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The influence of chemotherapy on nutritional status and oncological fatigue in cancer patients: Cross-sectional study 化疗对癌症患者营养状况和肿瘤疲劳的影响:横断面研究
Q2 Medicine Pub Date : 2024-04-11 DOI: 10.36311/jhgd.v34.15405
Bruna Cunha de Souza, Gabriela Crysthyna, Ferreira Silva, J. Zangirolami-Raimundo, Olider Gardin, Priscilla Rayanne, E. S. Noll, Cintia Freire Carniel, Rodrigo Daminello Raimundo
Introduction: chemotherapy can contribute to the impairment of nutritional status and increased fatigue.Objective: the aim of this study is evaluate the influence of chemotherapy on nutritional status and oncological fatigue.Methods: this is a study with patients undergoing chemotherapy. Data collection was performed in the first chemotherapy session, in the middle and in the last session.Results: the final sample comprised 20 patients. There was an increase in the level of fatigue (p<0.05), and a difference between the percentage of weight loss (p<0.05). A direct relationship was found between fatigue and nutritional status (R= 0.484; p= 0.031).Conclusion: fatigue increase during chemotherapy and nutritional status worsens throughout the sessions, with a direct relationship between fatigue and nutritional status.
导言:化疗会导致营养状况受损和疲劳感增加。研究目的:本研究旨在评估化疗对营养状况和肿瘤疲劳感的影响。结果:最终样本包括 20 名患者。患者的疲劳程度有所增加(P<0.05),体重减轻的百分比也有所不同(P<0.05)。结论:在整个疗程中,化疗期间的疲劳程度增加,营养状况恶化,疲劳与营养状况之间存在直接关系。
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引用次数: 1
Birth Body Mass Index (Bmi) of Late Preterm and Early-Term Newborns 晚期早产儿和早期早产儿的出生体重指数 (Bmi)
Q2 Medicine Pub Date : 2024-04-11 DOI: 10.36311/jhgd.v34.15834
Chiara Alzineth Silva Campos, Priscila Ferreira Vitor, Caliel Ribeiro Simas, Silvia Maira Pereira, Ciro João Bertoli, Claudio Leone
Introduction: the nutritional status and the growth achieved by the newborn until birth have been used as a marker/indicator of early risks of morbidity and mortality. Even though BMI is a good marker of adiposity and is commonly used in older children and adults, there are still gaps in knowledge and there are few studies on the behavior of BMI according to gestational age. Objective: to analyze the Body Mass Index (BMI) at the birth of late preterm newborns (34th to 36th week of gestational age) and early-term newborns (37th to 38th week of gestational age) and according to gestational age. Methods: this is a descriptive, analytical, and quantitative study with 2,486 newborns, developed from the project’s database “Biometric characteristics at birth, of young adult women’s babies, in a municipality with a high human development index.” After collection, data consistency was verified. The analysis evaluated measures of central tendency and dispersion of values, in addition to correlations and regressions of their evolution according to gestational age. Results: BMI scores Z distribution wasn’t different between male and female late preterm newborns as in early-term newborns. The same was observed concerning gestational ages. In terms of absolute BMI values, it was observed that late preterm newborns had a lower BMI (12.6 kg/m2) than early-term newborns (13.6 kg/m2). However, considering their gestational age, late preterm newborns were proportionally bigger than early-term newborns. A proportionally higher rate of BMI growth was observed in late preterm newborns, with a tendency to slow down in early-term newborns. As for weight gain, from the 37th week of gestational age, it tends to decrease compared to the reference values. Conclusion: Regarding the BMI reference values, early-term and late-preterm newborns are equivalent. Late-preterm newborns have the same BMI Z-scores as reference values as early-term newborns.
