New Zealand (1997) N Z Med J, 110 (1037), pp. 35-39Johnson, C., Managing mental health issues in general practice (2007) Aust Fam Physician, 36 (4), pp. 202-205Lara-Munoz, M.D., Robles-Garcia, R., Orozco, R., Real, T., Chisholm, D., Medina-Mora, M.E., Estudio de costoefectividad del tratamiento de la depresión en México (2010) Salud Ment, 33 (4), pp. 301-308Larizgoitia, I., Starfield, B., Reform of primary health care: the case of Spain (1997) Health Policy, 41 (2), pp. 121-137Milstein, B., Homer, J., Hirsch, G., Analyzing national health reform strategies with a dynamic simulation model (2010) Am J Public Health, 100 (5), pp. 811-819. , DOI:10.2105/AJPH.2009.174490Minayo, M.C.S., Assis, S.G., Ramos de Souza, E., (2005) Avaliação por triangulação de métodos: abordagem de programas sociais, , Rio de Janeiro: Editora FiocruzOnocko-Campos, R., Furtado, J.P., Narrativas: utilização na pesquisa qualitativa em saúde (2008) Rev Saude Publica, 42 (6), pp. 1090-1096. , DOI:10.1590/S0034-89102008005000052Onocko-Campos, R., Baccari, I.P., A intersubjetividade no cuidado à Saúde Mental: narrativas de técnicos e auxiliares de enfermagem de um Centro de Atenção Psicossocial (2011) Cienc Saude Coletiva, 16 (4), pp. 2051-2058. , DOI:10.1590/S1413-81232011000400004Ricoeur, P., (1990) Interpretação e ideologias, , 4. ed. Rio de Janeiro: Francisco AlvesScharager Goldenberg, J., Molina Aguayo, M.L., El trabajo de los psicólogos en los centros de atención primaria del sistema público de salud en Chile (2007) Rev Panam Salud Publica, 22 (3), pp. 149-159. , DOI:10.1590/ S1020-49892007000800001Sjöström, M., Karlsson, A.B., Kaati, G., Yngve, A., Green, L.W., Bygren, L.O., A four week residential program for primary health care patients to control obesity and related heart risk factors: effective application of principles of learning and lifestyle change (1999) Eur J Clin Nutr, 53 (SUPPL. 2), pp. S72-S77Starfield, B., (2002) Atenção Primária: equilíbrio entre necessidades de saúde, serviços e tecnologia, , Brasília (DF): UNESCO/ Ministério da SaúdeStarfield, B., Reinventing primary care: lessons from Canada for the United States (2010) Health Aff (Millwood), 29 (5), pp. 1030-1036. , DOI:10.1377/hlthaff.2010.0002Vedia Urgell, C., Bonet Monne, S., Forcada Vega, C., Parellada Esquius, N., Estudios de utilización de psicofármacos en atención primaria (2005) Aten Primaria, 36 (5), pp. 239-245Wright, J., Harrison, S., McGeorge, M., Patterson, C., Russell, I., Russell, D., Improving the management and referral of patients with transient ischaemic attacks: a change strategy for a health community (2006) Qual Saf Health Care, 15 (1), pp. 9-12. , DOI:10.1136/ qshc.2005.01470