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Construction and validation of educational videos for adolescents with Down Syndrome based on health literacy – LISA Down Program 基于健康素养的青少年唐氏综合症教育视频的构建与验证——LISA唐氏计划
Q3 Medicine Pub Date : 2023-05-08 DOI: 10.1590/1806-9304202300000231-en
Maria da Conceição Alves Silva, Lisidna Almeida Cabral, A. Martins, Dayze Djanira Furtado de Galiza, Nadja Ferreira Rabelo de Melo, Mariana Ferreira Pinto, H. A. D. C. Sampaio
Abstract Objectives: to construct and validate educational videos as part of the LISA Down Program – Literacy and Innovation in Health for Adolescents with Down Syndrome. Methods: this is a methodological study of construction and validation of educational videos based on health literacy designed for adolescents with Down syndrome, assisted by an Associação de Pais e Amigos dos Excepcionais (APAE) (Association of Parents and Friends of the Exceptional) located in the Northeast of Brazil. The stages of construction and validation of the vídeos were: pre-production, production and post-production. The storyboards were prepared according to the fundamentals of health literacy and validated by seven expert judges. Subsequently, the storyboards were transformed into videos (production) and these were evaluated by 13 adolescents with Down Syndrome (postproduction). Results: the storyboards totaled 248 scenes, ranging from 39 to 67 scenes each, were approved by the judges with percentages of agreement ranging from 94% to 100%. The vídeos recorded were approved by adolescentes with Down syndrome, in agreement of percentages ranging from 79.17% to 83.33%. Conclusion: the educational vídeos were validated and well evaluated and, therefore, can be used among adolescents in social spaces in which the focus of attention is adolescentes with Down syndrome.
摘要目的:构建和验证教育视频作为LISA唐氏计划的一部分-读写和创新健康的青少年唐氏综合症。方法:这是一项方法学研究,在巴西东北部的特殊儿童家长和朋友协会(APAE)的协助下,以健康素养为基础,为患有唐氏综合症的青少年设计教育视频的构建和验证。vídeos的构建和验证阶段为:前期制作、生产和后期制作。故事板是根据卫生知识普及的基本原则编写的,并经七名专家评委验证。随后,故事板被制作成视频(制作),并由13名唐氏综合症青少年进行评估(后期制作)。结果:分镜共248个场景,每个场景39 ~ 67个场景,评委通过分镜,同意率94% ~ 100%。所记录的vídeos被患有唐氏综合症的青少年认可,其一致性百分比从79.17%到83.33%不等。结论:教育vídeos得到了验证和良好的评价,因此可以在关注焦点为唐氏综合症青少年的社会空间中使用。
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引用次数: 0
Puerperal women’s knowledge on newborn’s body hygiene 产褥期妇女对新生儿身体卫生知识的了解
Q3 Medicine Pub Date : 2023-05-05 DOI: 10.1590/1806-9304202300000187-en
Maria Paula Custódio Silva, L. M. Fonseca, M. Ruiz, Gilberto Pereira de Araújo, Jesislei Bonolo do Amaral Rocha, Divanice Contim
Abstract Objectives: to identify puerperal women’s knowledge attending the housing unit at a teaching hospital about newborn body hygiene after receiving routine guidance from the nursing team. Methods: cross-sectional study, carried out with 207 puerperal women from a teaching hospital in the Minas Gerais State between December 2018 and May 2019. For data collection, an instrument was built and validated following three phases and descriptive statistics and linear correlation were used of Spearman’s, with a confidence level of 95% for knowledge analysis. Results: 207 puerperal women participated in the study, with a mean age of 27 ± 6.3 years. Inadequate knowledge was observed, mainly regarding the sequence of cleaning the face and scalp, adequate products and hygiene of the nose, ear and mouth. The domain “before the bath” presented the highest average percentage of correct questions (94.0%±10.1), including care with the environment, temperature and intimate hygiene. Conclusion: the identification of inadequate knowledge about the newborn’s body hygiene raises the need for constant and more effective guidelines, with the use of active methodologies starting in prenatal care.
