Alan Patrício da Silva, Maria Olívia Albuquerque Ribeiro, Matheus Paiva Emídio, Blanca Elena Guerrero Daboin, Tassiane Cristina Morais, Cláudia Inês Pelegrini de Oliveira Abreu, Italla Maria Pinheiro Bezerra, Luiz Carlos de Abreu
Introduction: in 2019, the proliferation of a virus identified as SARS-CoV-2 emerged in the city of Wuhan, a district in China, quickly spread throughout the world, gaining pandemic status and less than 1 year, its repercussions and magnitude caused scientists, governments and society to adopt severe measures to combat this disease. Objective: to analyze mortality, incidence and mortality from COVID-19 in the municipalities of Botucatu and Serrana, São Paulo, Brazil. Methods: this is an ecological study with a time series design with secondary data. All registered cases and deaths registered by COVID-19 from April 2020 to August 2021 in the municipalities of Botucatu and Serrana, São Paulo, Brazil were considered. The incidence, mortality and lethality rate were used. The monthly and/or weekly percentage variation and their respective 95% confidence intervals were estimated. Results: it identified that 12.88% of the residents of the city of Botucatu were infected with COVID-19 and 8.61% of the population of the municipality of Serrana was infected. There was a stationary trend of mortality and incidence in the period between April 2020 and May 2021 and decreasing in both sexes in the mortality rate in the municipality of Serrana, in the city of Botucatu there was a trend of increasing mortality and incidence in the same period observed. Conclusion: The mass vaccination strategy of citizens in the cities of Botucatu and Serrana present robust data to consider that immunization has a decreasing effect on the number of cases and deaths from COVID-19, which effectively contributes to fighting the pandemic and reduces the contamination and progression of the disease to more severe cases.
{"title":"COVID-19 in the municipalities of Botucatu and Serrana, São Paulo, Brazil, the effects of lethality and mortality","authors":"Alan Patrício da Silva, Maria Olívia Albuquerque Ribeiro, Matheus Paiva Emídio, Blanca Elena Guerrero Daboin, Tassiane Cristina Morais, Cláudia Inês Pelegrini de Oliveira Abreu, Italla Maria Pinheiro Bezerra, Luiz Carlos de Abreu","doi":"10.36311/jhgd.v32.13255","DOIUrl":"https://doi.org/10.36311/jhgd.v32.13255","url":null,"abstract":"Introduction: in 2019, the proliferation of a virus identified as SARS-CoV-2 emerged in the city of Wuhan, a district in China, quickly spread throughout the world, gaining pandemic status and less than 1 year, its repercussions and magnitude caused scientists, governments and society to adopt severe measures to combat this disease.\u0000Objective: to analyze mortality, incidence and mortality from COVID-19 in the municipalities of Botucatu and Serrana, São Paulo, Brazil.\u0000Methods: this is an ecological study with a time series design with secondary data. All registered cases and deaths registered by COVID-19 from April 2020 to August 2021 in the municipalities of Botucatu and Serrana, São Paulo, Brazil were considered. The incidence, mortality and lethality rate were used. The monthly and/or weekly percentage variation and their respective 95% confidence intervals were estimated.\u0000Results: it identified that 12.88% of the residents of the city of Botucatu were infected with COVID-19 and 8.61% of the population of the municipality of Serrana was infected. There was a stationary trend of mortality and incidence in the period between April 2020 and May 2021 and decreasing in both sexes in the mortality rate in the municipality of Serrana, in the city of Botucatu there was a trend of increasing mortality and incidence in the same period observed.\u0000Conclusion: The mass vaccination strategy of citizens in the cities of Botucatu and Serrana present robust data to consider that immunization has a decreasing effect on the number of cases and deaths from COVID-19, which effectively contributes to fighting the pandemic and reduces the contamination and progression of the disease to more severe cases.","PeriodicalId":35218,"journal":{"name":"Journal of Human Growth and Development","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49385046","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}
M. Andreu, P. Policastro, Tatiana Dias de Carvalho, Y. Pardo
Nonlinear systems are not susceptible to being investigated with reductionist methods. In this sense, complexity theory offers an alternative approach to quantify the importance of contextual factors (CFs) in the patient with pain. The result of the positive (placebo) or negative (nocebo) use of CFs in the therapeutic setting could be responsible for a large part of a non-specific component of the efficacy of the treatment, directly affecting the quality of the results related to the patient's health (for example, pain, disability, or satisfaction). In recent years, understanding of the value of these effects has increased. Despite growing interest, knowledge, and awareness of them is currently limited and heterogeneous among health professionals, reducing their translational value in the field of health.