导言:新生儿出生前的营养状况和发育情况一直被用作早期发病和死亡风险的标志/指标。尽管体重指数(BMI)是衡量肥胖程度的良好指标,并常用于年长儿童和成人,但这方面的知识仍存在空白,而且关于体重指数随胎龄变化的研究也很少。目的:分析晚期早产新生儿(胎龄第 34 至 36 周)和早期早产新生儿(胎龄第 37 至 38 周)出生时的体重指数(BMI),并根据胎龄进行分析。方法:这是一项描述性、分析性和定量研究,研究对象为 2486 名新生儿,数据来源于 "人类发展指数较高城市的年轻成年女性婴儿出生时的生物特征 "项目数据库。收集数据后,对数据的一致性进行了验证。分析评估了数值的中心倾向和分散程度,以及根据胎龄对其演变情况进行的相关性和回归分析。分析结果晚期早产儿和早期早产儿的体重指数得分 Z 分布在男女之间没有差异。胎龄方面也是如此。就体重指数绝对值而言,晚期早产新生儿的体重指数(12.6 千克/平方米)低于早期早产新生儿(13.6 千克/平方米)。然而,考虑到胎龄,晚期早产新生儿的体重指数比早期早产新生儿大。早产晚期新生儿的体重指数增长比例较高,而早产新生儿的增长速度有放缓的趋势。至于体重增长,从胎龄第 37 周开始,与参考值相比有下降趋势。结论就体重指数参考值而言,早产儿和晚期早产儿的体重指数相当。晚期早产新生儿的体重指数 Z 值与早产新生儿的参考值相同。
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引用次数: 1
Body mass index assessment of preschool children during the COVID-19 pandemic COVID-19 大流行期间学龄前儿童的体重指数评估
Q2 Medicine Pub Date : 2024-04-11 DOI: 10.36311/jhgd.v34.15749
Luciane Bresciani Salaroli, Jerssica Renally de Araújo Silva, Dixis Figueroa Pedraza
Introduction: the COVID-19 pandemic has brought socioeconomic, behavioral and clinical losses that can compromise the nutritional status of children, and studies on the subject are essential.Objective: to assess the Body Mass Index of preschool children during the COVID-19 pandemic.Methods: the data in this study comes from a cohort of children created to prospectively investigate determinants of growth and development in the period from birth to 1,000 days of life in a municipality in the interior of Paraíba, Brazil. For this study, data were collected from children at 4 years of age examining repercussions of the COVID-19 pandemic on maternal and child life. Data on the children (biological characteristics, health conditions, food consumption, screen time, behaviors during the COVID-19 pandemic, satisfaction with school and home life) and their mothers (overweight/obesity, sociodemographic characteristics, childcare, attitudes and practices related to the COVID-19 pandemic) were included, and the Body Mass Index-for-age average (Z-score) was compared using hierarchical multiple linear regression.Results: not breastfeeding in the first hour of life (p = 0.046) and regular consumption of filled cookies, sweets or candies (p = 0.042) were the characteristics of the children that represented the highest means of the outcome. Children whose mothers were diagnosed as overweight/obese (p = 0.034), who had not completed high school (p = 0.042), who had difficulty caring for the child and guiding them in health aspects (p = 0.010), as well as those whose mothers needed psychological care (p = 0.047) and mental health medication (p = 0.036) during the COVID-19 pandemic, also had higher mean scores.Conclusion: maternal mental health (psychological care and use of medication) during the COVID-19 pandemic had an impact on the child’s nutritional status.
导言:COVID-19 大流行带来了社会经济、行为和临床方面的损失,这些损失可能会损害儿童的营养状况,因此对这一问题的研究至关重要。方法:本研究的数据来自于巴西帕拉伊巴州内陆一个市镇的一组儿童,该组儿童旨在前瞻性地调查儿童从出生到 1,000 天期间的生长发育决定因素。这项研究收集了 4 岁儿童的数据,以研究 COVID-19 大流行对母婴生活的影响。研究纳入了儿童(生物特征、健康状况、食物摄入量、屏幕时间、COVID-19 大流行期间的行为、对学校和家庭生活的满意度)及其母亲(超重/肥胖、社会人口特征、儿童保育、与 COVID-19 大流行相关的态度和做法)的数据,并使用分层多元线性回归法比较了身体质量指数的年龄平均值(Z 值)。结果显示:出生后一小时内未进行母乳喂养(p = 0.046)和经常食用填充饼干、甜食或糖果(p = 0.042)是代表结果平均值最高的儿童特征。母亲被诊断为超重/肥胖(p = 0.034)、未完成高中学业(p = 0.042)、在照顾孩子和指导孩子健康方面有困难(p = 0.010)以及母亲需要心理治疗(p = 0.结论:在 COVID-19 大流行期间,母亲的心理健康(心理护理和药物使用)对儿童的营养状况有影响。
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引用次数: 1
Comparative analysis of the national curriculum guidelines for the dentistry courses in 2002 and 2021 2002 年和 2021 年国家牙科课程指南的比较分析
Q2 Medicine Pub Date : 2024-04-11 DOI: 10.36311/jhgd.v34.15830
Larissa Hitomi Morigaki, Nathalia Campos Dell’Orto Cardoso Bortolini, Carolina Dutra Degli Esposti, Karina Tonini dos Santos Pacheco
Introduction: faced with the challenge of training dental surgeons who are fit for the job market, especially the Unified Health System, the National Curriculum Guidelines were established in 2002 with the aim of organizing the curricula of undergraduate dentistry courses, which were updated in 2021. Objective: a comparative analysis of the 2002 and 2021 National Curriculum Guidelines for dentistry courses, verifying their proposals’ theoretical and practical similarities and differences. Methods: this is a qualitative, descriptive, and exploratory study, using documentary analysis of these guidelines. Results: from the documentary analysis, six analytical categories were identified: Profile of the graduate; General and specific competencies; Contents for the training of the dental surgeon; Supervised curricular internship and course completion work; Pedagogical project and curricular organization; and Assessment. The 2021 National Curriculum Guidelines is more detailed and complete than the 2002 and strengthens mechanisms for improving and adapting dentistry courses in Brazil. Conclusion: progress has been made with the inclusion of aspects such as permanent training for teachers, humanization in relationships, interprofessional and entrepreneurship, with the aim of providing training that meets the health needs of the Brazilian population.
