Cassia Sueli De Oliveira e Souza, Gerson Salay, L. V. De Alcântara Sousa, Beatriz da Costa Aguiar Alves, Glaucia Luciano da Veiga, Thaís Moura Gascón, Fernando Luiz Affonso Fonseca, David Feder
Introduction: Repetitive exposition to pain negatively affects newborns development. Procedural pain in newborn in Neonatal Intensive Care Unit (NICU) triggers a series of physiological, behavioral and hormonal disorders that may set off the impairment of the neurological development in preterm infants, who undergo long periods of hospitalization at a moment of physiological immaturity and fast brain development. Objective: This study aimed not only to observe the pain score in newborns and infants when undergoing painful procedures in neonatal intensive care units but also to analyse urinary IL-8 and cortisol levels at such stressful moments. Methods: Patients were submitted to venipuncture and to other methods of blood collection. Cortisol and IL-8 levels were measured by immunometric assay and chemiluminescence detection. For the collection of data regarding observation of neonatal pain, the Neonatal Infant Pain Scale was used with immediate results. To describe the qualitative variables, absolute and relative frequencies were used. For the quantitative variables with normal distribution, mean, standard deviation, minimum and maximum were used. Results: A total of 81 patients were included: 47 were submitted to venipuncture and 36 to other methods of blood collection. Significance for cortisol can be seen (p=0.04); however, IL-8 levels, when associated with the pain scale, were not sensitive enough (p=0.11). Conclusion: The results showed that cortisol is a better marker for pain than IL-8, and its accumulation in urine may help the detection and interpretation of pain. Conclusion: Based on this information, nurses can step in to reduce the discomfort brought by painful procedures, and thus highlight humanistic practices in nursing assistance.
{"title":"Urinary markers of pain in children in neonatal intensive care units: a cross-section study","authors":"Cassia Sueli De Oliveira e Souza, Gerson Salay, L. V. De Alcântara Sousa, Beatriz da Costa Aguiar Alves, Glaucia Luciano da Veiga, Thaís Moura Gascón, Fernando Luiz Affonso Fonseca, David Feder","doi":"10.36311/jhgd.v34.15783","DOIUrl":"https://doi.org/10.36311/jhgd.v34.15783","url":null,"abstract":"Introduction: Repetitive exposition to pain negatively affects newborns development. Procedural pain in newborn in Neonatal Intensive Care Unit (NICU) triggers a series of physiological, behavioral and hormonal disorders that may set off the impairment of the neurological development in preterm infants, who undergo long periods of hospitalization at a moment of physiological immaturity and fast brain development.\u0000Objective: This study aimed not only to observe the pain score in newborns and infants when undergoing painful procedures in neonatal intensive care units but also to analyse urinary IL-8 and cortisol levels at such stressful moments.\u0000Methods: Patients were submitted to venipuncture and to other methods of blood collection. Cortisol and IL-8 levels were measured by immunometric assay and chemiluminescence detection. For the collection of data regarding observation of neonatal pain, the Neonatal Infant Pain Scale was used with immediate results. To describe the qualitative variables, absolute and relative frequencies were used. For the quantitative variables with normal distribution, mean, standard deviation, minimum and maximum were used.\u0000Results: A total of 81 patients were included: 47 were submitted to venipuncture and 36 to other methods of blood collection. Significance for cortisol can be seen (p=0.04); however, IL-8 levels, when associated with the pain scale, were not sensitive enough (p=0.11).\u0000Conclusion: The results showed that cortisol is a better marker for pain than IL-8, and its accumulation in urine may help the detection and interpretation of pain. Conclusion: Based on this information, nurses can step in to reduce the discomfort brought by painful procedures, and thus highlight humanistic practices in nursing assistance.","PeriodicalId":35218,"journal":{"name":"Journal of Human Growth and Development","volume":"12 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140715679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Daniel Alvarez Estrada, Silvana De Azevedo Brito, Marcelo Ferraz de Campos, Alzira Alves de Siqueira Carvalho
Introduction: The novel Coronavirus disease (COVID-19) is caused by SARS-CoV-2 and represents the agent responsible for a respiratory and metabolic disease with a high fatality rate, remaining a public health problem to this day. There has been an exacerbation of social inequalities experienced in Brazil and worldwide. Notably, the absence of a consolidated and universal healthcare system has contributed to the increased inequalities and survival opportunities for those affected by SARS-CoV-2 infection and manifestation of COVID-19. The southern region has become the second region with the highest number of cases in Brazil. Objective: To avaluate the epidemiological outcomes of incidence, lethality, and mortality among the states of Rio Grande do Sul and Paraná in the southern region of Brazil. Methods: An ecological time-series study was conducted using official secondary data on COVID-19 cases and deaths publicly disclosed by the health departments of the states of Rio Grande do Sul and Paraná. Time series were constructed applying the Prais-Winsten regression model. Statistical analyses were performed using STATA 14.0 software. Results: It was observed that for the state of Rio Grande do Sul, the trends regarding incidence were increasing in 2020 and decreasing in 2021 (p<0.05). Regarding mortality, it increased in 2020 and decreased in 2021 and 2022 (p<0.05). When assessing lethality, a decreasing trend was observed for the entire period (p<0.05). In relation to Paraná, incidence increased in 2020 and over the entire period, while it decreased in 2021 and 2022 (p<0.05). Mortality was stationary in 2020 and decreased in 2021 and 2022 (p<0.05). Conclusion: The COVID-19 pandemic is a serious public health problem in the states of Paraná and Rio Grande do Sul. Paraná presented a more severe epidemiological outcome compared to Rio Grande do Sul.
