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1.
J Sex Marital Ther ; 49(1): 1-16, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-35451914

RESUMO

Sexual activity occurs among a large portion of young adults and adolescents, including high school students. While about 40% of high school students nationwide have engaged in sexual intercourse, more information is needed about how individual characteristics may relate to larger patterns of adolescent sexual behavior. This exploratory study utilized a latent class analysis (LCA) to identify clusters of high school students (N = 801) based on demographic characteristics, sexual refusal skills, healthy relationship skills, sociosexuality, internalizing symptoms, alcohol use, various forms of social support (i.e., parents, friends, teachers), and sexual activity at baseline to predict their sexual behavior at a 6-month follow-up. Four unique latent classes were identified based on these baseline predictors. Distinctions in the profiles of high schoolers varied significantly by internalizing symptoms, race/ethnicity, sexually conservative attitudes, and social support in the prediction of adolescent sexual activity at 6-months. This study contributes to the investigation of demographic, social, psychological, attitudinal, and behavioral factors that may distinguish high school students from one another in terms of their longitudinal rates of sexual activity.


Assuntos
Comportamento do Adolescente , Coito , Adolescente , Adulto Jovem , Humanos , Análise de Classes Latentes , Comportamento Sexual , Consumo de Bebidas Alcoólicas , Comportamento do Adolescente/psicologia , Estudantes/psicologia
2.
Fam Process ; 62(1): 201-215, 2023 03.
Artigo em Inglês | MEDLINE | ID: mdl-35233770

RESUMO

The federal government, through the Administration for Children and Families (ACF), has funded community-based relationship education programs for couples, individuals, and families, with a strong focus on serving economically disadvantaged and racially diverse families. This study evaluated the impact of a 36-hour, workshop-based couple relationship education program that was funded by ACF using a randomized controlled trial (RCT) design and intent-to-treat (ITT) analyses. Participants were 1320 couples who were either expecting a baby or had a baby within the past 3 months, at the time of enrollment. Follow-up surveys were administered 12 months later. Analyses evaluated program impacts on relationship stability, constructive communication, and destructive conflict compared to a no-treatment control group. Analyses showed a statistically significant impact of the program on destructive conflict (d = 0.10) but not on constructive communication (d = 0.06) or stability (dCox  = 0.10). Based on findings from previous evaluations, we also examined whether participants' levels of sociodemographic disadvantage moderated these effects. There was significant moderation by sociodemographic disadvantage on constructive communication and destructive conflict, but not on stability. Effects were observed for those at higher levels of sociodemographic disadvantage.


Assuntos
Comunicação , Motivação , Criança , Humanos , Avaliação de Programas e Projetos de Saúde
3.
MMWR Morb Mortal Wkly Rep ; 71(17): 592-596, 2022 Apr 29.
Artigo em Inglês | MEDLINE | ID: mdl-35482557

RESUMO

On August 29, 2021, the United States government oversaw the emergent establishment of Operation Allies Welcome (OAW), led by the U.S. Department of Homeland Security (DHS) and implemented by the U.S. Department of Defense (DoD) and U.S. Department of State (DoS), to safely resettle U.S. citizens and Afghan nationals from Afghanistan to the United States. Evacuees were temporarily housed at several overseas locations in Europe and Asia* before being transported via military and charter flights through two U.S. international airports, and onward to eight U.S. military bases,† with hotel A used for isolation and quarantine of persons with or exposed to certain infectious diseases.§ On August 30, CDC issued an Epi-X notice encouraging public health officials to maintain vigilance for measles among Afghan evacuees because of an ongoing measles outbreak in Afghanistan (25,988 clinical cases reported nationwide during January-November 2021) (1) and low routine measles vaccination coverage (66% and 43% for the first and second doses, respectively, in 2020) (2).


Assuntos
Doenças Transmissíveis , Sarampo , Doenças Transmissíveis/epidemiologia , Surtos de Doenças/prevenção & controle , Humanos , Sarampo/epidemiologia , Sarampo/prevenção & controle , Saúde Pública , Estados Unidos/epidemiologia , Vacinação
4.
Fam Process ; 61(3): 1062-1079, 2022 09.
Artigo em Inglês | MEDLINE | ID: mdl-34845722

RESUMO

The current study presents implementation and impact data from a cluster randomized trial of a youth relationship education curriculum. High school students (n = 1,135) were randomized at the school level to receive curricula-as-usual or a healthy relationships program delivered by facilitators who were not employed by the high schools. Program evaluators reported high engagement and students indicated high satisfaction with the program, but multilevel models showed no statistically significant impacts on healthy relationship skills, attitudes, and behaviors at three and nine months post-intervention. Strengths and limitations of the research design and program implementation, as well as implications for evaluating youth relationship education more broadly, are discussed.


El estudio actual presenta datos de implementación e impacto de una prueba controlada aleatoriade una intervención de educación sobre relaciones para juveniles. Los estudiantes de secundaria (n= 1,135) fueron asignados al azar a nivel escolar para recibir un plan de estudios como decostumbre o un programa de relaciones saludables entregado por facilitadores que no eranempleados de las escuelas secundarias. Evaluadores de programas informaron un alto compromisoy los estudiantes indicaron una alta satisfacción con el programa, pero los modelos multinivel nomostraron impactos estadísticamente significativos en las habilidades de relación saludable,actitudes, y comportamientos a los tres y seis meses después de la intervención. Se discutefortalezas y limitaciones del diseño de la investigación y la implementación del programa, asícomo las implicaciones para la evaluación de los jóvenes.