导言:面对培养适应就业市场,特别是统一卫生系统的牙科医生的挑战,2002 年制定了《国家课程指南》,旨在组织本科牙科课程的教学大纲,并于 2021 年进行了更新。目的:对 2002 年和 2021 年国家牙科课程指南进行比较分析,验证其建议在理论和实践 上的异同。方法:这是一项定性、描述性和探索性研究,采用文献分析法对这些指南进行分析。结果:通过文献分析,确定了六个分析类别:毕业生概况;一般能力和特殊能力;牙科医生培训内容;有指导的课程实习和课程完成工作;教学项目和课程组织;以及评估。2021 年国家课程指导方针》比 2002 年的更加详细和完整,加强了改进和调整巴 西牙科课程的机制。结论:在纳入教师长期培训、人性化关系、跨专业和创业精神等方面取得了进展,目的是提供满足巴西人口健康需求的培训。
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引用次数: 1
Adherence to chest physiotherapy, airway clearance techniques and physical exercise by children and adolescents with cystic fibrosis 患有囊性纤维化的儿童和青少年坚持胸部物理治疗、气道清理技术和体育锻炼的情况
Q2 Medicine Pub Date : 2024-04-11 DOI: 10.36311/jhgd.v34.15779
Larissa Pereira Módolo, Luana Bergamim Uliana, Fernanda Mayrink Gonçalves Liberato, Luana Da Silva Baptista Arpini, Cíntia Helena Santuzzi, Roberta de Cássia Nunes Cruz Melotti, Flavia Marini Paro
Introduction: chest physiotherapy, airway clearance techniques, and physical exercise are associated with better outcomes in cystic fibrosis, but adherence to these recommendations remains a challenge. Objective: to assess adherence to chest physiotherapy, airway clearance techniques, and physical exercise by children and adolescents with cystic fibrosis and analyze the factors related to adherence.Methods: retrospective study of children and adolescents with cystic fibrosis from a pediatric referral center in Brazil. Data were collected from electronic records of the multidisciplinary team responsible for caring for these patients at the referral center.Results: the sample included all 83 patients registered at the referral center, with a mean age of 7.88 ± 4.88 years. Among them, 28.9% did not have weekly chest physiotherapy, 66.3% did not practice physical exercise regularly, and only 38.6% practiced airway clearance techniques from 6 to 7 times a week. Higher adherence to airway clearance techniques was associated with higher mean age (p<0.01) and correlated with FEV1 (r=-0.39; p=0.03), FEF25-75% (r =-0.36; p=0.02), FEV1/FVC (r =-0.43; p=0.01) and lower mean Shwachman-Kulczycki Score (r=-0.34; p<0.01). Higher physical exercise adherence was associated with a higher mean age (p<0.01). Individuals using public financing of physiotherapy services had a lower Shwachman-Kulczycki Score (p=0.02) than those using non-public services. The metropolitan region had a higher percentage of individuals using non-public services than other regions (p<0.01). Conclusion: adherence to chest physiotherapy, airway clearance techniques and physical exercise was lower than recommendations. Airway clearance techniques and physical exercise adherence increased with age, and airway clearance techniques adherence was associated with the high severity of disease. These results suggest that patients only increase adherence when they get older and the disease worsens, highlighting the need for strategies to increase adherence early.