{"title":"Complexity theory in the management of patients with pain","authors":"M. Andreu, P. Policastro, Tatiana Dias de Carvalho, Y. Pardo","doi":"10.36311/jhgd.v32.13365","DOIUrl":"https://doi.org/10.36311/jhgd.v32.13365","url":null,"abstract":"Nonlinear systems are not susceptible to being investigated with reductionist methods. In this sense, complexity theory offers an alternative approach to quantify the importance of contextual factors (CFs) in the patient with pain. The result of the positive (placebo) or negative (nocebo) use of CFs in the therapeutic setting could be responsible for a large part of a non-specific component of the efficacy of the treatment, directly affecting the quality of the results related to the patient's health (for example, pain, disability, or satisfaction). In recent years, understanding of the value of these effects has increased. Despite growing interest, knowledge, and awareness of them is currently limited and heterogeneous among health professionals, reducing their translational value in the field of health.","PeriodicalId":35218,"journal":{"name":"Journal of Human Growth and Development","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44589948","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}
Gustavo Carreiro Pinasco, Eduardo Moreno Júdice de Mattos Farina, Fabiano Novaes Barcellos Filho, Willer França Fiorotti, Matheus Coradini Mariano Ferreira, Sheila Cristina de Souza Cruz, Andre Louzada Colodette, Luciene Rossati Loureiro, Tatiane Comerio, Dilzilene Cunha Sivirino Farias, Katia Valéria Manhambusque, E. de Fátima Almeida Lima
Introduction: the Coronavirus Disease 2019 (COVID-19) is a viral disease which has been declared a pandemic by the WHO. Diagnostic tests are expensive and are not always available. Researches using machine learning (ML) approach for diagnosing SARS-CoV-2 infection have been proposed in the literature to reduce cost and allow better control of the pandemic. Objective: we aim to develop a machine learning model to predict if a patient has COVID-19 with epidemiological data and clinical features. Methods: we used six ML algorithms for COVID-19 screening through diagnostic prediction and did an interpretative analysis using SHAP models and feature importances. Results: our best model was XGBoost (XGB) which obtained an area under the ROC curve of 0.752, a sensitivity of 90%, a specificity of 40%, a positive predictive value (PPV) of 42.16%, and a negative predictive value (NPV) of 91.0%. The best predictors were fever, cough, history of international travel less than 14 days ago, male gender, and nasal congestion, respectively. Conclusion: We conclude that ML is an important tool for screening with high sensitivity, compared to rapid tests, and can be used to empower clinical precision in COVID-19, a disease in which symptoms are very unspecific.