{"title":"Epidemiological evolution of COVID-19: a three-year perspective on coping with the pandemic in the States of Rio Grande do Sul and Paraná, Southern Region of Brazil","authors":"Daniel Alvarez Estrada, Silvana De Azevedo Brito, Marcelo Ferraz de Campos, Alzira Alves de Siqueira Carvalho","doi":"10.36311/jhgd.v34.15776","DOIUrl":"https://doi.org/10.36311/jhgd.v34.15776","url":null,"abstract":"Introduction: The novel Coronavirus disease (COVID-19) is caused by SARS-CoV-2 and represents the agent responsible for a respiratory and metabolic disease with a high fatality rate, remaining a public health problem to this day. There has been an exacerbation of social inequalities experienced in Brazil and worldwide. Notably, the absence of a consolidated and universal healthcare system has contributed to the increased inequalities and survival opportunities for those affected by SARS-CoV-2 infection and manifestation of COVID-19. The southern region has become the second region with the highest number of cases in Brazil.\u0000Objective: To avaluate the epidemiological outcomes of incidence, lethality, and mortality among the states of Rio Grande do Sul and Paraná in the southern region of Brazil.\u0000Methods: An ecological time-series study was conducted using official secondary data on COVID-19 cases and deaths publicly disclosed by the health departments of the states of Rio Grande do Sul and Paraná. Time series were constructed applying the Prais-Winsten regression model. Statistical analyses were performed using STATA 14.0 software.\u0000Results: It was observed that for the state of Rio Grande do Sul, the trends regarding incidence were increasing in 2020 and decreasing in 2021 (p<0.05). Regarding mortality, it increased in 2020 and decreased in 2021 and 2022 (p<0.05). When assessing lethality, a decreasing trend was observed for the entire period (p<0.05). In relation to Paraná, incidence increased in 2020 and over the entire period, while it decreased in 2021 and 2022 (p<0.05). Mortality was stationary in 2020 and decreased in 2021 and 2022 (p<0.05).\u0000Conclusion: The COVID-19 pandemic is a serious public health problem in the states of Paraná and Rio Grande do Sul. Paraná presented a more severe epidemiological outcome compared to Rio Grande do Sul.","PeriodicalId":35218,"journal":{"name":"Journal of Human Growth and Development","volume":"50 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140713609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. C. Rocon, Flavia Marini Paro, Rodrigo Daros Vieira, Amanda Cristina de Souza Andrade, Marcela Cangussu Barbalho-Moulim, Christyne Gomes Toledo De Oliveira, José Roberto Gonçalves De Abreu, Halina Duarte
Introduction: the COVID-19 pandemic highlighted the need to investigate the factors related to stress in female health professionals since women and men are exposed differently to pandemic consequences. Objective: to analyze which psychosocial demands, sociodemographic, and clinical factors were associated with high levels of perceived stress among Brazilian female physiotherapists during the COVID-19 pandemic. Methods: this is a cross-sectional study. The data were collected using the Perceived Stress Scale and an online questionnaire sent by e-mail. Unadjusted and adjusted odds ratios (ORs), with their respective 95% CI, were estimated by logistic regression. Results: the sample was compounded by 339 physiotherapists. Participants who reported a lot/extreme concern with household workers (OR = 2.76; 95% CI: 1.40; 5.46), or relationship with a partner (OR = 4.06; 95% CI: 1.79; 9.21) or financial questions (OR = 2.24; 95% CI: 1.15; 4.35) were more likely to report high levels of perceived stress. In conclusion, the psychosocial demands associated with high levels of perceived stress are high or extreme concern with household chores, or with the relationship with a partner, or financial issues. Conclusion: the factors associated with high levels of perceived stress in this sample of Brazilian physiotherapists were the following psychosocial demands: high or extreme concern with household chores, high or extreme with a relationship with a partner, or high or extreme with financial issues.