导言:胸部物理治疗、气道清理技术和体育锻炼与囊性纤维化的更好治疗效果相关,但坚持这些建议仍是一项挑战。方法:对巴西一家儿科转诊中心的囊性纤维化儿童和青少年进行回顾性研究。结果:样本包括在转诊中心登记的所有 83 名患者,平均年龄为 7.88 ± 4.88 岁。其中,28.9%的患者没有每周进行胸部物理治疗,66.3%的患者没有定期进行体育锻炼,只有38.6%的患者每周进行6至7次气道清理技术练习。较高的气道清理技术坚持率与较高的平均年龄相关(p<0.01),并与 FEV1(r=-0.39;p=0.03)、FEF25-75%(r=-0.36;p=0.02)、FEV1/FVC(r=-0.43;p=0.01)和较低的平均 Shwachman-Kulczycki 评分(r=-0.34;p<0.01)相关。较高的体育锻炼依从性与较高的平均年龄相关(p<0.01)。与使用非公共理疗服务的人相比,使用公共理疗服务的人的 Shwachman-Kulczycki 得分较低(p=0.02)。大都会地区使用非公共服务的人数比例高于其他地区(p<0.01)。结论:胸部物理治疗、气道清理技术和体育锻炼的依从性低于推荐值。气道清理技术和体育锻炼的依从性随年龄的增长而增加,气道清理技术的依从性与疾病的严重程度有关。这些结果表明,患者只有在年龄增大、病情恶化时才会提高依从性,这突出表明有必要制定策略以尽早提高依从性。
{"title":"Adherence to chest physiotherapy, airway clearance techniques and physical exercise by children and adolescents with cystic fibrosis","authors":"Larissa Pereira Módolo, Luana Bergamim Uliana, Fernanda Mayrink Gonçalves Liberato, Luana Da Silva Baptista Arpini, Cíntia Helena Santuzzi, Roberta de Cássia Nunes Cruz Melotti, Flavia Marini Paro","doi":"10.36311/jhgd.v34.15779","DOIUrl":"https://doi.org/10.36311/jhgd.v34.15779","url":null,"abstract":"Introduction: chest physiotherapy, airway clearance techniques, and physical exercise are associated with better outcomes in cystic fibrosis, but adherence to these recommendations remains a challenge. \u0000Objective: to assess adherence to chest physiotherapy, airway clearance techniques, and physical exercise by children and adolescents with cystic fibrosis and analyze the factors related to adherence.\u0000Methods: retrospective study of children and adolescents with cystic fibrosis from a pediatric referral center in Brazil. Data were collected from electronic records of the multidisciplinary team responsible for caring for these patients at the referral center.\u0000Results: the sample included all 83 patients registered at the referral center, with a mean age of 7.88 ± 4.88 years. Among them, 28.9% did not have weekly chest physiotherapy, 66.3% did not practice physical exercise regularly, and only 38.6% practiced airway clearance techniques from 6 to 7 times a week. Higher adherence to airway clearance techniques was associated with higher mean age (p<0.01) and correlated with FEV1 (r=-0.39; p=0.03), FEF25-75% (r =-0.36; p=0.02), FEV1/FVC (r =-0.43; p=0.01) and lower mean Shwachman-Kulczycki Score (r=-0.34; p<0.01). Higher physical exercise adherence was associated with a higher mean age (p<0.01). Individuals using public financing of physiotherapy services had a lower Shwachman-Kulczycki Score (p=0.02) than those using non-public services. The metropolitan region had a higher percentage of individuals using non-public services than other regions (p<0.01). \u0000Conclusion: adherence to chest physiotherapy, airway clearance techniques and physical exercise was lower than recommendations. Airway clearance techniques and physical exercise adherence increased with age, and airway clearance techniques adherence was associated with the high severity of disease. These results suggest that patients only increase adherence when they get older and the disease worsens, highlighting the need for strategies to increase adherence early.","PeriodicalId":35218,"journal":{"name":"Journal of Human Growth and Development","volume":"77 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140712674","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}
引用次数: 1
Systemic arterial hypertension and metabolic profile: a systematic review 全身动脉高血压与代谢概况:系统综述
Q2 Medicine Pub Date : 2024-04-11 DOI: 10.36311/jhgd.v34.15780
Gabriela B Souza, Marina Buchpiguel, Antonietta B Rossetto, Luiz A Bortolotto, Wanderley M Bernardo, Luca S Tristão, Guilherme Tavares, Edson G Lo Turco, Irineu F D S Massaia, José M. Aldrighi
Introduction: Systemic arterial hypertension (SAH) is a significant cause of morbidity and mortality worldwide. Despite the difficulty in diagnosing SAH in the early stages, the rapid detection and management of SAH are essential in preventing the development of target organ injuries. Newer technologies such as metabolomics have been revealed as promising alternatives for SAH diagnoses.Objectives: The purpose of this study is to evaluate, through a systematic review, the metabolomic profile of individuals with and without SAH.Methods: This review followed the PRISMA guidelines on reporting items. It analyses articles selected from the EMBASE and MEDLINE databases that compares metabolites in a hypertensive group with a non-hypertensive group.Results: The differences that reached statistical significance were a higher prevalence of lipids and lactic acid in the hypertensive group, as well as a reduction in methionine.Conclusion: Future research should be conducted to establish a possible clinical implication to this metabolite alteration, by linking it to a potential target organ injury for SAH, such as atherosclerosis, renal failure, retinopathy our ventricular hypertrophy.
