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1.
J Clin Ethics ; 33(2): 151-156, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35731820

RESUMO

Infertility specialists may be confronted with the ethical dilemma of whether to disclose misattributed paternity (MP). Physicians should be prepared for instances when an assumed father's evaluation reveals a condition known for lifelong infertility, for example, congenital bilateral absence of vas deferens (CBAVD). When there is doubt regarding a patient's comprehension of his diagnosis, physicians must consider whether further disclosure is warranted. This article describes a case of MP with ethics analysis that concludes that limited nondisclosure is most consistent with a physician's principled duties to inform, to respect patients' autonomy, and to employ nonmaleficence (including the avoidance of psychosocial harms).


Assuntos
Infertilidade , Médicos , Beneficência , Aconselhamento , Aconselhamento Genético , Humanos , Masculino , Paternidade
2.
Rev. Ciênc. Méd. Biol. (Impr.) ; 21(1): 67-72, maio 05,2022.
Artigo em Português | LILACS | ID: biblio-1370695

RESUMO

Introdução: a dieta assume um papel importante na instalação da doença cárie e essa correlação deve ser bem conhecida por pais e responsáveis de crianças na primeira infância, a fim de evitar a cárie precoce da infância. Objetivo: o objetivo do presente estudo foi analisar o conhecimento de pais e responsáveis de crianças de 0 a 71 meses sobre a correlação da existência entre doença cárie e a alimentação. Metodologia: trata-se de um estudo qualitativo que utilizou a técnica do grupo focal para coleta de dados. A pesquisa aconteceu na creche onde as crianças eram matriculadas. 11 participantes compuseram o estudo, sendo 5 responsáveis de crianças com experiência de cárie (CEC) e 6 responsáveis de crianças sem experiência de cárie (SEC). Utilizou-se um questionário semi-estruturado para nortear a interação do grupo. Resultados: os participantes do grupo SEC possuem melhor conhecimento sobre o papel da alimentação na instalação da cárie dentária, melhor controle da dieta de seus filhos e maior instrução quanto a higiene bucal, diferente do grupo CEC, que mesmo tendo um considerável conhecimento sobre o papel da alimentação na doença cárie, relataram menor controle sobre a alimentação e higiene bucal. Conclusões: responsáveis de crianças do grupo CEC demonstraram menos conhecimento sobre o papel da alimentação e higiene bucal no surgimento da doença cárie, diferente dos responsáveis de crianças do grupo SEC. Programas como o Saúde na Escola e o Melhor em Casa são estratégias importantes para a ampliação da prevenção e promoção de saúde bucal ao núcleo familiar.


Introduction: diet plays an important role in the onset of caries disease and this correlation must be well known by parents andcaregivers of children in early childhood in order to avoid early childhood caries. Objective: the aim of the present study was to analyze the knowledge of parents and guardians of children aged 0 to 71 months about the correlation between the existence of caries disease and food. Methodology: this is a qualitative study that used the focus group technique for data collection. The research took place at the nursery where the children were enrolled. 11 participants made up the study, 5 of whom were responsible for children with caries experience (CPB) and 6 of those with children without caries experience (SEC). A semi-structured questionnaire was used to guide the group's interaction. Results: participants in the SEC group have better knowledge about the role of food in the installation of dental caries, better control of their children's diet and greater instruction in oral hygiene, differently from the CEC group, which despite having considerable knowledge about the role of food in caries disease, reported less control over food and oral hygiene. Conclusions: guardians of children in the CEC group demonstrated less knowledge about the role of food and oral hygiene in the onset of caries disease, unlike guardians of children in the SEC group. Programs such as Health at School and the Best at Home are important strategies for expanding prevention and promoting oral health to the family.


