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Sample records for buen resultado perinatal

  1. Control prenatal vs resultado obstétrico perinatal

    OpenAIRE

    Rico Venegas, RM.; Ramos Frausto, VM.; Martínez, P.C.

    2012-01-01

    La cobertura del control prenatal, calidad, y atención del parto se refleja en la resolución obstétrica como en la morbi-mortalidad del binomio madre-hijo. Esta investigación aborda el problema del impacto de los controles prenatales sobre el resultado obstétrico y perinatal. Objetivo: conocer el impacto del control prenatal sobre los resultados obstétricos obtenidos. Material y método: mediante un estudio de cohortes reconstruidas en una población obtenida azarosamente por conglomerado...

  2. Control prenatal vs resultado obstétrico perinatal

    OpenAIRE

    RM. Rico Venegas; VM. Ramos Frausto; PC. Martínez

    2012-01-01

    La cobertura del control prenatal, calidad, y atención del parto se refleja en la resolución obstétrica como en la morbi-mortalidad del binomio madre-hijo. Esta investigación aborda el problema del impacto de los controles prenatales sobre el resultado obstétrico y perinatal. Objetivo: conocer el impacto del control prenatal sobre los resultados obstétricos obtenidos. Material y método: mediante un estudio de cohortes reconstruidas en una población obtenida azarosamente por conglomerados diar...

  3. MANEJO Y RESULTADO PERINATAL EN PACIENTES CON LUPUS ERITEMATOSO SISTEMICO

    OpenAIRE

    Araneda A.,Max; Poblete L.,José A.; Carvajal C,Jorge A

    2002-01-01

    Se presenta el control prenatal y resultado materno-perinatal de un grupo de pacientes portadoras de Lupus Eritematoso Sistémico que controlaron su embarazo y resolvieron su parto durante el lapso de un año en la maternidad del Hospital Clínico de la Pontificia Universidad Católica de Chile. Mostramos además una suscinta revisión crítica de la literatura respecto de esta asociación. Evidenciamos que un adecuado diagnóstico prenatal de la enfermedad, junto a un control estricto multidisciplina...

  4. Gestational diabetes versus pregestational diabetes. Perinatal results. Diabetes gestacional versus diabetes pregestacional. Resultados perinatales.

    Directory of Open Access Journals (Sweden)

    Vivian Vázquez Martínez

    2004-12-01

    >Métodos: Estudio comparativo realizado en el Servicio de Obstetricia del Hospital Universitario ¨Dr. Gustavo Aldereguía Lima¨ de Cienfuegos desde enero a diciembre del 2003, en el que se incluyeron 167 gestantes con diabetes durante el embarazo. Se estudiaron las siguientes variables: tipo de diabetes, clasificación de Márquez Guillén (buen o mal pronóstico materno fetal, tratamiento usado, tipo de parto, tiempo gestacional al parto, peso del recién nacido, complicaciones perinatales y maternas. Resultados: Predominó la diabetes gestacional (73, 6 % sobre los casos con diabetes pregestacional (26,3 %,el riesgo de mal pronóstico de la DMPG respecto a la DMG en este estudio fue de 2,41 IC 95 % (1,60;3,63 en relación al tratamiento con insulina fue de 4,26 IC 95 % (1,94;9,44 en relación al aborto fue de 7,97 IC 95 % (3,48;18,54 con relación al parto pretermino fue de 4,22 IC 95 % (1,47;12,27 , con relación a la morbilidad materna fue de 10,62 IC 95 % (4,44;25,82 y de morbilidad perinatal fue de 10,84 IC 95 % (4,52;26,43.

  5. Resultado perinatal de fetos com malformações do trato urinário

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    Macedo Maria Letícia Sperandéo de

    2003-01-01

    Full Text Available OBJETIVO: analisar a evolução perinatal de fetos portadores de malformações do trato urinário. MÉTODOS: estudo retrospectivo envolvendo 35 fetos portadores de malformações do trato urinário. As malformações foram classificadas de acordo com as seguintes características: tipo de uropatia e acometimento. As uropatias estudadas foram: hidronefrose, classificada em alta e baixa, displasia e agenesia renal; quanto à lateralidade da malformação, foi considerado o acometimento uni e bilateral. O resultado perinatal foi confrontado com as características citadas. A análise estatística foi realizada usando-se o teste do c² e teste exato de Fisher, sendo adotado 5% como limite de significância (p<0,05. RESULTADOS: a incidência de hidronefrose foi de 68,6% e o acometimento foi bilateral em metade destes fetos. Displasia renal ocorreu em 17,1% e, em 83,3% destes, foi bilateral. A incidência de agenesia renal foi de 14,3%, sendo sempre bilateral. No grupo displasia/agenesia observou-se 91% de oligoâmnio, prematuridade, baixo peso ao nascimento e de óbito. Nos casos de uropatia bilateral foi significativa a ocorrência de oligoâmnio, prematuridade, baixo peso, óbito, infecção do trato urinário e permanência hospitalar por mais de sete dias. Entre os fetos com obstrução baixa, a permanência hospitalar por mais de sete dias foi significativa. CONCLUSÕES: neste estudo, foram mais freqüentes o acometimento bilateral e a hidronefrose e, dentre elas, as obstruções baixas; o grupo displasia/agenesia apresentou pior prognóstico quando comparado ao grupo hidronefrose; o acometimento renal bilateral determinou pior prognóstico em relação àqueles com acometimento unilateral; a obstrução baixa do trato urinário determinou maior tempo de internação em relação às obstruções altas.

  6. Torsión testicular perinatal: resultados de 10 años de experiencia

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    Sara López Calimano

    2011-12-01

    Full Text Available Introducción: la torsión testicular perinatal es definida como la torsión del testículo en período prenatal, o dentro de los primeros 28 días de vida. Objetivo: evaluar los datos obtenidos de las historias clínicas, y proponer principios de tratamientos clínicos y quirúrgicos. Métodos: fueron revisadas retrospectivamente las historias clínicas de los recién nacidos operados con diagnóstico de torsión testicular en el servicio de cirugía pediátrica del Hospital Pediátrico "William Soler", entre enero de 2000 y diciembre de 2009. Resultados: 18 pacientes fueron elegibles para el estudio, 17 tenían torsión unilateral con testículo aumentado de tamaño duro e indoloro (94 %, 55 % tenían hidrocele contralateral, 16 pacientes nacieron a término, con más de 3 100 g de peso (88 %, y la torsión extravaginal y la afectación del testículo izquierdo se observó en 13 (72 %. Un caso fue bilateral asincrónico (6 %, pues el testículo izquierdo estaba torcido en la región inguinal, isquémico, pero no necrótico, y fue preservado. Dos casos (12 % tenían torsión de tipo intravaginal, y uno de ellos se presentó, clínicamente, como escroto agudo. Se diagnosticó la afección en edades de 0 a 7 días en el 72 % de los casos. Se realizó orquiectomía sin exploración contralateral a 16 pacientes (88 %. La evolución fue satisfactoria en 17 (94 %. Conclusiones: la torsión testicular perinatal representa el 3,4 % de las afecciones quirúrgicas neonatales, y puede afectar un testículo no descendido. Se sugiere protocolizar el uso del ultrasonido doppler preoperatorio, y la exploración y fijación del testículo contralateral.

  7. Traumatismo materno grave y cirugía múltiple con resultado perinatal exitoso

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    Hasbun H,Jorge; Benitez S,Susana; Cornejo R,Rodrigo; Asencio C,Ramón; Navarro A,José Luis; DANILLA E,STEFAN

    2011-01-01

    El traumatismo mayor de la embarazada es frecuente, tiene riesgo de muerte y agrega a sus complicaciones propias, las generadas por el embarazo como prematurez, desprendimiento placentario y daño perinatal. Presentamos el caso de una embarazada de 27 semanas, con traumatismo grave por atropello, fracturas óseas y desforramiento extenso de extremidad inferior derecha, que fue sometida a tratamiento quirúrgico con reducción y corrección de luxofracturas, aseo e injertos cutáneos. Se complica co...

  8. Pesquisa sobre mortalidade perinatal no Brasil: revisão da metodologia e dos resultados Perinatal mortality research in Brazil: review of methodology and results

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    Sandra Costa Fonseca

    2004-01-01

    Full Text Available A mortalidade perinatal persiste como relevante evento em saúde pública, demandando estudos epidemiológicos, tanto para definir sua magnitude e variações temporais, como para identificar seus determinantes e apontar as intervenções adequadas. Existem ainda questões conceituais e metodológicas controversas, gerando heterogeneidade nos estudos e prováveis vieses. No Brasil, nos últimos anos, desponta uma produção crescente sobre o tema, principalmente no Sudeste e Sul. Foram revistos 24 artigos de 1996 a 2003, focalizando: definições e classificações utilizadas, fontes de dados, desenhos de estudo, formas de aferição das variáveis, modelos de análise estatística e principais resultados. A revisão mostrou a progressiva utilização de bancos de dados informatizados, principalmente o SINASC e o SIM, o pequeno número de estudos sobre natimortalidade, a incorporação ainda incipiente das classificações de causas e a discordância em relação a alguns fatores de risco.The perinatal mortality rate remains a public health problem, demanding epidemiological studies to describe its magnitude and time trends, identify risk factors, and define adequate interventions. There are still methodological controversies, resulting in heterogeneous studies and possible biases. In Brazil, there has been a growing scientific output on this theme, mainly in the South and Southeast of the country. Twenty-four articles from 1996 to 2003 were reviewed, focusing on definitions and classifications, data sources, study designs, measurement of variables, statistical analysis, and results. The review showed an increasing utilization of data bases (mainly SINASC and SIM, few studies on stillbirth, the incorporation of classification schemes, and disagreement concerning risk factors.

  9. Torsión testicular perinatal: resultados de 10 años de experiencia Perinatal testicular torsion: results of 10 years of experience

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    Sara López Calimano

    2011-12-01

    Full Text Available Introducción: la torsión testicular perinatal es definida como la torsión del testículo en período prenatal, o dentro de los primeros 28 días de vida. Objetivo: evaluar los datos obtenidos de las historias clínicas, y proponer principios de tratamientos clínicos y quirúrgicos. Métodos: fueron revisadas retrospectivamente las historias clínicas de los recién nacidos operados con diagnóstico de torsión testicular en el servicio de cirugía pediátrica del Hospital Pediátrico "William Soler", entre enero de 2000 y diciembre de 2009. Resultados: 18 pacientes fueron elegibles para el estudio, 17 tenían torsión unilateral con testículo aumentado de tamaño duro e indoloro (94 %, 55 % tenían hidrocele contralateral, 16 pacientes nacieron a término, con más de 3 100 g de peso (88 %, y la torsión extravaginal y la afectación del testículo izquierdo se observó en 13 (72 %. Un caso fue bilateral asincrónico (6 %, pues el testículo izquierdo estaba torcido en la región inguinal, isquémico, pero no necrótico, y fue preservado. Dos casos (12 % tenían torsión de tipo intravaginal, y uno de ellos se presentó, clínicamente, como escroto agudo. Se diagnosticó la afección en edades de 0 a 7 días en el 72 % de los casos. Se realizó orquiectomía sin exploración contralateral a 16 pacientes (88 %. La evolución fue satisfactoria en 17 (94 %. Conclusiones: la torsión testicular perinatal representa el 3,4 % de las afecciones quirúrgicas neonatales, y puede afectar un testículo no descendido. Se sugiere protocolizar el uso del ultrasonido doppler preoperatorio, y la exploración y fijación del testículo contralateral.Introduction: the perinatal testicular torsion is defined as a twist of testicle in prenatal period or within the first 28 days of life. Objective: to assess the data obtained from the medical records and to propose the principles of clinical and surgical treatments. Methods: retrospectively the medical records

  10. Oligodramnia sem rotura das membranas amnióticas: resultados perinatais Oligohydramnios without premature rupture of membranes: perinatal outcomes

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    José Mauro Madi

    2005-02-01

    Full Text Available OBJETIVO: avaliar os resultados perinatais em casos de oligodramnia sem rotura de membranas amnióticas. MÉTODOS: foram estudados retrospectivamente 51 casos consecutivos de oligodramnia (índice de líquido amniótico (ILA menor que 5 cm em nascimentos ocorridos no período de março de 1998 a setembro de 2001. Compararam-se os dados obtidos aos de 61 casos com quantidade intermediária e normal de líquido amniótico (ILA >5 cm. Analisaram-se variáveis maternas e neonatais, bem como taxas de mortalidade fetal, neonatal precoce e perinatal. As avaliações estatísticas foram realizadas mediante a aplicação do teste não paramétrico do c² com a correção de Yates, e do teste t de Student. Adotou-se o nível de significância de 5%. RESULTADOS: não houve diferença significante entre os grupos estudados, ao se analisar a ocorrência de síndrome hipertensiva, presença de mecônio, índice de Apgar inferior a sete no primeiro e quinto minuto, internação na unidade de tratamento intensivo neonatal e prematuridade. A oligodramnia associou-se significantemente ao tipo de parto (pPURPOSE: to evaluate perinatal outcomes in cases of oligohydramnios without premature rupture of membranes. METHODS: a total of 51 consecutive cases of oligohydramnios (amniotic fluid index, AFI 5. Maternal and neonatal variables, as well as fetal mortality, early neonatal, and perinatal mortality rates were analyzed. For statistical analysis the c² test with Yates correction and Student's t test were used with level of signicance set at 5%. RESULTS: there were no significant differences between groups when the presence of gestational hypertensive syndromes, meconium-stained amniotic fluid, 1- and 5-minute Apgar score, need of neonatal intensive center unit, and preterm birth were analyzed. Oligohydramnios was associated with the way of delivery (p<0.0002; RR=0.3, fetal distress (p<0.0004; RR=2.2 and fetal malformations (p<0.01; RR=5.4. Fetal malformation rates

  11. Resultados maternos e perinatais em gestantes portadoras de leucemia Maternal and perinatal outcomes in pregnant women with leukemia

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    Roseli Mieko Yamamoto Nomura

    2011-08-01

    grupo de gestantes com LMC, verificou-se a ocorrência de anemia em quatro casos (44,4% e plaquetopenia em um (11,1%. Quanto aos resultados perinatais, nas gestações complicadas pela leucemia aguda, a média da idade gestacional no parto foi de 32 semanas (desvio padrão - DP=4,4 e a média do peso do recém-nascido foi 1476 g (DP=657 g. Houve 2 (40,0% óbitos perinatais (um fetal e um neonatal. Nas gestações complicadas pela LMC, a média da idade gestacional no parto foi de 37,6 semanas (DP=1,1 e a média do peso do recém-nascido foi 2870 g (DP=516 g; não houve morte perinatal e nenhuma anomalia fetal foi detectada. CONCLUSÕES: É elevada a morbidade materna e fetal nas gestações complicadas pela leucemia aguda; enquanto que, nas complicadas pela LMC, o prognóstico materno e fetal parece ser mais favorável, com maior facilidade no manejo das complicações.PURPOSE: To describe the maternal and perinatal outcomes of pregnant women diagnosed with leukemia who were followed up for prenatal care and delivery at a university hospital. METHODS: A retrospective study of the period from 2001 to 2011, which included 16 pregnant women with a diagnosis of leukemia followed by antenatal care specialists in hematological diseases and pregnancy. For acute leukemia diagnosed after the first trimester, the recommendation was to perform chemotherapy despite the current pregnancy. For chronic leukemia, patients who were controlled in hematological terms were maintained without medication during pregnancy, or chemotherapy was introduced after the first trimester. We analyzed the maternal and perinatal outcome. RESULTS: Acute lymphoblastic leukemia (ALL was diagnosed in five cases (31.3%, acute myeloid leukemia (AML in two cases (12.5% and chronic myeloid leukemia (CML in nine cases (56.3%. Of the cases of acute leukemia, two (28.6% were diagnosed in the first trimester, two (28.6% in the second and three (42.9% in the third. Two patients with ALL diagnosed in the first

  12. Comparação entre dois testes de rastreamento do diabetes gestacional e o resultado perinatal Comparison between two gestational diabetes screening tests and the perinatal outcome

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    Wilson Ayach

    2010-05-01

    Full Text Available OBJETIVO: comparar dois testes de rastreamento para diabetes e seus resultados com o resultado da gestação. MÉTODOS: no total, 279 pacientes foram submetidas a dois testes de rastreamento do diabetes gestacional - associação glicemia de jejum e fatores de risco (GJ + FR e o teste de tolerância à glicose simplificado (TTG50g. O rastreamento pela associação GJ + FR caracterizou-se pela dosagem da glicemia de jejum e anamnese para identificação dos fatores de risco na primeira consulta de pré-natal. O TTG50g foi realizado entre a 24ª e a 28ª semana de gestação e caracterizou-se pela dosagem das glicemias plasmáticas em jejum e uma hora após a sobrecarga oral com 50 g de glicose. Os resultados, positivo e negativo, foram relacionados ao resultado da gestação. Foram consideradas variáveis dependentes: via de parto, idade gestacional, peso e índice ponderal ao nascimento, índices de Apgar PURPOSE: to compare two screening tests for diabetes and their results to pregnancy outcomes. METHODS: in total, 279 pregnant women were submitted to two screening tests for gestational diabetes - fasting glycemia plus risk factors (FG + RF and to the simplified glucose tolerance test (GTT50g. Screening by FG + RF consisted of the determination of fasting glycemia and anamnesis for the identification of risk factors on the occasion of the first prenatal visit. The GTT50g was performed between the 24th and the 28th week of pregnancy and consisted of the determination of plasma glycemia under fasting conditions and one hour after an oral overload with 50 g glucose. Positive and negative results were compared to pregnancy outcome. The dependent variables were: type of delivery, gestational age, weight and ponderal index at birth, Apgar indexes <7 in the 1st and 5th minutes, need for admission to the Intensive Care Unit (ICU, duration of hospitalization, and neonatal death. Data were analyzed statistically through the Students t-test, and the level

  13. Perinatal outcome of twin pregnancies delivered in a teaching hospital Resultado perinatal de gestações gemelares com parto em hospital universitário

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    Renata Almeida de Assunção

    2010-01-01

    Full Text Available OBJECTIVE: This study aimed to evaluate the perinatal outcome of twin pregnancies delivered in a tertiary teaching hospital according to chorionicity. METHODS: A retrospective study involving 289 twin pregnancies delivered from January 2003 to December 2006 was carried out. Maternal and perinatal data were obtained from hospital charts and delivery logs. Chorionicity was determined by ultrasonography or histopathological study. RESULTS: Incidence of twin gestations was 3.4% and 96.4% were spontaneously conceived. 60.5% were dichorionic (DC, 30.8% of monochorionic diamniotic (MCDA, 6.6% monochorionic monoamniotic (MCMA and for 2.1% chorionicity was unknown. The mean gestation age at delivery was respectively 35.4, 33.6, 32.9 for DC, MCDA and MCMA. The mean birth weight was 2.171, 1.832 and 1.760 g respectively for DC, MC and MCMA. The proportion of fetuses delivered with less than 34 weeks in DC was of 21.7%, while in MCDA it was of 39.3% and in MCMA of 42.1%. Birth weight below the 10th centile occurred in 15.7% for DC, 22.5% for MCDA and 26.3% in MCMA. Congenital anomalies were observed in 21.3% in monochorionic and in 7.4% in the dichorionic. Lenght of hospital stay was shorter for DC when compared to MCDA and MCMA twins (13.1, 17.3 and 23.3 days, respectively. The proportion of twin pregnancies with both babies discharged alive were 85.7% in DC and 61.1% in MC. CONCLUSION: The rate of preterm deliveries and low birth weight is higher in monochorionic pregnancies when compared to dichorionic twins. However, when adjusted for complications such as fetal abnormalities and twin-twin transfusion syndrome, double survival rates were similar in the two groups.OBJETIVO: Avaliar o resultado perinatal nas gestações gemelares com partos em hospital universitário segundo a corionicidade. MÉTODOS: Estudo retrospectivo de 289 gestações gemelares com partos no Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, no per

  14. Buen Vivir i Bolivia

    OpenAIRE

    2015-01-01

    This project presents a critical examination of Buen Vivir as a political instrument. Buen Vivir is a politicised concept originated from an old Andean philosophy. The concept constitutes a platform from which alternative epistemes for progress and growth can be uttered and developed. The project critically analyses the Bolivian extraction of natural resources under the government of Evo Morales and the MAS party. With this as a point of departure the project discusses whether MAS’ use of Bue...

  15. Resultado perinatal em mulheres portadoras de hipertensão arterial crônica: revisão integrativa da literatura Resultado perinatal en mujeres que sufren de hipertensión crónica: revisión integradora de la literatura Perinatal outcome in women suffering from chronic hypertension: literature integrative review

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    Angelita José Henrique

    2012-12-01

    Full Text Available Objetivou-se identificar as principais complicações relativas à Hipertensão Arterial Crônica observadas em mulheres gestantes e conhecer a evolução nos padrões de riscos dos resultados perinatais em duas décadas. Realizou-se uma revisão integrativa da literatura com abrangência temporal entre os anos de 1990 e 2010, nas bases de dados LILACS, SciELO e MEDLINE. Entre os resultados, observou-se que gestantes hipertensas crônicas apresentaram pré-eclâmpsia sobreposta (20% a 78%, restrição do crescimento fetal (8,5% a 30,7%, prematuridade (32,4% a 86,4%, cesárea (69,2%, descolamento prematuro da placenta (3,75% a 8,4%, óbito fetal (9,5% a 27,2%, complicações cardiovasculares, renais e pulmonares maternas. Conclui-se que a associação entre hipertensão crônica e gestação mostra forte risco para complicações maternas e perinatais, principalmente quando associados à severidade e etiologia da hipertensão, não mostrando evolução no decorrer das duas décadas pesquisadas sobre o resultado perinatal.Objetivó-se identificar los patrones en la evolución del riesgo de resultados perinatales de las mujeres embarazadas con hipertensión crónica con el fin de comparar los resultados de la evolución del embarazo. Realizó-se una revisión integradora de la literatura, con lapso de tiempo entre los años 1990 y 2010, en las databases LILACS, SciELO y MEDLINE. En los resultados, fue observado que las mujeres embarazadas con hipertensión crónica apresentaran preeclampsia superpuesta (20% a 78%, restricción del crecimiento fetal (8,5% a 30,7%, prematuridad (32,4% a 86,4%, cesárea (69 2%, desprendimiento abrupto de la placenta (3,75% a 8,4%, muerte fetal (9,5% a 27,2%, complicaciones cardiovasculares, renales y pulmonares materna. Concluye-se que la asociación de hipertensión crónica y embarazo presenta riesgo importante para complicaciones maternas y perinatales, especialmente cuando se asocia con la gravedad y etiología de

  16. Estudo da morbidade e da mortalidade perinatal em maternidades. I-Descrição do projeto e resultados gerais A study of perinatal morbidity and mortality in maternity-hospitals

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    Ruy Laurenti

    1984-12-01

    Full Text Available É descrito estudo sobre morbidade e mortalidade ocorridas no período perinatal por meio da coleta de dados referentes ao evento, ao produto e à mãe. O estudo foi feito, de maneira coordenada e padronizada, em nove maternidades, sendo sete no Estado de São Paulo, uma no Rio de Janeiro e outra em Florianópolis, SC, o que possibilitou a coleta de dados referentes à 13.130 eventos, dos quais 12.782 eram nascidos vivos; 217 nascidos mortos e 131 abortos. Esta apresentação é a primeira de uma série e que visou descrever detalhadamente o projeto, bem como apresentar alguns resultados globais, sendo que resultados mais específicos serão apresentados futuramente. Dentre os resultados globais chama a atenção a alta mortalidade perinatal, a alta percentagem de cesária e o baixo peso nos casos de nascidos mortos ser, aproximadamente, cinco vezes mais forte que o baixo peso ao nascer nos casos de nascidos vivos.Collecting data on deliveries, newborn and mothers, in maternity-hospitals, is the best way to conduct research into perinatal morbidity and mortality. The kind of study which was carried out in nine Brazilian maternity-hospitals, seven of then situated in cities in the State of S. Paulo, one in Rio de Janeiro and another in Florianópolis, Santa Catarina, is described. The study called for the collection of data on 13,130 deliveries, of which 12,782 were live births, 217 still-births and 131 abortions. This is the first of a series of papers; the aims of this one are to describe the project and to present some general results; however, more specific results will be presented in the future. The high perinatal mortality rate, the high proportion of cesarian sections and the several times greater incidence of low birth-weight in still-births as compared with live births, deserved particular attention.

  17. Tratamento do diabetes mellitus gestacional com glibenclamida: fatores de sucesso e resultados perinatais Gestational diabetes mellitus management with glyburide: factors of success and perinatal outcomes

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    Jean Carl Silva

    2007-11-01

    Full Text Available OBJETIVO: identificar os fatores relacionados ao sucesso no tratamento do diabetes mellitus gestacional (DMG com a glibenclamida e avaliar os resultados perinatais. MÉTODOS: estudo longitudinal, prospectivo, no qual foram incluídas, no período de agosto de 2005 até julho de 2006, 50 gestantes portadoras de DMG, que necessitaram de terapêutica complementar à dietoterapia e à atividade física, com feto apresentando circunferência abdominal (CA normal à ultra-sonografia (abaixo do percentil 75. Foi mantida a glibenclamida até o parto, enquanto o controle glicêmico estivesse adequado e a CA fetal normal, sendo considerado um sucesso terapêutico. Na falta de controle glicêmico ou a CA fetal alterada, a terapêutica foi substituída por insulinoterapia, sendo considerada falha terapêutica. As gestantes foram divididas em dois grupos: um que obteve sucesso com a terapêutica (n=29 e outro, falha (n=21. Os resultados avaliados foram: sucesso terapêutico, características maternas e resultado perinatal. RESULTADOS: dos casos analisados, 58% obtiveram sucesso com a glibenclamida. Não foi encontrada diferença (p>0,05 nos dois grupos quanto à idade materna, valores das glicemias no teste de tolerância oral à glicose com 75 g, índice de massa corpórea (IMC materno, número de consultas no pré-natal e número de gestações anteriores. Ajustando-se a um modelo de regressão logística, encontramos que as gestantes com sucesso terapêutico tiveram o diagnóstico mais tardio (p=0,02 e menor ganho de peso durante a gestação (pPURPOSE: to identify the factors related to successful gestational diabetes mellitus (GDM management with glyburide and to evaluate perinatal outcomes. METHODS: prospective longitudinal study including 50 pregnant women with GDM who required complementary treatment to diet and physical activity, whose fetus presented normal abdominal circumference (AC to ultrasound (pct0.05 in either group, with regards to maternal

  18. Via de Parto e Resultados Perinatais em Gestantes Diabéticas Route of Delivery and Perinatal Outcomes of Diabetic Pregnant Women

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    Belmiro Gonçalves Pereira

    1999-10-01

    Full Text Available Objetivo: apresentar os resultados perinatais obtidos a partir da aplicação de um protocolo de assistência às gestantes diabéticas no Centro de Atenção Integral à Saúde da Mulher (CAISM da UNICAMP. Métodos: foram estudadas 90 gestantes diabéticas que iniciaram controle pré-natal na instituição e foram submetidas a este protocolo. Foram comparadas com dois grupos controles de 180 gestantes cada: um constituído por gestantes pareadas por idade e número de gestações (controle A e outro por gestantes aleatoriamente selecionadas (controle B. Nos três grupos foram avaliadas as seguintes variáveis: tipo de parto, indicações de cesárea, idade gestacional, índice de Apgar ao primeiro e quinto minuto de vida, peso e adequação de peso para idade gestacional, morbidade e mortalidade perinatal. Para a análise estatística utilizaram-se médias, desvio-padrão, os testes t de Student e do chi². Resultados: entre as gestantes diabéticas ocorreu maior incidência de cesáreas, recém-nascidos prematuros e grandes para a idade gestacional (GIG, assim como uma maior freqüência de patologias neonatais (hipoglicemia, hipocalcemia, hiperbilirrubinemia, desconforto respiratório e depressão neonatal. A incidência de Apgar Purpose: to present the perinatal outcomes resulting from the use of a protocol for assistance to diabetic pregnant women used at the Center for Integral Assistance to Women's Health (CAISM, of the University of Campinas. Methods: ninety diabetic pregnant women, who were assisted at the institution with this protocol, were compared with two control grups: the first consisted of 180 pregnant women with equal number of gestations and same age (control A and the second consisted of 180 randomly selected pregnant women (control B. The study variables were route of delivery, indication for cesarean section, gestational age, Apgar score at first and fifth minute, weight, adequacy of weight for gestational age and perinatal

  19. Oligodramnia sem rotura das membranas amnióticas: resultados perinatais Oligohydramnios without premature rupture of membranes: perinatal outcomes

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    José Mauro Madi; Edson Nunes de Morais; Breno Fauth de Araújo; Renato Luís Rombaldi; Sônia Regina Cabral Madi; Luciano Ártico; Natacha Araújo Machado

    2005-01-01

    OBJETIVO: avaliar os resultados perinatais em casos de oligodramnia sem rotura de membranas amnióticas. MÉTODOS: foram estudados retrospectivamente 51 casos consecutivos de oligodramnia (índice de líquido amniótico (ILA) menor que 5 cm) em nascimentos ocorridos no período de março de 1998 a setembro de 2001. Compararam-se os dados obtidos aos de 61 casos com quantidade intermediária e normal de líquido amniótico (ILA >5 cm). Analisaram-se variáveis maternas e neonatais, bem como taxas de mort...

  20. Diagnóstico, Conduta Obstétrica e Resultados Perinatais em Fetos com Hidrocefalia Diagnosis, Obstetrical Management and Perinatal Outcome in Hydrocephalus

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    Renato Passini Júnior

    1998-08-01

    Full Text Available Objetivo: avaliar os métodos para diagnóstico, características da gestação, complicações maternas e resultados perinatais em casos de hidrocefalia congênita, correlacionando-os com variáveis gestacionais e do parto. Método: avaliaram-se 116 gestações com este diagnóstico antes ou após o parto, dos quais 112 ocorridos na Maternidade do CAISM da UNICAMP no período de 1986 a 1995. Para as variáveis perinatais, utilizaram-se os dados completos de 82 recém-nascidos. Para a análise dos dados, calcularam-se as distribuições e médias, usando-se os testes de c² e exato de Fisher. Resultados: geralmente o diagnóstico foi anterior ao parto, confirmado pelo exame ecográfico, e o parto foi por cesárea na maioria dos casos. A cefalocentese foi realizada em 11 casos e as complicações no parto vaginal foram mais freqüentes que na cesárea. O índice de Apgar baixo foi mais freqüente entre os recém-nascidos de parto vaginal. A hidrocefalia congênita esteve também associada a importante morbidade e mortalidade neonatal e perinatal, outras malformações e número muito pequeno de crianças sem seqüelas. Conclusões: a avaliação destes fatores pode ser de grande utilidade para o obstetra acompanhar gestantes com esta malformação fetal, dando maior respaldo às decisões que, além de médicas e éticas, devem levar em conta a relação risco-benefício das medidas a serem tomadas.Objective: to evaluate the diagnosis, characteristics of pregnancy, maternal complications and perinatal outcome in cases of congenital hydrocephalus, and to associate them with pregnancy and delivery variables. Methods: 116 pregnancies with this diagnosis were evaluated before or after delivery, 112 of them occurring at the Maternity ward of CAISM/UNICAMP during the period between 1986 and 1995. For perinatal variables, complete data of 82 newborns were used. For data analysis, distributions and means were calculated and c² and Fisher exact tests

  1. Resultados maternos e perinatais em gestações complicadas por doenças falciformes Maternal and perinatal outcomes in pregnancies complicated by sickle cell diseases

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    Roseli Mieko Yamamoto Nomura

    2010-08-01

    Full Text Available OBJETIVO: avaliar os resultados maternos e perinatais de gestações complicadas por doenças falciformes, comparando-as com portadoras de traço falciforme. MÉTODOS: este estudo é uma coorte retrospectiva, abrangendo o período de Março de 2001 a Abril de 2008, tendo sido incluídas todas as gestantes portadoras de doença falciforme (n=42 acompanhadas em hospital universitário da região sudeste do Brasil. Os resultados maternos e perinatais foram comparados com os de gestantes portadoras de traço falciforme (n=56 acompanhadas no mesmo serviço. RESULTADOS:a hemoglobinopatia SS foi diagnosticada em 42 gestantes (82,4% e a SC em nove (17,6%. A idade materna foi significativamente menor no grupo com doença falciforme (média=26,0; SD=4,3 quando comparadas às com traço falciforme (média=28,7, DP=7,1; p=0,018. As seguintes complicações maternas foram significativamente mais frequentes no grupo com doença falciforme em comparação ao grupo com traço falciforme: infecção do trato urinário (25,5 versus 8,9%; p=0,04, pneumonia (23,5 versus 1,8%; p=0,002, hipertensão pulmonar (15,7 versus 0%; p=0,002, e transfusão no parto/pós-parto (33,3 versus 5,4%; p=0,001. Resultados perinatais adversos foram significativamente mais frequentes no grupo com doença falciforme quando comparados ao grupo com traço falciforme: prematuridade (49 versus 25%; p=0,01, média da idade gestacional no parto (35,2 versus 37,9 semanas; pPURPOSE: the aim of this study was to describe perinatal and maternal outcomes of pregnancies complicated by sickle cell disease (SCD, comparing to pregnancies of women with sickle cell trait (SCT. METHODS: this was a retrospective cohort study, covering the period from March 2001 to April 2008, which included all pregnant women with SCD (n=42 followed up at a university hospital in the Southeast region of Brazil. The maternal and perinatal outcomes were compared to those of pregnant women with SCT (n=56 who were followed up

  2. Programa "Casa das Gestantes": perfil das usuárias e resultados da assistência à saúde materna e perinatal

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    Adriano Marçal Pimenta

    2012-01-01

    Full Text Available Estudio transversal, descriptivo-exploratorio que objetivó caracterizar el perfil y los resultados de atención de salud dada a 820 usuarias de la "Casa de Embarazadas" de una maternidad filantrópica en Belo Horizonte, Minas Gerais, Brasil, entre marzo/2008 y diciembre/2009. Análisis estadística fue basada en presentación de frecuencias absolutas y relativas de variables. Los diagnósticos obstétricos más frecuentes de ingreso fueron relacionados al trabajo de parto prematuro y presión arterial. La mayoría de embarazadas tuvieran alta (44,1% o parto en maternidad tras estabilización de la condición clínica (45,5%; 10,2% agravaran la condición clínica y regresaron al hospital. De los niños, 2,8% tuvieron Apgar a los 5 minutos <7 y, las frecuencias de nacidos muertos y muertes neonatales fueron, respectivamente, 2,6% y 3,5%. Cuidados ofrecidos en la "Casa de Embarazadas" promueven mejora de la condición clínica a la internación y, potencialmente, previne factores que contribuyen para aumentar los índices de mortalidad materna y perinatal.

  3. Evolução da gravidez e resultados perinatais em transplantadas renais Pregnancy and perinatal outcomes in women with renal transplantation

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    Leandro Gustavo de Oliveira

    2005-06-01

    Full Text Available OBJETIVO: avaliar as inter-relações recíprocas entre o transplante renal e a gravidez por meio da análise das intercorrências clínicas e obstétricas, bem como da investigação do desfecho perinatal. MÉTODOS: foi analisada série retrospectiva de 39 casos de gestação em 37 portadoras de transplante renal no período de janeiro de 1997 a dezembro de 2003. Foi criado um grupo controle composto por 66 grávidas sem doenças clínicas prévias, que freqüentaram pré-natal e deram à luz em 2002 e 2003. Esse grupo foi utilizado para possíveis comparações para as variáveis pré-eclâmpsia, ruptura prematura de membranas, prematuridade e crescimento intra-uterino restrito. Como características demográficas dos dois grupos foram relatados média de idade no momento da concepção, raça e os antecedentes obstétricos. Quanto às características do transplante relatamos o tipo de doador e o esquema imunossupressor utilizado. As variáveis clínicas estudadas foram hipertensão arterial crônica, anemia e infecção do trato urinário. As variáveis relativas ao transplante foram o intervalo entre a cirurgia e a concepção, a ocorrência de disfunção, rejeição e perda do enxerto. Quanto às variáveis obstétricas, analisamos a via de parto, a incidência de pré-eclâmpsia e a ruptura prematura de membranas. Entre os resultados perinatais consideramos a incidência de prematuridade e crescimento intra-uterino restrito. Relacionamos estes resultados aos níveis de creatinina das transplantadas renais no início do pré-natal. Para avaliação estatística foram utilizados os testes de chi2 e exato de Fisher. Em todos os casos, o nível de rejeição para a hipótese de nulidade foi sempre fixado em valor menor ou igual a 0,05 (5%. RESULTADOS: a média de idade das pacientes no momento da concepção foi de 27 anos. O doador vivo foi o tipo mais freqüente. Entre as drogas imunossupressoras, a ciclosporina foi a mais utilizada

  4. Resultados perinatais em grávidas com mais de 35 anos: estudo controlado Perinatal results in pregnant women with more than 35 years: a controlled study

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    Priscilla Chamelete Andrade

    2004-10-01

    Full Text Available OBJETIVO: avaliar os resultados perinatais em gestantes com mais de 35 anos e verificar diferenças nos grupos entre 35 e 39 anos e acima de 40 anos. MÉTODOS: entre janeiro de 2000 e julho de 2003, realizou-se estudo retrospectivo por análise de fichas obstétricas de 3093 gestantes, excluindo-se 933 gestantes. As pacientes foram divididas em 3 grupos: 18 a 29 anos (grupo controle, 30 a 39 anos e mais de 40 anos. A coleta de dados foi realizada por meio de formulário padronizado e os dados foram transferidos para uma planilha eletrônica (Excel - Microsoft Office 2000. Para a análise estatística, foram utilizados o teste do chi2 e o teste de Fisher, sendo considerado risco a (alfa menor ou igual a 5% e intervalo de confiança de 95%. RESULTADOS: a via de parto mais utilizada para essas pacientes foi a cesárea, tanto no grupo de 35 a 39 anos (438/792; 55,3%, quanto nas gestantes com mais de 40 anos (153/236; 64,8%. A taxa de prematuridade (39/236; 16,5%, o baixo peso ao nascer (37/236; 15,7% e a restrição de crescimento fetal (38/236; 16,1% foram mais altas entre as gestantes tardias, com mais de 40 anos, com diferença significante em relação aos demais grupos. Quanto à ocorrência de óbito fetal, foi constatado nas gestantes de 40 anos incidência cinco vezes maior quando comparado aos outros grupos (diferença estatisticamente significante. CONCLUSÃO: a comparação entre o grupo de gestantes de 35 a 39 anos com o grupo controle apenas diferiu significantemente quanto ao índice de cesáreas, o que nos permite sugerir acompanhamento pré-natal diferenciado para o grupo de gestantes acima de 40 anos.PURPOSE: to evaluate perinatal results in pregnant women over 35 years old and to check differences between two groups: 35 to 39-year-old women and women older than 40. METHODS: a retrospective survey was made during the period between January/2000 and July/2003, through the analysis of obstetric charts of 3,093 pregnant women who

  5. Hemoglobina materna en el Perú: diferencias regionales y su asociación con resultados adversos perinatales Maternal hemoglobin in Perú: regional differences and its asociation with adverse perinatal outcomes

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    Gustavo F. Gonzales

    2011-09-01

    Full Text Available Objetivos. Establecer la frecuencia de anemia y eritrocitosis en gestantes de diferentes regiones del Perú y la asociación con los resultados adversos perinatales utilizando los datos del Sistema de Información Perinatal (SIP del Ministerio de Salud (MINSA. Materiales y métodos. Se obtuvieron datos de 379 816 partos de 43 centros asistenciales del Ministerio de Salud entre los años 2000 y 2010. Se determinó la frecuencia de anemia y eritrocitosis en cada región geográfica así como de los resultados adversos perinatales. Resultados. La frecuencia de anemia leve fue mayor en la costa (25,8 % y en la selva baja (26,2 %. La frecuencia de anemia moderada/severa es más alta en la selva baja (2,6 % seguido de la costa (1,0 %. En la sierra, las frecuencia más alta de anemia moderada/severa se observa en la sierra sur (0,6 %. La mayor frecuencia de eritrocitosis (Hb>14,5 g/dL fue encontrada en la sierra centro (23,7 %, seguido de 11,9 % en la sierra sur y 9,5 % en la sierra norte. La anemia severa y la eritrocitosis estuvieron relacionadas con los resultados adversos perinatales. Conclusiones. Hay diferencias por región geográfica en la frecuencia de anemia. En la sierra central se encontró mayor frecuencia de eritrocitosis con respecto a la sierra sur. Tanto la anemia severa como la eritrocitosis aumentan los resultados adversos perinatales.Objectives. To evaluate hemoglobin (Hb levels in pregnant women from different geographical regions from Peru; to establish anemia and erythrocytocis rates and to establish the role of Hb on adverse perinatal outcomes using the Perinatal Information System (PIS database of Peruvian Ministry of Health. Materials and methods. Data were obtained from 379,816 births of 43 maternity care units between 2000 and 2010. Anemia and erythrocytocis rates were determined in each geographical region as well as rates of adverse perinatal outcomes. To analyze data the STATA program (versión 10.0,Texas, USA was used

  6. Impacto da idade materna sobre os resultados perinatais e via de parto Impact of maternal age on perinatal outcomes and mode of delivery

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    Graciete Helena Nascimento dos Santos

    2009-07-01

    Full Text Available OBJETIVO: analisar a associação entre idade materna, resultados perinatais e via de parto. MÉTODOS: foram analisadas as informações de todas as pacientes atendidas no Serviço de Obstetrícia e Ginecologia de um hospital universitário terciário do Maranhão, no período de Julho a Dezembro de 2006. Foram alocadas em três grupos: adolescentes (10 a 19 anos, adultas (20 a 34 anos e mulheres de idade avançada (>35 anos. As variáveis estudadas foram cor, escolaridade, situação conjugal, renda familiar, paridade, número de consultas no pré-natal, idade gestacional no início do pré-natal, local do pré-natal, duração da gestação, tipo de parto, índice de Apgar no quinto minuto e peso ao nascer. Os dados foram processados no programa Epi-Info versão 3.4.1 e foram analisadas as associações entre as variáveis pela razão dos produtos cruzados, a Odds Ratio (OR, com intervalo de confiança (IC de 95%. O nível de significância adotado foi de 0,05. RESULTADOS: em 2.196 pacientes, foi verificada frequência de 25% dos partos em adolescentes, 69% em adultas e 6% de mulheres em idade avançada. Entre as adolescentes foi verificado maior risco de prematuridade (OR=1,46;IC95%=1,14-1,88 e baixo peso ao nascer (OR=1,47; IC95%=1,13-1,90, maior frequência de partos normais entre todos os grupos (65,2%, além da associação com início tardio do pré-natal (OR=1,86; IC95%=1,43-2,43, menor número de consultas (OR=2,03;IC95%=1,57-2,63 e uso de abortivo no início da gestação (OR=2,34; IC95%=1,38-3,98. Em mulheres com idade avançada constatamos forte associação com diabetes mellitus (OR=9,00; IC95%=3,18-25,19, pré-eclâmpsia (OR=4,38; IC95%=3,02-6,34, ruptura prematura de membranas (OR=5,81; IC95%=3,08-10,89, além de maior chance do índice de Apgar no quinto minuto ser menor que sete (OR=2,90; IC95%=1,37-6,01 e maior frequência de parto operatório cesáreo (60,3%. CONCLUSÕES: a gravidez na adolescência esteve associada a in

  7. Resultados maternos e neonatais em Centro de Parto Normal peri-hospitalar na cidade de São Paulo, Brasil Resultados maternos y neonatales en un Centro de Parto Normal perihospitalario en la ciudad de São Paulo, Brasil Maternal and perinatal outcomes of an alongside hospital Birth Center in the city of São Paulo, Brazil

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    Sheila Fagundes Lobo

    2010-09-01

    Full Text Available O objetivo foi descrever os resultados maternos e perinatais da assistência no Centro de Parto Normal Casa de Maria (CPN-CM, na cidade de São Paulo. A amostra probabilística foi de 991 parturientes e seus recém-nascidos, assistidos entre 2003 e 2006. Os resultados mostraram que 92,2% das parturientes tiveram um acompanhante de sua escolha e as práticas mais utilizadas no parto foram banho de aspersão ou imersão (92,9%, amniotomia (62,6%, deambulação (47,6%, massagem de conforto (29,8% e episiotomia (25,7%. Com relação aos recém-nascidos, 99,9% apresentaram índice de Apgar = 7 no quinto minuto; 9,3% receberam aspiração das vias aéreas superiores; nenhum necessitou ser entubado; e 1,4% foram removidos para o hospital. O modelo de assistência praticado no CPN-CM apresenta resultados maternos e perinatais esperados para mulheres com baixo risco obstétrico, sendo alternativa segura e menos intervencionista no parto normal.El objetivo fue describir los resultados de la atención materna y perinatal en el Centro de Parto Normal Casa de María (CPN-CM, en la ciudad de São Paulo, Brasil. La muestra probabilística se constituyó de 991 madres y sus recién nacidos, atendidos entre 2003 y 2006. Los resultados mostraron que 92,2% de las madres tenía un acompañante de su elección y las prácticas más utilizadas en el parto fueron el baño de aspersión o inmersión (92,9%, la amniotomía (62,6%, ambulación (47,6%, masaje de confortación (29,8% y episiotomía (25,7%. Con respecto a los recién nacidos, el 99,9% presentaba índice de Apgar = 7 en el minuto cinco, el 9,3% recibió aspiración de las vías aéreas superiores, ninguno necesitó ser entubado y el 1,4% fue trasladado a un hospital. El modelo de atención practicado en el CPN-CN presenta resultados maternos y perinatales esperados para mujeres con bajo riesgo obstétrico, demostrando ser una alternativa segura y menos invasiva en el parto normal.The aim of this study was to

  8. Centralização do Fluxo Sangüíneo Fetal Diagnosticado pela Dopplervelocimetria em Cores: Resultados Perinatais Brain-sparing Effect Detected by Color Doppler: Perinatal Outcome

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    Cleide Mara Mazzotti Oliveira Franzin

    2001-12-01

    Full Text Available Objetivos: avaliar os resultados perinatais do exame de dopplervelocimetria alterado com centralização de fluxo sangüíneo fetal. Metodologia: foram analisados 32 casos de centralização de fluxo sangüíneo fetal diagnosticados no Centro de Atenção Integral à Saúde da Mulher da Universidade Estadual de Campinas. O diagnóstico de centralização foi confirmado quando a relação entre o índice de pulsatilidade da artéria cerebral média fetal (IPACM e o índice de pulsatilidade da artéria umbilical (IPAU era menor que a unidade (IPACM/IPAU menor que 1. Detectou-se fluxo arterial usando equipamento ultra-sonográfico equipado com mapeamento em cores, marca Toshiba, modelo SSH-140A. Resultados: houve necessidade de cuidados intensivos em 26 fetos (89,6%. O número de dias de internação em unidade de terapia intensiva variou de 1 a 83, com média de 22 dias. A ocorrência de óbito fetal foi de 3/32 (9,4% e de óbito perinatal de 9/29 (31%. Considerando-se a idade gestacional avaliada pelo método de Capurro, a incidência de nascimento de fetos com menos de 36 semanas foi de 21/32 (65,6%. Crescimento intra-uterino restrito ocorreu em 71,8% dos fetos e hipoglicemia em 44,8%. Conclusão: a centralização de fluxo sangüíneo é um marcador de situação danosa ao bem-estar fetal e seu estudo será de grande valia na orientação da conduta obstétrica.Purpose: evaluation of perinatal outcome of brain-sparing effect detected by color Doppler. Methods: brain-sparing effect was detected in 32 fetuses at the Ultrasound Service of the Center for Integral Attention to Women's Health at Campinas State University (UNICAMP. The diagnosis of brain-sparing effect was made when the ratio between middle cerebral artery and umbilical artery pulsatility indexes was below one (IPACM/IPAU <1. The measurement was obtained with color Doppler equipment Toshiba SSH-140A. Results: admission to neonatal intensive care unit (ICU was necessary in 26 fetuses

  9. Resultados maternos e perinatais em pacientes com disfunção sistólica grave Maternal and perinatal outcome in patients with severe systolic dysfunction

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    Marcelo Graziano Custódio

    2008-12-01

    Full Text Available OBJETIVO: O objetivo deste trabalho é avaliar os resultados maternos e perinatais em gestantes com disfunção sistólica grave de ventrículo esquerdo acompanhadas em hospital terciário durante a gestação, parto e puerpério imediato. MÉTODOS: Doze pacientes com disfunção ventricular grave, definida por fração de ejeção OBJECTIVE: The objective of this study was to evaluate maternal and fetal outcome in patients with severe left ventricle systolic dysfunction followed in a terciary-care hospital. METHODS: We retrospectively evaluated 12 pregnant women with severe systolic dysfunction, defined as a ejection fraction <40%. Follow-up data included functional class evaluation, ocurrency of cardiac and obstetric events, labor data and neonatal outcome. Cardiac events were defined as new onset of arrhythmias, stroke, pulmonary thrombosis, pulmonary edema, cardiac arrest, and death. RESULTS: The mean ejection fraction was 28,9±6,47%. Four patients were in the NYHA class III, and 8 in class I or II on presentation. Ten patients had deteriorated during pregnancy. The most common cardiac event was pulmonary edema (3 patients. Three of the four patients with class III on presentation had a good evolution during pregnancy, and the other one had preterm delivery due to worsening symptons. There were 2 vaginal espontaneous deliveries and 10 cesarean sections. Small-for-gestational-age birthweigth ocurred in 10 pregnancies. There was no maternal or neonatal death. CONCLUSIONS: Pregnancy in patients with severe left ventricle systolic dysfunction increases the risk of maternal complications and compromises fetal growth. It is important to follow this women in a tertiary-care hospital.

  10. Fatores maternos e resultados perinatais no descolamento prematuro da placenta: comparação entre dois períodos Maternal factors and perinatal results in placental abruption: a comparative study of two periods

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    Roseli Mieko Yamamoto Nomura

    2006-06-01

    Full Text Available OBJETIVOS: comparar o perfil dos fatores maternos, aspectos clínicos e os resultados perinatais no descolamento prematuro da placenta (DPP, em dois períodos. MÉTODOS: avaliação retrospectiva dos casos de DPP ocorridos entre 01 de janeiro de 1994 e 31 de dezembro de 1997 (período 94-97, e entre 1 de abril de 2001 e 31 de março de 2005 (período 01-05, em gestações únicas com peso do recém-nascido superior a 500 g e idade gestacional acima da 20ª semana. Foram analisados os fatores: idade materna, cor, antecedentes obstétricos, pré-natal, rotura prematura de membranas, intercorrências clínicas e/ou obstétricas, sangramento, tônus uterino, malformação fetal, tipo de parto, hemoâmnio e complicações maternas (histerectomia, atonia uterina, CIVD, insuficiência renal aguda e morte materna, e os resultados perinatais. RESULTADOS: no período 94-97, foram realizados 7692 partos e o DPP ocorreu em 0,78% (60 casos, e, no período 01-05, foram 8644 partos com 0,59% (51 casos de DPP (sem diferença significativa. Observou-se diferença significativa entre os períodos 94-97 e 01-05 em relação à média do número de gestações (3,5±2,4 e 2,6±1,8; p=0,04, não realização de pré-natal (13,3 e 2,0%; p=0,03 e intercorrências maternas (38,3 e 64,7%; p=0,01. Não foram observadas diferenças significativas quanto ao sangramento, à alteração no tônus e aos resultados perinatais, entre os períodos, verificando-se apenas maior proporção de hemoâmnio no período 94-97 que no 01-05 (28,3 e 11,8%, p=0,03. CONCLUSÕES: apesar dos avanços da obstetrícia, as complicações maternas e os resultados perinatais foram semelhantes nos períodos analisados. A gravidade e a imprevisibilidade do fenômeno alertam para a prevenção e controle adequados diante dos fatores associados ao DPP, na abordagem desta doença.PURPOSE: to compare the maternal factors, clinical aspects and perinatal results in placental abruption during two periods

  11. Estudo Comparativo dos Resultados Maternos e Perinatais entre Pacientes com Diabetes Pré-gestacional Tipo I e Tipo II Comparative Study of Maternal and Perinatal Outcomes among Patients with Pregestational Type I and Type II Diabetes

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    Micheline Monte de Carvalho

    2000-06-01

    Full Text Available Objetivos: avaliar a evolução da gestação, controle metabólico e resultados perinatais de pacientes diabéticas pré-gestacionais e fazer um estudo comparativo entre os resultados de pacientes com diabetes insulino-dependente e não-insulino-dependente. Métodos: análise retrospectiva de prontuários de 57 pacientes com diagnóstico de diabetes pré-gestacional que iniciaram pré-natal no Serviço de Medicina Materno-Fetal da Maternidade-Escola Assis Chateaubriand da Universidade Federal do Ceará, no período de janeiro 1995 a dezembro de 1998. As 57 grávidas incluídas no estudo foram divididas em dois grupos: grupo I, composto de 28 pacientes portadoras de diabetes insulino-dependente (tipo I, e grupo II, com 29 gestantes com diabetes não-insulino-dependente (tipo II controladas com dieta ou com hipoglicemiante oral antes da gestação. Resultados: não houve diferença estatisticamente significante entre os dois grupos em relação à necessidade de internamento para controle glicêmico (39,2% x 27,5% e complicações maternas, tais como: hipertensão arterial crônica (14,2% x 27,5%, doença hipertensiva específica da gravidez (14,2% x 17,2%, amniorrexe prematura (3,5% x 10,3%, infecção do trato urinário (10,7% x 6,8% e trabalho de parto prematuro (3,5% x 6,8%. Foi observado, porém, maior número de episódios de hipoglicemia materna entre as pacientes insulino-dependentes (35,7% x 3,4%. Os resultados perinatais foram semelhantes. Observamos elevados índices de malformações e morbimortalidade perinatal. Conclusão: não houve diferença na incidência de intercorrências clínicas e obstétricas entre as pacientes insulino-dependentes e não-insulino-dependentes, excluindo-se hipoglicemia materna.Purpose: to evaluate the evolution of gestation, metabolic control and perinatal outcome of pregestational diabetic patients and to perform a comparative study of the results of patients with insulin-dependent diabetes (type I and

  12. Sobre el buen planteamiento de una ecuación del tipo r-BO bidimensional

    OpenAIRE

    2015-01-01

    En este trabajo tratamos el buen planteamiento en los espacios de Sobolev Hs (R2) del problema de Cauchy asociado a la ecuación del tipo r-BO bidimensional [Fórmula Matemátiva] donde u(x, y, t) es real si x, y, t ∈ R. También, estableceremos resultados sobre la continuación única, para esta ecuación.

  13. Síndrome de aspiração 7 do mecônio: análise de resultados obstétricos e perinatais Meconium aspiration syndrome: obstetric and perinatal outcome analysis

    Directory of Open Access Journals (Sweden)

    José Mauro Madi

    2003-03-01

    Full Text Available OBJETIVOS: analisar os resultados obstétricos e perinatais de 26 casos de síndrome de aspiração de mecônio (SAM MÉTODOS: realizou-se revisão dos prontuários de 26 recém-nascidos (RN com diagnóstico de SAM. Os casos foram estudados em função da média de permanência do RN na UTIN e das principais complicações maternas e neonatais, correlacionando-as entre si. RESULTADOS: dezoito conceptos nasceram no HG-FUCS e 8 fora; no período citado, ocorreram 3.976 nascimentos no HG-FUCS, incidência de SAM de 0,45%. Dos 18 casos estudados, 9 nasceram pela via vaginal; o peso ao nascimento foi >2.500 g em dezesseis casos. Mecônio leve ocorreu em 50%, semelhante ao espesso. O Apgar no 1º minuto foi >7 em 3 casos (16,7%, entre 4 e 6, em 7 casos (38,9%, e entre 0 e 3, em 8 casos (44,4%. No 5º minuto, sete RN permaneceram deprimidos. A principal complicação neonatal foi anoxia (36% dos casos. A taxa de óbito neonatal foi de 7,7%. A internação média na UTIN foi de 19,9 dias. CONCLUSÃO: a SAM constitui grave entidade clínica neonatal, relacionando-se com altas taxas de mortalidade neonatal, mecônio espesso em pelo menos a metade dos casos e nascimento de fetos deprimidos na sua maioria.PURPOSE: to analyze obstetrical and perinatal data in 26 cases of meconium aspiration syndrome (MAS. METHODS: a retrospective review was performed in 26 newborn records diagnosed with meconium aspiration syndrome. Patients were studied emphasizing average days in neonatal intensive care unit and main maternal findings and neonatal complications, correlating them with each other. RESULTS: Eighteen babies were delivered at GH-CSUF and eight out of this hospital. At this time 3,976 deliveries occurred at GH-CSUF, with an incidence of MAS of 0.45%. Nine of 18 babies were born by vaginal delivery; weight was >2,500 g in 16 cases. One-minute Apgar score was >7 in three cases (16.7%, between 4 and 6 in seven cases (38.9%, and between 0 and 3, in eight cases (44

  14. Resultados gestacionais e perinatais de gestações com insuficiência cervical submetidas a circlagem eletiva Gestational and perinatal outcomes of pregnancies with cervical incompetence submitted to elective cerclage

    Directory of Open Access Journals (Sweden)

    Marcelo Luís Nomura

    2003-08-01

    Full Text Available OBJETIVO: descrever os resultados gestacionais de uma série de gestantes submetidas a circlagem cervical eletiva. MÉTODOS: estudo retrospectivo descritivo de 123 gestações em 116 pacientes submetidas a circlagem eletiva por insuficiência cervical, pelas técnicas de Espinosa-Bahamondes, Palmer ou MacDonald, e acompanhadas no Ambulatório de Pré-Natal Especializado do CAISM/UNICAMP. As variáveis foram analisadas por meio frequência, média e desvio-padrão e comparadas pelo teste de c² ou o teste exato de Fisher. RESULTADOS: 73% das pacientes apresentavam pelo menos um abortamento prévio, 17,9% tinham 3 ou mais abortamentos anteriores e 48% tinham antecedente de parto prematuro. A idade gestacional média de realização da circlagem foi 16 semanas. Houve predomínio de utilização da técnica cirúrgica de Espinosa modificada por Bahamondes (94,3%. A incidência de complicações durante a gestação foi de 69%; a do trabalho de parto prematuro (31,7% foi a mais freqüente, seguido de vaginites/vaginose (26%, ruptura prematura pré-termo de membranas (10,5% e óbito fetal (8,7%, As principais intercorrências clínicas associadas foram infecção do trato urinário (5,6%, síndromes hipertensivas (4% e diabete gestacional (2,4%. O índice de perdas gestacionais foi de 8,9% (11 óbitos fetais. Houve 18% de partos prematuros e o antecedente de parto prematuro associou-se à ocorrência de partos prematuros na gestação em estudo. CONCLUSÕES: os antecedentes obstétricos compatíveis com insuficiência istmocervical foram freqüentes e o antecedente de parto prematuro associou-se a ocorrência de partos prematuros na gestação em estudo. A utilização de circlagem a Espinosa-Bahamondes resultou em taxa de 18% de partos prematuros e de 104 em mil de morte perinatal. São necessários estudos prospectivos controlados para avaliar o real benefício da circlagem cervical durante a gravidez.PURPOSE: to describe the pregnancy outcome of

  15. Buen vivir : ¿alternativa postcapitalista?

    OpenAIRE

    Alfaro Mardones, Juan Ignacio; Araya Rosales, Andrés; Balbi de Figueiredo e Cordeiro, Tássia Gabriele; Bello Maldonado, Álvaro; Bolívar Espinoza, Gardy Augusto; Caetano, Edson; Caloca Osorio, Oscar Rogelio; Cárdenas O’Byrne, Sabina; Carrasco Henríquez, Noelia; Carvalho, Wolney Roberto; Cuevas Valenzuela, Hernán; de Almeida Silva, Marília; de la Cuadra, Fernando; D’Inca, María Verónica; Espinosa Sánchez, Manuel Antonio

    2015-01-01

    La concepción del Buen Vivir se propone desnudar y superar los errores y las limitaciones de la matriz de pensamiento eurocentrista, de una determinada narrativa de la modernidad y del capitalismo como única forma posible de pensar y vivir. Ello se encuentra asociado a las diversas nociones y teorías tradicionales del progreso y el desarrollo que se sustentan en el crecimiento exponencial de bienes y servicios lo cual supone la explotación ilimitada de los recursos naturales y humanos que exi...

  16. El porvenir de una ilusión: la ideología del Buen Vivir

    Directory of Open Access Journals (Sweden)

    Sara CARIA

    2014-08-01

    Full Text Available El objetivo del artículo es analizar el concepto y estrategias oficiales del «Buen Vivir» a través del filtro de las principales definiciones de ideología de las tradiciones marxista, psicoanalítica y cognitiva, como falsa conciencia, programa movilizador o discurso hegemónico y como mecanismo cognitivo de reducción de la complejidad. Para ello se contrapone el discurso oficial del «Buen Vivir» (recogido en la Constitución de 2008, los Planes Nacionales para el «Buen Vivir» 2009-2013 y 2013-2017, y en la publicística e intervenciones públicas de las máximas autoridades políticas del Ecuador con la orientación y resultados de las políticas públicas, que, en realidad, aspiran a lograr un proceso de desarrollo basado en una diversificación de la estructura productiva del país por ahora inédita.

  17. Resultados maternos e perinatais de dez anos de assistência obstétrica a portadoras do vírus da imunodeficiência humana Maternal and perinatal results in ten years of obstetrical care to human immunodeficiency virus-infected women

    Directory of Open Access Journals (Sweden)

    Victor Hugo Melo

    2005-11-01

    Full Text Available OBJETIVOS: avaliar a transmissão vertical do vírus da imunodeficiência humana (HIV e os fatores de risco associados à infecção perinatal. MÉTODOS: estudo descritivo de 170 gestantes infectadas pelo HIV e seus 188 recém-nascidos, admitidas na Maternidade do Hospital das Clínicas da UFMG, no período de junho de 1994 a setembro de 2004. Foram analisados as características demográficas, o perfil sorológico e a via de parto das gestantes, assim como os resultados perinatais. As crianças foram acompanhadas por período de 18 meses após o nascimento. Os dados foram armazenados e analisados no Epi-Info, Versão 6.0. Estabeleceu-se intervalo de confiança a 95% (pPURPOSE: to evaluate human immunodeficiency virus (HIV vertical transmission and risk factors related to perinatal infection. METHODS: descriptive study of 170 HIV-infected pregnant women and their 188 neonates, admitted from June 1994 to September 2004 at the "Maternidade do Hospital das Clínicas da UFMG". Demographic characteristics, mother's serologic state, mode of delivery and perinatal results were analyzed. Children were followed for 18 months after birth. Data were stored and analyzed by Epi-Info, version 6.0. Confidence interval was established at 95% (p<0.05. RESULTS: HIV infection was confirmed in 84 (45.4% patients during gestation. Viral load was below 1,000 copies/mL in 60.4% patients. Highly active antiretroviral therapy was the predominant antiretroviral regimen (65.5%. C-section rate was high: 79.5%. Prematurity rate was 18.2%. There were 184 (97.8% live births and four (2.2% perinatal deaths among 188 neonates. Among live neonates 97.8% received zidovudine after birth. Global mother-to-child transmission rate was 3.8%. Virus vertical transmission rates for each period were: 60%, until 1996; 28% between 1996 and 1998; 0.68%, between 1999 and 2004. Significant risk factors were not found related to perinatal HIV-infection because there was a small number of

  18. Factores explicativos del buen gobierno en la empresa española

    Directory of Open Access Journals (Sweden)

    Pablo Caravaca Sánchez

    2012-07-01

    Full Text Available El presente estudio analiza empíricamente el grado de cumplimiento de varias recomendaciones relativas al consejo de administración establecidas por el Código Unificado de Buen Gobierno de las sociedades españolas cotizadas, y sus factores determinantes durante los años 2007 y 2008. Los resultados evidencian que aquellas empresas con mayor proporción de consejeros independientes y de presencia de mujeres en el consejo presentan un mejor índice de cumplimiento.

  19. Continuación única y buen planteamiento de la ecuación r-BO

    OpenAIRE

    2012-01-01

    En este trabajo tratamos el buen planteamiento en los espacios de Sobolev Hs(R) y en los espacios de Sobolev con pesos =s;r del problema de Cauchy asociado a la ecuación on r-BO [Formula matemática] donde u(x; t) es real si x, t 2 R. También, estableceremos resultados sobre la continuación única, para esta ecuación.

  20. [Perinatal listeriosis].

    Science.gov (United States)

    Tollan, A; Sundsfjord, A; Lindal, S

    1992-04-30

    Human listeriosis is a rare disease. It may be foodborne. Listeric infection during pregnancy may give a fatal fetal outcome, caused by transplacental passage of organisms from the maternal gastrointestinal tract. We describe a case of perinatal listeriosis which resulted in preterm stillbirth. Perinatal listeriosis should be considered when flue-like symptoms are presented during pregnancy. Early diagnosis and treatment may improve the outcome.

  1. Influência do internamento materno prolongado nos resultados maternos e perinatais de duas séries de pacientes com placenta prévia Influence of prolonged maternal stay in maternal and perinatal outcomes of two series of patients with placenta previa

    Directory of Open Access Journals (Sweden)

    Carlos Augusto Alencar Júnior

    2012-01-01

    Full Text Available OBJETIVO: Comparar os resultados maternos e perinatais de pacientes portadoras de placenta prévia, após adoção do internamento materno prolongado, com os de uma série histórica ocorrida em 1991. MÉTODOS: Estudo retrospectivo comparando 108 casos da doença - em pacientes hospitalizadas em uma instituição de ensino do estado do Ceará, nordeste do Brasil, no período de primeiro de janeiro de 2006 a 31 de dezembro de 2010 - com 101 casos ocorridos em 1991, na mesma instituição. Os seguintes dados maternos e perinatais foram coletados: idade materna, paridade, idade gestacional no momento do parto, via de parto, tempo de internamento materno, escores de Apgar ao primeiro e quinto minutos, peso ao nascimento, adequação do peso ao nascer, tempo de hospitalização neonatal, morbidade materna e neonatal e mortalidades (materna, fetal, neonatal e perinatal. As variáveis categóricas foram analisadas utilizando-se os testes do χ² de associação e exato de Fischer. Os resultados foram considerados significativos quando pPURPOSE: To compare the maternal and perinatal outcomes of patients with placenta previa, after the adoption of a prolonged maternal hospital stay, to those of a 1991 series. METHODS: We performed a retrospective study comparing 108 cases of placenta previa hospitalized in the Maternity School Assis Chateaubriand, Universidade Federal do Ceará, during the period from 01/01/2006 to 12/31/2010, with those obtained in 1991, when 101 cases of the pathology were observed at our institution. The following maternal and perinatal data were collected: maternal age, parity, gestational age at delivery, mode of delivery, maternal stay length, Apgar scores at the 1st and 5th minutes, birth weight, adequacy of birth weight, neonatal length stay, maternal and neonatal morbidity and mortality rates (maternal, fetal, neonatal and perinatal. Statistical analysis was performed using the χ² and Fisher's exact tests. The results were

  2. Análise dos Testes de Vitalidade Fetal e dos Resultados Perinatais em Gestações de Alto Risco com Oligoidrâmnio Analysis of Fetal Well-being and Perinatal Outcome in the High-risk Pregnancies Complicated by Oligohydramnios

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    Roseli Mieko Yamamoto Nomura

    2002-07-01

    Full Text Available Objetivos: analisar, em gestações de alto risco com diagnóstico de oligoidrâmnio, os resultados dos testes de avaliação da vitalidade fetal e os resultados perinatais. Métodos: foram selecionadas retrospectivamente 572 gestações de alto risco com diagnóstico de oligoidrâmnio, caracterizado por ILA inferior ou igual a 5,0 cm. Destas, 220 apresentavam diagnóstico de oligoidrâmnio grave (ILA Purpose: to evaluate, in the high-risk pregnancies with oligohydramnios, the assessment tools for fetal well-being and perinatal results. Methods: five hundred seventy-two high-risk pregnancies were retrospectively analyzed. All of them presented with oligohydramnios established by AFI <=5.0 cm. Severe oligohydramnios was detected in 220 cases (AFI<=3,0 cm. The fetal well-being tests included: antepartum cardiotocography, biophysical profile score (BPS and dopplervelocimetry of umbilical and middle cerebral arteries. Multiple gestation, fetal anomalies and premature rupture of membrane cases were excluded. Results: severe oligohydramnios was significantlly associated with abnormal and suspected cardiotocography results (23.2%, abnormal biophysical profile score (10.5%, abnormal results of middle cerebral artery dopplervelocimetry (54.5%, small for gestational age infants (32.7% and meconial amniotic fluid (27.9% when compared to pregnancies with AFI between 3.1 and 5.0 cm. This group presented: abnormal or suspected cardiotocography results (13.9%, abnormal biophysical profile score (4.3%, abnormal results of middle cerebral artery dopplervelocimetry (33.9%, small for gestational age infants (21.0% and meconial amniotic fluid (16.8%. Conclusion: the oligohydramnios severity in high-risk pregnancies allows to discriminate the cases that are related to adverse perinatal outcome.

  3. Tuberculosis perinatal

    Directory of Open Access Journals (Sweden)

    Jessica Sáenz-Gómez

    2015-01-01

    Conclusiones: La infección perinatal debe sospecharse en niños con sepsis o neumonía sin respuesta a antibióticos. En este caso, el antecedente de la madre con tuberculosis orientó al diagnóstico.

  4. Dimensiones y escenarios del buen aprendizaje para todos

    OpenAIRE

    Domingo Segovia, Jesús

    2003-01-01

    Educar y cambiar desde una perspectiva de transformación social significa retomar críticamente las funciones de la escuela y replantearse qué es un buen aprendizaje y qué hacen los centros y los docentes para promoverlo. Este artículo, pues, repasa las dimensiones básicas que se ponen en juego para buscar la calidad y la equidad. Y, de este modo, establece unos marcos desde los que comprender los elementos que componen la gramática básica de un buen aprendizaje, de una buena enseñanza y de un...