摘要目的:了解某教学医院产褥妇女在接受护理小组常规指导后,对新生儿身体卫生知识的了解情况。方法:在2018年12月至2019年5月期间,对米纳斯吉拉斯州一家教学医院的207名产褥期妇女进行横断面研究。在数据收集方面,按照三个阶段建立并验证了一个工具,并使用Spearman 's描述性统计和线性相关,置信水平为95%进行知识分析。结果:207例产褥期妇女参与研究,平均年龄27±6.3岁。观察到的知识不足,主要是关于清洁面部和头皮的顺序、适当的产品和鼻、耳和口的卫生。“洗澡前”的平均正确率最高(94.0%±10.1),包括对环境、温度和亲密卫生的护理。结论:对新生儿身体卫生知识不足的认识提高了对持续和更有效指南的需求,从产前护理开始使用积极的方法。
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引用次数: 0
Factors associated with severe maternal, fetuses and neonates’ outcomes in a university hospital in Rio de Janeiro State 巴西里约热内卢州一所大学医院中与孕产妇、胎儿和新生儿严重结局相关的因素
Q3 Medicine Pub Date : 2023-04-21 DOI: 10.1590/1806-9304202300000135-en
Josy Maria de Pinho da Silva, P. Kale, S. Fonseca, Thamires Nantes, Nina Nogueira Alt
Abstract Objectives: to estimate the burden of parturients, fetuses and neonate’s severe morbidity and mortality and investigate the association between maternal and their conceptus outcomes. Methods: retrospective cohort of 546 parturients and their conceptus in a university hospital, reference for high-risk pregnancy, in the metropolitan region II of Rio de Janeiro State from 2015 to 2017. We classified parturients according to obstetric morbidity (OM) in direct, indirect, or mixed, and their outcomes as: 1) no severity, 2) severe complication (SC), 3) critical intervention/Intensive Care Unit, and 4) greater severity –maternal near-miss (MNM) or death. We evaluated the conceptus as neonatal near-miss (NNM) and fetal and neonatal deaths. We estimated morbimortality indicators and associated factors (multinomial logistic regression). Results: OM was frequent: 29.3% indirect, 22.3% direct, and 15.8% mixed. There were eight cases of NMM, seven with direct MO. Among the conceptus: 7.5% were NNM cases and 4.4%, deaths. The risk of severe maternal outcomes was 16.8 and neonatal, 102.6/1000 live births. Mixed race, inadequate prenatal care, CG and NMM/death, were associated with NNM. Inadequate prenatal care and maternal NM/death were associated with conceptus deaths. Conclusion: even in a reference unit, sociodemographic, and health care inequalities negatively affect mothers and, consequently, their children.
摘要目的:了解产妇、胎儿和新生儿的严重发病率和死亡率,探讨产妇及其妊娠结局的相关性。方法:对2015 - 2017年在巴西里约热内卢州大都市II区某大学医院就诊的546例高危妊娠孕妇及其妊娠情况进行回顾性队列分析。我们根据直接、间接或混合的产科发病率(OM)对产妇进行了分类,其结果为:1)无严重程度,2)严重并发症(SC), 3)重症干预/重症监护病房,4)严重程度更高-产妇未遂(MNM)或死亡。我们评估了新生儿未遂死亡(NNM)和胎儿及新生儿死亡。我们估计了死亡率指标和相关因素(多项逻辑回归)。结果:OM发生频率高,间接29.3%,直接22.3%,混合15.8%。NMM 8例,直接MO 7例。NNM发生率为7.5%,死亡发生率为4.4%。产妇发生严重后果的风险为16.8 /1000,新生儿为102.6/1000。混合种族、产前护理不足、CG和NMM/死亡与NNM有关。产前护理不足和产妇NM/死亡与妊娠死亡有关。结论:即使在参考单位,社会人口和保健不平等也会对母亲产生负面影响,从而对其子女产生负面影响。
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引用次数: 0
Adequacy of school menus and national school food program requirements: a systematic review 学校菜单的充分性和国家学校食品计划的要求:系统审查
Q3 Medicine Pub Date : 2023-04-17 DOI: 10.1590/1806-93042023000000131-en
Jacilene Alcântara Silva, Tafnes Oliveira, I. Ribeiro, M. S. S. Fernandes, G. Santos
Abstract Objectives: this review aimed to evaluate the adequacy of school menus regarding the nutritional requirements of the Programa Nacional de Alimentação Escolar (PNAE) in Brazilian public schools regarding the presence of macronutrients and micronutrients and allocation of resources to purchase products from family farming. Methods: a systematic literature review was carried out using the SciELO, Bireme and Lilacs databases to select the articles. The inclusion criteria were articles that presented data on the adequacy of energy, macronutrients, micronutrients, and purchases of products from family farming during the PNAE regiment, as well as quantitative, cross-sectional, and descriptive studies carried out in the Brazilian territory. Review, editorials, letters, case studies, duplicates and those that did not assess the requirements of the PNAE were excluded. Results: at the end, 12 studies were included that showed overestimation and underestimation of nutritional adequacy in the school environment. In relation to purchases of inputs from family farming, it was observed that most of the Brazilian municipalities evaluated fulfilled the requirements for the allocation of resources. Conclusion: school menus need more supervision so that they meet the adjustments proposed by the PNAE. In addition, it is essential to promote a healthy diet that contains all the nutrients necessary to provide nutritional support for child growth and development.