Assuntos
Humanos , Masculino , Feminino , Lactente , Pré-Escolar , Criança , Criança , Cárie Dentária , Dieta , Paternidade , Aleitamento Materno , Estudos de Avaliação como Assunto
3.
PLoS One ; 17(4): e0266332, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35363835

RESUMO

OBJECTIVES: To assess the efficacy of Y-chromosome mini-STR-based next-generation sequencing (NGS) for non-invasive prenatal paternity testing (NIPPT). METHODS: DNA was extracted from the plasma of 24 pregnant women, and cell-free fetal DNA (cffDNA) haplotyping was performed at 12 Y-chromosome mini-STR loci using the Illumina NextSeq 500 system. The cffDNA haplotype was validated by the paternal haplotype. Subsequentlly, the paternity testing parameters were attributed to each case quantitatively. RESULTS: The biological relationship between the alleged fathers and infants in all 24 family cases were confirmed by capillary electrophoresis (CE). The Y-chromosome mini-STR haplotypes of all 14 male cffDNA were obtained by NGS without any missing loci. The alleles of cffDNA and paternal genomic DNA were matched in 13 cases, and a mismatched allele was detected at the DYS393 locus in one case and considered as mutation. No allele was detected in the 10 female cffDNA. The combined paternity index (CPI) and probability of paternity calculation was based on 6 loci Y-haplotype distributions of a local population. The probability of paternity was 98.2699-99.8828% for the cases without mutation, and 14.8719% for the case harboring mutation. CONCLUSIONS: Our proof-of-concept study demonstrated that Y-chromosome mini-STR can be used for NGS-based NIPPT with high accuracy in real cases, and is a promising tool for familial searching, paternity exclusion and sex selection in forensic and medical applications.


Assuntos
Ácidos Nucleicos Livres , Paternidade , Cromossomos Humanos Y/genética , DNA , Feminino , Haplótipos/genética , Sequenciamento de Nucleotídeos em Larga Escala , Humanos , Lactente , Masculino , Repetições de Microssatélites , Gravidez
4.
Rev. latinoam. cienc. soc. niñez juv ; 20(1): 145-163, ene.-abr. 2022. tab
Artigo em Espanhol | LILACS | ID: biblio-1365869

RESUMO

Resumen (analítico) La paternidad en la adolescencia tradicionalmente ha sido estigmatizada, llevando a la generación de barreras y desconocimiento de vivencias, motivaciones y significados. Por ello se planteó como objetivo comprender la construcción y significados de la paternidad presente y activa de hombres adolescentes que residen en Guadalajara, Jalisco, México. Se realizó un estudio cualitativo socioconstruccionista en el que participaron hombres de 16 a 19 años que eran padres o que su pareja estaba en embarazo. Se realizaron entrevistas semiestructuradas y observación de redes sociales; se realizó un análisis de contenido. Los resultados dan cuenta de la intersección entre masculinidades y paternidades, demostrando que en las motivaciones para su paternidad se destacan la búsqueda de reconocimiento social, la conformación de una familia y la búsqueda de suplir necesidades emocionales a través de la pareja y del hijo/hija.


Abstract (analytical) Adolescent paternity has traditionally been stigmatized, which has generated barriers and ignorance of the experiences, motivations and meanings of young fathers. This is why this study has the objective of understanding the construction and meanings of the present and active paternity of adolescent men living in Guadalajara, Mexico. A qualitative socio-constructionist study was carried out with young men aged 16 to 19 who were parents or their partner was pregnant. Semi-structured interviews and observation of their social networks were carried out followed by content analysis. The results of the study highlight the intersections between masculinities and paternities. Notable motivations for their paternity include their desire for social recognition, their interest in forming a family and meeting their emotional needs through their partner and son/daughter.


Resumo (analítico) A paternidade na adolescência tem sido tradicionalmente estigmatizada, levando à geração de barreiras e ignorância de experiências, motivações e significados, razão pela qual o objetivo era compreender a construção e os significados da paternidade atual e ativa dos adolescentes homens residentes em Guadalajara, Jalisco, México. Foi realizado um estudo sócio-construcionista qualitativo, envolvendo homens de 16 a 19 anos que eram pais ou que o casal estava grávido. Foram realizadas entrevistas semiestruturadas e observação das redes sociais, análise de conteúdo. Os resultados mostram a interseção entre masculinidades e paternidades, demonstrando nas motivações de sua paternidade a busca pelo reconhecimento social, a formação de uma família e a busca de suprir necessidades emocionais por meio do casal e do filho / filha.