Assuntos
Currículo , Instituições Acadêmicas , Adolescente , Humanos , Avaliação de Programas e Projetos de Saúde , Estudantes
5.
Fam Process ; 60(2): 477-492, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-32681747

RESUMO

The current study evaluates the effects of having a baby on relationship quality and stability, contrasting married and unmarried cohabiting parents (N = 179; 38% unmarried cohabiting). Participants provided several waves of data, including time points before, during, and after pregnancy. Results indicated that cohabiting parents broke up at a significantly higher rate after having a baby compared to married parents. In terms of relationship quality, interrupted time-series analyses indicated that negative communication significantly increased after baby regardless of marital status. In addition, married parents had significantly higher levels of relationship satisfaction and commitment before baby compared to cohabiting parents but experienced modest declines in relationship satisfaction after baby. Cohabiting parents did not show such declines but remained lower in satisfaction throughout the study. Gender moderated commitment trajectories, such that married and cohabiting women demonstrated decreased commitment after baby, but married and cohabiting men demonstrated no significant changes in commitment. This study adds to the literature by examining both relationship stability and relationship quality trajectories from before pregnancy to after the birth of a baby among married and cohabiting parents in the same sample. Implications of these findings for practice and future research are discussed.


El presente estudio evalúa los efectos de tener un bebé en la calidad y la estabilidad de la relación, contrastando los padres casados y los concubinos convivientes (N = 179; 38 % concubinos convivientes). Los participantes proporcionaron varias series de datos que incluyeron momentos antes, durante y después del embarazo. Los resultados indicaron que los padres concubinos se separaron a un índice considerablemente mayor después de tener un bebé en comparación con los padres casados. En cuanto a la calidad de la relación, los análisis de series de tiempo interrumpido indicaron que la comunicación negativa aumentó considerablemente después del bebé independientemente del estado civil. Además, los padres casados tuvieron niveles considerablemente más altos de satisfacción con la relación y de compromiso antes del bebé en comparación con los padres concubinos, pero tuvieron leves reducciones de la satisfacción con la relación después del bebé. Los padres concubinos no demostraron esas disminuciones pero mantuvieron una satisfacción más baja a lo largo del estudio. El género moderó las trayectorias de compromiso, de manera que las mujeres casadas y las concubinas demostraron un menor compromiso después del bebé, pero los hombres casados y los concubinos no demostraron cambios significativos en el compromiso. Este estudio enriquece la bibliografía analizando tanto las trayectorias de estabilidad de la relación como de calidad de la relación desde antes del embarazo hasta después del nacimiento de un bebé entre padres casados y padres concubinos en la misma muestra. Se debaten las consecuencias de estos resultados para la práctica y las futuras investigaciones.


Assuntos
Características da Família , Casamento , Feminino , Humanos , Masculino , Estado Civil , Pais , Satisfação Pessoal , Gravidez
6.
Fam Process ; 60(4): 1249-1263, 2021 12.
Artigo em Inglês | MEDLINE | ID: mdl-34541663

RESUMO

A large body of existing research on African American relationships perpetuates a deficit model that assumes Eurocentric norms and emphasizes between-group differences (e.g., cross-racial comparisons with the majority group-European Americans). The current study examined within-group variability and the influence of culturally unique factors, Afrocentricity, racial ideology, and perceived discrepancy between self and partner on African American relationship processes. Data were collected from 137 self-identified African American adults in same-race, cross-gender relationships. Consistent with the literature on protective values of Afrocentricity, there was an association between reported relationship quality and high levels of one's own and perceived partner's Afrocentricity. Discrepancies between self and partner Afrocentricity were not associated with relationship processes, but higher perceived discrepancies across all four subscales of racial ideology were associated with lower relationship dedication. Higher perceived discrepancies on the humanist and assimilationist subscales were also related to higher levels of conflict. These findings have important clinical implications and demonstrate a need for further research into the nuances of individual factors and dyadic processes that are unique to African American couples.


Un gran número de investigaciones existentes sobre las relaciones afroestadounidenses perpetúa un modelo deficitario que supone normas eurocéntricas y enfatiza las diferencias entre grupos (p. ej.: las comparaciones interraciales con el grupo mayoritario: los estadounidenses de ascendencia europea). El presente estudio analizó la variabilidad intragrupal y la influencia de los factores culturalmente únicos, la afrocentricidad, la ideología racial y la discrepancia percibida entre el yo y el otro integrante de la pareja en los procesos relacionales afroestadounidenses. Se recolectaron datos de 137 adultos autoidentificados como afroestadounidenses que estaban en relaciones con personas de la misma raza y de diferente género. De acuerdo con las publicaciones sobre los valores protectores de la afrocentricidad, hubo una asociación entre la calidad de la relación informada y los niveles altos de la afrocentricidad propia y de la percibida por el otro integrante de la pareja. Las discrepancias entre la afrocentricidad propia y la del otro integrante de la pareja no estuvieron asociadas con los procesos relacionales, pero las discrepancias mayores percibidas entre las cuatro subescalas de la ideología racial estuvieron asociadas con una menor dedicación a la relación. Las discrepancias mayores percibidas en las subescalas humanista y asimilacionista también estuvieron relacionadas con niveles más altos de conflicto. Estos resultados tienen consecuencias clínicas importantes e indican una necesidad de investigar más profundamente los matices de los factores individuales y los procesos diádicos que son exclusivos de las parejas afroestadounidenses.