{"title":"Self-perceived stress by women during the COVID-19 pandemic: an online survey with brazilian physiotherapists","authors":"P. C. Rocon, Flavia Marini Paro, Rodrigo Daros Vieira, Amanda Cristina de Souza Andrade, Marcela Cangussu Barbalho-Moulim, Christyne Gomes Toledo De Oliveira, José Roberto Gonçalves De Abreu, Halina Duarte","doi":"10.36311/jhgd.v34.15398","DOIUrl":"https://doi.org/10.36311/jhgd.v34.15398","url":null,"abstract":"Introduction: the COVID-19 pandemic highlighted the need to investigate the factors related to stress in female health professionals since women and men are exposed differently to pandemic consequences.\u0000Objective: to analyze which psychosocial demands, sociodemographic, and clinical factors were associated with high levels of perceived stress among Brazilian female physiotherapists during the COVID-19 pandemic.\u0000Methods: this is a cross-sectional study. The data were collected using the Perceived Stress Scale and an online questionnaire sent by e-mail. Unadjusted and adjusted odds ratios (ORs), with their respective 95% CI, were estimated by logistic regression.\u0000Results: the sample was compounded by 339 physiotherapists. Participants who reported a lot/extreme concern with household workers (OR = 2.76; 95% CI: 1.40; 5.46), or relationship with a partner (OR = 4.06; 95% CI: 1.79; 9.21) or financial questions (OR = 2.24; 95% CI: 1.15; 4.35) were more likely to report high levels of perceived stress. In conclusion, the psychosocial demands associated with high levels of perceived stress are high or extreme concern with household chores, or with the relationship with a partner, or financial issues.\u0000Conclusion: the factors associated with high levels of perceived stress in this sample of Brazilian physiotherapists were the following psychosocial demands: high or extreme concern with household chores, high or extreme with a relationship with a partner, or high or extreme with financial issues.","PeriodicalId":35218,"journal":{"name":"Journal of Human Growth and Development","volume":"3 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140715000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maria Vitória Barros Moreira, Tamires França Visoto, Priscilla Rayanne E. Silva Noll, Jefferson Drezett
Introduction: sexual homicide is defined as lethal violence associated with sexual elements or motivations, predominantly perpetrated by men against women. Despite being a less frequent crime, there is a growing clinical and forensic interest in its specificities and the characteristics of the aggressor. Objective: to review the scientific literature on men who commit sexual homicide against adult victims. Methods: systematic review with MeSH ((“Sex Offenses”[Mesh]) AND “Homicide”[Mesh]) in the databases of MEDLINE, LILACS, MENDELEY and SciELO, between 1992 and 2023. The PICO strategy was used with the studied population (male sexual offenders), intervention (homicide of adult victims), context (sexual violence), and outcome (potential relationship between the issues). The stages of article selection and analysis involved two independent researchers. Original studies were included, excluding reviews, editorials, conference proceedings, books and chapters, theses, and dissertations. The selected articles were presented through qualitative meta-synthesis. Results: of the 70 selected articles, 66 articles (94.2%) adopted quantitative methods, 2 (2.9%) qualitative design, and 2 (2.9%) case reports. We found 41 articles (58.6%) conducted in North America and 22 articles (31.4%) in Europe, totaling 63 articles (90.0%). Another five articles (7.1%) were from Asia, one (1.4%) from Africa, and one (1.4%) from Oceania. In 52 articles (74.3%), there was an emphasis on aspects related to psychiatric, behavioral, or psychological disorders of the perpetrator, sexual sadism, or forms of sexual violence or lethal outcomes employed. Conclusion: sexual homicidal men possess characteristics that set them apart from other homicidal offenders or those who commit sexual violence, directing their crimes towards a heterogeneous group of adult victims. Studies have focused on the psychiatric and behavioral disorders of the perpetrator, as well as the relationship with traumatic experiences in childhood.