Assuntos
Paternidade , Família , Masculinidade , Homens , Motivação
5.
Rev. latinoam. cienc. soc. niñez juv ; 20(1): 372-401, ene.-abr. 2022. tab, graf
Artigo em Inglês | LILACS | ID: biblio-1365879

RESUMO

Resumen (analítico) The objective of this paper was to analyze the construction of father-hood in adolescents who are in conflict with the law through an exploratory and qualitative study. Life stories were developed using the in-depth interview technique. The sample consisted of four adolescents in conflict with the law. Through interpretative content analysis, we obtained seven categories, including: emotional context of family origin, family functioning, witnessing family violence and the expression of masculinity by transgressing the law and using drugs. Paternity allows these young fathers to reflect on their own experiences during childhood and develop a paternal role during their transition process out of detention. The main role they assume in their paternity is that of provider, but they also make space to satisfy the affective needs of their children.


Abstract (analytical) El objetivo fue analizar la construcción de la paternidad en adolescentes en conflicto con la ley. Se llevó a cabo un estudio exploratorio y cualitativo, se construyeron historias de vida a través de la técnica de entrevista a profundidad. La muestra se conformó por cuatro adolescentes en conflicto con la ley. Se hizo un análisis de contenido interpretativo y se obtuvieron siete categorías: contexto emocional de la familia de origen, el funcionamiento familiar, ser testigo de violencia familiar y la expresión de masculinidad al transgredir la ley y usar drogas. La paternidad permite reflexionar acerca de sus experiencias en la infancia, desarrollar un rol paternal en transición, en el que asumen como principal función el proveer, pero dando espacio a satisfacer las necesidades afectivas de sus hijos.


Resumo (analítico) O objetivo foi analisar a construção da paternidade em adolescentes em conflito com a lei. Realizou-se um estudo exploratório e qualitativo, as histórias de vida foram construídas por meio da técnica de entrevista em profundidade. A mostra foi composta por quatro adolescentes em conflito com a lei. Por meio da análise de conteúdo interpretativa, obtivemos sete categorias: contexto emocional de origem familiar, funcionamento familiar, testemunho de violência familiar, expressão da masculinidade pela transgressão da lei e uso de drogas. A paternidade permite que reflitam sobre suas vivências na infância, desenvolvam um papel paternal em transição, em que assumem a função principal de prover, mas dando espaço para a satisfação das necessidades afetivas de seus filhos.


Assuntos
Paternidade , Família , Adolescente , Violência Doméstica , Masculinidade
6.
J Fish Biol ; 100(5): 1315-1318, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35292972

RESUMO

Multiple paternity (MP) is a phenomenon observed for more than 30 elasmobranch species. The Batoidea is more specious than the Selachii, but only three studies of MP have been conducted on batoids. The occurrence of MP in freshwater stingrays was tested using microsatellite markers, which were developed for Potamotrygon leopoldi. Six mothers and their litters were genotyped, providing the first evidence of MP for Potamotrygonidae, with an MP frequency of 33%.


Assuntos
Elasmobrânquios , Rajidae , Animais , Elasmobrânquios/genética , Água Doce , Paternidade , Rios , Rajidae/genética
7.
Evolution ; 76(5): 915-930, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35325482

RESUMO

In socially monogamous species, extra-pair paternity (EPP) is predicted to increase variance in male reproductive success (RS) beyond that resulting from genetic monogamy, thus, increasing the "opportunity for selection" (maximum strength of selection that can act on traits). This prediction is challenging to investigate in wild populations because lifetime reproduction data are often incomplete. Moreover, age-specific variances in reproduction have been rarely quantified. We analyzed 21 years of near-complete social and genetic reproduction data from an insular population of Seychelles warblers (Acrocephalus sechellensis). We quantified EPP's contribution to lifetime and age-specific opportunities for selection in males. We compared the variance in male genetic RS vs social ("apparent") RS (RSap ) to assess if EPP increased the opportunity for selection over that resulting from genetic monogamy. Despite not causing a statistically significant excess (19%) of the former over the latter, EPP contributed substantially (27%) to the variance in lifetime RS, similarly to within-pair paternity (WPP, 39%) and to the positive WPP-EPP covariance (34%). Partitioning the opportunity for selection into age-specific (co)variance components, showed that EPP also provided a substantial contribution at most ages, varying with age. Therefore, despite possibly not playing the main role in shaping sexual selection in Seychelles warblers, EPP provided a substantial contribution to the lifetime and age-specific opportunity for selection, which can influence evolutionary processes in age-structured populations.