Assuntos
Negro ou Afro-Americano , População Branca , Adulto , Identidade de Gênero , Humanos
7.
J Vet Pharmacol Ther ; 43(6): 533-537, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32557697

RESUMO

Different structurally related phenylpiperidine opioids exhibit different isoflurane-sparing effects in cats. Because minimum alveolar concentration (MAC) in cats is affected only by very high plasma concentrations of some phenylpiperidine opioids, we hypothesized these effects are caused by actions on nonopioid receptors. Using a prospective, randomized, crossover design, six cats were anesthetized with isoflurane, intubated, ventilated, and instrumented. Isoflurane MAC was measured in triplicate using a tail-clamp and bracketing technique. A computer-controlled intravenous infusion using prior pharmacokinetic models targeted plasma concentrations of 60 ng/ml fentanyl, 10 ng/ml sufentanil, or 500 ng/ml alfentanil, and isoflurane MAC was measured in duplicate. Next, naltrexone 0.6 mg/kg was administered to cats hourly during the opioid infusion, and isoflurane MAC was measured in duplicate. Blood was collected during MAC determinations to measure opioid concentrations. Responses were analyzed using repeated measures ANOVA with significance at p < .05. Alfentanil and sufentanil decreased isoflurane MAC by 16.4% and 6.4%, respectively, and these effects were completely reversed by naltrexone. Fentanyl had no significant effect on isoflurane MAC. Alfentanil and sufentanil modestly reduce isoflurane MAC via agonist effects on opioid receptors. However, these effects are too small to justify clinical use of phenylpiperidine opioids as single agents to reduce MAC in cats.


Assuntos
Alfentanil/farmacocinética , Fentanila/farmacocinética , Isoflurano/farmacocinética , Sufentanil/farmacocinética , Alfentanil/administração & dosagem , Analgésicos Opioides/administração & dosagem , Analgésicos Opioides/farmacocinética , Anestesia por Inalação/veterinária , Anestésicos Inalatórios/administração & dosagem , Anestésicos Inalatórios/farmacocinética , Animais , Pressão Sanguínea/efeitos dos fármacos , Gatos , Estudos Cross-Over , Interações Medicamentosas , Fentanila/administração & dosagem , Frequência Cardíaca/efeitos dos fármacos , Infusões Intravenosas/veterinária , Isoflurano/administração & dosagem , Isoflurano/farmacologia , Sufentanil/administração & dosagem
8.
Fam Process ; 59(3): 937-955, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32589263

RESUMO

The pandemic caused by the SARS-CoV-2 virus (coronavirus) and the associated illness, COVID-19, has caused a level of worldwide upheaval unlike any most people now living have seen in their lifetimes. This crisis affects people in their most important, committed, and intimate relationships. Although this crisis has damaged the health and well-being of individuals, crushed economies, and led to an extensive period of uncertainty about the future, there may also be positive outcomes in the motivation people have to protect their relationships. In this paper, we focus on strategies that therapists and relationship educators can use to help couples preserve and protect their relationships during such a time. We describe four foundations of safety that allow relationships to thrive: physical, emotional, commitment, and community. We then highlight three keys from our body of work that can help guide individuals and couples in protecting their relationships on a day-to-day and moment-to-moment basis: (1) decide, don't slide; (2) make it safe to connect; (3) do your part.


La pandemia causada por el virus SARS-CoV-2 (coronavirus) y la enfermedad asociada, COVID-19, ha causado un nivel de agitación mundial jamás visto en las vidas de la mayoría de las personas ahora vivas. Esta crisis afecta a las personas en sus relaciones más importantes, comprometidas e íntimas. Aunque esta crisis ha dañado la salud y el bienestar de las personas, destrozado las economías y llevado a un periodo extenso de incertidumbre acerca del futuro, también puede haber tenido consecuencias positivas en la motivación que tienen las personas para proteger sus relaciones. En este artículo, nos centramos en estrategias que los terapeutas y los capacitadores en relaciones pueden usar para ayudar a las parejas a preservar y proteger sus relaciones durante este tiempo. Describimos cuatro bases de seguridad que permiten que las relaciones prosperen: física, emocional, comprometida y comunitaria. Luego destacamos tres claves de nuestro trabajo que pueden contribuir a guiar a las personas y a las parejas a la hora de proteger sus relaciones día a día, momento a momento: 1) Decida, no haga cosas sin elegirlas 2) Encárguese de que sea seguro conectarse. 3) Haga su parte.