{"title":"An interpretable machine learning model for covid-19 screening","authors":"Gustavo Carreiro Pinasco, Eduardo Moreno Júdice de Mattos Farina, Fabiano Novaes Barcellos Filho, Willer França Fiorotti, Matheus Coradini Mariano Ferreira, Sheila Cristina de Souza Cruz, Andre Louzada Colodette, Luciene Rossati Loureiro, Tatiane Comerio, Dilzilene Cunha Sivirino Farias, Katia Valéria Manhambusque, E. de Fátima Almeida Lima","doi":"10.36311/jhgd.v32.13324","DOIUrl":"https://doi.org/10.36311/jhgd.v32.13324","url":null,"abstract":"Introduction: the Coronavirus Disease 2019 (COVID-19) is a viral disease which has been declared a pandemic by the WHO. Diagnostic tests are expensive and are not always available. Researches using machine learning (ML) approach for diagnosing SARS-CoV-2 infection have been proposed in the literature to reduce cost and allow better control of the pandemic.\u0000Objective: we aim to develop a machine learning model to predict if a patient has COVID-19 with epidemiological data and clinical features.\u0000Methods: we used six ML algorithms for COVID-19 screening through diagnostic prediction and did an interpretative analysis using SHAP models and feature importances.\u0000Results: our best model was XGBoost (XGB) which obtained an area under the ROC curve of 0.752, a sensitivity of 90%, a specificity of 40%, a positive predictive value (PPV) of 42.16%, and a negative predictive value (NPV) of 91.0%. The best predictors were fever, cough, history of international travel less than 14 days ago, male gender, and nasal congestion, respectively.\u0000Conclusion: We conclude that ML is an important tool for screening with high sensitivity, compared to rapid tests, and can be used to empower clinical precision in COVID-19, a disease in which symptoms are very unspecific.\u0000 ","PeriodicalId":35218,"journal":{"name":"Journal of Human Growth and Development","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47238329","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}
Dara Fernanda Brito Duarte, Jaiany Rodrigues Libório, Giovana Macêdo Egídio Cavalcante, Taysa Leite de Aquino, Larissa De Carvalho Bezerra, Ana Luíza de Aguiar Rocha Martin, João Victor Rodrigues de Lacerda, Vitor Friary, Juliane dos Anjos de Paula
Introduction: the public health crisis caused by COVID-19, a disease caused by SARS-CoV-2, has imposed physical threats and psychological suffering on both infected patients and individuals who experience social isolation and various governmental restrictions, leading to the appearance of symptoms like anxiety, depression, as well as insomnia, stress, and changes in biological rhythm. In face of this stressful scenario, interventions based on mindfulness (MBIs) have proved to be potentially adequate tools in reducing psychological suffering and generating well-being in the general population. Objective: to describe the effects of mindfulness-based interventions during the COVID-19 pandemic. Methods: A systematic literature review was conducted on the effects of mindfulness intervention in times of COVID-19. The articles were searched in four databases (Pubmed, Embase, Scopus, and Science direct) and the PRISMA protocol was used to conduct this review. In total, fourteen articles were included in the study. Results: the use of mindfulness techniques in the population with impaired mental health because of the COVID-19 pandemic proved to be beneficial, with improvement in emotional stress scores and reduction in anxiety symptoms, through formal mindfulness meditation practices such as mindful breathing, body scanning, and application of the mindfulness-based stress reduction strategy (MBSR). Strategies were also applied through smartphone applications that had the objective of promoting the increase of mindfulness and the development of the acceptance without judgment of the traumatic experiences already lived, in addition to an integrated intervention on the internet with the use of mindfulness, the training of respiratory relaxation, refuge skills and Butterfly Hug Method. Conclusion: with the pandemic going through, still with high mortality, continuity of social isolation, and, consequently, intensification of psychic suffering in the population and health professionals, interventions based on mindfulness (MBIs) are being effective to reduce this suffering, prevent the appearance of of chronic mental disorders and promote positive impacts on physical and mental well-being.