{"title":"What do we know about the perpetrators of sexual homicide of adult victims? A systematic review and qualitative meta-synthesis","authors":"Maria Vitória Barros Moreira, Tamires França Visoto, Priscilla Rayanne E. Silva Noll, Jefferson Drezett","doi":"10.36311/jhgd.v34.15782","DOIUrl":"https://doi.org/10.36311/jhgd.v34.15782","url":null,"abstract":"Introduction: sexual homicide is defined as lethal violence associated with sexual elements or motivations, predominantly perpetrated by men against women. Despite being a less frequent crime, there is a growing clinical and forensic interest in its specificities and the characteristics of the aggressor.\u0000Objective: to review the scientific literature on men who commit sexual homicide against adult victims.\u0000Methods: systematic review with MeSH ((“Sex Offenses”[Mesh]) AND “Homicide”[Mesh]) in the databases of MEDLINE, LILACS, MENDELEY and SciELO, between 1992 and 2023. The PICO strategy was used with the studied population (male sexual offenders), intervention (homicide of adult victims), context (sexual violence), and outcome (potential relationship between the issues). The stages of article selection and analysis involved two independent researchers. Original studies were included, excluding reviews, editorials, conference proceedings, books and chapters, theses, and dissertations. The selected articles were presented through qualitative meta-synthesis.\u0000Results: of the 70 selected articles, 66 articles (94.2%) adopted quantitative methods, 2 (2.9%) qualitative design, and 2 (2.9%) case reports. We found 41 articles (58.6%) conducted in North America and 22 articles (31.4%) in Europe, totaling 63 articles (90.0%). Another five articles (7.1%) were from Asia, one (1.4%) from Africa, and one (1.4%) from Oceania. In 52 articles (74.3%), there was an emphasis on aspects related to psychiatric, behavioral, or psychological disorders of the perpetrator, sexual sadism, or forms of sexual violence or lethal outcomes employed.\u0000Conclusion: sexual homicidal men possess characteristics that set them apart from other homicidal offenders or those who commit sexual violence, directing their crimes towards a heterogeneous group of adult victims. Studies have focused on the psychiatric and behavioral disorders of the perpetrator, as well as the relationship with traumatic experiences in childhood.","PeriodicalId":35218,"journal":{"name":"Journal of Human Growth and Development","volume":"19 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140715845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Paula Christianne Gomes Gouveia Souto Maia, Matheus Paiva Emídio Cavalcanti, Fernando Augusto Marinho dos Santos Figueira, Gabrielle Do Amaral Virgínio Pereira, Woska Pires da Costa, Luiz Carlos de Abreu
Introduction: the COVID-19 pandemic, caused by the SARS-CoV-2 coronavirus, has had a great impact on the state of Rio Grande do Norte, as well as around the world, constituting a relevant challenge for public health. Since its emergence, the disease has spread widely, causing a significant number of confirmed cases and deaths in the state. Objective: to analyze the trend of incidence, mortality and case fatality of COVID-19 in the state of Rio Grande do Norte, located in the Northeast region of Brazil, between 2020 and 2022. Methods: consists of an ecological analysis of time series of retrospective secondary data in population level. Incidence and mortality rates per 100,000 inhabitants were estimated, as well as case fatality and daily percentage variation, both expressed in percentages. The daily percentage variation was calculated using the generalized linear regression technique using the Prais-Winsten method, and served to classify the trend as increasing, decreasing or stationary, considering a significance level of 95%. Results: data analysis showed the registration of 582,618 cases and 8,689 deaths from COVID-19 in the state of Rio Grande do Norte, during the period from March 2020 to December 2022. There was an initial increase in the incidence rate in 2020, followed by a significant reduction in 2021 and 2022. Mortality showed a decreasing trend in 2021 and a stationary trend in 2022, without notable variation in 2020. The case fatality rate decreased in 2020, but did not show significant trends in the following years. Conclusion: the epidemiological analysis of COVID-19 in the state of Rio Grande do Norte revealed variations in incidence, mortality and case fatality over the study period. The daily percentage change over the total period of the incidence time series was stationary, while mortality and case fatality were decreasing.
{"title":"Space-temporal analysis of the incidence, mortality and case fatality of COVID-19 in the State of Rio Grande do Norte, in the period from 2020 to 2022, in the Northeast of Brazil","authors":"Paula Christianne Gomes Gouveia Souto Maia, Matheus Paiva Emídio Cavalcanti, Fernando Augusto Marinho dos Santos Figueira, Gabrielle Do Amaral Virgínio Pereira, Woska Pires da Costa, Luiz Carlos de Abreu","doi":"10.36311/jhgd.v34.15777","DOIUrl":"https://doi.org/10.36311/jhgd.v34.15777","url":null,"abstract":"Introduction: the COVID-19 pandemic, caused by the SARS-CoV-2 coronavirus, has had a great impact on the state of Rio Grande do Norte, as well as around the world, constituting a relevant challenge for public health. Since its emergence, the disease has spread widely, causing a significant number of confirmed cases and deaths in the state.\u0000Objective: to analyze the trend of incidence, mortality and case fatality of COVID-19 in the state of Rio Grande do Norte, located in the Northeast region of Brazil, between 2020 and 2022.