Assuntos
Infecções por Coronavirus/psicologia , Terapia de Casal/métodos , Relações Interpessoais , Pneumonia Viral/psicologia , Quarentena/psicologia , Betacoronavirus , COVID-19 , Infecções por Coronavirus/prevenção & controle , Características da Família , Humanos , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , SARS-CoV-2 , Incerteza
9.
Fam Process ; 59(3): 1261-1274, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-31254284

RESUMO

To minimize potential distractions for deployed military service members (SMs), some nondeployed romantic partners have reported engaging in protective buffering, or intentionally withholding information or concerns to protect their deployed partner. This study assessed the associations of protective buffering and psychological distress and marital satisfaction for military couples during and after deployment. Additionally, the study explored whether protective buffering was related to SM reports of being distracted during deployment by family matters. A total of 54 couples provided data before, during, and after an Army deployment. In multilevel models, higher protective buffering by partners was associated with higher psychological distress and lower marital satisfaction for both SMs and partners during, but not after, deployment. Additionally, partners reported frequent use of protective buffering during deployment; however, protective buffering was not significantly correlated with family related distraction for SMs during deployment. Limitations and implications of these findings are discussed.


Para minimizar posibles distracciones para miembros del servicio militar (SM) desplegados, algunas parejas románticas no desplegadas han informado que practican la amortiguación protectora, es decir, ocultan información o preocupaciones intencionalmente para proteger a su pareja desplegada. Este estudio evaluó las asociaciones de amortiguación protectora y angustia psicológica y satisfacción conyugal para parejas militares durante y después del despliegue. Además, el estudio exploró si la amortiguación protectora tenía relación con informes de los SM de estar distraídos durante el despliegue por cuestiones familiares. Un total de 54 parejas proporcionó datos antes, durante y después de un despliegue del ejército. En modelos multinivel, una amortiguación protectora mayor por parte de las parejas se asoció a mayor angustia psicológica y menor satisfacción conyugal tanto para los SM como para las parejas durante, pero no después del despliegue. Además, los socios informaron el uso frecuente de amortiguación protectora durante un despliegue; sin embargo, la amortiguación protectora no tuvo una correlación significativa con la distracción por motivos familiares para los SM durante el despliegue. Se discuten las limitaciones e implicaciones de estos hallazgos.


Assuntos
Relações Familiares/psicologia , Destacamento Militar/psicologia , Família Militar/psicologia , Militares/psicologia , Cônjuges/psicologia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Análise Multinível , Angústia Psicológica , Estados Unidos
10.
Fam Process ; 59(2): 525-536, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-30615191

RESUMO

To shield a romantic partner from potential distress due to stressors occurring during deployment, service members (SMs) may engage in protective buffering, or withholding information or concerns from a romantic partner. This study utilized data from 54 couples collected before, during, and after a military deployment to assess whether SMs engaged in protective buffering while deployed and the possible associations between buffering and psychological, relationship, and contextual factors. Only 2% of SMs indicated never engaging in protective buffering during a deployment. In bivariate analyses, only partners' psychological distress prior to deployment was significantly associated (negatively) with protective buffering. In multilevel models with time nested within individuals, and individuals nested within couples, higher buffering was associated with less partner distress during deployment, but was also associated with higher SM distress both during and after deployment. In these multilevel models, protective buffering was not significantly associated with SM or partner marital satisfaction.


Para proteger a una pareja romántica del posible distrés debido a factores desencadenantes de estrés que se producen durante la movilización militar, los miembros de las fuerzas armadas pueden adoptar una conducta de atenuación protectora u ocultar información o preocupaciones a una pareja romántica. El presente estudio utilizó datos de 54 parejas recopilados antes, durante y después de una movilización militar para evaluar si los miembros de las fuerzas armadas adoptaron una conducta de atenuación protectora mientras estaban movilizados y las posibles asociaciones entre la atenuación y los factores psicológicos, relacionales y contextuales. Solo el 2% de los miembros de las fuerzas armadas indicaron no haber adoptado nunca una conducta de atenuación protectora durante una movilización militar. En los análisis bivariables, solo el distrés psicológico de las parejas antes de la movilización militar estuvo asociado considerablemente (negativamente) con la atenuación protectora. En los modelos multinivel, con el tiempo localizado dentro de las personas y las personas localizadas dentro de las parejas, una mayor atenuación estuvo asociada con menos distrés de la pareja durante la movilización militar, pero también estuvo asociada con un mayor distrés de los miembros de las fuerzas armadas tanto durante como después de la movilización militar. En estos modelos multinivel, la atenuación protectora no estuvo asociada de forma significativa con la satisfacción conyugal de la pareja o del miembro de las fuerzas armadas.


Assuntos
Adaptação Psicológica , Destacamento Militar/psicologia , Família Militar/psicologia , Militares/psicologia , Estresse Ocupacional/psicologia , Adulto , Feminino , Humanos , Estudos Longitudinais , Masculino , Casamento/psicologia , Angústia Psicológica , Ensaios Clínicos Controlados Aleatórios como Assunto , Autorrevelação , Cônjuges/psicologia , Estados Unidos
11.
Biol Reprod ; 101(1): 162-176, 2019 07 01.
Artigo em Inglês | MEDLINE | ID: mdl-31107530