摘要目的:本综述旨在评估巴西公立学校的学校菜单是否充分满足国家食品 农业计划(PNAE)的营养要求,包括大量营养素和微量营养素的存在,以及从家庭农业购买产品的资源分配。方法:采用SciELO、Bireme和Lilacs数据库进行系统文献综述。纳入标准是在PNAE团期间提供关于能量充足性、宏量营养素、微量营养素和从家庭农业购买产品的数据的文章,以及在巴西境内进行的定量、横断面和描述性研究。审查、社论、信函、个案研究、副本和未评估国家评价方案所需的资料均被排除在外。结果:最后纳入了12项研究,显示了对学校环境中营养充足性的高估和低估。关于从家庭农业购买投入物的问题,有人指出,大多数接受评价的巴西城市都满足了分配资源的要求。结论:学校菜单需要更多的监督,以满足PNAE提出的调整。此外,必须促进健康饮食,其中包含为儿童生长发育提供营养支持所需的所有营养素。
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引用次数: 0
Determinants of successful labor induction in a teaching hospital in Nigeria: a 10-year review 尼日利亚一家教学医院成功引产的决定因素:10年回顾
Q3 Medicine Pub Date : 2023-04-14 DOI: 10.1590/1806-9304202300000228-en
T. Okunola, S. Bola-Oyebamiji, O. Sowemimo, K. Ajenifuja
Abstract Objectives: to evaluate the success rate of labor induction and determinants of successful outcome. Methods: retrospective cohort study of parturients that undergone labor induction between 2006 and 2015. Data was retrieved from the medical records and multivariate logistic regression was used to evaluate the determinants of successful labor induction. Results: the rate of labor induction was 10.9%. Out of the 940 women analysed, six hundred and fifty-six women (69.8%) had successful vaginal delivery. Labor induction at 39-40 weeks (OR=2.70; CI95%=1.17-6.36), 41 weeks (OR=2.44; CI95%=1.14-5.28), estimated fetal weight between 2.5 and 3.4kg (OR=4.27, CI95%=1.96-5.59) and estimated fetal weight of 3.5-3.9kg (OR=5.45; CI95%=2.81-10.60) increased the odds of achieving vaginal delivery. Conclusions: our findings suggest that 39, 40 and 41 weeks are optimal gestational ages for labor induction with respect to successful vaginal delivery. Also, estimated fetal weight between 2.5kg and 3.9kg favours successful vaginal delivery.
