Je was op zoek naar: multicentralizada (Portugees - Engels)

era, sim, uma "burocracia estatal trôpega, ineficiente, excessivamente corrupta e multicentralizada" (hine, 1993: 20).
this, however, was far from totalitarian, but rather 'a shambling, inefficient, inordinately corrupt and multi-centred state bureaucracy' (hine 1993: 20).

esses estudos vieram recentemente do brasil, incluindo um estudo caso-controle multicentralizado sobre a doença pneumocócica invasiva dpi, que incluiu casos de meningite.
such studies have recently been forthcoming from brazil, including a multi-centred case-control study on invasive pneumococcal disease ipd that included meningitis cases.