{"title":"The effects of mindfulness-based interventions in COVID-19 times: a systematic review","authors":"Dara Fernanda Brito Duarte, Jaiany Rodrigues Libório, Giovana Macêdo Egídio Cavalcante, Taysa Leite de Aquino, Larissa De Carvalho Bezerra, Ana Luíza de Aguiar Rocha Martin, João Victor Rodrigues de Lacerda, Vitor Friary, Juliane dos Anjos de Paula","doi":"10.36311/jhgd.v32.13313","DOIUrl":"https://doi.org/10.36311/jhgd.v32.13313","url":null,"abstract":"Introduction: the public health crisis caused by COVID-19, a disease caused by SARS-CoV-2, has imposed physical threats and psychological suffering on both infected patients and individuals who experience social isolation and various governmental restrictions, leading to the appearance of symptoms like anxiety, depression, as well as insomnia, stress, and changes in biological rhythm. In face of this stressful scenario, interventions based on mindfulness (MBIs) have proved to be potentially adequate tools in reducing psychological suffering and generating well-being in the general population.\u0000Objective: to describe the effects of mindfulness-based interventions during the COVID-19 pandemic.\u0000Methods: A systematic literature review was conducted on the effects of mindfulness intervention in times of COVID-19. The articles were searched in four databases (Pubmed, Embase, Scopus, and Science direct) and the PRISMA protocol was used to conduct this review. In total, fourteen articles were included in the study.\u0000Results: the use of mindfulness techniques in the population with impaired mental health because of the COVID-19 pandemic proved to be beneficial, with improvement in emotional stress scores and reduction in anxiety symptoms, through formal mindfulness meditation practices such as mindful breathing, body scanning, and application of the mindfulness-based stress reduction strategy (MBSR). Strategies were also applied through smartphone applications that had the objective of promoting the increase of mindfulness and the development of the acceptance without judgment of the traumatic experiences already lived, in addition to an integrated intervention on the internet with the use of mindfulness, the training of respiratory relaxation, refuge skills and Butterfly Hug Method.\u0000Conclusion: with the pandemic going through, still with high mortality, continuity of social isolation, and, consequently, intensification of psychic suffering in the population and health professionals, interventions based on mindfulness (MBIs) are being effective to reduce this suffering, prevent the appearance of of chronic mental disorders and promote positive impacts on physical and mental well-being.","PeriodicalId":35218,"journal":{"name":"Journal of Human Growth and Development","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48789532","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}
J. García-Niebla, Andrés Ricardo Pérez-Riera, Rodrigo de Souza Abreu, Raimundo Barbosa-Barros, Díaz Muñoz, K. Nikus
Brugada syndrome (BrS) is an inherited clinical-electrocardiographic arrhythmic entity with an autosomal dominant genetic pattern of inheritance or de novo variant. The syndrome has low worldwide prevalence, but is endemic in Southeast Asian countries (Thailand, Philippines and Japan). The BrS is a subtle structural heart disease (SHD), and the diagnosis is only possible when the so-called type 1 Brugada ECG pattern is spontaneously present or induced for example with fever. Repolarization-depolarization disturbances in BrS patients can be caused by genetic mutations, abnormal neural crest cell migration, low expression of connexin-43 gap junction protein, or connexome disturbances. A recent autopsy study revealed increase in biventricular collagen with myocardial fibrosis when compared with control subjects although the main affected cardiac territory is the right ventricular outflow tract (RVOT). In this location, there is abnormally low expression of significant connexin-43 gap junction responsible for the electro-vectorcardiographic manifestations of terminal QRS conduction delay in the right standard precordial leads (V1-V2), high right precordial leads (V1H-V2H), as well as in the unipolar aVR lead (“the forgotten lead”). Based on their location, these leads reflect the electrical activity of the RVOT.
{"title":"Brugada syndrome unmasked by fever and paradoxical lower degree of dromotropic disturbance in the right ventricular outflow tract","authors":"J. García-Niebla, Andrés Ricardo Pérez-Riera, Rodrigo de Souza Abreu, Raimundo Barbosa-Barros, Díaz Muñoz, K. Nikus","doi":"10.36311/jhgd.v32.13319","DOIUrl":"https://doi.org/10.36311/jhgd.v32.13319","url":null,"abstract":"Brugada syndrome (BrS) is an inherited clinical-electrocardiographic arrhythmic entity with an autosomal dominant genetic pattern of inheritance or de novo variant. The syndrome has low worldwide prevalence, but is endemic in Southeast Asian countries (Thailand, Philippines and Japan). The BrS is a subtle structural heart disease (SHD), and the diagnosis is only possible when the so-called type 1 Brugada ECG pattern is spontaneously present or induced for example with fever. Repolarization-depolarization disturbances in BrS patients can be caused by genetic mutations, abnormal neural crest cell migration, low expression of connexin-43 gap junction protein, or connexome disturbances. A recent autopsy study revealed increase in biventricular collagen with myocardial fibrosis when compared with control subjects although the main affected cardiac territory is the right ventricular outflow tract (RVOT). In this location, there is abnormally low expression of significant connexin-43 gap junction responsible for the electro-vectorcardiographic manifestations of terminal QRS conduction delay in the right standard precordial leads (V1-V2), high right precordial leads (V1H-V2H), as well as in the unipolar aVR lead (“the forgotten lead”). Based on their location, these leads reflect the electrical activity of the RVOT.","PeriodicalId":35218,"journal":{"name":"Journal of Human Growth and Development","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43256862","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}