  5. Avaliação da vitalidade fetal e resultados perinatais em gestações após gastroplastia com derivação em Y de Roux Assessment of fetal vitality and perinatal results in pregnancies after gastroplasty with Roux-en-Y gastric bypass

    Directory of Open Access Journals (Sweden)

    Roseli Mieko Yamamoto Nomura

    2010-01-01

    Full Text Available OBJETIVO: Analisar os resultados da avaliação da vitalidade fetal de gestações após gastroplastia com derivação em Y de Roux, verificando as complicações maternas e os resultados perinatais. MÉTODOS: No período de julho de 2001 a setembro de 2009, foram analisados, retrospectivamente, dados de prontuário de pacientes com gestação após gastroplastia com derivação em Y de Roux, acompanhadas em pré-natal especializado e cujo parto foi realizado na instituição. Foram analisados os exames de avaliação da vitalidade fetal (cardiotocografia, perfil biofísico fetal e dopplervelocimetria das artérias umbilicais realizada na semana anterior ao parto. As variáveis maternas investigadas foram: dados demográficos, complicações clínicas maternas, tipo de parto, complicações no parto e pós-parto, exames hematimétricos maternos e resultados perinatais. RESULTADOS: Trinta gestações após gastroplastia com derivação em Y de Roux foram identificadas e 24 delas foram submetidas à avaliação da vitalidade fetal. Todas as pacientes apresentaram resultados normais na cardiotocografia, no perfil biofísico fetal e na dopplervelocimetria das artérias umbilicais. Houve um caso de oligohidrâmnio. A principal complicação observada foi anemia materna (Hb OBJECTIVE: To study fetal vitality assessed in pregnancies after gastroplasty with Roux-en-Y gastric bypass'and verify maternal complications and perinatal results. METHODS: Hospital charts of all pregnancies after gastroplasty with Roux-en-Y gastric bypass were reviewed retrospectively. All cases followed at the specialized prenatal care that gave birth in this institution, between July 2001 and September 2009, were reviewed. The assessment of fetal vitality (cardiotocography, fetal biophysical profile and umbilical artery Doppler velocimetry performed in the last week before delivery were analyzed. The maternal variables investigated were: demographic data, maternal complications

  6. Factores explicativos del buen gobierno en la empresa española

    Directory of Open Access Journals (Sweden)

    Pablo Caravaca Sánchez

    2012-12-01

    Full Text Available El presente estudio analiza empíricamente el grado de cumplimiento de varias recomendaciones relativas al consejo de administración establecidas por el Código Unificado de Buen Gobierno de las sociedades españolas cotizadas, y sus factores determinantes durante los años 2007 y 2008. Los resultados evidencian que aquellas empresas con mayor proporción de consejeros independientes y de presencia de mujeres en el consejo presentan un mejor índice de cumplimiento.ABSTRACTThis paper investigates the level of compliance of several recommendations regarding board of directors included in the Code of Corporate Governance for Spanish listed firms and their determinants during the period 2007-2008. The results show that compliance is positively related to board independence and the presence of women on the board.

  7. Resultados de la aplicación de tres guías nacionales para prevenir la transmisión vertical del VIH en el Instituto Nacional Materno Perinatal. Lima, Perú Results of the implementation of three national guidelines for the prevention of HIV vertical transmission in instituto Nacional Materno Perinatal. Lima, Perú

    Directory of Open Access Journals (Sweden)

    Carlos Velásquez

    2011-09-01

    Full Text Available Se realiza un análisis retrospectivo de tres periodos sucesivos entre los años 1996 al 2009, para evaluar el impacto de la aplicación de tres guías nacionales para la prevención de la transmisión vertical del VIH. Se incluyeron 275 nacimientos en los 13 años de estudio. Se encontraron diferencias significativas en el porcentaje de casos de VIH entre los niños expuestos al virus en los tres periodos: 15 % durante el periodo en el cual solo se administraba zidovudina (AZT a la gestante; 6,4 % durante el segundo (administración de AZT a la gestante sin criterios de inicios de TARGA, y TARGA a las que tenían criterios para este tratamiento, y 4 % durante el tercer periodo en el cual se aplicó TARGA a todas las gestantes con infección por VIH. El 95 % de las gestantes culminaron el embarazo por cesárea y el 100 % de niños recibió fórmula maternizada. Los cambios realizados en las guías nacionales han producido un impacto favorable en la disminución de nacimientos de niños infectados por el VIH en el Instituto Nacional Materno Perinatal en Perú.A retrospective analysis is performed in three successive periods between the years 1996 and 2009, in order to evaluate the impact of the implementation of three national guidelines for the prevention of the vertical transmission of HIV. 275 births were included in 13 years. Significant statistical differences were found in the percentage of HIV cases in the children exposed to the virus between the three periods: 15% during the period in which only zidovudine (AZT was administered to the pregnant woman, 6.4% during the second period (administration of AZT to the pregnant woman not fulfilling HAART initiation criteria and HAART to those fulfilling criteria for this treatment, and 4% during the third period in which HAART was applied to all pregnant women with HIV infection. 95% of pregnant women ended their pregnancy by cesarean section and the 100% of children received infant formula

  8. Innovación docente y tics: MOOC gobernanza (cultura política y buen gobierno)

    OpenAIRE

    Aldeguer Cerdá, Bernabé; Candela Sevila, Virgilio; Llorca Asensi, Elena; Romero-Tarín, Adela; Merma Molina, Gladys

    2015-01-01

    La comunicación propuesta tiene como objetivo exponer los objetivos, la metodología y los resultados obtenidos por medio de la implementación del MOOC GOBERNANZA en tanto que proyecto de innovación docente a través de las TICs. El curso, de forma clara y sencilla, tiene un propósito divulgativo y formativo, articulando los principales contenidos relativos a la Cultura Política y el Buen Gobierno, mediante el uso de técnicas innovadoras a partir de una plataforma técnica avanzada de acceso gra...

  9. El Buen Vivir. ¿Una alternativa al neoliberalismo?

    Directory of Open Access Journals (Sweden)

    César Carranza Barona

    2016-05-01

    Full Text Available En Latinoamérica, herederos de las luchas anti hegemónicas y con el apoyo de movimientos sociales, populares e indígenas; llegan al poder varios gobiernos de corte progresista con la definición de realizar transformaciones estructurarles al interno y generar alternativas a los modelos tradicionales de desarrollo que han sido funcionales a las dinámicas del neoliberalismo global. Uno de estos modelos es el impulsado en Ecuador, desde el 2007, bajo el concepto del Buen Vivir (sumak kawsay el cual es presentado como una alternativa civilizatoria. El presente documento analiza, desde una perspectiva crítica, el concepto y el régimen del Buen Vivir promovido durante los últimos años en Ecuador, buscando establecer su alcance, continuidades y quiebres en lo conceptual y en la práctica de políticas con respecto al neoliberalismo.

  10. PSICOLOGÍA COMUNITARIA Y POLÍTICAS SOCIALES PARA EL “BUEN VIVIR” EN ECUADOR

    Directory of Open Access Journals (Sweden)

    Gino Grondona-Opazo

    2016-01-01

    Full Text Available Se presentan resultados de la investigación “Discursos y prácticas políticas en la sociedad ecuatoriana”, realizada por el Grupo de Investigaciones Psicosociales de la Universidad Politécnica Salesiana, en el período 2012 - 2013, cuyo objetivo fue analizar l as políticas sociales del Estado Ecuatoriano desde la perspectiva de su coherencia con los postulados del Buen Vivir , que dan forma al proyecto político de la sociedad ecuatoriana . Se analizaron las políticas sociales y la perspectiva de las personas benef iciaria s de dichas políticas . Lo que permitió generar una reflexión situada, desde la cual problematizar la coherencia de dichas políticas sociales para la consecució n de la sociedad del Buen Vivir. Los resultados del estudio recomiendan la necesidad y per tinencia de incorporar el enfoque de la Psicología Comunitaria en dichas políticas , para poder transitar desde un enfoque centrado en la inclusión social, hacia la promoción de la cohesión social.

  11. Proyecto de cooperación de un equipo de cirugía cardiaca infantil en Etiopía. Organización y resultados

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    María Jesús Lamas Hernández

    2015-03-01

    Conclusiones: El desarrollo de un programa de cirugía cardiaca pediátrica en países subdesarrollados es posible con buen resultado, aunque por escasez de recursos y problemas asociados, ni la patología a tratar ni los resultados obtenidos pueden ser equiparables a los observados en nuestro medio.

  12. Etnicidad, desarrollo y 'Buen Vivir': Reflexiones críticas en perspectiva histórica

    National Research Council Canada - National Science Library

    Víctor Bretón Solo de Zaldívar

    2013-01-01

    .... It seeks to visualize the ambivalences and contradictions around which the discourses on development have circulated, including those of conventional applications regarding Buen Vivir or Sumak Kawsay...

  13. EL PORVENIR DE UNA ILUSIÓN: LA IDEOLOGÍA DEL BUEN VIVIR/The Future of an Illusion: the ideology of «Buen Vivir

    National Research Council Canada - National Science Library

    Sara Caria; Rafael Domínguez

    2014-01-01

      This article aims to analyse the concept and official strategies of Buen Vivir through the lens of the main ideological definitions adopted by the Marxist, psychoanalytic and cognitive traditions...

  14. Dopplervelocimetria dos Compartimentos Arterial e Venoso da Circulação Fetal e Umbilical em Gestação de Alto-Risco: Análise dos Resultados Perinatais Dopplervelocimetry of the Arterial and Venous Compartments of the Fetal and Umbilical Circulation in High-Risk Pregnancy: Perinatal Results

    Directory of Open Access Journals (Sweden)

    Joelma Queiroz Andrade

    2002-01-01

    Full Text Available Objetivos: estudar o perfil hemodinâmico fetal em gestantes de alto risco e avaliar a relação das suas alterações com os resultados perinatais. Métodos: realizou-se estudo prospectivo transversal em 108 gestantes atendidas no ambulatório de pré-natal da Clínica Obstétrica do HCFMUSP. Tais gestantes foram encaminhadas ao Setor de Avaliação de Vitalidade Fetal, onde foram submetidas à dopplervelocimetria das artérias umbilicais, cerebral média, aorta, ducto venoso e veia cava inferior. Os critérios de inclusão foram gestantes que apresentavam qualquer doença ou intercorrência na gravidez encaminhadas para avaliação da vitalidade fetal, nas quais a resolução da gestação ocorreu nas próximas 24 horas após os exames. Foram excluídas as pacientes com gestação gemelar ou com malformação fetal. Resultados: as repercussões hemodinâmicas na circulação fetal foram demonstradas pela observação de alterações na dopplervelocimetria das artérias umbilicais, aorta, artéria cerebral média, ducto venoso e veia cava inferior. Valores alterados do índice de pulsatilidade (IP da artéria umbilical foram observados em 25,9% dos casos, da aorta em 24,0% e da artéria cerebral média em 34,2%. O IPV do ducto venoso estava alterado em 18,2% dos casos e o da veia cava inferior em 46,6%. Os segmentos da circulação fetal que melhor se correlacionaram com os resultados perinatais foram a artéria umbilical e o ducto venoso. O IP alterado da artéria umbilical correlacionou-se significativamente com índices de Apgar de 1º minuto inferior a 7 em 42,8% e com necessidade de UTI neonatal em 50,0% dos casos. O IPV (indice de pulsatilidade para veias do ducto venoso alterado apresentou associação significativa com o índice de Apgar de 1º minuto inferior a 7 (52,6%, Apgar de 5º minuto inferior a 7 (15,7%, acidemia no nascimento (60,0%, necessidade de UTI neonatal (52,6% e óbito neonatal (21,1%. Os valores de predição da altera

  15. Factores de Accesibilidad Relacionados con Muerte Perinatal

    Directory of Open Access Journals (Sweden)

    Vilma del Socorro Catalán Álvarez

    2010-12-01

    Full Text Available Introducción: Objetivo Describir diferencias de factores relacionados con accesibilidad a servicios de salud, entre un grupo de mujeres que tuvieron parto en instituciones prestadoras de servicios de salud de Bucaramanga, cuyos productos sufrieron muerte perinatal y otro grupo con productos vivos, procedentes de Lebrija Santander año 2004. Materiales y métodos: estudio de caso descriptivo, retrospectivo. De 15 muerte perinatal reportadas, sólo 7 cumplían criterios de inclusión. Por cada muerte perinatal, se seleccionaron por conveniencia, 3 madres con niños vivos. Las variables estudiadas, mediante frecuencia absoluta y relativa, fueron: Características de la madre, del niño, Oportunidad, Percepción de atención, Funcionalidad, Costos. Resultados: 6 muerte perinatal previsibles, 1 no previsible. 3 pertenecían al régimen subsidiado, 1 al contributivo, 3 no aseguradas. Se observó, falta de oportunidad para remisión de madres e intervención del parto. Mujeres con 3 ó más controles, presentaron mayor frecuencia relativa de muerte perinatal. También se observó insatisfacción en la percepción de atención, en 3 aspectos estudiados, en 3 niveles de atención. Discusión y Conclusiones: Implementar políticas encaminadas a mejorar la oportunidad de atención materna-perinatal, facilitando acceso oportuno para prestación de servicios de salud. Controles prenatales enfocados en búsqueda de factores relacionados con muerte perinatal. Fortalecer Sistemas de Vigilancia Epidemiológica y Centro Regulador de Urgencias. (Rev Cuid 2010;1(1:26-34.Palabras clave: Mortalidad perinatal, Accesibilidad, Servicios de Salud. (Fuente DeCs, BIREME.

  16. Buen o buena docente” desde la perspectiva de estudiantes que han egresado de educación secundaria

    Directory of Open Access Journals (Sweden)

    Robert Caballero-Montañez

    2006-09-01

    Full Text Available “Buen o buena docente” es aquella persona que ha marcado e influido de manera trascendental en la vida personal y académica de sus estudiantes y cuya imagen permanece en su memoria escolar como un recuerdo prolongado y altamente positivo. En consecuencia, conocer cuáles son sus rasgos centrales y por qué impactaron de tal manera en sus estudiantes merece ser más investigado como un aporte al campo de estudio sobre la docencia en educación básica. En este marco, el objetivo central de esta investigación empírica ha sido analizar las características del “buen o buena docente” desde la percepción de sujetos egresados de educación secundaria de escuelas públicas y privadas de Lima (Perú. Los resultados de este estudio cualitativo, basado en entrevistas semiestructuradas a ocho estudiantes que han egresado, ha permitido describir, por un lado, los rasgos del buen personal docente en relación a su alumnado, caracterizado por un estilo vinculante expresado en el compromiso con este, en una percepción positiva y actitud motivadora y una calidad afectiva en la interacción profesorado-alumnado; y, por otro lado, rasgos en relación con su profesión como: su pasión por enseñar; su dominio sobre contenidos y la organización de la clase. El estudio concluye que el hecho que todos los egresados y egresadas hayan podido recordar al menos a un profesor o profesora como buen o buena docente revela la heterogeneidad de tipos de docentes que exige superar generalizaciones negativas y que la imagen docente es una construcción colectiva en varias promociones. Una de las implicaciones de este estudio es recuperar la voz de los exalumnos y exalumnas, tanto para el campo de las investigaciones como en el de la política educativa, por contener un valioso potencial para mejorar nuestra comprensión de la experiencia escolar y de la relación docente-estudiantes.

  17. Perinatal rights.

    Science.gov (United States)

    Munir, A E

    1984-01-01

    The history of perinatal rights is traced to determine how far the law has settled with reasonable certainty and principles can be drawn from decided cases, where the law remains uncertain. It is unlikely that there will be legislation in the near future to bring the law up to date in these matters. The right to prevent conception is accepted these day by practically all shades of opinion. Opinions on methods may differ, but the dividing line between what is contraception and what amounts to abortion is sometimes difficult to determine. The object of the offense of abortion is to protect human life. Briefly, Section 58 of the British Offences Against the Person Act 1861 makes it an offense for a pregnant woman to try unlawfully to procure her own miscarriage and for any person to try to procure unlawfully the miscarriage of a woman, whether she is pregnant or not. The precise time from which the developing ovum is protected has not been legislatively or judicially determined. In 1962 a report commissioned by the British Council of Churches suggested that for legal purposes conception should be taken to commence with implantation, i.e., about 2 weeks after fertilization. It is possible to argue that human life begins at fertilization but that is not a very convincing arugument these days. A better view seens to be that so long as the postcoital pill is taken before the fertilized egg is implanted in the womb it is contraception rather than abortion. The matter will not be totally free from question until Parliament of the courts determine the issue. The Attorney General's view that this form of postcoital treatment does not constitute a criminal offenses within either Section 58 or 59 of the Offences Against the Person Act 1860 goes a long way towards clarifying the position. Opinions begin to divide again when considering the next step after conception. Regarding abortion, the doctor should ensure that be keeps within the Abortion Act 1967 by acting with a

  18. El sentido social de la idea de un buen maestro

    Directory of Open Access Journals (Sweden)

    Alejandrina Mata Segreda

    2004-01-01

    Full Text Available Este artículo describe el proceso de investigación desarrollado para la elaboración del sentido social de la idea de un buen maestro, por parte de un grupo de niñas y niños, madres y padres de familia, y profesores y profesoras de las carreras de Educación de las universidades estatales costarricenses. Con la aplicación de un enfoque cualitativo en el que se utilizó la estrategia de análisis de contenido mediante la técnica de análisis de contingencias, se le dio respuesta al siguiente problema de investigación: ¿Cuál es la correspondencia teórica entre el sentido social de la idea del “buen maestro”y los enfoques normativo y descriptivo para la formación inicial de educadores? Desde el punto de vista del enfoque normativo de formación de educadores, las características que mayormente se destacan son: tiene personalidad de maestro, tiene destrezas de maestro y practica conductas de maestro. En concordancia con el enfoque descriptivo de formación de educadores, las características que se destacan son las siguientes: desarrolla y aplica estrategias de pensamiento, desarrolla y aplica estrategias de percepción u observación, desarrolla su capacidad para la toma de decisiones, sabe considerar el contexto y puede individualizar su tarea. Se concluye que persisten percepciones en el grupo de participantes que elaboran un imaginario del maestro ideal tanto desde la perspectiva normativa como la descriptiva. En el caso de las percepciones basadas en el enfoque normativo, éstas ocasionan un sentimiento de inadecuación para la tarea docente por parte de estos profesionales, con sus consecuencias negativas.

  19. Prevalência de colonização por Streptococcus agalactiae em gestantes atendidas em maternidade do Ceará, no Brasil, correlacionando com os resultados perinatais Prevalence of the colonization by Streptococcus agalactiae in pregnant women from a maternity in Ceará, Brazil, correlating with perinatal outcomes

    Directory of Open Access Journals (Sweden)

    José Juvenal Linhares

    2011-12-01

    Full Text Available OBJETIVO: Analisar a prevalência de Streptococcus agalactiae, um estreptococo do Grupo B, em gestantes e seus possíveis fatores de risco, bem como o impacto perinatal e a suscetibilidade antimicrobiana das colonizadas. MÉTODOS: Foram avaliadas 213 gestantes a partir de 20 semanas de gestação, independente dos fatores de risco, atendidas em um hospital-escola terciário da zona Norte do Estado de Ceará, no Brasil. O cálculo do tamanho amostral ocorreu por conveniência. Foi utilizada técnica do swab estéril único para coleta de secreção das regiões vaginal e perianal. As amostras recém-obtidas eram armazenadas em meio de transporte Stuart e, no laboratório, inoculadas em meio seletivo Todd-Hewitt adicionado de gentamicina (8 ug/mL e ácido nalidíxico (15 ug/mL, com posterior subcultivo em placas em ágar-sangue. Nos materiais eram realizados teste de Gram, catalase com peróxido de oxigênio e CAMP (Christie, Atkins, Munch-Petersen, sendo confirmados sorologicamente com Streptococcal Grouping Kit, Oxoid®. As positivas foram submetidas a testes de suscetibilidade antimicrobiana. Foram também avaliadas variáveis socioeconômicas, reprodutivas, clínico-obstétricas e neonatais. Os dados foram analisados utilizando o programa Epi-Info 6.04. RESULTADOS: A prevalência de colonização encontrada foi de 9,8% pelo teste de CAMP, embora apenas 4,2% pelo sorológico. O único fator de proteção observado foi cor da pele branca (p=0,01, 0.45>OR>0.94, IC95%. Não foi observada diferença de prevalência do estreptococo do Grupo B com outras variáveis reprodutivas ou obstétricas. Ocorreu infecção em apenas um dos recém-nascidos de mães colonizadas, entretanto revelou-se infecção por Pseudomonas spp. Foi encontrada resistência para ampicilina (4/9 e cefalotina (4/9, penicilina (4/9 casos, eritromicina (3/9, clindamicina (7/9 e cloranfenicol (1/9. CONCLUSÕES: A taxa de infecção foi inferior à encontrada em outros estudos

  20. Identificación de competencias y habilidades del buen profesional que trabaja con personas mayores a través de la técnica Delphi

    Directory of Open Access Journals (Sweden)

    Marga Vives

    2016-04-01

    Full Text Available Los diferentes manuales y guías de buenas prácticas, así como documentos de referencia científicos que analizan el buen trato de los programas de servicios sanitarios para personas mayores tienen en cuenta al profesional que les atiende como un eje clave. No obstante, menos son los estudios que se han dedicado en exclusiva al profesional en sí. La metodología seguida para ello ha sido la técnica Delphi, contando, como muestra, profesionales del ámbito sanitario que atienden a personas mayores junto a la opinión de personas mayores usuarias de estos servicios. A través de los diferentes cuestionarios hemos podido focalizar nuestra atención en habilidades y competencias que debería disponer el buen profesional que atiende a personas mayores en este ámbito. La combinación de las diferentes visiones (profesionales y usuarios nos permitirá no sólo ofrecer una propuesta de competencias y habilidades del buen profesional, sino que, al mismo tiempo, estos resultados podrían mejorar la selección de profesionales, la relación entre éstos y los usuarios de los programas y/o servicios y, en definitiva, mejorar la calidad del servicio o programa ofrecido. El objetivo de este trabajo, es analizar las competencias y habilidades básicas que debería tener un buen profesional que trabaja en el ámbito sanitario hacia personas mayores.

  1. The future of an illusion: the ideology of «Buen vivir».

    OpenAIRE

    2014-01-01

    RESUMEN. El objetivo del artículo es analizar el concepto y estrategias oficiales del «Buen Vivir» a través del filtro de las principales definiciones de ideología de las tradiciones marxista, psicoanalítica y cognitiva, como falsa conciencia, programa movilizador o discurso hegemónico y como mecanismo cognitivo de reducción de la complejidad. Para ello se contrapone el discurso oficial del «Buen Vivir» (recogido en la Constitución de 2008, los Planes Nacionales para el «Buen V...

  2. Factores psicológicos implicados en el Duelo Perinatal Psychological factors involved in perinatal grief

    OpenAIRE

    Manuel Fernández-Alcántara; Francisco Cruz-Quintana; Nieves Pérez-Marfil; Humbelina Robles-Ortega

    2012-01-01

    Justificación: El duelo perinatal, hasta hace poco escasamente reconocido, está adquiriendo un estatuto propio. Esto es debido sus características singulares e idiosincrásicas. Objetivo: Con esta revisión se pretende señalar y analizar las diferentes variables que interactúan en el duelo perinatal. Metodología: Se utilizaron las bases de SCOPUS, Medline y Web of Science, obteniéndose un total de 146 referencias, de las cuales se seleccionaron 48. Resultados: El análisis se agrupa en cuatro ca...

  3. La maniobra del orden artificial en El buen celo premiado de Gonzalo de Cespedes y Meneses

    National Research Council Canada - National Science Library

    Rabell, Carmen

    2011-01-01

    Gonzalo de Cespedes y Meneses publica El buen celo premiado en 1623, durante la atmosfera inquisitorial de la Espana contrarreformista, seis decadas despues de que el Concilio de Trento estableciera...

  4. El sentido social de la idea de un buen maestro

    Directory of Open Access Journals (Sweden)

    Mata Segreda, Alejandrina

    2004-12-01

    Full Text Available Este artículo describe el proceso de investigación desarrollado para la elaboración del sentido social de la idea de un buen maestro, por parte de un grupo de niñas y niños, madres y padres de familia, y profesores y profesoras de las carreras de Educación de las universidades estatales costarricenses. Con la aplicación de un enfoque cualitativo en el que se utilizó la estrategia de análisis de contenido mediante la técnica de análisis de contingencias, se le dio respuesta al siguiente problema de investigación: ¿Cuál es la correspondencia teórica entre el sentido social de la idea del “buen maestro”y los enfoques normativo y descriptivo para la formación inicial de educadores? Desde el punto de vista del enfoque normativo de formación de educadores, las características que mayormente se destacan son: tiene personalidad de maestro, tiene destrezas de maestro y practica conductas de maestro. En concordancia con el enfoque descriptivo de formación de educadores, las características que se destacan son las siguientes: desarrolla y aplica estrategias de pensamiento, desarrolla y aplica estrategias de percepción u observación, desarrolla su capacidad para la toma de decisiones, sabe considerar el contexto y puede individualizar su tarea. Se concluye que persisten percepciones en el grupo de participantes que elaboran un imaginario del maestro ideal tanto desde la perspectiva normativa como la descriptiva. En el caso de las percepciones basadas en el enfoque normativo, éstas ocasionan un sentimiento de inadecuación para la tarea docente por parte de estos profesionales, con sus consecuencias negativas. This article describes the research process applied to identify the social sense of the idea of a good teacher, as viewed by a group of children, parents and university professors from state universities of Costa Rica . The research problem was stated as “What is the theoretical relation between the idea of a good teacher

  5. Miringoplastias: Resultados anatomofuncionales

    Directory of Open Access Journals (Sweden)

    Victoriano Vicente Machín González

    1997-04-01

    Full Text Available Se revisaron 40 miringoplastias, realizadas en el Servicio de Otorrinolaringología del Hospital Docente Clinicoquirúrgico "Joaquín Albarrán", en el período comprendido entre julio de 1992 y julio de 1995, con el objetivo de valorar sus resultados anatomofuncionales. Veinte y cinco casos se realizaron con la técnica de Underlay y 15 con la de Onlay. En general se obtuvieron buenos resultados anatómicos, sobre todo con la técnica de Underlay, mientras que desde el punto de vista funcional se evidenció mayor ganancia auditiva con el empleo de la de OnlayForty myringoplasties performed at the Otorhinolaryngologic service of "Joaquín Albarrán" Clinicosurgical and Teaching hospital during July, 1992-1995 were revised with the aim of assessing anatomic and functional results. Twenty five cases underwent a myrinngoplasty with the use of the Underlay technique and 15 cases with the use of the Onlay technique. In general, good anatomic results were obtained, mainly with the use of the Underlay technique, while from the functional point of view, a greater hearing improvement was attained with the use of the Onlay technique

  6. resultados y retos

    Directory of Open Access Journals (Sweden)

    N. Zafra-Calvo

    2008-01-01

    Full Text Available La cooperación internacional en materia de conservación de la biodiversidad comenzó en Guinea Ecuatorial hace más de 20 años con el fin de apoyar a las autoridades del país en la conservación de su rico patrimonio natural. A lo largo de estos años, un amplio número de proyectos se han llevado a cabo con importantes resultados, pero con similares limitaciones y retos. A pesar de los importantes esfuerzos llevados a cabo por las autoridades ecuatoguineanas, aun no se ha asumido plenamente que la conservación de la biodiversidad es, sobretodo, un desafío propio. Junto a ello, el desarrollo de las recientes instituciones nacionales de conservación y la adecuada formación del suficiente número de personal local, sería el siguiente reto. Conseguir una financiación continuada en el tiempo para las acciones de conservación de la biodiversidad ayudará al establecimiento de estrategias de conservación en el país que puedan conseguir resultados eficaces a largo plazo.

  7. ¿Qué aportan los estudios de felicidad al buen vivir, y viceversa? (What is the contribution of happiness studies in buen vivir, and vice versa?

    Directory of Open Access Journals (Sweden)

    Jorge Guardiola

    2011-07-01

    Full Text Available ResumenEn los últimos años, la ciencia se ha preocupado de estudiar la felicidad y sus causas. Sin embargo, en los estudios no se ha prestado demasiada atención a grupos de individuos que comparten una idea bastante personal sobre qué es el bienestar, que va más allá de la opinión occidental. El presente texto pretende analizar las posibles ventajas e inconvenientes, así como las limitaciones y aportaciones, que los estudios de felicidad pueden ocasionar en la comprensión del Buen Vivir de los pueblos indígenas latinoamericanos. También sacaremos conclusiones sobre qué puede aportar el Buen Vivir a los estudios de la felicidad.AbstractIn the last years, science has studied happiness and its causes. However, research has not given much attention to groups that share a particular view of happiness, that goes beyond the western idea. This paper aims to analyze the possible advantages and disadvantages, as well as limitations and contributions of happiness research in the comprehension of Buen Vivir of Latin American indigenous people. We also draw conclusions on the contribution of Buen Vivir in happiness studies.

  8. Perinatal and Childhood Stroke

    Directory of Open Access Journals (Sweden)

    J Gordon Millichap

    2002-03-01

    Full Text Available The epidemiology, risk factors, outcome and prognosis of perinatal and childhood stroke were reviewed at a workshop sponsored by the National Institute of Neurological Disorders and Stroke in Bethesda, MD, on Sept 18 and 19, 2000.

  9. SER BUEN DOCENTE ¿QUÉ OPINAN LOS ESTUDIANTES DE LA UNIVERSIDAD DE BARCELONA?

    Directory of Open Access Journals (Sweden)

    Rosa Sayós

    2014-07-01

    Full Text Available Abstract This study presents the opinion of the students of the University of Barcelona about the teaching skills that a good teacher should have. We conducted a survey through mobile devices among 1062 students in the first term of 2014. An Exploratory factor analysis (EFA gathers three main factors with eigenvalues greater than one, which explain 53.59% of variability: factor 1, methodology, teaching planning and good knowledge transmission; factor 2, interpersonal communication; factor 3, coordination of teaching team members. The reliability of the three factors is confirmed (α from .837 to .727. We did not observe significant differencesaccording to the area of knowledge and level of education for any teaching skill, although gender differences were detected in factors 1 and 2. Most students defined as good teaching qualities the following aspects: a reliable teaching plan, the use of appropriate teaching methods and having interpersonal skills. Outcomes showed significant coincidences by the comparison of the importance given by students and teachers to each teaching skill. The contributions of the students will be useful to redefine teaching skills and recognise indicators to assess teacher’s performance. Resumen Se presentan los resultados de una encuesta realizada entre los estudiantes de la Universidad de Barcelona (UB para conocer su opinión sobre las competencias que debería tener un buen docente. La encuesta se distribuyó a través de dispositivos móviles a un total de 1062 estudiantes. Un análisis factorial exploratorio (AFE agrupa los ítems de la encuesta en tres factores, con valores propios mayores que uno, que explican el 53.59% de la variabilidad: factor 1, metodología, planificación docente y buena transmisión de los contenidos; factor 2, comunicación interpersonal; factor 3, coordinación entre profesores. La fiabilidad de los tres factores es adecuada (α entre .837 y .727. No se observan diferencias estad

  10. Eliminating Perinatal HIV Transmission

    Centers for Disease Control (CDC) Podcasts

    2012-11-26

    In this podcast, CDC’s Dr. Steve Nesheim discusses perinatal HIV transmission, including the importance of preventing HIV among women, preconception care, and timely HIV testing of the mother. Dr. Nesheim also introduces the revised curriculum Eliminating Perinatal HIV Transmission intended for faculty of OB/GYN and pediatric residents and nurse midwifery students.  Created: 11/26/2012 by Division of HIV/AIDS Prevention.   Date Released: 11/26/2012.

  11. El buen entrenador como experto adaptativo que lidera al grupo

    Directory of Open Access Journals (Sweden)

    Sergio Jim\\u00E9nez S\\u00E1iz

    2010-01-01

    expertos en baloncesto, siguiendo los criterios de la literatura específica. Los resultados reflejan que los entrenadores destacan la capacidad de adaptación al contexto que les rodea, como algo prioritario para alcanzar el éxito como entrenadores. Los entrevistados subrayan que no abandonan su modelo de entrenamiento cuando cambian de contexto, sino que lo adaptan a una situación distinta.

  12. El Buen Vivir como contrahegemonía en la Constitución Ecuatoriana

    Directory of Open Access Journals (Sweden)

    Ana María Larrea Maldonado

    2011-01-01

    Full Text Available En este artículo se presenta el concepto de ¿Buen Vivir¿ (Sumak Kawsay plasmado en la nueva Constitución del Ecuador, como proceso de construcción de contrahegemonía. Para ello, se analiza el desarrollo constitucional del concepto desde las perspectivas económica, social, cultural y ambiental. Luego se presentan los principales cuestionamientos a las implicaciones del Buen Vivir para el sistema económico generados desde la oposición política en la Asamblea Nacional Constituyente, lo que permite analizar el proceso de construcción contrahegemónica de este planteamiento y las profundas dimensiones del Buen Vivir para la construcción de una nueva epistemología y un proceso radical de cambio

  13. Redes de prevención y atención para el buen trato infantil

    OpenAIRE

    María Lucy Gutiérrez Q.

    2012-01-01

    El trabajo en redes de prevención y atención para el buen trato de niños, niñas y jóvenes demanda de la sociedad un cambio cultural que implique la revisión de los códigos éticos y la construcción de nuevos lenguajes. Para intervenir el maltrato infantil, hay que sospecharlo e identificarlo. Prevenirlo requiere principios incluyentes y por lo tanto, democráticos. La promoción del buen trato se sustenta en valores que hablan del reconocimiento por el otro, la empatia y la comunicación....

  14. Plan de comunicación comercial de "Leche El Buen Pastor"

    OpenAIRE

    PÉREZ GONZÁLEZ, NURIA

    2016-01-01

    RESUMEN: He realizado este trabajo sobre el plan de comunicación de la empresa láctea Leche El Buen Pastor como Proyecto de Fin de Grado de Administración y Dirección de Empresas, de la Facultad de Ciencias Económicas y Empresariales de la Universidad de Cantabria. He elegido la empresa láctea El Buen Pastor ubicada en San Vicente de Toranzo (Cantabria), dedicada a la fabricación y distribución de leche, debido a que se trata de una empresa familiar de origen cántabro con casi un siglo de...

  15. El "profecta" sacado del lago: glosa al verso 3a del "Libro de buen amor"

    OpenAIRE

    Leuker, Tobias

    2010-01-01

    El autor propone una nueva identificación del "profecta" mencionado en la tercera copla del Libro de buen amor. Según su hipótesis, no se trataría ni de Daniel ni de Jeremías, sino del rey David. The author proposes a new identification of the "profecta" mentioned in the third stanza of the Libro de Buen Amor. He argues that the expression refers neilher to Daniel nor to Jeremiah, but to King David.

  16. El buen vivir, percepciones desde la ciudadan?a quite?a: estudio con grupos focales

    OpenAIRE

    Minas Amaya, Gabriel

    2015-01-01

    En la b?squeda de la felicidad humana plena, el Buen Vivir ha surgido como una propuesta revolucionaria y ut?pica que pretende no s?lo recoger esperanzas y anhelos, sino adem?s llenar necesidades humanas reales y las de su entorno; es decir lograr una vida plena en comunidad, y en armon?a con el medio ambiente que nos rodea como seres humanos. En este contexto esta investigaci?n indaga la percepci?n de los ciudadanos frente a la idea de Buen Vivir.

  17. Factores psicológicos implicados en el Duelo Perinatal Psychological factors involved in perinatal grief

    Directory of Open Access Journals (Sweden)

    Manuel Fernández-Alcántara

    2012-06-01

    Full Text Available Justificación: El duelo perinatal, hasta hace poco escasamente reconocido, está adquiriendo un estatuto propio. Esto es debido sus características singulares e idiosincrásicas. Objetivo: Con esta revisión se pretende señalar y analizar las diferentes variables que interactúan en el duelo perinatal. Metodología: Se utilizaron las bases de SCOPUS, Medline y Web of Science, obteniéndose un total de 146 referencias, de las cuales se seleccionaron 48. Resultados: El análisis se agrupa en cuatro categorías: las reacciones a la pérdida, la diferencia entre hombres y mujeres, las intervenciones más adecuadas por parte del personal sanitario, así como los principales problemas que presenta la práctica para ellos. Conclusión: Se realiza un análisis crítico de la situación del duelo perinatal y se plantea el desarrollo de nuevas líneas de investigación que puedan mejorar la práctica clínica y dar pie a futuras investigaciones.Justification: Perinatal grief hasn't been recognized in the past, but now it's acquiring an appropriate statute. Objective: With this review, it is expected to point out and analyze the diverse variables that interact in perinatal grief. Methodology: For the articles selection process, data bases from SCOPUS, Medline and Web of Science were consulted. After the process, 48 references (from a total of 146 were obtained. Results: The analysis was grouped in four categories: the initial reactions to the loss, the difference between men and women, the most suitable interventions by sanitary staff, and the main problems which are present in their practise. Conclusion: A critical analysis about the situation of perinatal grief is made and the development of new ways of research.

  18. Nada mejor que tener un buen desigual cerca

    Directory of Open Access Journals (Sweden)

    Antelo Estanislao

    2003-01-01

    Full Text Available Este ensayo pretende desplegar un esfuerzo por compartir el resultado provisional de un ejercicio de lectura sobre la obra de Jacques Rancière. En primer término, se analizan los problemas que la versión sobre las paradojas de la igualdad introducen en el pensamiento pedagógico igualitario. En segundo término se ofrece una interpretación de lo que un maestro ignorante emancipador puede hacer. Por último se intenta estimar la fuerza que puede proporcionarle a la pedagogía contemporánea la postulación de la igualdad de inteligencias, como nombres de la indocilidad y la libertad.

  19. Resultados funcionales del reservorio ileal

    OpenAIRE

    BANNURA C,GUILLERMO; BARRERA E,ALEJANDRO; MELO L,CARLOS; CONTRERAS P,JAIME

    2011-01-01

    Introducción: La proctocolectomía con reservorio ileal y anastomosis reservorio-anal (RIARA) es el tratamiento quirúrgico de elección en la colitis ulcerosa grave y las poliposis. Objetivo: Evaluar resultados funcionales de la RIARA. Pacientes y Método: Evaluación retrospectiva de todos los pacientes intervenidos por una RIARA en forma consecutiva. Los resultados funcionales se evaluaron mediante entrevista según el escore de Öresland. Resultados: En un período de 10 años se intervinieron 35 ...

  20. REDES DE PREVENCIÓN Y ATENCIÓN PARA EL BUEN TRATO INFANTIL

    Directory of Open Access Journals (Sweden)

    María Lucy Gutiérrez Q.

    2012-05-01

    cambio cultural que implique la revisión de los códigos éticos y la construcción de nuevos lenguajes. Para intervenir el maltrato infantil, hay que sospecharlo e identificarlo. Prevenirlo requiere principios incluyentes y por lo tanto, democráticos. La promoción del buen trato se sustenta en valores que hablan del reconocimiento por el otro, la empatia y la comunicación.

  1. SOCIO-CULTURAL SUSTAINABILITY AND "BUEN VIVIR" (GOOD LIVING) AT HERITAGE SITES: ASSESSMENT OF THE AGUA BLANCA CASE, ECUADOR

    National Research Council Canada - National Science Library

    MARÍA LUZ ENDERE; MARÍA LAURA ZULAICA

    2015-01-01

      The incorporation of sustainability objectives as the focus of preservation of cultural heritage show a strong social concern in Ecuador, especially in the framework of the Buen Vivir (Good Living...

  2. Percepción de habitantes del Norte de Santander sobre limitaciones del buen gobierno

    Directory of Open Access Journals (Sweden)

    Neida Coromoto Albornoz Arias

    2016-01-01

    Full Text Available El presente artículo analiza la percepción de habitantes del Norte de Santander (Colombia sobre limitaciones del buen gobierno. Se consideran dos elementos del nuevo paradigma de gestión pública, propuestos por el Fondo de las Naciones Unidas para el Desarrollo y el Banco Mundial: ausencia de corrupción y confianza en las instituciones públicas (de todas las ramas del poder, en los ámbitos nacional, departamental y municipal. La percepción de los ciudadanos se obtuvo a través de la aplicación de una encuesta a una muestra para poblaciones finitas de 2.398 personas con edades entre 18 y 69 años, en los cuarenta municipios del Departamento. Existe una marcada percepción de corrupción y desconfianza en las instituciones públicas del Norte de Santander. Esto incide en la credibilidad ciudadana y trae consigo carencias para la existencia de un buen gobierno. En este sentido es fundamental la definición de estrategias para fomentar la participación ciudadana, acompañadas de políticas anticorrupción para la existencia de un buen gobierno.

  3. Diálogos entre feminismos y Buen Vivir/Vivir Bien : distintas perspectivas, múltiples puntos de encuentro

    OpenAIRE

    2013-01-01

    Este artículo surge del diálogo entre distintos saberes y conocimientos, con el objetivo de identificar principalmente las convergencias entre el Buen Vivir/Vivir Bien y los feminismos latinoamericanos. Iniciamos este trabajo considerando las ideas centrales del enfoque del Buen Vivir/Vivir Bien y sus mecanismos de traducción concreta en las reformas constitucionales de Bolivia y Ecuador. Luego, nos detenemos en las confluencias –aunque identificando al...

  4. Perinatal risk factors for strabismus

    DEFF Research Database (Denmark)

    Torp-Pedersen, Tobias; Boyd, Heather A; Poulsen, Gry;

    2010-01-01

    Little is known about the aetiological factors underlying strabismus. We undertook a large cohort study to investigate perinatal risk factors for strabismus, overall and by subtype.......Little is known about the aetiological factors underlying strabismus. We undertook a large cohort study to investigate perinatal risk factors for strabismus, overall and by subtype....

  5. Algunos resultados de funciones semiuniversales

    Directory of Open Access Journals (Sweden)

    Jesús F. Tenorio

    2013-06-01

    Full Text Available En este artículo presentamos algunos resultados relacionados con funciones semiuniversales. Obtenemos teoremas de punto fijo para productos, conos y suspensiones sobre continuos. Abstract. In this paper we present some results concerning semiuniversal mappings. We obtain fixed point theorems for products, cones and suspensions over continua.

  6. SIGNIFICADO DE BUEN PROFESOR Y DE EVALUACIÓN DOCENTE POR ESTUDIANTES Y MAESTROS UNIVERSITARIOS. LA TÉCNICA DE REDES SEMÁNTICAS

    Directory of Open Access Journals (Sweden)

    Hortensia Hickman

    2016-01-01

    Full Text Available Una manera de aproximarse a la concepción que tienen estudiantes y profe - sores de un buen docente y de los elementos que deben considerarse para su evaluación, es mediante la técnica de redes semánticas naturales, diseñada para medir el significado que los sujetos le otorgan a una idea o concepto. Una red semántica natural es una técnica de medición que permite objetivar los procesos reconstructivos de las múltiples redes de significación organizadas en la memoria de los sujetos, y que determinan el significado que se le otorga a los conceptos. El propósito de este trabajo fue explorar los significados que estudiantes y maestros le otorgan al constructo buen profesor y evaluación docente usando la técnica de redes semánticas. Participaron 19 profesores y 224 estudiantes. Se construyeron los núcleos de las redes con las diez palabras definidoras de mayor peso semántico. Los resultados muestran que los estudiantes privilegian las conductas docentes vinculadas a atributos afectivos y características personales, seguidas por las competencias educativas, mientras que los profesores ponderan, en primer lugar, las habilidades disciplinares y los aspectos relativos a la formación, y en segundo, las conductas referidas a estrategias pedagógicas y atributos afectivos. La técnica hizo posible objetivar los significados de los participantes a los constructos evaluados y describir los núcleos de significación relevantes para los sujetos.

  7. Perinatal programming by inflammation.

    Science.gov (United States)

    Spencer, Sarah J; Meyer, Urs

    2017-07-01

    Since Levine and then Barker's seminal work mid to late last century demonstrating the importance of early life environment, intensive research has revealed the plasticity, vulnerability and resilience of the developing brain to environmental challenges. In particular, early exposure to infectious pathogens and inflammatory stimuli has a lasting impact on brain and behavior. These data establish clear effects on vulnerability to later disease and neuroinflammatory injury, cognitive function and emotionality, and even responses to pain and susceptibility to metabolic disorders. They also highlight the issues with defining rodent models of complex diseases like autism spectrum disorders and schizophrenia, as well as the complexity of experimental design, for instance when deciding the appropriate allocation of subjects to experimental groups when dealing with whole-litter manipulations in rodents. The studies presented in this special issue of Brain Behavior and Immunity are a collection of the very latest advances in the science of perinatal inflammation and its implications for perinatal programming of brain and behavior. Copyright © 2017 Elsevier Inc. All rights reserved.

  8. Postdatism -- a perinatal problem?

    Science.gov (United States)

    Chhabra, S; Sood, S

    1990-01-01

    It has been traditionally accepted that maternal and fetal complications are at their lowest levels 37-42 weeks into gestation. 20% of pregnancies completed after 42 weeks gestation are thought to be affected by the postmaturity syndrome of uteroplacental insufficiency resulting in oligohydramnios, meconium passage, loss of fetal subcutaneous tissue, fetal asphyxia, and fetal death. Some workers, however, have also found that pregnancies completed between 40 and 42 weeks carry significant risk. The authors explored this question in a case-control study of 464 women seen at the Mahatma Gandhi Institute of Medical Sciences in Maharashtra, India. The cases of postdatism occurred in the absence of any other medical or obstetric problem. The operative delivery rate increased significantly among these patients compared to deliveries between 39 and 40 weeks. There was neither significant asphyxia nor perinatal loss in term completed normal patients. Asphyxia and perinatal mortality did, however, occur with postdatism. The authors note the likely role of oligohydramnios combined with placental dysfunction.

  9. What is the contribution of happiness studies in buen vivir, and vice versa?

    OpenAIRE

    2011-01-01

    ResumenEn los últimos años, la ciencia se ha preocupado de estudiar la felicidad y sus causas. Sin embargo, en los estudios no se ha prestado demasiada atención a grupos de individuos que comparten una idea bastante personal sobre qué es el bienestar, que va más allá de la opinión occidental. El presente texto pretende analizar las posibles ventajas e inconvenientes, así como las limitaciones y aportaciones, que los estudios de felicidad pueden ocasionar en la comprensión del Buen Vivir de lo...

  10. Democracia en el buen gobierno: instituciones, inversión social y desarrollo humano

    OpenAIRE

    2008-01-01

    La construcción de una democracia en el buen gobierno implica la adecuación de la gestión pública a la protección efectiva de los derechos humanos; es necesario que la legalidad administrativa a la que deben responder sus actuaciones estén sujetas a una serie de principios que la hacen de calidad porque promueve y respeta estos derechos. Es decir, el accionar público debe estar fundamentado en una serie de principios como la legalidad, la responsabilidad, la equidad, la eficiencia, la tran...

  11. La Bibliografía Científica de Fernando de Buen.

    OpenAIRE

    Mones, Álvaro

    2015-01-01

    Si bien existen varios ensayos biográficos que enfocan diferentes momentos de su vida (ANÓNIMO, 1963, BAHAMONDE, 1962, LÓPEZ et al., 2015, NION, 2015, PEQUEÑO, 2015, SÁNCHEZ CARRILLO, 2001), hasta donde tenemos conocimiento, no se ha publicado aún una bibliografía completa de la obra del Dr. FERNANDO DE BUEN Y LOZANO (Fig. de tapa). Bibliografías parciales se encuentran, entre otros, en los autores arriba citados. Aquí nos atrevemos a hacer el intento, aunque en forma defectuosa, ya que mucha...

  12. Buen vivir con la naturaleza en las instituciones educativas: una necesidad en Boyacá, Colombia

    OpenAIRE

    Aracely Burgos Ayala

    2016-01-01

    El actual modelo de desarrollo económico ha logrado desequilibrar la relación entre los humanos y los restantes seres de la naturaleza. Su mitigación es posible a través del desarrollo de prácticas del buen vivir ( bv ) en dos de sus variables y dimensiones derivadas: los derechos humanos (educación y participación) y los derechos de la naturaleza (respeto, protección y restauración) en las instituciones educativas ( ie ). Estos son escenarios de impacto social que posibilitan...

  13. Buen vivir, Sumak Kawsay: Aporte contrahegemónico del proceso andino

    Directory of Open Access Journals (Sweden)

    Francisco Hidalgo Flor

    2011-01-01

    Full Text Available Este ensayo se propone mirar las evoluciones sociales y políticas de la región andina, inscritas en las demandas por procesos constituyentes y la elaboración de nuevas constituciones en Ecuador y Bolivia, uno de cuyos aportes profundos está en que ambas recuperan el concepto, de los pueblos indígenas quechuas, del Sumak Kawsay, y a partir de ello, la formulación del Buen Vivir, como horizonte de transformación, representando un aporte concreto en la lucha contrahegemómica, en la primera década del siglo XXI

  14. Conceptualizando el Buen Vivir: entre la felicidad y la crítica.

    Directory of Open Access Journals (Sweden)

    Eleder Piñeiro Aguiar

    2016-09-01

    Recogiendo elementos de diversas fuentes académicas, se propone el análisis del Buen Vivir en su relación con la crítica al modelo neoliberal eurocéntrico, concluyendo que la idea de construcción de esta propuesta andina forma parte de las luchas globales al modelo capitalista globalizador, exponiendo la necesidad de entender el sumak kawsay como una red de enunciaciones políticas, filosóficas, morales, económicas que generan rupturas con respecto al canon occidental de pensamiento y desarrollo.

  15. Albums of “El Buen Tono”. Photography and social catholicism (Mexico, 1894-1909

    Directory of Open Access Journals (Sweden)

    Thelma Camacho Morfín

    2015-11-01

    Full Text Available In this paper we argue that Ernesto Pugibet, founder of the cigarette factory “El Buen Tono”, established that industry in Mexico in 1885 inspired by Social Catholicism. He was trying to combine the most recent technology with the improvement of his worker’s quality of life. He also upholded that they should had access to a healthy amusement. Although he never wrote about his beliefs, the photographs he chose to promote his business show visually the social project of its creator.

  16. El Buen Vivir. Sumak Kawsay, una oportunidad para imaginar otros mundos (Reseña)

    OpenAIRE

    2013-01-01

    En los últimos años, se vienen produciendo interesantes debates alrededor de la concepción y la práctica del desarrollo en el ámbito latinoamericano. Estos nuevos debates teóricos están surgiendo al calor de las diversas experiencias políticas y sociales que atraviesan el subcontinente. Particularmente, el concepto andino de Buen Vivir o Vivir Bien (Sumak Kawsay, en Kichwa), como “paradigma” que nos propone repensar el desarrollo, ha sido incorporado en sus nuevas constituciones de Ecuador y ...

  17. Sentencia y "auctoritas" : del "Libro de Alexandre al Libro de buen amor"

    OpenAIRE

    Casas Rigall, Juan

    2009-01-01

    El uso de sentencias del acervo gnómico, de raíz culta o popular, es connatural al didactismo del Medievo. Dos obras maestras de la cuaderna vía, el Libro de Alexandre y el Libro de Buen Amor, coinciden en esta estrategia retórica, que, también desde una perspectiva dialéctica, se asienta sobre el argumento de autoridad. En el presente trabajo, el cotejo de las técnicas del autor anónimo del Alexandre y Juan Ruiz en el tratamiento y acomodación de sententiae demuestra planteamientos parale...

  18. Perinatal psychiatric disorders: an overview.

    Science.gov (United States)

    Paschetta, Elena; Berrisford, Giles; Coccia, Floriana; Whitmore, Jennifer; Wood, Amanda G; Pretlove, Sam; Ismail, Khaled M K

    2014-06-01

    Perinatal mental illness has a significant implication on maternal health, birth outcomes, and the offspring's development. Prevalence estimates of perinatal psychiatric illnesses range widely, with substantial heterogeneity in different population studies, with a lower prevalence rate in high- rather than low- or middle-income countries. Because of the potential negative impact on maternal and child outcomes and the potential lability of these disorders, the perinatal period is a critical time to identify psychiatric illnesses. Thus, obstetricians and midwives play a crucial role in assessing women's mental health needs and to refer identified women promptly for multidisciplinary specialist assessment. However, there is still limited evidence on best practice assessment and management policies during pregnancy and postpartum. This review focuses on the prevalence of common perinatal mental disorders and antenatal screening policies to identify women at risk. The effect of these conditions and their management on pregnancy, fetal outcomes, and child development are discussed. Copyright © 2014 Mosby, Inc. All rights reserved.

  19. Countrywide analysis of perinatal outcome.

    Science.gov (United States)

    Stembera, Z; Kravka, A; Mandys, F

    1988-01-01

    The computer laboratory of the Research Institute for the Care of Mother and Child in Prague performs annually a countrywide analysis of perinatal outcome in order to obtain a background for the preparation of the optimal strategy for improving perinatal care in CSR in the future. The total as well as weight specific perinatal mortality rate further sub-divided into early neonatal death rate and late fetal death rate and differentiated according to the birthweight, was correlated with the incidence of different factors influencing the perinatal mortality rate both countrywide and for each of the eight provinces of CSR. This way a correlation was found between some of the mentioned perinatal outcomes and e.g. instrumental equipment of obstetrical departments and neonatal intensive care units, frequency of caesarean sections, or transport of LBW newborns in incubators or "in utero" etc. The results of this analysis have proved that there still remain in some provinces opportunity for further decrease in perinatal mortality due to the incomplete observance of the two intervention strategies "Risk approach" and "New technology" which were introduced in the whole country during the last 10 years.

  20. Las horas canónicas en «El Libro de buen amor»

    Directory of Open Access Journals (Sweden)

    Morros, Bienvenido

    2004-06-01

    Full Text Available This work studies the parody of the canonical hours in the Libro de buen amor and it is based on several handbooks about liturgy, roman as well as hispanic, that the Archpriest could probably use for this episode in his book. Thanks to the explanations that these books show about every one of the canonical hours, we can undertand much better the behaviour of the priest who takes the chief role in the episode written by Juan Ruiz.

    El presente trabajo analiza la parodia de las horas canónicas en el Libro de buen amor a la luz de los diferentes manuales sobre liturgia, tanto romana como hispánica, que el Arcipreste pudo manejar para ese episodio de su obra. Gracias a las explicaciones que se dan en todos esos libros sobre cada una de las horas canónicas, entendemos mucho mejor la conducta del clérigo que las protagoniza en el pasaje de Juan Ruiz.

  1. EL BUEN GOBIERNO CORPORATIVO EN LAS SOCIEDADES COOPERATIVAS/GOOD CORPORATE GOVERNANCE IN COOPERATIVE ENTERPRISE

    Directory of Open Access Journals (Sweden)

    Raquel PUENTES POYATOS

    2009-05-01

    Full Text Available Este artículo trata de mostrar cómo el buen gobierno de las sociedades se ha de dirigir hacia un modelo de gobierno corporativo stakeholders, donde las sociedades cooperativas pueden servir de referencia en la medida que este modelo de gobierno corporativo es intrínseco a su razón de ser. Pondremos de manifiesto, cómo los Códigos de buen gobierno publicados hasta el momento en España no se ajustan a este enfoque stakeholders y no son de aplicación plena a sociedades no mercantiles, como las sociedades cooperativas./This article aims to show how the governance of societies has been directed toward a model of corporate governance stakeholders, where cooperative societies can serve as a reference to the extent that this model of corporate governance is intrinsic to its purpose. I will be shown how the codes of good governance published so far in Spain are not in line with this approach and stakeholders are not fully applied to non-market societies, such as cooperative societies.

  2. Perinatal programming prevention measures.

    Science.gov (United States)

    Larguía, A Miguel; González, María Aurelia; Dinerstein, Néstor Alejandro; Soto Conti, Constanza

    2015-01-01

    Over the past 10 years, there has been outstanding scientific progress related to perinatal programming and its epigenetic effects in health, and we can anticipate this trend will continue in the near future. We need to make use and apply these achievements to human neurodevelopment via prevention interventions. Based on the concept of the interaction between genome and ambiome, this chapter proposes low-cost easy-implementation preventive strategies for maternal and infant health institutions.Breastfeeding and human milk administration are the first preventive measures, as has been reviewed in the policy statement of the American Academy of Pediatrics. Another strategy is the Safe and Family-Centered Maternity Hospitals initiative that promotes and empowers the inclusion of the families and the respect for their rights, especially during pregnancy and birth. (This change of paradigm was approved and is recommended by both United Nations Children's Fund, UNICEF, and Pan American Health Organization, PAHO.) Then, there is also an important emphasis given to the sacred hour-which highlights the impact of bonding, attachment, and breastfeeding during the first hour of life-the pain prevention and treatment in newborns, the control of the "new morbidity" represented by late preterm infants, and finally, the importance of avoiding intrauterine and extrauterine growth restriction. (However, there are not yet clear recommendations about nutritional interventions in order to diminish the potential metabolic syndrome consequence in the adult.).

  3. The Dutch Perinatal Audit Project : a feasibility study for nationwide perinatal audit in the Netherlands

    NARCIS (Netherlands)

    De Reu, Paul; Van Diem, Mariet; Eskes, Martine; Oosterbaan, Herman; Smits, Luc; Merkus, Hans; Nijhuis, Jan

    2009-01-01

    Objective. To investigate the feasibility of nationwide perinatal mortality audits in the Netherlands. Study design. Over a one-year period, data for all cases of perinatal mortality were collected. Six perinatal audit panels of professionals within perinatal care investigated and classified causes

  4. Fundamentos Conceptuales del Resultado Global

    Directory of Open Access Journals (Sweden)

    Francisco Sousa Fernández

    2009-12-01

    Full Text Available Con el propósito de reportar una mayor utilidad a los inversores, desde la década de los noventa del siglo XX los organismos emisores de normas contables más influyentes en el panorama internacional, entre los que cabe destacar el IASB y el FASB, han incorporado a sus cuerpos normativos el resultado global, asumido también en la Circular 4/2004 del Banco de España y en el Plan General de Contabilidad 2007.Ante esta concepción novedosa del resultado empresarial para nuestro entorno, este trabajo plantea como objetivo esencial revisar, acotar y sintetizar sus fundamentos teóricos, dispersos a lo largo del siglo XX, fundamentalmente en la literatura contable anglosajona.Una vez delimitado su soporte conceptual, además de destacar la existencia de un gap significativo entre el mismo y la realidad de su regulación actual, queremos analizar la incidencia de su adopción en la práctica, para lo que revisamos las contribuciones empíricas de los últimos años.For the convenience of investors, since the 1990s the most influential accounting standard-setters on the international scene, including the IASB and the FASB, have incorporated the concept of comprehensive income, also adopted in Circular 4/2004 of the Bank of Spain and in the 2007 General Accounting Plan.In view of this new conception of corporate income for our environment, this study aims to review, delimit and synthesize its theoretical foundations, found throughout the 20th Century, predominantly in the Anglo-Saxon accounting literature.Once its conceptual foundations are delimited, besides emphasizing the existence of a significant gap between such conceptual foundations and the reality of present regulations, we will analyze the effect of the adoption of this new conception in practice. To do so, the empirical contributions over the last few years will be taken into consideration.

  5. Improving perinatal outcome: towards individualized care

    NARCIS (Netherlands)

    Kazemier, B.M.

    2015-01-01

    Unfortunately not all pregnancies and deliveries take place without complications. Complications during pregnancy or delivery can lead to maternal morbidity and poor perinatal outcomes such as perinatal mortality or (severe) neonatal morbidity. First assessment in antenatal care is to distinguish

  6. Luchas del buen vivir por las mujeres negras del Alto Cauca

    Directory of Open Access Journals (Sweden)

    Charo Mina Rojas

    2015-01-01

    Full Text Available El texto traza la genealogía del buen vivir negro como forma de rastrear silenciamientos, resis- tencias, tipos de reexistencia y emergencias en las luchas del pueblo negro en Colombia, y como éstas permiten imaginar otras formas de vida y política. Aborda la Movilización de Mujeres Afrodescendientes por el Cuidado de la Vida y los Territorios Ancestrales, y recuenta la historia viva de los vínculos existentes entre ancestralidad y futuridad. Argumenta que sus interpelacio- nes indican expresiones ontológicas y epistémico-políticas coexistentes con la globalización y que apuntan al pluriverso.

  7. Figures du sage et du savoir païens dans le Libro de buen amor

    OpenAIRE

    Olivier Biaggini

    2013-01-01

    Au-delà de la simple relation de dépendance à ses sources, le Libro de buen amor élabore diverses figures du sage antique, tantôt comme producteur et garant d’une parole d’autorité (Aristote), tantôt, au contraire, comme pur personnage au seuil de la fiction (Virgile). Dans les deux cas, le traitement est largement parodique et remet en question une révérence trop stricte face au système des autorités. Le cas d’Ovide, qui relève conjointement des deux catégories précédentes, est particulièrem...

  8. Lo que da buen resultado en casa. Resultados de la investigacion y Actividades de aprendizaje: Sentido comun y diversion para ninos y adultos (What Works at Home. Research Findings and Learning Activities: Common Sense and Fun for Adults and Children).

    Science.gov (United States)

    Crook, Shirley, Ed.

    As part of an effort to encourage Hispanic parents to help their children in school, this home learning guide, which can also be obtained in taped versions, provides parents with learning activities with which to engage their children. Based on research findings, the activities are divided into the following categories: curriculum of the home,…

  9. Lo que da buen resultado en casa. Resultados de la investigacion y Actividades de aprendizaje: Sentido comun y diversion para ninos y adultos (What Works at Home. Research Findings and Learning Activities: Common Sense and Fun for Adults and Children).

    Science.gov (United States)

    Crook, Shirley, Ed.

    As part of an effort to encourage Hispanic parents to help their children in school, this home learning guide, which can also be obtained in taped versions, provides parents with learning activities with which to engage their children. Based on research findings, the activities are divided into the following categories: curriculum of the home,…

  10. Development discourses at the mining frontier: Buen Vivir and the contested mine of El Mirador in Ecuador

    NARCIS (Netherlands)

    van Teijlingen, K.; Hogenboom, B.

    2014-01-01

    In Ecuador, the recent introduction of mineral mining led to a conflictive debate on mining and evelopment, particularly Buen Vivir. This article examines the discourses on the mining-development nexus articulated in the conflict around the first large-scale mine of Ecuador, El Mirador. The findings

  11. Studying common-pool resources over time: A longitudinal case study of the Buen Hombre fishery in the Dominican Republic.

    Science.gov (United States)

    Wilson, Margaret; Pavlowich, Tyler; Cox, Michael

    2016-03-01

    Like many small-scale fishing communities around the world, the community of Buen Hombre in the Dominican Republic is dealing with a set of challenges to reconcile its fishing activities with the ecology on which it depends. Also like many such communities, this case has been examined at a particular period in time by a group of social scientists, but not over substantial lengths of time in order to examine the longitudinal validity of the conclusions made during this period. In this paper we combine data from previous anthropological work with our own primary social and ecological data to conduct a longitudinal case study of the Buen Hombre fishery. Our over-time comparison focuses on a suite of mostly social and institutional variables to explain what we find to be a continued degradation of the fishery, and we conclude the analysis by presenting a causal-loop diagram, summarizing our inferences regarding the complex interactions among these variables. We find that a mix of factors, notably changes in gear and fishing sites used, the number of fishermen and their livelihood diversity, as well as an increased connectivity between Buen Hombre and its external environment, have contributed to the decline of the condition of Buen Hombre coral reef fishery. We conclude with a discussion of what may lie ahead for this particular case and others like it.

  12. ¿Leen en forma voluntaria y recreativa los niños que logran un buen nivel de Comprensión Lectora?

    Directory of Open Access Journals (Sweden)

    Mónica Valdés

    2013-01-01

    Full Text Available Este estudio tiene como objetivo conocer los hábitos lectores de los alumnos de 4° Básico (4° de Primaria que alcanzan un nivel de comprensión lectora avanzado, evaluado en la prueba Sistema de Medición de la Calidad de la Educación (SIMCE en Chile, en 2011. El estudio se realizó con una muestra de 107 alumnos que respondieron una encuesta y que pertenecen a dos colegios de la comuna de Talca, región del Maule. Fueron evaluadas distintas conductas asociadas a la lectura como el hábito lector, definido como las conductas asociadas a cantidad de libros leídos en forma voluntaria, el gusto por la lectura, la frecuencia en el uso de la biblioteca, el lugar que ocupa la lectura dentro del tiempo libre, el tipo de soporte utilizado para leer y el rol de los padres en la motivación por la lectura de sus hijos. Los resultados muestran que el hecho de alcanzar un buen nivel de comprensión lectora no asegura los buenos hábitos lectores, el gusto por la lectura y el leer por placer. Se observó además, la poca utilización que hacen los alumnos de la biblioteca escolar y la escasa motivación hacia la lectura que reciben de sus padres.

  13. Experiences with perinatal loss from the health professionals’ perspective La vivencia de la pérdida perinatal desde la perspectiva de los profesionales de la salud A experiência da perda perinatal a partir da perspectiva dos profissionais de saúde

    Directory of Open Access Journals (Sweden)

    Sonia María Pastor Montero

    2011-12-01

    Full Text Available The purpose of this paper is to know the experience of health professionals in situations of perinatal death and grief and to describe their action strategies in the management of perinatal loss. A qualitative study with a phenomenological approach was carried out through interviews conducted with 19 professionals. Three thematic categories were identified: Healthcare practice, feelings aroused by perinatal loss and meaning and beliefs about perinatal loss and grief. The results revealed that the lack of knowledge and skills to deal with perinatal loss are identified as the main reason behind unsuitable attitudes that are usually adopted in these situations. This generates anxiety, helplessness and frustration that compromise professional competency. The conclusion reached is that the promotion of training programs to acquire knowledge, skills and abilities in management of perinatal bereavement and the development of a clinical practice guideline for perinatal loss are necessary.El objetivo de este artículo es conocer la experiencia vivida por los profesionales de la salud en situaciones de muerte y duelo perinatal y describir las estrategias de actuación ante la pérdida perinatal. Se trata de un estudio cualitativo con un enfoque fenomenológico realizado a 19 profesionales a través de entrevistas. Se identificaron 3 categorías temáticas: la práctica asistencial, los sentimientos que despierta la pérdida perinatal y significado y creencias sobre la pérdida y el duelo perinatal. Los resultados ponen de manifiesto que la falta de conocimientos y de recursos para enfrentar la pérdida perinatal hace que se adopten actitudes poco adecuadas en estas situaciones, generando una sensación de ansiedad, impotencia y frustración que compromete la competencia profesional. Se concluye que es fundamental promover programas de formación para adquirir conocimientos y destrezas sobre el duelo perinatal y elaborar una guía de práctica cl

  14. MRI of perinatal brain injury

    Energy Technology Data Exchange (ETDEWEB)

    Rutherford, Mary; Allsop, Joanna [Imperial College, Robert Steiner MR Unit, Perinatal Imaging, MRC Clinical Sciences Centre, Hammersmith Hospital, London (United Kingdom); Martinez Biarge, Miriam [La Paz University Hospital, Dept of Neonatology, Madrid (Spain); Counsell, Serena [Imperial College, Robert Steiner MR Unit, Neonatal Medicine, MRC Clinical Sciences Centre, Hammersmith Hospital, London (United Kingdom); Cowan, Frances [Imperial College, Dept of Paediatrics, Hammersmith Hospital, London (United Kingdom)

    2010-06-15

    MRI is invaluable in assessing the neonatal brain following suspected perinatal injury. Good quality imaging requires adaptations to both the hardware and the sequences used for adults or older children. The perinatal and postnatal details often predict the pattern of lesions sustained and should be available to aid interpretation of the imaging findings. Perinatal lesions, the pattern of which can predict neurodevelopmental outcome, are at their most obvious on conventional imaging between 1 and 2 weeks from birth. Very early imaging during the first week may be useful to make management decisions in ventilated neonates but brain abnormalities may still be subtle using conventional sequences. Diffusion-weighted imaging (DWI) is very useful for the early identification of ischaemic tissue in the neonatal brain but may underestimate the final extent of injury, particularly basal ganglia and thalamic lesions. MR imaging is an excellent predictor of outcome following perinatal brain injury and can therefore be used as a biomarker in interventional trials designed to reduce injury and improve neurodevelopmental outcome. (orig.)

  15. Pharmacological neuroprotection after perinatal asphyxia

    NARCIS (Netherlands)

    Fan, Xiyong; van Bel, Frank

    2010-01-01

    Recent progress has provided us with several promising neuroprotective compounds to reduce perinatal hypoxic-ischemic (HI) brain injury. In the early post HI phase, therapies can be concentrated on ion channel blockage (Xenon), anti-oxidation (allopurinol, 2-iminobiotin, and indomethacin), anti-infl

  16. FACTORS CONTRIBUTING TO PERINATAL MORTALITY : OPTIMIZING OUTCOME

    Directory of Open Access Journals (Sweden)

    Lakshmi

    2015-03-01

    Full Text Available OBJECTIVE: To evaluate the various causes of perinatal deaths and adopt strategies to improve perinatal outcome at a referral teaching hospital in North Kerala. METHODS: A prospective observational study conducted at Institute of Maternal and Child Health, Government Medical College, Kozhikode. All perinatal deaths during the period January 2013 to December 2014 were analysed and from this factors responsible for perinatal deaths were identified. RESULTS: Out of total 30,042 deliveries , there were 966 perinatal deaths during the study period. 566 were still births and 400 early neonatal deaths. The perinatal mortality rate was 31.1 per 1000 live births. Perinatal asphyxia was the major cause of perinatal mortality. The important factors contributing to perinatal asphyxia were prematurity (39%, abruptio placenta (19% and MSAF ( 12%. Among the antenatal factors, hypertensive disorders of pregnancy leading to iatrogenic elective preterm delivery were the most important. CONCLUSION: Perinatal asphyxia due to prematurity and low birth weight emerged as the most important cause of perinatal mortality in this study and hypertensive disorders of pregnancy were the most important antenatal complication leading to prematurity

  17. Arabic literary elements in the structure of the Libro de buen amor (II

    Directory of Open Access Journals (Sweden)

    Monroe, James T.

    2011-12-01

    Full Text Available This article examines several aspects of Arab- Islamic culture, about which Juan Ruiz, Archpriest of Hita, and putative author of the Libro de buen amor, betrays evidence of some knowledge. It goes on to suggest that, while the LBA’s literary materials are largely of Western origin, its structure is indebted to a unique combination of certain Oriental literary genres, thereby making it a culturally hybrid work. The article further suggests that the LBA may be read according to three levels of meaning, in accordance with the Averroistic approach to, and conception of, truth, of which the highest, or philosophical level, involves a veiled critique of the doctrine of ecclesiastical celibacy, adopted by the Western Church only a century before the Archpriest composed his work.

    En este artículo se examinan algunos aspectos de la cultura arabigoislámica de los cuales Juan Ruiz, Arcipreste de Hita, presunto autor del Libro de buen amor, demuestra poseer cierto conocimiento. De resultas se sugiere que, mientras los materiales literarios constituyentes del Libro son de raigambre occidental, su estructura se debe a una combinación de ciertos géneros literarios orientales, de lo cual el Libro resultaría ser una obra culturalmente híbrida. Además, se sugiere que el Libro debe interpretarse según tres niveles de significado, de acuerdo con la metodología desarrollada por Averroes para captar la verdad, y que, de esos tres niveles, el más elevado, a saber, el filosófico, nos conduce a una crítica velada de la doctrina del celibato eclesiástico, adoptada por la iglesia occidental sólo un siglo antes de la época en que el Arcipreste escribiera su obra.

  18. Arabic literary elements in the structure of the Libro de buen amor

    Directory of Open Access Journals (Sweden)

    Monroe, James T.

    2011-06-01

    Full Text Available This article examines several aspects of Arab-Islamic culture, about which Juan Ruiz, Archpriest of Hita, and putative author of the Libro de buen amor, betrays evidence of some knowledge. It goes on to suggest that, while the LBA`s literary materials are largely of Western origin, its structure is indebted to a unique combination of certain Oriental literary genres, thereby making it a culturally hybrid work. The article further suggests that the LBA may be read according to three levels of meaning, in accordance with the Averroistic approach to, and conception of, truth, of which the highest, or philosophical level, involves a veiled critique of the doctrine of ecclesiastical celibacy, adopted by the Western Church only a century before the Archpriest composed his work

    En este artículo se examinan algunos aspectos de la cultura arabigoislámica, de los cuales Juan Ruiz, Arcipreste de Hita, presunto autor del Libro del Buen Amor, demuestra poseer cierto conocimiento. De resultas se sugiere que, mientras los materiales literarios constituyentes del Libro son de raigambre occidental, su estructura se debe a una combinación de ciertos géneros literarios orientales, de lo cual el Libro resultaría ser una obra culturalmente híbrida. Además, se sugiere que el libro debe interpretarse según tres niveles de significado, de acuerdo con la metodología desarrollada por Averroes para captar la verdad, y que, de esos tres niveles, el más elevado, a saber , el filosófico, nos conduce a una crítica velada de la doctrina del celibato eclesiástico, adoptada por la iglesia occidental solo un siglo antes de la época en que el Arcipreste escribiera su obra.