摘要目的:评价引产成功率及影响引产效果的因素。方法:对2006 ~ 2015年行引产术的产妇进行回顾性队列研究。从医疗记录中检索数据,并使用多元逻辑回归来评估成功引产的决定因素。结果:引产率为10.9%。在分析的940名妇女中,656名妇女(69.8%)阴道分娩成功。39 ~ 40周引产(OR=2.70;CI95%=1.17-6.36), 41周(OR=2.44;CI95%=1.14-5.28),估计胎儿体重在2.5 - 3.4kg之间(OR=4.27, CI95%=1.96-5.59),估计胎儿体重在3.5-3.9kg之间(OR=5.45;CI95%=2.81-10.60)增加了阴道分娩的几率。结论:我们的研究结果表明,39、40和41周是成功阴道分娩引产的最佳胎龄。此外,估计胎儿体重在2.5公斤至3.9公斤之间有利于顺利阴道分娩。
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引用次数: 0
Perceived stress and associated factors in pregnant women: a cross-sectional study nested within a population-based cohort 孕妇的感知压力和相关因素:一项基于人群的横断面研究
Q3 Medicine Pub Date : 2023-04-14 DOI: 10.1590/1806-9304202300000169-en
Bárbara Cerqueira Santos Lopes, Cássio de Almeida Lima, Talyta Sâmara Batista Ferreira, Wesley Miranda Lourenço de Freitas, Thalita Bahia Ferreira, L. Pinho, M. Brito, M. Silveira
Abstract Objectives: to estimate the prevalence of perceived stress and verify the associated factors in pregnant women assisted by Family Health teams in Montes Claros, Minas Gerais - Brazil. Methods: epidemiological, cross-sectional, and analytical study, nested in a population-based cohort. Sociodemographic and obstetric characteristics and physical and mental health conditions were assessed. The stress level was estimated by the Perceived Stress Scale (PSS-14). Descriptive and bivariate analyses were conducted, followed by the Poisson Regression model with robust variance. Results: a total of 1,279 pregnant women participated. The prevalence of high-stress levels was 23.5% (CI95%=20.8%-26.2%). The outcome was more prevalent among pregnant women aged above 35 years (PR=1.38; CI95%=1.09-1.74) and less than or equal to 19 (PR=1.41; CI95%=1.13-1.77); without a partner (PR=1.33; CI95%=1.09-1.62); with low social support (PR=1.42; CI95%=1.18-1.70); multiparous (PR=1.30; CI95%=1.02-1.66); with current unplanned pregnancy (PR=1.23; CI95%=1.00-1.52); urinary tract infection (PR=1.35; CI95%=1.12-1.62); high level of anxiety symptoms (PR=1.42; CI95%=1.18-1.71); severe (PR=4.74; CI95%=3.60-6.26) and moderate (PR=3.19; CI95%=2.31-4.39) symptoms of depression; and neurological complaints (PR=1.77; CI95%=1.27-2.47). Conclusions: there was a significant prevalence of high perceived stress among pregnant women, an outcome associated with sociodemographic, clinical, obstetric, and emotional factors, which demonstrates the need for comprehensive care of pregnant women’s health.
摘要目的:评估在巴西米纳斯吉拉斯州蒙特斯克拉罗斯市家庭健康小组协助下的孕妇中感知压力的患病率,并验证相关因素。方法:流行病学、横断面和分析性研究,以人群为基础的队列嵌套。对社会人口和产科特征以及身心健康状况进行了评估。采用感知压力量表(PSS-14)评估压力水平。进行了描述性和双变量分析,然后建立了具有鲁棒方差的泊松回归模型。结果:共有1279名孕妇参与。高应激水平患病率为23.5% (CI95%=20.8% ~ 26.2%)。该结果在35岁以上的孕妇中更为普遍(PR=1.38;CI95%=1.09-1.74)且小于或等于19 (PR=1.41;CI95% = 1.13 - -1.77);没有伴侣(PR=1.33;CI95% = 1.09 - -1.62);社会支持度低(PR=1.42);CI95% = 1.18 - -1.70);多产的(公关= 1.30;CI95% = 1.02 - -1.66);目前有计划外妊娠(PR=1.23;CI95% = 1.00 - -1.52);尿路感染(PR=1.35);CI95% = 1.12 - -1.62);高度焦虑症状(PR=1.42;CI95% = 1.18 - -1.71);严重(公关= 4.74;CI95%=3.60-6.26)和中度(PR=3.19;CI95%=2.31-4.39)抑郁症状;神经系统疾病(PR=1.77);CI95% = 1.27 - -2.47)。结论:孕妇普遍存在高度感知压力,这一结果与社会人口、临床、产科和情感因素有关,这表明需要对孕妇的健康进行全面护理。
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引用次数: 0
The insecure environment 不安全的环境
Q3 Medicine Pub Date : 2023-04-03 DOI: 10.1590/1806-9304202300000002-en
M. Batista Filho, M. F. Caminha, Déborah Lemos Freitas
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引用次数: 0
Prevalence of breastfeeding among indigenous peoples of the Triple Frontier: Brazil, Argentina and Paraguay 巴西、阿根廷和巴拉圭三国边境土著人的母乳喂养流行情况
Q3 Medicine Pub Date : 2023-04-03 DOI: 10.1590/1806-93042023000000237-en
Bianca da Silva Alcantara Pereira, A. Zilly, J. C. S. Monteiro, N. G. Barbosa, F. Gomes-Sponholz
Abstract Objectives: to verify the prevalence of breastfeeding and the children’s nutritional status of indigenous origin up to two years of age in the triple frontier region: Brazil, Argentina and Paraguay. Methods: data from the Sistema de Vigilância Nutricional e Alimentar Indígena (Indigenous Food and Nutrition Surveillance System) were analyzed, being a cross-sectional and descriptive study. The survey was carried out in 2018, with data referring to 2017. Registrations of indigenous children of both sexes,aged zero to two years old were included. Data were extracted from the indigenous children’s follow-up map. The prevalence of breastfeeding and complementary feeding was evaluated. Results: the prevalence of exclusive breastfeeding in children under six months of age was 93.4% and complementary breastfeeding was 6.5%. The prevalence of complementary breastfeeding after six months was 71.6% and exclusive breastfeeding after six months was 28.3%. Regarding social benefits, 30.3% of the families accumulated two types of social benefits. Conclusions: the prevalence of exclusive breastfeeding was high and surpassed the national prevalence in the first semester of life, there was no early weaning.