RESUMO

The current study aimed to elucidate the mechanisms underlying myometrial activation during equine placentitis related to progestogens and the progesterone receptor signaling pathways. Placentitis was induced via intracervical inoculation with Streptococcus equi ssp zooepidemicus in mares at approximately 290 days of gestation (placentitis group; n = 6) with uninoculated gestationally matched mares as controls (n = 4). Mares in the placentitis and control groups were euthanized, and myometrial samples were collected from two regions: region 1-parallel to active placentitis lesion with placental separation in placentitis group (P1) or caudal pole of the placenta in control group (C1); and region 2-parallel to apparently normal placenta without separation in placentitis group (P2) or uterine body in control group (C2). In the current study, SRD5A1 and AKR1C23, which encode for the key P4 metabolizing enzymes, were downregulated in P1 in comparison to C1, C2, and P2, and this was associated with a decline (P < 0.05) in 5αDHP, allopregnanolone (3αDHP), and 20αDHP in P1 in comparison to C1. Further, myometrial expression of PR was downregulated (P < 0.05) in P1 in comparison to C1 and P2, and this was associated with activation of the inflammatory cascade as reflected by significant upregulation of IL-1ß and IL-8 in P1 in comparison to C1, C2, and P2, and supported by increased tissue leukocytes in P1 in comparison to C1. In conclusion, equine placentitis is associated with a localized withdrawal of progestins and a downregulation of the PR in the myometrium concomitant with upregulation of inflammatory cytokines and subsequent myometrial activation.


Assuntos
Doenças dos Cavalos/metabolismo , Cavalos , Miométrio/metabolismo , Doenças Placentárias/metabolismo , Progestinas/metabolismo , Animais , Estudos de Casos e Controles , Corioamnionite/genética , Corioamnionite/metabolismo , Corioamnionite/patologia , Corioamnionite/veterinária , Citocinas/genética , Citocinas/metabolismo , Regulação para Baixo/genética , Feminino , Regulação da Expressão Gênica/genética , Doenças dos Cavalos/genética , Doenças dos Cavalos/patologia , Cavalos/genética , Cavalos/metabolismo , Mediadores da Inflamação/metabolismo , Miométrio/patologia , Doenças Placentárias/genética , Doenças Placentárias/patologia , Doenças Placentárias/veterinária , Gravidez , Complicações Infecciosas na Gravidez/genética , Complicações Infecciosas na Gravidez/metabolismo , Complicações Infecciosas na Gravidez/patologia , Complicações Infecciosas na Gravidez/veterinária , Progestinas/genética , Receptores de Esteroides/genética , Receptores de Esteroides/metabolismo , Transdução de Sinais/genética
12.
Reproduction ; 157(5): 413-422, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-30763279

RESUMO

Dexamethasone (DEX) initiates parturition by inducing progesterone withdrawal and affecting placental steroidogenesis, but the effects of DEX in fetal and maternal tissue steroid synthetic capacity remains poorly investigated. Blood was collected from cows at 270 days of gestation before DEX or saline (SAL) treatment, and blood and tissues were collected at slaughter 38 h later. Steroid concentrations were determined by liquid chromatography tandem mass spectrometry to detect multiple steroids including 5α-reduced pregnane metabolites of progesterone. The activities of 3ß-hydroxysteroid dehydrogenase (3ßHSD) in cotyledonary and luteal microsomes and mitochondria and cotyledonary microsomal 5α-reductase were assessed. Quantitative PCR was used to further assess transcripts encoding enzymes and factors supporting steroidogenesis in cotyledonary and luteal tissues. Serum progesterone, pregnenolone, 5α-dihydroprogesterone (DHP) and allopregnanolone (3αDHP) concentrations (all <5 ng/mL before treatment) decreased in cows after DEX. However, the 20α-hydroxylated metabolite of DHP, 20αDHP, was higher before treatment (≈100 ng/mL) than at slaughter but not affected by DEX. Serum, cotyledonary and luteal progesterone was lower in DEX- than SAL-treated cows. Progesterone was >100-fold higher in luteal than cotyledonary tissues, and serum and luteal concentrations were highly correlated in DEX-treated cows. 3ßHSD activity was >5-fold higher in luteal than cotyledonary tissue, microsomes had more 3ßHSD than mitochondria in luteal tissue but equal in cotyledonary sub-cellular fractions. DEX did not affect either luteal or cotyledonary 3ßHSD activity but luteal steroidogenic enzyme transcripts were lower in DEX-treated cows. DEX induced functional luteal regression and progesterone withdrawal before any changes in placental pregnene/pregnane synthesis and/or metabolism were detectable.


Assuntos
Bovinos , Dexametasona/farmacologia , Parto/efeitos dos fármacos , Prenhez , Pregnanos/metabolismo , Pregnenos/metabolismo , Animais , Bovinos/metabolismo , Corpo Lúteo/efeitos dos fármacos , Corpo Lúteo/metabolismo , Feminino , Feto/efeitos dos fármacos , Feto/metabolismo , Idade Gestacional , Luteólise/sangue , Luteólise/efeitos dos fármacos , Luteólise/metabolismo , Parto/metabolismo , Gravidez , Prenhez/sangue , Prenhez/efeitos dos fármacos , Prenhez/metabolismo , Pregnanos/sangue , Pregnenos/sangue , Progesterona/metabolismo
13.
Reproduction ; 157(5): X1, 2019 05 01.
Artigo em Inglês | MEDLINE | ID: mdl-31995334

RESUMO

The authors apologize for errors in Figure 6 of their article published in the October 2017 issue of Reproduction (vol 154 iss 4 pp 445­454). The authors explain that the addition of data (Figure 6) on steroid concentrations in the chorioallantois to their manuscript on fetal adrenal and fetal gonadal steroids during development of the equine fetus was made in response to reviewer comments. However, in compiling, summarizing and graphing the data, the wrong units were used in the final figure. The manuscript as published represents the data in Figure 6 as "ng/g", when in fact they are "nmol/g". The authors very much regret having made the mistake and sincerely apologize for any confusion this might have caused.