  19. Figures du sage et du savoir païens dans le Libro de buen amor

    Directory of Open Access Journals (Sweden)

    Olivier Biaggini

    2013-06-01

    Full Text Available Au-delà de la simple relation de dépendance à ses sources, le Libro de buen amor élabore diverses figures du sage antique, tantôt comme producteur et garant d’une parole d’autorité (Aristote, tantôt, au contraire, comme pur personnage au seuil de la fiction (Virgile. Dans les deux cas, le traitement est largement parodique et remet en question une révérence trop stricte face au système des autorités. Le cas d’Ovide, qui relève conjointement des deux catégories précédentes, est particulièrement intéressant car il montre comment les noms liés à la tradition ovidienne (Ovidio, Nasón, mais aussi Pánfilo, don Amor, doña Venus… sont autant de masques que l’archiprêtre peut successivement adopter et rejeter. Enfin, l’exemplum introductif des Grecs et des Romains est centré sur la transmission du savoir antique pour le placer au fondement du savoir de l’archiprêtre lui-même tout en offrant une représentation de sa part d’incertitude.Más allá de la simple relación de dependencia respecto a sus fuentes, el Libro de buen amor elabora diversas figuras del sabio antiguo, sea como productor y garante de una palabra de autoridad (Aristóteles, sea, al contrario, como mero personaje al borde de la ficción (Virgilio. En ambos casos, el tratamiento aplicado se revela sumamente paródico y pone en tela de juicio una reverencia demasiado estricta para con el sistema de las autoridades. El caso de Ovidio, que corresponde simultáneamente a las dos categorías precedentes, resulta de especial interés al enseñar cómo los nombres ligados a la tradición ovidiana (Ovidio, Nasón, pero también Pánfilo, don Amor, doña Venus… llegan a ser máscaras que el arcipreste puede sucesivamente adoptar y rechazar. Por fin, el exemplum introductorio de los griegos y los romanos se centra en la transmisión del saber antiguo presentándolo como uno de los fundamentos del saber del propio arcipreste al mismo tiempo que ofrece una

  20. Construcción de una escala de observación del vínculo madre-bebé internado en UCIN: Resultados preliminares de la aplicación del protocolo de observación Construction Of An Observation Scale Of The Bond Mother - Baby Interned In NICU: Preliminary Results Of The Observational Protocol Administration

    Directory of Open Access Journals (Sweden)

    María Soledad Santos

    2008-12-01

    Full Text Available Se presenta la Escala de observación de vínculo madre-bebé internado en Unidad de Cuidados Intensivos Neonatales desarrollada hasta el momento, así como los resultados preliminares obtenidos de su aplicación. La escala de observación vincular en neonatología comprende 5 funciones: Función de Acercamiento, Corporal, Visual, Verbal y Postural. La muestra esta compuesta de 43 díadas. Las observaciones vinculares fueron realizadas en los servicios de Neonatología de tres Hospitales. Se presentan las frecuencias observadas y el análisis de los puntajes obtenidos, en relación a la detección de situaciones de riesgo vincular o de buen vínculo madre - bebé internado en incubadora. Se estimó su Sensibilidad (0.75, Especificidad (1, Valor predictivo positivo (1,Valor predictivo negativo (0.84 y el Total de predicciones correctas (0.89. Contar con un método de observación vincular permitirá potenciar el trabajo en atención primaria de la salud mental perinatal.In this article the Observation Scale of the bond mother - baby interned in Neonatal Intensive care Unit (NICU, and the preliminary results obtained in the administration, will be presented. The scale includes 5 functions: approach, corporal, visual, verbal and posture function. The observations took place in the NICU of three hospitals, in Buenos Aires, Argentina. The frequencies of the communicative behaviours observed and the analysis of the punctuations, will be presented. In order to study the capacity of the scale detecting cases of "adequate bond mother -baby" and "risk in the bond" , we estimated the sensitivity (0.75, specificity (1, positive predictive value (1, negative predictive value (0.84 and total of correct predictions (0.89. The existence of a observational method for the bond will allow to enhance preventive interventions in the perinatal mental health area.

  1. Buen vivir con la naturaleza en las instituciones educativas: una necesidad en Boyacá, Colombia

    Directory of Open Access Journals (Sweden)

    Aracely Burgos Ayala

    2016-01-01

    Full Text Available El actual modelo de desarrollo económico ha logrado desequilibrar la relación entre los humanos y los restantes seres de la naturaleza. Su mitigación es posible a través del desarrollo de prácticas del buen vivir ( bv en dos de sus variables y dimensiones derivadas: los derechos humanos (educación y participación y los derechos de la naturaleza (respeto, protección y restauración en las instituciones educativas ( ie . Estos son escenarios de impacto social que posibilitan nuevas generaciones de ciudadanos hacia una vida humana y ecológicamente más justa; el desafío es construir esta sociedad con educación. Con tal propósito, se realizan aproximaciones teóricas hacia: 1 comprender el bv con la naturaleza; 2 articular variables y dimensiones del bv en las ie , y 3 presentar la necesidad de indagar por el estado actual del bv con la naturaleza en las ie de Boyacá, Colombia.

  2. Biology of the Sanzo's goby, Lesueurigobius sanzoi (de Buen, 1918, off Cabo Raso, Portugal

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    Cristina Paulo Martins

    2004-06-01

    Full Text Available The presence of Sanzos's goby, Lesueurigobius sanzoi (de Buen, 1918, off Cabo Raso, Portugal, is recorded for the first time. The biology of this population was studied using 11 samples collected between April 2000 and September 2001 at depths of 70-100 m on muddy and sandy bottoms. The females reach a standard length of 110 mm and the males 103 mm. It attains an age of 24 months, which equals two breeding seasons. The otoliths form two translucent rings each year, which corresponds to the winter growth and the reproduction period. Sanzo's gobies can be classified as prematur and standard individuals, according to whether the first breeding occurs before or after the first winter respectively. Standard individuals, which have an extended first growth, reach a longer length than prematur individuals, whose first growth is much shorter. Although discrete, sexual dimorphism was noticeable even outside the spawning season. The breeding season occurs between May and September/October with more than one spawning. The minimum length for which the maturity stage occurs is 64 mm, at an age of 0+. The feeding activity is quite constant throughout the year, and the diet consists predominantly of small crustacea and molluscs, although polychaets also feature commonly in its diet.

  3. La descripción de los meses en el “Libro del Buen Amor”

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    Eduardo Forastieri Braschi

    1972-12-01

    Full Text Available La descripción de los meses y las estaciones en el Libro de Buen Amor -salvo en los apuntes heurísticos de Lecoy - no ha suscitado el interés problematizador de la crítica, más atenta, por lo general, a problemas de fuentes, textos y sentido. Es claro que este pasaje no ofrece principales problemas. Sin embargo, persiste su rareza al aclarársenos su tradición después de un somero repaso. El tematemporal {meses y estaciones se nos presenta formalmente de un modo descriptivo que proyecta, en superposiciones espaciales, las coordenadas de tiempo y espacio más allá de la mera personificación y la alegoría mientras dilata la imaginación en una estética de formas sorpresivamente abiertas. Al menos, en este pasaje, que es fundamentalmente de carácter visual, no podemos precisar: ut pictura poesis como sería fácil constatar, por ejemplo, en la Ode to a Grecian Um de Keats. Presentuimos, en cambio, una perspectiva poética de bella desmesura, quizas también reconocible en otros pasajes, como la Batalla de don Carnal y doña Cuaresma o la Entrada Triunfal de don Amor.

  4. Ordenamiento Territorial del Buen Vivir. Paisaje, Patrimonio y Biodiversidad, ¿Conceptos Divergentes o Convergentes?

    Directory of Open Access Journals (Sweden)

    Luisa Mattioli

    2017-01-01

    Full Text Available El paradigma del Buen Vivir, que nace en Bolivia y Ecuador, plantea una relación de la sociedad en armonía con la naturaleza desde una visión de transición socio-ecológica. La Constitución de Ecuador incorpora los derechos de la naturaleza de manera equivalentes a los humanos, constituyendo una postura disruptiva con el modelo actual de desarrollo. La misma, en relación al Ordenamiento Territorial presenta cierta vacancia metodológica, donde conceptos fundamentales como paisaje, patrimonio y biodiversidad, revelan una falta de complementariedad entre ellos. El objetivo de este trabajo es indagar sobre estos conceptos y sus interrelaciones para lograr un abordaje adecuado de este nuevo paradigma. Se expone una revisión crítica, conceptual y de enfoques de convenciones, cartas y acuerdos internacionales, que evidencian desfasajes para su correcta interpretación entre problemas que agravan la vulnerabilidad de territorios. Como aportación relevante se presenta una discusión y síntesis para el entendimiento y avance mancomunado del conocimiento. Se entiende este paradigma como un reto interdisciplinar para el abordaje del sistema complejo y como alternativa viable al desarrollo.

  5. Estimating risks of perinatal death.

    Science.gov (United States)

    Smith, Gordon C S

    2005-01-01

    The relative and absolute risks of perinatal death that are estimated from observational studies are used frequently in counseling about obstetric intervention. The statistical basis for these estimates therefore is crucial, but many studies are seriously flawed. In this review, a number of aspects of the approach to the estimation of the risk of perinatal death are addressed. Key factors in the analysis include (1) the definition of the cause of the death, (2) differentiation between antepartum and intrapartum events, (3) the use of the appropriate denominator for the given cause of death, (4) the assessment of the cumulative risk where appropriate, (5) the use of appropriate statistical tests, (6) the stratification of analysis of delivery-related deaths by gestational age, and (7) the specific features of multiple pregnancy, which include the correct determination of the timing of antepartum stillbirth and the use of paired statistical tests when outcomes are compared in relation to the birth order of twin pairs.

  6. Duelo perinatal: el duelo olvidado

    OpenAIRE

    Vicente Sáez, Natalia

    2014-01-01

    [ES] El presente trabajo supone una revisión bibliográfica del duelo perinatal. Durante dácadas este dolor no ha sido reconocido y la actitud principal ante el mismo era la de negar la pérdida, tratando de eliminar, en la mayor brevedad posible toda señal de su existencia. Sin embargo, a partir de los años 60, la percepción social de lo que supone tener un hijo cambia significativamente y el duelo perinatal comienza a ser objeto de interés clínico y científico. El trabajo que nos ocupa hace r...

  7. LA CONSTRUCCIÓN DISCURSIVA DEL SUMAK KAWSAY ECUATORIANO Y SU RELACIÓN CON LA CONSECUCIÓN DE LOS OBJETIVOS DEL BUEN VIVIR

    National Research Council Canada - National Science Library

    Guillermo Guzmán Prudencio; Jorge Polo Blanco

    2017-01-01

    In this paper we will try to sketch out a critical analysis of the various discursive elements that make up the concept of Buen Vivir or Sumak Kawsay that much relevance has acquired in the social and...

  8. Cytokines and perinatal brain injury.

    Science.gov (United States)

    Silverstein, F S; Barks, J D; Hagan, P; Liu, X H; Ivacko, J; Szaflarski, J

    1997-01-01

    A rapidly expanding body of data provides support for the hypothesis that pro-inflammatory cytokines including interleukin-1 beta (IL-1 beta), and tumor necrosis factor-alpha (TNF-alpha) are expressed acutely in injured brain and contribute to progressive neuronal damage. Little is known about the pathogenetic role of these cytokines in perinatal brain injury. Recent experimental studies have incorporated two closely related in vivo perinatal rodent brain injury models to evaluate the role(s) of pro-inflammatory cytokines in the progression of neuronal injury: a perinatal stroke model, elicited by unilateral carotid artery ligation and subsequent timed exposure to 8% oxygen in 7-day-old rats, and a model of excitotoxic injury, elicited by stereotactic intra-cerebral injection of the selective excitatory amino acid agonist NMDA. Each of these lesioning methods results in reproducible, quantifiable focal forebrain injury at this developmental stage. Acute brain injury, evoked by cerebral hypoxia-ischemia or excitotoxin lesioning, results in transient marked increases in expression of IL-1 beta, and TNF-alpha mRNA in brain regions susceptible to irreversible injury, and there is evidence that pharmacological antagonism of IL-1 receptors can attenuate injury in both models. Recent studies also suggest that complementary strategies, based on pharmacological antagonism of platelet activating factor and on neutrophil depletion can also limit the extent of irreversible injury. In summary, current data suggest that pro-inflammatory cytokines contribute to the progression of perinatal brain injury, and that these mediators are important targets for neuroprotective interventions in the acute post-injury period.

  9. La renovación de la crítica al desarrollo y el buen vivir como alternativa

    Directory of Open Access Journals (Sweden)

    Eduardo Gudynas

    2011-01-01

    Full Text Available Después de un período de retroceso, regresaron las perspectivas sobre el desarrollo en América Latina. Estas incluyen algunas ideas anteriores, muchas de las cuales se originaron en el continente (como la teoría de la dependencia, junto a nuevos aportes (como los relacionados con la crisis ambiental, y la incorporación de perspectivas emanadas en los saberes indígenas. Bajo este proceso han surgido las ideas del Buen Vivir, como una buena vida que no remite a desarrollos alternativos instrumentales, sino que es una alternativa a la idea occidental del desarrollo como un todo. Se describen las diferentes aproximaciones al Buen Vivir, incluyendo las formalizaciones en las nuevas Constituciones de Bolivia y Ecuador, y también en varios de los debates claves actuales. Algunas perspectivas se basan en los saberes indígenas, mientras que otras están representadas en posturas marginales y críticas dentro de la Modernidad. El Buen Vivir es un concepto plural y multidimensional, todavía en construcción. Sus diferentes expresiones comparten una plataforma política común, basada en aspectos como el rechazo al desarrollismo, una ética propia (que reconoce por ejemplo los valores intrínsecos en la Naturaleza, una actitud decolonial, y la búsqueda de alternativas al desarrollos. Estos componentes se describen y analizan

  10. [Evidence-based management of perinatal depression].

    Science.gov (United States)

    Chang, Mei-Yueh; Chen, Chung-Hey

    2008-04-01

    Perinatal depression, which may occur from pregnancy to one year after childbirth, is recognized by the World Health Organization as a significant health issue affecting women. Depression during the perinatal period can have enormous consequences, not only affecting the health of the woman herself but also influencing her interaction with her children and other family members. This article introduces several depression screening tools and evidence-based nonpharmacological managements of perinatal depression. There are some fairly valid and feasible screening methods, among which routinely screening perinatal women with EPDS (Edinburgh Perinatal Depression Scale) or BDI (Beck Depression Inventory) in the primary care setting is practicable. A survey of the limited literature available reveals that interpersonal psychotherapy, cognitive behavior therapy and listening to music provide quantifiable depression amelioration effects for perinatal women. More scientific research moderated by women's life experiences and preferences should be conducted, however, and applied to improve women's health.

  11. RECURRENT PERINATAL LOSS: A CASE STUDY*

    OpenAIRE

    1999-01-01

    To date, investigators have not demonstrated a clear relationship between a parent’s history of prior perinatal losses and intensity of grief response following a subsequent perinatal loss. Examining this relationship for low-income, African-American parents is important because they are a vulnerable population due to the high incidence of perinatal mortality in Blacks and their other life stressors that can impact on grief response and caring needs. The purpose of this case study was to exam...

  12. Perinatal depression: implications for child mental health

    OpenAIRE

    Muzik, Maria; Borovska, Stefana

    2010-01-01

    Perinatal depression is common and primary care holds a crucial role for detecting, treating or, if necessary, providing referrals to mental health care for affected women. Family doctors should be aware of risk factors for peripartum depression, including previous history of depression, life events and interpersonal conflict. Perinatal depression has been associated with many poor outcomes, including maternal, child and family unit challenges. Infants and young children of perinatally depres...

  13. Formas del Estado de Derecho y delimitación del derecho al Buen Gobierno

    Directory of Open Access Journals (Sweden)

    Galán Juárez, Mercedes

    2010-10-01

    Full Text Available This article analyzes the suitable legal and political framework for citizens to exercise their right to good government. After describing the social condition of human beings that leads them to come together and bind themselves to a political organization through a social contract, the different historical forms of the Rule of Law are analyzed up to the Constitutional Rule of Law. The current Constitutionalism combines the principles of legality and legitimacy. This means that the validity of a regulation from a strictly formal perspective is not sufficient; its content must also respect the values, principles and fundamental rights established in the Constitution. The Spanish Constitution of 1978 emphasizes the significance of the individual and individual dignity (Section 10.1 and the instrumental role of the Public Administration as a political organization which shall serve the general interests in a spirit of objectivity (Section 103.1. This is the appropriate legal framework for achieving not only the efficiency and effectiveness of the government, but also the quality of its services. Furthermore, the government has ethical commitments to its citizens, which entails carrying out policies which are consistent with these commitments and avoiding policies which are not. This legal, political and ethical exposition makes it possible to understand good government in all its complexity.

    Este artículo analiza cuál es el marco político y jurídico adecuado para que los ciudadanos hagan efectivo su derecho al buen gobierno. Después de exponer la condición social del hombre que le lleva a agruparse con otros hombres y a vincularse a una organización política por medio de un pacto o contrato social, se analizan las distintas formas históricas del Estado de Derecho hasta llegar al Estado Constitucional de Derecho. El Constitucionalismo actual aúna el principio de legalidad y legitimidad, lo que significa que no basta con que una

  14. Value of the perinatal autopsy : Critique

    NARCIS (Netherlands)

    Gordijn, SJ; Erwich, JJHM; Khong, TY

    2002-01-01

    In consenting to a perinatal autopsy, the primary motive of parents may be to find the exact cause of death. A critical review on the value of perinatal autopsies was performed to see whether parents could be counseled regarding their main motive. A literature search was performed in MEDLINE, EXCERP

  15. Perinatal depression: implications for child mental health.

    Science.gov (United States)

    Muzik, Maria; Borovska, Stefana

    2010-12-01

    Perinatal depression is common and primary care holds a crucial role for detecting, treating or, if necessary, providing referrals to mental health care for affected women. Family doctors should be aware of risk factors for peripartum depression, including previous history of depression, life events and interpersonal conflict. Perinatal depression has been associated with many poor outcomes, including maternal, child and family unit challenges. Infants and young children of perinatally depressed mothers are more likely to have a difficult temperament, as well as cognitive and emotional delays. The primary care setting is uniquely poised to be the screening and treatment site for perinatal depression; however, several obstacles, both at patient and systems level, have been identified that interfere with women's treatment engagement. Current published treatment guidelines favour psychotherapy above medicines as first line treatment for mild to moderate perinatal depression, while pharmacotherapy is first choice for severe depression, often in combination with psychosocial or integrative approaches. Among mothers who decide to stop taking their antidepressants despite ongoing depression during the perinatal period, the majority suffer from relapsing symptoms. If depression continues post-partum, there is an increased risk of poor mother-infant attachment, delayed cognitive and linguistic skills in the infant, impaired emotional development and risk for behavioural problems in later life. Complex, comprehensive and multilevel algorithms are warranted to treat perinatal depression. Primary care doctors are best suited to initiate, carry out and evaluate the effectiveness of such interventions designed to prevent adverse outcomes of maternal perinatal depression on mother and child wellbeing.

  16. Maternidad tras una muerte perinatal

    OpenAIRE

    Rozas García, M. Rosa; Francés Ribera, Lidia

    2001-01-01

    La nueva gestación tras una muerte perinatal está llena de dudas, miedos e inseguridades, y es una situación que va a suponer un desgaste físico y emocional para la familia, especialmente para la mujer. Esta gestación se caracteriza por un aumento de la ansiedad, que puede continuar después del nacimiento y manifestarse mediante conductas de sobreprotección del nuevo hijo. Las matronas deben conocer las posibles respuestas emocionales de la mujer y proporcionar cuidados y apoyo específicos du...

  17. Maternidad tras una muerte perinatal

    OpenAIRE

    Rozas García, M. Rosa; Francés Ribera, Lidia

    2001-01-01

    La nueva gestación tras una muerte perinatal está llena de dudas, miedos e inseguridades, y es una situación que va a suponer un desgaste físico y emocional para la familia, especialmente para la mujer. Esta gestación se caracteriza por un aumento de la ansiedad, que puede continuar después del nacimiento y manifestarse mediante conductas de sobreprotección del nuevo hijo. Las matronas deben conocer las posibles respuestas emocionales de la mujer y proporcionar cuidados y apoyo específicos du...

  18. Mortalidad perinatal y duelo materno

    OpenAIRE

    Laverde Rubio, Eduardo

    2011-01-01

    Se investigaron desde el punto de vista médico-psicológico dos grupos de madres cuyos hijos murieran durante el periodo perinatal (entre 28 semanas de gestación y 28 días de nacido). EI primer grupo de estudio lo configuraban 20 pacientes que reaccionaron con un duelo prolongado ante la perdida de su hijo. EI segundo grupo esta conformado por 20 pacientes (grupo de comparación) que elaboraron la perdida de su hijo mediante un duelo no complicado. La hipótesis general que obtento este trabajo ...

  19. La construcción ciudadana y compleja del Buen Vivir en América Latina

    OpenAIRE

    2014-01-01

    Las realidades de los países de América Latina en torno al "desarrollo" y "bienestar" parecieran ir en sentido contrario a las teorías dominantes que sobre ambos conceptos se han originado y desenvuelto en el occidente del mundo, en una suerte de espejismo prometido al que nunca se llega. Este texto analiza críticamente dichas nociones y la adopción del concepto alternativo del "buen vivir" mediante un recorrido teórico-conceptual que culmina con una propuesta compleja del mismo.

  20. Etnicidad, desarrollo y ‘Buen Vivir’: Reflexiones críticas en perspectiva histórica

    Directory of Open Access Journals (Sweden)

    Víctor Bretón Solo de Zaldívar

    2013-10-01

    Full Text Available Ethnicity, Development and the ‘Good Life’: Critical Reflections within a Historical PerspectiveThe objective of this article is to reflect on the binomial ethnicity-development within a historical perspective and from the vantage point of the Andean world. It seeks to visualize the ambivalences and contradictions around which the discourses on development have circulated, including those of conventional applications regarding Buen Vivir or Sumak Kawsay. The text also addresses four remarkable aspects of this process: a the period in which cultural difference or ‘otherness’ was conceptualized as an obstacle to so-called ‘modernization’; b the establishment, under neoliberalism, of discernible standards regarding the perceived potentialities of ethnicity in view of generating processes of endogenous or internal development; c the difficulty of being able to precisely define what is referred to as Buen Vivir or Good Life, depending upon the viewpoint taken from positions of the government or of the opposition; and d to what extent does Sumak Kawsay constitute (or does not constitute a form of alternative paradigm that could potentially lead to a scenario of empowerment for subaltern groups in whose name they are said to be acting.Resumen:El propósito del artículo es reflexionar sobre el binomio etnicidad-desarrollo en perspectiva histórica y desde la atalaya del mundo andino. Pretende visibilizar las ambivalencias y contradicciones por las que han circulado los discursos sobre el desarrollo, tanto los de corte convencional como los del Buen Vivir o Sumak Kawsay. El texto aborda cuatro aspectos remarcables de ese proceso: a el tiempo en el que la alteridad cultural fue conceptualizada como un obstáculo a la llamada ‘modernización’; b el establecimiento, bajo el neoliberalismo, de lineamientos sensibles a las potencialidades percibidas en la etnicidad de cara a generar procesos de desarrollo endógenos; c la dificultad de

  1. Buen o buena docente” desde la perspectiva de estudiantes que han egresado de educación secundaria

    OpenAIRE

    Robert Caballero-Montañez; Luis Sime-Poma

    2006-01-01

    Buen o buena docente” es aquella persona que ha marcado e influido de manera trascendental en la vida personal y académica de sus estudiantes y cuya imagen permanece en su memoria escolar como un recuerdo prolongado y altamente positivo. En consecuencia, conocer cuáles son sus rasgos centrales y por qué impactaron de tal manera en sus estudiantes merece ser más investigado como un aporte al campo de estudio sobre la docencia en educación básica. En este marco, el objetivo central de esta inv...

  2. El perfil del buen docente universitario : una aproximación en función del sexo del alumnado

    OpenAIRE

    Fernández Borrero, Manuela Ángela; González Losada, Sebastián

    2012-01-01

    Este artículo plantea como motivo la relevancia del rol que debe desempeñar el profesor en el ámbito educativo de nivel universitario, un tema muy controvertido en la actualidad y sometido a revisión y cambio constante para la adaptación al nuevo Espacio Europeo de Ecuación Superior. El objetivo es conocer la opinión del alumnado sobre lo que considera que es un buen docente, que debe ir más allá de las encuestas de calidad planteadas por muchas Universidades. Los/as alumnos/as de...

  3. La renovación de la crítica al desarrollo y el buen vivir como alternativa

    OpenAIRE

    2011-01-01

    Después de un período de retroceso, regresaron las perspectivas sobre el desarrollo en América Latina. Estas incluyen algunas ideas anteriores, muchas de las cuales se originaron en el continente (como la teoría de la dependencia), junto a nuevos aportes (como los relacionados con la crisis ambiental), y la incorporación de perspectivas emanadas en los saberes indígenas. Bajo este proceso han surgido las ideas del Buen Vivir, como una buena vida que no remite a desarrollos alternativos instru...

  4. 'VIETNAMITA', UN CLON DE AJO (Allium sativum L. DE ALTA CALIDAD FITOSANITARIA Y BUEN POTENCIAL DE RENDIMIENTO

    Directory of Open Access Journals (Sweden)

    H. Izquierdo

    2007-01-01

    Full Text Available El trabajo se inició con una prospección a los mejores productores de ajo de La Habana, donde se seleccionaron diferentes genotipos por su rendimiento. Se presentan las principales características del clón 'Vietnamita', que se introdujo en Cuba en la década del 80, se saneó y rejuveneció mediante la técnica de cultivo de tejidos. Mostró un buen comportamiento ante las principales plagas y enfermedades que afectan al cultivo y buena calidad de la semilla así como un elevado potencial de rendimiento.

  5. The perinatal loss and parental reflection

    Directory of Open Access Journals (Sweden)

    Kamile Kukulu

    2010-12-01

    Full Text Available In this review, the causes of prenatal losses, pregnancy termination and reflection of this situation for the parents were investigated. Despite great attention in improving perinatal care, perinatal loss (fetal loss and newborn death continues to occur. According to the World Health Organization (WHO, the perinatal period extends from the 20th gestational week through 1 month after birth. However, researchers who study perinatal loss use a broader definition that includes early (during the first 12 weeks following conception as well as late fetal loss (>20 weeks’ gestation. Of all known pregnancies, an estimated ratio of 12% to 20% ends in an early fetal loss. The most recent available data have revealed that the rates translate to about 1.03 million annual fetal losses and, for 2004, 18.602 newborn deaths. According to the results of 2008, infant mortality rate decreased very rapidly in Turkey. Of the many parents who suffer a perinatal loss, at least 80% become pregnant again, an event that occurs within 18 months. Therefore, it is important for nurses and health care professionals to understand the impact of a perinatal loss on a subsequent pregnancy. The purpose of this article is to perform an investigation on parental, primarily maternal, responses to pregnancy subsequent to perinatal loss, and to describe nursing implications for parents during the subsequent pregnancy.

  6. Determinantes de la Calidad del Resultado

    Directory of Open Access Journals (Sweden)

    Carmen Pineda González

    2000-06-01

    Full Text Available El concepto de calidad del resultado hace referencia a la posibilidad de que el resultado contable sea percibido por los usuarios de la información contable por encima o por debajo de su cuantificación numérica, o, de otro modo, a la posibilidad de percibir como diferentes los resultados de varias compañías aun cuando en términos cuantitativos sean de igual valor; de forma que será de mayor calidad aquél resultado que en mayor medida contribuya a limitar o a reducir el riesgo inherente al proceso de toma de decisiones. Este concepto general, sin embargo, ha tenido diferentes concreciones que requieren un estudio detallado. En consecuencia, el objetivo de este trabajo es revisar las diferentes definiciones de calidad del resultado que recoge la bibliografía contable y analizar los factores que la determinan, es decir; las decisiones empresariales, las normas contables, la manipulación, la estabilidad, el contenido monetario y los componentes permanentes del resultado. The concept of earnings quality refers to the possibility that accounting results are valued either above or below their numerical quantification, or; put another way, to the possibility of detecting differences in the results of various companies even though in quantitative terms they are of equal value, such that the results of the highest quality will be those which limit, or reduce, to the greatest extent the risk inherent in the decision making process. This general concept, however; has had different forms that require detailed study. In consequence, this paper aims both to review the different definitions of earnings quality present in the accounting literature, and to analyse the factors that determine earnings quality including: corporate decisions, accounting standards and the manipulation, stability, monetary content and permanent components of earnings.

  7. Perinatal Complications and Aging Indicators by Midlife

    Science.gov (United States)

    Caspi, Avshalom; Ambler, Antony; Belsky, Daniel W.; Chapple, Simon; Cohen, Harvey Jay; Israel, Salomon; Poulton, Richie; Ramrakha, Sandhya; Rivera, Christine D.; Sugden, Karen; Williams, Benjamin; Wolke, Dieter; Moffitt, Terrie E.

    2014-01-01

    BACKGROUND: Perinatal complications predict increased risk for morbidity and early mortality. Evidence of perinatal programming of adult mortality raises the question of what mechanisms embed this long-term effect. We tested a hypothesis related to the theory of developmental origins of health and disease: that perinatal complications assessed at birth predict indicators of accelerated aging by midlife. METHODS: Perinatal complications, including both maternal and neonatal complications, were assessed in the Dunedin Multidisciplinary Health and Development Study cohort (N = 1037), a 38-year, prospective longitudinal study of a representative birth cohort. Two aging indicators were assessed at age 38 years, objectively by leukocyte telomere length (TL) and subjectively by perceived facial age. RESULTS: Perinatal complications predicted both leukocyte TL (β = −0.101; 95% confidence interval, −0.169 to −0.033; P = .004) and perceived age (β = 0.097; 95% confidence interval, 0.029 to 0.165; P = .005) by midlife. We repeated analyses with controls for measures of family history and social risk that could predispose to perinatal complications and accelerated aging, and for measures of poor health taken in between birth and the age-38 follow-up. These covariates attenuated, but did not fully explain the associations observed between perinatal complications and aging indicators. CONCLUSIONS: Our findings provide support for early-life developmental programming by linking newborns’ perinatal complications to accelerated aging at midlife. We observed indications of accelerated aging “inside,” as measured by leukocyte TL, an indicator of cellular aging, and “outside,” as measured by perceived age, an indicator of declining tissue integrity. A better understanding of mechanisms underlying perinatal programming of adult aging is needed. PMID:25349321

  8. Relevancia valorativa del resultado global y sus componentes frente al resultado neto

    Directory of Open Access Journals (Sweden)

    Núria Arimany Serrat

    2011-12-01

    Full Text Available Este trabajo tiene como objeto verificar si el resultado global presenta mayor relevancia valorativa respecto al resultado tradicional, y si es así cuáles son los componentes del resultado global que explican las diferencias. El estudio muestra que el resultado global es una variable relevante tanto para explicar el valor intrínseco de la empresa como para explicar su rentabilidad. Sin embargo, sólo al explicar la rentabilidad el resultado global y su incremento aumentan la relevancia valorativa del resultado neto y su incremento. De los componentes analizados del resultado global, tan sólo los resultados por diferencias de conversión de la moneda extranjera a la moneda de presentación añaden poder explicativo adicional al del resultado neto, aunque sólo en los modelos de rentabilidad. Ni los resultados por valoración de instrumentos financieros a valor razonable con cambios en patrimonio ni los resultados por coberturas de flujos de efectivo aportan un mayor poder explicativo al del resultado neto.This study analyses if comprehensive income is more value relevant than the net income and, if that is the case, what are the elements of the comprehensive income explaining the difference. Our study shows that comprehensive income is a relevant variable both to explain the value of the company and also to explain its return. However, comprehensive income and its variation show to be more relevant than the net income and its variation only when explaining return. As for the components of the comprehensive income, foreign currency adjustments increase usefulness in the return models but cash flow hedges and adjustments due to fair value valuation do not add value relevance to the net income.

  9. EN BUSCA DE UN BUEN MARCO DE REFERENCIA PREDICTIVO PARA LA INFLACIÓN EN CHILE

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    Pablo Pincheira

    2012-01-01

    Full Text Available En este artículo investigamos la precisión y estabilidad de las proyecciones de corto plazo de la inflación en Chile provenientes de una determinada subfamilia exten-dida de modelos SARIMA que denominamos ESARIMA. Las proyecciones ESARIMAson comparadas con las provenientes de encuestas y de simples modelos univaria-dos, incluyendo algunos que han sido tradicionalmente utilizados como marcos de referencia predictivos en la bibliografía. Nuestros resultados indican que el error cuadrático medio fuera de muestra de las proyecciones ESARIMA es menor que el de los métodos univariados considerados, cuando el horizonte predictivo varía de 1 a 4 meses. En horizontes superiores, los peores representantes de nuestra familia ESARIMA comienzan a ser superados por los mejores marcos de referencia univaria-dos. Al comparar con la encuesta de expectativas económicas, los resultados van en la dirección opuesta: la encuesta es más precisa que la subfamilia ESARIMA en todos los horizontes. En general nuestros resultados son estadísticamente significativos a niveles de confianza usuales. Observamos también que la familia ESARIMA ofrece proyecciones más estables que los marco de referencia univariados, pero menos estables que las provenientes de la encuesta de analistas.

  10. Vivir bien, buen vivir: caminar con los dos pies (Living well, good living: walking with both feet

    Directory of Open Access Journals (Sweden)

    José María Tortosa

    2011-07-01

    Full Text Available ResumenEl texto recoge, a modo de introducción, una reflexión sobre el concepto del Buen Vivir/Vivir bien, los motivos de su relativo éxito en el contexto latinoamericano y su importancia tanto en el terreno simbólico como en su capacidad de revelar los errores del desarrollo en el sistema mundial. El Buen Vivir/Vivir Bien es un concepto en construcción, y de ahí la importancia de avanzar en la identificación de variables e indicadores que permitan su medición.AbstractAs an introduction, this text is a consideration on the concept of Good Living / Living Well, the reasons for its relative success in the Latin American context and its importance both as a symbolic field and its ability to reveal errors in the development in the global system. Good Living / Living Well is a concept under construction, hence the importance of progress in the identification of variables and indicators for its measurement.

  11. LA MANIOBRA DEL ORDEN ARTIFICIAL EN EL BUEN CELO PREMIADO DE GONZALO DE CÉSPEDES Y MENESES

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    Carmen Rabell

    2011-04-01

    Full Text Available Gonzalo de Céspedes y Meneses publica El buen celo premiado en 1623, durante la atmósfera inquisitorial de la España contrarreformista, seis décadas después de que el Concilio de Trento estableciera leyes rígidas para controlar y castigar a aquellos sujetos que intentaran retar la autoridad de la Iglesia en materias tales como los sacramentos del matrimonio y la confesión, entre otros. La retórica legal y la ficción permiten a este texto desenmascarar el orden artificial por medio del cual tanto la ley como la historia construyen narraciones que cumplen el propósito complejo de insertar sujetos trasgresores al tejido social.Gonzalo de Céspedes y Meneses publishes El buen celo premiado in 1623, during the inquisitorial atmosphere of Counter-Reformation Spain, six decades after the Council of Trent established rigid laws in order to control and punish those subjects who dare to challenge the authority of the Church in matters such as the sacraments of marriage and confession, among others. Trough legal rhetoric and fiction, this text unmasks the artificial order by means of which both history and the law constructs their narrations in order to embed transgressors into the fabric of society.

  12. Mortalidad perinatal en el Hospital Nacional Edgardo Rebagliati Martins

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    Lizeth Diaz Ledesma

    2003-07-01

    Full Text Available Objetivo: Conocer la tasa de mortalidad perinatal en el Hospital Nacional Edgardo Rebagliati Martins y sus características. Materiales y Métodos: El estudio comprendió la revisión de todas las historias clínicas de gestantes portadoras de óbito fetal (mayor de 28 semanas de gestación o mayor de 1000gramos, de recién nacidos que fallecieron dentro de los primeros 7 días de vida y de sus madres durante el año 2000. Resultados: La tasa de mortalidad perinatal fue de 10.5 por mil nacidos vivos. La edad promedio materna fue de 31.6 años, + 5.9 y un rango entre 14 y 44 años. El 30.1% de partos correspondió a nulíparas, el 61.6% a multíparas y el 8.3% a gran multíparas. El promedio de visitas al control prenatal fue de 4.8 + 2.7. El 53.4% de las madres tuvo algún antecedente relacionado a mala historia obstétrica, siendo los más frecuentes historia de aborto previo (27.4%, cesárea anterior (13.7% y pre eclampsia (12.3%. Las causas asociadas a mortalidad perinatal fueron madres con pre eclampsia severa (38.4% y hemorragia en el tercer trimestre (15.1% y fetos con malformaciones congénitas severas (27.4%. La vía de parto fue abdominal en 68.5% y vaginal en 31.5%. Se tuvo 83.6% de gestaciones únicas y 16.4% de gestaciones múltiples. El peso de los productos fue 1985.2 + 945.8 gramos. El 61.6% de muertes perinatales correspondieron a prematuros. Conclusiones:La tasa de mortalidad neonatal en el HNERM durante el año 2000 fue de 10.5 por mil nacidos vivos y los factores relacionados a mortalidad perinatal fueron pre-eclampsia severa, malformaciones congénitas severas y hemorragias del tercer trimestre. ( Rev Med Hered 2003; 14: 117-121.

  13. Perinatal brain damage : The term infant

    NARCIS (Netherlands)

    Hagberg, Henrik; David Edwards, A.; Groenendaal, Floris

    2016-01-01

    Perinatal brain injury at term is common and often manifests with neonatal encephalopathy including seizures. The most common aetiologies are hypoxic–ischaemic encephalopathy, intracranial haemorrhage and neonatal stroke. Besides clinical and biochemical assessment the diagnostic evaluation rely

  14. La mortalidad perinatal según 2 fuentes de información Perinatal mortality according to 2 information sources

    Directory of Open Access Journals (Sweden)

    Adriana Freitas Ramírez

    2008-08-01

    Full Text Available Objetivo: Evaluar la diferencia en muertes perinatales (MP ocurridas en Cataluña y su evolución según 2 fuentes de información sanitaria. Métodos: Los datos proceden de la estadística de mortalidad (Departament de Salut e Institut d'Estadística de Catalunya y del Conjunto Mínimo Básico de Datos de Altas Hospitalarias (CMBDAH del Servei Català de la Salut del período 2000-2003. Se describen las frecuencias totales de MP según si cumplen o no criterio legal de declaración. Resultados: La estadística de mortalidad registró un 27,2% menos de MP, un 44,77% menos de muertes fetales y un 13,5% más de muertes neonatales precoces que el CMBDAH. Estos porcentajes son menores considerando sólo los casos con criterios legales de declaración. Conclusión: Las diferencias de casos entre ambas fuentes están relacionadas con características del recién nacido: bajo peso al nacer, prematuridad y lugar en que se produjo. Los datos hospitalarios podrían mejorar la estadística de mortalidad perinatal.Objective: To evaluate differences in the number of cases of perinatal mortality in Catalonia (Spain recorded in 2 health information systems, as well as trends in this phenomenon. Methods: Data were obtained from the mortality statistics (Health Department and the Catalan Institute of Statistics and the minimum data set (MDS for hospital discharges of the Catalan Health Service from 2000-2003. The frequencies are given for the cases reported and for cases following the legal criteria for reporting. Results: The mortality statistics registered 27.2% fewer perinatal deaths, 44.77% fewer fetal deaths and 13.5% more early neonatal deaths than the MDS. These percentages were lower when only the cases following the legal criteria for reporting were considered. Conclusion: The differences between the two sources were related to low birth weight, prematurity, and the place of occurrence. Use of hospital data might improve the quality of perinatal

  15. Consideraciones para el buen gobierno de una empresa: la prevención de riesgos laborales, el código ético y los valores corporativos

    OpenAIRE

    Armengou Marsans, Luis María; García Pellicer, Maria Carmen; Gaspar Fàbregas, Kàtia; López Domínguez, Mercedes; Pérez Arenas, Olga Karina; Quiñones Ruiz, José Miguel; Ventosa García-Murato, Montserrat

    2007-01-01

    Congreso Nacional de EBEN: XV Congreso Nacional de Ética de la Economía y de las Organizaciones. El Buen Gobierno de las Organizaciones Sin duda la responsabilidad social en las empresas es una cuestión fundamental en lo que al buen gobierno de las organizaciones se refiere. Es por este motivo que siempre se ha tenido en cuenta en el ámbito empresarial la problemática que conlleva la gestión de la empresa respecto a este tema, por ello la OIT en 1914 inició el camino en su declaración d...

  16. Genetic and perinatal effects of abused substances

    Energy Technology Data Exchange (ETDEWEB)

    Brande, M.C.; Zimmerman, A.M.

    1987-01-01

    This book provides an overview of the effects of several abused drugs, including opiates, cannabinoids, alcohol, nicotine, and cocaine, with special emphasis on the actions of these substances at the molecular and cellular levels. The first half deals with genetic effects, including molecular genetics, biochemical genetics, pharmacogenetics, cytogenetics, and genetic toxicity. The second half focuses on perinatal effects and covers: drug abuse during pregnancy; biochemical aspects of marihuana on male reproduction; and long-term behavioral and neuroendocrine effects of perinatal alcohol exposure.

  17. Recurrent perinatal loss: a case study.

    Science.gov (United States)

    Kavanaugh, K; Robertson, P A

    1999-01-01

    To date, investigators have not demonstrated a clear relationship between a parent's history of prior perinatal losses and intensity of grief response following a subsequent perinatal loss. Examining this relationship for low-income, African-American parents is important because they are a vulnerable population due to the high incidence of perinatal mortality in Blacks and their other life stressors that can impact on grief response and caring needs. The purpose of this case study was to examine the impact of recurrent perinatal loss on a low-income African-American parent. The research design for this study was case report, using interview data collected from a mother who had recently experienced her fourth perinatal loss, which occurred at twenty-five weeks of gestation. Transcripts from two open-ended interviews were analyzed. The theoretical framework used to guide analysis of this case study was Lazarus and Folkman's stress and coping theory. Results demonstrated that the prior perinatal losses did not appear as critical components of the way the mother responded to her most recent loss. Instead, perception of the care she received from healthcare providers and how that care related to her experiences with her one living child who was born at the same gestational age was an important determinant in how she responded to her loss. The results of this case study demonstrate the importance assessing a person's perception of their experience and those factors which contribute to the way they respond.

  18. Prevention of perinatal HIV transmission: the Perinatal HIV Hotline perspective.

    Science.gov (United States)

    Waldura, Jess Fogler

    2011-01-01

    Among the most frequently asked questions by callers to the National Perinatal HIV Hotline are those on the use of hormonal contraception in women receiving antiretroviral therapy. Estradiol levels are reduced by ritonavir-boosted protease inhibitors (PIs), nelfinavir, and nevirapine and increased by non-ritonavir-boosted PIs (except nelfinavir), efavirenz, and etravirine. Oral contraceptives do not affect antiretroviral drug levels, and several options are available for hormonal contraception that can compensate for or avoid the effects of antiretroviral drugs on estrogen levels. Other common questions on the hotline involve interpretation and management issues that arise from indeterminate Western blot test results early and late in pregnancy and from positive rapid test results during labor. Many questions focus on appropriate selection of antiretroviral drugs in pregnancy and the need to change regimens to reduce risk of birth defects in the child. This articlesummarizes a presentation by Jess Fogler Waldura, MD, at the 13th Annual Clinical Conference for the Ryan White HIV/AIDS Program held in August 2010 in Washington, DC.

  19. Hacia un control fiscal orientado a resultados

    Directory of Open Access Journals (Sweden)

    Clara López Obregón

    2003-12-01

    Full Text Available El Referendo incluía la propuesta de supresión de las Contralorías territoriales; esa propuesta no estaba acompañada por una justificación técnica y un diseño concreto sobre el sistema de control fiscal. En vista de esto, la Auditoría General de la República organizó varios foros regionales para tratar el tema de un control fiscal orientado a resultados. Esta ponencia de la Auditora General analiza, ante todo, las razones de la frustración que el país experimenta con respecto a los resultados de la reforma constitucional en mateia fiscal. Teniendo en cuenta esas razones, hace una serie de propuestas para que sean discutidas por los participantes en los foros.

  20. Perinatal Risk Factors and Later Social, Thought, and Attention Problems after Perinatal Stroke

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    Mary J. Harbert

    2012-01-01

    Full Text Available Objective. Survivors of perinatal stroke may be at risk for behavioral problems. Perinatal risk factors that might increase the likelihood of later behavior problems have not been identified. The goal of this study was to explore whether perinatal factors might contribute to behavior problems after perinatal stroke. Methods. 79 children with unilateral perinatal stroke were studied. Perinatal factors included gender, gestational age, neonatal seizures, instrumented delivery, fetal distress, acute birth problems, birth weight, and time of diagnosis. Subjects with evidence of hypoxic ischemic encephalopathy were excluded. Parents completed the Achenbach Child Behavior Checklist (CBCL (Achenbach 1985. The CBCL yields T-scores in several symptom scales. We focused on Social, Thought, and Attention Problems scates. Results. Gestational age and the presence of uteroplacental insufficiency were associated with significant differences on the Thought Problems scale; Attention Problems scores approached significance for these variables. Fetal distress, neonatal seizures, or neonatal diagnosis was associated with 25–30% incidence of clinically significant T-scores on Social, Thought, and Attention Problems scales. Conclusions. Several perinatal factors were associated with a high incidence of social, thought, and behavior problems in children with perinatal stroke. These findings may be useful in anticipatory guidance to parents and physicians caring for these children.

  1. Avaliação dos recursos hospitalares para assistência perinatal em Belo Horizonte, Minas Gerais Evaluation of hospital resources for perinatal assistance in Brazil

    Directory of Open Access Journals (Sweden)

    José Orleans Costa

    2004-10-01

    Full Text Available OBJETIVO: Verificar a adequação de recursos hospitalares no atendimento às gestantes/neonatos, no ano de 1996. MÉTODOS: Trata-se de um estudo transversal abrangendo 28 hospitais-maternidade em funcionamento no município de Belo Horizonte, MG. Utilizou-se um modelo de avaliação denominado "níveis de complexidade e segurança em potencial de unidades perinatais de hospitais-maternidade", elaborado a partir da avaliação de três grandes áreas hospitalares: infra-estrutura geral, infra-estrutura clínica-perinatal e recursos das unidades perinatais. Foram desenvolvidos dois escores de pontos envolvendo essas áreas hospitalares, totalizando 1.000 pontos quando considerada a assistência perinatal de risco habitual e 2.000 pontos para assistência perinatal de médio/alto risco. A partir de 500 pontos, os hospitais foram classificados em dois níveis: I-A e I-B (para risco habitual e seis níveis de I-A a III-B (para médio/alto risco. RESULTADOS: Na avaliação com o escore proposto para risco habitual, cinco hospitais foram considerados inadequados para realizarem atendimento a qualquer tipo de parto, classificados como nível zero; esse número aumentou para sete, quando se utilizou o escore para parto de médio/alto risco. CONCLUSÃO: O modelo de avaliação utilizado mostrou-se adequado para classificar os hospitais de acordo com a infra-estrutura disponível para assistência perinatal.OBJECTIVE: To verify the adequacy of hospital resources for perinatal care in Belo Horizonte, MG, Brazil in 1996. METHODS: This is a cross-sectional study conducted encompassing all the 28 maternity-hospitals in the city of Belo Horizonte, capital of the State of Minas Gerais, Brazil. A model of evaluation denominated "Níveis de Complexidade e Segurança em Potencial de Unidades Perinatais de Hospitais-Maternidade" [Levels of Complexity and Potential Safety in Maternity-Hospitals]. This model is based on the evaluation of three major areas in the

  2. Estudio del duelo perinatal: interrupciones médicas del embarazo, muertes prenatales y muertes postnatales

    OpenAIRE

    Ridaura Pastor, Isabel

    2015-01-01

    El objetivo principal del estudio fue describir la evolución del proceso de duelo y la sintomatología depresiva a lo largo de un año después de haber sufrido una pérdida perinatal y estudiar qué factores se asocian a unos peores/mejores resultados a largo plazo. Se contactó con 125 mujeres que habían sufrido una pérdida perinatal y fueron atendidas en el Hospital de la Vall d'Hebron. Se establecieron dos grupos según el tipo de pérdida: interrupción médica del embarazo (IME) y muerte prenatal...

  3. La salud perinatal de la mujer en una comunidad indígena

    Directory of Open Access Journals (Sweden)

    Cleotilde García Reza

    2008-01-01

    Full Text Available La salud perinatal es una parte de la salud reproductiva que favorece la maternidad saludable y sin riesgo, por medio de estrategias para disminuir la morbilidad y mortalidad. Se describe la experiencia de la mujer en su etapa reproductiva y la influencia en la salud perinatal. Este estudio es de naturaleza cualitativa y exploratoria y fue desarrollado con siete mujeres. Los datos se obtuvieron por medio de la entrevista semiestructurada y observación participante. Los resultados resaltaron las creencias y costumbres durante el embarazo, parto y posparto. El conocimiento adquirido en ese contexto cultural de manera cotidiana promueve el bienestar de la familia y la capacidad de la mujer para autocuidarse

  4. El buen planteamiento de la ecuación no lineal de Schrödinger-Helmholtz

    OpenAIRE

    Forero Diaz, Nestor Orlando

    2011-01-01

    En este trabajo se demuestra el buen planteamiento de la ecuación no lineal de Schrödinger-Helmholtz ivt +Δv + λu |v|σ -1 v = 0 u − ∝2 ∆u=|v|σ-1 v(0) = vo en los espacios H1 y L2 usando técnicas introducidas por Kato. / Abstract. In this work we show the local and global well posedness of the nonlinear Schrödinger-Helmholtz equation ivt + ∆v + λu |v|σ-1 v = 0 u − ∝2 ∆u=|v|σ-1 v(0) = vo in the spaces H1 and L2 using techniques introduce by Kato

  5. Revolución ciudadana, buen vivir y cooperación en Ecuador (2007-2013)

    OpenAIRE

    Ayllón Pino, Bruno; Dolcetti, Michele

    2014-01-01

    La llegada al poder, en 2007, de Rafael Correa inauguró un nuevo periodo en la realidad política y económica del Ecuador: la Revolución Ciudadana. A las transformaciones del ordenamiento jurídico con la Constitución de Montecristi deben añadirse cambios en los procesos de planificación cuyos ejes centrales fueron la recuperación de la capacidad reguladora del Estado (gestión soberana) y la elaboración de Planes Nacionales del Buen Vivir (PNBV). Al mismo tiempo se emprendió un giro a la políti...

  6. Congenital and perinatal cytomegalovirus infection

    Directory of Open Access Journals (Sweden)

    Chun Soo Kim

    2010-01-01

    Full Text Available Cytomegalovirus (CMV is currently the most common agent of congenital infection and the leading infectious cause of brain damage and hearing loss in children. Symptomatic congenital CMV infections usually result from maternal primary infection during early pregnancy. One half of symptomatic infants have cytomegalic inclusion disease (CID, which is characterized by involvement of multiple organs, in particular, the reticuloendothelial and central nervous system (CNS. Moreover, such involvement may or may not include ocular and auditory damage. Approximately 90% of infants with congenital infection are asymptomatic at birth. Preterm infants with perinatal CMV infection can have symptomatic diseases such as pneumonia, hepatitis, and thrombocytopenia. Microcephaly and abnormal neuroradiologic imaging are associated with a poor prognosis. Hearing loss may occur in both symptomatic and asymptomatic infants with congenital infection and may progress through childhood. Congenital infection is defined by the isolation of CMV from infants within the first 3 weeks of life. Ganciclovir therapy can be considered for infants with symptomatic congenital CMV infection involving the CNS. Pregnant women of seronegative state should be counseled on the importance of good hand washing and other control measures to prevent CMV infection. Heat treatment of infected breast milk at 72?#608;for 5 seconds can eliminate CMV completely.

  7. PLACENTAL SIZE AND PERINATAL OUTCOMES

    Directory of Open Access Journals (Sweden)

    Nagamani

    2015-03-01

    Full Text Available BACKGROUND : The human placenta, a transient organ or pregnancy provides information about fetal well - being and pregnancy outcome . AIMS: To study the placental ultrasound characters in relation to perinatal outcomes . SETTINGS: Tertiary care hospital in southern India . METHODS AND MATERIAL S: The study sample comprised 500 consecutive women who presented to the Depart ment of Obstetrics and Gynecology at the King George Hospital who met the inclusion criteria. Ultrasonographic study was performed using a transabdominal 3.5 MHz volume transducer. Post natally the weight of the baby and of the placenta was recorded. Perina tal outcome was assessed by birth weight, APGAR score and the need for admission in neonatal intensive care unit. STATISTICAL ANALYSIS : Pearson’s correlation analysis and Chi square test was used. Statistical significance was considered at a p value <0.05 . RESULTS: The mean placental thickness was 3.10 cm; 76% (n:380 had normal thickness. Mean placental diameter was 21.306 cm, and its weight varied from 310 women 62% (n:310. Correlation of placental thickness (normal and abnormal, with birth weight, the difference was significant ( <0.001. CONCLUSION: Ultrasound forms a readily available, fairly safe, effective non - invasive method to identify and prevent fetal malnutrition in a cost - effective way.

  8. Hurricane Katrina and perinatal health.

    Science.gov (United States)

    Harville, Emily W; Xiong, Xu; Buekens, Pierre

    2009-12-01

    We review the literature on the effects of Hurricane Katrina on perinatal health, and providing data from our own research on pregnant and postpartum women. After Katrina, obstetric, prenatal, and neonatal care was compromised in the short term, but increases in adverse birth outcomes such as preterm birth, low birthweight, and maternal complications were mostly limited to highly exposed women. Both pregnant and postpartum women had rates of post-traumatic stress disorder similar to, or lower than, others exposed to Katrina, and rates of depression similar to other pregnant and postpartum populations. Health behaviors, such as smoking and breastfeeding, may have been somewhat negatively affected by the disaster, whereas effects on nutrition were likely associated with limited time, money, and food choices, and indicated by both weight gain and loss. We conclude that, with a few specific exceptions, postdisaster concerns and health outcomes for pregnant and postpartum women were similar to those of other people exposed to Hurricane Katrina. In such situations, disaster planners and researchers should focus on providing care and support for the normal concerns of the peripartum period, such as breastfeeding, depression, and smoking cessation. Contraception needs to be available for those who do not want to become pregnant. Although additional physical and mental health care needs to be provided for the most severely exposed women and their babies, many women are capable of surviving and thriving in postdisaster environments.

  9. Nuevas noticias sobre las pinturas para el Real Palacio del Buen Retiro realizadas en Italia (1633-1642

    Directory of Open Access Journals (Sweden)

    Simal López, Mercedes

    2011-09-01

    Full Text Available The location of new documents concerning the commissions by the Count-Duke of Olivares of various series of paintings for the decoration of the Buen Retiro Palace from the Marquis of Castel-Rodrigo, Spanish Ambassador to Rome, and the Count of Monterrey, Viceroy of Naples, between 1633 and 1642, have allowed for: the specification of the chronology and the contents of the different shipments; the confirmation of the role of Gaspar de Guzmán as coordinator of the entire commission; the knowledge of the kind of instructions exchanged between Philip IV’s favorite and Spanish diplomats in Italy; and the identification of the emplacement of some of the works, such as the Saint John the Baptist cycle, intended to decorate the Oratory of the Palace.

    La localización de nuevos documentos relativos a los encargos de varias series de pinturas por parte del conde-duque de Olivares para la decoración del palacio del Buen Retiro al marqués de Castel Rodrigo, embajador en Roma, y al conde de Monterrey, virrey de Nápoles, entre 1633 y 1642 han permitido precisar la cronología y el contenido de los distintos envíos que se realizaron, ratificar la identidad de don Gaspar de Guzmán como coordinador de todo el encargo, conocer el tipo de instrucciones que intercambiaron el valido de Felipe IV y los representantes diplomáticos en Italia, e identificar el destino de algunas obras, como las del ciclo de San Juan Bautista, destinadas a decorar el oratorio del palacio.

  10. 'MARTÍNEZ', UN CLON DE AJO (Allium sativum L. CON BUEN COMPORTAMIENTO ANTE LAS ENFERMEDADES Y ALTO POTENCIAL DE RENDIMIENTO

    Directory of Open Access Journals (Sweden)

    H. Izquierdo

    2005-01-01

    Full Text Available Se presentan las principales características del clon 'Martínez', saneado y rejuvenecido mediante la técnica de cultivo de meristemos. Este clon mostró un buen comportamiento ante las principales plagas y enfermedades que afectan a este cultivo y la calidad de la semilla, así como un elevado potencial de rendimiento.

  11. [Association of Doppler flowmetry with perinatal outcome in patients with oligohydramnios].

    Science.gov (United States)

    Romero-Gutiérrez, Gustavo; Herrera-Coria, José; Ruiz-Treviño, Armando Saúl

    2014-01-01

    Introducción: el oligohidramnios en ocasiones se asocia a mala evolución perinatal. El objetivo fue determinar la asociación de la flujometría Doppler con la evolución perinatal en pacientes con oligohidramnios. Métodos: se realizó un estudio transversal en el que se analizaron 130 pacientes con embarazo de 30 a 41 semanas con oligohidramnios; se comparó la medición del índice de resistencia de la arteria umbilical por flujometría Doppler y la medición del líquido amniótico. Se hizo un seguimiento postnatal en el que se registró el Apgar y si los pacientes ameritaron cuidados especiales. Se utilizó estadística descriptiva y se calculó la sensibilidad, especificidad, exactitud y los valores predictivos de las pruebas. Resultados: para el oligohidramnios en muerte perinatal se obtuvo sensibilidad, especificidad y exactitud de 100, 0 y 50 %; y para Apgar de 0, 0 y 0 %, respectivamente. El índice de resistencia de la arteria umbilical referente a la muerte perinatal tuvo sensibilidad, especificidad y exactitud de 100, 96 y 98 %, en tanto que en el Apgar los valores fueron de 0, 95 y 47.5 %, respectivamente. Conclusiones: la flujometría Doppler de la arteria umbilical mostró mayor sensibilidad, especificidad y exactitud que la medición del oligohidramnios y la prueba de Apgar para diagnosticar muerte perinatal.

  12. Perinatal mortality and socio-spatial inequalities

    Directory of Open Access Journals (Sweden)

    Eunice Francisca Martins

    2013-09-01

    Full Text Available OBJECTIVE: to analyze the social inequalities in the distribution of perinatal mortality in Belo Horizonte. MATERIAL AND METHODS: the perinatal deaths of residents in Belo Horizonte in the period 2003 to 2007 were studied on the basis of the Information Systems on Mortality and Newborns. The space analysis and the Health Vulnerability Index were used to identify existing inequalities in the sanitary districts regarding coverage and risk, determined by the Odds Ratio and a value p<0.05. The multivariate analysis was used to describe a model for perinatal mortality. RESULTS: there was a proved variation in the numbers of perinatal mortality per one thousand total births in the sanitary districts (12.5 to 19.4, coverage areas (5.3 to 49.4 and areas of risk (13.2 to 20.7. The mortality rate diminished as the maternal schooling increased. The death rates deriving from asphyxia/hypoxia and non-specified fetal death grew with the increase of risk in the area. CONCLUSION: it was verified that the perinatal deaths are distributed in a differentiated form in relation to the space and the social vulnerabilities. The confrontation of this complex problem requires the establishment of intersecting partnerships.

  13. Risk factors for perinatal mortality in an urban area of Southern Brazil, 1993 Fatores de risco para mortalidade perinatal em Pelotas, RS, 1993

    Directory of Open Access Journals (Sweden)

    Ana M. B. Menezes

    1998-06-01

    Full Text Available INTRODUCTION: Although there was a considerable reduction in infant mortality in Pelotas, Rio Grande do Sul in the last decade, its perinatal causes were reduced only by 28%. The associated factors of these causes were analised. MATERIAL AND METHOD: All hospital births and perinatal deaths were assessed by daily visits to all the maternity hospitals in the city, throughout 1993 and including the first week of 1994. RESULTS: The perinatal mortality rate was 22.1 per thousand births. The multivariate analysis showed the following risk factors: low socioeconomic level, male sex and maternal age above 35 years . Among multigravidae women, the fetal mortality rate was significantly increased for mothers with a previously low birthweight and a previous stillbirth. For early neonatal mortality the risk was significantly increased by a smaller number of antenatal visits than 5 and low birthweight. CONCLUSIONS: Main risk factors for perinatal mortality: low socioeconomic level, maternal age above 35 years and male sex. For early neonatal mortality the risk was significantly increased by a smaller number of antenatal visits than 5 and low birthweight.INTRODUÇÃO: Apesar de importante redução da mortalidade infantil em Pelotas, RS, na última década, as causas perinatais foram reduzidas em apenas 28%. Analisou-se os principais fatores associados a essas causas. MATERIAL E MÉTODO: Todos os nascimentos hospitalares e óbitos perinatais, em Pelotas, foram acompanhados através de visitas diárias aos hospitais, durante 1993 até a primeira semana de 1994. RESULTADOS: O coeficiente de mortalidade perinatal foi 22,1/1.000 nascimentos. A análise multivariada apontou os seguintes fatores de risco: baixo nível socioeconômico, sexo masculino e idade materna acima de 35 anos. Nas multíparas, encontrou-se maior risco para a mortalidade fetal naquelas que relatavam baixo peso prévio e natimorto prévio. A mortalidade neonatal precoce esteve associada com n

  14. Neonatal-perinatal medicine: Diseases of the fetus and infant

    Energy Technology Data Exchange (ETDEWEB)

    Fanaroff, A.A.; Martin, R.J.

    1987-01-01

    This book consists of 40 chapters. Some of the chapter titles are: Perinatal services and resources; Diabetes in pregnancy; Erythroblastosis fetalis; Placental pathology; Genetic disease and chromosomal abnormalities; Perinatal ultrasound; and Diagnostic imaging.

  15. Methadone and perinatal outcomes: a prospective cohort study.

    LENUS (Irish Health Repository)

    Cleary, Brian J

    2012-08-01

      Methadone use in pregnancy has been associated with adverse perinatal outcomes and neonatal abstinence syndrome (NAS). This study aimed to examine perinatal outcomes and NAS in relation to (i) concomitant drug use and (ii) methadone dose.

  16. Obligaciones de medios y de resultado

    Directory of Open Access Journals (Sweden)

    Carlos López Fernández

    2014-11-01

    Full Text Available Puede decirse que esta clasificación de las obligaciones se establece sobre la base del contenido de la prestación. Es decir, que la clasificación responde al distinto comportamiento que se exigiría al deudor de la obligación (...Contenido: Concepto y ubicación. Diferencias entre ambos tipos de obligación. El origen de la distinción. Objeto de unas y otras obligaciones. Valoración respecto a la procedencia e importancia de la clasificación. Cuando una obligación puede catalogarse como de medios o de resultado. Análisis de diferentes contratos y de las obligaciones que ellos generan. Obligaciones que pueden catalogarse como, obligaciones de medios. Consecuencias que aparejan que la obligación sea de medios o de resultado. La carga de la prueba en uno y otro tipo de obligación. La culpa debe o no probarse en todo incumplimiento. Críticas a la clasificación. Su refutación. Sustento legal de la clasificación de las obligaciones. Conclusión

  17. Perinatal Health Statistics as the Basis for Perinatal Quality Assessment in Croatia

    Directory of Open Access Journals (Sweden)

    Urelija Rodin

    2015-01-01

    Full Text Available Context. Perinatal mortality indicators are considered the most important measures of perinatal outcome. The indicators reliability depends on births and deaths reporting and recording. Many publications focus on perinatal deaths underreporting and misclassification, disabling proper international comparisons. Objective. Description of perinatal health care quality assessment key indicators in Croatia. Methods. Retrospective review of reports from all maternities from 2001 to 2014. Results. According to reporting criteria for birth weight ≥500 g, perinatal mortality (PNM was reduced by 31%, fetal mortality (FM by 32%, and early neonatal mortality (ENM by 29%. According to reporting criteria for ≥1000 g, PNM was reduced by 43%, FM by 36%, and ENM by 54%. PNM in ≥22 weeks’ (wks gestational age (GA was reduced by 28%, FM by 30%, and ENM by 26%. The proportion of FM at 32–36 wks GA and at term was the highest between all GA subgroups, as opposed to ENM with the highest proportion in 22–27 wks GA. Through the period, the maternal mortality ratio varied from 2.4 to 14.3/100,000 live births. The process indicators have been increased in number by more than half since 2001, the caesarean deliveries from 11.9% in 2001 to 19.6% in 2014. Conclusions. The comprehensive perinatal health monitoring represents the basis for the perinatal quality assessment.

  18. Trends in perinatal health after assisted reproduction

    DEFF Research Database (Denmark)

    Henningsen, Anna-Karina Aaris; Gissler, M.; Skjaerven, R.

    2015-01-01

    STUDY QUESTIONS Has the perinatal outcome of children conceived after assisted reproductive technology (ART) improved over time? SUMMARY ANSWER The perinatal outcomes in children born after ART have improved over the last 20 years, mainly due to the reduction of multiple births. WHAT IS KNOWN...... AND WHAT THIS PAPER ADDS A Swedish study has shown a reduction in unwanted outcomes over time in children conceived after ART. Our analyses based on data from more than 92 000 ART children born in four Nordic countries confirm these findings. STUDY DESIGN Nordic population-based matched cohort study...... with ART outcome and health data from Denmark, Finland, Norway and Sweden. PARTICIPANTS, SETTING AND METHODS We analysed the perinatal outcome of 62 379 ART singletons and 29 758 ART twins, born from 1988 to 2007 in four Nordic countries. The ART singletons were compared with a control group of 362 215...

  19. Perinatal Chicken Pox (Varicella Zoster Virus Infection

    Directory of Open Access Journals (Sweden)

    Ali Annagur

    2013-04-01

    Full Text Available Chickenpox is due to infection with the varicella zoster virus (VZV, a human alphaherpervirus found worldwide. Classically, the cinical disease is a febrile illness with a pruritic vesicular rash. Maternal chickenpox between 5 days before delivery to 2 days after delivery (perinatal varicella can cause severe and even fatal illness in the newborn. A 7-day old girl baby presented on day 4 of postnatal with the complaints of widespread vesicular rash and non-suckling. Mother of the baby also had a similar eruption four day prior to delivery, which was clinically characteristic of varicella. Considering history and clinical presentation, a diagnosis of perinatal chickenpox was considered and the baby was treated with acyclovir which she responded and recovered. Herein, the clinical feasures and treatment of chickenpox infection in the perinatal period have been emphasized with this case report. [Cukurova Med J 2013; 38(2.000: 311-314

  20. O Impacto da Idade Materna Avançada sobre os Resultados da Gravidez Impact of Advanced Maternal Age on the Outcome of Pregnancy

    Directory of Open Access Journals (Sweden)

    José G. Cecatti

    1998-08-01

    Full Text Available Objetivo: identificar o efeito da idade sobre os resultados maternos e perinatais das gestações ocorridas em mulheres com 40 anos ou mais. Métodos: comparamos 494 gestantes com mais de 40 anos, com 988 gestantes com idade entre 20 e 29 anos, pareando-as por paridade. Após controlar possíveis variáveis confundidoras pela análise multivariada, a idade materna avançada manteve associação com a maior prevalência de hipertensão arterial, apresentação anômala, parto por cesária, hemorragia puerperal, índice de Apgar baixo, morte perinatal, natimortalidade e sofrimento fetal intraparto. Resultados: a idade materna avançada esteve isoladamente associada à hipertensão arterial, apresentação anômala, diagnóstico de sofrimento fetal intraparto, parto por cesária e hemorragia puerperal. Com relação aos resultados neonatais, a idade materna avançada estava associada independentemente apenas ao baixo índice de Apgar, morte perinatal e óbito fetal. Conclusões: esses achados mostram a necessidade de assistência obstétrica adequada com atenção especial a esses fatores para procurar melhorar os resultados maternos e perinatais das gestantes com idade avançada.Most authors agree on the negative impact of pregnancy in women with advanced maternal age on maternal and perinatal outcome. However, it is not usual to evaluate if some considered risk factors are only confounders because they are present in women over forty years. In order to identify the isolated effect of age on maternal and perinatal outcome of pregnancies in women over forty, 494 pregnancies from this age group were compared to 988 pregnancies among women aged 20 to 29 years, matched by parity. After controlling possible confounding variables through multivariate analysis, advanced maternal age maintained its association with a higher prevalence of hypertension, malpresentation, cesarean section, postpartum hemorrhage, low Apgar score, perinatal death, late fetal

  1. Design and evaluation of a regional perinatal audit

    NARCIS (Netherlands)

    Alderliesten, Marianne E.; Stronks, Karien; Bonsel, Gouke J.; Smit, Bert J.; van Campen, Maarten M. J.; van Lith, Jan M. M.; Bleker, Otto P.

    2008-01-01

    Objective: To describe the experiences of a regional audit of perinatal deaths, including the experiences of the audit members, to discuss similarities and differences with other, existing perinatal audits and to summarize the implications for future implementation. Study design: Perinatal audit wit

  2. [Tobacco control policies and perinatal health].

    Science.gov (United States)

    Peelen, M J; Sheikh, A; Kok, M; Hajenius, P; Zimmermann, L J; Kramer, B W; Hukkelhoven, C W; Reiss, I K; Mol, B W; Been, J V

    2017-01-01

    Study the association between the introduction of tobacco control policies in the Netherlands and changes in perinatal outcomes. National quasi-experimental study. We used Netherlands Perinatal Registry data (now called Perined) for the period 2000-2011. We studied whether the introduction of smoke-free legislation in workplaces plus a tobacco tax increase and mass media campaign in January 2004, and extension of the smoke-free law to the hospitality industry accompanied by another tax increase and media campaign in July 2008, was associated with changes in perinatal outcomes. We studied all singleton births (gestational age: 24+0 to 42+6 weeks). Our primary outcome measures were: perinatal mortality, preterm birth and being small-for-gestational-age (SGA). Interrupted time series logistic regression analyses were performed to investigate changes in these outcomes occurred after the introduction of the aforementioned tobacco control policies (ClinicalTrials.gov: NCT02189265). Among 2,069,695 singleton births, 13,027 (0.6%) perinatal deaths, 116,043 (5.6%) preterm live-births and 187,966 (9.1%) SGA live-births were observed. The policies introduced in January 2004 were not associated with significant changes in any of the primary outcome measures. A -4.4% (95% CI: -6.4 to -2.4; p hospitality industry, a further tax increase and another media campaign. This translates to an estimated over 500 cases of SGA being averted per year. A reduction in SGA births, but not preterm birth or perinatal mortality, was observed in the Netherlands after extension of the smoke-free workplace law to include bars and restaurants, in conjunction with a tax increase and media campaign in 2008.