摘要目的:验证巴西、阿根廷和巴拉圭三国边境地区两岁以下土著儿童母乳喂养的流行程度和营养状况。方法:采用横断面和描述性研究方法,对来自 ncia营养监测系统Indígena(土著食品和营养监测系统)的数据进行分析。该调查是在2018年进行的,数据指的是2017年。登记的0至2岁土著男女儿童也包括在内。数据是从土著儿童的随访图中提取的。评估了母乳喂养和补充喂养的流行程度。结果:6月龄以下儿童纯母乳喂养率为93.4%,补充母乳喂养率为6.5%。6个月后补充母乳喂养的患病率为71.6%,6个月后纯母乳喂养的患病率为28.3%。在社会福利方面,30.3%的家庭积累了两种社会福利。结论:该地区纯母乳喂养率较高,并超过了全国第一学期母乳喂养率,无早期断奶现象。
{"title":"Prevalence of breastfeeding among indigenous peoples of the Triple Frontier: Brazil, Argentina and Paraguay","authors":"Bianca da Silva Alcantara Pereira, A. Zilly, J. C. S. Monteiro, N. G. Barbosa, F. Gomes-Sponholz","doi":"10.1590/1806-93042023000000237-en","DOIUrl":"https://doi.org/10.1590/1806-93042023000000237-en","url":null,"abstract":"Abstract Objectives: to verify the prevalence of breastfeeding and the children’s nutritional status of indigenous origin up to two years of age in the triple frontier region: Brazil, Argentina and Paraguay. Methods: data from the Sistema de Vigilância Nutricional e Alimentar Indígena (Indigenous Food and Nutrition Surveillance System) were analyzed, being a cross-sectional and descriptive study. The survey was carried out in 2018, with data referring to 2017. Registrations of indigenous children of both sexes,aged zero to two years old were included. Data were extracted from the indigenous children’s follow-up map. The prevalence of breastfeeding and complementary feeding was evaluated. Results: the prevalence of exclusive breastfeeding in children under six months of age was 93.4% and complementary breastfeeding was 6.5%. The prevalence of complementary breastfeeding after six months was 71.6% and exclusive breastfeeding after six months was 28.3%. Regarding social benefits, 30.3% of the families accumulated two types of social benefits. Conclusions: the prevalence of exclusive breastfeeding was high and surpassed the national prevalence in the first semester of life, there was no early weaning.","PeriodicalId":35416,"journal":{"name":"Revista Brasileira de Saude Materno Infantil","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67141765","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: 0
Agriculture, Food and Nutrition 农业、粮食和营养
Q3 Medicine Pub Date : 2023-03-27 DOI: 10.1590/1806-9304202300000001
M. Batista Filho, M. F. Caminha, Déborah Lemos Freitas
{"title":"Agriculture, Food and Nutrition","authors":"M. Batista Filho, M. F. Caminha, Déborah Lemos Freitas","doi":"10.1590/1806-9304202300000001","DOIUrl":"https://doi.org/10.1590/1806-9304202300000001","url":null,"abstract":"","PeriodicalId":35416,"journal":{"name":"Revista Brasileira de Saude Materno Infantil","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67141490","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: 0
Profile of pregnant women and children accompanied due to T. gondii exposure at a referred healthcare center: What has changed in 10 years? 在转诊医疗中心因弓形虫暴露而伴有妊娠妇女和儿童的概况:10年来发生了什么变化?