\u0000Methods: consists of an ecological analysis of time series of retrospective secondary data in population level. Incidence and mortality rates per 100,000 inhabitants were estimated, as well as case fatality and daily percentage variation, both expressed in percentages. The daily percentage variation was calculated using the generalized linear regression technique using the Prais-Winsten method, and served to classify the trend as increasing, decreasing or stationary, considering a significance level of 95%.\u0000Results: data analysis showed the registration of 582,618 cases and 8,689 deaths from COVID-19 in the state of Rio Grande do Norte, during the period from March 2020 to December 2022. There was an initial increase in the incidence rate in 2020, followed by a significant reduction in 2021 and 2022. Mortality showed a decreasing trend in 2021 and a stationary trend in 2022, without notable variation in 2020. The case fatality rate decreased in 2020, but did not show significant trends in the following years.\u0000Conclusion: the epidemiological analysis of COVID-19 in the state of Rio Grande do Norte revealed variations in incidence, mortality and case fatality over the study period. The daily percentage change over the total period of the incidence time series was stationary, while mortality and case fatality were decreasing.","PeriodicalId":35218,"journal":{"name":"Journal of Human Growth and Development","volume":"42 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140716356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Beatriz Cecilio Bebiano, Luiz Carlos de Abreu, Rafael Carboni de Souza, Cleber Furlan, José Luiz Figueiredo, Woska Pires da Costa, Francisco Naildo Cardoso Leitão, Luciano Miller Reis Rodrigues
Introduction: external causes are considered a public health problem in the world, associated with socioeconomic, political, and cultural diversities. Among them, traffic accidents stand out. Objective: to assess the trend in traffic accident mortality for each sex in the state of São Paulo, Brazil. Methods: ecological study of time series analyses. Secondary data referring to deaths from traffic accidents by place of residence in the state of São Paulo, Brazil, in the period 2009 - 2019 were used. Results: the total mortality rate in 2019 for females is 39.80 and for males, 185.85, with a reduction of 4.96% per year for both sexes. The trends in mortality from traffic accidents for females proved to be stationary for motorcyclists, motorized tricycle, pickup truck, heavy transport vehicle, and bus occupants at the end of the study period. For males, the same pattern was observed, but only for truck, heavy transport vehicle, and bus occupants. In the rest of the vehicles, the mortality rate showed decreasing trends. Conclusion: the highest number of deaths occurred among males (81.38%), aged between 20 and 49 years (58.70%), single (49.12%), on public roads (46.73%) and hospitals (45.64%). Females have more stationary trends than males.
{"title":"Temporal evolution of traffic accident mortality rates in the State of São Paulo, Brazil, in the period 2009-2019","authors":"Beatriz Cecilio Bebiano, Luiz Carlos de Abreu, Rafael Carboni de Souza, Cleber Furlan, José Luiz Figueiredo, Woska Pires da Costa, Francisco Naildo Cardoso Leitão, Luciano Miller Reis Rodrigues","doi":"10.36311/jhgd.v34.15831","DOIUrl":"https://doi.org/10.36311/jhgd.v34.15831","url":null,"abstract":"Introduction: external causes are considered a public health problem in the world, associated with socioeconomic, political, and cultural diversities. Among them, traffic accidents stand out. \u0000Objective: to assess the trend in traffic accident mortality for each sex in the state of São Paulo, Brazil. \u0000Methods: ecological study of time series analyses. Secondary data referring to deaths from traffic accidents by place of residence in the state of São Paulo, Brazil, in the period 2009 - 2019 were used. \u0000Results: the total mortality rate in 2019 for females is 39.80 and for males, 185.85, with a reduction of 4.96% per year for both sexes. The trends in mortality from traffic accidents for females proved to be stationary for motorcyclists, motorized tricycle, pickup truck, heavy transport vehicle, and bus occupants at the end of the study period. For males, the same pattern was observed, but only for truck, heavy transport vehicle, and bus occupants. In the rest of the vehicles, the mortality rate showed decreasing trends. \u0000Conclusion: the highest number of deaths occurred among males (81.38%), aged between 20 and 49 years (58.70%), single (49.12%), on public roads (46.73%) and hospitals (45.64%). Females have more stationary trends than males.","PeriodicalId":35218,"journal":{"name":"Journal of Human Growth and Development","volume":"45 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140716016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Decree 11.936/2024 initiates a significant transformation in the Brazilian basic food basket, focusing on encouraging healthier and more sustainable eating habits. By prioritizing whole foods and restricting ultra-processed foods, it aligns with nutritional policy guidelines and tax reform, demonstrating a commitment to public health and food sustainability. The document reconciles with the recommendations set forth by the Dietary Guidelines for the Brazilian Population, which emphasizes seasonality, family farming, local and regional traditions, biodiversity, and environmental respect essential elements for food and nutritional security that offer direct benefits to public health. Through this approach, it seeks to guide the population towards balanced eating practices, ensuring access to nutritionally adequate and sustainable food, especially for the most vulnerable segments of society.