Camila De Franco Tobar, Maikon De Sousa Michels, Selma Cristina Franco
Introdução: estudos apontam maior índice de sintomas de ansiedade, depressão e estresse entre estudantes de Medicina quando comparados à população geral. O contexto da pandemia pelo novo coronavírus (SARS-CoV-2) gerou uma carga adicional de estresse a estes estudantes. Objetivo: o presente artigo objetivou avaliar a saúde emocional de estudantes de medicina durante a pandemia. Método: participaram 437 estudantes, aos quais foi administrado um questionário sociodemográfico, a Escala de Afetos Positivos e Afetos Negativos (PANAS) e a Escala de Autocompaixão – Brasil. Resultados: a maioria (69%) é do sexo feminino, 63% reside com a família, 35% possui financiamento estudantil, 59% pratica alguma religião, 45% relatou diagnóstico de transtorno psicológico, 27% faz uso de medicamento psiquiátrico e 9% faz uso de substâncias psicoativas. Mais de 72% das mulheres e 58% dos homens apresentaram escores de afetos positivos (AP), afetos negativos (AN) e autocompaixão (AC) abaixo da média populacional. O relato de transtorno psicológico e uso de medicamentos psiquiátricos demonstrou-se significativamente associado a menores índices de AP (respectivamente, p<0,0001 e p=0,030) e AC (p<0,001 em ambos) e maiores índices de AN (p<0,001 em ambos). Conclusão: os resultados apontam maior vulnerabilidade da saúde psicológica dos estudantes de Medicina durante a pandemia e indicam a importância da adoção de medidas que visem o bem-estar emocional no âmbito institucional.
{"title":"Autocompaixão e Afetos Positivos e Negativos de Estudantes de Medicina Durante a Pandemia de Covid-19","authors":"Camila De Franco Tobar, Maikon De Sousa Michels, Selma Cristina Franco","doi":"10.36311/jhgd.v32.11909","DOIUrl":"https://doi.org/10.36311/jhgd.v32.11909","url":null,"abstract":"Introdução: estudos apontam maior índice de sintomas de ansiedade, depressão e estresse entre estudantes de Medicina quando comparados à população geral. O contexto da pandemia pelo novo coronavírus (SARS-CoV-2) gerou uma carga adicional de estresse a estes estudantes.\u0000Objetivo: o presente artigo objetivou avaliar a saúde emocional de estudantes de medicina durante a pandemia.\u0000Método: participaram 437 estudantes, aos quais foi administrado um questionário sociodemográfico, a Escala de Afetos Positivos e Afetos Negativos (PANAS) e a Escala de Autocompaixão – Brasil.\u0000Resultados: a maioria (69%) é do sexo feminino, 63% reside com a família, 35% possui financiamento estudantil, 59% pratica alguma religião, 45% relatou diagnóstico de transtorno psicológico, 27% faz uso de medicamento psiquiátrico e 9% faz uso de substâncias psicoativas. Mais de 72% das mulheres e 58% dos homens apresentaram escores de afetos positivos (AP), afetos negativos (AN) e autocompaixão (AC) abaixo da média populacional. O relato de transtorno psicológico e uso de medicamentos psiquiátricos demonstrou-se significativamente associado a menores índices de AP (respectivamente, p<0,0001 e p=0,030) e AC (p<0,001 em ambos) e maiores índices de AN (p<0,001 em ambos).\u0000Conclusão: os resultados apontam maior vulnerabilidade da saúde psicológica dos estudantes de Medicina durante a pandemia e indicam a importância da adoção de medidas que visem o bem-estar emocional no âmbito institucional.","PeriodicalId":35218,"journal":{"name":"Journal of Human Growth and Development","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49310878","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}
Introduction: Many interventions have been designed to support the development of the preterm baby and minimise the complications of prematurity. However, there is limited evidence of the possible psychological benefits of touch to the mother when she is the one performing the support programme during the hospitalisation of her newborn. Objective: This study explored whether the type of touch provided to preterm neonates had an impact on maternal self-efficacy, self-esteem and maternal-to-infant attachment, as-well-as newborn weight gain. Methods: Using a randomised cluster trial, forty babies and their mothers were allocated to one of two groups receiving either a touch-based intervention (TAC-TIC; Touching And Caressing; Tender In Caring) or spontaneous touch. Results: Mothers who provided the touch-based intervention demonstrated greater increases in self-efficacy, self-esteem and attachment, and babies gained more weight than those using spontaneous touch. Conclusion: The results indicate that systematic touch interventions may be used to facilitate the mother-baby relationship as well as to promote newborn weight gain.