  3. El intervalo entre aborto espontáneo y una nueva concepción no afecta el resultado perinatal

    OpenAIRE

    Arraztoa V,José Antonio; Serra T,Ramón; de Mayo G,Tomás; Olivares A,Felipe; Gabler P,Carolina; Ramírez A,Sebastián; Osorio F.,Eduardo

    2012-01-01

    Objetivo: Determinar la probabilidad de un nuevo aborto espontáneo en función del tiempo que transcurre entre un aborto previo y una nueva concepción. Método: Estudio de cohorte retrospectivo, realizado en Clínica Dávila y Hospital Parroquial de San Bernardo, entre enero de 2007 y septiembre de 2008. Se incluyen mujeres sanas, fértiles, con antecedente de un aborto espontáneo y que dentro de 12 meses posteriores a dicho evento vuelven a concebir. La ocurrencia de un nuevo aborto fue definida ...

  4. Genetics and genomics: impact on perinatal nursing.

    Science.gov (United States)

    Lewis, Judith A

    2011-01-01

    In 1953, Watson and Crick first described the structure of the DNA molecule, an event that led to a new understanding of the nature of heredity. Just 50 years later, a conference was held in Bethesda, Maryland to announce the completion of the sequencing of the human genome. The era of genomic healthcare has begun, and it has profound implications for nursing education, nursing practice, and nursing research. This article will highlight some important areas in perinatal and neonatal nursing that have been affected by genetics and genomics, as well as some emerging areas of research that will be relevant to perinatal and neonatal nursing.

  5. Del Buen Gobierno en Territorio Mapuche: Notas acerca de una experiencia en salud complementaria

    Directory of Open Access Journals (Sweden)

    Guillaume Boccara

    2004-12-01

    Full Text Available En 2003, la Asociación Mapuche Newen Pu Lafkenche de Carahue (novena región, Chile firma un convenio con distintos Servicios Públicos con el fin de mejorar las condiciones de vida de los habitantes de ocho comunidades mapuche de la zona costera. En esta oportunidad, el Servicio de Salud Araucanía Sur se compromete a formular un diseño de salud complementaria conversado con la comunidad y los especialistas de la medicina tradicional. En el presente artículo presento los principales resultados de esta experiencia y desarrollo una reflexión en torno a los mecanismos políticos que permiten a las comunidades indígenas luchar contra la heteronomía a través de la puesta en marcha de un complejo proceso de re-territorialización y de reactivación de una institucionalidad sociopolítica propia, lo cual como veremos no significa el retorno a una institucionalidad y territorialidad antigua, auténtica o pura.In 2003, the Newen Pu Lafkenche, a Mapuche Organization of South-Center Chile, signed an agreement with several representatives of the Chilean Public Sector. This accord aimed at improving the conditions of life of eight indigenous communities. One of the Civil Services, the Southern Araucania Health Service, offered to design a new complementary health model along with the indigenous traditional healers and leaders. In this paper I present the principal results of this experience in intercultural health in which I participated. I then develop a reflection regarding the political mechanisms that allow the indigenous communities to cope with the heteronomy. Eventually I show how the Indigenous political institutions have been reactivated through the process of re-territorialization and how both phenomena are critical to explain the strength of the Mapuche mobilization in present-day Chile.

  6. Global and cultural perinatal nursing research: improving clinical practice.

    Science.gov (United States)

    Callister, Lynn Clark

    2011-01-01

    High-quality perinatal nursing care should be based on the best evidence including research findings, clinical expertise, and the preferences of women and their families. Principles of perinatal research initiatives are defined, with suggested research priorities designed to close current gaps in the micro and macro environments of perinatal nursing throughout the world. Nearly a decade ago, the following question was asked, "Where is the 'E' (evidence) in maternal child health?" Improving the quality and safety of perinatal nursing care for culturally diverse women globally is the primary goal of nurse researchers leading the future of perinatal healthcare.

  7. Factores asociados a mortalidad perinatal en el hospital general de Chiapas, México Perinatal mortality associated factors in a general hospital of Chiapas, Mexico

    Directory of Open Access Journals (Sweden)

    Leonor Rivera

    2003-12-01

    Full Text Available OBJETIVO: El objetivo del estudio es identificar factores socioeconómicos, gineco-obstétricos y del producto asociados a mortalidad perinatal. MÉTODOS: Se realizó un estudio de casos y controles pareado. Se consideró caso a los nacidos vivos o muertos que nacieron y fallecieron entre las 28 semanas de gestación a los 7 días de vida extrauterina. y control al producto nacido vivo entre las 28 semanas de gestación y los 7 días de vida extrauterina. Los datos se obtuvieron de los expedientes clínicos hospitalarios. Se estudiaron 99 casos y 197 controles. Se hizo un análisis estadístico utilizando Stata 6.0. RESULTADOS La media de edad de la madre fue de 24.82 años y del producto de 37.78 semanas de gestación. El promedio de peso del producto fue de 2,760 gramos. Los factores asociados a mortalidad perinatal fueron: ocupación del padre agricultor (RM ajustada 3,31; IC 95% 1,26-8,66; índice de riesgo obstétrico alto (RM ajustada 10,57; IC 95% 2,82-39,66, antecedente de cesárea (RM ajustada 2,75; IC 95% 1,37-5,51; cinco y más consultas prenatales (RM ajustada 4,43; IC 95% 1.86-10,54; producto pretérmino (RM ajustada 9,20; IC 95% 4,39-19,25. CONCLUSIONES: Los resultados muestran que es necesario implementar medidas de prevención y control que aseguren la identificación del riesgo en las mujeres embarazadas, con el fin de abatir la incidencia de mortalidad perinatal.OBJECTIVE: To identify socioeconomic, gynecological-obstetric and fetal factors associated with perinatal mortality. METHODS: A matched case-control study was carried out. Cases were newborns (born live or dead that were born and died between 28 weeks gestation and 7 days of life. Controls were live newborns between 28 weeks gestation and 7 days of life. A total of 99 cases and 197 controls were studied. Data were obtained from the corresponding medical charts. Statistical analysis was performed using Stata 6.0 software. RESULTS: Mean maternal age was 24.82 years and

  8. Control biológico en el cultivo del arroz en Cuba. (Resultados 1970 – 2005.

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    Rafael Meneses

    2007-12-01

    Full Text Available El cultivo del arroz en Cuba está afectado por diversas plagas, fundamentalmente: Tagosodes orizicolus, Lissorhoptrus brevirostris, Oebalus insularis y Spodoptera frugiperda. A partir de 1970 se iniciaron los estudios sobre los principales controles biológicos de estas plagas. Para T. orizicolus se ha determinado que Paranagrus perforator y Tytthus parviceps son los principales enemigos naturales de esta plaga. El porcentaje de huevos de T. orizicolus parasitados por P. perforator ha llegado al 50.7% en la etapa de germinación a ahijamiento activo de la planta de arroz. Además, a esta plaga se le ha detectado control por los parasitoides Elenchus sp. y Gonatopus sp. L. brevirostris ha sido manejado en los arrozales con los hongos Metarhizium anisopliae y Beauveria bassiana, obteniendo muy buenos resultados, tanto en el control como en las afectaciones ocasionadas por este insecto. La aplicación de M. anisopliae cepa Niña Bonita resulta satisfactorio para el control de O. insularis. Se ha determinado diversos depredadores, parasitoides y hongos que en determinadas épocas del año ejercer buen control de S. frugiperda, destacándose dentro de ellos: Coleomegilla cubensis, Chelonus texanus y Telenomus spp. C. texanus ha presentado un nivel de parasitismo superior al 80.0 % y Telenomus sp. de 93 %, en condiciones de producción arrocera. Con la presencia de arañas en los arrozales se logra disminuir considerablemente las poblaciones de insectos plagas.

  9. Credibilidad e intertextualidad: el ethos del buen testigo en la Recherche de Proust

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    Pierre Zoberman

    2013-02-01

    Full Text Available Este artículo analiza la manera como las conexiones intertextuales, en particular con los textos del siglo XVII , pero también intratextualmente con la novela misma, ayudan a crear un ethos del testigo fidedigno en la Recherche de Proust. Proust explícitamente desarrolla la teoría de que el escritor provee al lector de unos lentes especiales para ver la realidad que el escritor reconstruye con un relieve particular. Su Narrador exhibe poderes inusuales de observación —percibiendo, por ejemplo, una “imperceptible” mancha roja en la corbata de Charlus en su primer encuentro— lo que le permite dar una explicación de primera mano de la desintegración del aristocrático Faubourg-Saint-Germain, erróneamente visto, en un principio, como perenne e inmutable, por lo tanto, esencial. Ya sea como resultado de la ingenuidad (cuando el Narrador no entiende lo que ve o de un afán de saberlo todo (una vez que logra comprender y que comparte un sorprendente conjunto de ‘hechos’ con el lector, la novela vuelve a destacar la fiabilidad del testimonio del Narrador en relación con la homosexualidad, tema de creciente significado. Pero este ethos, ostensiblemente basado en una observación de primera mano, está reforzado, si no es que totalmente construido, por una compleja relación con las Cartas de Sévigné o las Memorias de Saint-Simon, que pueden considerarse no solo como fuentes o referencias, lo que algunos críticos han ampliamente enfatizado, sino como textualmente produciendo (generando pasajes significativos de la Recherche. Esta estrategia intertextual es enteramente dominante, dado que el Narrador mismo delega sus afanosos poderes de observación en otros personajes, cuyas propias observaciones dependen, ellas mismas, de conexiones textuales, esta vez, mayoritariamente intratextuales con la Recherche misma empleando, de nuevo, procesos intertextuales para crear la caracterización.

  10. Dutch Perinatal System: performance and innovative strategies

    NARCIS (Netherlands)

    J. van der Kooy (Jacoba)

    2013-01-01

    textabstractThe organization of the Dutch perinatal care system is unique since, in contrast to most other high-income countries, certified community midwives play an independent role in the care for pregnant women. Community midwives care for pregnant women with an assumed or estimated low-risk for

  11. Customised birthweight standards accurately predict perinatal morbidity

    Science.gov (United States)

    Figueras, Francesc; Figueras, Josep; Meler, Eva; Eixarch, Elisenda; Coll, Oriol; Gratacos, Eduard; Gardosi, Jason; Carbonell, Xavier

    2007-01-01

    Objective Fetal growth restriction is associated with adverse perinatal outcome but is often not recognised antenatally, and low birthweight centiles based on population norms are used as a proxy instead. This study compared the association between neonatal morbidity and fetal growth status at birth as determined by customised birthweight centiles and currently used centiles based on population standards. Design Retrospective cohort study. Setting Referral hospital, Barcelona, Spain. Patients A cohort of 13 661 non‐malformed singleton deliveries. Interventions Both population‐based and customised standards for birth weight were applied to the study cohort. Customised weight centiles were calculated by adjusting for maternal height, booking weight, parity, ethnic origin, gestational age at delivery and fetal sex. Main outcome measures Newborn morbidity and perinatal death. Results The association between smallness for gestational age (SGA) and perinatal morbidity was stronger when birthweight limits were customised, and resulted in an additional 4.1% (n = 565) neonates being classified as SGA. Compared with non‐SGA neonates, this newly identified group had an increased risk of perinatal mortality (OR 3.2; 95% CI 1.6 to 6.2), neurological morbidity (OR 3.2; 95% CI 1.7 to 6.1) and non‐neurological morbidity (OR 8; 95% CI 4.8 to 13.6). Conclusion Customised standards improve the prediction of adverse neonatal outcome. The association between SGA and adverse outcome is independent of the gestational age at delivery. PMID:17251224

  12. Perinatal Outcomes after Assisted Reproductive Technology

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    Setenay Arzu Yilmaz

    2014-08-01

    The aim of this review is to summarize perinatal outcomes and the congenital anomaly risk of IVF pregnancies and also examine the risks of different technologies including ICSI, blastocyst culture, and cryopreservation on this topic. [Archives Medical Review Journal 2014; 23(4.000: 575-586

  13. OLIGOHYDRAMNIOS IN THIRD TRIMESTER AND PERINATAL OUTCOME

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    Babar Shrikant

    2016-05-01

    Full Text Available BACKGROUND The purpose of this study is to assess the effects of oligohydramnios on perinatal outcome, especially in third trimester of pregnancy. METHODS This is an intrapartum observational study conducted in Obstetrics and Gynaecology Department of Rajarshi Chhatrapati Shahu Maharaj Government Medical College and Hospital, Kolhapur, Maharashtra, from October to December 2015 for a period of 120 days. In this study, 70 singleton pregnant females with gestational age from 32-42 weeks with less amniotic fluid index (AFI <8 cm were analysed for perinatal outcome. Data were expressed as number (Percentage. Proportion test was performed for comparison, P value <0.05 was taken as level of significance. RESULTS Women with oligohydramnios were significantly associated with an abnormal intrapartum Foetal Heart Rate (FHR, i.e. foetal distress, meconium stained fluid, Apgar score less than 7 or NICU admission. Also subjects with AFI 5.0 cm or less had a higher rate of caesarean section for foetal distress. CONCLUSIONS Although, in our population antepartum oligohydramnios alone is not predictive of adverse perinatal outcome as measured by low APGAR score and NICU admission, gestational age, severity of oligohydramnios and associated IUGR are other important criteria for perinatal outcome, yet this may be reflective of the aggressive antepartum and intrapartum management in these patients.

  14. Otosclerose: resultados de estapedotomias Otosclerosis: stapedotomy results

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    José Ricardo Gurgel Testa

    2002-03-01

    Full Text Available Introdução: Otospongiose ou otosclerose é uma moléstia heredo-degenerativa da cápsula labiríntica relativamente comum e que ocorre principalmente em mulheres entre 20 e 30 anos de idade. Nas últimas décadas a estapedotomia tem sido uma técnica preferida por muitos cirurgiões para o tratamento da otosclerose. Assim, esse trabalho analisa os resultados de 59 estapedotomias realizadas no Hospital Paulista de Otorrinolaringologia nos últimos 7 anos. Forma de estudo: Clínico randomizado. Materiais e Métodos: Estudo retrospectivo de 59 pacientes com otosclerose, submetidos a estapedotomia por um mesmo cirurgião, e com seguimento clínico e audiométrico. Resultados: Melhora auditiva comprovada pelo fechamento do gap na audiometria em 53 pacientes (90%. Complicações ocorridas são relacionadas por ordem decrescente de freqüência: deslocamento da prótese (7%, alterações no paladar (7%, paralisia facial (3%, vertigem (3%, extrusão total da prótese (1,5%, tinnitus persistente (1,5%, perfuração da membrana timpânica (1,5%. Conclusão: A estapedotomia vem se mostrando uma boa opção terapêutica, já que, em geral, apresenta baixa morbidade e altas taxas de sucesso, proporcionando melhor qualidade de vida para os portadores de otosclerose.Introduction: Otospongiosis or otosclerosis is a common degenerative and hereditary disease of the labyrinthine capsule and occurs mainly in women with age between 20 and 30 years. In recent decades stapedotomy has increasingly tended to become the most used surgical technique to the treatment of otosclerosis. Thus, this study analyzes the results of 59 stapedotomies realized in Paulista Hospital of Otorhinolaryngology on the last 7 years. Study design: Clinical randomized. Materials and Method: Retrospective analysis of 59 patients with otosclerosis who underwent stapedotomy performed by the same surgeon and follow-up clinical and audiological. Results: Hearing improvement proved by audiogram

  15. Aplicação do mapa conceitual: resultados com diferentes métodos de ensino-aprendizagem

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    Diana Paula de Souza Rego Pinto Carvalho

    2016-01-01

    Full Text Available Objetivo: analizar el resultado de una intervención de enseñanza aliada a un método tradicional para el desarrollo del concepto de complicaciones de la herida quirúrgica postoperatoria para uso en el pregrado en enfermería. Método: estudio de análisis cualitativo casi-experimental, aplicado por medio de una intervención de enseñanza en los estudiantes de enfermería de pregrado. La recolección de datos se dio en dos etapas, y los estudiantes fueron divididos al azar en los subgrupos I y II. Para facilitar la recopilación de datos, los estudiantes desarrollaron mapas conceptuales con la ayuda de las herramientas de software Cmap Tools®. Los datos fueron analizados mediante la técnica de análisis de contenido, identificando 12 categorías. Resultados: el subgrupo II mostró resultados positivos en relación con el subgrupo I, ya que la asociación de los dos métodos de enseñanza que utilizan la técnica de MC podría promover la capacidad de articular los conceptos desarrollados con conocimientos previos. Conclusión: se encontró que la asociación de la intervención docente con base teórica en la Teoría del Aprendizaje Significativo, más el método tradicional y el uso de la técnica de MC estimulan un buen desempeño de los estudiantes en el proceso de enseñanza-aprendizaje.

  16. [Can implementation of intensified perinatal survey be effective in improving the quality of perinatal care?].

    Science.gov (United States)

    Troszyński, Michał

    2010-01-01

    Intensive scientific research and rapid technical progress have influenced the rapid fall in term newborn mortality. At the same time new problems have arisen such as saving the lives of infants with low and very low birth weight. Solving these problems needs reorganization of perinatal care, better equipment, especially in reference units and in outpatient clinics, as well as more intensive staff training. to obtain information whether implementation of intensified perinatal survey of fetus and newborn mortality can improve the quality of perinatal care in Poland. Implementation of the survey based on Central Statistics Office (GUS) data, Ministry of Health MZ-29 section X Document and the author's own studies. In the year 2008 newborn with birth weight less than 2500 g, constituted 6,06% liveborn infants, newborn weighing from 1000 to 2499 g - 5%, those with weight from 500 to 999 g - 0.51% of all live born infants. These figures differ according to voivodeship. The intensive survey concerning birth weight and perinatal mortality indeces in voivodeshipPoland, as well as in individual voivodeships, showed differences between data from the Central Statistics Office and data from the Ministry of Health MZ-29 document. This may be due to different methods of registrating newborn deaths eg. newborns transfered in the first weekoflife from the maternity ward to intensive care neonatal ward or to other specialistic departaments. Another reason for the difference may be discharge of the newborn data according to the place of birth or the mother's place of permanent domicile registration. This causes disturbances in flow of infomation resulting in ineffective analysis of perinatal mortality and of perinatal care evaluation. In the ongoing analysis it was found that in Poland stillbirths occur twice as often as perinatal deaths (4.3 per thousands) stillbirths and 2.15 per thousands perinatal deaths), with significant differences between voivodeships. This makes it

  17. Resultados da microcirurgia em 54 aneurismas intracranianos

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    Paulo Niemeyer

    1974-09-01

    Full Text Available O autor apresenta sua experiência em 54 aneurismas arteriais intracranianos operados com técnica microcirúrgica, no período de janeiro de 1971 a março de 1974. Em 40 doentes classificados nos grupos I, II e III, não houve mortalidade. Incluindo 8 doentes do grupo IV, onde ocorreram 3 óbitos, a mortalidade foi de 6,2%. Nos doentes do grupo V, a mortalidade continua proibitiva, seja qual for a técnica usada. Os doentes foram operados com microscópio cirúrgico de fabricação brasileira, sendo usados clips de Yasargil, Scoville, Mayfield e de modelo do autor. Comparando os resultados atuais de microcirurgia (1971-1974, com a experiência anterior, baseada em cerca de 400 casos, no período de 1949 a 1970, o autor conclui que a cirurgia dos aneurismas com auxílio do microscópio é benigna e sem mortalidade nos doentes de bom risco cirúrgico. Considera a existência de espasmo o maior problema e julga que o momento mais oportuno de operar é quando surgem as melhoras clínicas, coincidindo com o desaparecimento do espasmo, entre o 7º e 10º dia, geralmente.

  18. La dimensión pública del buen gobierno: la administración ciudadana del quehacer colectivo

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    Juan Carlos León y Ramírez

    2009-01-01

    Full Text Available El texto presenta las líneas gen er a les de una propuesta teórico-conceptual denominad a: ''El gobierno de lo público'', que busca recuperar el carácter intrínsecamente público de la sociedad a través del espacio de vinculación pública en tre ciudadanos y gobierno que el autor rescata de la articulación de las tradiciones del republicanismo y del buen gobierno con el desarrollo contemporáneo de algunos referentes como ''ampliación de los espacios públicos'' y ''ciudadanía''. Desde esta perspectiva, el autor ensaya algunas de las diversas problemáticas que se encuentran alrededor de sus consideraciones en el marco de los retos que la consolidación y fortalecimiento de la democracia suponen en tiempos de globalidad, apuntando algunas reflexiones sobre México, y del impacto que ello tiene en la discusión sobre lo público como uno de los objetos de estudio de la administración pública que es necesario abrir a de bate.

  19. El Buen Pastor y la Monarquía Católica en la segunda mitad del siglo XVII

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    Iván Sánchez Llanes

    2009-01-01

    Full Text Available En los siglos XVII y XVIII hay muchas maneras en las que se conceptualiza la relación entre el rey y la comunidad de vasallos, cada una de las cuales muestra algunos aspectos particulares de la teoría y metodología de la praxis del poder político. En este artículo, vamos a explorar la imagen del «Buen pastor» en la monarquía católica en la segunda mitad del siglo XVII y los modos en que apunta una nueva percepción de los deberes y obligaciones que vinculan al rey y su reino.In the XVI and XVII centuries, there are several ways in which the relationship between the king and the community of the vassals is conceptualized, everyone of them showing some particular aspects of the theoretical and methodological praxis of the political power. In this article, we are going to explore the image of the «Good shepherd» in the Catholic monarchy in the second half of the XVII century and the ways in which it points out a new perception of the duties and obligations that links the king and its kingdom.

  20. Contornos negociados del "buen morir": la toma de decisiones médicas en el final de la vida

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    Juan Pedro Alonso

    2012-03-01

    Full Text Available El artículo analiza la toma de decisiones médicas en el final de la vida, explorando las nociones legas y profesionales respecto al "buen morir" que estas decisiones ponen de relieve. A partir de un planteamiento etnográfico en un servicio de cuidados paliativos de la ciudad de Buenos Aires, Argentina, el artículo encara empíricamente la forma en que los significados en torno a estas nociones se negocian en contextos prácticos y situacionales. El análisis de casos concretos de toma de decisiones en el final de la vida evidencia el carácter problemático de definir estas nociones en ámbitos médicos, y que el significado y la definición de una muerte como "buena" o "digna" se sujeta a un proceso de construcción interpretativa por parte de los actores. Asimismo, se señalan las tensiones entre los proyectos de "humanización" de los cuidados en el final de la vida y la medicación de la muerte y el morir.

  1. Diálogo cultural e intercambios como experiencia de Buen Vivir. La suma causai en Lima Norte

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    Teresa Cañedo-Arguelles

    2014-02-01

    Full Text Available Suma Causai, quechuan, or Suma Camaña, aymaran, mean something similar to “harmony among neighbors and with nature”. This is a similar concept to that of “buen vivir”, which actually has re-inspired by the Andean context where the principal forums for reflection on the matter are arising. This article adds to these forums, contributing an analysis about different initiatives for development that are appearing in the northern districts of Lima, which are a product of the interaction between the migrant andean population and the institutional, social and economic environment of the Peruvian capital. It refers to the initiatives that the migrants are taking to establish themselves within the economic and cultural life of Lima without having to renounce their traditions and emotional references. This interior cultural heritage based on values, customs, and gestures, which has been overflowing in its new vital urban environment contribute to generate wealth, topple prejudice, empathy between the new and old urban society of Lima, at the same time that are making a notable influence in the rebuilding of the own Andean culture.

  2. Contornos negociados del "buen morir": la toma de decisiones médicas en el final de la vida

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    Juan Pedro Alonso

    Full Text Available El artículo analiza la toma de decisiones médicas en el final de la vida, explorando las nociones legas y profesionales respecto al "buen morir" que estas decisiones ponen de relieve. A partir de un planteamiento etnográfico en un servicio de cuidados paliativos de la ciudad de Buenos Aires, Argentina, el artículo encara empíricamente la forma en que los significados en torno a estas nociones se negocian en contextos prácticos y situacionales. El análisis de casos concretos de toma de decisiones en el final de la vida evidencia el carácter problemático de definir estas nociones en ámbitos médicos, y que el significado y la definición de una muerte como "buena" o "digna" se sujeta a un proceso de construcción interpretativa por parte de los actores. Asimismo, se señalan las tensiones entre los proyectos de "humanización" de los cuidados en el final de la vida y la medicación de la muerte y el morir.

  3. MUCHO Y MUY BUEN VINO. PRODUCCIÓN VITIVINÍCOLA EN LA ZONA NORTE DE SANTIAGO (SIGLOS XVI -XVIII

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    Carlos Ruiz Rodríguez

    2011-10-01

    Full Text Available En la zona norte de Santiago (sectores de la Chimba, Renca, Conchalí, El Salto, Quilicura, se comenzó a producir desde poco después de la conquista española, “mucho y muy buen vino”. Se reseña el origen y particularidades de esta producción vinícola durante el período colonial. Se reconstruye un cuadro descriptivo de la viñatería colonial en la zona, junto con analizar los aspectos económicos: la evolución de la infraestructura productiva, el tipo de predios dedicados a la producción de vino, el precio de los suelos y de las plantas de viña, el uso de mano de obra (asalariada, servil y esclava y el impacto del establecimiento del régimen colonial y del consumo de alcohol en la población indígena.

  4. Fatores associados à asfixia perinatal Factors associated with perinatal asphyxia

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    Alfredo de Almeida Cunha

    2004-12-01

    Full Text Available OBJETIVO: avaliar fatores de risco associados ao índice de Apgar baixo. MÉTODOS: o estudo teve delineamento transversal. A população de estudo foi amostra randômica da população internada em maternidade nível III no ano de 2001. O desfecho foi índice de Apgar baixo, definido como de 1-6 (grupo de estudo comparado a 7-10 (controle no primeiro minuto. A primeira etapa foi avaliar a associação isolada de cada possível fator de risco. A segunda etapa consistiu em análise multivariada com modelagem usando regressão logística (modo passo a passo, reverso. RESULTADOS: houve 39 (14% recém-nascidos (RN deprimidos que foram comparados a 238 (86% não deprimidos. A análise final (multivariada revelou associação do índice de Apgar baixo com os seguintes fatores de risco: antecedente de natimorto (OR=52,6, ameaça de parto prematuro, caracterizada pela existência de contrações uterinas não típicas de trabalho de parto (OR=33,8, baixo peso do RN, inferior a 2.500 g (OR=11,2, antecedente de cesariana (OR=7,4. Funcionaram como fatores de proteção o peso do RN medido em gramas (OR=0,9, sexo feminino do RN (OR=0,1, presença de intercorrência clínica (OR=0,4 e prematuridade, com idade gestacional inferior a 37 semanas (OR=0,1 CONCLUSÃO: o estudo do resultado pode auxiliar na identificação de fetos com risco de asfixia, possibilitando seu encaminhamento dentro do sistema de saúde, bem como o planejamento da assistência em unidades terciárias.PURPOSE: to assess risk factors for low Apgar score. METHODS: this was a cross-sectional study preformed in a random sample of patients admitted to a level III maternity hospital in 2001. The outcome was low Apgar score defined as an Apgar score 1-6 (study group versus Apgar score 7-10 (control group in the first minute of life. The first step was the evaluation of the association of each possible risk factor with low Apgar score. The second step was multivariate analysis with the backward

  5. Mortalidade perinatal no municipio de Salvador, Bahia: evolucao de 2000 a 2009

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    Elsa Jacinto

    2013-10-01

    Full Text Available OBJETIVO Analisar a evolução da mortalidade perinatal quanto à dimensão do problema e sua extensão. MÉTODOS Estudo descritivo de tendência temporal com 10.994 óbitos perinatais, de mães residentes em Salvador, BA, com idade gestacional ≥ 22 semanas, idade do recém-nascido até seis dias e 500 g ou mais de peso ao nascer, registrados de 2000 a 2009. Utilizaram-se dados do Sistema de Informações de Nascidos Vivos e do Sistema de Informações sobre Mortalidade do sitio eletrônico do Datasus/Ministério da Saúde. Calcularam-se taxas de mortalidade perinatal e fetal/1.000 nascimentos e neonatal precoce/1.000 nascidos vivos. Aplicaram-se: teste Qui-quadrado de Pearson para diferenças em proporções, teste de sequências ( runs , cálculo de médias móveis e coeficiente de determinação linear (R 2 para análise de tendência. Utilizou-se a classificação de Wigglesworth para causas de morte. RESULTADOS A taxa de mortalidade perinatal mostrou tendência decrescente, sendo reduzida em 42,0% no período (de 33,1 (2000 para 19,2 (2009, com maior contribuição da taxa neonatal precoce (-56,3%. A mortalidade fetal representou grande proporção (61,9% da taxa de mortalidade perinatal em 2009. A classificação dos óbitos apontou como causas mais frequentes de óbito perinatal: asfixia intraparto (8,8/1.000, imaturidade (7,1/1.000 e malformações congênitas (1,3/1.000. CONCLUSÕES Mesmo em declínio, a taxa de mortalidade perinatal continua elevada e o predomínio recente da mortalidade fetal indica mudança no perfil de causas e impacto nas ações de prevenção. A consulta pré-natal de qualidade com controle de riscos e melhoria da assistência ao parto pode reduzir a ocorrência de causas evitáveis.

  6. Latinobarómetro 1997: Principales resultados

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    Ismael CRESPO

    2009-11-01

    Full Text Available RESUMEN: El latinobarómetro es quizá la encuesta de opinión pública más importante que, cada año, analiza conjuntamente la realidad latinoamericana y española y que, además, permite la comparación de indicadores entre 18 países. Lo que se nos presenta a continuación son comentarios a los principales resultados extraídos en 1997, comparados con los obtenidos el año anterior, sobre aspectos como el desarrollo político e institucional y el estado de la democracia, junto a otras valoraciones de la realidad económica; ofreciéndonos, con ello, una clara descripción de la evolución de la opinión pública en estos países. Palabras clave: Latinobarómetro, opinión pública.ABSTRACT: The "latin-barometer" is perhaps the most important public opinion survey which analysies the latinamerican and the spanish situation together each year. Moreover it allows the comparition of indicators between eighteen countries. This paper shows the main results obtained during 1997. These results are compared with wihic were obtained on 1996. It comparies issues such as the instituctional and political development and the conditios of democracy; it linked to other valuations of the economic situation. These data offer us a clear description about the evoluction of public opinion in these countries.

  7. Latinobarómetro 1997: Principales resultados

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    Ismael CRESPO

    2009-11-01

    Full Text Available RESUMEN: El latinobarómetro es quizá la encuesta de opinión pública más importante que, cada año, analiza conjuntamente la realidad latinoamericana y española y que, además, permite la comparación de indicadores entre 18 países. Lo que se nos presenta a continuación son comentarios a los principales resultados extraídos en 1997, comparados con los obtenidos el año anterior, sobre aspectos como el desarrollo político e institucional y el estado de la democracia, junto a otras valoraciones de la realidad económica; ofreciéndonos, con ello, una clara descripción de la evolución de la opinión pública en estos países. Palabras clave: Latinobarómetro, opinión pública.ABSTRACT: The "latin-barometer" is perhaps the most important public opinion survey which analysies the latinamerican and the spanish situation together each year. Moreover it allows the comparition of indicators between eighteen countries. This paper shows the main results obtained during 1997. These results are compared with wihic were obtained on 1996. It comparies issues such as the instituctional and political development and the conditios of democracy; it linked to other valuations of the economic situation. These data offer us a clear description about the evoluction of public opinion in these countries.

  8. Aportaciones sobre la composición de los esmaltes, barnices y pastas de la porcelana del Buen Retiro. Nuevos datos documentales

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    Mañueco, C.

    2000-02-01

    Full Text Available The transpcripton of Manuel de Agreda´s manupscrit, tje last Buen Retiro Porcelain´s Manufacture director is, for first time published . Data on composition and raw materials for more than forty pastes, enamels, glazes, pigmentes is included. This work is insert in the renewed interest on the pluridisciplinary approach, artistic and technical to the Buen Retiro ceramic history studies.

    Se publica por por primera vez la transcripción íntegra del documento de Manuel de Agreda, ultimo director de la Manufactura de Porcelana del Buen Retiro sobre la fabricación de la porcelana y colores. Se incluyen las composiciones, materias primas y proceso de fabricación de tres pastas y cerca de cuarenta esmaltes, barnices y pigmentos. La publicación se enmarca dentro del renovado interés existente sobre los estudios integrados: artísticos y técnicos, de la historia de la cerámica.

  9. PARADOJAS ENTRE OBJECTIVOS Y RESULTADOS DE POLÍTICAS PÚBLICAS. ANÁLISIS COMPARADO DEL AUTO TRANSPORTE COLECTIVO DE BUENOS AIRES.

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    Andrea Gutiérrez

    2006-12-01

    Full Text Available El autotransporte público de Buenos Aires trascendió internacionalmente por su buen nível de servicio siendo gestionado por pequeñas y medianas empresas bajo regulación estatal y sin subvención. La regulación se revisa en los 90, al igual que en otras partes del mundo, con el objetivo de promover mejoras sin cambios estructurales.Los resultados a diez años muestran paradojas. Por un lado, la subvención no motiva la revisión pero tiene lugar trás ella. Por el otro, la regulación introduce cambios menores y más bien formales, pero emerge un perfil de empresa y de servicio diferente. Por último, se comparten resultados com revisiones internacionales de distinta orientación. El trabajo busca interpretar las paradojas entre objetivos y resultados de las políticas públicas, organizando la evidencia empírica mediante la aplicación de un esquema metodológico al análisis integrado (servicios públicos y de oferta libre y comparativo (con experiencias internacionales del caso. Finalmente, intenta una reflexión teórica sobre el auto transporte colectivo urbano, observando tendencias compartidas e identificando continuidades y rupturas respecto a momentos anteriores.

  10. Factores asociados a mortalidad perinatal en el hospital general de Chiapas, México

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    Leonor Rivera

    2003-12-01

    Full Text Available OBJETIVO: El objetivo del estudio es identificar factores socioeconómicos, gineco-obstétricos y del producto asociados a mortalidad perinatal. MÉTODOS: Se realizó un estudio de casos y controles pareado. Se consideró caso a los nacidos vivos o muertos que nacieron y fallecieron entre las 28 semanas de gestación a los 7 días de vida extrauterina. y control al producto nacido vivo entre las 28 semanas de gestación y los 7 días de vida extrauterina. Los datos se obtuvieron de los expedientes clínicos hospitalarios. Se estudiaron 99 casos y 197 controles. Se hizo un análisis estadístico utilizando Stata 6.0. RESULTADOS La media de edad de la madre fue de 24.82 años y del producto de 37.78 semanas de gestación. El promedio de peso del producto fue de 2,760 gramos. Los factores asociados a mortalidad perinatal fueron: ocupación del padre agricultor (RM ajustada 3,31; IC 95% 1,26-8,66; índice de riesgo obstétrico alto (RM ajustada 10,57; IC 95% 2,82-39,66, antecedente de cesárea (RM ajustada 2,75; IC 95% 1,37-5,51; cinco y más consultas prenatales (RM ajustada 4,43; IC 95% 1.86-10,54; producto pretérmino (RM ajustada 9,20; IC 95% 4,39-19,25. CONCLUSIONES: Los resultados muestran que es necesario implementar medidas de prevención y control que aseguren la identificación del riesgo en las mujeres embarazadas, con el fin de abatir la incidencia de mortalidad perinatal.

  11. Factores asociados a mortalidad perinatal en el hospital general de Chiapas, México

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    Rivera Leonor

    2003-01-01

    Full Text Available OBJETIVO: El objetivo del estudio es identificar factores socioeconómicos, gineco-obstétricos y del producto asociados a mortalidad perinatal. MÉTODOS: Se realizó un estudio de casos y controles pareado. Se consideró caso a los nacidos vivos o muertos que nacieron y fallecieron entre las 28 semanas de gestación a los 7 días de vida extrauterina. y control al producto nacido vivo entre las 28 semanas de gestación y los 7 días de vida extrauterina. Los datos se obtuvieron de los expedientes clínicos hospitalarios. Se estudiaron 99 casos y 197 controles. Se hizo un análisis estadístico utilizando Stata 6.0. RESULTADOS La media de edad de la madre fue de 24.82 años y del producto de 37.78 semanas de gestación. El promedio de peso del producto fue de 2,760 gramos. Los factores asociados a mortalidad perinatal fueron: ocupación del padre agricultor (RM ajustada 3,31; IC 95% 1,26-8,66; índice de riesgo obstétrico alto (RM ajustada 10,57; IC 95% 2,82-39,66, antecedente de cesárea (RM ajustada 2,75; IC 95% 1,37-5,51; cinco y más consultas prenatales (RM ajustada 4,43; IC 95% 1.86-10,54; producto pretérmino (RM ajustada 9,20; IC 95% 4,39-19,25. CONCLUSIONES: Los resultados muestran que es necesario implementar medidas de prevención y control que aseguren la identificación del riesgo en las mujeres embarazadas, con el fin de abatir la incidencia de mortalidad perinatal.

  12. Masas retroperitoneales en el período perinatal Retroperitoneal masses in the perinatal period

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    Nelda María Castagnaro Rosini

    2011-03-01

    Full Text Available Objetivo: identificar las causas más frecuentes de masa retroperitoneal durante el período fetal y neonatal e ilustrar los hallazgos imagenológicos basados en los resultados obtenidos de nuestra experiencia. Material y método: estudio retrospectivo observacional de las causas de masas retroperitoneales en recién nacidos (RN. Se analizaron historias clínicas y hallazgos radiológicos y ultrasonográficos de 487 neonatos a los que se les había realizado ecografía abdominal entre enero de 2008 y diciembre de 2009. Se seleccionaron 47 RN con diagnóstico de lesión retroperitoneal, respetando los siguientes criterios: Inclusión: pacientes con diagnóstico ecográfico prenatal de masa intraabdominal retroperitoneal y neonatos que presentaron al examen físico masa abdominal palpable y fueron estudiados con diferentes técnicas de diagnóstico por imagen. Exclusión: neonatos con patología abdominal gastrointestinal e intraperitoneal. Resultados: del total de pacientes (n =47, 42 presentaron masas de origen renal (89% y 5 retroperitoneal extrarrenal (11%. Las patologías prevalentes fueron hidronefrosis con 36 casos (76% y displasia renal multiquística con 4 (9%. Se registró un caso de nefroma mesoblástico congénito y 1 con enfermedad poliquística autosómica recesiva. Se detectaron 3 RN con hemorragia suprarrenal (6% y 2 con neuroblastoma (4%. Conclusión: la incidencia de Masas Retroperitoneales en la población estudiada fue del 9,65%, coincidente con la bibliografía. El presente trabajo destaca el valor del US prenatal, importante para definir conducta obstétrica, y la coordinación entre la ecografía pre y posnatal para lograr una mayor aproximación al diagnóstico. El rol fundamental de la TC para definir conducta quirúrgica en el nefroma mesoblástico congénito y para estadificación en los casos de neuroblastoma.Purpose: To identify the most frequent causes of retroperitoneal mass during the fetal and neonatal period, and

  13. Organización para el buen vivir. Estudio de caso de organizaciones del sector cooperativo en la provincia del Azuay (Ecuador y sus aportes al buen vivir de las poblaciones y sus territorios

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    Sebastián Endara

    2014-07-01

    Full Text Available Partiendo de que las organizaciones cooperativistas son definidas como asociaciones voluntarias de personas unidas para lograr un fin o satisfacer una necesidad común, bajo firmes principios y valores éticos, la participación, la educación continua, y el compromiso con la Naturaleza, y siendo estos elementos constitutivos del ideal del Buen Vivir/Sumak Kawsay, este estudio parte estableciendo una lectura crítica de los soportes ideológicos que restringen las posibilidades de expansión de la organización social, y sugiere los elementos claves que justifican la existencia de la organización social como parte de un proceso muy vinculado a la generación de nuevos paradigmas de desarrollo, para concluir a modo de ejemplificación, con un acercamiento a organizaciones de este tipo dentro de la provincia del Azuay, ubicar sus pilares de funcionamiento organizacional a través del seguimiento de su historia y sus perspectivas a futuro. | Cooperative organizations are defined as voluntary associations of people united to achieve a purpose or satisfy a common need, under firm principles and ethical values, participation, continuing education, and commitment to nature, being these constituent elements of the ideal of the Good Living/Sumak Kawsay, this study begins by establishing a critical reading of the ideological stands that restrict the possibilities of expansion of the social organization and suggest the key elements that justify the existence of the social organization as part of a process very linked to the generation of new paradigms of development, concluding by way of illustration, with an approach to certain organizations of this type in the province of Azuay, locate its pillars of organizational performance through monitoring of its history and its future prospects.

  14. Perinatal Outcomes in Women with Extragenital Diseases

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    Agamurad A. Orazmuradov

    2017-06-01

    Full Text Available An increase in the incidence of extragenital diseases (EGDs in the population against the background of the rise in the birth rate actualizes the problems of pregnancy management in women with EGD. Pregnancy-induced physiological changes in the body lead to a worsening of the course of diseases that were at the stage of unsustainable compensation before pregnancy. The purpose of our study was to determine the effectiveness of hyperbaric oxygenation (HBO in the prevention of obstetric/perinatal complications in pregnant women with EGDs and neonatal morbidity. The inclusion of HBO in a complex of therapeutic and prophylactic measures in pregnant women with high perinatal risk contributed to a significant reduction in premature birth and a statistically significant improvement in neonatal morbidity parameters.

  15. Diabetes and perinatal mortality in twin pregnancies.

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    Zhong-Cheng Luo

    Full Text Available BACKGROUND: Diabetes in pregnancy has been associated with a paradoxically reduced risk of neonatal death in twin pregnancies. Risk "shift" may be a concern in that the reduction in neonatal deaths may be due to an increase in fetal deaths (stillbirths. This study aimed to clarify the impact of diabetes on the risk of perinatal death (neonatal death plus stillbirth in twin pregnancies. METHODS: This was a retrospective cohort study of twin births using the largest available dataset on twin births (the U.S. matched multiple birth data 1995-2000; 19,676 neonates from diabetic pregnancies, 541,481 from non-diabetic pregnancies. Cox proportional hazard models were applied to estimate the adjusted hazard ratios (aHR of perinatal death accounting for twin cluster-level dependence. RESULTS: Comparing diabetic versus non-diabetic twin pregnancies, overall perinatal mortality rate was counterintuitively lower [2.1% versus 3.3%, aHR 0.70 (95% confidence intervals 0.63-0.78]. Individually, both stillbirth and neonatal mortality rates were lower in diabetic pregnancies, but we identified significant differences by gestational age and birth weight. Diabetes was associated with a survival benefit in pregnancies completed before 32 weeks [aHR 0.55 (0.48-0.63] or with birth weight =2500 g [aHR 2.20 (1.55-3.13]. CONCLUSIONS: Diabetes in pregnancy appears to be "protective" against perinatal death in twin pregnancies ending in very preterm or very low birth weight births. Prospective studies are required to clarify whether these patterns of risk are real, or they are artifacts of unmeasured confounders. Additional data correlating these outcomes with the types of diabetes in pregnancy are also needed to distinguish the effects of pre-gestational vs. gestational diabetes.

  16. MATERNAL AND PERINATAL OUTCOME IN ADOLESCENT PREGNANCY

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    Elizabeth Joseph

    2016-12-01

    Full Text Available BACKGROUND Adolescence is a period of transition from childhood to adulthood extending from 11-19 years. Adolescent pregnancy is a highrisk situation because of psychological and physical immaturity. The study was undertaken to analyse the various aspects of pregnancy and labour in the adolescent mother and also to assess perinatal outcome. MATERIALS AND METHODS It was a one year clinical analytical study carried out in DM-WIMS. All the adolescent pregnant mothers admitted in the third trimester were included in the study irrespective of gravidity and parity. The cases were followed up in terms of details of delivery, pregnancy complications and perinatal outcome. RESULTS There were 124 cases of teenage pregnancy in third trimester out of 1006 deliveries (12.3%. Of the adolescent pregnancies, 98.04% were in 17-19 years age group. 99.8% of adolescent pregnancies occurred in married women. 91.53% of the adolescent pregnant women were primigravidas. 10% of adolescent mothers were admitted before term owing to detection of high-risk conditions like severe PIH, preterm labour, PPROM. 88.6% had vaginal delivery, 11.4% delivered by LSCS. 19.02% of cases had low birth weight infants. 35% of these babies needed admission during perinatal period. CONCLUSION Incidence of adolescent pregnancy was 12.3%. Teenagers were seen to have a higher need for counselling regarding nutrition, hygiene, breastfeeding and contraception. Course of labour was not seen to be significantly affected by age alone. Perinatal outcome was also good in these patients though there were a few avoidable admissions due to poor feeding techniques and decreased sense of responsibility.

  17. Perinatal Risk Factors for Mild Motor Disability

    Science.gov (United States)

    Hands, Beth; Kendall, Garth; Larkin, Dawne; Parker, Helen

    2009-01-01

    The aetiology of mild motor disability (MMD) is a complex issue and as yet is poorly understood. The aim of this study was to identify the prevalence of perinatal risk factors in a cohort of 10-year-old boys and girls with (n = 362) and without (n = 1193) MMD. Among the males with MMD there was a higher prevalence of postpartum haemorrhage,…

  18. Perinatal Risk Factors for Mild Motor Disability

    Science.gov (United States)

    Hands, Beth; Kendall, Garth; Larkin, Dawne; Parker, Helen

    2009-01-01

    The aetiology of mild motor disability (MMD) is a complex issue and as yet is poorly understood. The aim of this study was to identify the prevalence of perinatal risk factors in a cohort of 10-year-old boys and girls with (n = 362) and without (n = 1193) MMD. Among the males with MMD there was a higher prevalence of postpartum haemorrhage,…

  19. Obstetric and perinatal outcome of teenage pregnancy.

    Science.gov (United States)

    Suwal, A

    2012-01-01

    Adolescents are at higher risk during childbirth than women between 20 to 25 years. Adolescent childbearing initiates a syndrome of failure: failure to complete one's education; failure in limiting family size; failure to establish a vocation and become independent. This study was done to find out the obstetric and perinatal outcome of teenage pregnancy along with factors contributing to teenage pregnancy. A prospective, cross sectional study was carried out in College of Medical Sciences Teaching Hospital (CMSTH), Bharatpur during the period for two years from September 2008 to August 2010. Pregnant girls ≤19 years admitted to labour ward were taken for the study. Cases planned for abortion and MTP were also taken. One hundred cases of pregnant teenagers were admitted in CMSTH during a period of two years. Incidence was 6.85%. In our study, most of the teenagers were unbooked, from low socioeconomic status and with no or inadequate education. They had little knowledge about contraception and less number of teenagers used temporary means of contraception. Because of our social custom of early marriage, most of the teenage mothers were married. All these factors were correlated with teenage pregnancy in present study. This study failed to show any statistically significant difference in the incidence of anaemia, LBW babies, preterm delivery, hypertensive disorder of pregnancy, mode of delivery in different ages of teenage mothers. However, there was significant difference in the incidence of perinatal death in different ages of teenage mothers indicating that perinatal deaths were more in younger teenagers.

  20. BLOOD BIOMARKERS FOR EVALUATION OF PERINATAL ENCEPHALOPATHY

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    Ernest Marshall Graham

    2016-07-01

    Full Text Available Recent research in identification of brain injury after trauma shows many possible blood biomarkers that may help identify the fetus and neonate with encephalopathy. Traumatic brain injury shares many common features with perinatal hypoxic-ischemic encephalopathy. Trauma has a hypoxic component, and one of the 1st physiologic consequences of moderate-severe traumatic brain injury is apnea. Trauma and hypoxia-ischemia initiate an excitotoxic cascade and free radical injury followed by the inflammatory cascade, producing injury in neurons, glial cells and white matter. Increased excitatory amino acids, lipid peroxidation products and alteration in microRNAs and inflammatory markers are common to both traumatic brain injury and perinatal encephalopathy. The blood-brain barrier is disrupted in both leading to egress of substances normally only found in the central nervous system. Brain exosomes may represent ideal biomarker containers, as RNA and protein transported within the vesicles are protected from enzymatic degradation. Evaluation of fetal or neonatal brain derived exosomes that cross the blood-brain barrier and circulate peripherally has been referred to as the liquid brain biopsy. A multiplex of serum biomarkers could improve upon the current imprecise methods of identifying fetal and neonatal brain injury such as fetal heart rate abnormalities, meconium, cord gases at delivery, and Apgar scores. Quantitative biomarker measurements of perinatal brain injury and recovery could lead to operative delivery only in the presence of significant fetal risk, triage to appropriate therapy after birth and measure the effectiveness of treatment.

  1. Untreated perinatal paternal depression: Effects on offspring.

    Science.gov (United States)

    Gentile, Salvatore; Fusco, Maria Luigia

    2017-06-01

    Transition to parenthood represents an important life event which increases vulnerability to psychological disorders. Aim of this article is to analyze all studies which investigated the effects of untreated perinatal paternal depression in offspring. We searched pertinent, peer-reviewed articles published in English (January 1980 to April 2016) on MEDLINE, PsycINFO, and Science.gov. Twenty-three studies met the inclusion criteria. Most of the reviewed studies suffer from methodological limitations, including the small sample, the lack of a structured psychiatric diagnosis, and inclusion bias. Despite such limitations, paternal depression seems to be associated with an increased risk of developmental and behavioural problems and even psychiatric disorders in offspring. In particular, in infants and toddlers such problems vary from increased crying to hyperactivity and conduct problems to psychological and developmental impairment, and poor social outcomes. School-age children of depressed fathers have a doubled risk for suffering from specific psychiatric disorders. Hence, facilitating access to vigorous and evidence based treatments is a public health opportunity for improving the quality of life of depressed parents and their children. Evidences emerging from this review actually suggest that the traditional gender-focused approach to perinatal mood disorders should be completed by a family-centred approach, in order to improve the effectiveness of perinatal mental health programs. Copyright © 2017 Elsevier Ireland Ltd. All rights reserved.

  2. Factores de riesgo de mortalidad perinatal en hospitales de la seguridad social peruana: análisis de los datos del Sistema de Vigilancia Perinatal de EsSalud

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    Alejandro Arrieta-Herrera

    2009-12-01

    Full Text Available Introducción: El estudio utiliza la información del Sistema de Vigilancia Perinatal (SVP de la red hospitalaria del Seguro Social de Salud del Perú (EsSalud para identificar factores de riesgo que inciden en la mortalidad perinatal. El SVP incluye policlínicos y hospitales en todo el Perú, con diferentes niveles de capacidad resolutiva. El estudio agrupa hospitales según mayor y menor capacidad de resolución, para investigar la magnitud de la incidencia de los factores de riesgo en cada grupo. Finalmente, el estudio resalta la importancia de mantener un sistema de información perinatal eficiente y ágil que pueda ser integrado entre diferentes redes de salud en el país, con el objetivo de reducir la mortalidad perinatal nacional. Objetivos: El primer objetivo fue encontrar los principales factores de riesgo de mortalidad perinatal en la red hospitalaria de EsSalud. El segundo objetivo fue identificar diferencias en la magnitud de la incidencia de dichos factores en hospitales de menor y mayor capacidad resolutiva. Diseño: Estudio descriptivo, comparativo y transversal. Lugar: Red nacional de hospitales de EsSalud, Perú. Participantes: Madres y sus recién nacidos. Intervenciones: Se utilizó información clínica del SVP de EsSalud para estimar probabilidad de muerte perinatal, basado en un modelo logístico multivariado, que incluyó 108 813 nacimientos correspondientes a madres y sus recién nacidos en EsSalud, en los años 2005 y 2006. Principales medidas de resultados: Muertes perinatales. Resultados: La anomalía congénita fue el principal factor de riesgo de la mortalidad perinatal en los hospitales de menor y mayor capacidad resolutiva (OR=30,99 y 15,26, respectivamente, seguido por prematuridad menor a 32 semanas (OR=15,68 y 4,20 y peso mayor a 4 000 gramos (OR=4,17 y 3,87. Factores de riesgo de la madre también resultaron asociados a mortalidad perinatal, pero en menor magnitud, resaltando el sangrado genital después de la

  3. Perinatal Loss: The Effect on Attachment in Subsequent Pregnancies

    Science.gov (United States)

    1989-01-01

    manifested when a couple experiences a perinatal loss. Perinatal death can have a profound effect on parent’s emotional, psychological, social, and... deaths associated with prematurity and complications of the newborn. He used telephone interviews with open-ended questions to elicit responses regarding...Stillbirth, and Infant Death . Boston: Beacon Press. Bourne, Stanford. (1979) Coping With Perinatal Death , Part 1-After Effects and Theory. Midwife

  4. Measuring perinatal health equity and migration indicators for international comparisons.

    Science.gov (United States)

    Gagnon, Anita J; Small, Rhonda; Sarasua, Irene; Lang, Carly

    2015-01-01

    An international research collaboration answered, "Can equity in perinatal health for migrant women be measured for comparison across countries?" In nine countries, perinatal databases were assessed for the availability of equity indicators. Equity data were also sought from women and health records. Optimal sources of data differed depending on the migrant perinatal health equity indicator. Health and migration data, required to capture equity, were often not reported in the same location. Migration indicators other than country of birth were underreported. Perinatal health equity can be measured for international comparisons, although a standardized protocol is required to capture all indicators.

  5. Identificacion y valoracion neuropsicologica del riesgo perinatal: intumentos

    National Research Council Canada - National Science Library

    Lopez-Gomez, Santiago; Cajal-Cernuda, Carlos Jose; Ordonez-Blanco, Sonia Ma; Uribe-Rodriguez, Ana Fernanda

    2008-01-01

    .... En el presente articulo se identifican los principales factores asociados al riesgo perinatal y sus implicaciones, haciendo un recorrido por los procedimientos estandarizados de evaluacion del riesgo...

  6. Factores predictivos para resultados funcionales en la cirugía del agujero macular idiopático

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    Meisy Ramos López

    Full Text Available Introducción: el agujero macular idiopático (AMI es una maculopatía frecuente, caracterizada por una dehiscencia de retina en la zona foveal. Actualmente, aparecen discrepancias morfofuncionales tras su cirugía y el periodo de recuperación visual varía y puede ser largo. Por tal motivo, toma valor la consideración de factores predictivos para la recuperación visual posquirúrgica del agujero macular idiopático. Objetivo: esta revisión de la literatura pretende mostrar los factores predictivos relacionados con los resultados funcionales de la cirugía del AMI. Métodos se realizó una búsqueda en diferentes publicaciones y textos básicos de la especialidad. Resultados: se encontró que las investigaciones recogen dentro de los factores de buen pronóstico para la recuperación funcional: estadío 2 del agujero macular, menor tiempo de evolución, diámetro superior menor de 400 µm, factor forma del agujero macular > 0,9, índice del agujero macular < 0,5, tipo de cierre en U y recuperación de la línea límite de los segmentos externos de los conos en la fóvea, entre otros. Conclusiones: en esta revisión se exponen con claridad los factores relacionados con la recuperación funcional tras la cirugía del agujero macular idiopático, cuya consideración constante proporcionará a los oftalmólogos las herramientas para brindar una atención médica de excelencia y, por consiguiente, una elevación de la calidad de vida de los pacientes con esta enfermedad.

  7. MORTALIDADE PERINATAL EM GESTANTES DE ALTO RISCO EM UM HOSPITAL TERCIÁRIO

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    Rita de Cássia Alves Ferreira Silva

    2014-03-01

    Full Text Available Introdução: A mortalidade perinatal, é um importante indicador de qualidade da atenção médica à gestante e ao recém-nascido. Esse estudo teve como objetivo identificar possíveis causas de mortalidade perinatal em gestantes de alto risco em um hospital terciário de Porto Velho, Rondônia. Metodologia: Realizou-se um estudo transversal descritivo de julho a dezembro de 2010, sendo a amostra composta por 48 gestantes considerando período gestacional de 22 semanas ou mais. Os dados secundários foram coletados de prontuários. Foram analisadas as seguintes variáveis: tipo e evolução do parto, indicadores obstétricos e evolução clínica dos recém-nascidos. Resultados: A taxa de mortalidade perinatal foi de 35,68/1000. A maioria dos partos ocorreu em ambiente hospitalar. 28 (60,9% partos ocorreram por via vaginal, a faixa etária variou entre 15 e 43 anos. Em relação à duração da gestação, 36,2% das gestantes se encontravam entre 32 a 37 semanas. Quanto às consultas pré-natais, a maiorias das gestantes realizaram entre 3 e 4 consultas, 42,3%. Os diagnósticos maternos mais comuns foram infecção urinária (22,9% e trabalho de parto prematuro (22,9%. Em relação ao diagnóstico dos produtos, 47,9% eram natimortos e 20,8% apresentaram mal formação congênita. Conclusão: A taxa de mortalidade perinatal é elevada quando comparada com instituições similares. Infecção urinária e parto prematuro foram às causas mais frequentes de mortalidade perinatal, seguidas por eclampsia e coriamnionite.

  8. Deconstruyendo el resultado contable convencional para diseñar un resultado contable ambiental

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    José Juan Déniz Mayor

    2015-01-01

    Full Text Available En el presente trabajo se discute la dificultad de delimitar con precisión los flujos de gastos e ingresos relacionados con la gestión ambiental corporativa, utilizando como hilo argumental el diseno˜ de un modelo algebraico de resultado contable que haga visible las partidas más significativas en esta materia. Las principales conclusiones se centran en la necesidad de vincular los gastos e ingresos ambientales a objetivos específicos a fin de poder evaluar el desempeno˜ ambiental de la empresa y el riesgo de adoptar decisiones ambientalmente ineficientes para mejorar la imagen pública gracias a este estado contable. Entre las principales limitaciones del modelo propuesto se encuentran el problema de la vinculación homogeneizada de las magnitudes contables a los objetivos de protección ambiental y la exclusión de las externalidades ambientales.

  9. Etica publica & buen gobierno

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    Manjarrez, J.

    2007-01-01

    Full Text Available Modern societies demand governments promoting equitable and sustainable development and combating corruption. In the different areas of the public administration, factors such as transparency, efficiency, effectiveness, accountability, economy, human rights and respect to the legal framework are of great relevance for a good government. In Mexico it is necessary to reinforce the ethical aspect in the public administration to diminish the level of corruption. The ethical behavior of the public servant is related to integrity, honesty, transparency, expertise and leadership, it is part of the social capital of a country and a necessary condition to a good government and to eradicate corruption. It is essential to establish efficient systems, programs and mechanisms to promote the importance of ethics in government and society. Finally, society must vote to punish or reward the government performance, recognize its social duties and rights, demand the equal exercise of the law and always act ethically.

  10. SELECCIÓN DE MUTANTES DE ARROZ DE BUEN COMPORTAMIENTO AGRONÓMICO EN CONDICIONES DE BAJO SUMINISTRO DE AGUA

    Directory of Open Access Journals (Sweden)

    María C. González Cepero

    2016-01-01

    Full Text Available El presente trabajo formó parte de las investigaciones realizadas en el Proyecto Regional de la Organización Internacional de Energía Atómica (OIEA ”Fortalecimiento de Cultivos Alimentarios en América Latina” y que tuvo como objetivo obtener nuevas variedades de arroz tolerantes a la sequía, mediante el empleo de técnicas nucleares, para lo cual se hizo necesario determinar indicadores para la selección temprana de genotipos tolerantes e identificar somaclones y mutantes de arroz de buen comportamiento en condiciones de bajo suministro de agua. Para el estudio se emplearon 13 mutantes obtenidos en el Instituto Nacional de Ciencias Agrícolas (INCA, así como las variedades Amistad 82 y J-104. Se determinó la respuesta al estrés hídrico en condiciones de campo, utilizándose riego durante los primeros 45 días, suspendiéndose posteriormente durante todo el ciclo de la planta, determinando: I la altura de la planta; II peso de 1000 granos; III longitud de la panícula; IV granos llenos; V granos vanos; VI número de panícula por metro lineal y VII rendimiento por metro cuadrado. Asimismo in vitro, se evaluaron las respuestas a la sequía con una concentración de 5 g L-1 de PEG-6000 para simular el estrés hídrico y se determinó el Índice de Tolerancia Relativo de la raíz y de la altura de la plántula. También se determinaron los indicadores para la selección temprana de genotipos tolerantes, a partir de la correlación existente entre los caracteres evaluados in vivo e in vitro. Los genotipos INCA LP-10 y 8552 fueron los de mejor comportamiento en condiciones de bajo suministro de agua y los genotipos INCA LP 16 y el mutante 8553 resultaron ser los más susceptibles, pues no lograron panicular bajo las mismas condiciones.

  11. Paying for Crimes and Earning Heaven. Daily Life of Imprisoned Women at “El Buen Pastor” Penitentiary 1890-1929.

    Directory of Open Access Journals (Sweden)

    July Andrea García Amézquita

    2015-01-01

    Full Text Available During the period of Colombian conservative hegemony, “El Buen Pastor” prison, in Bogotá, provides an illustration of penitentiary politics, as well as the formal and informal mechanisms of social control at the time, gathered in a single institution. In an attempt to reconstruct institutional history, the following article presents the daily practices of female penitentiary coninement through a dialogue between institutionalism and critical criminology, in which criminal law, religion, and social control converge in the same scenario and with the same objective: stopping criminality.

  12. El buen hacer. El respeto al oficio desde los valores tradicionales como propuesta metodológica para una práctica fotográfica actual

    OpenAIRE

    Martín Fernández, Diego

    2016-01-01

    La ruta propuesta en esta investigación comienza con una introducción en la que se analiza la idea básica del “buen hacer” en la praxis del fotógrafo. Para ello, se empieza con una breve panorámica sobre el interés que ofrece el tema en la actualidad fotográfica, acercándose a otras disciplinas o estadios de conocimiento con los que posicionarse. Tras ello, se justifican las aportaciones que se ofrecen del tema, su viabilidad y el sentido que tiene tratarlo. Una vez aquí, se ha definido l...

  13. EL JUICIO DE APARIENCIA DE BUEN DERECHO FRENTE A LA IMPARCIALIDAD DEL JUEZ QUE DECRETA MEDIDAS CAUTELARES INNOMINADAS CONFORME EL CODIGO GENERAL DEL PROCESO EN COLOMBIA

    OpenAIRE

    Laguado Serrano, Cristian Eduardo; Vargas Buitrago, Jordan Aquiles

    2015-01-01

    La presente tesis denominada “El juicio de apariencia de buen derecho frente a la imparcialidad del juez que decreta medidas cautelares innominadas conforme el código general del proceso en Colombia”, plantea que a través la reforma del código de procedimiento civil buscando lograr un código general del proceso, al implementar las denominadas medidas cautelares innominadas se establecieron una serie de requisitos que a simple vista son claros y precisos; no obstante, al llevar ...

  14. Herramientas para el control de la empresa por parte del accionista: los códigos de buen gobierno e internet

    Directory of Open Access Journals (Sweden)

    María del Mar Alonso Almeida

    2008-06-01

    Full Text Available La globalización de la economia y los escándalos financieros en algunas empresas han hecho que la información sobre el funcionamiento y gobierno de las empresas sea un asunto critico para la confianza en éstas y para el buen funcionamiento del mercado de capitales.La información sobre las empresas, no sólo reduce los riesgos sobre las inversiones, sino que reduce las asimetrías de información e incrementa la transparencia de la empresa frente a accionistas e inversores.Los códigos de buen gobierno y la legislación emanada de estos códigos han impuesto grandes requerimientos de información a las empresas frente a los accionistas, principalmente sobre los órganos y prácticas de gobierno de las empresas, actuando de esta forma como sistemas de control del problema de agencia que desarrollan la transparencia, vigilan el valor de la empresa y reducen los costes de agencia. En este trabajo se va a analizar si los códigos de buen gobierno han contribuido a velar por los intereses de los accionistas; cómo lo están haciendo y proponer un modelo de desarrollo de gobierno electrónico que permita la verificación de las recomendaciones de buen gobierno y la participación en la vida social a los accionistas.The globalization of the economy and the financial scandals at some companies have made the information on the performance and corporate governance are a critical issues for the trust in them and for the proper functioning of the capital market.The information on enterprises, not only reduces the risk on investments, but it reduces the information asymmetries and increases the transparency of the company for shareholders and investors.The codes of good governance and legislation emanating from these codes have imposed reporting requirements on large companies versus shareholders, primarily on organs and practices of corporate governance, thus acting as control systems to the problem of agency developing transparency, monitoring the

  15. Aportaciones sobre la composición de los esmaltes, barnices y pastas de la porcelana del Buen Retiro. Nuevos datos documentales

    OpenAIRE

    Mañueco, C.

    2000-01-01

    Se publica por por primera vez la transcripción íntegra del documento de Manuel de Agreda, ultimo director de la Manufactura de Porcelana del Buen Retiro sobre la fabricación de la porcelana y colores. Se incluyen las composiciones, materias primas y proceso de fabricación de tres pastas y cerca de cuarenta esmaltes, barnices y pigmentos. La publicación se enmarca dentro del renovado interés existente sobre los estudios integrados: artísticos y técnicos, de la historia de la cerámica...

  16. SIGNIFICADO DE BUEN PROFESOR Y DE EVALUACIÓN DOCENTE POR ESTUDIANTES Y MAESTROS UNIVERSITARIOS. LA TÉCNICA DE REDES SEMÁNTICAS

    OpenAIRE

    Hortensia Hickman; Martha Elba Alarcón; Ma. Luisa Cepeda; Rosalva Cabrera; Xóchitl K. Torres

    2016-01-01

    Una manera de aproximarse a la concepción que tienen estudiantes y profe - sores de un buen docente y de los elementos que deben considerarse para su evaluación, es mediante la técnica de redes semánticas naturales, diseñada para medir el significado que los sujetos le otorgan a una idea o concepto. Una red semántica natural es una técnica de medición que permite objetivar los procesos reconstructivos de las múltiples redes de significación organizadas e...

  17. Alberto Acosta y Esperanza Martínez (comp.), El buen vivir. Una vía para el desarrollo, Editorial Universidad Bolivariana, Santiago, 2009, 184 p.

    OpenAIRE

    2011-01-01

    En el transcurso de las dos últimas décadas, parte importante de los países andinos ha experimentado un giro político hacia la izquierda. Como ocurre en Venezuela y luego en Bolivia y Ecuador, este giro ha significado redefinir el funcionamiento de las economías y de los sistemas políticos al interior de cada uno de esos países. El presente libro se centra en la experiencia ecuatoriana, tomando como foco de atención el proyecto definido tras la constituyente de 2007. Su título, “buen vivir” a...

  18. Los valores del ordenamiento jurídico en la nueva constitución ecuatoriana : el buen vivir como principio rector de la convivencia ciudadana

    OpenAIRE

    Peña, Lorenzo; Vásconez, Marcelo

    2010-01-01

    [ES] La Constitución ecuatoriana de 2008 reconoce el valor del buen vivir, individual y colectivo, como clave del nuevo ordenamiento jurídico y contiene una gama amplísima de derechos de bienestar, a los que dota de garantías políticas y jurisdiccionales, diseñando un modelo productivo que deja atrás la economía de mercado para preferir una economía social y solidaria en la que se combinen los sectores público y privado dentro de un marco estatalmente planificado. Al mismo tiempo, sin embargo...

  19. Alberto Acosta y Esperanza Martínez (comp.), El buen vivir. Una vía para el desarrollo, Editorial Universidad Bolivariana, Santiago, 2009, 184 p.

    OpenAIRE

    Avendaño, Octavio

    2011-01-01

    En el transcurso de las dos últimas décadas, parte importante de los países andinos ha experimentado un giro político hacia la izquierda. Como ocurre en Venezuela y luego en Bolivia y Ecuador, este giro ha significado redefinir el funcionamiento de las economías y de los sistemas políticos al interior de cada uno de esos países. El presente libro se centra en la experiencia ecuatoriana, tomando como foco de atención el proyecto definido tras la constituyente de 2007. Su título, “buen vivir” a...

  20. Reprodução assistida como causa de morbidade materna e perinatal Assisted reproduction as a cause of maternal and perinatal morbidity

    Directory of Open Access Journals (Sweden)

    João Luiz Pinto e Silva

    2005-12-01

    Full Text Available OBJETVOS: realizar revisão bibliográfica do impacto das técnicas de fertilização assistida e reprodução assistida (RA na morbidade materna e perinatal. MÉTODOS: foram pesquisadas fontes bibliográficas pelo SCI e MEDLINE, com o intuito de identificar o maior número de estudos relacionados com os termos: fertilização in vitro, reprodução assistida, técnicas reprodutivas, combinadas com morbidade e com mortalidade materna, perinatal e neonatal. RESULTADOS: a literatura permite concluir que o maior problema de morbidade materna relaciona-se à ocorrência de maior número de gravidezes múltiplas, destacando-se em alguns estudos a maior freqüência de hipertensão induzida pela gravidez e diabetes gestacional. A ocorrência de maior número de gravidezes múltiplas aumenta consideravelmente as complicações maternas, fetais e dos recém-nascidos. Recomenda-se um pré-natal diferenciado, de enfoque multidisciplinar para otimizar resultados. Há evidências de maior número de malformações congênitas. Discutem-se as características especiais deste grupo de mulheres e das diferentes técnicas de RA, particularmente a ICSI, na etiologia dos defeitos congênitos, embora não existam diferenças claras entre os procedimentos. Algumas meta-análises recentes mostraram que o número de malformações congênitas em crianças nascidas por ICSI é maior do que entre as nascidas espontaneamente, mas não mais freqüentes que as nascidas por outras técnicas de RA. Não existe consenso se este fato é decorrente do procedimento per se, da manipulação dos gametas, da indução da ovulação ou do fato de que estes casais são inférteis e do tempo que levam para engravidar. Existem poucos estudos que avaliaram de modo consistente, sistemático e prolongado a evolução perinatal de crianças nascidas mediante a utilização de embriões congelados. CONCLUSÕES: em relação às malformações fetais há, definitivamente, maior n

  1. Perinatal Generalized Anxiety Disorder: Assessment and Treatment.

    Science.gov (United States)

    Misri, Shaila; Abizadeh, Jasmin; Sanders, Shawn; Swift, Elena

    2015-09-01

    Perinatal generalized anxiety disorder (GAD) has a high prevalence of 8.5%-10.5% during pregnancy and 4.4%-10.8% postpartum. Despite its attendant dysfunction in the patient, this potentially debilitating mental health condition is often underdiagnosed. This overview will provide guidance for clinicians in making timely diagnosis and managing symptoms appropriately. A significant barrier to the diagnosis of GAD in the perinatal population is difficulty in distinguishing normal versus pathological worry. Because a perinatal-specific screening tool for GAD is nonexistent, early identification, diagnosis and treatment is often compromised. The resultant maternal dysfunction can potentially impact mother-infant bonding and influence neurodevelopmental outcomes in the children. Comorbid occurrence of GAD and major depressive disorder changes the illness course and its treatment outcome. Psychoeducation is a key component in overcoming denial/stigma and facilitating successful intervention. Treatment strategies are contingent upon illness severity. Cognitive behavior therapy (CBT), relaxation, and mindfulness therapy are indicated for mild GAD. Moderate/severe illness requires pharmacotherapy and CBT, individually or in combination. No psychotropic medications are approved by the FDA or Health Canada in pregnancy or the postpartum; off-label pharmacological treatment is instituted only if the benefit of therapy outweighs its risk. SSRIs/SNRIs are the first-line treatment for anxiety disorders due to data supporting their efficacy and overall favorable side effect profile. Benzodiazepines are an option for short-term treatment. While research on atypical antipsychotics is evolving, some can be considered for severe manifestations where the response to antidepressants or benzodiazepines has been insufficient. A case example will illustrate the onset, clinical course, and treatment strategies of GAD through pregnancy and the postpartum.