Q3 Medicine Pub Date : 2023-03-20 DOI: 10.1590/1806-9304202300000225
Janer Aparecida Silveira Soares, Ana Paula Ferreira Holzmann, Bárbara Bispo da Silva Alves, Caio Fagundes Quadros Lima, A. P. Caldeira
Abstract Objectives: to characterize the profile of pregnant women and newborns accompanied at a reference center for infectious-parasitic diseases, after the exposure of T. gondii, establishing comparisons with a previous study, in the same location, ten years ago. Methods: this is a retrospective cohort study, with a follow-up of four years (2016 to 2019), using the previous study carried out from 2002 to 2010 as a comparative for the variables assessed. Mothers who presented tests suggestive of seroconversion for the disease during prenatal care and their respective concepts, followed up over a year, were included. The chi-square test was used, assuming a significance level of 5% for the comparison of the groups in the two periods. Results: during the period from 2016 to 2019, 79 binomials were studied, whereas 58 binomials were accompanied in the previous period. Comparing both periods, the findings showed lower proportions of adolescents (p<0.001), with low schooling (p<0.001), with low serological testing (p<0.001) and with late or postnatal diagnosis (p<0.001). As to the children, the findings showed fewer changes in fundoscopy (p<0.001), strabismus (p=0.002), hepatomegaly (p=0.026) and any sequelae (p<0.001). Conclusion: a positive advance was observed regarding the care provided for the mother-child binomial affected by T. gondii, with a reduction in negative outcomes for the child. However, there are still challenges concerning the diagnosis and proper management of the disease.
摘要:目的:描述在感染-寄生虫病参考中心接触弓形虫后孕妇和新生儿的特征,并与十年前在同一地点进行的先前研究进行比较。方法:这是一项回顾性队列研究,随访4年(2016年至2019年),使用2002年至2010年进行的先前研究作为评估变量的比较。在产前护理和她们各自的概念期间提出提示疾病血清转化测试的母亲,随访一年以上,包括在内。采用卡方检验,假设两个时期组间比较的显著性水平为5%。结果:2016 - 2019年共研究了79例二项,前一期共伴有58例二项。比较这两个时期,结果显示青少年比例较低(p<0.001),受教育程度较低(p<0.001),血清学检测水平较低(p<0.001),以及晚期或产后诊断(p<0.001)。儿童的眼底镜检查(p<0.001)、斜视(p=0.002)、肝肿大(p=0.026)和任何后遗症(p<0.001)的改变较少。结论:在为受弓形虫影响的母子二组提供的护理方面,观察到积极的进展,减少了儿童的负面结果。然而,在该病的诊断和适当管理方面仍存在挑战。
{"title":"Profile of pregnant women and children accompanied due to T. gondii exposure at a referred healthcare center: What has changed in 10 years?","authors":"Janer Aparecida Silveira Soares, Ana Paula Ferreira Holzmann, Bárbara Bispo da Silva Alves, Caio Fagundes Quadros Lima, A. P. Caldeira","doi":"10.1590/1806-9304202300000225","DOIUrl":"https://doi.org/10.1590/1806-9304202300000225","url":null,"abstract":"Abstract Objectives: to characterize the profile of pregnant women and newborns accompanied at a reference center for infectious-parasitic diseases, after the exposure of T. gondii, establishing comparisons with a previous study, in the same location, ten years ago. Methods: this is a retrospective cohort study, with a follow-up of four years (2016 to 2019), using the previous study carried out from 2002 to 2010 as a comparative for the variables assessed. Mothers who presented tests suggestive of seroconversion for the disease during prenatal care and their respective concepts, followed up over a year, were included. The chi-square test was used, assuming a significance level of 5% for the comparison of the groups in the two periods. Results: during the period from 2016 to 2019, 79 binomials were studied, whereas 58 binomials were accompanied in the previous period. Comparing both periods, the findings showed lower proportions of adolescents (p<0.001), with low schooling (p<0.001), with low serological testing (p<0.001) and with late or postnatal diagnosis (p<0.001). As to the children, the findings showed fewer changes in fundoscopy (p<0.001), strabismus (p=0.002), hepatomegaly (p=0.026) and any sequelae (p<0.001). Conclusion: a positive advance was observed regarding the care provided for the mother-child binomial affected by T. gondii, with a reduction in negative outcomes for the child. However, there are still challenges concerning the diagnosis and proper management of the disease.","PeriodicalId":35416,"journal":{"name":"Revista Brasileira de Saude Materno Infantil","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67142460","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: 0
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Revista Brasileira de Saude Materno Infantil
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