导言:全身性动脉高血压(SAH)是全球发病率和死亡率的重要原因。尽管很难在早期诊断出 SAH,但快速检测和处理 SAH 对预防靶器官损伤的发展至关重要。代谢组学等新技术被认为是诊断 SAH 的有前途的替代方法:本研究的目的是通过系统综述评估 SAH 患者和非 SAH 患者的代谢组学特征:本综述遵循 PRISMA 报告项目指南。研究分析了从 EMBASE 和 MEDLINE 数据库中选取的文章,这些文章对高血压组和非高血压组的代谢物进行了比较:结果:高血压组的脂质和乳酸含量较高,蛋氨酸含量较低,这些差异具有统计学意义:今后的研究应通过将代谢物的变化与 SAH 的潜在靶器官损伤(如动脉粥样硬化、肾功能衰竭、视网膜病变和心室肥大)联系起来,以确定其可能的临床意义。
{"title":"Systemic arterial hypertension and metabolic profile: a systematic review","authors":"Gabriela B Souza, Marina Buchpiguel, Antonietta B Rossetto, Luiz A Bortolotto, Wanderley M Bernardo, Luca S Tristão, Guilherme Tavares, Edson G Lo Turco, Irineu F D S Massaia, José M. Aldrighi","doi":"10.36311/jhgd.v34.15780","DOIUrl":"https://doi.org/10.36311/jhgd.v34.15780","url":null,"abstract":"Introduction: Systemic arterial hypertension (SAH) is a significant cause of morbidity and mortality worldwide. Despite the difficulty in diagnosing SAH in the early stages, the rapid detection and management of SAH are essential in preventing the development of target organ injuries. Newer technologies such as metabolomics have been revealed as promising alternatives for SAH diagnoses.\u0000Objectives: The purpose of this study is to evaluate, through a systematic review, the metabolomic profile of individuals with and without SAH.\u0000Methods: This review followed the PRISMA guidelines on reporting items. It analyses articles selected from the EMBASE and MEDLINE databases that compares metabolites in a hypertensive group with a non-hypertensive group.\u0000Results: The differences that reached statistical significance were a higher prevalence of lipids and lactic acid in the hypertensive group, as well as a reduction in methionine.\u0000Conclusion: Future research should be conducted to establish a possible clinical implication to this metabolite alteration, by linking it to a potential target organ injury for SAH, such as atherosclerosis, renal failure, retinopathy our ventricular hypertrophy.","PeriodicalId":35218,"journal":{"name":"Journal of Human Growth and Development","volume":"5 s1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140715129","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}
引用次数: 1
The 2030 agenda and brazilian internalization 2030 年议程与巴西的内部化
Q2 Medicine Pub Date : 2023-12-01 DOI: 10.36311/jhgd.v33.14838
Carlos Gabriel Arpini, Alan Patricio Silva, Francisco Felipe Coelho, Cesar Albenes de Mendonça Cruz
Introduction: the Sustainable Development Goals define the goals that were defined to be achieved by the signatory member countries to reach by 2030 with the purpose of reducing indicators to promote equality and equity for all.Objective: to describe the path taken towards the adoption of the 2030 Agenda, from its antecedents, main concepts and innovations, resulting in a fundamental and guiding element in the formulation of public policies.Methods: study based on secondary sources of literature relevant to the topic, considering articles from national and international journals and recent productions on the Sustainable Development GoalsResults: the challenges of internalizing the Sustainable Development Goals, with the definition of national goals and indicators, addresses the challenges and setbacks in their implementation, especially with the national reorientation aimed at fulfilling the 2030 Agenda from this year onwards, especially in light of mid-cycle assessments, to take place this year.Conclusion: the demobilization in the adoption of the 2030 Agenda at the Federal level, from 2019 onwards, as the global political scenario of successive crises has severely impacted the fulfillment of the agreed objectives, an accelerated effort to resume policies is necessary, involving public agents , civil society and academia, so that the second half of the time frame for implementing the 2030 Agenda is more assertive and achieves the proposed objectives and goals, without effectively leaving anyone behind.
导言:可持续发展目标确定了签署成员国到 2030 年要实现的目标,目的是减少指标,促进 人人平等和公平。目标:从 2030 年议程的前因后果、主要概念和创新出发,描述通过该议程所走过 的道路,从而使其成为制定公共政策的基本指导要素。结果:可持续发展目标内部化的挑战,国家目标和指标的定义,解决其实施过程中的挑战和挫 折,特别是国家调整方向,旨在从今年起实现 2030 年议程,尤其是考虑到今年将进行的中期 评估。结论:从 2019 年起,在联邦一级通过《2030 年议程》的工作已经停止,因为接二连三 的危机所造成的全球政治局势已经严重影响了商定目标的实现,有必要加快努力,恢复政 策,让公共代理人、民间社会和学术界参与进来,从而使《2030 年议程》实施时间框架的后 半部分更加坚定,并实现拟议的目标和目的,而不会让任何人落在后面。