{"title":"Beyond ultra-processed foods: the new direction of the basic food basket in Brazil","authors":"M. Cattafesta, Luciane Bresciani Salaroli","doi":"10.36311/jhgd.v34.15748","DOIUrl":"https://doi.org/10.36311/jhgd.v34.15748","url":null,"abstract":"Decree 11.936/2024 initiates a significant transformation in the Brazilian basic food basket, focusing on encouraging healthier and more sustainable eating habits. By prioritizing whole foods and restricting ultra-processed foods, it aligns with nutritional policy guidelines and tax reform, demonstrating a commitment to public health and food sustainability. The document reconciles with the recommendations set forth by the Dietary Guidelines for the Brazilian Population, which emphasizes seasonality, family farming, local and regional traditions, biodiversity, and environmental respect essential elements for food and nutritional security that offer direct benefits to public health. Through this approach, it seeks to guide the population towards balanced eating practices, ensuring access to nutritionally adequate and sustainable food, especially for the most vulnerable segments of society.","PeriodicalId":35218,"journal":{"name":"Journal of Human Growth and Development","volume":"105 S1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140713502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gabriel Roni, Alexandre Castelo Branco Araújo, Helder Maud, Mathias Noll, Hugo Macedo de Souza Jr, Marcelo Ferraz Campos, Orivaldo Florencio de Souza
Introduction: Stroke is a significant cause of death worldwide. Temporal studies show a downward trend in mortality rates in recent decades, with variability between countries. The State of Pará, in northern Brazil, has a low human development index and high mortality from stroke; however, little research is reported. Objective: This study aims to analyze the trend in stroke mortality in the adult population of Pará, between 2000 and 2021. Method: This is an ecological, time series study based on official secondary population data. Joinpoint regression models were used to identify the trend of each coefficient segment of the mortality rate and years of potential life lost. Results: There were 49,259 deaths in this period, with an absolute increase in fatalities during the time series and an increase in the age group. The mortality coefficient showed a stationary mortality trend of 0.4% between 2000 and 2021 (p=0.576); however, after 2008, the trend decreased -1.0% (p=0.003). In the stratified analysis, a decreasing mortality trend was detected: -2.3% between 30 and 39 years old (p<0.001), -2.8% between 40 and 49 years old (p<0.001), -2.1% between 50 and 59 years old (p<0.001) and -1.4% between 60 and 69 years old (p<0.001), between the year 2000 and 2021. In the other age groups, the trend decreased -2.5% between 20 and 29 years old after 2006 (p= 0.003), -1.8% between 70 and 79 years old after 2008 (p=0.001), and -5.1% among 80 years old and over after 2016 (p=0.010). Conclusion: The mortality trend attributed to stroke among adults in Pará State remained stable from 2000 to 2021. Despite this stability, the absolute number of deaths remained consistently high, underscoring the critical need to mitigate risk factors and enhance the care and management of affected individuals.
{"title":"Mortality from Stroke in Pará, Brazilian Amazon: a Joinpoint Analysis","authors":"Gabriel Roni, Alexandre Castelo Branco Araújo, Helder Maud, Mathias Noll, Hugo Macedo de Souza Jr, Marcelo Ferraz Campos, Orivaldo Florencio de Souza","doi":"10.36311/jhgd.v34.15794","DOIUrl":"https://doi.org/10.36311/jhgd.v34.15794","url":null,"abstract":"Introduction: Stroke is a significant cause of death worldwide. Temporal studies show a downward trend in mortality rates in recent decades, with variability between countries. The State of Pará, in northern Brazil, has a low human development index and high mortality from stroke; however, little research is reported.\u0000Objective: This study aims to analyze the trend in stroke mortality in the adult population of Pará, between 2000 and 2021.\u0000Method: This is an ecological, time series study based on official secondary population data. Joinpoint regression models were used to identify the trend of each coefficient segment of the mortality rate and years of potential life lost.\u0000Results: There were 49,259 deaths in this period, with an absolute increase in fatalities during the time series and an increase in the age group. The mortality coefficient showed a stationary mortality trend of 0.4% between 2000 and 2021 (p=0.576); however, after 2008, the trend decreased -1.0% (p=0.003). In the stratified analysis, a decreasing mortality trend was detected: -2.3% between 30 and 39 years old (p<0.001), -2.8% between 40 and 49 years old (p<0.001), -2.1% between 50 and 59 years old (p<0.001) and -1.4% between 60 and 69 years old (p<0.001), between the year 2000 and 2021. In the other age groups, the trend decreased -2.5% between 20 and 29 years old after 2006 (p= 0.003), -1.8% between 70 and 79 years old after 2008 (p=0.001), and -5.1% among 80 years old and over after 2016 (p=0.010).\u0000Conclusion: The mortality trend attributed to stroke among adults in Pará State remained stable from 2000 to 2021. Despite this stability, the absolute number of deaths remained consistently high, underscoring the critical need to mitigate risk factors and enhance the care and management of affected individuals.","PeriodicalId":35218,"journal":{"name":"Journal of Human Growth and Development","volume":"17 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140714051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ana Carolina Netto Djaló, Orivaldo Florencio de Souza, Helder Maud, Matheus Paiva Emídio Cavalcanti, Gabrielle do Amaral Virginio Pereira, Marcelo Ferraz Campos, José Luiz Figueiredo