14.
Fam Process ; 58(2): 273-286, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-30306547

RESUMO

Couple therapy has been shown to be a meaningful way to improve couples' relationships. However, less information is known about couples' functioning prior to entering treatment in community settings, as well as how their relationship functioning changes from initiating therapy onward. This study examined 87 couples who began community-based couple therapy during a longitudinal study of couples in the military. The couples were assessed six times over the course of 3 years, including time points before and after starting couple therapy. Using an interrupted-time series design, we examined trajectories across the start of couple therapy in relationship satisfaction, divorce proneness, and negative communication. The results demonstrated that couples' relationship satisfaction was declining and both divorce proneness and negative communication were increasing prior to entering couple therapy. After starting couple therapy, couples' functioning on all three variables leveled off but did not show further change, but previous experience in relationship education moderated these effects. Specifically, those who were assigned to the relationship education program (vs. control) demonstrated greater reductions in divorce proneness and greater increases marital satisfaction after starting therapy; however, they also started more distressed.


Se ha demostrado que la terapia de pareja es una manera valiosa de mejorar las relaciones de las parejas. Sin embargo, se cuenta con menos información acerca del funcionamiento de las parejas antes de comenzar un tratamiento en entornos comunitarios, así como acerca de la manera en que el funcionamiento de su relación cambia desde el inicio de la terapia en adelante. Este estudio analizó a 87 parejas que comenzaron terapia de pareja basada en la comunidad durante un estudio longitudinal de parejas en las fuerzas armadas. Se evaluó a las parejas seis veces durante el transcurso de tres años, incluidos momentos específicos antes y después de comenzar la terapia de pareja. Utilizando un diseño de series de tiempo interrumpido, analizamos las trayectorias a lo largo del comienzo de la terapia de pareja en la satisfacción con la relación, la propensión al divorcio y la comunicación negativa. Los resultados demostraron que la satisfacción con la relación de la pareja estaba disminuyendo y que tanto la propensión al divorcio como la comunicacióin negativa estaban aumentando antes de comenzar la terapia de pareja. Después de comenzar la terapia de pareja, el funcionamiento de las parejas en las tres variables se nivelaron pero no demostraron otros cambios, aunque la experiencia previa en capacitación en relaciones moderó estos efectos. Específicamente, los que fueron asignados al programa de capacitación en relaciones (frente al grupo de control) demostraron una mayor reducción de la propensión al divorcio y un mayor aumento de la satisfacción conyugal después de comenzar la terapia, sin embargo, también comenzaron la terapia más angustiados.


Assuntos
Terapia de Casal , Relações Interpessoais , Casamento/psicologia , Satisfação Pessoal , Adulto , Divórcio/estatística & dados numéricos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Resultado do Tratamento , Adulto Jovem
15.
Fam Process ; 58(1): 214-231, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30294892

RESUMO

This study examined characteristics of individuals that are associated with being in asymmetrically committed relationships (ACRs), defined as romantic relationships in which there was a substantial difference in the commitment levels of the partners. These ACRs were studied in a national sample of unmarried, opposite-sex romantic relationships (N = 315 couples). Perceiving oneself as having more potential alternative partners was associated with increased odds of being the less committed partner in an ACR compared to not being in an ACR, as was being more attachment avoidant, having more prior relationship partners, and having a history of extradyadic sex during the present relationship. Additionally, having parents who never married was associated with being the less committed partner in an ACR but parental divorce was not. Although fewer characteristics were associated with being the more committed partner within an ACR, more attachment anxiety was associated with increased odds of being in such a position compared to not being in an ACR. We also address how some findings change when controlling for commitment levels. Overall, the findings advance understanding of commitment in romantic relationships, particularly when there are substantial asymmetries involved. Implications for both research on asymmetrical commitment as well as practice (e.g., therapy or relationship education) are discussed.


Este estudio examinó características de individuos que se encuentran en relaciones comprometidas asimétricamente (RCA), definidas como relaciones románticas en las que hay una diferencia significativa en los niveles de compromiso de cada pareja. Estas RCA fueron estudiadas en una muestra nacional de relaciones románticas solteras con el sexo opuesto (N = 315 parejas). La autopercepción de tener más alternativas posibles de parejas se asoció a una probabilidad mayor de ser la pareja menos comprometida en una RCA en comparación con no estar en una RCA, así como de evitar más los apegos, tener más parejas previas, y tener un historial de sexo extradiádico durante la relación actual. Además, tener padres que nunca se casaron se asoció a ser la pareja menos comprometida en una RCA, pero no así el divorcio de los padres. Aunque se asociaron menos características a ser la pareja más comprometida en una RCA, se asoció más ansiedad de apego a una probabilidad mayor de encontrarse en dicha posición en comparación con no estar en una RCA. También abordamos el tema de cómo cambian algunos hallazgos al controlar niveles de compromiso. En conjunto, los hallazgos avanzan el entendimiento del compromiso en relaciones románticas, especialmente cuando incluye asimetrías significativas. Se discuten las implicaciones tanto para la investigación del compromiso asimétrico así como la práctica (p.ej. terapia o educación de relaciones).