{"title":"The 2030 agenda and brazilian internalization","authors":"Carlos Gabriel Arpini, Alan Patricio Silva, Francisco Felipe Coelho, Cesar Albenes de Mendonça Cruz","doi":"10.36311/jhgd.v33.14838","DOIUrl":"https://doi.org/10.36311/jhgd.v33.14838","url":null,"abstract":"Introduction: the Sustainable Development Goals define the goals that were defined to be achieved by the signatory member countries to reach by 2030 with the purpose of reducing indicators to promote equality and equity for all.\u0000Objective: to describe the path taken towards the adoption of the 2030 Agenda, from its antecedents, main concepts and innovations, resulting in a fundamental and guiding element in the formulation of public policies.\u0000Methods: study based on secondary sources of literature relevant to the topic, considering articles from national and international journals and recent productions on the Sustainable Development Goals\u0000Results: the challenges of internalizing the Sustainable Development Goals, with the definition of national goals and indicators, addresses the challenges and setbacks in their implementation, especially with the national reorientation aimed at fulfilling the 2030 Agenda from this year onwards, especially in light of mid-cycle assessments, to take place this year.\u0000Conclusion: the demobilization in the adoption of the 2030 Agenda at the Federal level, from 2019 onwards, as the global political scenario of successive crises has severely impacted the fulfillment of the agreed objectives, an accelerated effort to resume policies is necessary, involving public agents , civil society and academia, so that the second half of the time frame for implementing the 2030 Agenda is more assertive and achieves the proposed objectives and goals, without effectively leaving anyone behind.","PeriodicalId":35218,"journal":{"name":"Journal of Human Growth and Development","volume":"12 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138988885","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}
引用次数: 1
Three years of COVID-19 pandemic: comparative analysis of incidence, lethality and mortality among the States of the South Region of Brazil COVID-19 大流行的三年:巴西南部地区各州发病率、致死率和死亡率的比较分析
Q2 Medicine Pub Date : 2023-12-01 DOI: 10.36311/jhgd.v33.15285
Silvana De Azevedo Brito, Luiz Carlos de Abreu, Daniel Alvarez Estrada, Marcelo Ferraz Campos, Matheus Paiva Emídio Cavalcanti, Alzira Alves de Siqueira Carvalho
Introduction: in Brazil, the first case of COVID-19 was confirmed on February 26, 2020 As of March 17, 2023, the Ministry of Health recorded 699,634 deaths from COVID-19, with a fatality rate of 1.9%. The impact of the COVID-19 pandemic in Brazil in socioeconomic and health system spheres and a reflection of major regional differences.Objective: to analyze mortality, incidence and lethality due to COVID-19 in the states of Paraná and Santa Catarina, southern Brazil.Methods: this is an ecological time series study using official Brazilian secondary data for cases and deaths from COVID-19. The data were extracted from the panel of the State Department of Health of the states of Santa Catarina and Paraná. For trend analysis, time series were developed using the Prais-Winsten regression model. Statistical analyzes were performed using STATA 14.0 software (College Station, TX, USA, 2013).Results: in the analysis of rates in the total period analyzed, the trends for mortality, lethality and incidence in the state of Santa Catarina are decreasing, decreasing and stationary, respectively. In the state of Paraná, rates in the total period showed a stationary, decreasing and increasing trend for mortality, lethality and incidence, respectively.Conclusion: COVID-19 had a devastating effect on the states of Santa Catarina and Paraná. Both states suffered from the progress of the COVID-19 pandemic, with higher lethality and mortality rates being observed in the state of Paraná, while Santa Catarina had a higher incidence rate over the three years it was in effect. COVID-19 pandemic.
导言:截至 2023 年 3 月 17 日,巴西卫生部记录了 699,634 例因 COVID-19 而死亡的病例,死亡率为 1.9%。目标:分析巴西南部巴拉那州和圣卡塔琳娜州 COVID-19 的死亡率、发病率和致死率。方法:这是一项生态时间序列研究,使用的是巴西官方关于 COVID-19 病例和死亡的二手数据。数据来自圣卡塔琳娜州和巴拉那州卫生部的面板。为了进行趋势分析,使用普拉伊斯-温斯顿回归模型建立了时间序列。统计分析使用 STATA 14.0 软件(College Station, TX, USA, 2013 年)进行。结果:在对整个分析期间的比率进行分析时,圣卡塔琳娜州的死亡率、致死率和发病率分别呈下降、减少和静止趋势。在巴拉那州,整个期间的死亡率、致死率和发病率分别呈静止、下降和上升趋势:结论:COVID-19 对圣卡塔琳娜州和巴拉那州造成了破坏性影响。巴拉那州的致死率和死亡率较高,而圣卡塔琳娜州在 COVID-19 流行的三年中发病率较高。COVID-19 大流行。
{"title":"Three years of COVID-19 pandemic: comparative analysis of incidence, lethality and mortality among the States of the South Region of Brazil","authors":"Silvana De Azevedo Brito, Luiz Carlos de Abreu, Daniel Alvarez Estrada, Marcelo Ferraz Campos, Matheus Paiva Emídio Cavalcanti, Alzira Alves de Siqueira Carvalho","doi":"10.36311/jhgd.v33.15285","DOIUrl":"https://doi.org/10.36311/jhgd.v33.15285","url":null,"abstract":"Introduction: in Brazil, the first case of COVID-19 was confirmed on February 26, 2020 As of March 17, 2023, the Ministry of Health recorded 699,634 deaths from COVID-19, with a fatality rate of 1.9%. The impact of the COVID-19 pandemic in Brazil in socioeconomic and health system spheres and a reflection of major regional differences.\u0000Objective: to analyze mortality, incidence and lethality due to COVID-19 in the states of Paraná and Santa Catarina, southern Brazil.