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1.
Infant Ment Health J ; 37(4): 335-55, 2016 07.
Artigo em Inglês | MEDLINE | ID: mdl-27351372

RESUMO

The study examined whether the Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood, Revised Edition (DC: 0-3R; ZERO TO THREE, 2005) Parent-Infant Relationship Global Assessment Scale (PIR-GAS) is applicable to six European countries and contributes to the identification of caregiver-infant/toddler dyads with abusive relationship patterns. The sample consisted of 115 dyads with children's ages ranging from 1 to 47 months. Sixty-four dyads were recruited from community settings without known violence problems, and 51 dyads were recruited from clinical settings and already had been identified with violence problems or as being at risk for violence problems. To classify the dyads on the PIR-GAS categories, caregiver-child interactions were video-recorded and coded with observational scales appropriate for child age. To test whether the PIR-GAS allows for reliable identification of dyads with abusive relationship patterns, PIR-GAS ratings were compared with scores on the the International Society for the Prevention of Child Abuse and Neglect's (ISPCAN) Child Abuse Screening Tool-Parental Version (ICAST-P; D.K. Runyan et al., ), a questionnaire measuring abusive parental disciplinary practices. It was found that PIR-GAS ratings differentiated between the general and the clinical sample, and the dyads with abusive patterns of relationship were identified by both the PIR-GAS and the ICAST-P. Interrater reliability for the PIR-GAS ranged from moderate to excellent. The value of a broader use of tools such as the DC: 0-3R to promote early identification of families at risk for infant and toddler abuse and neglect is discussed.


Assuntos
Cuidadores , Maus-Tratos Infantis/diagnóstico , Relações Pais-Filho , Adolescente , Adulto , Maus-Tratos Infantis/classificação , Pré-Escolar , Europa (Continente) , Feminino , Humanos , Renda , Lactente , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Reprodutibilidade dos Testes , Inquéritos e Questionários , Adulto Jovem
2.
Nutr Hosp ; 32(2): 634-7, 2015 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-26268092

RESUMO

OBJECTIVE: to demonstrate that type 1 diabetes mellitus (T1DM) in school children and adolescents is associated with the early introduction of pasteurized/raw cow's milk in the second semester of life. MATERIAL AND METHODS: this non-probabilistic study included 150 subjects (75 patients and 75 controls), divided according to sex and age (range, 6 to 16 years). T1DM was considered to be a dependent variable, and pasteurized/ raw cow's milk (P/RCM) was considered to be an independent variable in the study. The statistical analyses included chi-squared test, odds ratio and 95% confidence intervals. RESULTS: the subjects were 51% male, age 11 ± 3.2 years, and 80% were breastfed, 18% were exclusively breastfed, and 13% received pasteurized/raw cow's milk. The children receiving P/RCM had a higher risk of T1DM [OR, 3.9 (1.2-12.8)]. The presence of T1DM was three times higher in those consuming P/RCM vs. those receiving follow-up formula [RM, 3.2 (1.03-10.07)]. CONCLUSIONS: introducing pasteurized/raw cow's milk in the second semester of life increased by four times the likelihood of developing T1DM in children and adolescents.


Assuntos
Diabetes Mellitus Tipo 1/epidemiologia , Diabetes Mellitus Tipo 1/etiologia , Leite , Adolescente , Animais , Peso ao Nascer , Glicemia , Estudos de Casos e Controles , Bovinos , Criança , Feminino , Humanos , Lactente , Alimentos Infantis , Recém-Nascido , Masculino , Fatores de Risco
3.
Nutr. hosp ; 32(2): 634-637, ago. 2015. tab
Artigo em Inglês | IBECS | ID: ibc-139995

RESUMO

Objective: to demonstrate that type 1 diabetes mellitus (T1DM) in school children and adolescents is associated with the early introduction of pasteurized/raw cow’s milk in the second semester of life. Material and methods: this non-probabilistic study included 150 subjects (75 patients and 75 controls), divided according to sex and age (range, 6 to 16 years). T1DM was considered to be a dependent variable, and pasteurized/raw cow’s milk (P/RCM) was considered to be an independent variable in the study. The statistical analyses included chi-squared test, odds ratio and 95% confidence intervals. Results: the subjects were 51% male, age 11±3.2 years, and 80% were breastfed, 18% were exclusively breastfed, and 13% received pasteurized/raw cow’s milk. The children receiving P/RCM had a higher risk of T1DM [OR, 3.9 (1.2-12.8)]. The presence of T1DM was three times higher in those consuming P/RCM vs. those receiving follow-up formula [RM, 3.2 (1.03-10.07)]. Conclusions: introducing pasteurized/raw cow’s milk in the second semester of life increased by four times the likelihood of developing T1DM in children and adolescents (AU)


Objetivo: demostrar que la diabetes mellitus tipo 1 (DMT1) en escolares y adolescentes se asocia a una temprana introducción de leche entera pasteurizada/no pasteurizada en el segundo semestre de vida. Material y métodos: en este estudio no probabilístico de casos y controles se incluyeron 150 participantes (75 pacientes y 75 controles), divididos de acuerdo a la edad y el sexo de 6 a 16 años de edad. Se consideró DMT1 como una variable independiente. El análisis estadístico incluyó la prueba de Ji cuadrada y razón de momios con su intervalo de confianza del 95% Resultados: los participantes fueron 51% varones, con edades de 11±3.2 años y el 80% alimentados al pecho materno, 18% en forma exclusiva, y el 13% recibieron leche entera pasteurizada/no pasteurizada. Los niños que recibieron leche entera pasteurizada/no pasteurizada tuvieron un riesgo mayor de DMT1 [OR, 3,9 (1,2-12,8)]. La presencia de DMT1 fue tres veces más elevada en quienes consumieron leche entera pasteurizada/no pasteurizada que en aquellos que recibieron fórmula de seguimiento [RM, 3,2 (1,03-10,07)]. Conclusión: la introducción de leche entera pasteurizada/no pasteurizada en el segundo semestre de vida incrementó cuatro veces la probabilidad de desarrollo de DMT1 en escolares y adolescentes (AU)