Assuntos
Características da Família , Relações Interpessoais , Apego ao Objeto , Parceiros Sexuais/psicologia , Adulto , Ansiedade/psicologia , Feminino , Humanos , Masculino , Pais/psicologia , Adulto Jovem
16.
Biol Reprod ; 99(3): 662-670, 2018 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-29668912

RESUMO

Steroid synthesis is required for pregnancy maintenance and for parturition, but comparatively little is known about the major metabolic routes that influence circulating concentrations. Dietary intake changes progesterone and estradiol concentrations in pregnant ewes but whether this reflects placental synthesis is unknown. Progesterone metabolism by 5alpha-reduction is a major metabolic route in other species and can influence the onset of parturition. Therefore, studies were conducted to (1) determine placental enzyme activity, progesterone, and estradiol measured by immunoassay in late gestation ewes on low-, moderate-, and high-nutritional planes, (2) to assess the significance of 5alpha-reduction of progesterone in determining progesterone concentrations in late gestation ewes (gestation day 145) given finasteride to inhibit 5alpha-reductase metabolism. In the second experiment, steroid profiles were examined comprehensively in blood and tissues by liquid chromatography tandem mass spectrometry for the first time in this species. Dietary intake altered progesterone and estradiol serum concentrations but without correlated changes in placental 3beta-hydroxysteroid dehydrogenase, 17alpha-hydroxylase/17,20-lyase cytochrome P450 or aromatase activity. 5alpha-reduced pregnane metabolites were identified in ewes at 145 days of gestation, but concentrations were lower than those of progesterone. Finasteride inhibited 5alpha-reduced progesterone metabolism but did not impact serum progesterone concentrations in these ewes. We conclude that (1) diet-induced changes in serum progesterone and estradiol concentrations are not likely a result of altered placental synthesis of sex steroid but most likely by their metabolism, and (2) metabolism by 5α-reduction is not a major determinant of systemic progesterone concentrations in late gestation ewes.


Assuntos
Placenta/metabolismo , Prenhez/metabolismo , Carneiro Doméstico/fisiologia , Esteroides/biossíntese , Animais , Dieta , Inibidores Enzimáticos/farmacologia , Estradiol/metabolismo , Estradiol/farmacologia , Feminino , Finasterida/farmacologia , Idade Gestacional , Microssomos/metabolismo , Estado Nutricional , Placenta/enzimologia , Gravidez , Progesterona/metabolismo , Progesterona/farmacologia , Progesterona Redutase/metabolismo
17.
Reproduction ; 155(1): 51-59, 2018 01.
Artigo em Inglês | MEDLINE | ID: mdl-29066529

RESUMO

Steroidogenic enzymes in placentas shape steroid hormone profiles in the maternal circulation of each mammalian species. These include 3ß-hydroxysteroid dehydrogenase/Δ5-4 isomerase (3ßHSD) and 17α-hydroxylase/17,20-lyase cytochrome P450 (P450c17) crucial for progesterone and androgen synthesis, respectively, as well as aromatase cytochrome P450 (P450arom) that converts Δ4-androgens to estrogens. 5α-reductase is another important enzyme in equine placentas because 5α-dihydroprogesterone (DHP) sustains pregnancy in the absence of progesterone in the second half of equine pregnancy. DHP and its metabolites decline dramatically days before foaling, but few studies have investigated placental enzyme activity before or at parturition in mares. Thus, key enzyme activities and transcript abundance were investigated in equine placentas at 300 days of gestation (GD300) and post-partum (term). Equine testis was used as a positive control for P450c17 activity. Substrates were incubated with microsomal preparations, together with enzyme inhibitors, and products were measured by liquid chromatography tandem mass spectrometry or radiometric methods (aromatase). Equine placenta expressed high levels of 3ßHSD, 5α-reductase and aromatase, and minimal P450c17 activity at GD300 compared with testis (600-fold higher). At foaling, 3ßHSD and aromatase activities and transcript abundance were unchanged but 5α-reductase (and P450c17) was no longer detectable (P < 0.05) and transcript was decreased. Trilostane inhibited 3ßHSD significantly more in testis than placenta, suggesting possible existence of different 3ßHSD isoforms. Equine placentas have significant capacity for steroid metabolism by 5α-reductase, 3ßHSD and aromatase but little for androgen synthesis lacking P450c17. Declining pre-partum 5α-reduced pregnane concentrations coincide with selective loss of placental 5α-reductase activity and expression at parturition in horses.