\u0000Methods: this is an ecological time series study using official Brazilian secondary data for cases and deaths from COVID-19. The data were extracted from the panel of the State Department of Health of the states of Santa Catarina and Paraná. For trend analysis, time series were developed using the Prais-Winsten regression model. Statistical analyzes were performed using STATA 14.0 software (College Station, TX, USA, 2013).\u0000Results: in the analysis of rates in the total period analyzed, the trends for mortality, lethality and incidence in the state of Santa Catarina are decreasing, decreasing and stationary, respectively. In the state of Paraná, rates in the total period showed a stationary, decreasing and increasing trend for mortality, lethality and incidence, respectively.\u0000Conclusion: COVID-19 had a devastating effect on the states of Santa Catarina and Paraná. Both states suffered from the progress of the COVID-19 pandemic, with higher lethality and mortality rates being observed in the state of Paraná, while Santa Catarina had a higher incidence rate over the three years it was in effect. COVID-19 pandemic.","PeriodicalId":35218,"journal":{"name":"Journal of Human Growth and Development","volume":"385 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138993227","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}
引用次数: 1
Change in the motivation pattern of adolescents before and after participation in a multidisciplinary health promotion program 青少年参加多学科健康促进计划前后动机模式的变化
Q2 Medicine Pub Date : 2023-12-01 DOI: 10.36311/jhgd.v33.14188
Isabella Caroline Santos, Déborah Cristina de Souza Marques, Joed Jacinto Ryal, Gabriela Dos Santos Ross, Clara Fernanda Amaro Camilo, Lucas França Garcia, Braulio Henrique Magnani Branco
Introduction: there is evidence that multidisciplinary interventions are an efficient approach to achieving weight loss and other health-related goals. However, dropout rates of these programs are high among adolescents. The suggestion is that understanding the motivation of individuals to participate in these projects is fundamental to developing strategies for permanence and, consequently, promoting better results.Objective: the main aim of this study was to describe the motivations of overweight adolescents participating in a multidisciplinary health promotion project.Methods: this qualitative study was conducted from March to July 2021 using the Bardin content analysis technique. The tool used for data collection was the semi-structured interview, analyzed means by the software QSR NVivo 11 by grouping the speech into clusters. These, in turn, were evaluated in three categories: (1) motivation, (2) food, and (3) physical exercise.Results: the age of the participants was 13.8 ± 2.4 years old, with body mass index of 31.8 ± 8.5 kg/m². Regarding family income, 41.66% had a monthly payment of 3 to 6 minimum wages. Regarding parents’ educational level, 70.83% of mothers had completed higher education, while 29.16% had completed high school. According to the respondent’s answers, weight loss was the greatest motivation to participate in a multidisciplinary obesity treatment program. In category 2, it was observed that adolescents associated the act of eating with feelings such as anxiety and nervousness. In category 3, the impact of the pandemic was found under the modalities of physical exercise practiced.Conclusion: the results describe the motivation of overweight adolescents to participate in a multidisciplinary program, in addition to elucidating participants’ perception of their health and related habits, strategies for health promotion, and consequent improvement of the quality of life of these individuals.
导言:有证据表明,多学科干预是实现减肥和其他健康相关目标的有效方法。然而,这些项目在青少年中的辍学率很高。目的:本研究的主要目的是描述超重青少年参与多学科健康促进项目的动机。方法:本定性研究于 2021 年 3 月至 7 月进行,采用了 Bardin 内容分析技术。数据收集工具是半结构式访谈,分析手段是通过 QSR NVivo 11 软件将言论分组。结果:参与者的年龄为 13.8 ± 2.4 岁,体重指数为 31.8 ± 8.5 kg/m²。在家庭收入方面,41.66%的人每月领取 3 至 6 份最低工资。关于父母的受教育程度,70.83%的母亲受过高等教育,29.16%的母亲受过高中教育。根据受访者的回答,减肥是参加多学科肥胖症治疗计划的最大动机。在第二类中,我们发现青少年将进食行为与焦虑和紧张等情绪联系在一起。结论:研究结果描述了超重青少年参加多学科计划的动机,此外还阐明了参与者对自身健康和相关习惯的看法、促进健康的策略,以及由此带来的生活质量的改善。
{"title":"Change in the motivation pattern of adolescents before and after participation in a multidisciplinary health promotion program","authors":"Isabella Caroline Santos, Déborah Cristina de Souza Marques, Joed Jacinto Ryal, Gabriela Dos Santos Ross, Clara Fernanda Amaro Camilo, Lucas França Garcia, Braulio Henrique Magnani Branco","doi":"10.36311/jhgd.v33.14188","DOIUrl":"https://doi.org/10.36311/jhgd.v33.14188","url":null,"abstract":"Introduction: there is evidence that multidisciplinary interventions are an efficient approach to achieving weight loss and other health-related goals. However, dropout rates of these programs are high among adolescents. The suggestion is that understanding the motivation of individuals to participate in these projects is fundamental to developing strategies for permanence and, consequently, promoting better results.