Introduction: cerebrovascular accident (CVA) is the second leading cause of death globally, characterized by cerebrovascular events due to dysfunctions in the cerebral blood supply. It can be ischemic or hemorrhagic and has high morbidity and mortality rates. In Brazil, it is the main cause of death, disabling many over 50 years of age and leading to around 40% of early retirements. Despite advances in initial treatment, mortality rates remain high, indicating flaws in prevention and treatment strategies. Therefore, the World Health Organization (WHO) emphasizes the need for immediate implementation of preventive and treatment measures for this condition. Objective: to evaluate the trend in the mortality coefficient and proportional mortality from stroke in the population of Pernambuco, from 2000 to 2021. Methods: This is an ecological time series study with data from the population of the state of Pernambuco, located in northeast region of Brazil, from 2000 to 2021. The eligibility criteria were deaths with a stroke occurring in the state of Pernambuco. Information on mortality, population estimates and number of deaths by sex and age group were extracted from the database of the Department of Informatics of the Unified Health System (DATASUS). For statistical analysis, it was calculated the mortality coefficient, proportional mortality, mean, standard deviation, skewness and kurtosis. The temporal trend of stroke was assessed by jointpoint regression. Results: Between 2000 and 2021, there were 39,410 deaths from stroke. Around 49.0% were male and 51.0% female. The female sex had an average of 913.45 in the number of deaths, being quantitatively higher than the average identified for the male sex of 877.04 deaths. The years with the highest number of deaths were 2006, 2007 and 2008, while 2018 had the lowest number. There was a progressive increase in the number of deaths from stroke from 2018 to 2021. There was a decline in the average annual percentage variation in the mortality rate for stroke in all groups studied, in addition to a drop in the average annual percentage of proportional mortality for stroke in the entire population. Throughout the period, there was a decline in the average annual percentage of proportional mortality from stroke in the entire population studied. Conclusion: In the period from 2000 to 2021 there was a greater number of deaths due to stroke in women in contrast to men in the population of Pernambuco, Brazil. Furthermore, there was a downward trend in stroke rates in both the mortality rate and proportional mortality. In the period from 2018 to 2021 there was a progressive increase in the mortality rate and proportional mortality from stroke.
{"title":"Mortality from cerebral stroke in the State of Pernambuco, Brazil: an ecological study","authors":"Ana Carolina Netto Djaló, Orivaldo Florencio de Souza, Helder Maud, Matheus Paiva Emídio Cavalcanti, Gabrielle do Amaral Virginio Pereira, Marcelo Ferraz Campos, José Luiz Figueiredo","doi":"10.36311/jhgd.v34.15781","DOIUrl":"https://doi.org/10.36311/jhgd.v34.15781","url":null,"abstract":"Introduction: cerebrovascular accident (CVA) is the second leading cause of death globally, characterized by cerebrovascular events due to dysfunctions in the cerebral blood supply. It can be ischemic or hemorrhagic and has high morbidity and mortality rates. In Brazil, it is the main cause of death, disabling many over 50 years of age and leading to around 40% of early retirements. Despite advances in initial treatment, mortality rates remain high, indicating flaws in prevention and treatment strategies. Therefore, the World Health Organization (WHO) emphasizes the need for immediate implementation of preventive and treatment measures for this condition.\u0000Objective: to evaluate the trend in the mortality coefficient and proportional mortality from stroke in the population of Pernambuco, from 2000 to 2021.\u0000Methods: This is an ecological time series study with data from the population of the state of Pernambuco, located in northeast region of Brazil, from 2000 to 2021. The eligibility criteria were deaths with a stroke occurring in the state of Pernambuco. Information on mortality, population estimates and number of deaths by sex and age group were extracted from the database of the Department of Informatics of the Unified Health System (DATASUS). For statistical analysis, it was calculated the mortality coefficient, proportional mortality, mean, standard deviation, skewness and kurtosis. The temporal trend of stroke was assessed by jointpoint regression.