Assuntos
17-Hidroxiesteroide Desidrogenases/metabolismo , Androgênios/biossíntese , Placenta/enzimologia , Progesterona/biossíntese , Esteroide 17-alfa-Hidroxilase/metabolismo , Testículo/metabolismo , Animais , Feminino , Cavalos , Masculino , Período Pós-Parto , Gravidez
18.
Reproduction ; 155(3): 251-258, 2018 03.
Artigo em Inglês | MEDLINE | ID: mdl-29339451

RESUMO

In the latter half of gestation in the mare, progesterone concentrations decline to near undetectable levels while other 5α-reduced pregnanes are elevated. Of these, 5α-dihydroprogesterone and allopregnanolone have been reported to have important roles in either pregnancy maintenance or fetal quiescence. During this time, the placenta is necessary for pregnane metabolism, with the enzyme 5α-reductase being required for the conversion of progesterone to 5α-dihydroprogesterone. The objectives of this study were to assess the effects of a 5α-reductase inhibitor, dutasteride on pregnane metabolism (pregnenolone, progesterone, 5α-dihydroprogesterone, 20α-hydroxy-5α-pregnan-3-one, 5α-pregnane-3ß,20α-diol and allopregnanolone), to determine circulating dutasteride concentrations and to assess effects of dutasteride treatment on gestational parameters. Pregnant mares (n = 5) received dutasteride (0.01 mg/kg/day, IM) and control mares (n = 4) received vehicle alone from 300 to 320 days of gestation or until parturition. Concentrations of dutasteride, pregnenolone, progesterone, 5α-dihydroprogesterone, 20α-hydroxy-5α-pregnan-3-one, 5α-pregnane-3ß,20α-diol, and allopregnanolone were evaluated via liquid chromatography-tandem mass spectrometry. Samples were analyzed as both days post treatment and as days prepartum. No significant treatment effects were detected in pregnenolone, 5α-dihydroprogesterone, 20α-hydroxy-5α-pregnan-3-one, 5α-pregnane-3ß,20α-diol or allopregnanolone for either analysis; however, progesterone concentrations were increased (P < 0.05) sixfold in dutasteride-treated mares compared to control mares. Dutasteride concentrations increased in the treated mares, with a significant correlation (P < 0.05) between dutasteride concentrations and pregnenolone or progesterone concentrations. Gestational length and neonatal outcomes were not significantly altered in dutasteride-treated mares. Although 5α-reduced metabolites were unchanged, these data suggest an accumulation of precursor progesterone with inhibition of 5α-reductase, indicating the ability of dutasteride to alter progesterone metabolism.


Assuntos
Colestenona 5 alfa-Redutase/química , Dutasterida/farmacologia , Feto/metabolismo , Placenta/metabolismo , Pregnanos/metabolismo , Inibidores de 5-alfa Redutase/farmacologia , Animais , Colestenona 5 alfa-Redutase/sangue , Feminino , Feto/efeitos dos fármacos , Idade Gestacional , Cavalos , Parto , Placenta/efeitos dos fármacos , Gravidez
19.
Org Biomol Chem ; 16(5): 698-702, 2018 01 31.
Artigo em Inglês | MEDLINE | ID: mdl-29319101

RESUMO

Selective androgen receptor modulators (SARMs) are a class of androgen receptor drugs, which have a high potential to be performance enhancers in human and animal sports. Arylpropionamides are one of the major SARM classes and get rapidly metabolized significantly complicating simple detection of misconduct in blood or urine sample analysis. Specific drug-derived metabolites are required as references due to a short half-life of the parent compound but are generally lacking. The difficulty in metabolism studies is the determination of the correct regio and stereoselectivity during metabolic conversion processes. In this study, we have elucidated and verified the chemical structure of two major equine arylpropionamide-based SARM metabolites using a combination of chemical synthesis and liquid chromatography-mass spectrometry (LC-MS) analysis. These synthesized SARM-derived metabolites can readily be utilized as reference standards for routine mass spectrometry-based doping control analysis of at least three commonly used performance-enhancing drugs to unambigously identify misconduct.


Assuntos
Acetamidas/metabolismo , Amidas/metabolismo , Aminofenóis/metabolismo , Anabolizantes/metabolismo , Anilidas/metabolismo , Receptores Androgênicos/metabolismo , Acetamidas/química , Acetamidas/urina , Amidas/química , Amidas/urina , Aminofenóis/química , Aminofenóis/urina , Anabolizantes/química , Anabolizantes/urina , Anilidas/química , Anilidas/urina , Animais , Cromatografia Líquida de Alta Pressão/métodos , Dopagem Esportivo , Cavalos , Humanos , Espectrometria de Massas/métodos , Detecção do Abuso de Substâncias/métodos
20.
Fam Process ; 57(4): 915-926, 2018 12.
Artigo em Inglês | MEDLINE | ID: mdl-29577268

RESUMO

This study examined the within-family and between-family associations between fathers' military-related PTSD symptoms and parent ratings of children's behavioral and emotional problems. The sample included married couples (N = 419) with children composed of a civilian wife and an active-duty husband serving in the U.S. Army. Results indicate that changes in fathers' PTSD symptoms over time were associated with corresponding changes in both mothers' and fathers' reports of child behavioral and emotional problems. These within-family findings were independent from between-family effects, which showed that higher average PTSD symptomatology was associated with more overall behavioral and emotional problems for children. This study uses advances in statistical methodologies to increase knowledge about how PTSD symptoms and child problems are related, both across different families and over time within families.


Assuntos
Pai/psicologia , Família Militar/psicologia , Doenças Profissionais/psicologia , Relações Pais-Filho , Transtornos de Estresse Pós-Traumáticos/psicologia , Adulto , Pré-Escolar , Feminino , Humanos , Masculino , Cônjuges/psicologia , Estados Unidos
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