  2. Influence of Perinatal Risk Factors on Premature Labor Outcome

    Directory of Open Access Journals (Sweden)

    Agamurad A. Orazmuradov

    2016-09-01

    Full Text Available In this article, for the first time, the problem of premature labor (PL is considered from the standpoint of the concept of perinatal obstetric risk. The obtained results show that the optimal choice of the mode of delivery must be based on gestational age and perinatal risk (PR factors with calculation of their intrapartum gain (IG.

  3. Pharmacological Neuroprotection after Perinatal Hypoxic-Ischemic Brain Injury

    NARCIS (Netherlands)

    Fan, Xiyong; Kavelaars, Annemieke; Heijnen, Cobi J.; Groenendaal, Floris; van Bel, Frank

    2010-01-01

    Perinatal hypoxia-ischemia (HI) is an important cause of neonatal brain injury. Recent progress in the search for neuroprotective compounds has provided us with several promising drugs to reduce perinatal HI-induced brain injury. In the early stage (first 6 hours after birth) therapies are concentra

  4. Cortical Reorganization of Language Functioning Following Perinatal Left MCA Stroke

    Science.gov (United States)

    Tillema, Jan-Mendelt; Byars, Anna W.; Jacola, Lisa M.; Schapiro, Mark B.; Schmithorst, Vince J.; Szaflarski, Jerzy P.; Holland, Scott K.

    2008-01-01

    Objective: Functional MRI was used to determine differences in patterns of cortical activation between children who suffered perinatal left middle cerebral artery (MCA) stroke and healthy children performing a silent verb generation task. Methods: Ten children with prior perinatal left MCA stroke (age 6-16 years) and ten healthy age matched…

  5. Perinatal outcomes in 375 children born after oocyte donation

    DEFF Research Database (Denmark)

    Malchau, Sara S; Loft, Anne; Larsen, Elisabeth C;

    2013-01-01

    To describe perinatal outcomes in children born after oocyte donation (OD) compared with in vitro fertilization (IVF), intracytoplasmic sperm injection (ICSI), and spontaneous conception (SC).......To describe perinatal outcomes in children born after oocyte donation (OD) compared with in vitro fertilization (IVF), intracytoplasmic sperm injection (ICSI), and spontaneous conception (SC)....

  6. Perinatal mortality and severe morbidity of term infants

    NARCIS (Netherlands)

    Evers, A.C.C.

    2012-01-01

    This thesis describes the various aspects of perinatal morbidity and mortality in term infants. Most children are born at a gestational age of more than 36 completed weeks. Their chances of survival are high (99.7%). However, more than a quarter of perinatal deaths occur among births from 37 weeks’

  7. Risk factors and prognostic models for perinatal asphyxia at term

    NARCIS (Netherlands)

    Ensing, S.

    2015-01-01

    This thesis will focus on the risk factors and prognostic models for adverse perinatal outcome at term, with a special focus on perinatal asphyxia and obstetric interventions during labor to reduce adverse pregnancy outcomes. For the majority of the studies in this thesis we were allowed to use data

  8. 21 CFR 884.2740 - Perinatal monitoring system and accessories.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Perinatal monitoring system and accessories. 884.2740 Section 884.2740 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN... Monitoring Devices § 884.2740 Perinatal monitoring system and accessories. (a) Identification. A...

  9. Modifying CBT for Perinatal Depression: What Do Women Want?

    Science.gov (United States)

    O'Mahen, Heather; Fedock, Gina; Henshaw, Erin; Himle, Joseph A.; Forman, Jane; Flynn, Heather A.

    2012-01-01

    The evidence for the efficacy of CBT for depression during the perinatal period is mixed. This was a qualitative study that aimed to understand the perinatal-specific needs of depressed women in an effort to inform treatment modifications that may increase the relevance and acceptability of CBT during this period. Stratified purposeful sampling…

  10. Efeitos da asfixia perinatal sobre os hormônios tireoidianos Effect of perinatal asphyxia on thyroid hormones

    Directory of Open Access Journals (Sweden)

    Denise N. Pereira

    2001-06-01

    Full Text Available OBJETIVO: verificar o efeito da asfixia perinatal sobre os hormônios tireóideos. MÉTODOS: Foi realizado um estudo de caso-controle, no hospital de Clínicas de Porto Alegre, envolvendo 17 recém-nascidos a termo asfixiados (A e 17 não-asfixiados (N, pareados conforme a cor, sexo, tipo de parto, idade gestacional e peso de nascimento. Foram coletados T4, T3, T4 livre, T3 reverso e TSH do sangue do cordão e do recém-nascido com 18 a 24 horas de vida, entre os que sofreram ou não asfixia perinatal. RESULTADOS: No sangue de cordão, não houve diferença na dosagem dos hormônios tireóideos, com exceção do T3 reverso, que foi mais elevado no grupo que sofreu asfixia [mediana (percentis 25-75 :A= 2(1,4-2; N= 1,41(1,13-1,92; p=0,037]. Com 18 a 24 horas de vida, foram significativamente menores no grupo de asfixiados, com exceção do T3 reverso, que foi semelhante entre os dois grupos [média ± DP: T4 A= 9,79 ± 2,59; N=14,68 ± 3,05; p OBJECTIVE: to verify the effect of perinatal asphyxia on thyroid hormone levels in term newborn infants. METHODS: We carried out a case-control study with 17 term and asphyxiated (A and 17 term and control (N newborn infants at the Hospital de Clínicas de Porto Alegre. Patients were paired according to color of skin, sex, type of delivery, gestational age, and weight at birth. We collected umbilical cord plasma T4, T3, free T4, reverse T3, and TSH after 18 to 24 hours of life and from asphyxiated and control newborn infants. RESULTS: There were no differences in thyroid hormones of cord blood, with the exception of reverse T3, which was higher in A than in controls [median (25th-75th percentile: A= 2(1.4-2; N= 1.41 (1.13-1.92; P=0.037]. Thyroid hormone levels were lower in A than in controls on samples collected within 18-24 hours after birth, except for reverse T3, which was similar in both groups [average ± SD: T4 A= 9.79 ± 2.59; N=14.68 ± 3.05; P<0.001; median T3 A= 40.83 (37.4-80.4; N= 164 (56

  11. Validez temporal de los sistemas de estratificación por riesgo para la monitorización continua de los resultados de la cirugía cardíaca

    Directory of Open Access Journals (Sweden)

    Raúl A. Borracci

    2005-01-01

    Full Text Available ObjetivosEstudiar la validez de distintos sistemas de estratificación por riesgo a través del tiempo, usados para monitorizar en forma continua los resultados quirúrgicos inmediatos de la cirugía cardíaca.Material y MétodosSe realizó un estudio observacional longitudinal bidireccional; la serie prospectiva correspondió a 246 operaciones cardíacas consecutivas realizadas entre enero y diciembre de 2004, mientras que las series históricas correspondieron a dos muestras de 240 y 220 operaciones llevadas a cabo en 1993 y 1997, respectivamente. De cada paciente se registró la fecha de operación y el puntaje de estratificación por riesgo de acuerdo con el estándar usado en esa época. Para la serie 1993 se utilizó el score de Parsonnet, para la serie de 1997 se emplearon los scores de Parsonnet y del PACCN (Provincial Adult Cardiac Care Network de Ontarioy para la serie 2004, los métodos previos y el EluroSCORE. Los resultados se presentaron en gráficos de vida ajustada variable de acuerdo con el orden consecutivo de las cirugías, la mortalidad real acontecida y el riesgo estimado para cada paciente con su(s score(s correspondiente(s.ResultadosEn la serie de 1993 evaluada con el score de Parsonnet se observó un buen ajuste para el estándar de la época. En la serie de 1997, la monitorización con el score de Parsonnet favoreció al desempeño quirúrgico del momento, habida cuenta de la "ganancia de la vida neta" encontrada; por el contrario, la comparación con el score de PACCN continuó subestimando el riesgo, aunque en menor medida con respecto a 1997, y el EuroSCORE se aproximó más al valor nulo ideal de un buen ajuste.ConclusionesEl análisis de las series de cirugías cardíacas en distintos períodos, evaluados con curvas de monitorización continua, demuestran la validez temporal de los distintos modelos de ajuste de riesgo utilizados. Mientras que el score de Parsonnet mostró un buen ajuste en la serie de una d

  12. Preventing Workplace Injuries Among Perinatal Nurses.

    Science.gov (United States)

    Harolds, Laura; Hurst, Helen

    2016-01-01

    Many aspects of perinatal nursing put nurses at risk for injuries, including frequent repetitive bending, lifting of clients, and exposure to potentially large amounts of body fluids such as blood and amniotic fluid. Violence is also a potential risk with stressful family situations that may arise around childbirth. Workplace injuries put a health care facility at risk for staff turnover, decreases in the number of skilled nurses, client dissatisfaction, workers' compensation payouts, and employee lawsuits. Through the use of safety equipment, improved safety and violence training programs, "no manual lift" policies, reinforcement of personal protective equipment usage, and diligent staff training to improve awareness, these risks can be minimized.

  13. Undiagnosed xiphopagus twins: a perinatal malady

    Directory of Open Access Journals (Sweden)

    Gowri Dorairajan

    2012-02-01

    Full Text Available Conjoined twins are a very rare entity. It is associated with poor survival rate in the presence of vital organ sharing. The entity can be diagnosed as early as the first trimester. A conjoined twin diagnosed late in labor is a malady with high perinatal mortality and maternal morbidity. We present one such case of xiphopagus twins. The management of a case diagnosed late in labor can be very challenging. Such obstetric challenges can be avoided by a meticulous early scan with a high index of suspicion, especially in the absence of separating membrane while scanning multiple pregnancies.

  14. Duelo por muerte perinatal, un duelo desautorizado

    OpenAIRE

    Martos López, Isabel María; Sánchez Guisado, María del Mar; Guedes Arbelo, Chaxiraxi

    2015-01-01

    Cartel presentado en la Segunda Conferencia Internacional de Comunicación en Salud, celebrada el 23 de octubre de 2015 en la Universidad Carlos III de Madrid Introducción: el duelo perinatal tiene unas características que lo diferencian de duelos de otros tipos: la proximidad entre el nacimiento y la muerte, la juventud de los progenitores para los que supone su primer contacto con la muerte y lo inesperado del suceso. Objetivos: conocer y profundizar en las características del duelo p...

  15. Perinatal transmission of human papilomavirus DNA.

    Science.gov (United States)

    Rombaldi, Renato L; Serafini, Eduardo P; Mandelli, Jovana; Zimmermann, Edineia; Losquiavo, Kamille P

    2009-06-21

    The purpose was to study the perinatal transmission of human papillomavirus DNA (HPV-DNA) in 63 mother-newborn pairs, besides looking at the epidemiological factors involved in the viral DNA transmission. The following sampling methods were used: (1) in the pregnant woman, when was recruited, in cervix and clinical lesions of the vagina, vulva and perineal region; (2) in the newborn, (a) buccal, axillary and inguinal regions; (b) nasopharyngeal aspirate, and (c) cord blood; (3) in the children, buccal was repeated in the 4th week and 6th and 12th month of life. HPV-DNA was identified using two methodologies: multiplex PCR (PGMY09 and MY11 primers) and nested-PCR (genotypes 6/11, 16, 18, 31, 33, 42, 52 and 58). Perinatal transmission was considered when concordance was found in type-specific HPV between mother/newborn or mother/child. HPV-DNA genital was detected in 49 pregnant women submitted to delivery. Eleven newborns (22.4%, n = 11/49) were HPV-DNA positive. In 8 cases (16.3%, n = 8/49) there was type specific HPV concordance between mother/newborn samples. At the end of the first month of life three children (6.1%, n = 3/49) became HPV-DNA positive, while two remained positive from birth. In 3 cases (100%, n = 3/3) there was type specific HPV concordance between mother/newborn samples. In the 6th month, a child (2%, n = 1/49) had become HPV-DNA positive between the 1st and 6th month of life, and there was type specific HPV concordance of mother/newborn samples. All the HPV-DNA positive children (22.4%, n = 11/49) at birth and at the end first month of life (6.1%, n = 3/49) became HPV-DNA negative at the age of 6 months. The HPV-DNA positive child (2%, n = 1/49) from 1st to the 6th month of life became HPV-DNA negative between the 6th and 12th month of life and one child had anogenital warts. In the twelfth month all (100%, n = 49/49) the children studied were HPV-DNA negative. A positive and significant correlation was observed between perinatal transmission

  16. Perinatal transmission of human papilomavirus DNA

    Directory of Open Access Journals (Sweden)

    Serafini Eduardo P

    2009-06-01

    Full Text Available Abstract The purpose was to study the perinatal transmission of human papillomavirus DNA (HPV-DNA in 63 mother-newborn pairs, besides looking at the epidemiological factors involved in the viral DNA transmission. The following sampling methods were used: (1 in the pregnant woman, when was recruited, in cervix and clinical lesions of the vagina, vulva and perineal region; (2 in the newborn, (a buccal, axillary and inguinal regions; (b nasopharyngeal aspirate, and (c cord blood; (3 in the children, buccal was repeated in the 4th week and 6th and 12th month of life. HPV-DNA was identified using two methodologies: multiplex PCR (PGMY09 and MY11 primers and nested-PCR (genotypes 6/11, 16, 18, 31, 33, 42, 52 and 58. Perinatal transmission was considered when concordance was found in type-specific HPV between mother/newborn or mother/child. HPV-DNA genital was detected in 49 pregnant women submitted to delivery. Eleven newborns (22.4%, n = 11/49 were HPV-DNA positive. In 8 cases (16.3%, n = 8/49 there was type specific HPV concordance between mother/newborn samples. At the end of the first month of life three children (6.1%, n = 3/49 became HPV-DNA positive, while two remained positive from birth. In 3 cases (100%, n = 3/3 there was type specific HPV concordance between mother/newborn samples. In the 6th month, a child (2%, n = 1/49 had become HPV-DNA positive between the 1st and 6th month of life, and there was type specific HPV concordance of mother/newborn samples. All the HPV-DNA positive children (22.4%, n = 11/49 at birth and at the end first month of life (6.1%, n = 3/49 became HPV-DNA negative at the age of 6 months. The HPV-DNA positive child (2%, n = 1/49 from 1st to the 6th month of life became HPV-DNA negative between the 6th and 12th month of life and one child had anogenital warts. In the twelfth month all (100%, n = 49/49 the children studied were HPV-DNA negative. A positive and significant correlation was observed between perinatal

  17. Potentially avoidable perinatal deaths in Denmark and Sweden 1991

    DEFF Research Database (Denmark)

    Langhoff-Roos, J; Borch-Christensen, H; Larsen, S

    1996-01-01

    BACKGROUND: Since 1950 the perinatal mortality has been significantly higher in Denmark than in Sweden. In 1991 the rate in Denmark was 8.0/1000 deliveries compared to 6.5/1000 in Sweden. An international audit was designed to investigate whether the perinatal death rates in the two countries...... infants (0.00195 and 0.00145) and intrapartum deaths of non-malformed infants (0.00042 and 0.00019) was significantly higher in Denmark than in Sweden. CONCLUSION: Application of the Nordic-Baltic Perinatal Death Classification on perinatal deaths in Denmark and Sweden in 1991 raises the questions...... as to why the rate of perinatal death of malformed infants is higher in Denmark than in Sweden and whether intrapartum care in Denmark could be improved....

  18. Potentially avoidable perinatal deaths in Denmark and Sweden 1991

    DEFF Research Database (Denmark)

    Langhoff-Roos, J; Borch-Christensen, H; Larsen, S

    1996-01-01

    BACKGROUND: Since 1950 the perinatal mortality has been significantly higher in Denmark than in Sweden. In 1991 the rate in Denmark was 8.0/1000 deliveries compared to 6.5/1000 in Sweden. An international audit was designed to investigate whether the perinatal death rates in the two countries...... infants (0.00195 and 0.00145) and intrapartum deaths of non-malformed infants (0.00042 and 0.00019) was significantly higher in Denmark than in Sweden. CONCLUSION: Application of the Nordic-Baltic Perinatal Death Classification on perinatal deaths in Denmark and Sweden in 1991 raises the questions...... as to why the rate of perinatal death of malformed infants is higher in Denmark than in Sweden and whether intrapartum care in Denmark could be improved....

  19. Presumed Perinatal Stroke: Risk Factors, Clinical and Radiological Findings.

    Science.gov (United States)

    Ilves, Pilvi; Laugesaar, Rael; Loorits, Dagmar; Kolk, Anneli; Tomberg, Tiiu; Lõo, Silva; Talvik, Inga; Kahre, Tiina; Talvik, Tiina

    2016-04-01

    It is unknown why some infants with perinatal stroke present clinical symptoms late during infancy and will be identified as infants with presumed perinatal stroke. The risk factors and clinical and radiological data of 42 infants with presumed perinatal stroke (69% with periventricular venous infarction and 31% with arterial ischemic stroke) from the Estonian Pediatric Stroke Database were reviewed. Children with presumed perinatal stroke were born at term in 95% of the cases and had had no risk factors during pregnancy in 43% of the cases. Children with periventricular venous infarction were born significantly more often (82%) vaginally (P = .0213) compared to children with arterial stroke (42%); nor did they require resuscitation (P = .0212) or had any neurological symptoms after birth (P = .0249). Periventricular venous infarction is the most common type of lesion among infants with the presumed perinatal stroke. Data suggest that the disease is of prenatal origin.

  20. The experience of depression, anxiety, and mania among perinatal women.

    Science.gov (United States)

    Kim, J Jo; Silver, Richard K; Elue, Rita; Adams, Marci G; La Porte, Laura M; Cai, Li; Kim, Jong Bae; Gibbons, Robert D

    2016-10-01

    We assessed differential item functioning (DIF) based on computerized adaptive testing (CAT) to examine how perinatal mood disorders differ from adult psychiatric disorders. The CAT-Mental Health (CAT-MH) was administered to 1614 adult psychiatric outpatients and 419 perinatal women with IRB approval. We examined individual item-level differences using logistic regression and overall score differences by scoring the perinatal data using the original bifactor model calibration based on the psychiatric sample data and a new bifactor model calibration based on the perinatal data and computing their correlation. To examine convergent validity, we computed correlations of the CAT-MH with contemporaneously administered Edinburgh Postnatal Depression Scales (EPDS). The rate of major depression in the perinatal sample was 13 %. Rates of anxiety, mania, and suicide risk were 5, 6, and 0.4 %, respectively. One of 66 depression items, one of 69 anxiety items, and 15 of 53 mania items exhibited DIF (i.e., failure to discriminate between high and low levels of the disorder) in the perinatal sample based on the psychiatric sample calibration. Removal of these items resulted in correlations of the original and perinatal calibrations of r = 0.983 for depression, r = 0.986 for anxiety, and r = 0.932 for mania. The 91.3 % of cases were concordantly categorized as either "at-risk" or "low-risk" between the EPDS and the perinatal calibration of the CAT-MH. There was little evidence of DIF for depression and anxiety symptoms in perinatal women. This was not true for mania. Now calibrated for perinatal women, the CAT-MH can be evaluated for longitudinal symptom monitoring.

  1. Endocrine consequences of perinatal methadone exposure.

    Science.gov (United States)

    Kuhn, C; Bero, L; Ignar, D; Lurie, S; Field, E

    1987-01-01

    In summary, we have shown that marked acute responses as well as persistent changes in hypothalamopituitary responsivity to opiate challenge result from perinatal opioid addiction. We have also shown that different endocrine systems and opioid receptor subtypes develop at different rates, and that the responses of these systems depend upon the relative timing of the treatment regimen and the functional development of the particular opioid system involved. It should be emphasized that these studies have investigated only a single developmental window. The additional critical question of how opioid neuron function is affected by treatment during the period of active neuronal differentiation has not yet been answered. However, these studies do demonstrate the utility of this neuroendocrine model in assessing opioid function following chronic treatment regimens. By using neuroendocrine function as an end point, multiple systems can be studied simultaneously in the same animal. This has a particular advantage in studying the effects of chronic drug exposure on the developing nervous system, because hormone secretion is an easily quantifiable and early maturing functional index which can be used to identify vulnerable (and resistant) systems. Endogenous opioid systems appear to be particularly important in neuroendocrine regulation during the early phase of development, when other neural controls have not yet matured. Our preliminary results suggest that specific opioid systems that mature early may be especially important in the specific neuroendocrine effects of perinatal opiate addiction.

  2. Perinatal mortality in Indonesia: an unfinished agenda

    Directory of Open Access Journals (Sweden)

    Riawati Jahja

    2011-10-01

    Full Text Available Perinatal mortality is a profound issue in maternal and child health due to its close relation with the maternal condition. There exist Millennium Development Goals (MDGs which are to be achieved by 2015. These are coupled with a continuing need for comprehensively monitoring and identifying factors associated with perinatal mortality, which is a primary concern for developing countries inclusive of Indonesia. Previous and on-going health programs could have brought about strategic interventions but as different attributes can emerge due to epidemiological transition, and given the fact that associated factors may remain persistent, forward thinking strategies in public health are forever in need of renewal.     Results from our research show that educational variables, poor awareness towards proper antenatal care visits and weak services at the front-line of healthcare delivery (community outreach worsen the condition of childbearing women, raising the question of biological risk factors in line with socio-economic variables.

  3. Mortalidade perinatal em São Paulo, Brasil Perinatal mortality in S. Paulo, Brazil

    Directory of Open Access Journals (Sweden)

    Ruy Laurenti

    1975-06-01

    Full Text Available Foi analisada a mortalidade perinatal em São Paulo num período de dois anos. Partiu o estudo da totalidade dos atestados de nascidos mortos e de uma amostra de óbitos de menores de sete dias, para a qual a metodologia foi a de entrevistas domiciliares e junto aos médicos e hospitais que tenham prestado assistência às crianças falecidas. O coeficiente de mortalidade perinatal encontrado foi igual a 42,04 por mil nascidos vivos. Esse valor apresenta-se bastante elevado quando comparado ao de áreas desenvolvidas. Foi verificado que ele poderia ser diminuído com a simples redução dos coeficientes específicos por algumas causas evitáveis a nível de pré-natal (sífilis congênita, doenças próprias ou associadas à gravidez, do parto (distócias, traumatismos obstétricos e anóxia, ou da atenção ao recém-nascido (causas infecciosas, do aparelho respiratório, hemorragias e certas anóxias. O coeficiente de mortalidade perinatal segundo a idade da mãe mostrou que o risco varia com a idade, apresentando-se maior nas mulheres de 40 a 49 anos.Perinatal mortality in S. Paulo, over a period of two years, was analysed. The study took in all death certificates of the stillborn and a sample of children under a week of age. For the latter the methodology used was by interviewing phisicians and hospitals that cared for the deceased. The perinatal mortality rate was 42,05 per thousand live births. This value is really high when compared with those of developed areas. Nevertheless it can be reduced once the specific rates for some of the avoidable diseases be reduced by proper pre-natal care (congenital syphilis, illness pertaining to or associated with pregnancy. This can also be done by improving care at delivery (Distocias, obstetrical traumatism and anoxia and towards the newlyborn (infeccious diseases, respiratory diseases, haemorrages and anoxia. The perinatal mortality rate varies with the age of the mother, the risk being largest in

  4. A Perinatal Health Framework for Women with Physical Disabilities

    Science.gov (United States)

    Mitra, Monika; Long-Bellil, Linda M.; Smeltzer, Suzanne C.; Iezzoni, Lisa I.

    2015-01-01

    Background Studies suggest that women with disabilities experience health and health care disparities before, during, and after pregnancy. However, existing perinatal health and health care frameworks do not address the needs and barriers faced by women with physical disabilities around the time of pregnancy. A new framework that addresses the perinatal disparities among women with physical disabilities is needed. Objective To propose a framework for examining perinatal health and health care disparities among women with physical disabilities. Methods We developed a perinatal health framework guided by the International Classification of Functioning, Disability and Health (ICF) and the integrated perinatal health framework by Misra et al. Results The proposed framework uses a life span perspective in a manner that directly addresses the multiple determinants specific to women with physical disabilities around the time of pregnancy. The framework is based on longitudinal and integrated perspectives that take into account women's functional status and environment over their life course. Conclusion The perinatal health framework for women with physical disabilities was developed to inform the way researchers and health care professionals address disparities in perinatal health and health care among women with physical disabilities. PMID:26189010

  5. Workup for Perinatal Stroke Does Not Predict Recurrence.

    Science.gov (United States)

    Lehman, Laura L; Beaute, Jeanette; Kapur, Kush; Danehy, Amy R; Bernson-Leung, Miya E; Malkin, Hayley; Rivkin, Michael J; Trenor, Cameron C

    2017-08-01

    Perinatal stroke, including neonatal and presumed perinatal presentation, represents the age in childhood in which stroke occurs most frequently. The roles of thrombophilia, arteriopathy, and cardiac anomalies in perinatal ischemic stroke are currently unclear. We took a uniform approach to perinatal ischemic stroke evaluation to study these risk factors and their association with recurrent stroke. We reviewed records of perinatal stroke patients evaluated from August 2008 to February 2016 at a single referral center. Demographics, echocardiography, arterial imaging, and thrombophilia testing were collected. Statistical analysis was performed using Fisher exact test. Across 215 cases, the median follow-up was 3.17 years (1.49, 6.46). Females comprised 42.8% of cases. Age of presentation was neonatal (110, 51.2%) or presumed perinatal (105, 48.8%). The median age at diagnosis was 2.9 days (interquartile range, 2.0-9.9) for neonatal stroke and 12.9 months (interquartile range, 8.7-32.8) for presumed perinatal stroke. Strokes were classified as arterial (149, 69.3%), venous (60, 27.9%), both (4, 1.9%), or uncertain (2, 0.9%) by consensus imaging review. Of the 215 cases, there were 6 (2.8%) recurrent ischemic cerebrovascular events. Abnormal thrombophilia testing was not associated with recurrent stroke, except for a single patient with combined antithrombin deficiency and protein C deficiency. After excluding venous events, 155 patients were evaluated for arteriopathy and cardioembolic risk factors; neither was associated with recurrent stroke. Positive family history of thrombosis was not predictive of abnormal thrombophilia testing. Thrombophilia, arteriopathy, or cardioembolic risk factors were not predictive of recurrent events after perinatal stroke. Thrombophilia evaluation in perinatal stroke should only rarely be considered. © 2017 American Heart Association, Inc.

  6. Resultados maternos e neonatais em centro de parto normal peri-hospitalar e hospital

    Directory of Open Access Journals (Sweden)

    Camilla Alexsandra Schneck

    2012-02-01

    Full Text Available OBJETIVO: Comparar os resultados maternos e neonatais em mulheres de baixo risco atendidas em centro de parto normal peri-hospitalar e hospital. MÉTODOS: Estudo transversal com amostra representativa de mulheres de baixo risco atendidas em São Paulo, SP, de 2003 a 2006. Foram incluídas 991 mulheres que tiveram o parto no centro de parto normal e 325 que deram à luz no hospital. Os dados foram obtidos dos prontuários. A análise comparativa foi realizada para o total de mulheres e estratificada segundo a paridade. Foram aplicados os testes qui-quadrado e exato de Fisher. RESULTADOS: Houve distribuição homogênea das mulheres segundo a paridade (45,4% nulíparas e 54,6% mulheres com um ou mais partos anteriores. Foram encontradas diferenças estatisticamente significantes em relação às seguintes intervenções: amniotomia (mais freqüente entre nulíparas do hospital; utilização de ocitocina no trabalho de parto e utilização de analgésico no pós-parto (mais freqüentes no hospital entre as mulheres de todas as paridades. A taxa de episiotomia foi maior entre as nulíparas, tanto no centro de parto como no hospital. Houve maior freqüência de intervenções com o neonato no hospital: aspiração das vias aéreas superiores, aspiração gástrica, lavagem gástrica, oxigênio por máscara aberta. Também ocorreram com mais freqüência no hospital bossa serossanguínea, desconforto respiratório e internação na unidade neonatal. Não houve diferença nos valores de Apgar no quinto minuto nem casos de morte materna ou perinatal. CONCLUSÕES: A assistência no centro de parto normal foi realizada com menos intervenções e com resultados maternos e neonatais semelhantes aos do hospital.

  7. Liderazgo y gerencia para obtener resultados en salud

    OpenAIRE

    Rosales, Carlos

    2015-01-01

    Desarrolla las diferencias, resultados y competencias del liderazgo y gerencia. Muestra algunos de los principales factores determinantes de las capacidades de liderazgo y gerenciales en la organización social

  8. Fertility rates and perinatal outcomes of adolescent pregnancies: a retrospective population-based study.

    Science.gov (United States)

    Souza, Maria de Lourdes de; Lynn, Fiona Ann; Johnston, Linda; Tavares, Eduardo Cardoso Teixeira; Brüggemann, Odaléa Maria; Botelho, Lúcio José

    2017-04-06

    analyze trends in fertility rates and associations with perinatal outcomes for adolescents in Santa Catarina, Brazil. a population-based study covering 2006 to 2013 was carried out to evaluate associations between perinatal outcomes and age groups, using odds ratios, and Chi-squared tests. differences in the fertility rate among female adolescents across regions and time period were observed, ranging from 40.9 to 72.0 per 1,000 in mothers aged 15-19 years. Adolescents had fewer prenatal care appointments than mothers ≥20 years, and a higher proportion had no partner. Mothers aged 15-19 years were more likely to experience preterm birth (OR:1.1; CI:1.08-1.13; pprematuros (OR:1,1; IC:1,08-1,13; pprematuro (OR:1,1; IC:1,08-1,13; p<0,001), bebé con peso bajo al nacer (OR:1,1; IC:1,10-1,15; p<0,001) y puntuación de Apgar baja a los 5 minutes (OR:1,4; IC:1,34-1,45; p<0,001) fue superior para madres entre 15 y 19 años en comparación con madres ≥20 años, con mayores chances de resultados negativos para aquellas entre 10 y 14 años de edad. este estudio evidencia que las tasas de fertilidad entre las adolescentes siguen superiores en regiones de pobreza social y económica. Madres adolescentes y sus bebés tienen mayor probabilidad de efectos perinatales adversos. Enfermeros, trabajadores de salud pública, profesionales de salud y asistencia social y educadores deben colaborar para mejor dirigir estrategias a adolescentes con riesgo superior; para fines de ayudar a reducir las tasas de fertilidad y mejorar los resultados.

  9. ¿Es el coeficiente de Hurst un buen indicador de extinción de especies?

    OpenAIRE

    Adela Salvador Alcaide; Alfonso Garmendia Salvador; Luis Garmendia Salvador

    2011-01-01

    La dimensión fractal de las fluctuaciones de los tamañospoblacionales se puede utilizar como un estimador del riesgo deextinción de una especie. El problema en la medición de esta dimensión fractal suele ser la longitud de la serie temporal, normalmente demasiado corta para que los resultados sean concluyentes. En este trabajo se ha analizado esta hipótesis con los datos obtenidos a partir de un modelo iterativo de competencia en diferentes regímenes de perturbación entre dos estrategias de g...

  10. Instrucción familiar perinatal

    Directory of Open Access Journals (Sweden)

    González Hoyos Dolly Magnolia

    1990-12-01

    Full Text Available

    Durante los últimos años ha habido una serie de descubrimientos científicos en el campo de la medicina y la educación que nos han permitido contar con recursos tendientes a garantizar que la mujer llegue a la edad fértil en óptimas condiciones. Con el objeto de evitar riesgos se procura excelente atención prenatal y en el parto. La atención prenatal que se proporciona al niño lo lleva a crecer, sano, alegre, creativo, autónomo, flexible, seguro de sí mismo, y la atención médica obstétrica adecuada hace que la morbimortalidad perinatal disminuya.


  11. Perinatal mortality: a hospital based study.

    Science.gov (United States)

    Kameswaran, C; Bhatia, B D; Bhat, B V; Oumachigui, A

    1993-08-01

    Three thousand seven hundred and two deliveries between January and December, 1990 were the study subjects. The perinatal mortality rate (PNMR), stillbirth rate (SBR) and early neonatal death rates (ENDR) were found to be 57/1000, 35.1/1000 and 22.7/1000, respectively. The preterms had much higher PNMR, SBR and ENDR as compared to term babies. Term babies weighing > or = 2500 g had a PNMR of 18/1000. In preterm and term babies the mortality was reduced considerably with increase in birth weight (BW). The unbooked deliveries had significantly higher PNMR, SBR and ENDR compared to booked deliveries. The fall in PNMR compared to observations of a decade ago was due to a fall primarily in ENDR, with SBR remaining unchanged signifying failure of existing MCH set up. Nearly, 92% of ENDR were in first 72 hours which signifies the need for developing and strengthening the intensive care facilities along with timely referral of high risk mothers.

  12. Current trends in Irish perinatal mortality.

    LENUS (Irish Health Repository)

    Mahony, R

    2010-06-01

    This was a retrospective review of normally formed perinatal deaths among 176,620 births at the National Maternity Hospital (1984-2007). Prelabor stillbirths were categorised by presumed cause of death including unexplained, intrauterine growth retardation (IUGR), placental abruption, red cell alloimmunisation (RCA) and deaths related to prematurity. Peripartum deaths included intrapartum and first week neonatal deaths. The post-mortem rate, initially almost 100%, fell to 60%. Data were analysed using the Mantel-Haenszel chi square test for trends. In the study period there was a significant reduction in the PNM, largely because of a fall in death related to prematurity, term peripartum death, death at 42 weeks or greater, placental abruption, death related to IUGR and RCA (P < 0.01). Overall the unexplained still birth rate was unchanged throughout the study period (p = 0.8) despite a highly significant (p < 0.001) increase in obstetric intervention particularly induction of labor and caesarean section.

  13. Mortality in mothers after perinatal loss

    DEFF Research Database (Denmark)

    Hvidtjørn, D; Wu, C; Schendel, D

    2016-01-01

    OBJECTIVE: To assess whether mothers who lost a child from stillbirth or in the first week of life have an increased overall mortality and cause-specific mortality. DESIGN: A population based follow-up study. SETTING: Data from Danish national registers. POPULATION: All mothers in Denmark were...... included in the cohort at time of their first delivery from 1 January 1980 to 31 December 2008 and followed until 31 December 2009 or death, whichever came first. METHODS: The association between perinatal loss and total and cause-specific mortality in mothers was estimated with hazard ratios (HR) and 95......% confidence intervals (95% CI) calculated using Cox proportional hazards regression analyses. MAIN OUTCOME MEASURES: Overall mortality and cause-specific mortality. RESULTS: During the follow-up period, 838 331 mothers in the cohort gave birth to one or more children and 7690 mothers (0.92%) experienced...

  14. [Application of Epigenetics in Perinatal Nursing Care].

    Science.gov (United States)

    Chou, Hsueh-Fen; Kao, Chien-Huei; Gau, Meei-Ling

    2017-04-01

    Epigenetics is a field of biomedicine that expanded tremendously during the 1980s. Epigenetics is the study of heritable changes in gene expression independent of underlying DNA (DeoxyriboNucleic Acid) sequence, which not only affect this generation but will be passed to subsequent generations. Although conception is the critical moment for making decisions regarding gene mapping and fetal health, studies have shown that perinatal nursing care practices also affect the genetic remodeling processes and the subsequent health of the mother and her offspring. To optimize maternal-infant and the offspring health, it is important to ensure that the new mother get adequate nutrition, reduce stress levels, adopt gentle birth practices, facilitate exclusive breastfeeding, and avoid contacting toxic substances.

  15. Perinatal mortality at pre-Columbian Teotihuacan.

    Science.gov (United States)

    Storey, R

    1986-04-01

    The skeletal population of 166 individuals from a low-status apartment compound of the pre-Columbian city of Teotihuacan contained 52 perinatal individuals. The most perilous time of the lifespan was around birth, as revealed by life table analysis. Femur length was not increasing during the last month of gestation, and individuals were probably shorter somatically at birth than modern standards or historic-period Arikara skeletal controls. The possibility of intrauterine growth retardation is investigated through paleo-pathological indicators of prenatal growth arrest. The evidence of prenatal stress and the high rate of mortality at birth seem to indicate that this New World preindustrial urban population faced similar health and nutritional stresses as Old World preindustrial cities.

  16. Brain pertechnetate SPECT in perinatal asphyxia

    Energy Technology Data Exchange (ETDEWEB)

    Sfakianakis, G.; Curless, R.; Goldberg, R.; Clarke, L.; Saw, C.; Sfakianakis, E.; Bloom, F.; Bauer, C.; Serafini, A.

    1984-01-01

    Single photon emission computed tomography of the brain was performed in 6 patients with perinatal asphyxis aged 8-26 days. A single-head (LFOV) commercial SPECT system (Picker) was used and data were acquired 2-3 hr after an IV injection of 1-2 mCi Tc-99m-pertechnetate (360/sup 0/ rotation, 60 views, 64 x 64 matrix, 50K cts/view). Reconstruction in three planes was performed using MDS software (Hanning medium resolution filter, with or without attenuation correction using Sorenson's technique). For each clinical study, a ring type phantom source was used to identify the level of reconstruction noise in the tomographic planes. Abnormalities were found in all patients studied, 3 central (moderate intensity), 2 peripheral (1 severe, 1 moderate) and 1 diffuse (mild intensity). Despite use of oral perchlorate (50 mg) in one patient the choroid plexus was visible. Since attenuation correction tended to amplify noise, the clinical studies were interpreted both with and without this correction. All 3 patients with central lesions were found abnormal on early (1-4 mo) neurologic follow-up examination, whereas the others were normal. No correlation was found between SPECT and 24 hr blood levels of CPK, ammonia, base excess, or the Apgar scores. Ct scans were reported abnormal (3 diffuse, 1 peripheral, 1 central and 1 questionable). Planar scintigrams obtained immediately after SPECT were normal (2), questionable (2) and abnormal (2). Follow-up SPECT brain scintigrams in two of the patients showed partial resolution. SPECT of the brain appears promising in perinatal asphyxia but long-term correlation with patient development is necessary.

  17. PERINATAL OUTCOME IN SEVERE ANAEMIA COMPLICATING PREGNANCY

    Directory of Open Access Journals (Sweden)

    Nirmala Devi

    2015-06-01

    Full Text Available BACKGROUND: Anaemia is the commonest global public health problem and especially harmful when the pregnancy is complicated by anaemia. Women in reproductive age group are more vulnerable for iron deficiency anaemia with an estimated prevalence of around 70 to 80% in pregnant women. MATERIAL AND METHODS: The aim of the study was to analyse the foetal outcome in the hospitalised pregnant women with severe anaemia. This is a prospective study carried out at maternity ward of Government G eneral H ospital, Kurnool of Andhra Pradesh, India over a period of one year from October 2007 to September 2008. RESULTS: Total of 9731 deliveries occurred during the study period, 282 (2.89 % were severely anaemic at the time of delivery. Majority of the women w ere of 20 - 24 years age (68.4% with second gravidas 37.5%, term gestation 52.1%, preterm deliveries 47.9%, lower socio - economic status 87.6% and Unbooked cases 67.4% and low birth weight in 53.2% cases, intra uterine growth retardation and intra uterine foetal death contributes to 12.8% and 16.7% cases respectively. A total of 36 (12.8% neonates required admission in neonatal intensive care unit and 16(5.7% of them died. CONCLUSION: Severe anaemia during pregnancy has adverse perinatal outcome in the fo rm of low birth weight, preterm birth, intrauterine growth retardation and intrauterine death. Regular iron supplementation during the antenatal period, management of anaemia and improving the nutritional status of the mother will improve the adverse neona tal outcome and decreases perinatal morbidity and mortality.

  18. ¿Leen en forma voluntaria y recreativa los niños que logran un buen nivel de Comprensión Lectora? Do children who achieve a high level of Reading Comprehension read voluntarily and for recreation?

    Directory of Open Access Journals (Sweden)

    Mónica Valdés

    2013-11-01

    Full Text Available This study aims at determining the reading habits of 4th Grade students (4th Primary who reach an advanced level of reading comprehension. They were evaluated in the 2011 SIMCE test, in Chile. A survey about reading behaviors was conducted in a sample of 107 students from two schools in Talca, Maule region. In this study were items were evaluated: various behaviors associated with reading such as reading habits, defined as behaviors linked with the number of books read voluntarily and the taste for reading; frequency of use of the library and the priority of reading within the student’s free time; type of support utilized for reading and the role of parents in motivating their children to read. The results show that reaching a good level of reading comprehension does not ensure good reading habits or the enjoyment and pleasure of reading. The study also shows that students rarely use the school library and the low reading motivation they get from their parents.Este estudio tiene como objetivo conocer los hábitos lectores de los alumnos de 4° Básico (4° de Primaria que alcanzan un nivel de comprensión lectora avanzado, evaluado en la prueba Sistema de Medición de la Calidad de la Educación (SIMCE en Chile, en 2011. El estudio se realizó con una muestra de 107 alumnos que respondieron una encuesta y que pertenecen a dos colegios de la comuna de Talca, región del Maule. Fueron evaluadas distintas conductas asociadas a la lectura como el hábito lector, definido como las conductas asociadas a cantidad de libros leídos en forma voluntaria, el gusto por la lectura, la frecuencia en el uso de la biblioteca, el lugar que ocupa la lectura dentro del tiempo libre, el tipo de soporte utilizado para leer y el rol de los padres en la motivación por la lectura de sus hijos. Los resultados muestran que el hecho de alcanzarun buen nivel de comprensión lectora no asegura los buenos hábitos lectores, el gusto por la lectura y el leer por placer. Se

  19. Sumak Kawsay y Suma Qamaña, el reto de aprender del sur: reflexiones en torno al buen vivir (Sumak Kawsay and Suma Qamaña, the challenge of learning from the South: reflections on the Living Well

    Directory of Open Access Journals (Sweden)

    Hernández Sánchez, Maribel

    2009-12-01

    Full Text Available Resumen: La situación actual de crisis sistémica global ha puesto de manifiesto la inviabilidad del modelo de desarrollo tradicional, basado en el crecimiento económico y la acumulación de capital como fin en sí mismo. Ante el fracaso de este modelo y la constatación de que sus dinámicas han resultado ser, en contra de lo esperado, 'maldesarrolladoras', se hace necesaria la búsqueda de alternativas que propongan otras formas de relación más sostenibles y equilibradas. El ideal del Buen Vivir, originario de la cosmovisión indígena e incorporado en los nuevos textos constitucionales de Bolivia y Ecuador, promueve una nueva forma de entender el desarrollo, basada en la armonía entre los individuos y de éstos con la naturaleza. Este texto recoge las conclusiones fundamentales del seminario 'Sumak Kawsay. Aprendiendo del Sur', organizado por el Instituto de Desarrollo Social y Paz de la Universidad de Alicante, precisamente con el fin de establecer espacios de discusión y análisis sobre el alcance de estas propuestas.Abstract: The current situation of global systemic crisis has highlighted the infeasibility of the traditional development model, which is based on economic growth and capital accumulation as an end in itself. Given the failure of this model and the finding that, contrary to expectations, their dynamics are 'maldevelopers', it becomes necessary to look for alternatives to propose other forms of relationship, more sustainable and balanced. The ideal of Living Well, which origin in the indigenous world-view, has been introduced in the new constitutions of Bolivia and Ecuador. It promotes a new way of understanding development, based on harmony between individuals and between them and the nature. This text incorporates the key findings of the seminar 'Sumak Kawsay. Learning from the South', organized by the Institute of Social Development and Peace at the University of Alicante, in order to provide opportunities for

  20. El buen vivir-Sumak Kawsay en la Constitución y en el PNBV 2013-2017 del Ecuador

    Directory of Open Access Journals (Sweden)

    Fernando Vega

    2014-07-01

    Full Text Available El presente artículo, en su parte central, trata de exponer de manera más o menos sucinta la importancia del concepto del Sumak Kausay en la Constitución ecuatoriana y en el Plan Nacional del Buen vivir 2013-2017, mostrando sus continuidades y diferencias que obedecen, unas y otras, a los distintos momentos políticos en los que estos dos documentos han sido producidos: la Constitución, en el año 2008 en los inicios de la “revolución ciudadana” y el Plan del Buen Vivir, tras la reelección de Rafael Correa para un nuevo período presidencial en 2013. En una breve introducción se da cuenta del contexto histórico ecuatoriano antecedente, que permite la irrupción del Sumak Kawsay y en las conclusiones se recogen algunos ecos del debate político que tanto en Ecuador como en Bolivia se están produciendo frente a los intentos gubernamentales de pasar del discurso del Buen Vivir a los programas y proyectos de la política real. | This article, in its central part, tries to expose more or less succinctly the importance of the concept of “Sumak kausay” in the Ecuadorian Constitution and the National Plan for Good Living 2013-2017, showing continuities and differences that obey a and others, the different political moments in which these two documents have been produced: the Constitution, in 2008 at the beginning of the "citizen revolution" and the Plan of Good Living/Living Well, following the re-election of Rafael Correa for a new presidential term in 2013. During a brief introduction realizes the Ecuadorian historical context background, allowing the emergence of “Sumak Kawsay” and conclusions some echoes of the political debate over attempts are both Ecuador and Bolivia producing collected government spending Speech Good Living/Living Well programs and projects of real politics.

  1. Avaliação dos níveis de resposta das emissões otoacústicas em neonatos com asfixia perinatal

    Directory of Open Access Journals (Sweden)

    Georgea Espindola Ribeiro

    2014-09-01

    Full Text Available Objetivo: Avaliar os efeitos da asfixia perinatal sobre os níveis de resposta das emissões otoacústicas por estímulo transiente em lactentes. Métodos: Foi realizado, para comparação, o registro das emissões otoacústicas transientes em 154 neonatos: 54 bebês que sofreram asfixia perinatal, medida pela escala de Apgar e diagnóstico médico ao nascimento, e 100 bebês sem risco. Escores abaixo de 4 no primeiro minuto e/ou menores que 6 no quinto minuto foram considerados "Apgar baixo". A análise estatística do conjunto de dados foi efetuada utilizando-se os testes não paramétricos de Kruskal, Wilcoxon e Mann-Whitney. Resultados: Foram observados menores níveis de resposta nas emissões otoacústicas transientes para o grupo que sofreu asfixia perinatal, com valores estatisticamente significantes para as frequências de 2000, 3000 e 4000Hz na orelha direita e 2000 e 4000Hz na orelha esquerda. Conclusão: A análise das características intrínsecas do exame de emissões otoacústicas transientes mostrou baixo desempenho das células ciliadas externas em neonatos que tiveram asfixia perinatal, o que pode afetar o desenvolvimento das habilidades auditivas nessa população.

  2. Optimizing the treatment of mood disorders in the perinatal period

    Science.gov (United States)

    Meltzer-Brody, Samantha; Jones, Ian

    2015-01-01

    The perinatal period is a time of high risk for women with unipolar and bipolar mood disorders. We discuss treatment considerations for perinatal mood disorders, including unipolar and bipolar depression as well as postpartum psychosis. We further explore the unique issues faced by women and their families across the full trajectory of the perinatal period from preconception planning through pregnancy and following childbirth. Treatment of perinatal mood disorders requires a collaborative care approach between obstetrics practitioners and mental health providers, to ensure that a thoughtful risk : benefit analysis is conducted. It is vital to consider the risks of the underlying illness versus risks of medication exposure during pregnancy or lactation. When considering medication treatment, attention must be paid to prior medication trials that were most efficacious and best tolerated. Lastly, it is important to assess the impact of individual psychosocial stressors and lifestyle factors on treatment response. PMID:26246794

  3. Scientific and ethical perspectives of perinatal and fetal medicine

    National Research Council Canada - National Science Library

    Valdés R, Enrique; Soto-Chacón, Emiliano; Castillo T, Silvia

    2008-01-01

    ..., called Perinatal and Fetal Medicine. We discuss the possible role of fetal cells and DNA in the diagnosis and treatment of diseases in the intrauterine environment The associated bioethical issues associated to these medical actions...

  4. Towards improving perinatal maternal mental health in Vietnam

    OpenAIRE

    Niemi, Maria

    2012-01-01

    Major depression is increasing world-wide, and is the third leading cause of the global disease burden. In Vietnam, perinatal depression is underdiagnosed and under-treated, leading to severe consequences for the pregnant mother, her child and surroundings. AIMS: The overall aim was to improve knowledge about perinatal depression to contribute to evidence based development of prevention and treatment strategies in Vietnam. The specific aims were: To generate a report of the mental health prio...

  5. Building Perinatal Case Manager Capacity Using Quality Improvement

    OpenAIRE

    Fitzgerald, Elaine

    2015-01-01

    Improving breastfeeding rates among Black women is a potential strategy to address disparities in health outcomes that disproportionately impact Black women and children. This quality improvement (QI) initiative aimed to improve perinatal case manager knowledge and self-efficacy to promote breastfeeding among Black, low-income women who use services through Boston Healthy Start Initiative. QI methodology was used to develop and test a two-part strategy for perinatal case managers to promote a...

  6. Short term outcome in babies refused perinatal intensive care.

    OpenAIRE

    Sidhu, H.; Heasley, R. N.; Patterson, C C; Halliday, H L; Thompson, W.

    1989-01-01

    OBJECTIVE--To compare the mortality in babies refused admission to a regional perinatal centre with that in babies accepted for intensive care in the centre. DESIGN--Retrospective study with group comparison. SETTING--Based at the Royal Maternity Hospital, Belfast, with follow up of patients in all obstetric units in Northern Ireland. PATIENTS--Requests for transfer of 675 babies to the regional perinatal centre (prenatally and postnatally) were made from hospitals in Northern Ireland between...

  7. Perinatal-lethal Gaucher disease presenting as hydrops fetalis.

    Science.gov (United States)

    BenHamida, Emira; Ayadi, Imene; Ouertani, Ines; Chammem, Maroua; Bezzine, Ahlem; BenTmime, Riadh; Attia, Leila; Mrad, Ridha; Marrakchi, Zahra

    2015-01-01

    Perinatal-lethal Gaucher disease is very rare and is considered a variant of type 2 Gaucher disease that occurs in the neonatal period. The most distinct features of perinatal-lethal Gaucher disease are non-immune hydrops fetalis. Less common signs of the disease are hepatosplenomegaly, ichthyosis and arthrogryposis. We report a case of Gaucher's disease (type 2) diagnosed in a newborn who presented with Hydrops Fetalis.

  8. Management of renal dysfunction following term perinatal hypoxia-ischaemia.

    LENUS (Irish Health Repository)

    Sweetman, Deirdre U

    2013-03-01

    Acute kidney injury frequently develops following the term perinatal hypoxia-ischaemia. Quantifying the degree of acute kidney injury is difficult, however, as the methods currently in use are suboptimal. Acute kidney injury management is largely supportive with little evidence basis for many interventions. This review discusses management strategies and novel biomarkers that may improve diagnosis and management of renal injury following perinatal hypoxia-ischaemia.

  9. Prolegómenos al vivir bien-buen vivir: una evaluación normativa y práctica

    Directory of Open Access Journals (Sweden)

    Edwin Cruz Rodríguez

    2015-06-01

    Full Text Available Este trabajo examina el concepto de vivir bien-buen vivir ponderando sus contribuciones y limitaciones. Esta cosmovisión tiene un horizonte normativo más ambicioso que el paradigma del desarrollo, pues apuesta por una concepción de la pobreza y la riqueza que no se reduce a la acumulación de bienes materiales, una economía que comprende sus efectos sobre la naturaleza y se centra en la satisfacción de necesidades, y una descolonización de los saberes. No obstante, se caracteriza por un déficit de operacionalización que se manifiesta en la dificultad para definir políticas concretas e indicadores de medición precisos.

  10. Spatial patterns of preventable perinatal mortality in Salvador, Bahia, Brazil

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    Rita de Cássia de Sousa Nascimento

    2017-08-01

    Full Text Available ABSTRACT OBJECTIVE To identify the spatial distribution patterns and areas of higher risk of preventable perinatal mortality in the city of Salvador, State of Bahia, Brazil. METHODS We carried out a spatial aggregated study in 2007, considering the weighting areas (census tracts contiguous sets of Salvador, of which the center and north present low life conditions. Data were obtained from national vital statistics systems and the 2010 Census. Addresses of live births and stillbirths were geocoded by weighting area. The spatial distribution of the perinatal mortality rate was analyzed from thematic maps. Spatial dependence was evaluated by the Global and Local Geary’s and Moran’s Indexes. RESULTS Crude and smoothed perinatal mortality rates were high in areas situated to the north, west, and in center of Salvador. The smoothed rates in weighting areas ranged from 4.9/1,000 to 22.3/1,000 births. Of all perinatal deaths, 92.1% could have been prevented. We identified spatial dependence for preventable perinatal mortality for care in pregnancy, with neighboring areas with high risk in the north of the city. CONCLUSIONS The preventability potential of perinatal mortality was high in Salvador, in 2007. The spatial distribution pattern with higher rates in disadvantaged areas of the city suggests the existence of social inequalities in health. The characteristics of the process of urban development of Salvador, which has inadequate prenatal care, possibly influenced the magnitude and spatial distribution pattern of this mortality.

  11. Perinatal pathology: practice suggestions for limited-resource settings.

    Science.gov (United States)

    Roberts, Drucilla J

    2013-06-01

    The practice of perinatal pathology in much of the world suffers, as do all subspecialties of anatomic pathology, from inadequate resources (equipment, consumables, and both professional and technical personnel), from lack of education (not only of the pathologist but also of the clinicians responsible for sending the specimens, and the technicians processing the specimens), and from lack of appropriate government sector support. Perinatal pathology has significant public health-related utility and should be championing its service by providing maternal and fetal/infant mortality and morbidity data to governmental health ministries. It is with this pathologic data that informed decisions can be made on health-related courses of action and allocation of resources. These perinatal pathology data are needed to develop appropriate public health initiatives, specifically toward achieving the Millennium Developmental Goals as the best way to effectively decrease infant and maternal deaths and to determine causes of perinatal mortality and morbidity. The following overview will focus on the utility of perinatal pathology specifically as related to its public health function and will suggest methods to improve its service in resource-poor settings. This article is offered not as a critique of the current practice that most pathologists find themselves working in globally, but to provide suggestions for improving perinatal pathology services, which could be implemented with the limited available resources and manpower most pathology departments currently have. In addition, we offer suggestions for graded improvements ("ramping up") over time.

  12. Perinatal mortality and the evolution of population in Mexico.

    Science.gov (United States)

    Aguilar, L F

    1980-01-01

    The study of perinatal mortality in Mexico is of considerable importance due to the natality rate presented by the country as a result of inefficient development. Women in reproductive age, very young or very late, contribute with high risk pregnancies. Classification of medical causes of perinatal mortality continues to be a problem because of inexact records and the multiplicity of circumstances that may provoke the same effects. The World Health Organization groups the causes of perinatal mortality as follows: congenital malformations; obstetric causes; and other causes, including chronic or acute illness of the mother, illnesses of pregnancy and childbirth. Perinatal mortality expresses the obstetric risks of the fetus and the newlyborn, that is of that period of life that precedes the beginning of the viability of the fetus. Good care at childbirth, prevention of toxemias, of arytoblastosis, the use of adequate procedures of resuscitation, and incubators are all effective factors in the prevention of deaths. Socioeconomic conditions, particularly those related to nutrition, physical status and education of the pregnant women also have an important role in the reduction of perinatal mortality causes. Even through these preventive aspects have been intensified in the whole Mexican territory, there continues to be a great difference in its implementation in rural zones where disperse human settlements exist with scarce communication. Fetal mortality in Mexico has declined markedly over the 1930-1975 period. Perinatal mortality also has declined, from 51-190/1000 in 1930 to 10-39/1000 liveborn in 1975.

  13. ¿Es el coeficiente de Hurst un buen indicador de extinción de especies?

    Directory of Open Access Journals (Sweden)

    Adela Salvador Alcaide

    2011-04-01

    Full Text Available La dimensión fractal de las fluctuaciones de los tamañospoblacionales se puede utilizar como un estimador del riesgo deextinción de una especie. El problema en la medición de esta dimensión fractal suele ser la longitud de la serie temporal, normalmente demasiado corta para que los resultados sean concluyentes. En este trabajo se ha analizado esta hipótesis con los datos obtenidos a partir de un modelo iterativo de competencia en diferentes regímenes de perturbación entre dos estrategias de germinación diferentes: germinación de todas las semillas vs. dormición de la mitad de las semillas. Esto permite disponerde series temporales largas, de mil años y de diferentes riesgos de extinción.

  14. Tendinopatia patelar: resultados tardios do tratamento cirúrgico

    OpenAIRE

    Marcos Henrique Frauendorf Cenni; Thiago Daniel Macedo Silva; Bruno Fajardo do Nascimento; Rodrigo Cristiano de Andrade; Lúcio Flávio Biondi Pinheiro Júnior; Oscar Pinheiro Nicolai

    2015-01-01

    resumo Objetivo: Avaliar os resultados tardios do tratamento cirúrgico na tendinopatia patelar (TP) com o uso do escore Visa (Victorian Institute of Sport Tendon Study Group) e o método de Verheyden. Métodos: Estudo retrospectivo que avaliou os resultados pós-operatórios de 12 pacientes, ou 14 joelhos, entre julho de 2002 e fevereiro de 2011. Foram incluídos os pacientes com tendinopatia patelar refratários ao tratamento conservador e que não apresentavam outras lesões cirúrgicas concomitan...

  15. Tendinopatia patelar: resultados tardios do tratamento cirúrgico

    OpenAIRE

    Marcos Henrique Frauendorf Cenni; Thiago Daniel Macedo Silva; Bruno Fajardo do Nascimento; Rodrigo Cristiano de Andrade; Lúcio Flávio Biondi Pinheiro Júnior; Oscar Pinheiro Nicolai

    2015-01-01

    resumo Objetivo: Avaliar os resultados tardios do tratamento cirúrgico na tendinopatia patelar (TP) com o uso do escore Visa (Victorian Institute of Sport Tendon Study Group) e o método de Verheyden. Métodos: Estudo retrospectivo que avaliou os resultados pós-operatórios de 12 pacientes, ou 14 joelhos, entre julho de 2002 e fevereiro de 2011. Foram incluídos os pacientes com tendinopatia patelar refratários ao tratamento conservador e que não apresentavam outras lesões cirúrgicas concomitan...

  16. Resultado de los embarazos complicados con rubéola, 1990-1997

    Directory of Open Access Journals (Sweden)

    Figueroa-Damián Ricardo

    1999-01-01

    Full Text Available OBJETIVO. Describir la experiencia del manejo de embarazadas con rubéola, evaluando el resultado perinatal. MATERIAL Y MÉTODOS. Del 1 de enero de 1990 al 31 de octubre de 1997 se incluyeron 67 embarazadas con diagnóstico de rubéola, corroborada con la determinación de anticuerpos séricos IgM. Se dio seguimiento hasta la resolución del embarazo en 66 de estas mujeres: en cuatro se realizó un aborto electivo y una tuvo un embarazo molar. En 61 pacientes se pudo evaluar el efecto de la rubéola sobre el producto y la gestación. A los productos con determinación positiva de IgM contra rubéola se les realizó ecocardiograma, estudio oftalmológico y potenciales provocados auditivos del tallo cerebral (PPATC. RESULTADOS. El promedio de edad de las embarazadas fue de 24.7±5.5 años; 28 pacientes cursaban su primer embarazo. Ninguna de las embarazadas presentó alguna complicación del episodio de rubéola. En 35 casos (52.2% la infección viral se presentó durante el primer trimestre de gestación; en 23 (34.5% sucedió durante el segundo trimestre, y en nueve (13.3% ocurrió en el último trimestre. De los casos de infección materna durante el primer trimestre gestacional, 71% de los productos se infectaron y 51.6% desarrollaron un síndrome de rubéola congénita. Las manifestaciones de rubéola congénita más frecuentes fueron prematurez, bajo peso al nacimiento y alteración de los PPATC. CONCLUSIONES. En México la rubéola continúa causando daño fetal, de tal manera que es necesario establecer medidas de prevención, como la vacunación universal, para evitar la infección por rubéola.

  17. Perinatal epidemiological risk factors for preeclampsia.

    Science.gov (United States)

    Bobić, Mirna Vuković; Habek, Dubravko; Habek, Jasna Čerkez

    2015-03-01

    In the present study, the impact of the potential perinatal epidemiological factors on preeclampsia development was assessed. This clinical study included 55 pregnant women with preeclampsia and control group of 50 healthy pregnant women. Positive family history of cardiovascular disease, diabetes mellitus or thromboembolic disease was recorded in 50% of women with preeclampsia versus 28% of control group women. Positive personal history of this disease was recorded in 15% of women with preeclampsia, whereas all control group women had negative personal history of preeclampsia. Dietary habits, i.e. the intake of meat and meat products, fruit and vegetables, coffee and alcohol drinks were similar in the two groups, without statistically significant differences. The women with preeclampsia and control women reported comparable habits; there was no difference in the consumption of meat, fruit, vegetables, coffee and alcohol, smoking, use of folate and oral hormonal contraception before pregnancy, or in physical activity as the potential risk factors for preeclampsia in current pregnancy. However, personal and family history of vascular disease proved to be significant risk factors for the occurrence of preeclampsia, emphasizing the need of lifestyle and dietary modifications with healthy dietary habits, while avoiding adverse habits in pregnancy.

  18. HIV-1 LTR subtype and perinatal transmission.

    Science.gov (United States)

    Blackard, J T; Renjifo, B; Fawzi, W; Hertzmark, E; Msamanga, G; Mwakagile, D; Hunter, D; Spiegelman, D; Sharghi, N; Kagoma, C; Essex, M

    2001-09-01

    Multiple subtypes of HIV-1 have been identified; however, there is little data on the relative transmissibility of viruses belonging to different subtypes. A matched case-control study addressed whether viruses with different long terminal repeat (LTR) subtypes were transmitted equally from mother to infant. The LTR subtype was determined for 45 matched cases and controls who participated in a clinical trial in Tanzania. HIV-1 subtypes A, C, and D and intersubtype recombinant sequences were identified. Exact matched logistic regression analysis showed that viruses containing subtype A or intersubtype recombinant LTRs were 3.2 and 4.8 times more likely to be transmitted from mother to infant than viruses with subtype D LTRs. Viruses containing subtype C LTRs were 6.1 times more likely to be transmitted than those with subtype D LTRs. These differences in transmission were independent of maternal CD4 at enrollment. Thus, it appears that HIV-1 subtype may be associated with differing rates of perinatal transmission in Tanzania. Copyright 2001 Academic Press.

  19. Gestational diabetes versus pregestational diabetes. Perinatal results.

    Directory of Open Access Journals (Sweden)

    Cristóbal Torres González

    2004-12-01

    Full Text Available Fundament: Diabetes Mellitus is one of the most affecting diseases in the development of pregnancy. This greatly depends on the metabolic control achieved, which has demanded several proyects of treatment, thus decreasing the risks that the gestational process carries out. Objective: to compare the perinatal results between the diabetic gestational women and pregestational ones admitted at Cienfuegos Hospital. Method: Comparative study developed at the Gynecological-Obstetric Universitary Hospital from Cienfuegos province, from January to december 2003, including 167 pregnant women with Diabetes mellitus during pregnancy. The variables under study were: type of Diabetes, Márquez Guillén classification about good or bad fetal-maternal prognosis , treatment used, type of delivery, gestational age at labor, newborn weight, prenatal and maternal complication. Results: There was a predominance of gestational diabetes (73, 6 % over the cases with pregestational diabetes (26,3 %. According to Marquez Guillén classification , the bad fetal-maternal prognosis (X=16.37, p

  20. Improvement of perinatal outcome in diabetic pregnant women.

    Science.gov (United States)

    Szilagyi, A; Szabo, I

    2001-01-01

    Obstetrical and perinatal outcomes in newborns of diabetic pregnant women depend on metabolic control and fetal surveillance during pregnancy. The effects of fetal surveillance on perinatal mortality and morbidity was analyzed in diabetic pregnant women with appropriate glucose control in our regional center for diabetes and pregnancy. 480 deliveries complicated by frank or gestational diabetes occurred in our Department in the period of 1988-1999. Perinatal mortality and morbidity, prevalence of premature deliveries, methods of fetal surveillance, options for respiratory distress syndrome (RDS) profilaxis, cesarean section rate, timing of delivery and its indications and occurrence of malformations have been analyzed. It was found that malformation rate and perinatal mortality may be reduced to even lower level than that of in healthy pregnant women by appropriate glucose control and by using the latest methods of intrauterine fetal surveillance including cardiotocography (non stress test and oxytocin challenge test), doppler fetal artery velocimetry and fetal pulse oximetry. Timing of delivery was needed in 35% of the cases with IDDM and 15% of gestational diabetes due to chronic placental insufficiency. If labour induction was needed before the 38 weeks, amniocentesis was performed to test fetal lung maturity. Direct fetal glucocorticoid administration was used to enhance fetal lung maturation in 14 cases. C-section rate was slightly higher than that of in non diabetic pregnant women. Our perinatal morbidity data (macrosomia, hyperbilirubinemia, hypoglycemia, injuries, infections) are comparable with the data from the literature. Although perinatal mortality with the help of thorough fetal surveillance is even better in diabetic pregnant women than in non diabetic patients, future eye should be focused on factors affecting perinatal morbidity, because it is still higher than in newborns of healthy mothers.

  1. Paradoxical centrally increased diffusivity in perinatal arterial ischemic stroke

    Energy Technology Data Exchange (ETDEWEB)

    Stence, Nicholas V.; Mirsky, David M.; Deoni, Sean C.L. [University of Colorado Anschutz School of Medicine, Department of Radiology, Aurora, CO (United States); Children' s Hospital Colorado, Department of Radiology, Aurora, CO (United States); Armstrong-Wells, Jennifer [University of Colorado Anschutz School of Medicine, Department of Pediatrics (Neurology) and OB/GYN, Aurora, CO (United States); University of Colorado Hemophilia and Thrombosis Center, Aurora, CO (United States)

    2016-01-15

    Restricted diffusion on acute MRI is the diagnostic standard for perinatal arterial ischemic stroke. In a subset of children with perinatal arterial ischemic stroke, primarily those with large infarct volumes, we noted a core of centrally increased diffusivity with a periphery of restricted diffusion. Given the paradoxical diffusion-weighted imaging (DWI) appearance observed in some children with perinatal arterial ischemic stroke, we sought to determine its significance and hypothesized that: (1) centrally increased diffusivity is associated with larger infarcts in perinatal arterial ischemic stroke and (2) this tissue is irreversibly injured (infarcted). We reviewed all perinatal arterial ischemic stroke cases in a prospective cohort study from Aug. 1, 2000, to Jan. 1, 2012. Infarct volumes were measured by drawing regions of interest around the periphery of the area of restricted diffusion on DWI. The Mann-Whitney U test was used to compare means between groups. Of 25 eligible cases, centrally increased diffusivity was seen in 4 (16%). Cases with centrally increased diffusivity had larger average infarct volumes (mean 117,182 mm{sup 3} vs. 36,995 mm{sup 3}; P = 0.008), higher average apparent diffusion coefficient (ADC) values in the infarct core (1,679 x 10{sup -6} mm{sup 2}/s vs. 611 x 10{sup -6} mm{sup 2}/s, P < 0.0001), and higher ADC ratio (1.2 vs. 0.5, P < 0.0001). At last clinical follow-up, children with perinatal arterial ischemic stroke and centrally increased diffusivity were more often treated for ongoing seizures (75% vs. 0%; P < 0.001) than those without. Centrally increased diffusivity was associated with larger stroke volume and the involved tissue was confirmed to be infarcted on follow-up imaging. Radiologists should be aware of this unusual appearance of perinatal arterial ischemic stroke in order to avoid underestimating infarct volume or making an incorrect early diagnosis. (orig.)

  2. Resultados de la fase de engorde en invernaderos

    OpenAIRE

    Sonnenholzner, Stanislaus

    2002-01-01

    Resultados de la fase de engorde en invernaderos Continuando con la serie de experimentos que se están desarrollando en la estación experimental Pesglasa para evaluar el efecto del tratamiento térmico en la supervivencia del camarón, se realizó la fase de engorde en invernaderos.

  3. Dinámica de objetos transplutonianos: resultados preliminares

    Science.gov (United States)

    Fernández, S.; Brizuela, H.; Roig, F.; Varela, O.

    Se presentan los resultados de una integración numérica de las ecuaciones de movimiento para objetos transplutonianos. Se han calculado los tiempos de Lyapunov para esos objetos y se analiza el comportamiento dinámico de los mismos.

  4. Cuestionario de rasgos de personalidad obsesiva (CRPO): resultados preliminares

    OpenAIRE

    Vallejo Ruiloba, Julio; Marcos, Teodor; Salamero, Manel

    1996-01-01

    Se presentan los resultados preliminares del cuestionario de rasgos de personalidad obsesiva (CRPO) en tres muestras de población (pacientes obsesivos, pacientes depresivos con melancolía y controles sanos). cuestionario, de 31 ítems, ha demostrado ser útil y válido para discriminar el trastorno obsesivo-compulsivo personalidad.

  5. Gerenciamento de resultados no Brasil: um survey da literatura

    Directory of Open Access Journals (Sweden)

    Antonio Lopo Martinez

    2013-01-01

    Full Text Available Esse artigo revisa a recente literatura acadêmica sobre gerenciamento de resultados (GR no Brasil. O seu objetivo é identificar os principais temas de pesquisa desenvolvidos no contexto do Brasil e os resultados de interesse para usuários, reguladores e preparadores das demonstrações financeiras. Almeja-se que este estudo seja também util a pesquisadores considerando investigar o tema gerenciamento de resultados, na medida em que propicia uma visão abrangente das principais discussões travadas e as metodologias mais usualmente empregadas. Enquanto tema de pesquisa acadêmica, o gerenciamento de resultados revela-se num tópico diversificado e vasto, embora relativamente recente. A maioria dos estudos brasileiros no assunto foi publicada nos últimos dez anos e a produção científica tem se acelerado recentemente, o que torna oportuno uma reflexão sobre o estado da arte, esboçando a evolução do conhecimento e caminhos a serem trilhados no futuro.

  6. Tendinopatia patelar: resultados tardios do tratamento cirúrgico

    Directory of Open Access Journals (Sweden)

    Marcos Henrique Frauendorf Cenni

    2015-10-01

    Full Text Available resumo Objetivo: Avaliar os resultados tardios do tratamento cirúrgico na tendinopatia patelar (TP com o uso do escore Visa (Victorian Institute of Sport Tendon Study Group e o método de Verheyden. Métodos: Estudo retrospectivo que avaliou os resultados pós-operatórios de 12 pacientes, ou 14 joelhos, entre julho de 2002 e fevereiro de 2011. Foram incluídos os pacientes com tendinopatia patelar refratários ao tratamento conservador e que não apresentavam outras lesões cirúrgicas concomitantes. Pacientes que não foram devidamente acompanhados no período pós-operatório foram excluídos. Resultados: Pelo método de Verheyden, nove pacientes foram considerados muito bons, dois bons e um ruim. Em relação ao Visa, a média foi de 92,4 pontos, com apenas dois pacientes abaixo de 70 pontos (66 e 55 pontos. Conclusão: O tratamento cirúrgico da tendinopatia patelar, quando corretamente indicado, tem bons resultados em longo prazo.