\u0000Results: Between 2000 and 2021, there were 39,410 deaths from stroke. Around 49.0% were male and 51.0% female. The female sex had an average of 913.45 in the number of deaths, being quantitatively higher than the average identified for the male sex of 877.04 deaths. The years with the highest number of deaths were 2006, 2007 and 2008, while 2018 had the lowest number. There was a progressive increase in the number of deaths from stroke from 2018 to 2021. There was a decline in the average annual percentage variation in the mortality rate for stroke in all groups studied, in addition to a drop in the average annual percentage of proportional mortality for stroke in the entire population. Throughout the period, there was a decline in the average annual percentage of proportional mortality from stroke in the entire population studied.\u0000Conclusion: In the period from 2000 to 2021 there was a greater number of deaths due to stroke in women in contrast to men in the population of Pernambuco, Brazil. Furthermore, there was a downward trend in stroke rates in both the mortality rate and proportional mortality. In the period from 2018 to 2021 there was a progressive increase in the mortality rate and proportional mortality from stroke.","PeriodicalId":35218,"journal":{"name":"Journal of Human Growth and Development","volume":"39 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140716220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nicolle Godoy Moreira, Thaciane Alkmim Bibo, Ana Carolina Macedo Gaiatto, Joyce R. Santos Raimundo, Jéssica Freitas Araújo Encinas, Beatriz da C. Aguiar Alves, Thaís Moura Gascón, F. L. Affonso Fonseca, Glaucia Luciano da Veiga
Backgroung: the COVID-19 epidemic began in December 2019, and the shortage of diagnostic resources has affected the reported data on the number of cases, resulting in variations in reported cases between countries. This situation underscores the necessity for a deeper understanding of SARS-CoV-2 pathophysiology, including blood profiles and potential predictors. Methods: hematological variables were studied in 200 patients diagnosed with COVID-19, before the vaccination period started. We analyzed hemogram parameters: erythrocytes, hemoglobin, mean corpuscular hemoglobin (MCH), mean corpuscular volume (MCV) mean corpuscular hemoglobin concentration (MCHC), hematocrit, red cell distribution width (RDW), platelets, mean platelet volume (MPV), leukocytes, neutrophils, lymphocytes, neutrophils/lymphocytes ratio and Platelet-to-Lymphocyte Ratio (PLR), up to 9 days after positive result for COVID-19. Results: the positive COVID-19 group presented a higher mean age, as well as a higher frequency of male individuals. Erythrocyte, hemoglobin, hematocrit and MCH values were significantly lower, while RDW and PLR showed higher values in the positive group. Leukocytes, neutrophil and the neutrophil/lymphocyte ratio presented higher values in the positive COVID-19 group. Conclusion: data showed that the hemogram, a low-cost, minimally invasive exam, supports diagnosis and screening of COVID-19, allowing better evaluation of the disease course and assisting medical decisions facing lack of resources in a pandemic situation.
{"title":"Evaluation of whole blood profile as a tool in COVID-19 diagnosis and screening. A cross-sectional study","authors":"Nicolle Godoy Moreira, Thaciane Alkmim Bibo, Ana Carolina Macedo Gaiatto, Joyce R. Santos Raimundo, Jéssica Freitas Araújo Encinas, Beatriz da C. Aguiar Alves, Thaís Moura Gascón, F. L. Affonso Fonseca, Glaucia Luciano da Veiga","doi":"10.36311/jhgd.v34.15750","DOIUrl":"https://doi.org/10.36311/jhgd.v34.15750","url":null,"abstract":"Backgroung: the COVID-19 epidemic began in December 2019, and the shortage of diagnostic resources has affected the reported data on the number of cases, resulting in variations in reported cases between countries. This situation underscores the necessity for a deeper understanding of SARS-CoV-2 pathophysiology, including blood profiles and potential predictors.\u0000Methods: hematological variables were studied in 200 patients diagnosed with COVID-19, before the vaccination period started. We analyzed hemogram parameters: erythrocytes, hemoglobin, mean corpuscular hemoglobin (MCH), mean corpuscular volume (MCV) mean corpuscular hemoglobin concentration (MCHC), hematocrit, red cell distribution width (RDW), platelets, mean platelet volume (MPV), leukocytes, neutrophils, lymphocytes, neutrophils/lymphocytes ratio and Platelet-to-Lymphocyte Ratio (PLR), up to 9 days after positive result for COVID-19.\u0000Results: the positive COVID-19 group presented a higher mean age, as well as a higher frequency of male individuals. Erythrocyte, hemoglobin, hematocrit and MCH values were significantly lower, while RDW and PLR showed higher values in the positive group. Leukocytes, neutrophil and the neutrophil/lymphocyte ratio presented higher values in the positive COVID-19 group.\u0000Conclusion: data showed that the hemogram, a low-cost, minimally invasive exam, supports diagnosis and screening of COVID-19, allowing better evaluation of the disease course and assisting medical decisions facing lack of resources in a pandemic situation.","PeriodicalId":35218,"journal":{"name":"Journal of Human Growth and Development","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140716144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：