Assuntos
Adolescente , Criança , Feminino , Humanos , Masculino , Substitutos do Leite Humano , Diabetes Mellitus Tipo 1/complicações , Diabetes Mellitus Tipo 1/dietoterapia , Fatores de Risco , Alimentos Formulados , Fórmulas Infantis/métodos , Aleitamento Materno/tendências , Leite Humano , Intervalos de Confiança , Análise Estatística , Razão de Chances
4.
Rev. colomb. cancerol ; 17(3): 93-102, jul.-sep. 2013. ilus, tab
Artigo em Espanhol | LILACS | ID: lil-727560

RESUMO

Objetivo: Describir las barreras para la implementación de un programa de tamización para cáncer de cuello uterino basado en la prueba de virus del papiloma humano (VPH) en Colombia. Métodos: Se aplicó el modelo de planeación Precede-Procede en cuatro municipios de Cundinamarca y dos de Boyacá; se realizó análisis de fuentes secundarias y primarias obtenidas de 74 encuestas a instituciones de salud, 18 grupos focales (GF), con líderes comunitarios, gerentes y profesionales de la salud y 12 entrevistas (autoridades locales). Resultados: Se identificaron las siguientes barreras: 1) la infección por VPH se asocia a una enfermedad venérea; 2) barreras epidemiológicas: la ausencia de un adecuado registro de diagnóstico definitivo de lesiones preneoplásicas; 3) barreras del comportamiento del sistema, tales como la no centralización de la lectura de citologías, laboratorios no habilitados que prestan servicios y la no estandarización de la colposcopia ni el tratamiento; 4) barreras educacionales: los profesionales de la salud sobreestiman la sensibilidad de la citología y les preocupa demasiado la infección por VPH en mujeres menores de 30 años, y 5) barreras administrativas de acceso a la colposcopia y a la biopsia de lesiones preneoplásicas. Conclusiones: Colombia presenta barreras que impiden el funcionamiento de un programa organizado de tamización, las cuales hacen difícil lograr los objetivos esperados con el cambio tecnológico de citología a pruebas moleculares.


Objective: To identify the barriers for the implementation of a cervical cancer-screening program based on human papillomavirus (HPV) testing in Colombia. Methods: The Precede-Proceed model was applied in four municipalities of Cundinamarca and two of Boyacá. Secondary and primary data were analyzed from 74 institutional surveys, 18 focus groups (with community leaders and health professionals), and 12 interviews (health authorities). Results: The most relevant barriers were identifi ed as follows: 1) Social barriers: in Duitama, the municipality with a religious tradition, HPV infection is represented as a venereal disease. 2) Epidemiological barrier: the absence of a register for defi nitive diagnosis of pre-neoplasic lesions. 3) Behavioral barriers: Pap smear laboratories are not centralized, some are not accredited and colposcopies are not standardized. 4) Health professionals overestimate Papsmear sensitivity and they are over worried about HPV infection among women younger than 30 years. 5) Administrative barriers: positive screened women need to have an authorization from Health Insurance Enterprises in order to access the diagnosis and treatment of cervical lesions. Conclusions: Colombia presents barriers to the operation of an organized screening program that make it diffi cult to achieve the expected objectives with the technological change from the use of cytology to molecular testing.


Assuntos
Humanos , Feminino , Terapêutica , Neoplasias do Colo do Útero , Infecções por Papillomavirus , Métodos , Programas de Rastreamento , Seguro Saúde
5.
Child Psychiatry Hum Dev ; 44(3): 400-11, 2013 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-23053616

RESUMO

To contribute to the validation of the sensory and behavioral criteria for Regulation Disorders of Sensory Processing (RDSP) (DC:0-3R, 2005), this study examined a sample of toddlers in a clinical setting to analyze: (1) the severity of sensory modulation deficits and the behavioral symptoms of RDSP; (2) the associations between sensory and behavioral symptoms; and (3) the specific role of sensory modulation deficits in an RDSP diagnosis. Based on clinical observations, 78 toddlers were classified into two groups: toddlers with RDSP (N = 18) and those with "other diagnoses in Axis I/II of the DC:0-3R" (OD3R; N = 60). The parents completed the Infant Toddler Sensory Profile and the Achenbach Checklist. The results revealed that the RDSP group had more severe sensory modulation deficits and specific behavioral symptoms; stronger, although not significant, associations between most sensory and behavioral symptoms; and a significant sensory modulation deficit effect. These findings support the validity of RDSP.


Assuntos
Sintomas Comportamentais/diagnóstico , Escalas de Graduação Psiquiátrica/normas , Transtornos das Sensações/diagnóstico , Sintomas Comportamentais/classificação , Sintomas Comportamentais/epidemiologia , Transtornos do Comportamento Infantil/diagnóstico , Transtornos do Comportamento Infantil/epidemiologia , Transtornos Globais do Desenvolvimento Infantil/diagnóstico , Transtornos Globais do Desenvolvimento Infantil/epidemiologia , Pré-Escolar , Comorbidade , Feminino , Humanos , Lactente , Masculino , Transtornos das Sensações/classificação , Transtornos das Sensações/epidemiologia , Sensibilidade e Especificidade
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