  7. Kroyeria brasiliense sp. nov. (Copepoda, Kroyeriidaea gill parasite of the shark, Galeorhinus vitaminicus de Buen, in Rio Grande do Sul State, Brazil Kroyeria brasiliense sp. nov. (Copepoda, Kroyeriidae um parasito de guelras do tubarão, Galeorhinus vitaminicus de Buen, no Rio Grande do Sul, Brasil

    Directory of Open Access Journals (Sweden)

    Vernon E. Thatcher

    2006-12-01

    Full Text Available Kroyeria brasiliense sp. nov. from the shark, Galeorhinus vitaminicus de Buen, 1950, from Rio Grande do Sul, State, Brazil, is described on the basis of 14 adult females. The new species is superficially similar to Kroyeria deetsi Dippenaar, Benz & Olivier, 2000, but differs from it in the following characters. The maxillipeds of the new species are large and project well beyond the lateral margins of the cephalothorax. Those of K. deetsi are much smaller. The third endopodal segments of K. deetsi are twice as long as the second endopodal segments and are provided with prominent marginal denticles. The second and third endopodal segments of the new species are rounded, of similar length and lack teeth.Kroyeria brasiliense sp. nov. proveniente de guelras de G. vitaminicus de Buen, 1950 do Rio Grande do Sul, é descrita baseada em 14 fêmeas adultas. A nova espécie aproxima-se de Kroyeria deetsi Dippenaar, Benz & Oliver, 2000, mas a nova espécie se distingue por apresentar os maxilípedes grandes e estendendo-se bem além das margens do cefalotorax. Os terceiros segmentos dos endopoditos de K. deetsi são duas vezes mais cumpridos que os segundos e têm dentículos marginais proeminentes. Os segundos e terceiros segmentos dos endopoditos da nova espécie são arredondados, de tamanhos parecidos e carecem de dentículos.

  8. Consultation needs in perinatal HIV care: experience of the National Perinatal HIV Consultation Service.

    Science.gov (United States)

    Fogler, Jessica A; Weber, Shannon; Goldschmidt, Ronald H; Mahoney, Megan R; Cohan, Deborah

    2007-09-01

    This study evaluates the consultation needs of clinicians who provide perinatal human immunodeficiency virus (HIV) care in the United States. The Perinatal Hotline (1-888-448-8765) is a telephone consultation service for providers who treat HIV-infected pregnant women and their infants. Hotline calls were analyzed for demographics about callers and their patients and information about consultation topics. There were 430 calls to the hotline from January 1, 2005, through June 30, 2006. Most calls (59.5%) were related to pregnant patients; 5.1% of the calls pertained to women currently in labor. The most common topic was HIV care in pregnancy (49.1%), particularly antiretroviral drug use (42.1%). HIV testing was discussed in 21.9%, and intrapartum treatment was discussed in 24.0%. Callers most often requested help choosing antiretroviral drug regimens; many of the discussions were about drug toxicities and viral resistance. Although the hotline received few calls about women in labor, the need for these consultations is expected to increase with the expanding use of rapid HIV testing. Access to 24-hour consultation can help ensure that state-of-the-art care is provided.

  9. Kinesthetic deficits after perinatal stroke: robotic measurement in hemiparetic children.

    Science.gov (United States)

    Kuczynski, Andrea M; Semrau, Jennifer A; Kirton, Adam; Dukelow, Sean P

    2017-02-15

    While sensory dysfunction is common in children with hemiparetic cerebral palsy (CP) secondary to perinatal stroke, it is an understudied contributor to disability with limited objective measurement tools. Robotic technology offers the potential to objectively measure complex sensorimotor function but has been understudied in perinatal stroke. The present study aimed to quantify kinesthetic deficits in hemiparetic children with perinatal stroke and determine their association with clinical function. Case-control study. Participants were 6-19 years of age. Stroke participants had MRI confirmed unilateral perinatal arterial ischemic stroke or periventricular venous infarction, and symptomatic hemiparetic cerebral palsy. Participants completed a robotic assessment of upper extremity kinesthesia using a robotic exoskeleton (KINARM). Four kinesthetic parameters (response latency, initial direction error, peak speed ratio, and path length ratio) and their variabilities were measured with and without vision. Robotic outcomes were compared across stroke groups and controls and to clinical measures of sensorimotor function. Forty-three stroke participants (23 arterial, 20 venous, median age 12 years, 42% female) were compared to 106 healthy controls. Stroke cases displayed significantly impaired kinesthesia that remained when vision was restored. Kinesthesia was more impaired in arterial versus venous lesions and correlated with clinical measures. Robotic assessment of kinesthesia is feasible in children with perinatal stroke. Kinesthetic impairment is common and associated with stroke type. Failure to correct with vision suggests sensory network dysfunction.

  10. Midwifery care: a perinatal mental health case scenario.

    Science.gov (United States)

    Marnes, Joanne; Hall, Pauline

    2013-12-01

    The establishment of the National Perinatal Depression Initiative (NPDI, 2008-2013) has brought a focus across Australia for the need to identify women at risk of perinatal mental health disorders, suggesting that routine screening by relevant health professionals may aid earlier detection, better care and improved outcomes. Midwives are frequently the primary point of contact in the perinatal period and thus ideally placed to identify, interpret and manage complex situations, including screening for perinatal mental health disorders. This paper offers strategies that could be implemented into daily midwifery practice in order to achieve the goals consistent with the National Perinatal Depression Initiative. A case study (Jen) and discussion, guided by recommendations from the Australian Nursing and Midwifery Competency standards and beyondblue Clinical Practice Guidelines, are used to demonstrate how midwifery care can be provided. In accordance with her legal obligations, the midwife should act within her scope of practice to undertake a series of psychosocial and medical assessments in order to best determine how midwifery care and support can be of benefit to Jen, her infant and her family. Suggestions described include administration of validated screening questionnaires, clinical interview, physical assessment, discussion with partner, awareness of the mother-infant interactions and questioning around baby's sleep and feeding. Based on evaluation of the information gained from a bio-psycho-social assessment, suggestions are made as to the midwifery care options that could be applied.

  11. The Tulip classification of perinatal mortality : introduction and multidisciplinary inter-rater agreement

    NARCIS (Netherlands)

    Korteweg, FJ; Gordijn, SJ; Timmer, A; Erwich, JJHM; Bouman, K; Ravise, JM; Heringa, MP; Holm, JP

    2006-01-01

    To introduce the pathophysiological Tulip classification system for underlying cause and mechanism of perinatal mortality based on clinical and pathological findings for the purpose of counselling and prevention. Descriptive. Tertiary referral teaching hospital. Perinatally related deaths. A classif

  12. Strategies to Reduce Perinatal Health Inequalities : The Healthy Pregnancy 4 All study

    NARCIS (Netherlands)

    A.A. Vos (Amber)

    2015-01-01

    markdownabstractAbstract Promotion of healthy pregnancies has gained high priority in the Netherlands because of the relatively unfavorable perinatal outcomes compared to surrounding countries which was confirmed by two consecutive European reports on perinatal health. Additionally, large inequal

  13. [Effect of high altitude on birth weight and adverse perinatal outcomes in two Argentine populations].

    Science.gov (United States)

    Grandi, Carlos; Dipierri, José; Luchtenberg, Guillermo; Moresco, Angélica; Alfaro, Emma

    2013-01-01

    Introducción: existe poca información sobre la relación entre tamaño al nacer y altura geográfica ajustada para factores maternos y obstétricos potencialmente confusores. Objetivo: analizar la variación, en función de la altitud geográfica, del Peso al Nacimiento (PN) y resultados perinatales adversos, en dos poblaciones argentinas. Material y Métodos: 4000 registros de recién nacidos (RN) de Jujuy y 4000 de Buenos Aires (Maternidad Sardá) (1996-2000), seleccionados y aleatorizados del Sistema Informático Perinatal. Los datos provenían de la Maternidad Sarda (20 msnm) y las regiones jujeñas: Ramal (500 msnm), Valle (1200 msnm), Quebrada (2500 msnm) y Puna (3500 msnm). Variables resultado: PN >3000 g, PN creciente para madres adolescentes y decreciente para las variables obstétrico-maternas. El PN, PN >3000 g, PN <2500 g e Índice Ponderal se asociaron negativamente con altitud (p<0.001). La prevalencia de prematurez, PEG y FGR mostraron un comportamiento opuesto (p<0.001). Ajustados para variables confusoras el PN<3000 g, PEG, FGR < 0.90 e IP<2.53 mostraron mayor riesgo con la altitud geográfica (p<0.05). Conclusiones: La altitud se asoció independientemente con restricción del PN y resultados perinatales adversos. Dado el impacto de la reducción del PN en el riesgo de enfermedades crónicas no transmisibles, se debería evaluar esta relación en otras poblaciones, independientemente de su localización altitudinal.

  14. Stillbirth: The other half of perinatal mortality

    LENUS (Irish Health Repository)

    Murphy, JFA

    2012-01-01

    Stillbirth is fetal death after 20 weeks gestation1. There are a number of definitions and classifications. WHO defines a stillbirth as a baby BW ≥500g, ≥22 weeks gestation who died before or during birth. However for international comparisons it recommends that reporting be restricted to those with BW>1000g and gestation ≥28 weeks. In Ireland stillbirths must be registered, the definition being BW≥500g or having reached a gestational age ≥ 24 weeks. Stillbirth affects 1 in 160 pregnancies2 and numerically it equals the number of infant deaths in the first year of life. At the beginning of the third trimester of pregnancy the baby weighs 1 Kg and the risk of stillbirth is 1- 2%. The possibility of a stillbirth increases with maturity throughout the third trimester and is 3 times greater at 40 weeks than at earlier gestational ages3. This is relevant for the 5-10% of pregnancies that continue ≥42 weeks. If managed expectantly one in 400 post-term pregnancies will end in a stillbirth. Since 2003 the stillbirth rate has remained static in the US at 3.0 stillbirths per 1000 births. Prior to 2003 the stillbirth rate had declined 1.4% annually while the infant mortality rate fell twice as fast at 2.8%. Globally there are 2.6 million stillbirths annually. In Ireland the stillbirth rate is 3.3 per 1000 births which equates to 230 deaths per year. Despite its frequent occurrence stillbirth has been a relatively neglected component of perinatal medicine. Because a definitive cause cannot be identified in many cases, counselling is very difficult. This lack of scientific causation data has resulted in professional fatalism towards the stillbirth problem.

  15. Perinatal Outcomes in Advanced Age Pregnancies

    Directory of Open Access Journals (Sweden)

    Ertuğrul Yılmaz

    2016-06-01

    Full Text Available Objective: The aim of this study is to evaluate the impact of advanced maternal age on pregnancy outcomes Methods: A retrospective analysis of 951 birth registry records of Zeynep Kamil Hospital, were analyzed between Janu­ary 2003 and December 2007. Study group was made up of women ≥40 years old and control group was made up of women younger than 40 years. Results: Mean maternal age was 41.48 years in the study group and 26.41 years in the control group. Mean gesta­tional age at the time of delivery is 37.73 weeks in study group and 38.10 weeks in the control group. There was no statistical difference in terms of preterm delivery, multiple pregnancy, fetal anomaly, IUGR, superimpose preeclampsia oligohidramnios, presentation anomaly and placenta previa rates between the study and control groups. Incidence of preeclampsia (p=0.041, Chronic hypertension (p=0.001, GDM (p= 0.003,is found to be higher in study group. Cesar­ean birth rate is higher (p<0.05 and hospitalization time is longer in study group (p=0.001. 1st minute and 5th minute APGAR scores of the study group (6.99±2, 8.27±2 was lower than the 1st minute and 5th Minutes APGAR scores of the control group (7.38±1.6, 8.58±1.7. Neonatal intensive care unit administration rate is seen also higher in study group (p<0.01. Conclusion: Advanced maternal age was related to increased pregnancy complications and poor perinatal outcome. Preeclampsia, GDM, chronic hypertension is seen more common in advanced age pregnancies. Neonatal intensive care administration is higher and APGAR scores are lower; cesarean delivery was performed more common, and hospitaliza­tion time was longer in advanced age pregnancies. J Clin Exp Invest 2016; 7 (2: 157-162

  16. Perinatal development and adult blood pressure

    Directory of Open Access Journals (Sweden)

    N. Ashton

    2000-07-01

    Full Text Available A growing body of evidence supports the concept of fetal programming in cardiovascular disease in man, which asserts that an insult experienced in utero exerts a long-term influence on cardiovascular function, leading to disease in adulthood. However, this hypothesis is not universally accepted, hence animal models may be of value in determining potential physiological mechanisms which could explain how fetal undernutrition results in cardiovascular disease in later life. This review describes two major animal models of cardiovascular programming, the in utero protein-restricted rat and the cross-fostered spontaneously hypertensive rat. In the former model, moderate maternal protein restriction during pregnancy induces an increase in offspring blood pressure of 20-30 mmHg. This hypertensive effect is mediated, in part, by fetal exposure to excess maternal glucocorticoids as a result of a deficiency in placental 11-ß hydroxysteroid dehydrogenase type 2. Furthermore, nephrogenesis is impaired in this model which, coupled with increased activity of the renin-angiotensin system, could also contribute to the greater blood pressure displayed by these animals. The second model discussed is the cross-fostered spontaneously hypertensive rat. Spontaneously hypertensive rats develop severe hypertension without external intervention; however, their adult blood pressure may be lowered by 20-30 mmHg by cross-fostering pups to a normotensive dam within the first two weeks of lactation. The mechanisms responsible for this antihypertensive effect are less clear, but may also involve altered renal function and down-regulation of the renin-angiotensin system. These two models clearly show that adult blood pressure is influenced by exposure to one of a number of stimuli during critical stages of perinatal development.

  17. El buen gobierno de los servicios de salud de producción pública: ideas para avanzar Good governance of publicly-produced health services: ideas for moving forward

    Directory of Open Access Journals (Sweden)

    José Manuel Freire

    2011-06-01

    Full Text Available El buen desempeño de servicios de salud de producción pública tiene importancia vital, más allá del sector salud. Se aborda su buen gobierno y gestión a partir del marco conceptual de los valores e ideas del buen gobierno y de la experiencia de países más ejemplares, como referente práctico de buen desempeño. Se parte de la gran complejidad de los servicios públicos de salud, por su carácter público y su naturaleza profesional, y se identifican siete nudos gordianos de los servicios públicos de salud en España e Iberoamérica. Del concepto de buen gobierno se toma su carácter de referente ético y normativo y su potencial para renovar y dinamizar el gobierno de lo público. Del análisis comparado de los servicios de salud de producción pública se extraen ocho características que contribuyen a su buen desempeño. Se concluye con una reflexión sobre la importancia de compensar la posible hostilidad corporativa y gremial a un impulso reformista del statu-quo con alianzas que refuercen la confianza pública y el contrato social entre profesionales y ciudadanos en torno a los valores de los sistemas públicos de salud.The good performance of publicly-produced health services is of vital importance, well beyond the health sector. Taking into account the great complexity of the health services in the public sector due both to their public and professional nature, we identify seven Gordian Knots as being responsible for the most frequent problems of publicly produced health services in Spain and Latin America. From the concept of good governance we take its character as a normative and ethical benchmark and its potential to renew and invigorate the government of the public sector. From comparative analysis of publicly-produced health services in the best performing countries, we extract eight characteristics which contribute significantly to good performance. A final reflection is on the relevance of the importance of offsetting the

  18. Trends in socioeconomic differences in Finnish perinatal health 1991-2006

    DEFF Research Database (Denmark)

    Gissler, M; Rahkonen, O; Arntzen, A

    2009-01-01

    Socioeconomic differences in perinatal health decreased in Finland in the late 1990s. Whether the decreasing socioeconomic differences in perinatal health observed in Finland in the late 1990s have continued in 2000-6 was studied.......Socioeconomic differences in perinatal health decreased in Finland in the late 1990s. Whether the decreasing socioeconomic differences in perinatal health observed in Finland in the late 1990s have continued in 2000-6 was studied....

  19. Estudiantes mejor informados: mejores resultados académicos

    Directory of Open Access Journals (Sweden)

    María-del-Pilar Sánchez-Martín

    2017-01-01

    Full Text Available El presente trabajo de investigación tiene como objetivo analizar la influencia que tiene sobre el rendimiento académico la información recibida por los estudiantes respecto al proceso de evaluación acumulativo por actividades realizadas durante los seminarios activos. Para ello se ha realizado un experimento con 3 condiciones intrasujeto en las que se controla la información disponible para 377 estudiantes. Los resultados obtenidos indican que, cuando se facilita información a los estudiantes sobre el proceso de evaluación, estos realizan un mayor esfuerzo en las actividades de los seminarios activos. También se han encontrado resultados significativos en el impacto que tiene, en las calificaciones finales de los estudiantes, la elección por parte de estos del peso porcentual de los seminarios activos en la evaluación final.

  20. Resultados contrapuestos en una experiencia piloto de docencia inversa

    OpenAIRE

    2016-01-01

    El uso de la tecnología de la información y las comunicaciones permite explorar nuevas alternativas para la mejora del proceso de enseñanza-aprendizaje. En esta comunicación se exponen los resultados obtenidos en relación con la docencia de la materia de Teoría de Autómatas durante el segundo año de la experiencia piloto de implantación de la docencia inversa en el Grado de Informática de la Universidad Politécnica de Valencia. Los buenos resultados obtenidos por el equipo en el primer año su...

  1. Explorando las emociones de la mujer en la atención perinatal. Un estudio cualitativo

    Directory of Open Access Journals (Sweden)

    José Arnau Sánchez

    2016-01-01

    Full Text Available Objetivo: explorar las emociones que emergen en la mujer durante el embarazo, parto y el puerperio a lo largo del itinerario asistencial de atención primaria y hospitalaria. Método: estudio cualitativo basado en la Teoría Fundamentada. Se realizaron dos grupos de discusión a profesionales: obstetras, matronas y enfermeras. Igualmente, se desarrollaron entrevistas en profundidad a mujeres en el puerperio. Resultados: las emociones de la mujer en la atención perinatal aparece como categoría central. A partir de ésta, las emociones negativas emergen por la interacción de cinco metacategorías: a Miedo: dolor al parto y desajuste de expectativas, b Ansiedad e incertidumbre: enfrentándose a la amenaza del riesgo y la desinformación, c Vergüenza: comprometiendo la privacidad, d Ira y Desamparo: asimetría en la estructura relacional, e Soledad: discontinuidad en la atención asistencial. Las emociones positivas surge de la metacategoría: f Tranquilidad y confianza: construyendo una interacción clínica simétrica y humanizada. Conclusiones: se constata una variabilidad emocional debido a la coexistencia de los modelos tecnocrático y biopsicosocial. Este proyecta humanidad en los cuidados perinatales, frente a un modelo biomédico marcado por una estructura relacional paternalista y asistencia fragmentada; ambos serán determinantes en la emergencia de emociones en la atención perinatal.

  2. Resultados operativos de la Policía Nacional, 2012

    Directory of Open Access Journals (Sweden)

    Yeizon Andrés Duarte Velásquez

    2013-12-01

    Full Text Available El artículo contiene los resultados estadísticos de los logros operativos y de los servicios de la Policía Nacional en el año 2012, que sin dudas han posibilitado prevenir, disuadir, controlar e investigar conductas desviadas, como hechos delictivos y contravenciones, que han permitido lograr el mantenimiento de la convivencia y seguridad ciudadana a través de procedimientos y operaciones policiales en Colombia.

  3. Participação nos Lucros ou Resultados

    Directory of Open Access Journals (Sweden)

    Luiz Felipe Ferreira

    2007-03-01

    Full Text Available A participação nos lucros ou resultados é uma forma de remuneração variável, pela qual não há incidência de encargos sociais, além de incentivar o aumento da produtividade, podendo assim ser utilizada pelas empresas como estratégia, para enfrentarem os desafios dinâmicos e competitivos em que atuam. Esta pesquisa caracteriza-se como sendo exploratória, com abordagem qualitativa e tem como objetivo conceituar e explanar as formas pela quais são praticadas a participação nos lucros ou resultados em empresas do setor alimentício em Santa Catarina, que foram escolhidas por meio do critério de acessibilidade e disponibilidade. Dos dados coletados, pode-se verificar que as empresas: COC Alimentos, Moinho Catarinense e Pepsico do Brasil utilizam a participação nos resultados e a Perdigão utiliza a participação mista. A Moinho Catarinense distribui para todos os empregados um salário nominal, como a CDC Alimentos, exceto para os gerentes. A Perdigão beneficia todos os empregados, sendo que 60% da distribuição é pelo lucro líquido e 40% por indicadores de desempenho. A Pepsico do Brasil distribui aos empregados operacionais 50% de um salário nominal e para os empregados da administração central um salário nominal, atrelado ao cumprimento de metas, especificadas no programa de participação nos lucros ou resultados.

  4. Observación solar desde el espacio, resultados recientes

    Science.gov (United States)

    Machado, M. E.

    Presentaremos un resumen de los resultados más recientes sobre la física del sol, obtenidos por medio del análisis de datos de satélites artificiales como el Yohkoh, SOHO y COMPTON/GRO. En particular, nos referiremos a la acción y dinámica de los campos magnéticos en la generación de fenómenos activos y el calentamiento coronal.

  5. Resultados operativos de la Policía Nacional, 2013

    Directory of Open Access Journals (Sweden)

    Jorge Nilson Harvey Barco Pérez

    2014-05-01

    Full Text Available Se realiza una breve reseña introductoria a las tablas estadísticas que presentan los resultados operativos alcanzados por la Policía Nacional para el 2013, en el desarrollo de estrategias ajustadas a políticas gubernamentales e institucionales, que permitan un despliegue efectivo de acciones preventivas, disuasivas y de control orientadas a garantizar la seguridad y la convivencia de todos los colombianos.

  6. Shared responsibility for electronic records: governance in perinatal data entry.

    Science.gov (United States)

    Craswell, Alison; Moxham, Lorna; Broadbent, Marc

    2014-01-01

    This paper presents research undertaken as part of a larger research project to examine the factors that influence midwives when entering perinatal data. A grounded theory methodology was used to undertake qualitative interviews with 15 participants from 12 different hospitals across Queensland, Australia using three different systems for perinatal data collection. The findings surrounding accountability are presented revealing that a shift in governance relating to responsibility and accountability is not occurring in midwifery units across Queensland. Without assignation of responsibility for entries and accountability for mistakes or omissions, perinatal data records can be left incomplete or inaccurate. Increasing use of electronic health records and creation of digital hospitals indicates these issues are highly relevant in planning for these services.

  7. Nursing diagnosis of grieving: content validity in perinatal loss situations.

    Science.gov (United States)

    Paloma-Castro, Olga; Romero-Sánchez, José Manuel; Paramio-Cuevas, Juan Carlos; Pastor-Montero, Sonia María; Castro-Yuste, Cristina; Frandsen, Anna J; Albar-Marín, María Jesús; Bas-Sarmiento, Pilar; Moreno-Corral, Luis Javier

    2014-06-01

    To validate the content of the NANDA-I nursing diagnosis of grieving in situations of perinatal loss. Using the Fehring's model, 208 Spanish experts were asked to assess the adequacy of the defining characteristics and other manifestations identified in the literature for cases of perinatal loss. The content validity index was 0.867. Twelve of the 18 defining characteristics were validated, seven as major and five as minor. From the manifestations proposed, "empty inside" was considered as major. The nursing diagnosis of grieving fits in content to the cases of perinatal loss according to experts. The results have provided evidence to support the use of the diagnosis in care plans for said clinical situation. © 2013 NANDA International.

  8. Perinatal Programming of Asthma: The Role of Gut Microbiota

    Directory of Open Access Journals (Sweden)

    Meghan B. Azad

    2012-01-01

    Full Text Available Perinatal programming, a dominant theory for the origins of cardiovascular disease, proposes that environmental stimuli influence developmental pathways during critical periods of prenatal and postnatal development, inducing permanent changes in metabolism. In this paper, we present evidence for the perinatal programming of asthma via the intestinal microbiome. While epigenetic mechanisms continue to provide new explanations for the programming hypothesis of asthma development, it is increasingly apparent that the intestinal microbiota plays an independent and potentially interactive role. Commensal gut bacteria are essential to immune system development, and exposures disrupting the infant gut microbiota have been linked to asthma. This paper summarizes the recent findings that implicate caesarean delivery, breastfeeding, perinatal stress, probiotics, and antibiotics as modifiers of infant gut microbiota in the development of asthma.

  9. Perinatal and maternal complications related to postterm delivery

    DEFF Research Database (Denmark)

    Olesen, Annette Wind; Westergaard, Jes G; Olsen, Jorn

    2003-01-01

    OBJECTIVE: This study was undertaken to estimate the risk of fetal and maternal complications associated with postterm delivery in Denmark. STUDY DESIGN: A cross-sectional study that used records from the Danish Medical Birth Registry from 1978 to 1993 was performed. All women with registered...... to analyze data. RESULTS: The risk of perinatal and obstetric complications was high in postterm delivery compared with term delivery (adjusted odds ratios between 1.2 and 3.1). The risk of perinatal death was 1.33 (1.05-1.68). CONCLUSION: Postterm delivery was associated with significantly increased risks...... of perinatal and maternal complications in Denmark in the period from 1978 to 1993....

  10. Thrombophilia risk is not increased in children after perinatal stroke.

    Science.gov (United States)

    Curtis, Colleen; Mineyko, Aleksandra; Massicotte, Patricia; Leaker, Michael; Jiang, Xiu Yan; Floer, Amalia; Kirton, Adam

    2017-03-03

    Perinatal stroke causes cerebral palsy and lifelong disability. Specific diseases are definable but mechanisms are poorly understood. Evidence suggests possible associations between arterial perinatal stroke and prothrombotic disorders but population-based, controlled, disease-specific studies are limited. Understanding thrombophilia in perinatal stroke informs pathogenesis models and clinical management. We conducted a population-based, prospective, case-control study to determine the association of specific perinatal stroke diseases with known thrombophilias. Children with idiopathic, MRI-classified neonatal arterial ischemic stroke (NAIS), arterial presumed perinatal ischemic stroke (APPIS), or fetal periventricular venous infarction (PVI) were recruited. Standardized thrombophilia evaluations were performed after 12 months of age on stroke cases and controls including quantified protein C and S, antithrombin, factors VIII/IX/XI, fibrinogen, lipoprotein(a), homocysteine, lupus anticoagulant, anticardiolipin antibodies and genotyping of factor V Leiden (FVL), factor II G20210A (FII), and MTHFR C677T. A total of 212 children were studied: 46 NAIS, 34 APPIS, 55 PVI, and 77 controls (53% male, median 4.8 years). Of 14 parameters, no differences were observed in 12 including all common thrombophilias. Mean prothrombin time was shorter in arterial strokes (p<0.001). Rates of antiphospholipid antibodies were low, comparable to controls, and resolved on repeat testing. FVL and FII rates were comparable to population norms. Total number of possible abnormalities did not differ between cases and controls. Our prospective, population-based, controlled, disease-specific study suggests minimal association between perinatal stroke and thrombophilia. This does not exclude the possibility of disordered coagulation at the time of stroke but suggests testing in childhood is not indicated.

  11. Resultados funcionales y utilización del enclavado endomedular bloqueado en fracturas de tibia. [Functional results and use of locked intramedullary nailing in tibial shaft fractures

    Directory of Open Access Journals (Sweden)

    Pablo S. Rotella

    2013-10-01

    Full Text Available In­tro­duc­ción El enclavado endomedular bloqueado en fracturas diafisarias de tibia probó ser un valioso método de tratamiento, y sus resultados superan a los de la osteosíntesis con placas y el enclavado endomedular elástico con clavos múltiples. El objetivo de este trabajo fue evaluar los resultados funcionales con la utilización de este método en todas las lesiones en las que está indicada la estabilización con este tipo de implante, y con un seguimiento de 2 años. Material­ y­ Métodos Se estudiaron 112 pacientes tratados en el Servicio de Ortopedia y traumatología, desde marzo de 2000 hasta diciembre de 2009, sometidos a enclavado endomedular bloqueado como osteosíntesis primaria, con un seguimiento de 2 años. Las variables recabadas fueron: edad (años, sexo, infección, lesión vascular, deformidad, movilidad, dolor, marcha, actividad, tipo de fractura. Se realizó un análisis descriptivo de las variables involucradas en este estudio y de asociación mediante el puntaje de Jones y Wruhs. El nivel de confiabilidad utilizado fue del 5%. Resultados Ciento siete (96% de las 112 fracturas evaluadas tuvieron consolidación sin otros procedimientos, dentro de las 17 semanas. En la serie, hubo 5 casos de seudoartrosis, pero una fractura en tres niveles de la tibia consolidó en 32 semanas y una fractura de tercio distal consolidó en 24 semanas. Las complicaciones posoperatorias fueron escasas y, al finalizar el tratamiento, la mayoría de los pacientes regresó a sus actividades previas, tanto laborales como de la vida diaria. El índice de infección fue del 8,03%, con un seguimiento promedio de 27,48 meses. Conclusión En nuestra experiencia, es un método seguro, relativamente sencillo, con gran versatilidad y ofrece al paciente un confortable posoperatorio con muy buen resultado funcional. Por ello, lo consideramos de primera elección para tratar fracturas diafisarias de tibia.

  12. The experience of the implementation of perinatal audit in Moldova.

    Science.gov (United States)

    Stratulat, P; Curteanu, A; Caraus, T; Petrov, V; Gardosi, J

    2014-09-01

    The Beyond the Numbers project in Moldova implemented perinatal mortality audit as a means to improve maternity and newborn care. Key activities for this project included training in audit, the setting up of audit committees, implementation of the review of cases and dissemination of information. During the project, a significant reduction was noted of perinatal deaths at term (from 37 weeks gestation and birthweight of ≥2500 g) by 1.5 per 1000; from 5.1 per 1000 in 2006 to 3.6 per 1000 in 2013.

  13. Perinatal information systems for quality improvement: visions for today.

    Science.gov (United States)

    Slagle, T A

    1999-01-01

    Today clinical information is used for a multitude of purposes beyond patient care documentation including quality review and improvement processes, allocation of resources, budgetary and long-term planning, productivity measurement, and justification to payers for services provided. Providers in perinatal medicine are faced with the challenge of finding methods to meet these information needs. Case examples of the different approaches to collecting and using obstetric and neonatal information are described. The role of computer-based patient records is outlined and solutions available to perinatal medicine are reviewed.

  14. Perinatal complications and genetic loading in schizophrenia: preliminary findings.

    Science.gov (United States)

    Schwarzkopf, S B; Nasrallah, H A; Olson, S C; Coffman, J A; McLaughlin, J A

    1989-03-01

    History of perinatal complications (PCs) and first degree family history (FH) of psychiatric illness were examined in groups of schizophrenic/schizoaffective (n = 21) and bipolar (n = 10) patients. PCs were significantly more frequent in the schizophrenic and schizoaffective patients than in bipolar patients. An inverse relationship was found between PCs and FH status, with FH-positive patients having significantly fewer PCs than the FH-negative group. This relationship persisted when the bipolar patients were excluded. Findings emphasize the etiological importance of genetics and perinatal events in the psychoses, and support the validity of a familial/sporadic distinction.

  15. Obstetric interventions and perinatal asphyxia in growth retarded term infants

    DEFF Research Database (Denmark)

    Langhoff-Roos, J; Lindmark, G

    1997-01-01

    BACKGROUND: The monitoring of fetal growth during pregnancy is usually justified because of the increased perinatal risk of these babies. METHODS: In 1552 infants from the Scandinavian Small for Gestational Age Study the need for obstetric interventions, risk of fetal asphyxia and immediate......% of the SGA pregnancies and 10% of those with asymmetric fetal growth had been eligible for close antenatal fetal monitoring. CONCLUSION: With a moderate increase in interventions at delivery, perinatal outcome was highly favorable for term infants with a weight for gestational age, weight for length...

  16. Study of antepartum haemorrhage and its maternal and perinatal outcome

    Directory of Open Access Journals (Sweden)

    Priyanka Tyagi

    2016-11-01

    Conclusions: APH is a major cause of maternal and perinatal morbidity and mortality which could be prevented by early registration, regular antenatal care, early detection of high risk cases, and early referral to higher center. Good facilities for caesarean section, availability of blood banks and multidisciplinary approach with a good NICU can improve maternal and perinatal outcome of APH. The results of this study were found in good agreement with previous studies. [Int J Reprod Contracept Obstet Gynecol 2016; 5(11.000: 3972-3977

  17. Perinatal perimortem and postmortem examination: obligations and considerations for perinatal, neonatal, and pediatric clinicians.

    Science.gov (United States)

    Putman, Margaret A

    2007-12-01

    Clinicians are called upon to participate in a variety of clinical scenarios in which babies will die. A number of factors have caused the most appropriate method of evaluating cause(s) of death, namely autopsy, to fall to record low numbers during the past decade. Because of obligations unique to the stillborn fetus, dead or dying infant or child, and family and siblings, it is important for clinicians to understand the importance and utility of postmortem examination. Postmortem examination is of multidisciplinary importance to determine the cause of death and contributing and related diagnoses. This article summarizes some of what is known about postmortem examination and provides a list of guidelines available on the Internet and in the medical literature for the systematic assessment of perinatal death and the provision of appropriate testing. Clinicians are encouraged to use their leadership roles to improve rates of postmortem examination and to participate in research and education to improve its occurrence.

  18. Mortalidade perinatal e evitabilidade: revisão da literatura Perinatal mortality and evitability: a review

    Directory of Open Access Journals (Sweden)

    Sônia Lansky

    2002-12-01

    Full Text Available Neste artigo, realizou-se uma revisão da literatura sobre mortalidade perinatal com maior enfoque na evitabilidade desses óbitos. Foram pesquisadas, sobretudo, publicações da década de 90 nas bases Medline e Lilacs (América Latina e Caribe. Discutiram-se as dificuldades para a realização de estudos nesta área, ainda em número restrito no Brasil, em decorrência do grande subregistro de óbitos fetais e da má qualidade da informação nas declarações de óbitos. Foram apresentadas as principais propostas de classificação dos óbitos perinatais baseadas em enfoque de evitabilidade, com destaque para a classificação de Wigglesworth. Nesta abordagem, os óbitos perinatais foram relacionados a momentos específicos da assistência, sendo evidenciadas as possibilidades de sua prevenção. Recomenda-se o enfoque de evitabilidade para a abordagem da mortalidade perinatal no Brasil, dado que as taxas são ainda elevadas, a maioria dos óbitos é considerada evitável e poderia ser prevenida com a melhoria da assistência pré-natal, ao parto e ao recém-nascido, não apenas quanto à sua resolubilidade clínica, mas também à organização da assistência em sistemas hierarquizados e regionalizados, assegurando o acesso da gestante e do recém-nascido em tempo oportuno a serviços de qualidade.This is a literature review onperinatal mortality focusing its evitability. A Medline and Lilacs (Latin-America and Caribbean search was conducted for the 90s. There are few research studies on this subject in Brazil due to the great number of underreported fetal deaths and the low quality information provided in death certificates. Different proposals for perinatal death classification are presented. Most are based on grouping the underlying causes of deaths in a functional system in order to facilitate the analysis. In the Wigglesworth classification system, one of the most recommended methods, deaths are related to the different stages of care

  19. Evaluación de la mortalidad perinatal en mujeres autóctonas e inmigrantes: influencia de la exhaustividad y la calidad de los registros Perinatal mortality assessment in native and immigrant women: influence of exhaustiveness and quality of the registries

    Directory of Open Access Journals (Sweden)

    Isabel Río Sánchez

    2009-10-01

    Full Text Available Objetivo: Realizar un análisis comparativo de la exhaustividad de los datos sobre mortalidad perinatal en la Comunitat Valenciana recogidos en el Instituto Nacional de Estadística (INE y en el Registro de Mortalidad Perinatal (RMPCV. Posteriormente, calcular y comparar la tasa de mortalidad perinatal (TMP y sus componentes en gestantes autóctonas e inmigrantes, tomando como referencia los casos notificados a ambos registros durante 2005 y 2006. Métodos: Se definieron los distintos tipos de mortalidad de acuerdo con los criterios establecidos por la OMS. La magnitud de la infradeclaración se analizó calculando las frecuencias y porcentajes de muertes infradeclaradas para el período 2005-2006. Se calcularon y compararon las diversas tasas entre mujeres autóctonas e inmigrantes de los cuatro grupos mayoritarios a partir de ambos registros, así como los intervalos de confianza del 95% para dichas tasas. Resultados: En el INE existe un importante subregistro de muertes fetales y neonatales. Además, constan neonatos fallecidos de madre extranjera con nacionalidad española asignada. Ambos factores distorsionan la proporción de muertes fetales y neonatales en inmigrantes, y provocan una infraestimación de la TMP y sus componentes en estos colectivos, pues las obtenidas a partir del RMPCV son muy superiores en las mujeres inmigrantes, en particular en las de Europa del Este y las subsaharianas, en comparación con las autóctonas. Conclusiones: En definitiva, nuestros resultados indican que ambos registros son complementarios, pero el RMPCV presenta una mayor exhaustividad y fiabilidad para el cálculo de tasas. Además, sugieren la necesidad de monitorizar la evolución de la TMP en la población inmigrante en España.Objective: To analyze the exhaustiveness and reliability of the data on perinatal mortality in two Spanish registries, namely, the National Statistics Institute and the Perinatal Mortality Registry of the Valencian Community

  20. Asfixia perinatal associada à mortalidade neonatal precoce: estudo populacional dos óbitos evitáveis Asfixia perinatal asociada a la mortalidad neonatal temprana: estudio de población de los óbitos evitables Perinatal asphyxia associated with early neonatal mortality: populational study of avoidable deaths

    Directory of Open Access Journals (Sweden)

    Mandira Daripa

    2013-03-01

    Full Text Available OBJETIVO: Comparar o perfil epidemiológico dos óbitos neonatais precoces evitáveis associados à asfixia perinatal conforme a região de ocorrência do óbito no Estado de São Paulo. MÉTODOS: Coorte populacional constituída por 2.873 óbitos evitáveis até seis dias de vida associados à asfixia perinatal ocorridos entre janeiro de 2001 e dezembro de 2003. Considerou-se como asfixia perinatal a presença de hipóxia intraútero, asfixia ao nascer ou síndrome de aspiração de mecônio em qualquer linha da Declaração de Óbito original. Variáveis epidemiológicas também foram extraídas das Declarações de Nascido Vivo. RESULTADOS: No triênio, 1,71 mortes por 1.000 nascidos vivos estavam associadas à asfixia perinatal, correspondendo a 22% dos óbitos neonatais precoces. Dos 2.873 óbitos evitáveis, 761 (27% ocorreram em São Paulo, capital; 640 (22%, na região metropolitana da capital; e 1.472 (51%, no interior do estado. Nas duas primeiras regiões predominaram as mortes em hospitais públicos, recém-nascidos com idade gestacional inferior a 37 semanas e peso abaixo de 2500g. No interior, os óbitos foram mais frequentes em entidades beneficentes, recém-nascidos a termo e com peso superior a 2500g. A maioria dos bebês nasceu durante o dia no município de residência materna e evoluiu para óbito no hospital de nascimento até 24 horas após o parto. A síndrome de aspiração de mecônio esteve presente em 18% dos óbitos. CONCLUSÕES: A asfixia perinatal é um contribuinte frequente para a morte neonatal precoce evitável no estado com o maior produto interno bruto per capita do Brasil, evidenciando a necessidade de intervenções específicas com enfoque regionalizado na assistência ao parto e ao nascimento.OBJETIVO: Comparar el perfil epidemiológico de los óbitos neonatales tempranos evitables asociados a la asfixia perinatal conforme a la región de ocurrencia del óbito en la provincia de São Paulo (Brasil. M

  1. Universalidad del buen vivir y economía por la vida. La vuelta al revés de las finanzas, la economía, la sociedad y los valores dominantes

    Directory of Open Access Journals (Sweden)

    Fernando Moreno Bernal

    2011-10-01

    Full Text Available Los cambios recientes en nuestra sociedad (revolución de la tecnología de la información, crisis financiera global... implican una nueva civilización y una nueva cultura que contengan conceptos como el buen vivir y la economía por la vida. Este artículo analiza este nuevo escenario y caracteriza estos nuevos conceptos.Palabras clave: Buen Vivir, globalización, economía alternativa, ciudadanía universal.____________________AbstractThe recent changes in our society (the revolution of technology and information, the global financial crisis... represent a new civilization and a new culture which contains new concepts like the good life and the economy for life. This article analyze this new stage and characterize this news concepts.Keywords: Good life, globalization, alternative economy, universal citizenship

  2. El buen vivir y el no consumo como modelos de desarrollo desde la perspectiva de la bioética global

    Directory of Open Access Journals (Sweden)

    Omar Cabrales Salazar

    2017-01-01

    Full Text Available En este artículo se explica la relación de la actividad industrial con los modelos o ideales de progreso occidental, los cuales están estrechamente ligados al concepto de consumo y crecimiento económico; entornos que le dan sentido a la existencia humana durante la época contemporánea. Asimismo, se plantean postulados para argumentar el fin de la Modernidad y de la idea de progreso occidental, argumentando la necesidad de implementar otros modelos sociales y económicos, desde una perspectiva bioética, en los que prime la compensación ante el daño ambiental y social generado por la explotación de los recursos naturales durante el periodo de la industrialización. De igual forma, se postula un nuevo modelo de decrecimiento económico y de reducción del consumo, estructu - rado en el concepto quechua de buen vivir o sumak kawsay , que hace referencia al equilibrio generado al llevar una vida digna, que se ve reflejado a la hora de satisfacer las necesidades básicas entre el consumo racional mesurado y la conciencia del cuidado del planeta, para mitigar los daños al ecosistema como una alternativa fundante desde la perspectiva la bioética global.

  3. Guamán Poma de Ayala como traductor indígena de textos culturales: La Nueva Corónica y Buen Gobierno (c. 1615

    Directory of Open Access Journals (Sweden)

    Sabine Fritz

    2005-01-01

    Full Text Available La conquista y la colonización del reino de los incas (1532 pueden ser caracterizadas como un gigantesco acto de traducción entre diferentes textos culturales y distintos métodos de transmisión. Los traductores tenían una función mediadora entre conquistadores y conquistados en la sociedad colonial y desempeñaban un papel importante y poderoso en el proceso de oscilación de códigos culturales y de negociación de identidades y alteridades. Un ejemplo de traducción de textos culturales es la Nueva Corónica y Buen Gobierno (c 1615, escrita por Felipe Guamán Poma de Ayala. Este artículo analiza los textos culturales que conoce el autor y la posición en la que se ve a sí mismo. Por un lado, se muestra cómo funciona el proceso de transmisión de textos culturales andinos, originariamente de manera oral, al medio de la escritura; por otro lado, se llama la atención sobre las estructuras del poder subyacentes en el proceso de la traducción.

  4. Construcción de paz y conflictos regionales en los países insulares del Pacífico: en busca del buen gobierno

    Directory of Open Access Journals (Sweden)

    Yoco Ogashiwa

    2009-06-01

    Full Text Available Tras los golpes de estado realizados en Fiji y las Islas Salomón en el año 2000, el Foro de las Islas del Pacífico ha llevado a cabo constantes esfuerzos multilaterales para dirimir y prevenir confictos en la región. Estos esfuerzos han implicado la introducción de conceptos y prácticas relacionadas con el ¿buen gobierno¿ que, por su carácter foráneo, no han estado exentas de tensiones con formas tradicionales de gobierno. Este artículo expone el carácter étnico que subyace a los conflictos en las islas del Pacífico, narra la paulatina adopción de dichos conceptos foráneos por parte de los miembros del Foro, y finalmente introduce algunas críticas que prominentes activistas de la región han planteado sobre este tema.

  5. Prolegómenos al vivir bien-buen vivir: una evaluación normativa y práctica

    Directory of Open Access Journals (Sweden)

    Edwin Cruz Rodríguez

    2014-09-01

    Full Text Available Este trabajo examina el concepto de vivir bien-buen vivir ponderando sus contribuciones y limitaciones. Esta cosmovisión tiene un horizonte normativo más ambicioso que el paradigma del desarrollo, pues apuesta por una concepción de la pobreza y la riqueza que no se reduce a la acumulación de bienes materiales, una economía que comprende sus efectos sobre la naturaleza y se centra en la satisfacción de necesidades, y una descolonización de los saberes. No obstante, se caracteriza por un déficit de operacionalización que se manifiesta en la dificultad para definir políticas concretas e indicadores de medición precisos.******This article examines the concept of live well-good living, by analyzing its contributions and limitations. This worldview has a normative horizon more ambitious than the development paradigm, as it wagers for a poverty and wealth conception that is not limited to the accumulation of material goods, but it is an economy aware of its effects on nature and the satisfaction of needs and the decolonizing of knowledge. Nevertheless, it is characterized by an operationalization deficit that is shown through the difficulty to establish specific policies and accurate indicators of measurement.

  6. Códigos de buen gobierno: un análisis comparativo. Especial incidencia en el caso español

    Directory of Open Access Journals (Sweden)

    Luis Ferruz Agudo

    2010-07-01

    Full Text Available El presente trabajo recoge un análisis comparativo realizado entre diversos códigos y recomendaciones de buen gobierno tanto a nivel nacional como internacional. Durante el estudio, se ha revisado una amplia muestra de códigos de gobierno corporativo, prestando especial atención a los aspectos incluidos en los mismos relativos a la composición de los consejos de administración, la voluntariedad versus obligatoriedad de las recomendaciones, el tratamiento otorgado a las figuras de Presidente y CEO, etc., identificando las principales diferencias y similitudes entre ellos y mostrando la evolución temporal de las distintas recomendaciones en los diferentes países e instituciones analizadas. Tras el análisis comparativo se observa que la mayoría de los códigos se orientan en la misma dirección, incluyendo apartados similares en todos ellos, aunque también existen pequeñas matizaciones específicas que los diferencian.

  7. Electrificación, desarrollo rural y Buen Vivir. Un análisis a partir de las parroquias Taday y Rivera (Ecuador

    Directory of Open Access Journals (Sweden)

    Diana Mendieta Vicuña

    2017-01-01

    Full Text Available El acceso a la energía eléctrica pretende mejorar las condiciones de vida de los habitantes rurales y disminuir la inequidad social. Bajo esta premisa, analizamos la electrificación como vía para alcanzar el Buen Vivir y favorecer el desarrollo productivo en las parroquias rurales de Taday y Rivera (Ecuador. Las entrevistas con la población local, sector privado, técnicos de las administraciones públicas y políticos locales muestran la importancia de este servicio por su impacto positivo en la salud y educación de las personas, en la participación de la mujer en el mercado de trabajo, en la reducción de la exclusión social y, en la actividad económica local. En este contexto, la agencia colectiva y las políticas de los gobiernos locales son elementos clave para estimular el desarrollo rural a partir del uso productivo de este servicio en sectores como la agroindustria y el turismo, con gran potencial de desarrollo en este territorio.

  8. La huella de Guglielmo Della Porta en obras de marfil en España. Los talleres romano y del Buen Retiro de los Pozzo y un inciso sobre el de Saint Claude en el franco condado

    Directory of Open Access Journals (Sweden)

    Estella, Margarita M.

    2015-09-01

    Full Text Available The author analyzes the reverberations of the compositions of Guglielmo Della Porta on different ivory works located in Spain of varying chronology and their possible attributions to his known disciplues or contemporaries who worked in ivory, such as Jacob Cornelisz Cobaert, called Cope, or Nicolás Piper de Arras called Pippi. The diffusion of Guglielmo’s models in the workshop of Giovanni Battista del Pozzo during the 18th century is known. Giovanni was the father of Andrea del Pozzo, Director of the Spanish ivory workshop in the Buen Retiro, and so other works are analyzed in this context. Also included in this study are two small reliefs in a collection in Alicante, which originally belonged to a Via Crucis preserved in Boulogne sur Mer, here attributed to a Saint Claude workshop, given that stylistically they can be confused with Buen Retiro creations.Se analiza el reflejo de las composiciones de Guglielmo Della Porta en diferentes obras de marfil localizadas en España de distinta cronología y su posible adscripción a sus conocidos discípulos o contemporáneos de este artista que trabajaron el marfil, como Jacob Cornelisz Cobaert, conocido como Cope, o Nicolás Piper de Arras también llamado Pippi. Conocida la difusión de los modelos de Guglielmo en el taller de Giovanni Battista del Pozzo en el siglo XVIII, padre de Andrea del Pozzo el Director del taller español de Marfiles del Buen Retiro, se analizó en este contexto otras obras. Se incluye el estudio de dos pequeños relieves de colección alicantina que pertenecieron a un Via Crucis conservado en Boulogne sur Mer, de sugerida atribución a un taller de Saint Claude, pues por su estilo pueden confundirse con las del Buen Retiro.

  9. Board interlocking e suavização de resultados

    OpenAIRE

    Ribeiro, Flávio

    2013-01-01

    Resumo: Este estudo tem como objetivo levantar, medir e explicar as práticas de board interlocking e suavização de resultados em companhias de capital aberto com ações negociadas na BM&FBovespa no período 2009-2012. Como estrutura teórica utiliza a Teoria da Dependência dos Recursos (PFEFFER, 1972); Governança Corporativa e Conselho de Administração (FAMA; JENSEN, 1983; JOHNSON; DAILY; ELLSTRAND, 1996); board interlocking associados à informação interorganizacional (KNOWLES, 1973; MIZRUCHI, 1...

  10. Resultados negativos asociados a la medicación

    Directory of Open Access Journals (Sweden)

    Miguel Angel Gastelurrutia Garralda

    Full Text Available En la actualidad los conceptos de Problemas Relacionados con Medicamentos (PRM y Resultados Negativos Asociados a la Medicación (RNM ya consensuados, se encuentran bien integrados en la práctica farmacéutica, aunque se han detectado ciertas discrepancias en la interpretación de estos conceptos que precisan aclaración. En la presente nota clínica se procede, de acuerdo a la evidencia aportada, a clarificar estos conceptos fundamentalmente en los que se refieren a la categoría de necesidad.

  11. que particularidades estão associadas a melhores resultados?

    OpenAIRE

    Ribeiro, Pedro Geraldo Almeida

    2013-01-01

    Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciado em Fisioterapia Objectivo: analisar um conjunto de planos de intervenção com exercício excêntrico, no tratamento da tendinopatia do rotuliano, e definir as características que parecem evidenciar um melhor resultado. Métodos: foi efectuada uma pesquisa bibliográfica em diversas bases de dados utilizando os seguintes termos de pesquisa: “patellar”, “tendin*”, e “eccen...

  12. El buen (convivir, una utopía por (reconstruir: alcances de la Constitución de Montecristi (The good living (together, an utopia to (re build: scope of the Constitution of Montecristi

    Directory of Open Access Journals (Sweden)

    Alberto Acosta

    2011-07-01

    Full Text Available ResumenEn este texto se realiza un análisis desde la perspectiva andina del concepto del Buen Vivir a partir de la Constitución ecuatoriana, redactada en Montecristi y aprobada en 2008. En ésta, el Buen Vivir es un derecho reconocido junto a los derechos de la Naturaleza. En el contenido de esta Constitución afloran múltiples propuestas para impulsar transformaciones de fondo, construidas a lo largo de muchas décadas de resistencias y de luchas sociales, en las que se fueron construyendo propuestas alternativas de desarrollo e incluso alternativas al desarrollo, como lo es el Buen Vivir para el desarrollo de la ciudadanía y los pueblos.AbstractThis essay is an analysis from the Andean vision of the concept of Good Living based on the Ecuadorian Constitution, drafted in Montecristi and approved in 2008. In it, the Good Living is a right recognized along with the rights of the Nature. From the contents of this Constitution emerge multiple proposals to promote fundamental changes, built up over many decades of resistance and social struggles in which were built alternative development proposals and even alternatives to development, as is the Good living for the development of citizens and peoples.

  13. Children and young people with perinatal HIV in Europe

    DEFF Research Database (Denmark)

    Kirk, Ole; Lundgren, Jens Dilling

    2016-01-01

    Accurate ascertainment of the number of children living with human immunodeficiency virus (HIV) is important to plan paediatric and adolescent health services. In Europe, the first generation of perinatally HIV-infected survivors are transferring to adult care and their health needs are unknown. We...... and improve the care of the next generation of children with HIV....

  14. Perinatal systemic gene delivery using adeno-associated viral vectors

    Directory of Open Access Journals (Sweden)

    Rajvinder eKarda

    2014-11-01

    Full Text Available Neurodegenerative monogenic diseases can also affect a broad range of tissues and organs throughout the body. An effective treatment would require a systemic approach. The intravenous administration of novel therapies is ideal but is hampered by the inability of such drugs to cross the blood-brain barrier and precludes efficacy in the central nervous system. A number of these early lethal intractable diseases also present devastating irreversible pathology at birth or soon after. Therefore, any therapy would ideally be administered during the perinatal period to prevent, stop or ameliorate disease progression. The concept of perinatal gene therapy has moved a step further towards being a feasible approach to treating such disorders. This has primarily been driven by the recent discoveries that particular serotypes of adeno-associated virus (AAV gene delivery vectors have the ability to cross the blood-brain barrier following intravenous administration. Furthermore, this has been safely demonstrated in perinatal mice and non-human primates. This review focuses on the progress made in using AAV to achieve systemic transduction and what this means for developing perinatal gene therapy for early lethal neurodegenerative diseases.

  15. Perinatal characteristics, older siblings, and risk of ankylosing spondylitis

    DEFF Research Database (Denmark)

    Lindström, Ulf; Forsblad-d'Elia, Helena; Askling, Johan

    2016-01-01

    BACKGROUND: The effect of circumstances and exposures early in life on the risk of developing ankylosing spondylitis (AS) is largely unknown. The purpose of this study was to determine whether perinatal characteristics predict development of AS. METHODS: AS cases (n = 1960; 59 % men) were defined...

  16. Obstetric interventions and perinatal asphyxia in growth retarded term infants

    DEFF Research Database (Denmark)

    Langhoff-Roos, J; Lindmark, G

    1997-01-01

    BACKGROUND: The monitoring of fetal growth during pregnancy is usually justified because of the increased perinatal risk of these babies. METHODS: In 1552 infants from the Scandinavian Small for Gestational Age Study the need for obstetric interventions, risk of fetal asphyxia and immediate neona...... or skinfold for weight below the 10th percentile in this population of Scandinavian parous mothers....

  17. Prospective audit of perinatal mortality among inborn babies in a ...

    African Journals Online (AJOL)

    2010-05-05

    May 5, 2010 ... inborn babies in a tertiary health center in Lagos,. Nigeria. EN Ekure .... The inclusion criteria for this study were birth weight of at least 500 g and/or a .... Table 4: Wigglesworth classification of perinatal deaths. Birth weight (g).

  18. Perinatal stroke and the risk of developing childhood epilepsy

    Science.gov (United States)

    Golomb, Meredith R.; Garg, Bhuwan P.; Carvalho, Karen S.; Johnson, Cynthia S.; Williams, Linda S.

    2008-01-01

    Objectives To describe the prevalence of epilepsy after 6 months-of-age in children with perinatal stroke and examine whether perinatal data predict epilepsy onset and resolution. Study design A retrospective review of 64 children with perinatal stroke. In children with at least 6 months of follow-up data, Kaplan-Meier curves, univariate log-rank tests, and Cox proportional hazards models were used to examine predictors of time to development of seizures, and time to resolution of seizures in children with epilepsy. The association of risk factors with the presence of epilepsy at any time after 6 months-of-age was examined using Fisher’s exact test. Results Forty-one of the 61 children with at least 6 months of follow-up data (67%) had epilepsy between 6 months-of-age and last follow-up, but in 13 of 41 seizures eventually resolved and anticonvulsants were discontinued. Infarct on prenatal ultrasound (p=0.0065) and family history of epilepsy (p=0.0093) were significantly associated with time to development of seizures after 6 months-of-age in the univariate analysis. No assessed variables were associated with time to resolution of epilepsy or with the presence of epilepsy after 6 months-of-age. Conclusions Childhood epilepsy is frequent after perinatal stroke. Evidence of infarction on prenatal ultrasound and a family history of epilepsy predict earlier onset of active seizures. PMID:17889079

  19. Current evidence on perinatal home visiting and intimate partner violence.

    Science.gov (United States)

    Sharps, Phyllis W; Campbell, Jacquelyn; Baty, Marguerite L; Walker, Keisha S; Bair-Merritt, Megan H

    2008-01-01

    To describe current evidence on home visiting interventions for pregnant or postpartum women with specific intimate partner violence assessment and content. Online bibliographic databases including PubMed, CINAHL Plus, and Web of Science and a hand search of bibliographies of relevant articles. Original research and intervention studies were included that contained (a) a well-described prenatal and/or postpartum home visitation; (b) an assessment of perinatal intimate partner violence; and (c) quantitative data describing health outcomes for the women and their infants. The search yielded 128 articles, and 8 relevant articles met all of the inclusion criteria. Nonresearch, nonintervention, and international articles were excluded. No perinatal home visiting interventions were designed to address intimate partner violence. Programs that screened for intimate partner violence found high rates, and the presence of intimate partner violence limited the ability of the intervention to improve maternal and child outcomes. Perinatal home visitation programs likely improve pregnancy and infant outcomes. Home visiting interventions addressing intimate partner violence in nonperinatal population groups have been effective in minimizing intimate partner violence and improving outcomes. This suggests that perinatal home visiting programs adding specific intimate partner violence interventions may reduce intimate partner violence and improve maternal and infant health. Continued rigorous research is needed.

  20. Perinatal outcomes in pregnant women presenting with preterm ...

    African Journals Online (AJOL)

    clinical profiles, modes of delivery, maternal outcomes and neonatal outcomes were considered. Results. ... As a complication of pregnancy, PROM has potentially devastating perinatal and ... of antibiotics and corticosteroids, induction of labour and the .... Indications for CD included fetal distress (n=7), breech presentation.

  1. Impaired Lung Mitochondrial Respiration Following Perinatal Nicotine Exposure in Rats.

    Science.gov (United States)

    Cannon, Daniel T; Liu, Jie; Sakurai, Reiko; Rossiter, Harry B; Rehan, Virender K

    2016-04-01

    Perinatal smoke/nicotine exposure predisposes to chronic lung disease and morbidity. Mitochondrial abnormalities may contribute as the PPARγ pathway is involved in structural and functional airway deficits after perinatal nicotine exposure. We hypothesized perinatal nicotine exposure results in lung mitochondrial dysfunction that can be rescued by rosiglitazone (RGZ; PPARγ receptor agonist). Sprague-Dawley dams received placebo (CON), nicotine (NIC, 1 mg kg(-1)), or NIC + RGZ (3 mg kg(-1)) daily from embryonic day 6 to postnatal day 21. Parenchymal lung (~10 mg) was taken from adult male offspring for mitochondrial assessment in situ. ADP-stimulated O2 consumption was less in NIC and NIC + RGZ compared to CON (F[2,14] = 17.8; 4.5 ± 0.8 and 4.1 ± 1.4 vs. 8.8 ± 2.5 pmol s mg(-1); p NIC and remediated in NIC + RGZ (F[2,14] = 3.8; p < 0.05). Reduced mitochondrial oxidative capacity and abnormal coupling were evident after perinatal nicotine exposure. RGZ improved mitochondrial function through tighter coupling of oxidative phosphorylation.

  2. Pregnancy and Perinatal Outcomes Associated with Acinetobacter baumannii Infection

    Directory of Open Access Journals (Sweden)

    Mai He

    2013-05-01

    Full Text Available Objective - To determine perinatal and pregnancy outcomes of Acinetobacter baumannii infection using clinicopathologic material from pregnant women, neonates, and perinatal postmortem examinations with positive cultures. Study Design - This is a retrospective record review with placental and postmortem examination. Results - During a 5-year period, 40 positive cultures were found. Three pregnancies with positive cultures close in the peripartum period were all associated with adverse outcomes including spontaneous abortion, preterm labor, and one full-term birth with histological chorioamnionitis. Two positive cultures were found in preterm neonates in the neonatal intensive care unit. Two of three cases of perinatal death grew pure cultures from blood and/or fetal tissue with placental or fetal examination demonstrating evidence of infection/inflammation with fetal inflammatory response. Conclusion - This is the first case series report of A. baumannii-positive cultures in maternal, fetal, and neonatal specimen, with histopathologic evidence of infection. The results suggest a significant role of A. baumannii infection in adverse pregnancy and perinatal outcomes.

  3. Assessing the knowledge of perinatal mental illness among student midwives.

    Science.gov (United States)

    Phillips, Louise

    2015-11-01

    The experience of perinatal mental illness (mental illness occurring around the time of pregnancy) currently affect 1 in 10 women and can have adverse effects on the mother and her child (Massie and Szajnberg, 2002; O'Connor et al., 2002). The care and effective management of women experiencing perinatal mental illness is therefore an important issue for health care staff, managers, psychiatrists, commissioners and campaigners. Midwives play a significant part in caring for women throughout their pregnancies, during labour and up to the first month after birth. Midwives are in a unique position to assess a woman's well-being and to offer appropriate support. However, previous research has revealed that midwives often have poor understanding and knowledge of perinatal mental health issues and require improved training (Ross-Davie et al, 2006; McCann and Clark, 2010). This research project aims to systematically assess student midwives awareness of perinatal mental illness. The findings of this study will inform curriculum development for graduate and post-graduate midwifery students therefore improving the care and support women with mental illness receive from antenatal services. The findings from this study will also be used for the formation of an educational web-based programme for student and qualified midwives.

  4. Multiple endocrine disrupting effects in rats perinatally exposed to butylparaben

    DEFF Research Database (Denmark)

    Boberg, Julie; Petersen, Marta Axelstad; Svingen, Terje

    2016-01-01

    Parabens comprise a group of preservatives commonly added to cosmetics, lotions and other consumer products. Butylparaben has estrogenic and anti-androgenic properties and is known to reduce sperm counts in rats following perinatal exposure. Whether butylparaben exposure can affect other endocrine...

  5. Perinatal antidepressant use: understanding women's preferences and concerns.

    Science.gov (United States)

    Battle, Cynthia L; Salisbury, Amy L; Schofield, Casey A; Ortiz-Hernandez, Samia

    2013-11-01

    Perinatal depression is prevalent and linked with a host of adverse consequences for women and newborns. Rates of engagement in depression treatment are, however, strikingly low among pregnant and postpartum women, with the majority of affected women receiving no mental health treatment. Research indicates that perinatal women are extremely reluctant to take antidepressant medications, yet the nature of women's concerns and treatment decision- making patterns have not been well documented. Developing a clearer understanding of women's treatment preferences and behaviors may help identify solutions to the under-treatment of perinatal depression. In this mixed methods study, we conducted in-depth interviews with 61 pregnant women, approximately half of whom were experiencing clinical levels of depression. In addition to assessing psychiatric diagnoses, symptoms, and functional impairment, we conducted qualitative interviews addressing women's preferences for depression treatment, concerns, and decision-making patterns. Consistent with prior reports, women were significantly more likely to voice a preference for non-pharmacologic depression treatments, as opposed to antidepressant medications. Many depressed women reported a great degree of uncertainty regarding how to treat their depression, and those with more severe depression symptoms were more likely to endorse decisional conflict. Analysis of qualitative comments yielded detailed information about the nature of women's concerns and preferences related to use of antidepressant medications and other aspects of treatment engagement. We discuss findings in the context of improving patient-centered care for perinatal depression.

  6. Maternal and perinatal complications in triplet compared with twin pregnancy

    NARCIS (Netherlands)

    J.G. Santema (Job); P. Bourdrez (Petra); H.C.S. Wallenburg (Henk)

    1995-01-01

    textabstractObjective: To compare maternal and perinatal complications in triplet and twin pregnancies. Study design: Case-controlled study in the setting of a University Hospital. Each pregnancy of a consecutive series of 40 triplet pregnancies of 20 weeks or more was matched for parity and materna

  7. Compensatory cerebral motor control following presumed perinatal ischemic stroke

    NARCIS (Netherlands)

    van der Hoorn, Anouk; Potgieser, Adriaan R E; Brouwer, Oebele F; de Jong, Bauke M

    2014-01-01

    Case: A fifteen year-old left-handed girl presented with right-sided focal motor seizures. Neuroimaging showed a large left hemisphere lesion compatible with a middle cerebral artery stroke of presumed perinatal origin. She was not previously diagnosed with a motor deficit, although neurological exa

  8. Perinatal events and the risk of developing primary sclerosing cholangitis

    Institute of Scientific and Technical Information of China (English)

    Annika Bergquist; Scott M Montgomery; Ulrika Lund; Anders Ekbom; Rolf Olsson; Stefan Lindgren; Hanne Prytz; Rolf Hultcrantz; Ulrika Broomé

    2006-01-01

    AIM: To investigate whether perinatal events,intrauterine or postpartum, are associated with the development of primary sclerosing cholangitis (PSC) later in life.METHODS: Birth records from 97 patients with adult PSC in Sweden were reviewed. Information on perinatal events including medications and complications during pregnancy, gestation length, birth weight and length were collected. Two control children of the same sex were selected for each subject. Conditional multiple logistic regression was used to assess associations of the perinatal measures with development of PSC.RESULTS: No significant associations were found between gestational age, birth length, breastfeeding,and the majority of medical complications including infections or medication during pregnancy for the mothers or postpartum for the children. Vaginal bleeding and peripheral oedema showed associations with PSC,with matched odds ratios of 5.70 (95% CI, 1.13-28.83)and 2.28 (95% CI, 1.04-5.03), respectively.CONCLUSION: The associations of vaginal bleeding and oedema with subsequent PSC cannot readily be explained, so our findings do not strongly support the hypothesis of a significant role of perinatal events as a risk for the development of PSC later in life.

  9. Multiple endocrine disrupting effects in rats perinatally exposed to butylparaben

    DEFF Research Database (Denmark)

    Boberg, Julie; Petersen, Marta Axelstad; Svingen, Terje

    2016-01-01

    Parabens comprise a group of preservatives commonly added to cosmetics, lotions and other consumer products. Butylparaben has estrogenic and anti-androgenic properties and is known to reduce sperm counts in rats following perinatal exposure. Whether butylparaben exposure can affect other endocrine...

  10. Prenatal and Perinatal Factors Associated with Intellectual Disability

    Science.gov (United States)

    Bilder, Deborah A.; Pinborough-Zimmerman, Judith; Bakian, Amanda V.; Miller, Judith S.; Dorius, Josette T.; Nangle, Barry; McMahon, William M.

    2013-01-01

    Prenatal and perinatal risk factors associated with intellectual disability (ID) were studied in 8-year-old Utah children from a 1994 birth cohort (N = 26,108) using broad ascertainment methods and birth records following the most current recording guidelines. Risk factor analyses were performed inclusive and exclusive of children with a known or…

  11. Prenatal and Perinatal Risk Factors for Autism in China

    Science.gov (United States)

    Zhang, Xin; Lv, Cong-Chao; Tian, Jiang; Miao, Ru-Juan; Xi, Wei; Hertz-Picciotto, Irva; Qi, Lihong

    2010-01-01

    We conducted a case-control study using 190 Han children with and without autism to investigate prenatal and perinatal risk factors for autism in China. Cases were recruited through public special education schools and controls from regular public schools in the same region (Tianjin), with frequency matching on sex and birth year. Unadjusted…

  12. Perinatal Pitocin as an Early ADHD Biomarker: Neurodevelopmental Risk?

    Science.gov (United States)

    Kurth, Lisa; Haussmann, Robert

    2011-01-01

    Objective: To investigate a potential relationship between coincidental increases in perinatal Pitocin usage and subsequent childhood ADHD onset in an attempt to isolate a specific risk factor as an early biomarker of this neurodevelopmental disorder. Method: Maternal labor/delivery and corresponding childbirth records of 172 regionally diverse,…

  13. Association Between Isolated Single Umbilical Artery and Perinatal Outcomes: A Meta-Analysis.

    Science.gov (United States)

    Xu, Yajuan; Ren, Lidan; Zhai, Shanshan; Luo, Xiaohua; Hong, Teng; Liu, Rui; Ran, Limin; Zhang, Yingying

    2016-04-30

    BACKGROUND To evaluate the association between the isolated single umbilical artery (iSUA) and perinatal outcomes, including pregnancy outcomes and perinatal complications. MATERIAL AND METHODS We performed a meta-analysis of 15 eligible studies regarding the relationship between the iSUA and perinatal outcomes, including gestational age at delivery, nuchal cord, placental weight, small for gestational age (SGA), oligohydramnios, polyhydramnios, pregnancy-induced hypertension (PIH), gestational diabetes mellitus (GDM), preeclampsia, and perinatal mortality. The overall odds ratios (OR) or standardized mean difference (SMD) were calculated. RESULTS The occurrence of nuchal cord was not found to be different between an iSUA and a three-vessel cord (TVC) fetus. For perinatal complications, the SGA, oligohydramnios, polyhydramnios, GDM, and perinatal mortality showed dramatic difference between women with an iSUA and women with a TVC fetus, which implied that the presence of iSUA significantly increased the risk of perinatal complications. For other perinatal complications, such as PIH and preeclampsia, no significant association was detected. CONCLUSIONS Our meta-analysis suggests that the presence of iSUA would increase the risk of perinatal complications such as SGA, oligohydramnios, polyhydramnios, GDM, and perinatal mortality. Therefore, pregnant women with an iSUA fetus have poorer perinatal outcomes and more attention should be given to the management of their pregnancy compared to women with a TVC fetus.

  14. Perfil de ingreso de alumnos con buen desempeño académico en el primer año de estudios. El caso de la Escuela de Diseño de la Universidad De La Salle Bajío

    Directory of Open Access Journals (Sweden)

    María Daniela Esparza Olmos

    2011-01-01

    Full Text Available Introducción: El sistema educativo universitario se ha enfrentado a varios retos en los últimos tiempos, lo que ha implicado establecer políticas de admisión que permitan seleccionar a los estudiantes que cumplan con el perfil de ingreso, permitiendo generar estrategias para mejorar su desempeño académico a lo largo de sus estudios, y con ello elevar las cifras de la eficiencia terminal. Es así como el objetivo de esta investigación fue caracterizar el perfil de ingreso de los alumnos que mostraron un buen desempeño académico en el primer año de la licenciatura de diseño industrial, diseño de modas y calzado, diseño gráfico y diseño ambiental de la Universidad De La Salle Bajío. Método: La distribución final de la muestra estuvo formada por 256 alumnos de ambos sexos al analizarse estadísticamente los resultados de sus pruebas en el proceso de admisión de las cohortes del 2005 al 2008, para posteriormente correlacionarlas con el promedio del primer año de sus estudios. Resultados: Los resultados permitieron observar las semejanzas y diferencias entre las cuatro licenciaturas con respecto al perfil general de ingreso en la Escuela de Diseño. Asimismo, se encontró que los alumnos que presentaron en periodo de excelencia, obtuvieron mejor desempeño académico en el primer año de estudios. Conclusión: Conocer el perfil de ingreso servirá de parámetro en los siguientes procesos de admisión, además permitirá diseñar estrategias que fortalezcan las capacidades y habilidades de los alumnos al ingresar a la educación superior, de tal manera que se eleven los índices de eficiencia terminal y con ello mejorar la calidad en los programas académicos de licenciatura en la Escuela de Diseño.