\u0000Objective: the main aim of this study was to describe the motivations of overweight adolescents participating in a multidisciplinary health promotion project.\u0000Methods: this qualitative study was conducted from March to July 2021 using the Bardin content analysis technique. The tool used for data collection was the semi-structured interview, analyzed means by the software QSR NVivo 11 by grouping the speech into clusters. These, in turn, were evaluated in three categories: (1) motivation, (2) food, and (3) physical exercise.\u0000Results: the age of the participants was 13.8 ± 2.4 years old, with body mass index of 31.8 ± 8.5 kg/m². Regarding family income, 41.66% had a monthly payment of 3 to 6 minimum wages. Regarding parents’ educational level, 70.83% of mothers had completed higher education, while 29.16% had completed high school. According to the respondent’s answers, weight loss was the greatest motivation to participate in a multidisciplinary obesity treatment program. In category 2, it was observed that adolescents associated the act of eating with feelings such as anxiety and nervousness. In category 3, the impact of the pandemic was found under the modalities of physical exercise practiced.\u0000Conclusion: the results describe the motivation of overweight adolescents to participate in a multidisciplinary program, in addition to elucidating participants’ perception of their health and related habits, strategies for health promotion, and consequent improvement of the quality of life of these individuals.","PeriodicalId":35218,"journal":{"name":"Journal of Human Growth and Development","volume":"162 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139025699","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}
引用次数: 1
Relationship between quality of life and sociodemographic, clinical and lifestyle characteristics of patients undergoing hemodialysis 血液透析患者的生活质量与社会人口学、临床和生活方式特征之间的关系
Q2 Medicine Pub Date : 2023-12-01 DOI: 10.36311/jhgd.v33.15422
Marina Abelha Barreto, M. Cattafesta, Alexandre Cardoso da Cunha, Mirian Patrícia Castro Pereira Paixão, Edson Theodoro dos Santos Neto, Luciane Bresciani Salaroli
Introduction: In chronic diseases, QoL depends on several factors such as the type and duration of the disease, its treatment and side effects, the severity of symptoms, medication effects, patient age, limitations and self-care capacity. In chronic kidney disease it has also become a measure of health outcome.Objective: assess the association between QoL and socioeconomic, lifestyle and clinical factors of patients on HD.Methods: This is a cross-sectional epidemiological census, carried out among 1,024 patients on hemodialysis from all hemodialysis units at the metropolitan region in the Espirito Santo’s, Brazil . Sociodemographic, lifestyle and clinical characteristics data were used. QoL was assessed using the Short-Form health Survey-36 (SF-36). Data were analysed by multiple linear regression.Results: The best QoL was represented by mental health (72.16) and the worst QoL by the physical aspect (26.78). After multiple linear regression, predictors of QoL were identified, with emphasis on males, a predictor of better QoL for 5 of the 8 domains and the summaries of the physical and mental components. Education, associated with 5 domains, gives greater reference to income. Physical activity was a predictor of 7 of the 8 QoL domains and the summary of the physical component. Among the clinical variables, the number of complications is associated with 7 of the 8 domains and summaries of the physical and mental components.Conclusion: Male sex is highlighted as a predictor of better physical and mental health and elderly people with better mental health, despite the impairment in physical health. The absence of physical activity is associated with worse physical and mental health. Clinically, having 3 or more intradialytic complications was associated with worse physical and mental QoL.
引言在慢性疾病中,生活质量取决于多种因素,如疾病的类型和持续时间、治疗方法和副作用、症状的严重程度、药物治疗效果、患者年龄、限制因素和自我护理能力。在慢性肾脏病中,它也成为衡量健康结果的一个指标。目的:评估 QoL 与 HD 患者的社会经济、生活方式和临床因素之间的关系:这是一项横断面流行病学普查,对象是巴西圣埃斯皮里图大区所有血液透析单位的 1024 名血液透析患者。调查使用了社会人口学、生活方式和临床特征数据。QoL采用短式健康调查-36(SF-36)进行评估。数据采用多元线性回归分析:结果:心理健康代表了最好的 QoL(72.16),身体健康代表了最差的 QoL(26.78)。经过多元线性回归,确定了 QoL 的预测因素,重点是男性,男性在 8 个领域中的 5 个领域以及身体和心理部分的总和中都是 QoL 较好的预测因素。教育与 5 个领域相关,但更多地与收入相关。体育锻炼是 8 个 QoL 领域中 7 个领域的预测因素,也是身体部分的预测因素。在临床变量中,并发症的数量与 8 个领域中的 7 个领域以及身体和精神部分的总结相关:结论:尽管老年人的身体健康状况不佳,但男性是身心健康和精神健康状况较好的预测因素。缺乏体育锻炼与身心健康状况较差有关。在临床上,出现 3 种或更多椎管内并发症与身体和心理的 QoL 较差有关。
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引用次数: 1
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Journal of Human Growth and Development
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