{"title":"Understanding the impact of newborn touch upon mothers of hospitalized preterm neonates.","authors":"C. Barnes, Elvidina N. Adamson-Macedo","doi":"10.36311/jhgd.v32.13322","DOIUrl":"https://doi.org/10.36311/jhgd.v32.13322","url":null,"abstract":"Introduction: Many interventions have been designed to support the development of the preterm baby and minimise the complications of prematurity. However, there is limited evidence of the possible psychological benefits of touch to the mother when she is the one performing the support programme during the hospitalisation of her newborn.\u0000Objective: This study explored whether the type of touch provided to preterm neonates had an impact on maternal self-efficacy, self-esteem and maternal-to-infant attachment, as-well-as newborn weight gain.\u0000Methods: Using a randomised cluster trial, forty babies and their mothers were allocated to one of two groups receiving either a touch-based intervention (TAC-TIC; Touching And Caressing; Tender In Caring) or spontaneous touch.\u0000Results: Mothers who provided the touch-based intervention demonstrated greater increases in self-efficacy, self-esteem and attachment, and babies gained more weight than those using spontaneous touch.\u0000Conclusion: The results indicate that systematic touch interventions may be used to facilitate the mother-baby relationship as well as to promote newborn weight gain.","PeriodicalId":35218,"journal":{"name":"Journal of Human Growth and Development","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42742842","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}
Background: The age at first birth corresponds to the age of the mother giving birth to the first child. The study aims at accessing the determinants of timing to age at first birth among Ethiopian women. Methods: The data for this study was extracted from the published reports of Ethiopian Demographic and Health Survey. The study used15, 683 women aged 15-49 years from nine regions and two city administrations. Cox Proportional hazards model was used for identifying factors associated with age at first birth. Results: The median time of age at first birth for Ethiopian women was22 years with 95% CI; (21.82, 22.18). Cox Proportional Hazards Model shows that region, place of residence, education, wealth index, religion, work status, age at first marriage, age at first sex, and use of contraceptives have significant effects on the age at first birth at 5% level of significance. From region category, Amhara region (p-value=0.398), Benishangul Gumuz(p-value=0.112) Region, and Gambella region(p-value=0.062) were not significant at 5% level of significance. Conclusions: The age at first birth was positively correlated with the age at first sexual inter course. A woman who has sexual intercourse much earlier gives birth earlier than a woman who is late for first intercourse.