  15. Could Perinatal Asphyxia Induce a Synaptopathy? New Highlights from an Experimental Model

    Directory of Open Access Journals (Sweden)

    María Inés Herrera

    2017-01-01

    Full Text Available Birth asphyxia also termed perinatal asphyxia is an obstetric complication that strongly affects brain structure and function. Central nervous system is highly susceptible to oxidative damage caused by perinatal asphyxia while activation and maturity of the proper pathways are relevant to avoiding abnormal neural development. Perinatal asphyxia is associated with high morbimortality in term and preterm neonates. Although several studies have demonstrated a variety of biochemical and molecular pathways involved in perinatal asphyxia physiopathology, little is known about the synaptic alterations induced by perinatal asphyxia. Nearly 25% of the newborns who survive perinatal asphyxia develop neurological disorders such as cerebral palsy and certain neurodevelopmental and learning disabilities where synaptic connectivity disturbances may be involved. Accordingly, here we review and discuss the association of possible synaptic dysfunction with perinatal asphyxia on the basis of updated evidence from an experimental model.

  16. Varicocele e infertilidad. Resultados del tratamiento quirúrgico

    Directory of Open Access Journals (Sweden)

    Julio A. Fariñas Martínez

    2015-12-01

    Full Text Available Se realizó un estudio observacional analítico, con el objetivo de precisar los resultados del tratamiento quirúrgico en los pacientes con infertilidad causada por varicocele, en el Hospital General Docente “Dr. Ernesto Guevara de la Serna”, de la provincia de Las Tunas; en el período de enero de 2011 hasta abril de 2012. Se revisaron las historias clínicas de 756 pacientes con varicocele e infertilidad, operados por la técnica de Lewis entre enero de 2008 y diciembre de 2011. Se observó la mayor incidencia en el grupo de edades de 26 a 35 años. La calidad del semen mejoró en el 73.3% después de la operación. El grupo de edades que tuvo mejores resultados en cuanto a calidad del semen y embarazos fue el de 26 a 35 años. Lograron el embarazo el 75% de los pacientes.

  17. Prenatal, perinatal and postnatal factors associated with autism spectrum disorder

    Directory of Open Access Journals (Sweden)

    Imen Hadjkacem

    Full Text Available Abstract Objective: To identify prenatal, perinatal and postnatal risk factors in children with autism spectrum disorder (ASD by comparing them to their siblings without autistic disorders. Method: The present study is cross sectional and comparative. It was conducted over a period of three months (July-September 2014. It included 101 children: 50 ASD's children diagnosed according to DSM-5 criteria and 51 unaffected siblings. The severity of ASD was assessed by the CARS. Results: Our study revealed a higher prevalence of prenatal, perinatal and postnatal factors in children with ASD in comparison with unaffected siblings. It showed also a significant association between perinatal and postnatal factors and ASD (respectively p = 0.03 and p = 0.042. In this group, perinatal factors were mainly as type of suffering acute fetal (26% of cases, long duration of delivery and prematurity (18% of cases for each factor, while postnatal factors were represented principally by respiratory infections (24%. As for parental factors, no correlation was found between advanced age of parents at the moment of the conception and ASD. Likewise, no correlation was observed between the severity of ASD and different factors. After logistic regression, the risk factors retained for autism in the final model were: male gender, prenatal urinary tract infection, acute fetal distress, difficult labor and respiratory infection. Conclusions: The present survey confirms the high prevalence of prenatal, perinatal and postnatal factors in children with ASD and suggests the intervention of some of these factors (acute fetal distress and difficult labor, among others, as determinant variables for the genesis of ASD.

  18. Prenatal, perinatal and postnatal factors associated with autism spectrum disorder.

    Science.gov (United States)

    Hadjkacem, Imen; Ayadi, Héla; Turki, Mariem; Yaich, Sourour; Khemekhem, Khaoula; Walha, Adel; Cherif, Leila; Moalla, Yousr; Ghribi, Farhat

    To identify prenatal, perinatal and postnatal risk factors in children with autism spectrum disorder (ASD) by comparing them to their siblings without autistic disorders. The present study is cross sectional and comparative. It was conducted over a period of three months (July-September 2014). It included 101 children: 50 ASD's children diagnosed according to DSM-5 criteria and 51 unaffected siblings. The severity of ASD was assessed by the CARS. Our study revealed a higher prevalence of prenatal, perinatal and postnatal factors in children with ASD in comparison with unaffected siblings. It showed also a significant association between perinatal and postnatal factors and ASD (respectively p=0.03 and p=0.042). In this group, perinatal factors were mainly as type of suffering acute fetal (26% of cases), long duration of delivery and prematurity (18% of cases for each factor), while postnatal factors were represented principally by respiratory infections (24%). As for parental factors, no correlation was found between advanced age of parents at the moment of the conception and ASD. Likewise, no correlation was observed between the severity of ASD and different factors. After logistic regression, the risk factors retained for autism in the final model were: male gender, prenatal urinary tract infection, acute fetal distress, difficult labor and respiratory infection. The present survey confirms the high prevalence of prenatal, perinatal and postnatal factors in children with ASD and suggests the intervention of some of these factors (acute fetal distress and difficult labor, among others), as determinant variables for the genesis of ASD. Copyright © 2016 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda. All rights reserved.

  19. US and territory telemedicine policies: identifying gaps in perinatal care

    Science.gov (United States)

    Okoroh, Ekwutosi M.; Kroelinger, Charlan D.; Smith, Alexander M.; Goodman, David A.; Barfield, Wanda D.

    2016-01-01

    BACKGROUND Perinatal regionalization is a system of maternal and neonatal risk-appropriate health care delivery in which resources are ideally allocated for mothers and newborns during pregnancy, labor and delivery, and postpartum, in order to deliver appropriate care. Typically, perinatal risk-appropriate care is provided in-person, but with the advancement of technologies, the opportunity to provide care remotely has emerged. Telemedicine provides distance-based care to patients by consultation, diagnosis, and treatment in rural or remote US jurisdictions (states and territories). OBJECTIVE We sought to summarize the telemedicine policies of states and territories and assess if maternal and neonatal risk-appropriate care is specified. STUDY DESIGN We conducted a 2014 systematic World Wide Web–based review of publicly available rules, statutes, regulations, laws, planning documents, and program descriptions among US jurisdictions (N=59) on telemedicine care. Policies including language on the topics of consultation, diagnosis, or treatment, and those specific to maternal and neonatal risk-appropriate care were categorized for analysis. RESULTS Overall, 36 jurisdictions (32 states; 3 territories; and District of Columbia) (61%) had telemedicine policies with language referencing consultation, diagnosis, or treatment; 29 (49%) referenced consultation, 30 (51%) referenced diagnosis, and 35 (59%) referenced treatment. In all, 26 jurisdictions (22 states; 3 territories; and District of Columbia) (44%), referenced all topics. Only 3 jurisdictions (3 states; 0 territories) (5%), had policy language specifically addressing perinatal care. CONCLUSION The majority of states have published telemedicine policies, but few specify policy language for perinatal risk-appropriate care. By ensuring that language specific to the perinatal population is included in telemedicine policies, access to maternal and neonatal care can be increased in rural, remote, and resource

  20. Perinatal Depression Algorithm: A Home Visitor Step-by-Step Guide for Advanced Management of Perinatal Depressive Symptoms

    Science.gov (United States)

    Laszewski, Audrey; Wichman, Christina L.; Doering, Jennifer J.; Maletta, Kristyn; Hammel, Jennifer

    2016-01-01

    Early childhood professionals do many things to support young families. This is true now more than ever, as researchers continue to discover the long-term benefits of early, healthy, nurturing relationships. This article provides an overview of the development of an advanced practice perinatal depression algorithm created as a step-by-step guide…

  1. Resultados do desenvolvimento de um propulsor à plasma no Brasil

    Science.gov (United States)

    Ferreira, I. S.; Ferreira, J. L.

    2003-08-01

    Uma das partes mais importantes de um satélite é o controle de atitude do mesmo. E se tratando de um satélite científico, a atenção para este sistema deve ser redobrada. Uma possibilidade atraente para executar esta tarefa é a propulsão elétrica. Aqui, mostraremos resultados obtidos pelo propulsor à plasma PHALL-01, desenvolvido na Universidade de Brasília entre 2000 e 2003. Este é derivado do propulsor russo SPT-100 (Stationary Plasma Thruster), mas com o emprego inovador de um arranjo de imãs permanentes como fonte do campo magnético, este último o agente da aceleração do plasma. Esta alteração foi motivada pelo objetivo de que o mesmo operasse com o mínimo de potência elétrica. A partir da formulação teórica do mecanismo de aceleração, tendo como base as equações da magnetohidrodinâmica, pode-se obter vínculos sob os quais o propulsor pudesse ser construído. O mais forte destes é o que dita a topologia do campo magnético. Sendo assim, foram realizadas simulações computacionais, que definiram a geometria do propulsor. Após construído, este foi diagnosticado usando-se sondas de Langmuir e analisadores de energia. Como resultados, obtivemos a distribuição espacial da temperatura, densidade e potencial do plasma, bem como a distribuição angular do feixe produzido pelo mesmo em vários regimes de operação. O espectro de energia do feixe de plasma também foi medido, indicando íons de até 560eV. Combinando estes resultados, calculou-se o empuxo do propulsor: 84mN; e o impulso específico: 1083s. Estes demonstram que o mesmo estará qualificado, num futuro próximo, para o emprego no controle de atitude de satélites científicos, ou até mesmo como parte do conjunto propulsor primário, responsáveis pela transferência de órbitas.

  2. Transplante de fígado: resultados iniciais

    Directory of Open Access Journals (Sweden)

    José Huygens Parente Garcia

    Full Text Available OBJETIVO: Apresentar os resultados iniciais de um serviço de transplante hepático que utiliza a técnica piggyback como padrão. MÉTODO: Análise retrospectiva de 19 transplantes de fígado enfatizando as complicações pós-operatórias e a taxa de sobrevida dos pacientes. A indicação mais freqüente de transplante foi cirrose pelo vírus C em nove pacientes (47%. De acordo com a gravidade da doença hepática, nove casos (47,3% foram classificados como Child C e oito (42% como B. Os dois casos restantes foram hepatite fulminante e trombose tardia de artéria hepática. RESULTADOS: Foram realizados 19 transplantes em 18 pacientes com doador cadáver empregando a técnica com preservação da veia cava (piggyback em 100% dos casos. A indicação mais freqüente de transplante foi cirrose pelo virus C em nove pacientes (47%. De acordo com a gravidade da doença hepática nove casos (47,3% foram classificados como Child C e oito (42% como B. Os dois casos restantes foram hepatite fulminante e trombose tardia de artéria hepática. A idade média foi de 45,6 anos. O tempo de isquemia fria do enxerto foi em média de 7,8 horas e a permanência hospitalar média de 18 dias. As complicações mais freqüentes foram as biliares (21%, sendo que três pacientes necessitaram de reoperação e um foi tratado por endoscopia. Houve dois casos de trombose tardia de artéria hepática, sendo um deles tratado por retransplante. Houve um óbito (5,2% no 8o dia de pós-operatório ocasionado por disfunção primária do enxerto. A sobrevida inicial maior que 30 dias foi de 94,7%. CONCLUSÕES: É possível ter bons resultados no início de um programa de transplante de fígado, desde que haja uma técnica padronizada e uma equipe bem treinada e envolvida com as complicações pós-operatórias.

  3. Intolerância glicêmica e o prognóstico perinatal em gestantes utilizando anti-retrovirais

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    El Beitune Patrícia

    2003-01-01

    Full Text Available OBJETIVOS: estudar o efeito das drogas anti-retrovirais sobre o metabolismo glicêmico em gestantes portadoras do HIV-1 e a ação dessas medicações sobre o prognóstico perinatal. MÉTODOS: estudo prospectivo realizado em 57 gestantes divididas em três grupos: grupo AZT, utilizando zidovudina (n=20; grupo TT, utilizando zidovudina+lamivudina+nelfinavir (n=25, e grupo controle, gestantes normais (n=12. Obteve-se a área sob a curva (ASC das glicemias após teste oral de tolerância à glicose com 75 g de glicose em quatro oportunidades durante a gravidez (1º=14-20 semanas, 2º=21-26 semanas, 3º=27-32 semanas e 4º=33-38 semanas. O prognóstico perinatal levou em consideração as taxas de prematuridade, restrição de crescimento intra-útero (RCIU, baixo peso ao nascer, mortalidade perinatal e transmissão vertical do HIV-1. Os dados foram analisados utilizando-se os testes não paramétricos do c², de Friedman e de Kruskal-Wallis. RESULTADOS: os valores da mediana da ASC foi de 11.685 mg/dL-2h para o grupo controle, 13.477 mg/dL-2h para o grupo AZT e 13.650 mg/dL-2h para o grupo TT (p=0,049. Não se observou efeito deletério dos anti-retrovirais sobre as taxas de prematuridade, baixo peso ao nascer, RCIU e índices de Apgar. Não houve nenhum caso de transmissão vertical do HIV-1. CONCLUSÕES: verificou-se o desenvolvimento de intolerância glicêmica em gestantes que utilizaram tratamento tríplice, não sendo observado naquelas que utilizaram apenas AZT. Não houve efeitos deletérios dos anti-retrovirais sobre o prognóstico perinatal.

  4. Influencia del programa SWEP (Study Water Exercise Pregnant en los resultados perinatales: protocolo de estudio

    Directory of Open Access Journals (Sweden)

    María José Aguilar Cordero

    Full Text Available Introducción: el entrenamiento mediante ejercicio físico moderado durante el periodo de gestación aporta beneficios tanto a la mujer embarazada como al feto. Los trabajos de investigación consultados vinculan la actividad física con una reducción del número de cesáreas, de partos instrumentados y con un parto más fisiológico. Previene igualmente la ganancia excesiva de peso de la mujer, disminuye el riesgo de diabetes gestacional y de hipertensión arterial. Objetivo: el objetivo de esta investigación es conocer si un programa de ejercicio físico de carácter moderado con el método Study Water Exercise Pregnant (SWEP, realizado en un medio acuático, contribuye a obtener unos resultados más favorables en la etapa perinatal, tanto para la mujer como para el bebé. Material y métodos: el diseño que se llevará a cabo es un ensayo clínico aleatorizado. La muestra estará constituida por 364 gestantes, obtenida de un universo total de 6.579 partos acontecidos en Granada (España durante el año 2014. Dicha muestra se ha dividido en dos grupos, uno de intervención y otro de control. La actividad se realizará en las instalaciones deportivas acuáticas de la Facultad de Ciencias del Deporte de la Universidad de Granada, que cuentan con dos vasos adecuados a nuestros objetivos, uno polivalente de 25 metros y otro de enseñanza de 12,5 metros. Resultados: el programa de ejercicios diseñado específicamente para el proyecto denominado SWEP, abarca desde la 20 hasta la 37 semana de gestación (SG y consta de tres sesiones semanales, con una duración de 60 minutos cada una. Las sesiones incluirán tres fases: fase de calentamiento, fase principal en la que el ejercicio se divide en una parte aeróbica y otra de ejercicios de fuerza y resistencia y una final con estiramientos y relajación. Las variables que se van a estudiar son las siguientes: a maternas: peso, IMC, tensión arterial, test de O'Sullivan, aparición de depresi

  5. Primeros resultados sobre el estudio de oscilaciones no radiales

    Science.gov (United States)

    Córsico, A.; Benvenuto, O. G.

    En el Observatorio de La Plata se ha comenzado a elaborar un código de pulsaciones el cual resuelve el problema de las oscilaciones no radiales en el caso adiabático. Dicho código está basado en la técnica de diferencias finitas ampliamente usado en cálculos de estructura y evolución estelar. En este trabajo se presentan los primeros resultados encontrados aplicando el código mencionado al caso de una polítropa de índice n=3. Se presentan los valores de las autofrecuencias y las autofunciones para diferentes modos de pulsación de dicha configuración politrópica. En un futuro próximo, se aplicará este programa al estudio de las pulsaciones no radiales de estrellas enanas blancas.

  6. Otra forma de evaluar: Análisis de resultados.

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    Segovia González, Mª Manuela

    2007-01-01

    Full Text Available Desde el curso 2002-2003 se viene aplicando en la asignatura de Matemáticas de primer curso de la Diplomatura de Ciencias Empresariales en la Universidad Pablo de Olavide un método de evaluación especial (llamado Plan de Calidad debido al elevado número de no presentados y suspensos en la citada asignatura.En la primera parte de este trabajo se describe el método de evaluación aplicado y la innovación docente que se ha hecho en la asignatura. En la segunda parte se ha realizado un análisis para ver si con esta nueva metodología los resultados obtenidos por los alumnos son mejores.

  7. Mortalidade perinatal e neonatal no Hospital de Clínicas de Porto Alegre Perinatal and neonatal mortality at the Hospital de Clínicas de Porto Alegre, Brazil

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    E. Miura

    1997-03-01

    Full Text Available OBJETIVO. Análise epidemiológica da mortalidade neonatal e perinatal de 20.280 crianças nascidas vivas com 500g ou mais e 374 natimortos ocorridas no Hospital de Clínicas de Porto Alegre, no período de 1984 a 1990. PROPOSTA. Comparar dois períodos: A (1984-1987 com B (1988-1990, estabelecendo as mudanças ocorridas. MÉTODOS. É um estudo retrospectivo de revisão dos registros de nascimentos do centro obstétrico, internações e óbitos da unidade neonatal e mortes fetais e dos laudos de necrópsia. RESULTADOS. Faleceram 258 RN, com um coeficiente de mortalidade neonatal de 12,7 por mil. A taxa de natimortalidade foi de 18,4 por mil. O coeficiente de mortalidade perinatal foi de 28,4 por mil. A incidência de baixo peso ao nascer (OBJECTIVE - Epidemiological analysis of neonatal and perinatal mortality of 20,280 newborns alive with 500g or more and 374 stillbirths occurred at the Hospital de Clínicas de Porto Alegre from 1984 to 1990. PURPOSE- To compare two periods: A (1984-1987 with B (1988-1990, estabilishing a relationship between the changes occurred in the causes and the rate of mortality. METHODS - The retrospective study was done with the records of promptuaries of obstetrical and neonatal centers, and review of flow-sheets of the deaths and autopsies. RESULTS - Between 1984 to 1990, 20,280 newborns alive with 500g or more, 374 stillbirths at perinatal unit of Hospital de Clínicas de Porto Alegre were born. 258 deaths occurred, the neonatal mortality rate was 12.7 per thousand. The stillbirth rate was 18.4 per thousand. The perinatal mortality rate was 28.4 per thousand. The incidence of low birth weight (<2,500g was 11,2% and very low birth weight (<1,500 g was 1.8%, the former group had an increase incidence between 1984-1988 (A from 1.5% to 2.2% (B. The causes of deaths were distributed as follow: a intrauterine infections (22.4%; b hyaline membrane disease (20.1%; c congenital malformation (18.2%; d asphyxia (15.5%; e

  8. La estimulación prenatal: Resultados relevantes en el periparto Prenatal stimulation: Results in the peripartum period

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    M. J. Aguilar Cordero

    2012-12-01

    Full Text Available Durante el proceso gestacional, el estrés prolongado y las preocupaciones que genera este período pueden alterar el desarrollo y la función del hemisferio derecho; de ahí la importancia que se atribuye a los distintos programas de estimulación temprana dirigido a las mujeres gestantes. Objetivos: Determinar los resultados perinatales en el momento del parto de las mujeres que recibieron el programa de estimulación prenatal. Material: Se realizó un estudio experimental en cinco áreas de salud del municipio de Cienfuegos (Cuba para identificar los resultados perinatales en el momento del parto y de las mujeres que recibieron el programa de estimulación prenatal. Metodología: Se efectuó una muestra intencional de la totalidad del universo, correspondiente a una n = 200 embarazadas, entre las 20 y las 28 semanas de gestación. Las variables estudiadas fueron la duración del trabajo del parto, el peso del recién nacido, el apgar al nacimiento, el tipo de parto y la opinión que las mujeres estudiadas tenían sobre el programa. Resultados: En el 36% de la población estudiada, el trabajo del parto fue menor de 6 horas. En el 67,5%, el recién nacido tuvo un peso comprendido entre 2.500 y 3.000 gramos y para el 96,5% de los hijos de las madres estimuladas, el apgar al nacer fue evaluado entre 8 y 9. En el 68,5% de las mujeres que recibieron el programa de estimulación, su parto fue eutócico y el 96% de las mujeres participantes está satisfecha con el programa recibido. Conclusiones: Se ha demostrado que estos nuevos programas de estimulación prenatal son bien aceptadas por la embarazada.During pregnancy, the prolonged stress and worry felt by mothers can alter the development and function of the right brain hemisphere. For this reason, importance is given to prenatal stimulation programs for pregnant women. Objectives: To determine the perinatal results in the moment of childbirth in mothers who had participated in prenatal stimulation

  9. Analysis of policy towards improvement of perinatal mortality in the Netherlands (2004-2011).

    Science.gov (United States)

    Vos, Amber A; van Voorst, Sabine F; Steegers, Eric A P; Denktaş, Semiha

    2016-05-01

    Relatively high perinatal mortality and morbidity rates(2) in the Netherlands resulted in a process which induced policy changes regarding the Dutch perinatal healthcare system. Aims of this policy analysis are (1) to identify actors, context and process factors that promoted or impeded agenda setting and formulation of policy regarding perinatal health care reform and (2) to present an overview of the renewed perinatal health policy. The policy triangle framework for policy analysis by Walt and Gilson was applied(3). Contents of policy, actors, context factors and process factors were identified by triangulation of data from three sources: a document analysis, stakeholder analysis and semi-structured interviews with key stakeholders. Analysis enabled us to chronologically reconstruct the policy process in response to the perinatal mortality rates. The quantification of the perinatal mortality problem, the openness of the debate and the nature of the topic were important process factors. Main theme of policy was that change was required in the entire spectrum of perinatal healthcare. This ranged from care in the preconception phase through to the puerperium. Furthermore emphasis was placed on the importance of preventive measures and socio-environmental determinants of health. This required involvement of the preventive setting, including municipalities. The Dutch tiered perinatal healthcare system and divergent views amongst curative perinatal health care providers were important context factors. This study provides lessons which are applicable to health care professionals and policy makers in perinatal care or other multidisciplinary fields.

  10. Introduction of a qualitative perinatal audit at Muhimbili National Hospital, Dar es Salaam, Tanzania

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    Thomas Angela N

    2009-09-01

    Full Text Available Abstract Background Perinatal death is a devastating experience for the mother and of concern in clinical practice. Regular perinatal audit may identify suboptimal care related to perinatal deaths and thus appropriate measures for its reduction. The aim of this study was to perform a qualitative perinatal audit of intrapartum and early neonatal deaths and propose means of reducing the perinatal mortality rate (PMR. Methods From 1st August, 2007 to 31st December, 2007 we conducted an audit of perinatal deaths (n = 133 with birth weight 1500 g or more at Muhimbili National Hospital (MNH. The audit was done by three obstetricians, two external and one internal auditors. Each auditor independently evaluated the cases narratives. Suboptimal factors were identified in the antepartum, intrapartum and early neonatal period and classified into three levels of delay (community, infrastructure and health care. The contribution of each suboptimal factor to adverse perinatal outcome was identified and the case graded according to possible avoidability. Degree of agreement between auditors was assessed by the kappa coefficient. Results The PMR was 92 per 1000 total births. Suboptimal factors were identified in 80% of audited cases and half of suboptimal factors were found to be the likely cause of adverse perinatal outcome and were preventable. Poor foetal heart monitoring during labour was indirectly associated with over 40% of perinatal death. There was a poor to fair agreement between external and internal auditors. Conclusion There are significant areas of care that need improvement. Poor monitoring during labour was a major cause of avoidable perinatal mortality. This type of audit was a good starting point for quality assurance at MNH. Regular perinatal audits to identify avoidable causes of perinatal deaths with feed back to the staff may be a useful strategy to reduce perinatal mortality.

  11. The analysis of perinatal morbidity and mortality in conditions of perinatal center and the ways of its decrease

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    Нана Мерабівна Пасієшвілі

    2016-01-01

    Full Text Available Aim of research. The analysis of perinatal morbidity and mortality in the condition of one perinatal center of Ukraine and optimization of the possible ways of its decrease.Methods of research. There was analyze the work of Kharkiv regional center in 2011–2015 years taking into account the rates of perinatal morbidity and mortality and factors that have influence on it. There were studied the next parameters: the number of newborns, its apportionment on the weight category, survival, general morbidity, mortality structure of the full-term and premature children. Statistical processing of the received results was carried out using Statistica 6.0 program.Results of research. The frequency of normal delivery in perinatal center is in average 58,9 %. The rates of neonatal mortality decreased– 4,11 ‰ (in 2011 year – 8,23 ‰ and early neonatal one – 3,34 ‰ (in 2011 year – 6,44 ‰. The survival of newborns with extremely low body weight (500- 999 g in first 0-168 hours was 62,50 %; with body weight 1000 – 1499 g – 82,35 %; with body weight at delivery 1500-2499 g was 98,17 %, survival of newborns with body weight > 2500 g in the first 0-6 days was 99,75 % .The morbidity structure of full-term children still almost unchangeable during the last 5 years: asphyxia, congenital defects of development, arrest of foetus growth, cerebral ischemia, intrauterine infection, birth trauma. The morbidity structure of premature ones: respiratory disorder syndrome, intrauterine infection; asphyxia, congenital defects of development, arrest of foetus growth.Among the mortality causes the main ones were congenial defects of development (prevailed in full-term children and intrauterine infection (on the first place in premature children. The perinatal mortality rate in 2015 year was 18,22 %о, in 2011year – 26,65 %о . The maternal foetus infection is the very frequent cause of stillbirth and pre-term birth and as the result the birth of small

  12. Perinatal exercise improves glucose homeostasis in adult offspring.

    Science.gov (United States)

    Carter, Lindsay G; Lewis, Kaitlyn N; Wilkerson, Donald C; Tobia, Christine M; Ngo Tenlep, Sara Y; Shridas, Preetha; Garcia-Cazarin, Mary L; Wolff, Gretchen; Andrade, Francisco H; Charnigo, Richard J; Esser, Karyn A; Egan, Josephine M; de Cabo, Rafael; Pearson, Kevin J

    2012-10-15

    Emerging research has shown that subtle factors during pregnancy and gestation can influence long-term health in offspring. In an attempt to be proactive, we set out to explore whether a nonpharmacological intervention, perinatal exercise, might improve offspring health. Female mice were separated into sedentary or exercise cohorts, with the exercise cohort having voluntary access to a running wheel prior to mating and during pregnancy and nursing. Offspring were weaned, and analyses were performed on the mature offspring that did not have access to running wheels during any portion of their lives. Perinatal exercise caused improved glucose disposal following an oral glucose challenge in both female and male adult offspring (P wheels (P nursing can enhance long-term glucose homeostasis in offspring.

  13. Mobile phone intervention reduces perinatal mortality in Zanzibar

    DEFF Research Database (Denmark)

    Lund, Stine; Rasch, Vibeke; Hemed, Maryam

    2014-01-01

    BACKGROUND: Mobile phones are increasingly used in health systems in developing countries and innovative technical solutions have great potential to overcome barriers of access to reproductive and child health care. However, despite widespread support for the use of mobile health technologies......, evidence for its role in health care is sparse. OBJECTIVE: We aimed to evaluate the association between a mobile phone intervention and perinatal mortality in a resource-limited setting. METHODS: This study was a pragmatic, cluster-randomized, controlled trial with primary health care facilities...... care facilities in six districts were randomized to either mobile phone intervention or standard care. The intervention consisted of a mobile phone text message and voucher component. Secondary outcome measures included stillbirth, perinatal mortality, and death of a child within 42 days after birth...

  14. Suicide During Perinatal Period: Epidemiology, Risk Factors and Clinical Correlates

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    Laura Orsolini

    2016-08-01

    Full Text Available Perinatal period may pose a great challenge for the clinical management and treatment of psychiatric disorders in women. In fact, several mental illnesses can arise during pregnancy and/or following childbirth. Suicide and infanticide have been considered relatively rare events during the perinatal period. However, in some mental disorders (i.e. postpartum depression, bipolar disorder, postpartum psychosis, etc. have been reported a higher risk of suicidal ideation, suicide attempt or suicide. Therefore, a complete screening of mothers’ mental health should also take into account thoughts of suicide and thoughts about harming infants as well. Clinicians should carefully monitor and early identify related clinical manifestations, potential risk factors and alarm symptoms related to suicide. The present paper aims at providing a focused review about epidemiological data, risk and protective factors and an overview about the main clinical correlates associated with the suicidal behaviour during the pregnancy and postpartum period.

  15. Improving survival among Brazilian children with perinatally-acquired AIDS

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    Luiza Harunari Matida

    2004-12-01

    Full Text Available Brazil was the first developing country to provide free, universal access to antiretroviral treatment for AIDS patients. The Brazilian experience thus provides the first evidence regarding the impact of such treatment on the survival of perinatally acquired AIDS cases in the developing world. MATERIAL AND METHODS: This retrospective cohort study used medical record reviews to examine characteristics and trends in the survival of a representative sample of 914 perinatally acquired AIDS cases in 10 Brazilian cities diagnosed between 1983 and 1998. RESULTS: Survival time increased steadily and substantially. Whereas half of the children died within 20 months of diagnosis at the beginning of the epidemic, 75% of children diagnosed in 1997 and 1998 were still alive after four years of follow-up. CONCLUSIONS: Advances in management and treatment have made a great difference in the survival of Brazilian children with AIDS. These results argue strongly for making such treatment available to children in the entire developing world.

  16. Perinatal exposure to music protects spatial memory against callosal lesions.

    Science.gov (United States)

    Amagdei, Anca; Balteş, Felicia Rodica; Avram, Julia; Miu, Andrei C

    2010-02-01

    Several studies have indicated that the exposure of rodents to music modulates brain development and neuroplasticity, by mechanisms that involve facilitated hippocampal neurogenesis, neurotrophin synthesis and glutamatergic signaling. This study focused on the potential protection that the perinatal exposure to music, between postnatal days 2 and 32, could offer against functional deficits induced by neonatal callosotomy in rats. The spontaneous alternation and marble-burying behaviors were longitudinally measured in callosotomized and control rats that had been exposed to music or not. The results indicated that the neonatal callosotomy-induced spontaneous alternation deficits that became apparent only after postnatal day 45, about the time when the rat corpus callosum reaches its maximal levels of myelination. The perinatal exposure to music efficiently protected the spontaneous alternation performance against the deficits induced by callosotomy. The present findings may offer important insights into music-induced neuroplasticity, relevant to brain development and neurorehabilitation. Copyright 2009 ISDN. Published by Elsevier Ltd. All rights reserved.

  17. Doing, being, and becoming: a family's journey through perinatal loss.

    Science.gov (United States)

    Forhan, Mary

    2010-01-01

    Occupational therapists are encouraged to reflect on doing, being, and becoming not only as it relates to the development of their profession but also in their own lives (Wilcock 1999). This article is a description of that process for me and my family in our journey through perinatal loss. This autoethnography uses a personally situated account of perinatal death. This article is a form of self-narrative that places me and my family in social context through the lens of an occupational therapist. This article aims to convey the meanings attached to the experience of grief and loss in the context of participation in everyday occupations. By sharing a perspective on the lived experience and connecting it to the literature on grief and occupation, readers will be able to decide if the connection holds as valid from a theoretical and clinical perspective.

  18. Perinatal and early childhood environmental factors influencing allergic asthma immunopathogenesis.

    Science.gov (United States)

    Gaffin, Jonathan M; Kanchongkittiphon, Watcharoot; Phipatanakul, Wanda

    2014-09-01

    The prevalence of asthma has increased dramatically over the past several decades. While hereditary factors are highly important, the rapid rise outstrips the pace of genomic variation. Great emphasis has been placed on potential modifiable early life exposures leading to childhood asthma. We reviewed the recent medical literature for important studies discussing the role of the perinatal and early childhood exposures and the inception of childhood asthma. Early life exposure to allergens (house dust mite (HDM), furred pets, cockroach, rodent and mold), air pollution (nitrogen dioxide (NO(2)), ozone (O(3)), volatile organic compounds (VOCs), and particulate matter (PM)) and viral respiratory tract infections (Respiratory syncytial virus (RSV) and human rhinovirus (hRV)) has been implicated in the development of asthma in high risk children. Conversely, exposure to microbial diversity in the perinatal period may diminish the development of atopy and asthma symptoms. Copyright © 2014 Elsevier B.V. All rights reserved.

  19. Delivery after previous cesarean: Short-term perinatal outcomes

    Science.gov (United States)

    Patel, Ravi Mangal; Jain, Lucky

    2010-01-01

    Women must often choose between a vaginal birth after prior cesarean and elective repeat cesarean delivery. Short-term risks of vaginal birth after cesarean can be potentially catastrophic in the setting of uterine rupture. Although randomized controlled trials comparing these two modes of delivery are lacking, observational studies suggest an increased risk of perinatal mortality and hypoxic-ischemic encephalopathy in infants whose mothers undergo a trial of labor. These rare risks compete with more common, albeit less severe, short-term risks associated with elective repeat cesarean delivery with a particular emphasis on increased respiratory morbidities. Further studies are needed to identify potential strategies to improve perinatal outcomes and help guide physicians and patients in choosing optimal methods of delivery. PMID:20654778

  20. Perinatal Depression and Patterns of Attachment: A Critical Risk Factor?

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    Valentina Meuti

    2015-01-01

    Full Text Available Background. This study aims to verify if the presence and severity of perinatal depression are related to any particular pattern of attachment. Methods. The study started with a screening of a sample of 453 women in their third trimester of pregnancy, who were administered a survey data form, the Edinburgh Postnatal Depression Scale (EPDS and the Experience in Close Relationship (ECR. A clinical group of subjects with perinatal depression (PND, 89 subjects was selected and compared with a control group (C, regarding psychopathological variables and attachment patterns. Results. The ECR showed a prevalence of “Fearful-Avoidant” attachment style in PND group (29.2% versus 1.1%, p<0.001; additionally, the EPDS average score increases with the increasing of ECR dimensions (Avoidance and Anxiety. Conclusion. The severity of depression increases proportionally to attachment disorganization; therefore, we consider attachment as both an important risk factor as well as a focus for early psychotherapeutic intervention.

  1. Gestational, perinatal and family findings of patients with Patau syndrome

    Science.gov (United States)

    Rosa, Rafael Fabiano M.; Sarmento, Melina Vaz; Polli, Janaina Borges; Groff, Daniela de Paoli; Petry, Patrícia; de Mattos, Vinícius Freitas; Rosa, Rosana Cardoso M.; Trevisan, Patrícia; Zen, Paulo Ricardo G.

    2013-01-01

    OBJECTIVE: To describe gestational, perinatal and family findings of patients with Patau syndrome (PS). METHODS: The study enrolled patients with PS consecutively evaluated during 38 years in a Clinical Genetics Service of a pediatric referral hospital in Southern Brazil. The clinical data and the results of cytogenetic analysis were collected from the medical records. For statistical analysis, the two-tailed Fisher's exact test and the chi-square test with Yates' correction were used, being significant pApgar scores <7 in the 1st (75%) and in the 5th minute (42.9%). About half of them (53%) died during the first month of life. CONCLUSIONS: The understanding of the PS patients' gestational, perinatal and family findings has important implications, especially on the decision about the actions to be taken in relation to the management of these patients. PMID:24473950

  2. Severe myocardial injury and extracorporeal membrane oxygenation following perinatal asphyxia

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    P. Benson Ham

    2015-05-01

    Full Text Available Perinatal asphyxia is a common cause of morbidity and mortality in the newborn and is associated with myocardial injury in a significant proportion of cases. Biomarkers, echocardiography, and rhythm disturbances are sensitive indicators of myocardial ischemia and may predict mortality. We present a case of severe myocardial dysfunction immediately after delivery managed with extracorporeal membrane oxygenation (ECMO and discuss the role of cardiac biomarkers, echocardiography, electrocardiography, and ECMO in the asphyxiated newborn.

  3. Perinatal and early life risk factors for inflammatory bowel disease

    Institute of Scientific and Technical Information of China (English)

    Stephen E Roberts; Clare J Wotton; John G Williams; Myfanwy Griffith; Michael J Goldacre

    2011-01-01

    AIM: To investigate associations between perinatal risk factors and subsequent inflammatory bowel disease (IBD) in children and young adults.METHODS: Record linked abstracts of birth registrations,maternity, day case and inpatient admissions in a defined population of southern England. Investigation of 20 perinatal factors relating to the maternity or the birth: maternal age, Crohn's disease (CD) or ulcerative colitis (UC) in the mother, maternal social class, marital status, smoking in pregnancy, ABO blood group and rhesus status, pre-eclampsia, parity, the infant's presentation at birth, caesarean delivery, forceps delivery, sex, number of babies delivered, gestational age, birthweight, head circumference, breastfeeding and Apgar scores at one and five minutes.RESULTS: Maternity records were present for 180 children who subsequently developed IBD. Univariate analysis showed increased risks of CD among children of mothers with CD (P = 0.011, based on two cases of CD in both mother and child) and children of mothers who smoked during pregnancy. Multivariate analysis confirmed increased risks of CD among children of mothers who smoked (odds ratio = 2.04, 95% CI =1.06-3.92) and for older mothers aged 35+ years (4.81,2.32-9.98). Multivariate analysis showed that there were no significant associations between CD and 17 other perinatal risk factors investigated. It also showed that, for UC, there were no significant associations with the perinatal factors studied.CONCLUSION: This study shows an association between CD in mother and child; and elevated risks of CD in children of older mothers and of mothers who smoked.

  4. Perinatal asphyxia: CNS development and deficits with delayed onset

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    Mario eHerrera-Marschitz

    2014-03-01

    Full Text Available Perinatal asphyxia constitutes a prototype of obstetric complications occurring when pulmonary oxygenation is delayed or interrupted. The primary insult relates to the duration of the period lacking oxygenation, leading to death if not re-established. Re-oxygenation leads to a secondary insult, related to a cascade of biochemical events required for restoring proper function. Perinatal asphyxia interferes with neonatal development, resulting in long-term deficits associated to mental and neurological diseases with delayed clinical onset, by mechanisms not yet clarified.In the experimental scenario, the effects observed long after perinatal asphyxia have been explained by over expression of sentinel proteins, such as poly(ADP-ribose polymerase-1 (PARP-1, competing for NAD+ during re-oxygenation, leading to the idea that sentinel protein inhibition constitutes a suitable therapeutic strategy. Asphyxia induces transcriptional activation of pro-inflammatory factors, in tandem with PARP-1 overactivation, and pharmacologically induced PARP-1 inhibition also down-regulates the expression of proinflammatory cytokines. Nicotinamide has been proposed as a suitable PARP-1 inhibitor. Its effect has been studied in an experimental model of global hypoxia in rats. In that model, the insult is induced by immersing rat foetuses into a water bath for various periods of time. Following asphyxia, the pups are delivered, treated, and nursed by surrogate dams, pending further experiments. Nicotinamide rapidly distributes into the brain following systemic administration, reaching steady state concentrations sufficient to inhibit PARP-1 activity for several hours, preventing several of the long-term consequences of perinatal asphyxia, supporting the idea that it constitutes a lead for exploring compounds with similar or better pharmacological profiles.

  5. Perinatal complications and clinical outcome within the schizophrenia spectrum.

    Science.gov (United States)

    Parnas, J; Schulsinger, F; Teasdale, T W; Schulsinger, H; Feldman, P M; Mednick, S A

    1982-04-01

    In a prospective study of offspring of schizophrenic mothers, perinatal complications reported in midwife protocols were analysed for those offspring who, as adults, were diagnosed as schizophrenic, borderline schizophrenic or as not suffering from mental illness. The schizophrenics were found to have had the most complicated births, and the borderlines, the least complicated births. This difference is interpreted in terms of a 'diathesis-stress' model. It is proposed that birth complications can decompensate borderline individuals towards schizophrenic breakdown.

  6. The challenges of success: adolescents with perinatal HIV infection

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    Mofenson, Lynne M.; COTTON, Mark F.

    2013-01-01

    The great success in the prevention and treatment of pediatric HIV in high resource countries, and now in low resource countries, has changed the face of the HIV epidemic in children from one of near certain mortality to that of a chronic disease. However, these successes pose new challenges as perinatally HIV-infected youth survive into adulthood. Increased survival of HIV-infected children is associated with challenges in maintaining adherence to what is likely life-long therapy, and in sel...

  7. Maternal and perinatal outcomes in critically ill obstetric patients

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    Arati Appinabhavi

    2014-02-01

    Conclusions: Pregnancy-induced hypertensive disorders and hemorrhage were the major risk factors apart from pneumonia and hepatitis that continue to take toll in obstetric patients. Adequate antenatal care, increased vigilance of women during pregnancy for subtle signs and symptoms, early transfer to tertiary centre and aggressive management to prevent complications can bring about the desired reduction in maternal-perinatal morbidity and mortality. [Int J Reprod Contracept Obstet Gynecol 2014; 3(1.000: 189-194

  8. Eclampsia: maternal and perinatal outcomes in a tertiary care centre

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    Sunita Mor

    2015-06-01

    Conclusions: Eclampsia is one of the important causes of maternal and perinatal morbidity and mortality due to lack of proper antenatal care, low socio-economic status and lack of education. Early attention and intensive management are essential for improving the maternal and fetal outcomes. Unless the social and educational status of women is uplifted and obstetric care is brought to the doorstep, no miracle can be expected. [Int J Reprod Contracept Obstet Gynecol 2015; 4(3.000: 653-657

  9. Maternal and perinatal outcome associated with pregnancy induced hypertension

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    Vasavi Kolluru

    2016-10-01

    Conclusions: Though the incidence of pre-eclampsia and eclampsia is on the decline, still it remains the major contributor to poor maternal and fetal outcome. Regular antenatal check-ups, early diagnosis, prompt multidisciplinary treatment, optimum timing of delivery reduces the incidence of complications and the maternal mortality. Early referral to and management of these cases at centers with advanced neonatal facilities will reduce the perinatal mortality. [Int J Reprod Contracept Obstet Gynecol 2016; 5(10.000: 3367-3371

  10. Robotic Quantification of Position Sense in Children With Perinatal Stroke.

    Science.gov (United States)

    Kuczynski, Andrea M; Dukelow, Sean P; Semrau, Jennifer A; Kirton, Adam

    2016-09-01

    Background Perinatal stroke is the leading cause of hemiparetic cerebral palsy. Motor deficits and their treatment are commonly emphasized in the literature. Sensory dysfunction may be an important contributor to disability, but it is difficult to measure accurately clinically. Objective Use robotics to quantify position sense deficits in hemiparetic children with perinatal stroke and determine their association with common clinical measures. Methods Case-control study. Participants were children aged 6 to 19 years with magnetic resonance imaging-confirmed unilateral perinatal arterial ischemic stroke or periventricular venous infarction and symptomatic hemiparetic cerebral palsy. Participants completed a position matching task using an exoskeleton robotic device (KINARM). Position matching variability, shift, and expansion/contraction area were measured with and without vision. Robotic outcomes were compared across stroke groups and controls and to clinical measures of disability (Assisting Hand Assessment) and sensory function. Results Forty stroke participants (22 arterial, 18 venous, median age 12 years, 43% female) were compared with 60 healthy controls. Position sense variability was impaired in arterial (6.01 ± 1.8 cm) and venous (5.42 ± 1.8 cm) stroke compared to controls (3.54 ± 0.9 cm, P Robotic measures correlated with functional disability. Sensitivity and specificity of clinical sensory tests were modest. Conclusions Robotic assessment of position sense is feasible in children with perinatal stroke. Impairment is common and worse in arterial lesions. Limited correction with vision suggests cortical sensory network dysfunction. Disordered position sense may represent a therapeutic target in hemiparetic cerebral palsy. © The Author(s) 2016.

  11. A meta-analysis of treatments for perinatal depression

    OpenAIRE

    2011-01-01

    This meta-analysis assessed efficacy of pharmacologic and psychological interventions for treatment of perinatal depression. A systematic review identified 27 studies, including open trials (n=9), quasi-randomized trials (n=2), and randomized controlled trials (n=16) assessing change from pretreatment to posttreatment or comparing these interventions to a control group. Uncontrolled and controlled effect sizes were assessed in separate meta-analyses. There was significant improvement in depre...

  12. PREVALENCE OF PERINATAL INFECTION IN SOUTHERN ODISH A, INDIA.

    OpenAIRE

    Basanti Kumari; Priya Ranjan; Kumudini; Dipti; Priti Lata; Panda,

    2012-01-01

    ABSTRACT: AIM: This study was undertaken to evaluate the prevalenc e of perinatal bacterial infection in southern part of Odisha. MATERIALS AND METHODS: Pregnant women presenting with premature rupture of membrane (PROM), preterm labour, fever, vaginal discharge (VD), urinary tract infections and previou s bad obstetric history were included in the study groups. Besides newborns < 7 days old admitte d to Paediatrics Department were also included. High vagin...

  13. Asymptomatic bacteriuria in pregnancy and its relation to perinatal outcome

    OpenAIRE

    Anjana Verma; Smita Baheti; Medhavi Sharma

    2016-01-01

    Background: Asymptomatic bacteriuria is one of the cause for adverse perinatal outcome. Pregnant women are at high risk for UTIs. Women exposed to antepartum urinary tract infection had increased incidence of delivering infants with low birth weights, premature infants, preterm infants with low birth weights, than those who were not exposed. Women exposed to antepartum urinary tract infection were also more likely to experience premature labor, hypertension or preeclampsia and anemia. Meth...

  14. Perinatal data collection: current practice in the Australian nursing and midwifery healthcare context.

    Science.gov (United States)

    Craswell, Alison; Moxham, Lorna; Broadbent, Marc

    2013-01-01

    The collection of perinatal data within Queensland, Australia, has traditionally been achieved via a paper form completed by midwives after each birth. Recently, with an increase in the use of e-health systems in healthcare, perinatal data collection has migrated to an online system. It is suggested that this move from paper to an ehealth platform has resulted in improvement to error rates, completion levels, timeliness of data transfer from healthcare institutions to the perinatal data collection and subsequent publication of data items. Worldwide, perinatal data are collected utilising a variety of methods, but essentially data are used for similar purposes: to monitor outcome patterns within obstetrics and midwifery. This paper discusses current practice in relation to perinatal data collection worldwide and within Australia, with a specific focus on Queensland, highlights relevant issues for midwives, and points to the need for further research into the efficient use of an e-health platform for perinatal data collection.

  15. Perinatal taurine exposure affects adult arterial pressure control

    Science.gov (United States)

    Roysommuti, Sanya; Wyss, J. Michael

    2012-01-01

    Taurine is an abundant free amino acid found in mammalian cells that contributes to many physiologic functions from that of a simple cell osmolyte to a programmer of adult health and disease. Taurine’s contribution extends from conception throughout life, but its most critical exposure period is during perinatal life. In adults, taurine supplementation prevents or alleviates cardiovascular disease and related complications. In contrast, low taurine consumption coincides with increased risk of cardiovascular disease, obesity and type II diabetes. This review focuses on the effects that altered perinatal taurine exposure has on long-term mechanisms that control adult arterial blood pressure and could thereby contribute to arterial hypertension through its ability to program these cardiovascular regulatory mechanisms very early in life. The modifications of these mechanisms can last a lifetime and transfer to the next generation, suggesting that epigenetic mechanisms underlie the changes. The ability of perinatal taurine exposure to influence arterial pressure control mechanisms and hypertension in adult life appears to involve the regulation of growth and development, the central and autonomic nervous system, the renin-angiotensin system, glucose-insulin interaction and changes to heart, blood vessels and kidney function. PMID:23070226

  16. The challenges of success: adolescents with perinatal HIV infection

    Directory of Open Access Journals (Sweden)

    Lynne M Mofenson

    2013-06-01

    Full Text Available The great success in the prevention and treatment of pediatric HIV in high resource countries, and now in low resource countries, has changed the face of the HIV epidemic in children from one of near certain mortality to that of a chronic disease. However, these successes pose new challenges as perinatally HIV-infected youth survive into adulthood. Increased survival of HIV-infected children is associated with challenges in maintaining adherence to what is likely life-long therapy, and in selecting successive antiretroviral drug regimens, given the limited availability of pediatric formulations, limitations in pharmacokinetic and safety data of drugs in children, and the development of extensive drug resistance in multi-drug-experienced children. Pediatric HIV care must now focus on morbidity related to long-term HIV infection and its treatment. Survival into adulthood of perinatally HIV-infected youth in high resource countries provides important lessons about how the epidemic will change with increasing access to antiretroviral therapy for children in low resource countries. This series of papers will focus on issues related to management of perinatally infected youth and young adults.

  17. The challenges of success: adolescents with perinatal HIV infection.

    Science.gov (United States)

    Mofenson, Lynne M; Cotton, Mark F

    2013-06-18

    The great success in the prevention and treatment of pediatric HIV in high resource countries, and now in low resource countries, has changed the face of the HIV epidemic in children from one of near certain mortality to that of a chronic disease. However, these successes pose new challenges as perinatally HIV-infected youth survive into adulthood. Increased survival of HIV-infected children is associated with challenges in maintaining adherence to what is likely life-long therapy, and in selecting successive antiretroviral drug regimens, given the limited availability of pediatric formulations, limitations in pharmacokinetic and safety data of drugs in children, and the development of extensive drug resistance in multi-drug-experienced children. Pediatric HIV care must now focus on morbidity related to long-term HIV infection and its treatment. Survival into adulthood of perinatally HIV-infected youth in high resource countries provides important lessons about how the epidemic will change with increasing access to antiretroviral therapy for children in low resource countries. This series of papers will focus on issues related to management of perinatally infected youth and young adults.

  18. Tuberkulosis Perinatal Bermanifestasi sebagai Tuberkulosis Milier dan Meningitis

    Directory of Open Access Journals (Sweden)

    Heda Melinda D. Nataprawira

    2014-10-01

    Full Text Available Perinatal tuberculosis (TB is rarely reported, because the clinical manifestations are not specific and there is a problem in its laboratory and radiology examination which caused undiagnosed. Perinatal TB is the preferred description that encompasses TB acquired either intra uterine, during or post delivery in early newborn period. A-3- month old baby was transferred to Pediatric Emergency Hasan Sadikin Hospital because of prolong fever and unable to breastfeed. There was no problem with delivery. Lethargic, fever, tachypnea, and hepatosphlenomegali were found on physical examination. Ziehl Neelsen smear of gastric lavage yielded positive acid fast bacilli. Tuberculine test was non reactive, chest x-ray showed a miliary pattern, and cerebral spinal fluid analysis gave tuberculous meningitis interpretation. By active finding, his father and grandfather were detected as a source of TB transmission. In additon to oral antituberculosis regimen, antibiotics and prednison were also given. Septic shock and disseminated intravascular coagulation were occurred during his illness and the baby died. Staphylococcus haemolyticus was identified from blood culture. In conclusion, although there were no problems during labor, active investigation of perinatal TB possibility is required on the family with a source of TB. Caution on TB in pregnant women is necessary at developing country with high rates of TB.

  19. Infertility and Perinatal Loss: When the Bough Breaks.

    Science.gov (United States)

    Bhat, Amritha; Byatt, Nancy

    2016-03-01

    Infertility and perinatal loss are common, and associated with lower quality of life, marital discord, complicated grief, major depressive disorder, anxiety disorders, and post-traumatic stress disorder. Young women, who lack social supports, have experienced recurrent pregnancy loss or a history of trauma and / or preexisting psychiatric illness are at a higher risk of experiencing psychiatric illnesses or symptoms after a perinatal loss or during infertility. It is especially important to detect, assess, and treat depression, anxiety, or other psychiatric symptoms because infertility or perinatal loss may be caused or perpetuated by such symptoms. Screening, psychoeducation, provision of resources and referrals, and an opportunity to discuss their loss and plan for future pregnancies can facilitate addressing mental health concerns that arise. Women at risk of or who are currently experiencing psychiatric symptoms should receive a comprehensive treatment plan that includes the following: (1) proactive clinical monitoring, (2) evidence-based approaches to psychotherapy, and (3) discussion of risks, benefits, and alternatives of medication treatment during preconception and pregnancy.

  20. The effects of gestational anemia on perinatal outcomes

    Directory of Open Access Journals (Sweden)

    M.Erdal Sak

    2009-03-01

    Full Text Available Untreated anemia during pregnancy is reported to be associated with fetal complications. The aim of present study was to investigate perinatal outcomes associated with maternal anemia during pregnancy. Twenty-nine pregnant women with second trimester hemoglobin (Hb levels under 8 g/dL (Group 1 and 30 over 10 g/dL (Group 2 were included. The ratios of preterm birth, intrauterine growth restriction (IUGR and admission to neonatal intensive care unit (NICU were recorded. Preterm birth ratio was 34,4% in Group 1 and 13.3% in Group 2 (P=0.05. There was no significant difference in IUGR between two groups (P>0.05. Neonatal care unit admissions were significantly higher in Group 1 compared with Group 2 (44.8% vs. 16.6%, respectively, P=0.019. Diagnosis and treatment of maternal anemia during pregnancy is important to minimize the perinatal complications. Further studies are necessary to evaluate the association of maternal anemia and perinatal outcomes more clearly.

  1. Experimental models of perinatal hypoxic-ischemic brain damage.

    Science.gov (United States)

    Vannucci, R C

    1993-01-01

    Animal research has provided important information on the pathogenesis of and neuropathologic responses to perinatal cerebral hypoxia-ischemia. In experimental animals, structural brain damage from hypoxia-ischemia has been produced in immature rats, rabbits, guinea pigs, sheep and monkeys (18, 20, 24, 25, 38). Of the several available animal models, the fetal and newborn rhesus monkey and immature rat have been studied most extensively because of their similarities to humans in respect to the physiology of reproduction and their neuroanatomy at or shortly following birth. Given the frequency of occurrence of human perinatal hypoxic-ischemic brain damage and the multiple, often severe neurologic handicaps which ensue in infants and children, it is not surprising that the above described animal models have been developed. These models have provided the basis for investigations to clarify not only physiologic and biochemical mechanisms of tissue injury but also the efficacy of specific management strategies. Hopefully, such animal research will continue to provide important information regarding how best to prevent or minimize the devastating consequences of perinatal cerebral hypoxia-ischemia.

  2. Vaginitis in pregnancy is related to adverse perinatal outcome.

    Science.gov (United States)

    Xu, Fengqiu; Du, Xiaodong; Xie, Lili

    2015-01-01

    To determine whether education level and occupation are risk factors of vaginitis in pregnant women and to investigate relationship between vaginitis occurrence during pregnancy and perinatal mortality rates. A total of 319 women of early pregnancy or mid-pregnancy were enrolled. Six specimens were collected from posterior fornix of each pregnant woman and then cultured for identification of Neisseria gonorrhoeae, intestinal bacteria, general bacteria, fungi, mycoplasma, and chlamydia, respectively. The pregnant women in the "elementary school or below" group and the "middle school" group had significantly higher incidences of vaginitis compared with the pregnant women in the groups of "high school", "skill education", and "college or above". The pregnant women in the groups of "Worker", "Government employee", "Company employee", and "Professionals" had significantly lower vaginitis incidences. The women with infections of Neisseria gonorrhoeae, intestinal bacteria, and general bacteria had higher perinatal mortalities (0.063 ± 0.011, 0.052 ± 0.012, and 0.017 ± 0.008, respectively) than women with infections of fungi, mycoplasma, and Chlamydia (0.002 ± 0.007, 0.003 ± 0.004, and 0.001 ± 0.001, respectively). Education level and occupation are risk factors related to incidences of vaginitis in pregnant women. The bacteria-related vaginitis is a major reason of perinatal mortality.

  3. [Psychosocial factors influencing the perinatal health care satisfaction of parturients].

    Science.gov (United States)

    Takács, L; Kodysová, E

    2011-06-01

    To give an overview of the main psychosocial factors influencing the perinatal health care satisfaction of parturients and present recommendations for good practice. Original study. Department of Psychology, Faculty of Philosophy, Charles University, Prague. Qualitative methodology--content analysis of 189 childbirth narratives written by parturients and demi-structured interviews with 44 parturients. Seven dimensions of perinatal health care satisfaction of parturients were identified: 1. staff attitude and behavior; 2. staff communication; 3. parturient's participation in decision-making; 4. support of early mother-baby contact; 5. breastfeeding support; 6. mother-baby friendliness of maternity unit operation rules; 7. clarity of maternity unit operation rules. The most important dimensions include empathy and psychological support, respect for privacy and feelings of shame, relational symmetry/asymmetry and quality of provided information. Psychosocial aspects are a decisive criterion of perinatal health care satisfaction of parturients. Psychological competences of health care providers and staff make an inseparable part of their competence, with communication skills development and prevention and therapy of the burn-out syndrome deserving special attention.

  4. Oxytocin regimen for labor augmentation, labor progression, and perinatal outcomes.

    Science.gov (United States)

    Zhang, Jun; Branch, D Ware; Ramirez, Mildred M; Laughon, S Katherine; Reddy, Uma; Hoffman, Mathew; Bailit, Jennifer; Kominiarek, Michelle; Chen, Zhen; Hibbard, Judith U

    2011-08-01

    To examine the effects and safety of high-dose (compared with low-dose) oxytocin regimen for labor augmentation on perinatal outcomes. Data from the Consortium on Safe Labor were used. A total of 15,054 women from six hospitals were eligible for the analysis. Women were grouped based on their oxytocin starting dose and incremental dosing of 1, 2, and 4 milliunits/min. Duration of labor and a number of maternal and neonatal outcomes were compared among these three groups stratified by parity. Multivariable logistic regression and generalized linear mixed model were used to adjust for potential confounders. Oxytocin regimen did not affect the rate of cesarean delivery or other perinatal outcomes. Compared with 1 milliunit/min, the regimens starting with 2 milliunits/min and 4 milliunits/min reduced the duration of first stage by 0.8 hours (95% confidence interval 0.5-1.1) and 1.3 hours (1.0-1.7), respectively, in nulliparous women. No effect was observed on the second stage of labor. Similar patterns were observed in multiparous women. High-dose regimen was associated with a reduced risk of meconium stain, chorioamnionitis, and newborn fever in multiparous women. High-dose oxytocin regimen (starting dose at 4 milliunits/min and increment of 4 millliunits/min) is associated with a shorter duration of first-stage of labor for all parities without increasing the cesarean delivery rate or adversely affecting perinatal outcomes. II.

  5. Perinatal outcomes following maternal asthma and cigarette smoking during pregnancy.

    Science.gov (United States)

    Hodyl, Nicolette A; Stark, Michael J; Scheil, Wendy; Grzeskowiak, Luke E; Clifton, Vicki L

    2014-03-01

    Does cigarette smoking in pregnancy explain the increased risk of adverse perinatal outcomes that occur with maternal asthma or does it compound the effect? Using population based birth records, a retrospective analysis was conducted of all singleton pregnancies in South Australia over 10 years (1999-2008; n=172 305), examining maternal asthma, cigarette smoking and quantity of smoking to estimate odds ratios. Compared with nonasthmatic females who did not smoke during pregnancy, both asthmatic females who smoked and those who did not smoke during pregnancy had a significantly increased risk of gestational diabetes, antepartum haemorrhage, polyhydramnios, premature rupture of membranes, emergency Caesarean section, and the child being small for gestational age and having congenital abnormalities. These associations suggest that asthma, independently of maternal smoking, increases the risk of these adverse perinatal outcomes. Maternal smoking was itself associated with an increased risk of a number of poor neonatal outcomes, with a dose-response relationship observed. Notably, maternal asthma combined with cigarette smoking significantly increased the risk of preterm birth and urinary tract infections to a greater degree than with either exposure alone. Maternal asthma and cigarette smoking during pregnancy are both independently associated with adverse perinatal outcomes and, combined, compound the risk of preterm birth and urinary tract infections.

  6. Healthcare justice and human rights in perinatal medicine.

    Science.gov (United States)

    Chervenak, Frank A; McCullough, Laurence B

    2016-06-01

    This article describes an approach to ethics of perinatal medicine in which "women and children first" plays a central role, based on the concept of healthcare justice. Healthcare justice requires that all patients receive clinical management based on their clinical needs, which are defined by deliberative (evidence-based, rigorous, transparent, and accountable) clinical judgment. All patients in perinatal medicine includes pregnant, fetal, and neonatal patients. Healthcare justice also protects the informed consent process, which is intended to empower the exercise of patient autonomy in the decision-making process about patient care. In the context of healthcare justice, the informed consent process should not be influenced by ethically irrelevant factors. Healthcare justice should be understood as a basis for the human rights to healthcare and to participate in decisions about one's healthcare. Healthcare justice in perinatal medicine creates an essential role for the perinatologist to be an effective advocate for pregnant, fetal, and neonatal patients, i.e., for "women and children first." Copyright © 2016 Elsevier Inc. All rights reserved.

  7. Organochlorine exposure and changes in the perinatal period: a review

    Directory of Open Access Journals (Sweden)

    Priscila Campos Bueno

    2014-12-01

    Full Text Available Objective: The aim of this review is to survey the state of the art on key perinatal outcomes associated with contamination by organochlorines. Data Source: This is an integrative review. A search was performed in MEDLINE / PubMed for the descriptors “organochlorine” AND “infertility”; “organochlorine” AND “fetal loss”; “organochlorine” AND “preterm delivery”; and “organochlorine” AND “low birth weight,” without time restrictions. As an exclusion criterion, we only considered the analytical studies of bench and animal studies. Data Synthesis: There is great scientific interest in one group of chemicals present in the environment that interfere with the endocrine system’s chemicals and thereby affect health, growth and reproduction, including organochlorine pesticides, which are substances that are extremely persistent in the environment. By mimicking estrogen and androgenic steroids, perinatal outcomes are particularly interesting for evaluating the consequences of chronic exposure to organochlorines. The state of art about how these substances interfere with the human body, especially the endocrine-reproductive axis, is not yet consolidated. Conclusions: It was observed that there is no consensus on the relation between an exposure to organochlorines and perinatal outcomes, although there are indications that there is a cause and effect relationship between the variables.

  8. Qualidade de vida, ponto de partida ou resultado final?

    Directory of Open Access Journals (Sweden)

    Alby Duarte Rocha

    Full Text Available O que é qualidade de vida e o quanto podemos medir dela? Pensa-se em qualidade de vida como resultado das políticas públicas e desenvolvimento de uma sociedade, onde os determinantes socioambientais se manifestam como atributo de seus atores. Ao mesmo tempo, pode-se entender esta idéia no outro extremo da análise, a partir da percepção de uma população protagonista de sua realidade, do que vem a ser qualidade de vida segundo ela mesma. Partindo-se dos aspectos conceituais de qualidade de vida, passou-se a adotar os conceitos de diferenciais intra-urbanos como a melhor maneira de caracterizar os desajustes e as desigualdades urbanas, para assim entender os componentes da iniqüidade desse meio. A primeira iniciativa marcou a utilização do método genebrino ou distancial. Hoje, já na segunda versão desse método, incorporou-se a esse contexto outras metodologias que possibilitam maior consistência de análise para ampliar a validade dessas medições. Soma-se a esse contexto, a análise de cluster e o Sistema de Informações Geográficas, tanto no cenário intra-urbano, quanto intermunicipal.

  9. Recientes resultados en el tratamiento del tabaquismo femenino

    Directory of Open Access Journals (Sweden)

    Miguel A. Muñoz

    2006-01-01

    Full Text Available El informe del Surgeon General en 2001, mostró claramente que el tabaquismo es un problema que cada año atañe a más mujeres. En general, los estudios arrojan resultados contradictorios, no obstante, algunos autores insisten en que las mujeres presentan más dificultades y de diferente tipo que los hombres cuando deciden abandonar el tabaco. En este artículo se revisan diferentes factores (terapia sustitutiva, estados afectivos, preocupación por el peso, malestar producido por el ciclo menstrual y apoyo social, que influyen en la cesación tabáquica en mujeres, con el objetivo de señalar las acciones terapéuticas más adecuadas para el tratamiento del tabaquismo femenino. Se revisa también la literatura existente en el cese tabáquico durante el periodo de gestación, por ser una fase dónde aspectos motivacionales, sociales, médicos y culturales pueden facilitar la decisión de dejar de fumar.

  10. Miastenia gravis: resultados de timectomia em 52 pacientes

    Directory of Open Access Journals (Sweden)

    José Teotonio de Oliveira

    1995-06-01

    Full Text Available Durante o período de 1971 a 1993, 52 miastênicos sem timoma (7 homens e 45 mulheres foram timectomizados por via esternal. Os resultados foram classificados em remissão e não-remissão . A taxa de remissão foi 48%. No grupo de remissões havia 5 homens e 20 mulheres. O tempo de seguimento foi de 5,5 anos em ambos os grupos. Os pacientes foram classificados clinicamente segundo a classificação de Osserman. De 16 pacientes na categoria II A, 11 entraram em remissão; de 36 pacientes nas categorias II B e III, 14 entraram em remissão. O tempo de duração de doença foi de 1,8 e 4,3 anos nos grupos de remissões e não-remissões, respectivamente. Todos os pacientes que entraram em remissão tinham menos de quatro anos de doença. Dos 43 pacientes com menos de quatro anos de doença, 42% não apresentaram remissão significando que um tempo de doença de menos de quatro anos não é indicador de remissão. Nossos dados indicam um melhor prognóstico quando a timectomia é feita nos primeiros quatro anos de doença.

  11. The Role of Cytokines and Inflammatory Cells in Perinatal Brain Injury

    Directory of Open Access Journals (Sweden)

    Ryan M. McAdams

    2012-01-01

    Full Text Available Perinatal brain injury frequently complicates preterm birth and leads to significant long-term morbidity. Cytokines and inflammatory cells are mediators in the common pathways associated with perinatal brain injury induced by a variety of insults, such as hypoxic-ischemic injury, reperfusion injury, toxin-mediated injury, and infection. This paper examines our current knowledge regarding cytokine-related perinatal brain injury and specifically discusses strategies for attenuating cytokine-mediated brain damage.

  12. Perinatal Mortality in Southern Nigeria; less than half a decade to the Millennium Developmental Goals

    OpenAIRE

    Ibekwe, PC; Ugboma, HU; Onyire, N; Muoneke, U

    2011-01-01

    Background: Perinatal mortality is one of the essential indicators of the health status of a country and by extension its state of development. Reduction in perinatal mortality rate is an important aspect of the MDGs. Objectives: To determine the perinatal mortality rate (PMR) in 2 tertiary institutions in Southern Nigeria and the factors responsible for the deaths. Methods: This was a retrospective, observational study conducted amongst 2 groups of subjects (A and B) located in 2 tertiary ho...

  13. WHEN THE DEATH VISIT THE MATERNITY: PSYCHOLOGICAL ATTENTION DURING THE PERINATAL LOSS

    OpenAIRE

    Sousa, Erica Nascimento de; Arrais, Alessandra da Rocha; Iaconelli,Vera; Muza, Julia Costa

    2013-01-01

    Abstract: This study was based on qualitative methodology in order to know the meaning of perinatal loss to the bereaved families and assess the psychological intervention in situations of perinatal grief. Five families participated in this study who experienced perinatal deaths, a maternity of Brasilia. The psychological record of the psychology of maternity and post-assessment interview death were used as instruments. From the analysis of Bardin (1977), which emerged five categories, namely...

  14. Clinical evolution of epileptic seizures in children with perinatal brain pathology

    Directory of Open Access Journals (Sweden)

    E. A. Morozova

    2013-01-01

    Full Text Available The complex mechanism of epileptogenesis has not been adequately explored. Perinatal brain pathology is one of the most important triggers of epilepsy in children. The paper gives data on the course and transformation of epileptic seizures in children who have verified perinatal problems. A study of 66 children with perinatally induced epileptic seizures has provided evidence for the evolution of impairments in cerebral hemodynamics and neuroimaging phenomena in the examined contingent of patients.

  15. A parsimonious explanation for intersecting perinatal mortality curves: understanding the effect of plurality and of parity

    Directory of Open Access Journals (Sweden)

    Sauve Reg

    2003-06-01

    Full Text Available Abstract Background Birth weight- and gestational age-specific perinatal mortality curves intersect when compared across categories of maternal smoking, plurality, race and other factors. No simple explanation exists for this paradoxical observation. Methods We used data on all live births, stillbirths and infant deaths in Canada (1991–1997 to compare perinatal mortality rates among singleton and twin births, and among singleton births to nulliparous and parous women. Birth weight- and gestational age-specific perinatal mortality rates were first calculated by dividing the number of perinatal deaths at any given birth weight or gestational age by the number of total births at that birth weight or gestational age (conventional calculation. Gestational age-specific perinatal mortality rates were also calculated using the number of fetuses at risk of perinatal death at any given gestational age. Results Conventional perinatal mortality rates among twin births were lower than those among singletons at lower birth weights and earlier gestation ages, while the reverse was true at higher birth weights and later gestational ages. When perinatal mortality rates were based on fetuses at risk, however, twin births had consistently higher mortality rates than singletons at all gestational ages. A similar pattern emerged in contrasts of gestational age-specific perinatal mortality among singleton births to nulliparous and parous women. Increases in gestational age-specific rates of growth-restriction with advancing gestational age presaged rising rates of gestational age-specific perinatal mortality in both contrasts. Conclusions The proper conceptualization of perinatal risk eliminates the mortality crossover paradox and provides new insights into perinatal health issues.

  16. El regreso del buen salvaje

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    Beatriz Caballero

    2003-01-01

    Full Text Available Cuando volvimos de París, donde estuvimos cuatro años, papá volvió con un afán de ir a Tipacoque!, derechito a poner todo en orden -ideas de mamá seguramente. Finiquitó los pleitos. Hizo coger las goteras de la casa que tiene una fanegada de tejados, echarle una mano de cal a las paredes, podar los buganviles, resembrar la huerta con árboles frutales. Y, en sus delirios de arquitecto, se levó la torre de la capilla, le enarboló un gallo de veleta y plantó cuatro almenitas encima, ante el estupor del maestro Carmelita.

  17. El regreso del buen salvaje

    OpenAIRE

    2003-01-01

    Cuando volvimos de París, donde estuvimos cuatro años, papá volvió con un afán de ir a Tipacoque!, derechito a poner todo en orden -ideas de mamá seguramente. Finiquitó los pleitos. Hizo coger las goteras de la casa que tiene una fanegada de tejados, echarle una mano de cal a las paredes, podar los buganviles, resembrar la huerta con árboles frutales. Y, en sus delirios de arquitecto, se levó la torre de la capilla, le enarboló un gallo de veleta y plantó cuatro almenitas encima, ante el estu...

