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Ned Tijdschr Geneeskd ; 143(43): 2141-6, Oct. 23, 1999.
Artigo em Inglês | MedCarib | ID: med-761


OBJECTIVE: To examine whether ethnic origin is related to care giving styles relevant to sudden infant death. DESIGN: Prospective/Retrospective, descriptive METHOD: In six child health care centres in Amsterdam, the Netherlands, data about sleep position, bedclothes and passive smoking of infants aged 1-5 months were collected by face-to-face interviews of mothers visiting these centres between February 1997 and October 1998. RESULTS: Eligible for study were 1815 infants, 919 boys and 896 girls, mean age 2 months. In Amsterdam 12.5 percent of infants were usually or sometimes put to sleep in a prone position, 31.0 percent usually or now and then in a side position (but not in a prone position) and 56.5 percent usually in a supine position. Prone sleeping position was more frequent among Surinamese infants and less frequent among Moroccan infants compared with Dutch infants. Overall use of a duvet among infants was 22.7 percent. Use of duvets was higher among allochtonous infants; after controlling for demographic factors this difference was not significant, however. 6.3 percent of the infants had slept in the previous night with a pillow. Use of a pillow was much more frequent among allochtonous than among autochtonous infants: 13 percent versus 1.2 percent. Maternal daily smoking during pregnancy and smoking by mothers or others at home at time of interview was found in 15.1 percent and 25.8 percent of the infants respectively. Almost no Moroccan mothers smoked during preganancy (0.4 percent), while Turkish mothers smoked as much as Dutch mothers (18.5 percent and 21.6 percent respectively). No differences in daily smoking at home were found between Surinamese, Moroccan and Dutch families (circa 26 percent). However, daily smoking at home was much more frequent in Turkish families (43.8 percent). CONCLUSION: Health education about a safe sleeping position, about safe bedclothes and about the dangers of passive smoking is needed. Education programmes to prevent sudden infant death must take into account ethnic differences in care giving styles. Special attention must be paid to the use of a pillow among allochtonous infants. (AU)

Adulto , Lactente , Feminino , Humanos , Masculino , Cuidado do Lactente/métodos , Promoção da Saúde , Morte Súbita do Lactente/etnologia , Morte Súbita do Lactente/prevenção & controle , Comparação Transcultural , Grupos Étnicos/educação , Marrocos/etnologia , Países Baixos , Gravidez , Decúbito Ventral , Estudos Prospectivos , Sono , Suriname/etnologia , Poluição por Fumaça de Tabaco , Turquia/etnologia , Estudos Retrospectivos
Trop Geogr Med ; 40(1): 7-12, Jan. 1988.
Artigo em Inglês | MedCarib | ID: med-10061


Out of about 200 patients with sickle cell disease (SCD) in the Netherlands, 6 percent are non-negroid patients from Turkey. 83 were assessed clinico-haematologically regarding the type of SCD, ethnic origin, concurrent O-thalassaemia (O-thal), and type of sickle cell gene (á-chromosome). 54 patients had homozygous sickle cell (SS),1 sickle cell haemoglobin D (SD) Punjab, 5 sickle cell á§-thalassaemia (Sá§-thal), 5 sickle cell á+-thalassaemia (Sá+-thal) and 18 sickle cell haemoglobin C (SC) disease. 14 percent of the 83 patients were from Turkey, the others were of West Indian and African origin, most (73 percent) of whom were from Surinam. The Netherlands may be the only country in the world where non-negroid SCD patients are present in such a proportion to negroid SCD patients. O-thal was detected in 16 patients and in 14 of their relative with sickle cell trait. Four main types of ás-chromosomes were identified: Benin, Central African Republic, Senegal and Saudi Arabia types. SS and Sá§-thal disease ran a more severe course than Sá+ +-thal and SC disease. No clinical difference was ascribable to ethnic origin, O-thal or HbF-level but in each ethnic group there were some patients with a remarkably mild course of SS disease, which was related to the type of ás-chromosome. These were the Senegal and Saudi Arabia ás-chromosomes. Proper differentiation between genotypes is of prognostic and therapeutic relevance,especially in SC disease as it is sometimes discovered too late. A proper screening program is encouraged not only for all negroid inhabitants or immigrants, but also for non-negroid immigrants especially from Turkey.(AU)

Humanos , Lactente , Pré-Escolar , Criança , Adolescente , Adulto , Pessoa de Meia-Idade , Idoso , Anemia Falciforme/epidemiologia , África/etnologia , Anemia Falciforme/complicações , Anemia Falciforme/etnologia , Grupos Étnicos , Globinas/genética , Doença da Hemoglobina C/complicações , Doença da Hemoglobina C/epidemiologia , Países Baixos , Talassemia/complicações , Talassemia/epidemiologia , Turquia/etnologia , Índias Ocidentais/etnologia