{"title":"Determinants of Time to First Birth among women in Ethiopia using Cox Proportional Hazards Model","authors":"Yihenew Mitiku Alemu, Molalign Gualu Gobena","doi":"10.36311/jhgd.v32.13145","DOIUrl":"https://doi.org/10.36311/jhgd.v32.13145","url":null,"abstract":"Background: The age at first birth corresponds to the age of the mother giving birth to the first child. The study aims at accessing the determinants of timing to age at first birth among Ethiopian women. \u0000Methods: The data for this study was extracted from the published reports of Ethiopian Demographic and Health Survey. The study used15, 683 women aged 15-49 years from nine regions and two city administrations. Cox Proportional hazards model was used for identifying factors associated with age at first birth. \u0000Results: The median time of age at first birth for Ethiopian women was22 years with 95% CI; (21.82, 22.18). Cox Proportional Hazards Model shows that region, place of residence, education, wealth index, religion, work status, age at first marriage, age at first sex, and use of contraceptives have significant effects on the age at first birth at 5% level of significance. From region category, Amhara region (p-value=0.398), Benishangul Gumuz(p-value=0.112) Region, and Gambella region(p-value=0.062) were not significant at 5% level of significance. \u0000Conclusions: The age at first birth was positively correlated with the age at first sexual inter course. A woman who has sexual intercourse much earlier gives birth earlier than a woman who is late for first intercourse.","PeriodicalId":35218,"journal":{"name":"Journal of Human Growth and Development","volume":"41 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41282917","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}
Cicília Fraga Rocha Pontes Fernandez, Luciana Pardini Chamié, M. Aguiar, Eduardo Just da Costa e Silva, Debora Farias Batista Leite, Simone Angélica Leite de Carvalho Silva, José Luiz Figueiredo
Introduction: endometriosis occurs when tissue similar to the endometrium affects the peritoneum, which can infiltrate structures and organs such as the bowel, ureter, bladder or vagina and is usually accompanied by an inflammatory process. It is estimated that the disease affects 6 to 10% of women of reproductive age and more than 50% of infertile women. The clinical and epidemiological data of patients with DE come from studies whose women were selected by surgery, therefore subject to selection bias. Transvaginal pelvic ultrasound with bowel preparation (TVUBP) has high specificity and sensitivity values. Objective: analyze the clinical and epidemiological profile of patients with DE diagnosed through the TVUBP. Methods: a cross-sectional study that analyzed 227 patients with an ultrasound diagnosis of deep endometriosis. Results: infertility affected 43.8% of women. Painful symptoms considered as moderate or severe (visual analogue scale, VAS, >3) had the following prevalence and mean values on the VAS scale, respectively: dysmenorrhea in 84.7% (6.9), dyspareunia in 69.1%, (4.2) menstrual dyschezia in 60.7% (4.3) and menstrual dysuria in 35.7% of patients. A history of multiple surgeries occurred in 10.4% and only 6.8% of patients had undergone physiotherapy for the pelvic floor. Conclusion: the DE population had a high prevalence of infertility and pain symptoms, findings that reflect the social impact on the quality of life and family planning of these women. The high frequency of history of multiple surgical approaches and the low incidence of history of pelvic physiotherapy in the population with DE, contrary to the currently established ideal treatment recommendations, indicate the difficulty of access for patients to specialized centers.
{"title":"Deep endometriosis: clinical and epidemiological findings of diagnosed women according to the criteria of the international deep endometriosis analysis group (IDEA)","authors":"Cicília Fraga Rocha Pontes Fernandez, Luciana Pardini Chamié, M. Aguiar, Eduardo Just da Costa e Silva, Debora Farias Batista Leite, Simone Angélica Leite de Carvalho Silva, José Luiz Figueiredo","doi":"10.36311/jhgd.v32.13312","DOIUrl":"https://doi.org/10.36311/jhgd.v32.13312","url":null,"abstract":"Introduction: endometriosis occurs when tissue similar to the endometrium affects the peritoneum, which can infiltrate structures and organs such as the bowel, ureter, bladder or vagina and is usually accompanied by an inflammatory process. It is estimated that the disease affects 6 to 10% of women of reproductive age and more than 50% of infertile women. The clinical and epidemiological data of patients with DE come from studies whose women were selected by surgery, therefore subject to selection bias. Transvaginal pelvic ultrasound with bowel preparation (TVUBP) has high specificity and sensitivity values.\u0000Objective: analyze the clinical and epidemiological profile of patients with DE diagnosed through the TVUBP.