  18. Audit of perinatal mortality at SSMCHRC-(Rural teaching hospital a retrospective study

    Directory of Open Access Journals (Sweden)

    M.S. Kokila

    2013-04-01

    Full Text Available Objective: To estimate magnitude, determinants of perinatal mortality and suggest remedial measures for its reduction. Background: Perinatal mortality is mirror reflection of maternal and child health and socioeconomic environment of community. It is influenced by various medicosocial preventable causes. It can be reduced by improving maternal and child health services and by health education. Methods: A retrospective hospital based study of perinatal deaths among 2333 deliveries was conducted from June 2008 to June 2010 in our hospital. Fetomaternal factors like maternal age, religion, residence, parity, mode of delivery, booking status, antenatal complications, baby’s sex, birth weight, congenital anomalies, neonatal complications influencing perinatal mortality rate were tabulated and analyzed. Cause of perinatal death was assessed. Results: perinatal mortality rate was 127.4/1000 total births. Maternal factors like age more than 35 years, muslim religion, inadequate antenatal care, primiparity, grand multiparity, induced deliveries and neonatal factors like low birth weight, prematurity were associated with increased perinatal mortality. The leading cause of stillbirth was antepartum hemorrhage and prematurity for neonatal mortality. Conclusion: Apart from clinical causes high perinatal mortality was due to poverty, illiteracy, lack of health awareness, inadequate antenatal care and delayed referral. Health education, identification of high risk mothers, timely referral, advanced life support of preterm neonates should significantly help to reduce perinatal deaths.

  19. Improvement in perinatal care for extremely premature infants in Denmark from 1994 to 2011

    DEFF Research Database (Denmark)

    Hasselager, Asbjørn Børch; Børch, Klaus; Pryds, Ole Axel

    2016-01-01

    INTRODUCTION: Major advances in perinatal care over the latest decades have increased the survival rate of extremely premature infants. Centralisation of perinatal care was implemented in Denmark from 1995. This study evaluates the effect of organisational changes of perinatal care on survival...... gestational age and administration of surfactant. CONCLUSIONS: Centralisation of treatment of extremely premature infants has been implemented because more children are being born at highly specialised perinatal centres. Care improved as more infants received evidence-based treatment. IVH 3-4 rates declined...

  20. Comportamiento de híbridos de maíz con alta calidad de proteína, por su buen rendimiento y tolerancia al "Achaparramiento"

    Directory of Open Access Journals (Sweden)

    Mauro Sierra-Mac\\u00EDas

    2007-01-01

    Full Text Available Comportamiento de hí bri dos de maíz con al ta calidad de proteína, por su buen rendimiento y tolerancia al “Achapa rramiento”. Con los ob jetivos de conocer el rendimiento y las características agronómicas de híbridos de maíz con alta calidad de pro teí na (QPM e iden ti fi car los que me jor se adapten y presenten tolerancia a la enfermedad “Achaparramiento”, du ran te el ci clo primavera verano 2005 se establecieron experimentos en las localidades de Cotaxtla, municipio de Medellín de Bra vo, La To rrecilla, Municipio de Tlalixcoyan y Zapotal Número Uno, municipio de Ignacio de la Llave, en el estado de Ve racruz. Los ensayos fueron sembrados bajo un diseño alpha látice 9x2 con 18 tratamientos y tres repeticiones, en par ce las de dos sur cos de 5 m de lar go se pa ra dos a 80 cm, con una densidad de 62,500 plantas/ha. Durante el desarrollo del cultivo se registraron las variables: rendimiento de grano, porcentaje de plan tas y mazorcas dañadas por achaparramiento, se ve ri dad del da ño, al tu ra de plan ta y de ma zor ca, días a floración masculina y femenina, aspecto y sa nidad de planta y mazorca, porcentaje de plantas acamadas, porcentaje de mazorcas con mala cobertura y porcentaje de ma zorcas podridas. De los análisis de varianza combinados para: Rendimiento de grano, porcentaje de daño y severidad por achaparramiento en planta y porcentaje de mazorcas con achaparramiento, se encontró diferencia altamente significativa para híbridos (H y para localidades (L. La interacción HxL, excepto para rendimien to de gra no, en el res to de las va ria bles fue sig ni fi ca ti va. Los hí bri dos QPM que re gistraron el mayor rendimiento, toleran cia al achaparramiento y mejores características agronómicas fue ron: (CML264QxCML150xCML491, (CML264Qx CML273QxCML491, (CML144xCML159xCLQ-RCWQ50 y (CML492x CML150xCLQ-RCWQ50.

  1. Globalization and perinatal medicine--how do we respond?

    Science.gov (United States)

    Kurjak, Asim; Di Renzo, Gian Carlo; Stanojevic, Milan

    2010-04-01

    Globalization is both inevitable and usually desirable and contains advantageous and disadvantageous issues. It is a source of both hope and of apprehension and is an accelerating process in flow of information, technology, goods and services, and production means. Globalization has a complex influence on perinatal health. The bonds that link perinatologists together transcend geographic, political, religious, and lingual differences, resulting in a globalization that optimizes perinatal care. In this review, we will discuss some of the global problems facing modern perinatologists. Close to 1.5 billion people in the world, live in extreme poverty, a situation which is particularly stark in the developing world, where 80% of them live. Poor people have little or no access to qualified health services and education, and do not participate in the decisions critical to their day-to-day lives. Poverty cannot be defined solely in terms of lack of income. A person, a family, even a nation is not deemed poor only because of low economic resources. Little or no access to health services, lack of access to safe water and adequate nutrition, illiteracy or low educational level, and a distorted perception of rights and needs are also essential components of poverty. Expression of poverty in perinatal health care in developing countries are high maternal death and morbidity rates, huge perinatal and childhood losses, and high birth rates. There are good reasons to define it as a global tragedy in our time. Although the mankind has come quite far because the development of civilization and more advances in the health care were made during the past 100 years than in all previous human history, some inhabitants of our planet are not able to experience it. According to some data, every 3 s a newborn dies, and every minute a pregnant woman dies in the globalized world. All together over 10 million deaths every year, which indicates that health security is not strong enough. It is

  2. Birth weight discordance and perinatal mortality among triplets

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    Egić Amira

    2005-01-01

    Full Text Available INTRODUCTION. The incidence of multiple births has increased in the last decade. Perinatal mortality in triplets is significantly greater than in twin and singleton births. OBJECTIVE. The objective of this study was to describe the extent of birth weight discordance among triplets and to identify its association with an increased risk of perinatal mortality. METHOD A retrospective analysis of triplet births, for the period 1993-2003, was conducted at the Gynaecological-Obstetric Clinic "Narodni Front" in Belgrade. Birth weight discordance was defined as the difference in birth weight between the largest and the smallest triplet's weight of more than 20%. RESULTS. The rate of triplets has increased by almost 75% between the first (7.7% and the last (29.6% 5-year period of the last decade. Triplets are becoming more common because of the frequent use of assisted reproductive technology as a treatment for infertility. In the period 1993-2003, there were a total of 40 triplet live births (24 weeks and greater with incidence of 0.06%. There was no clear association between maternal age, parity, method of conception, birth gestational age, and disorders complicating pregnancy with birth discordance more than 20%. Regarding birth weight groups, statistical significance occurred only in the <999 grams group for discordant and in the 2000-2499 grams group for concordant triplets. Overall, the perinatal mortality rate in the group was 10.8%, the foetal mortality rate was 1.7% (2/120, and the neonatal (0-28 days mortality rate was 9.1% (11/120. An odds ratio of 95% confidence interval shows 3 times greater risk for adverse perinatal outcome in the discordant group. However, the difference was not significant. CONCLUSION. Increasing birth weight discordance may increase the risk of adverse perinatal outcome. Triplet pregnancies, being high risk, require intensive antenatal care in order to prevent preterm delivery and ultrasound in order to diagnose foetal

  3. Hábito alimentar e osteologia da boca do peixe-rei, Odontesthes humensis de Buen (Atheriniformes, Atherinopsidae na Lagoa Mirim, Rio Grande do Sul, Brasil Feeding habits and mouth osteology of silverside, Odontesthes humensis de Buen (Atheriniformes, Atherinopsidae in the Mirim Lagoon, Rio Grande do Sul, Brazil

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    Fábio Lameiro Rodrigues

    2001-09-01

    Full Text Available Gut contents of 304 individuals of the silverside Odontesthes humensis de Buen, 1953 were analyzed using frequency of occurrence (FO% and gravimetric (P% methods. A total of 207 individuals (68.1% had some food itens in the gut, while 97 individuals (31.9% had empty guts. The silverside Odontesthes humensis has presented a benthic carnivorous diet, preying mainly on molluscs and arthropods. The molluscs Heleobia sp. (FO = 61.35% and Corbicula fluminea (Müller, 1774 (FO = 57.97% were the most frequent itens, followed by Neocorbicula limosa (Maton, 1811 (FO = 17.39%. Among the arthropods, the coleoptera insects (FO= 18.84% were dominant followed by, insect larvae (FO = 6.76%, the crustacean Palaemonetes argentinus Nobili, 1901 (FO = 1.93% and isopods (FO = 1.45%. Vegetal remains, organic matter and digested fish were grouped due to low frequency (FO = 9.13% being considered occasional. Juvenile fed mainly on insect larvae and moluscs, while the adults preferred molluscs and coleoptera. On the description of its feeding apparatus the importance of a protrusible upper jaw was observed, being important on the capture of prey in inaccessible places. A protrusible mouth and the format of the pharingean plates, are important morphological characters that assist on the capture and handling of prey. The molariform shaped pharingean teeth help break hard food items, as shells and carapaces.

  4. Utilidad de la mediastinoscopia: resultados de 140 procedimientos

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    José A Mainieri-Hidalgo

    2014-09-01

    Full Text Available Objetivo: determinar la sensibilidad y especificidad de la mediastinoscopia para diagnóstico y estadiaje de enfermedades del tórax. Método: se revisó la información general incluida en la base de datos del servicio de Cirugía de Tórax del Hospital Dr. R. Á. Calderón Guardia, de 140 pacientes sometidos a mediastinoscopia durante el periodo comprendido entre 1989 y 2013, la cual se complementó con datos específicos obtenidos de los expedientes clínicos. Resultados: se estudió 140 casos de mediastinoscopias, en 94 hombres y 46 mujeres con edad promedio de 55 años. En 136 se obtuvo muestra suficiente para establecer un diagnóstico histológico con una sensibilidad para el procedimiento del 97%; en 133 este fue específico del padecimiento del paciente, para una especificidad del 95%. La sensibilidad y especificidad para patologías primarias de los ganglios mediastinales, fueron ambas del 100%. Se produjo dos complicaciones: una lesión de la arteria pulmonar y otra de la vena ázigos, que fueron reparadas por esternotomía, para un porcentaje del 1,3%. No se presentó ningún caso de mortalidad, ni otras complicaciones. Conclusiones: se demostró que la mediastinoscopia es un procedimiento útil para diagnosticar enfermedades del tórax cuando involucran los ganglios que son accesibles, lo cual puede determinarse con la TAC, y cuando es realizada por un cirujano con experiencia, el porcentaje de complicaciones es muy bajo.

  5. Gestión del talento Humano en Relación al Buen Desempeño Docente en las Instituciones Educativas del Distrito de Corani-Provincia de Carabaya, 2015

    OpenAIRE

    Almonte Machaca, Giovanna

    2015-01-01

    El propósito del presente estudio es Determinar la relación que existe entre la gestión del talento humano con el buen desempeño docente en las Instituciones Educativas del distrito de Corani – Carabaya, 2015, con el fin de responder a las necesidades y expectativas del quehacer pedagógico. La población de estudio está conformada por docentes de ocho instituciones educativas de nivel primario que son en un número de 66 profesores como también la muestra. El tipo de investiga...

  6. Comunicación y buen vivir. La crítica descolonial y ecológica a la comunicación para el desarrollo y el cambio social

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    Alejandro Barranquero-Carretero

    2015-01-01

    Full Text Available La cosmovisión del buen vivir promueve un giro biocéntrico y descolonial con respecto a las nociones de comunicación para el desarrollo y para el cambio social. Este artículo plantea un recorrido por la historia de la disciplina con el objeto de incorporar los nuevos debates surgidos en torno al posdesarrollo y la ecología crítica, especialmente a partir de la revalorización de los legados culturales sostenibles silenciados por el binomio modernidad/ colonialidad.

  7. Divulgación on-line de los códigos de buen gobierno en las IES y su determinación para el posicionamiento en el ranking QS

    OpenAIRE

    Méndez Beltrán, Jairo Andrés

    2015-01-01

    Dado el interés que se presenta con los temas de gobierno corporativo, este trabajo busca describir si la divulgación on-line de los contenidos de los códigos de buen gobierno, es determinante en el posicionamiento que tienen las Instituciones de Educación Superior (IES) en el ranking QS. Partiendo de una muestra de 20 IES, se recolectaron un conjunto de datos dicotómicos para 30 variables independientes y se relacionaron con la variable dependiente denominada posicionamiento en el ranking. A...

  8. Cambios de la gestión curricular en el Centro Infantil del Buen Vivir (CIBV) “Elisa Mariño de Carvajal” de la ciudad de Guaranda en los períodos 2011-2013

    OpenAIRE

    Pazos Sisalema, Marcela Elizabeth

    2014-01-01

    La presente investigación trata de los cambios de la Gestión Curricular en el Centro Infantil del Buen Vivir (CIBV) “Elisa Mariño de Carvajal” de la ciudad de Guaranda en los períodos 2011-2013. Para ello se ha elaborado cuatro capítulos con las siguientes temáticas: En el primer capítulo, se explica las características y fundamentos rectores del CIBV; en el segundo, se detallan los procesos de desarrollo de la primera infancia; el tercero contiene los instrumentos para la investigación; el c...

  9. Parto domiciliar planejado: resultados maternos e neonatais Parto domiciliario planificado: resultados maternos y neonatales Planned homebirth: maternal and neonatal outcomes

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    Priscila Maria Colacioppo

    2010-12-01

    Full Text Available A hospitalização de todas as parturientes, em nome da segurança e bem-estar da mãe e bebê, introduziu uma assistência mecânica, impessoal e intervencionista no parto, fazendo ressurgir o parto em domicílio. A bibliografia a respeito é escassa, justificando-se a produção de dados sobre partos domiciliares. O objetivo foi descrever o processo e os resultados maternos e neonatais em partos domiciliares planejados. Foram coletados dados de 70 partos assistidos por enfermeiras obstétricas, em São Paulo, Brasil. Os resultados indicaram que 61,4% das mulheres tinham 30 anos ou mais; 71,4% possuíam ensino superior; 97,1% viviam com companheiro; 64,3% exerciam atividade remunerada; 54,3% eram nulíparas; a taxa de remoção materna para o hospital foi de 5,7% por indicação obstétrica e 14,3% a pedido; 92,9% foram partos normais; 63,6% escolheram posições verticais e 57,5% tiveram períneo íntegro ou laceração de primeiro grau; todos os recém-nascidos apresentaram Apgar =7 no 5º minuto e um bebê foi removido para o hospital com seis horas de vida, devido a arritmia cardíaca. O uso criterioso de intervenções obstétricas e neonatais no parto domiciliar e a produção de evidências científicas sobre sua segurança podem contribuir para a transformação do atual modelo de assistência ao parto no Brasil.La hospitalización de todas las parturientas, en el nombre de la seguridad y el bienestar de madre y bebé, introdujo una asistencia mecánica, impersonal e intervencionista en el parto, haciendo resurgir el parto domiciliario. La literatura sobre este tema es escasa, justificando la producción de datos sobre los nacimientos en el hogar. El objetivo fue describir el proceso y los resultados maternos y neonatales en partos domiciliarios planificados. Se recogieron datos de 70 partos atendidos por enfermeras obstétricas. Los resultados indicaron: 61,4% de las mujeres tenían edad = 30 años; 71,4% tenían educación superior

  10. Cardiotocografia Anteparto e Prognóstico Perinatal em Gestações Complicadas pelo Diabete: Influência do Controle Metabólico Materno Antepartum Nonstress Test and Perinatal Prognosis in Pregnancies Complicated by Diabetes: Influence of Maternal Metabolic Control

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    Moacyr Sanches Mascaro

    2002-10-01

    Full Text Available Objetivo: relacionar a qualidade do controle metabólico com os resultados da cardiotocografia (CTG anteparto e avaliar sua capacidade preditiva no prognóstico perinatal de gestações associadas ao diabete. Pacientes e Métodos: estudo retrospectivo de 125 gestantes, portadoras de diabete gestacional ou clínico, no qual se relacionou a última CTG anteparto (intervalo máximo de 48 horas à qualidade do controle metabólico materno e aos resultados perinatais. A qualidade do controle metabólico foi definida pela média glicêmica do dia do exame (MGd e da gestação (MG e pelo comportamento da requisição de insulina (R/insulina. Para os resultados perinatais foram analisados os índices de Apgar de 1º e 5º minuto, a classificação peso/idade gestacional, o tempo de internação, a necessidade de cuidados de UTI e a ocorrência de óbito neonatal (ONN precoce. A capacidade diagnóstica da CTG anteparto foi avaliada pelos índices de sensibilidade, especificidade e valor preditivo positivo e negativo. Resultados: a MGd adequada ( ou = 120 mg/dL, a 26,1% (pBackground: the antepartum nonstress test (NST is the most commonly used test to evaluate fetal well-being in pregnancies complicated by diabetes, its results being related to the quality of maternal metabolic control and perinatal prognosis. Purpose: to relate the quality of metabolic control to the results of the NST and to evaluate its predictive capacity for the perinatal prognosis of pregnancies associated with diabetes. Patients and Methods: this is a retrospective study of 125 pregnant women with gestational or clinical diabetes in which the last NST (maximum interval of 48 h was related to the quality of maternal metabolic control and perinatal results. Quality of metabolic control was defined by the glycemic mean on the test day (GMd, glycemic mean during pregnancy (GM, and behavior of insulin requirement (Insulin/R. For the perinatal results, the following parameters were

  11. Primeros resultados de la aplicación y evaluación de un programa de educación parental: “Construir locotidiano”

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    Susana Torío López

    2012-07-01

    Full Text Available Normal.dotm 0 0 1 186 1065 Universidad de Salamanca 8 2 1307 12.0 0 false 18 pt 18 pt 0 0 false false false /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin-top:0cm; mso-para-margin-right:0cm; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0cm; line-height:115%; mso-pagination:widow-orphan; font-size:12.0pt; font-family:"Times New Roman"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin;} En este trabajo se presentan los primeros resultados obtenidos en  la aplicación  y evaluación de un  programa de educación parental, “Construir lo cotidiano”, puesto en  marcha durante el presente curso académico en cuatro centros educativos en los niveles de Educación Infantil y Primaria del Principado de Asturias.  En el estudio participan 34 madres y padres (16 parejas de familias nucleares y dos familias monoparentales. La implementación del programa no ha estado exenta de dificultades, en especial, la captación de familias ante el requisito de la presencia voluntaria de ambos miembros de la pareja. Los resultados de la evaluación ponen de manifiesto efectos positivos de la intervención en las familias participantes, observándose cambios a corto plazo tanto en las actitudes, preferencias y creencias que la familia posee sobre los roles sexuales, como en el comportamiento respecto al reparto del trabajo doméstico (tareas del hogar, cuidado de los hijos e hijas y trabajo emocional que han permitido el buen funcionamiento familiar, a la vez que se ha potenciado la colaboración familiar enseñando a niños y niñas a participar en dichas responsabilidades. Se presentarán y discutirán datos de la

  12. Transfusão intra-uterina em fetos afetados pela doença hemolítica perinatal grave: um estudo descritivo Intrauterine transfusion in fetuses affected by severe perinatal hemolytic disease: a descriptive study

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    Dorival Antônio Vitorello

    1998-04-01

    Full Text Available Objetivo: analisar 54 transfusões intravasculares intra-uterinas (TIVs, ressaltando complicações do procedimento e morbimortalidade perinatal. Material e Métodos: fetos submetidos a TIVs na Clínica Materno-Fetal e Maternidade Carmela Dutra (Florianópolis, SC, entre janeiro de 1992 e agosto de 1997, foram incluídos no estudo. As características das gestantes, dados relativos ao procedimento e ao recém-nascido foram tabulados para análise e apresentados de forma descritiva, utilizando-se percentagem, média, desvio padrão, mediana, variação e risco relativo (RR com intervalo de confiança de 95% (IC conforme apropriado. Resultados: foram realizadas 50 TIVs e quatro ex-sangüíneo transfusões em 21 fetos. Houve quatro óbitos (20%, três dos quais (75% ocorridos em fetos hidrópicos. A idade gestacional média quando da primeira transfusão foi de 29,1 semanas. A concentração média de hemoglobina foi de 5,69 mg/dl. A taxa de mortalidade decorrente do procedimento foi de 7,4%. A idade gestacional média ao nascimento foi 33,9 semanas e o peso médio foi 2.437 gramas. Sessenta e cinco por cento dos recém-nascidos receberam ex-sangüíneo transfusão complementar. Conclusão: a taxa de mortalidade por procedimento (7,4% foi semelhante à relatada na literatura mundial. A taxa de mortalidade perinatal (20% foi mais elevada do que a relatada na literatura estrangeira, mas inferior à relatada em estudo conduzido no Brasil, no qual a prevalência de fetos hidrópicos foi semelhante.Objective: to report 54 intrauterine intravascular transfusions (IITs, describing procedure related complications and associated perinatal morbidity and mortality. Methods: fetuses undergoing IITs at Clínica Materno-Fetal and Maternidade Carmela Dutra, Florianópolis, SC, between January 1992 and August 1997 were included in the study. Patients demographics, procedure and newborn related data were tabulated for analysis and presented in descriptive form

  13. Discrepancias en el registro de la mortalidad perinatal en Lima y Callao, según fuente de información

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    Nora Espíritu

    2007-10-01

    Full Text Available Objetivos. Determinar la calidad y variaciones en los registros de mortalidad perinatal (MP en Lima y Callao. Materiales y métodos. Se encuestó a informantes clave para evaluar el proceso de registro. Se compararon los registros de MP de diversos niveles en hospitales y las respectivas direcciones de salud (DISA y registros civiles (RC tomando como referencia para muertes fetales (MF el registro de los servicios de obstetricia y para muertes neonatales precoces (MNP los de neonatología. Se revisó la calidad del llenado de los certificados defunción y registros de necropsias. Resultados. Los procesos de registro son variados y no bien definidos. En la oficina de estadística de los hospitales se encontró un registro mayor de MF (+2%. En los tres hospitales que usaron el Sistema Informático Perinatal (SIP no hubo discrepancia en los registros de MF; para MNP sólo se encontró datos en cuatro (tres usaban SIP de los once hospitales evaluados. En las DISA el componente materno perinatal , registra menos de 9% de MF en cinco hospitales, y para MNP menos de 23%. La oficina de estadística de la DISA sólo registra MF en tres hospitales y no existen datos de MNP. En los RC se encontró un subregistro de 50% (-100% a +11,1% para MF y de 33,3% (-89,2% a +66,7 para MNP. 70% de los certificados de defunción de MF registraron "desconocida" como causa de muerte. Sólo 29% de MF y 24,9% de MNP fueron necropsiadas. Conclusiones. Existe discrepancia en los registros de mortalidad perinatal entre las DISA y registros civiles, lo que sugiere la necesidad de estandarizar procesos e instrumentos, establecer un sistema de vigilancia, incorporar el SIP y retroalimentar la información para disminuir el subregistro de la mortalidad perinatal.

  14. Resultado funcional y social de los implantes auditivos osteointegrados

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    Inmaculada MORENO-ALARCÓN

    2016-12-01

    Full Text Available Introducción y objetivo: El implante osteointegrado constituye hoy en día una buena opción terapéutica en pacientes con hipoacusia de conducción o mixta. Los objetivos de este estudio son: valorar el beneficio audiológico de los pacientes con implante osteointegrado y cuantificar el cambio en su calidad de vida. Método: En el estudio se incluyó a 10 pacientes implantados entre marzo de 2013 y septiembre de 2014 en nuestro centro. El instrumento empleado para medir la calidad de vida fue el Glasgow Benefit Inventory (GBI y un cuestionario con 3 preguntas: uso del implante, dolor postoperatorio y si recomendaría la intervención a otros pacientes. Para la valoración audiológica se realizó audiometría tonal y logoaudiometría en campo libre. Resultados: La puntuación media del Glasgow Benefit Inventory total fue +58, y en las subescalas general, social y física +75, +18 y +29, respectivamente. La mejoría con el implante respecto a la audiometría tonal en campo libre en las frecuencias de 500, 1000 y 2000 Hz resultó ser estadísticamente significativa, al igual que la diferencia entre la audiometría verbal antes y después del implante. Discusión: El avance en la técnica quirúrgica de este tipo de implantes, constituyendo actualmente una cirugía mínimamente invasiva, ha dado paso a la valoración de los aspectos funcional y social como medida de su eficacia. Conclusiones: El uso del implante osteointegrado se relaciona con una importante mejora a nivel audiológico, especialmente en pacientes con hipoacusia conductiva o mixta, junto a un gran cambio en calidad de vida de los pacientes implantados.

  15. Resultados obtenidos en pacientes con dolor sometidos a tratamiento

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    Fe Boch Valdés

    2001-04-01

    Full Text Available El dolor tiene una proyección biopsicosocial, síntoma por el que gran número de pacientes son atendidos, requiere de visión multidimensional, por lo que origina los grupos multidisciplinarios y las Clínicas del Dolor. El aumento en la toxicidad medicamentosa y otras técnicas invasivas, que no siempre producen alivio, ha incrementado el uso de terapias naturales y biológicas. En este estudio se recogen resultados de tratamientos naturales y convencionales utilizados en un período de 5 años. Se estudiaron 9 280 pacientes con dolor, a los que se aplicaron las técnicas de electroacupuntura, acupuntura, láser, estimulación eléctrica nerviosa transcutánea (TENS, faciocibernetoterapia (FACI, moxibustión, auriculoterapia, técnicas psicológicas, homeopatía, masajes, magnetoterapia y fitoterapia. Las variables de respuesta al tratamiento fueron consideradas por escala análoga visual a la 5ta y 10ma sesión. Encontramos que las lumbalgias fueron más frecuentes, y la electroacupuntura y la acupuntura las técnicas más efectivas. Los métodos naturales utilizados fueron eficaces, económicos y útiles en el tratamiento del dolor.Pain has a biopsychosocial projection and many patients receive attention because of this symptom, which requires a multidimensional vision that gives rise to the multidisciplinary groups and to the Pain Clinic. The increase in drug toxicity and other invasive techniques that not always cause relief have promoted the use of natural and biologic therapies. In the present study, the results of natural and conventional treatments used for 5 years were collected. A total of 9 280 patients with pain were studied. Electroacupuncture, acupuncture, laser, transcutaneous nerve electric stimulation, phaciocybernetic therapy (PHACI, moxibustion, auricle therapy, psychologic techniques, homeopathy, massages, magnetotherapy and phytotherapy were applied. Variables of response to treatment were considered by visual analogue

  16. Automedicación en gestantes que acuden al Instituto Nacional Materno Perinatal, Perú 2011 Self-medication behavior among pregnant women user of the Instituto Nacional Materno Perinatal, Peru 2011

    Directory of Open Access Journals (Sweden)

    Elsy Miní

    2012-06-01

    Full Text Available Con el objetivo de determinar la prevalencia de automedicación en gestantes y sus características, se realizó un estudio descriptivo transversal. Se entrevistó a 400 gestantes que acudían a control prenatal en el Instituto Nacional Materno Perinatal de Lima. El 10,5% (42 pacientes se automedicó durante la gestación, el 64,6% opinó que la automedicación puede producir malformaciones congénitas a sus bebes. Los medicamentos consumidos por las gestantes estuvieron en categoría A y B de la clasificación de la Administración de Alimentos y Drogas de EUA (FDA; principalmente, consumieron paracetamol (47,6% y amoxicilina (16,7%. Todas las mujeres que se automedicaron durante la gestación lo habían hecho antes de estar embarazadas. De acuerdo con estos resultados concluimos que la prevalencia de automedicación en gestantes del estudio es baja, comparado con la literatura internacional.We aim to determine the prevalence of self prescribing behaviour during pregnancy and its characteristics. For this purpose, we designed a cross sectional study and interviewed 400 pregnant women who had their prenatal care at Instituto Nacional Materno Perinatal, Lima. We found that 10.5% of the patients (42 patients had a self prescribing behavior during pregnancy, 64.5% think that self prescribing behavior can produce congenital malformations. The medications used were classified as type A and B according to the Food and Drug Administration (FDA. Paracetamol was used more frequently (47.6% followed by amoxicillin (16.7%. All the women who self-prescribed have had this behavior before pregnancy. According to these results, we conclude there is a low prevalence of self-prescribing behavior during pregnancy compared to the international literature.

  17. Tratamiento de las recesiones gingivales mediante injertos de tejido conectivo (Técnica del injerto de tejido conectivo subepitelial: Resultados tras cinco años de evolución

    Directory of Open Access Journals (Sweden)

    J. Blanco Carrión

    Full Text Available Las recesiones gingivales son un hallazgo clínico muy frecuente que a menudo ocasionan problemas estéticos para nuestros pacientes o no les permiten mantener un buen control de placa en estas zonas, lo cual puede derivar en sensibilidades o incluso en caries. Para su tratamiento se han diseñado diversas técnicas de cirugía mucogingival, siendo el injerto libre de tejido conectivo una de las técnicas que hoy por hoy ofrece mayor porcentaje de éxitos y mayor predictibilidad. Si bien se han descrito diversas formas de trasplantar el injerto conectivo al lecho receptor, centraremos nuestro trabajo en la técnica descrita por Langer y Langer en 1985 que, pese a sufrir diversas modificaciones propuestas por diferentes autores, sigue constituyendo la base fundamental en la utilización de este tipo de injertos. Presentamos resultados tras cinco años de evolución.

  18. Escuelas, familias y resultados académicos. Un nuevo modelo de análisis de las relaciones entre docentes y progenitores para el éxito de todo el alumnado

    Directory of Open Access Journals (Sweden)

    Jordi Collet Sabé

    2014-01-01

    Full Text Available En este artículo se presenta un modelo de análisis de las relaciones entre docentes y familias basada en cuatro elementos: a La metáfora de la escuela como país; b El análisis crítico de los modelos actuales de relaciones entre escuela y progenitores de los alumnos; c La centralidad de las desigualdades y la lucha contra el fracaso escolar en el análisis de este ámbito educativo; y d La creciente relevancia, contrastada internacionalmente, de la relación entre cómo se dan los vínculos entre escuela y familia y los resultados académicos de los alumnos/as. Así, el modelo propuesto, resitúa las relaciones entre docentes y familias en el centro de la tarea cotidiana del maestro/a y de su identidad docente. Y lo hace con una propuesta basada en: la inclusión de todas las familias; en la centralidad de un buen vínculo con todas ellas; en la lucha contra la reproducción de las desigualdades sociales; y por el éxito escolar de todo el alumnado. Esta propuesta se fundamenta en la responsabilidad y la capacidad docente en ese envite, así como en el modelo de la corresponsabilidad educativa en la relación con todas las familias.

  19. El impacto socioeconómico de las políticas de buen gobierno de las entidades de economía social en España

    Directory of Open Access Journals (Sweden)

    María de Carmen Muñoz Medraño

    2012-12-01

    Full Text Available Las entidades de la economía social que represen- tan el sector empresarial de mercado, con prácticas de buen gobierno en sus sistemas directivos, favo- recen positivamente el impacto socioeconómico en los territorios donde se asientan. En este trabajo se identifican que en las prácticas directivas de estas entidades, confluyen principios democráticos en pro del buen gobierno y de las economías solidarias, posibilitando la creación de más empleo estable y de calidad, en comparación con otro tipo de organi- zaciones empresariales tradicionalmente analizadas como de economía capitalista.Tras la revisión de la literatura se pone en relieve actualizadas cifras del país en lo referente al impacto socioeconómico y en particular los datos del empleo generado, el desa- rrollo local en zonas rurales, así como la integración socio-laboral.

  20. Identifying perinatal risk factors for infant maltreatment: an ecological approach

    Directory of Open Access Journals (Sweden)

    Hallisey Elaine J

    2006-12-01

    Full Text Available Abstract Background Child maltreatment and its consequences are a persistent problem throughout the world. Public health workers, human services officials, and others are interested in new and efficient ways to determine which geographic areas to target for intervention programs and resources. To improve assessment efforts, selected perinatal factors were examined, both individually and in various combinations, to determine if they are associated with increased risk of infant maltreatment. State of Georgia birth records and abuse and neglect data were analyzed using an area-based, ecological approach with the census tract as a surrogate for the community. Cartographic visualization suggested some correlation exists between risk factors and child maltreatment, so bivariate and multivariate regression were performed. The presence of spatial autocorrelation precluded the use of traditional ordinary least squares regression, therefore a spatial regression model coupled with maximum likelihood estimation was employed. Results Results indicate that all individual factors or their combinations are significantly associated with increased risk of infant maltreatment. The set of perinatal risk factors that best predicts infant maltreatment rates are: mother smoked during pregnancy, families with three or more siblings, maternal age less than 20 years, births to unmarried mothers, Medicaid beneficiaries, and inadequate prenatal care. Conclusion This model enables public health to take a proactive stance, to reasonably predict areas where poor outcomes are likely to occur, and to therefore more efficiently allocate resources. U.S. states that routinely collect the variables the National Center for Health Statistics (NCHS defines for birth certificates can easily identify areas that are at high risk for infant maltreatment. The authors recommend that agencies charged with reducing child maltreatment target communities that demonstrate the perinatal risks

  1. PELAYANAN KESEHATAN PERINATAL DI DAERAH PEDESAAN UJUNG BERUNG

    Directory of Open Access Journals (Sweden)

    Anna Alisjahbana

    2012-09-01

    Full Text Available A survey on perinatal care in a rural area at Ujung Berung district, located 15—20 km outside Bandung, West Java was conducted. Three villages with a population of 40,787 were selected. Health services were provided by one health post and several family planning posts. In this study 1303 pregnant women were followed throughout the 28 weeks of pregnancy until the infant is 28 days of age. Among the 1303 pregnant women 5.7% had received tetanus toxoid immunization. Perinatal mortality rate (PMR was 43.6 per thousand and incidence of low birth weight was 14.3 percent. Only 12.8% pregnant women were using some kind of contraception before the last pregnancy. The PMR decreased in spite of the low percentage users. The main causes of death during perinatal period vece asphyxia neonatorum and infections. The incidence of tetanus neonatorum during neonatal period was 17 per thousand live births. An evaluation of health service activities showed 47.5% of these pregnant women had antenatal care. Care during delivery and early postnatal period was carried out by TBAs. No significant difference was found between the PMR of trained and untrained TBAs. Another aspect of health service activities is referral to the health centre or hospital. A total of 3.8 percent infants were referred because of neo­natal problems; among these, refusal was 12.5% due to the totalistic attitude of the parents in the village. The results showed that coverage of pregnant women and their infants by safe health care services is very low. This may be due to lack of facilities and health personnel, and probably also due to the confidence of village people for traditional health care providers. Thus, education and training as well as supervision of traditional health care providers and their integration into the formal health care structure is of extreme importance.  

  2. Oxytocin Regimen for Labor Augmentation, Labor Progression, Perinatal Outcomes

    Science.gov (United States)

    Zhang, Jun; Branch, D. Ware; Ramirez, Mildred M.; Laughon, S. Katherine; Reddy, Uma; Hoffman, Mathew; Bailit, Jennifer; Kominiarek, Michelle; Chen, Zhen; Hibbard, Judith U.

    2013-01-01

    Objective To examine the effects and safety of high-dose (compared with low-dose) oxytocin regimen for labor augmentation on perinatal outcomes. Methods Data from the Consortium on Safe Labor were used. A total of 15,054 women from six hospitals were eligible for the analysis. Women were grouped based on their oxytocin starting dose and incremental dosing: 1, 2, and 4 mU/min. Duration of labor and a number of maternal and neonatal outcomes were compared among these three groups stratified by parity. Multivariable logistic regression and generalized linear mixed model were used to adjust for potential confounders. Results Oxytocin regimen did not affect the rate of cesarean delivery or other perinatal outcomes. Compared to 1 mU/min, the regimens starting with 2 mU/min and 4 mU/min reduced the duration of 1st stage by 0.8 hours (95% confidence interval 0.5 – 1.1) and 1.3 hours (1.0 – 1.7), respectively, in nulliparas. No effect was observed on the second stage of labor. Similar patterns were observed in multiparas. High-dose regimen was associated with a reduced risk of meconium stain, chorioamnionitis, and newborn fever in multiparas. Conclusion High-dose oxytocin regimen (starting dose at 4 mU/min and increment of 4 mU/min) is associated with a shorter duration of first stage of labor in all parities without increasing the cesarean delivery rate or adversely affecting perinatal outcomes. PMID:21775839

  3. [Antepartum cardiotocography in high-risk pregnancies and its effect on perinatal morbidity and mortality].

    Science.gov (United States)

    Manterola Alvarez, A D; García Tagle, J; Calleja, L A; Rodríguez Flores, F; Alonso López, A G

    1987-04-01

    2635 prenatal cardiotocographic recordings were correlated with perinatal mortality in 1000 patients. In some cases, there were extenuating circumstances which, when combined with obstetrical intervention, resulted in an increase in mortality. These included congenital malformations, poor maternal conditions for surgery, a hypertensive crisis, and a delay in surgery. The correlated perinatal mortality was 9x1000. (author's modified)

  4. Maternal and fetal risk factors affecting perinatal mortality in early and late fetal growth restriction.

    Science.gov (United States)

    Demirci, Oya; Selçuk, Selçuk; Kumru, Pınar; Asoğlu, Mehmet Reşit; Mahmutoğlu, Didar; Boza, Barış; Türkyılmaz, Gürcan; Bütün, Zafer; Arısoy, Resul; Tandoğan, Bülent

    2015-12-01

    To determine the factors which affect the perinatal deaths in early and late fetal growth restriction (FGR) fetuses using threshold of estimated fetal weight (EFW) fetuses, defined as an EFW fetuses considered as growth restrictions were confirmed by birth weight. Fetuses with multiple pregnancy, congenital malformation, chromosomal abnormality, and premature rupture of membrane were excluded. Samples were grouped in early and late FGR. Early FGR fetuses was classified as gestational age at birth ≤ 34 weeks and late FGR was classified as gestational age at birth > 34 weeks. Factors which affect the perinatal deaths were analyzed descriptively in early and late FGR. The perinatal mortality was calculated by adding the number of stillbirths and neonatal deaths. The study included 86 early and 185 late FGR fetuses, 31 resulted in perinatal deaths, 28 perinatal deaths were in early FGR, and three perinatal deaths were in late FGR. Perinatal deaths occurred more commonly in early FGR fetuses with an EFW death in early FGR. All three perinatal deaths in late FGR occurred in fetuses with EFW death was found significantly higher in increased vascular impedance of UtAs whatever the umbilical artery Doppler. Only EFW death in late FGR in comparison with early FGR. Copyright © 2015. Published by Elsevier B.V.

  5. Factors associated with and causes of perinatal mortality in northeastern Tanzania

    DEFF Research Database (Denmark)

    Schmiegelow, Christentze; Minja, Daniel Thomas; Oesterholt, Mayke

    2012-01-01

    , including preeclampsia, small-for-gestational age, preterm delivery, anemia, and health-seeking behavior. Fetal growth was monitored using ultrasound. Finally, the specific causes of the perinatal deaths were evaluated. Main outcome measure. Perinatal mortality. Results. Forty-six deaths occurred. Key...

  6. Perinatal outcome in singletons after modified natural cycle IVF and standard IVF with ovarian stimulation

    NARCIS (Netherlands)

    M.J. Pelinck; M.H. Keizer; A. Hoek; A.H.M. Simons; K. Schelling; K. Middelburg; M.J. Heineman

    2010-01-01

    Objective: Singletons born after IVF treatment are at risk for adverse pregnancy outcome, the cause of which is unknown. The aim of the present study was to investigate the influence of ovarian stimulation on perinatal outcome. Study design: In this single-centre retrospective study, perinatal outco

  7. Folic Acid, Dietary Patterns and Perinatal Health: The Generation R Study

    NARCIS (Netherlands)

    S. Timmermans (Sarah)

    2010-01-01

    textabstractThe perinatal mortality rate in The Netherlands is among the highest in the European Union, with one in 100 babies dying during pregnancy, at birth or shortly thereafter. Low birth weight, preterm birth, congenital anomalies, perinatal asphyxia, and pre-eclampsia are major contributors t

  8. Perinatal Factors, Parenting Behavior, and Reactive Aggression: Does Cortisol Reactivity Mediate This Developmental Risk Process?

    Science.gov (United States)

    Ryan, Stacy R.; Schechter, Julia C.; Brennan, Patricia A.

    2012-01-01

    Little is known about the mechanisms of action that link perinatal risk and the development of aggressive behavior. The aim of this study was to examine whether perinatal risk and parenting interacted to specifically predict reactive aggression, as opposed to general aggressive behavior, and to examine cortisol reactivity as a mediator of this…

  9. A nationwide population analysis of antenatal and perinatal complications among nurses and nonmedical working women

    Directory of Open Access Journals (Sweden)

    Chun-Che Huang

    2016-10-01

    Conclusion: Our nationwide population-based study revealed increased risks of antenatal and perinatal complications among nurses compared with those among nonmedical working women. The large-scale observation of the increased antenatal and perinatal complications draws attention to the health issues faced by nursing personnel who represent one of the most important workforces in the healthcare system.

  10. MINOR NEUROLOGICAL DYSFUNCTION AFTER THE ONSET OF PUBERTY - ASSOCIATION WITH PERINATAL EVENTS

    NARCIS (Netherlands)

    SOORANILUNSING, RJ; HADDERSALGRA, M; HUISJES, HJ; TOUWEN, BCL

    1993-01-01

    In order to study the hypotheses that puberty is related to a decrease of minor neurological dysfunction (MND) and that persisting MND is associated with perinatal factors, two groups (174 normal, 172 MND) of the Groningen Perinatal Project were followed from 12 to 14 years. At 14 years almost all t

  11. Congenital heart defects in europe: prevalence and perinatal mortality, 2000 to 2005

    DEFF Research Database (Denmark)

    Dolk, Helen; Loane, Maria; Garne, Ester

    2011-01-01

    This study determines the prevalence of Congenital Heart Defects (CHD), diagnosed prenatally or in infancy, and fetal and perinatal mortality associated with CHD in Europe.......This study determines the prevalence of Congenital Heart Defects (CHD), diagnosed prenatally or in infancy, and fetal and perinatal mortality associated with CHD in Europe....

  12. Characteristics of a global classification system for perinatal deaths : a Delphi consensus study

    NARCIS (Netherlands)

    Wojcieszek, Aleena M.; Reinebrant, Hanna E.; Leisher, Susannah Hopkins; Allanson, Emma; Coory, Michael; Erwich, Jan Jaap; Froen, J. Frederik; Gardosi, Jason; Gordijn, Sanne; Gulmezoglu, Metin; Heazell, Alexander E. P.; Korteweg, Fleurisca J.; McClure, Elizabeth; Pattinson, Robert; Silver, Robert M.; Smith, Gordon; Teoh, Zheyi; Tuncalp, Ozge; Flenady, Vicki

    2016-01-01

    Background: Despite the global burden of perinatal deaths, there is currently no single, globally-acceptable classification system for perinatal deaths. Instead, multiple, disparate systems are in use world-wide. This inconsistency hinders accurate estimates of causes of death and impedes effective

  13. Long-term effects of perinatal glucocorticoid treatment on the heart

    NARCIS (Netherlands)

    Vries, W.B. de

    2006-01-01

    Long-term effects of perinatal glucocorticoid treatment on the heart Chronic lung disease in the extremely preterm baby is still a major complication in neonatal intensive care medicine. Perinatal (ante- and neonatal) glucocorticoids are widely used to prevent severe infant respiratory syndrome and

  14. Social inequality in fetal and perinatal mortality in the Nordic Countries

    DEFF Research Database (Denmark)

    Jørgensen, Tina; Mortensen, Laust Hvas; Andersen, Anne-Marie Nybo

    2008-01-01

    The aim of this study is to review the epidemiological literature from the past 27 years on social inequality in fetal and perinatal mortality in the Nordic countries in order to examine whether social inequalities in fetal and perinatal mortality exist, and whether there are differences between...

  15. PREGNANCY AND PERINATAL HEALTH, INNER MONGOLIA, CHINA, DECEMBER 1996-DECEMBER 1999

    Science.gov (United States)

    Pregnancy and Perinatal Health, Inner Mongolia, China, December 1996- December 1999Subtitle: Pregnancy and Perinatal Health, Inner Mongolia, ChinaAuthors: Z. Liu1, D.T. Lobdell2, L. He1, M. Yang1, R. Kwok2, J. Mumford2Affiliations:1 Ba Men Anti-Epidemic Station, ...

  16. Decreasing perinatal mortality in The Netherlands, 2000-2006: a record linkage study

    NARCIS (Netherlands)

    Ravelli, A.C.J.; Tromp, M.; van Huis, M.; Steegers, E.A.P.; Tamminga, P.; Eskes, M.; Bonsel, G.J.

    2009-01-01

    Background: The European PERISTAT-1 study showed that, in 1999, perinatal mortality, especially fetal mortality, was substantially higher in The Netherlands than in other European countries. The aim of this study was to analyse the recent trend in Dutch perinatal mortality and the influence of risk

  17. The future of pediatric and perinatal postmortem imaging

    Energy Technology Data Exchange (ETDEWEB)

    Gorincour, Guillaume [Assistance Publique des Hopitaux de Marseille - Aix-Marseille University, Pediatric and Prenatal Imaging Department, La Timone Children Hospital, Marseille, Marseille Cedex 5 (France); CERIMED, Aix-Marseille University, Experimental and Interventional Imaging Laboratory, Marseille (France); Sarda-Quarello, Laure [La Timone Hospital, Department of Fetopathology, Marseille (France); Laurent, Pierre-Eloi [CERIMED, Aix-Marseille University, Experimental and Interventional Imaging Laboratory, Marseille (France); Brough, Alison; Rutty, Guy N. [University of Leicester, East Midlands Forensic Pathology Unit, Leicester (United Kingdom)

    2015-04-01

    The field and applications of postmortem imaging are exponentially growing. Its potential to identify the cause of death in trauma and ballistic cases is now properly documented, as well as its use in drug mule identification. In pediatric and perinatal practice, large significant series are less available, except for MRI and central nervous system analysis where scientific evidence is now robust. In this review, after a short historical review and analysis of current problems and challenges, we will try to depict the way we see the future of this subspecialty of postmortem cross-sectional imaging, including all specific situations: terminations of pregnancy, intrauterine death, sudden unexpected infant death and identification issues. (orig.)

  18. [Perinatal HIV transmission prophylaxis in the Liege region].

    Science.gov (United States)

    Jacquet, Y; Hoyoux, C; Dresse, M F

    1998-08-01

    In Liège, since February 1994, Protocole ACTG 076 has been followed for prevention of perinatal transmission of VIH. The pregnant women are treated by AZT during pregnancy and delivery. The newborn is also treated during 6 weeks. Following this treatment strategy, vertical transmission rate of VIH has dropped from 25.6% to 8.7%. The PCR is particulary promising for the early detection of infection in newborn, but definitive conclusion about infective status of the newborn can't be done during the first week of life. The potential role of intrapartum transmission is now under evaluation in the hope to establish the safest mode of delivery.

  19. Perinatal Environmental Effects on the Neonatal Immune System

    DEFF Research Database (Denmark)

    Thysen, Anna Hammerich

    2014-01-01

    at birth and that delivery before full immune maturation as in the case of pre-labor cesarean section have graver effects. We found an association between season of birth and the distribution of circulating immune cells in cord blood with a general pattern of up-regulation during the winter period...... that the seasonal-related maternal exposome is reflected in the newborn immune system. These data supports the notion that environmental factors imprints immunological variation already in the perinatal life. In conclusion, studies on early immunological priming may be critical in order to understanding early...

  20. Perinatal characteristics, older siblings, and risk of ankylosing spondylitis

    DEFF Research Database (Denmark)

    Lindström, Ulf; Forsblad-d'Elia, Helena; Askling, Johan;

    2016-01-01

    BACKGROUND: The effect of circumstances and exposures early in life on the risk of developing ankylosing spondylitis (AS) is largely unknown. The purpose of this study was to determine whether perinatal characteristics predict development of AS. METHODS: AS cases (n = 1960; 59 % men) were defined...... as listed with a diagnosis of AS at least once in the Swedish National Patient Register and registered in the Swedish Medical Birth Register (born ≥1973). Population controls were retrieved from the Swedish Population Register (n = 8378; mean 4.3 controls/case), matched on birth year, sex and county. Odds...

  1. Perinatal lethal type II osteogenesis imperfecta: a case report.

    Science.gov (United States)

    Ayadi, Imene Dahmane; Hamida, Emira Ben; Rebeh, Rania Ben; Chaouachi, Sihem; Marrakchi, Zahra

    2015-01-01

    We report a new case of osteogenesis imperfecta (OI) type II which is a perinatal lethal form. First trimester ultrasound didn't identified abnormalities. Second trimester ultrasound showed incurved limbs, narrow chest, with hypomineralization and multiple fractures of ribs and long bones. Parents refused pregnancy termination; they felt that the diagnosis was late. At birth, the newborn presented immediate respiratory distress. Postnatal examination and bone radiography confirmed the diagnosis of OI type IIA. Death occurred on day 25 of life related to respiratory failure.

  2. Clinics in diagnostic imaging (112). Perinatal lethal hypophosphatasia (PLH).

    Science.gov (United States)

    Kritsaneepaiboon, S; Jaruratanasirikul, S; Dissaneevate, S

    2006-11-01

    A two-hour-old female infant presented with respiratory distress and short limbs. Neonatal radiographs showed micromelic dwarfism and generalised demineralisation, especially at the ribs, long bones of both forearms and both fibulae. The spine showed a flattened shape. All long bones showed metaphyseal irregularities and flaring. Normal serum calcium and elevated serum phosphorus were found, while serum alkaline phosphatase was markedly reduced. A diagnosis of perinatal lethal hypophosphatasia was made. The aetiology, clinical manifestations, radiographical findings, laboratory assays, prenatal diagnosis and treatment of hypophosphatasia are discussed.

  3. Duelo perinatal: Un secreto dentro de un misterio.

    OpenAIRE

    Ana Pía López García de Amindabieta

    2011-01-01

    La muerte del feto durante el embarazo, en el parto o pocos días después del nacimiento constituye un tema delicado, condicionado por numerosos factores. Esta pérdida puede desencadenar reacciones de duelo en los progenitores y situaciones de difícil manejo para los profesionales sanitarios. Son duelos que reciben escasa consideración y que pueden complicarse dando lugar a trastornos psiquiátricos. Es necesario conocer el significado de la pérdida perinatal desde la perspectiva de los progeni...

  4. Perinatal and Delivery Management of Infants with Congenital Heart Disease.

    Science.gov (United States)

    Sanapo, Laura; Moon-Grady, Anita J; Donofrio, Mary T

    2016-03-01

    Advances in fetal echocardiography have improved prenatal diagnosis of congenital heart disease (CHD) and allowed better delivery and perinatal management. Some newborns with CHD require urgent intervention after delivery. In these cases, delivery close to a pediatric cardiac center may be considered, and the presence of a specialized cardiac team in the delivery room or urgent transport of the infant should be planned in advance. Delivery planning, monitoring in labor, rapid intervention at birth if needed, and avoidance of iatrogenic preterm delivery have the potential to improve outcomes for infants with prenatally diagnosed CHD.

  5. Perinatal suicide in Ontario, Canada: a 15-year population-based study.

    Science.gov (United States)

    Grigoriadis, Sophie; Wilton, Andrew S; Kurdyak, Paul A; Rhodes, Anne E; VonderPorten, Emily H; Levitt, Anthony; Cheung, Amy; Vigod, Simone N

    2017-08-28

    Death by suicide during the perinatal period has been understudied in Canada. We examined the epidemiology of and health service use related to suicides during pregnancy and the first postpartum year. In this retrospective, population-based cohort study, we linked health administrative databases with coroner death records (1994-2008) for Ontario, Canada. We compared sociodemographic characteristics, clinical features and health service use in the 30 days and 1 year before death between women who died by suicide perinatally, women who died by suicide outside of the perinatal period and living perinatal women. The perinatal suicide rate was 2.58 per 100 000 live births, with suicide accounting for 51 (5.3%) of 966 perinatal deaths. Most suicides occurred during the final quarter of the first postpartum year, with highest rates in rural and remote regions. Perinatal women were more likely to die from hanging (33.3% [17/51]) or jumping or falling (19.6% [10/51]) than women who died by suicide non-perinatally (p = 0.04). Only 39.2% (20/51) had mental health contact within the 30 days before death, similar to the rate among those who died by suicide non-perinatally (47.7% [762/1597]; odds ratio [OR] 0.71, 95% confidence interval [CI] 0.40-1.25). Compared with living perinatal women matched by pregnancy or postpartum status at date of suicide, perinatal women who died by suicide had similar likelihood of non-mental health primary care and obstetric care before the index date but had a lower likelihood of pediatric contact (64.5% [20/31] v. 88.4% [137/155] at 30 days; OR 0.24, 95% CI 0.10-0.58). The perinatal suicide rate for Ontario during the period 1994-2008 was comparable to international estimates and represents a substantial component of Canadian perinatal mortality. Given that deaths by suicide occur throughout the perinatal period, all health care providers must be collectively vigilant in assessing risk. © 2017 Canadian Medical Association or its licensors.

  6. Optimising the International Classification of Diseases to identify the maternal condition in the case of perinatal death

    NARCIS (Netherlands)

    Allanson, E. R.; Tuncalp, Oe.; Gardosi, J.; Pattinson, R. C.; Francis, A.; Vogel, J. P.; Erwich, J. J. H. M.; Flenady, V. J.; Froen, J. F.; Neilson, J.; Quach, A.; Chou, D.; Mathai, M.; Say, L.; Guelmezoglu, A. M.

    2016-01-01

    Objective The WHO application of the tenth edition of the International Classification of Diseases (ICD-10) to deaths during the perinatal period (ICD Perinatal Mortality, ICD-PM) captures the essential characteristics of the mother-baby dyad that contribute to perinatal deaths. We compare the

  7. Hepatic morphology and iron quantitation in perinatal hemochromatosis. Comparison with a large perinatal control population, including cases with chronic liver disease.

    OpenAIRE

    Silver, M M; Valberg, L. S.; Cutz, E; Lines, L. D.; Phillips, M. J.

    1993-01-01

    We compared hepatic morphology, hepatocellular siderosis, extrahepatic parenchymal siderosis, and (by chemical assay of liver and spleen) the amount of elemental iron and copper in 12 cases of perinatal hemochromatosis (PH) with 119 perinatal controls. Controls were subgrouped according to diagnoses based on clinical and autopsy findings; 37 had chronic liver disease, either hepatic fibrosis (17) or cirrhosis (20). Graded semiquantitatively, hepatocellular siderosis varied widely among contro...

  8. [Study on the relationship between prenatal monitoring index in intrahepatic cholestasis of pregnancy and perinatal prognosis].

    Science.gov (United States)

    Lu, Junling; Kuang, Jingxia; Cheng, Xiaolin

    2014-11-01

    To investigate the association between prenatal monitoring index in intrahepatic cholestasis of pregnancy and the perinatal prognosis, as well as the characteristics of perinatal situations. A retrospective study on the clinical data of 88 cases intrahepatic cholestasis of pregnancy and prognosis that were treated in our hospital from Jan. 2011 to Jan. 2014 was carried out. Relationship between prenatal monitoring index in intrahepatic cholestasis of pregnancy and perinatal prognosis, together with the epidemiological features of infants were analyzed. The incidence rates of perinatal meconium stained amniotic fluid, asphyxia neonatorum, premature and fetal distress were significantly higher in the study group than those in the controls, with differences statistically significant (P intrahepatic cholestasis of pregnancy, with most frequently seen as meconium stained amniotic fluid. It was necessary to monitor the level of prenatal CG, ALT, AST, TBIL and TBA in puerperant in predicting the perinatal prognosis.

  9. [Regionalised perinatal care in cases of cervical incompetence and imminent premature birth].

    Science.gov (United States)

    Schmidt, S; Misselwitz, B

    2011-08-01

    Premature birth due to cervical incompetence is a major obstacle of perinatal medicine. While measures of prevention have been investigated, the mother should be transferred to a perinatal centre when delivery prematurity, IUGR,and maternal disease was performed to evaluate the relation of prolongation of gestation to the level of care. Admissions with imminent premature birth due to cervical incompetence were identified in 6 892 cases. Overall prolongation until birth was 9.6 days. When the cervical incompetence was premature newborns the organisation of perinatal care should aim at intrauterine transfer to a specialised perinatal unit.A precondition is a health system with an adequate structure of perinatal centres within 30 k min the case of obstetrical emergencies

  10. The relationship between the nursing environment and delivering culturally sensitive perinatal hospice care.

    Science.gov (United States)

    Mixer, Sandra J; Lindley, Lisa; Wallace, Heather; Fornehed, Mary Lou; Wool, Charlotte

    2015-09-01

    Wide variations exist among perinatal hospices, and barriers to perinatal palliative care exist at the healthcare level. Research in the area of culturally sensitive perinatal palliative care has been scarce, a gap which this study addresses. To evaluate the relationship between the nurse work environment and the delivery of culturally sensitive perinatal hospice care. This retrospective, correlational study used data from the National Home and Hospice Care Survey, which includes a nationally representative sample of hospice care providers. A multivariate logistic regression model was used to estimate the relationship between the delivery of culturally sensitive care and the nurse work environment. Accreditation, teaching status, and baccalaureate-prepared registered nurse staff had an impact on the provision of culturally sensitive perinatal care Conclusions: The hospice and nursing unit environments, specifically in regards to education and technology, may be important contributors to the delivery of culturally sensitive care.

  11. Experiences with perinatal loss from the health professionals’ perspective La vivencia de la pérdida perinatal desde la perspectiva de los profesionales de la salud A experiência da perda perinatal a partir da perspectiva dos profissionais de saúde

    OpenAIRE

    Sonia María Pastor Montero; José Manuel Romero Sánchez; César Hueso Montoro; Manuel Lillo Crespo; Ana Gema Vacas Jaén; María Belén Rodríguez Tirado

    2011-01-01

    The purpose of this paper is to know the experience of health professionals in situations of perinatal death and grief and to describe their action strategies in the management of perinatal loss. A qualitative study with a phenomenological approach was carried out through interviews conducted with 19 professionals. Three thematic categories were identified: Healthcare practice, feelings aroused by perinatal loss and meaning and beliefs about perinatal loss and grief. The results revealed that...

  12. Retinol sérico en mujeres mexicanas urbanas durante el periodo perinatal

    Directory of Open Access Journals (Sweden)

    Casanueva Esther

    1999-01-01

    Full Text Available OBJETIVO. Establecer la prevalencia de deficiencia de vitamina A durante el embarazo y la lactancia en un grupo de mujeres mexicanas urbanas. MATERIAL Y MÉTODOS. Se invitó a participar a un grupo de gestantes que acudían a control prenatal, que carecían de patología agregada y contaban con menos de 20 semanas de embarazo. Fueron evaluadas tres veces durante el embarazo y hasta la semana 24 del posparto. La determinación de vitamina A en suero se realizó por cromatografía de líquidos de alta presión. Se consideró como punto de corte para riesgo de deficiencia una concentración de retinol < 1.05 µmol/L. RESULTADOS. En las tres evaluaciones durante la gestación las concentraciones de vitamina A fueron de 2.34±0.70, 2.41±1.03 y 1.86±0.66 µmol/L, respectivamente, lo cual muestra una disminución significativa. Sin embargo, sólo 1/30 se ubicó por debajo del punto de corte aceptado para considerar riesgo de deficiencia y ninguno para deficiencia. Durante el posparto las concentraciones se conservaron relativamente constantes, alrededor de 2.10 µmol/L. La práctica de la lactancia no tuvo impacto sobre las concentraciones séricas de retinol, no así la pérdida de peso. CONCLUSIONES. En la población estudiada no se documentaron casos de deficiencia de vitamina A durante el periodo perinatal. La pérdida de peso materna tiene influencia sobre las concentraciones de retinol en el posparto.

  13. Resultados del RACSS en Ciudad de La Habana, Cuba, 2005

    Directory of Open Access Journals (Sweden)

    Juan R Hernández Silva

    2006-06-01

    Full Text Available Se realiza un RACSS (Rapid Assessment of Cataract Surgical Services, en Ciudad de La Habana, Cuba en el año 2005, en la población mayor de 50 años. Se determinó un tamaño de muestra de 2 760 personas distribuidos en 46 cluster (consultorios del médico de la familia que fueron seleccionados aleatoriamente mediante un muestreo sistemático en todos los municipios de la Ciudad de La Habana. Para el cálculo del tamaño de muestra se tuvieron en consideración los siguientes criterios: prevalencia de ceguera esperada de 2,5 %, error aceptable de 3 % y un efecto de diseño de 70 %. Los indicadores estimados fueron: la prevalencia de de ceguera en mayores de 50 años según sexo, grupos de edad, y causa, la prevalencia de afáquicos y pseudofáquicos, la cobertura y resultados de la cirugía de catarata. El estudio tuvo una cobertura de 98,3 % de la muestra seleccionada. La prevalencia de ceguera fue de 2.4 % en total. La prevalencia de personas ciegas por edad aumenta desde 2,6 % con 50 años a 15,2 % con 80 años y más. Las causas más importantes de ceguera fueron catarata 50 %, glaucoma 26 % y retinopatía diabética 9 %. La prevalencia de ceguera por catarata según sexos es de 3,64 % para el sexo femenino y 4,06 % para el masculino; se estimó un total de 10 184 de ciegos, y de 47 529 ojos ciegos por catarata. Las principales barreras para la cirugía de la catarata fueron: el desconocimiento de la enfermedad en 4,4 % de los casos, 17,9 % esperaba por su maduración y 11,5 % presentaba una enfermedad que contraindicaba la cirugía. En total 70,7 % de los pseudoafáquicos o afáquicos tenían AVcc de 0,3 y más. En general 62,3 % de los pacientes tenían colocados lentes intraocularesA RACSS (Rapid Assessment of Cataract Surgical Services was made on the population aged over 50 years in the City of Havana. A sampling size of 2 760 persons distributed into 46 clusters (family physician's offices, which were randomly selected by a systematic

  14. [Perinatal morbidity and mortality associated with fetal hypomotility].

    Science.gov (United States)

    Romero Gutiérrez, G; Sánchez Cortés, R; Soto Pompa, V; Rodríguez Flores, P

    1994-08-01

    In a prospective study carried out in the Hospital de Gineco-Obstetricia, Centro Médico León, Instituto Mexicano del Seguro Social, 200 women with pregnancies 32-41 weeks, without risk factors, were included in order to evaluate the perinatal outcome in patients with decreased fetal movement. The sample was divided in two groups: 100 patients with decreased fetal movement (study group) and 100 patients with normal fetal movement (control group). The group of patients with decreased fetal movement had higher incidence of complications during delivery (only 35% had normal delivery), greater average of birth weight (3,412 g), more cases of meconium stained fluid (26%) and higher frequency of placental calcifications (29%) as compared with the control group (P < 0.01). In comparing newborn Apgar score and perinatal morbidity and mortality rates there were no statistical difference in both groups. It's concluded that antepartum fetal surveillance has a definite role in diminishing the morbidity and mortality rates in patients with decreased fetal movement.

  15. The Impact of Teenage Pregnancy on Maternal and Perinatal Outcome

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    Chaitra Ramachandra

    2016-05-01

    Full Text Available To study the impact of teenage pregnancy on maternal and perinatal outcome. This is a randomized prospective clinical study carried out in the Obstetrics and Gynaecology department, BGS Global Medical College, over a period of one year from January 2015 to December 2015. In study group (Group A included a total of 200 primigravid teenage mothers(age <20 years and the control group included 200 primigavid adult mothers (20- 30years of age . The maternal status, labour progress, delivery characteristics and neonatal outcomes were reviewed and analysed. Proportion of mothers in the study group who delivered vaginally was 61.5% compared to 80.5% in the control group. Instrumental delivery rate, emergency LSCS and elective LSCS rates were higher in the study group (teenage pregnancy compared to the control group. (9.5% Vs 5%, 17% Vs 9.5%, 12% Vs 5% respectively. Anaemia, Premature Rupture of Membranes, Oligohydraminos, Post partum Haemorrhage was found to be higher among teenage mothers when compared to adult mothers. PIH, polyhydraminos were found to be higher in control group than in the study group. In regard to adverse perinatal outcomes, higher risks of intra uterine growth restriction, preterm births, stillbirths, low APGAR scores, NICU admission were higher were higher in the study group compared to the control group. In this study, we found that women with teenage pregnancies were at increased risk for adverse pregnancy outcomes in regard to maternal, foetal and neonatal complications as compared with adult control mothers.

  16. Bone health in children and adolescents with perinatal HIV infection

    Directory of Open Access Journals (Sweden)

    George K Siberry

    2013-06-01

    Full Text Available The long-term impact on bone health of lifelong HIV infection and prolonged ART in growing and developing children is not yet known. Measures of bone health in youth must be interpreted in the context of expected developmental and physiologic changes in bone mass, size, density and strength that occur from fetal through adult life. Low bone mineral density (BMD appears to be common in perinatally HIV-infected youth, especially outside of high-income settings, but data are limited and interpretation complicated by the need for better pediatric norms. The potential negative effects of tenofovir on BMD and bone mass accrual are of particular concern as this drug may be used more widely in younger children. Emphasizing good nutrition, calcium and vitamin D sufficiency, weight-bearing exercise and avoidance of alcohol and smoking are effective and available approaches to maintain and improve bone health in all settings. More data are needed to inform therapies and monitoring for HIV-infected youth with proven bone fragility. While very limited data suggest lack of marked increase in fracture risk for youth with perinatal HIV infection, the looming concern for these children is that they may fail to attain their expected peak bone mass in early adulthood which could increase their risk for fractures and osteoporosis later in adulthood.

  17. Gestational, perinatal and family findings of patients with Patau syndrome

    Directory of Open Access Journals (Sweden)

    Rafael Fabiano M. Rosa

    2013-12-01

    Full Text Available OBJECTIVE: To describe gestational, perinatal and family findings of patients with Patau syndrome (PS. METHODS: The study enrolled patients with PS consecutively evaluated during 38 years in a Clinical Genetics Service of a pediatric referral hospital in Southern Brazil. The clinical data and the results of cytogenetic analysis were collected from the medical records. For statistical analysis, the two-tailed Fisher's exact test and the chi-square test with Yates' correction were used, being significant p<0.05. RESULTS: The sample was composed of 27 patients, 63% were male, with a median age of nine days at the first evaluation. Full trisomy of chromosome 13 was the main cytogenetic finding (74%. Only six patients were submitted to obstetric ultrasound and none had prenatal diagnosis of PS. The patients' demographic characteristics, compared to born alive infants in the same Brazilian state showed a higher frequency of: mothers with 35 years old or more (37.5%; multiparous mothers (92.6%; vaginal delivery (77%; preterm birth (34.6%; birth weight <2500g (33.3%, and Apgar scores <7 in the 1st (75% and in the 5th minute (42.9%. About half of them (53% died during the first month of life. CONCLUSIONS: The understanding of the PS patients' gestational, perinatal and family findings has important implications, especially on the decision about the actions to be taken in relation to the management of these patients.

  18. Gestational, perinatal and family findings of patients with Patau syndrome.

    Science.gov (United States)

    Rosa, Rafael Fabiano M; Sarmento, Melina Vaz; Polli, Janaina Borges; Groff, Daniela de Paoli; Petry, Patrícia; Mattos, Vinícius Freitas de; Rosa, Rosana Cardoso M; Trevisan, Patrícia; Zen, Paulo Ricardo G

    2013-12-01

    To describe gestational, perinatal and family findings of patients with Patau syndrome (PS). The study enrolled patients with PS consecutively evaluated during 38 years in a Clinical Genetics Service of a pediatric referral hospital in Southern Brazil. The clinical data and the results of cytogenetic analysis were collected from the medical records. For statistical analysis, the two-tailed Fisher's exact test and the chi-square test with Yates' correction were used, being significant p<0.05. The sample was composed of 27 patients, 63% were male, with a median age of nine days at the first evaluation. Full trisomy of chromosome 13 was the main cytogenetic finding (74%). Only six patients were submitted to obstetric ultrasound and none had prenatal diagnosis of PS. The patients' demographic characteristics, compared to born alive infants in the same Brazilian state showed a higher frequency of: mothers with 35 years old or more (37.5%); multiparous mothers (92.6%); vaginal delivery (77%); preterm birth (34.6%); birth weight <2500g (33.3%), and Apgar scores <7 in the 1st (75%) and in the 5th minute (42.9%). About half of them (53%) died during the first month of life. The understanding of the PS patients' gestational, perinatal and family findings has important implications, especially on the decision about the actions to be taken in relation to the management of these patients.

  19. Genetic and perinatal determinants of structural brain deficits in schizophrenia.

    Science.gov (United States)

    Cannon, T D; Mednick, S A; Parnas, J

    1989-10-01

    Using a subsample from the Copenhagen schizophrenia high-risk project, we examined the contributions of schizophrenic genetic liability and perinatal complications to computed tomographic (CT) measurements of ventricular enlargement and cortical and cerebellar abnormalities. A factor analysis of six CT measurements yielded two significant factors. One factor reflected multisite neural deficits as evidenced by abnormality of the cerebellar vermis and widening of the sylvian and interhemispheric fissures and cortical sulci. The other factor reflected periventricular damage as evidenced by enlargement of the third and lateral ventricles. Because all of the subjects had schizophrenic mothers, the major source of genetic variation is contributed by the diagnostic status of their fathers. In a stepwise multiple-regression analysis, it was determined that the multisite neural deficits factor was significantly related to genetic risk for schizophrenia (as measured by schizophrenia spectrum illness in the subjects' fathers) but was unrelated to pregnancy or delivery complications or to weight at birth. Periventricular damage was highly and significantly correlated with the number of complications suffered at delivery, but only among subjects with an elevated genetic risk. Although limited by a small sample size, these results suggest that the two types of CT abnormalities in schizophrenia may reflect partially independent processes based on different combinations of genetic and perinatal influences.

  20. Perinatal outcomes with intrahepatic cholestasis of pregnancy in twin pregnancies.

    Science.gov (United States)

    Liu, Xiaohua; Landon, Mark B; Chen, Yan; Cheng, Weiwei

    2016-01-01

    To describe perinatal outcomes of twin pregnancies complicated by intrahepatic cholestasis of pregnancy (ICP). We conducted a retrospective cohort study of women delivered at a large tertiary obstetric center in Shanghai, China from January 2006 to May 2014. Delivery data were abstracted from medical records of all twin gestations delivered at the hospital. A total of 129/1922(6.7%) twin and 1190/92 273 singleton (1.3%) pregnancies were complicated by ICP. An increased risk of stillbirth among twin pregnancies was observed (3.9% and 0.8% in the ICP and non-ICP groups, respectively; aOR 5.75, 95% CI 2.00-16.6). Stillbirths with ICP and twins occurred between 33 and 35 weeks gestation compared to 36-38 weeks gestation among singletons. ICP in twins was also associated with an increased risk of preterm birth (pregnancies complicated by ICP also had increased meconium staining of amniotic fluid and lower birth weight. Twin pregnancies with ICP have significantly increased risks of adverse perinatal outcomes including stillbirth and preterm birth. Stillbirth occurs at an earlier gestational age in twin gestation compared to singletons, suggesting that earlier scheduled delivery should be considered in these women.