\u0000Methods: a cross-sectional study that analyzed 227 patients with an ultrasound diagnosis of deep endometriosis.\u0000Results: infertility affected 43.8% of women. Painful symptoms considered as moderate or severe (visual analogue scale, VAS, >3) had the following prevalence and mean values on the VAS scale, respectively: dysmenorrhea in 84.7% (6.9), dyspareunia in 69.1%, (4.2) menstrual dyschezia in 60.7% (4.3) and menstrual dysuria in 35.7% of patients. A history of multiple surgeries occurred in 10.4% and only 6.8% of patients had undergone physiotherapy for the pelvic floor.\u0000Conclusion: the DE population had a high prevalence of infertility and pain symptoms, findings that reflect the social impact on the quality of life and family planning of these women. The high frequency of history of multiple surgical approaches and the low incidence of history of pelvic physiotherapy in the population with DE, contrary to the currently established ideal treatment recommendations, indicate the difficulty of access for patients to specialized centers.","PeriodicalId":35218,"journal":{"name":"Journal of Human Growth and Development","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42722311","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}
Bruna Dias Alonso, Denise Yoshie Niy, Eder Lucio da Fonseca, Cláudia de Azevedo Aguiar, J. Sandall, Carmen Simone Grilo Diniz
Introduction: In Brazil, interventions during labor and childbirth are harmful and, for the most part, unnecessary. In addition, there is a high prevalence of abuse and disrespect for women and babies during this period. Objective: To describe the prevalence of maternal and neonatal harm and harm-free care in a Brazilian maternity setting. Methods: Pilot application of the Portuguese version of Maternal Safety Thermometer (MST) by a cross-sectional study in a public setting. Data collection was made at two timepoints. Results: 140 women were included. Over 84% of women had a postpartum sutured wound, resulting from a caesarean section, an episiotomy, or a perineal trauma. Puerperal infection, especially on a caesarean wound, was the most frequent physical harm. Women’s perception of safety, including being left alone in labour, and feeling their safety concerns were not taken seriously, decreased from 80.6% to 43.3% in the second timepoint. Using the MST helped to improve the quality of medical records since critical information about a patient’s health status was not properly recorded, or even absent. Conclusion: MST is a concise tool and includes indicators related to harm-free care in a short time range. However, this study suggests that the MST can underestimate harm if it is used alone to assess harm-free care in maternities with excessive levels of intervention, and poor reporting of harms (i.e., blood loss), as in most Brazilian settings.
{"title":"Measuring harm-free care in childbirth: a pilot application of the maternity safety thermometer in Brazil","authors":"Bruna Dias Alonso, Denise Yoshie Niy, Eder Lucio da Fonseca, Cláudia de Azevedo Aguiar, J. Sandall, Carmen Simone Grilo Diniz","doi":"10.36311/jhgd.v32.13228","DOIUrl":"https://doi.org/10.36311/jhgd.v32.13228","url":null,"abstract":"Introduction: In Brazil, interventions during labor and childbirth are harmful and, for the most part, unnecessary. In addition, there is a high prevalence of abuse and disrespect for women and babies during this period.\u0000Objective: To describe the prevalence of maternal and neonatal harm and harm-free care in a Brazilian maternity setting.\u0000Methods: Pilot application of the Portuguese version of Maternal Safety Thermometer (MST) by a cross-sectional study in a public setting. Data collection was made at two timepoints.\u0000Results: 140 women were included. Over 84% of women had a postpartum sutured wound, resulting from a caesarean section, an episiotomy, or a perineal trauma. Puerperal infection, especially on a caesarean wound, was the most frequent physical harm. Women’s perception of safety, including being left alone in labour, and feeling their safety concerns were not taken seriously, decreased from 80.6% to 43.3% in the second timepoint. Using the MST helped to improve the quality of medical records since critical information about a patient’s health status was not properly recorded, or even absent.\u0000Conclusion: MST is a concise tool and includes indicators related to harm-free care in a short time range. However, this study suggests that the MST can underestimate harm if it is used alone to assess harm-free care in maternities with excessive levels of intervention, and poor reporting of harms (i.e., blood loss), as in most Brazilian settings.","PeriodicalId":35218,"journal":{"name":"Journal of Human Growth and Development","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47842890","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}
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