Assuntos
Passeriformes , Paternidade , Fatores Etários , Animais , Masculino , Passeriformes/genética , Reprodução/genética , Comportamento Sexual Animal
8.
Electrophoresis ; 43(11): 1193-1202, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35286726

RESUMO

Insertion/deletion markers (InDels) become an important marker for forensic medicine because of their compatible typing techniques with STRs and lower mutation rates. Recent years, a new kind of DNA marker named Multi-InDel was reported as characterized by two or more tightly linked InDel loci within a short length of physical position, usually 200-300 nucleotides. Many pieces of research showed that Multi-InDels had excellent application values in ancestry inference and forensic medicine. Since the identical number of insertion/deletion nucleotides of the InDel markers that composing the Multi-InDel marker, the genotypes of most reported Multi-InDels could not be directly typed by capillary electrophoresis (CE) due to the lack of length discrepancy among the composing InDel sequence. In this study, we applied a typing system of 20 Multi-InDels including 41 InDels, whose genotypes could be deduced by CE and assessed their potential applications in forensic medicine. A total of 200 unrelated Chinese Han individuals and five mother-child-father trios with proven paternity with one STR locus transmission incompatibilities from Shanxi province were genotyped by the multiplex system. The results showed that a total of 70 specific alleles were observed, more than three alleles were observed in 19 loci and seven alleles were observed in one locus. The combined probability of exclusion and the combined power of discrimination were 0.992 and 0.99999999993, respectively. This study demonstrates their potential usefulness for individual identification and paternity tests. The development of Multi-InDels provided another genetic tool inherent in higher polymorphic and lower mutation rates.


Assuntos
Genética Forense , Marcadores Genéticos , Mutação INDEL , Paternidade , Alelos , China , Genética Forense/métodos , Frequência do Gene , Genética Populacional , Humanos , Masculino , Nucleotídeos
9.
J Fish Biol ; 100(6): 1399-1406, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35349175

RESUMO

Multiple paternity (MP) in the brown smooth-hound shark (Mustelus henlei) was assessed in 15 litters (15 mothers and 97 embryos) collected in the northern Gulf of California of which 86.7% were sired by more than one male (i.e., from 2 to 4 sires). When taken together with results from previous studies, this record indicates that there is regional variation in MP in M. henlei in the northeastern Pacific. This pattern is associated with variations in the reproductive traits of each population (e.g., female size and litter size). In the Gulf of California, the results of a generalized linear model (GLZ) indicated that the litters of larger females had a higher probability of MP compared to those of smaller females.


Assuntos
Paternidade , Tubarões , Animais , Feminino , Masculino , Repetições de Microssatélites , Reprodução , Comportamento Sexual Animal , Tubarões/genética
10.
Cir Pediatr ; 35(1): 25-30, 2022 Jan 01.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-35037437

RESUMO

OBJECTIVE: To determine the impact of orchiopexy on testicular volume. To determine whether age at surgery impacts testicular volume. To determine whether paternity is associated with testicular volume. METHODS: Patients born between 1961 and 1985 who had undergone cryptorchidism surgery at the Pediatric Surgery Department of Miguel Servet University Hospital were included. Testis location and macroscopic appearance data were collected. Control testicular ultrasonographies and paternity surveys were carried out. Initially, the study was descriptive, and subsequently, inferential. RESULTS: Ultrasonography was performed in 216 testicular units a mean of 14.9 years following surgery, whereas the paternity survey was conducted among 157 respondents a mean of 41.9 years following surgery. There were significant differences (p = 0.0038) in testicular volume distribution according to epididymal dissociation. There was a linear correlation between older age at surgery and lower testicular volume, but without statistical significance. Significant differences (p < 0.0001) in testicular volume according to groups - operated and non-operated -, as well as between unilateral and bilateral cases, were found. No differences in paternity rates according to testicular volume were noted. CONCLUSION: Operated testes have lower volumes than normally descended testes. Older age at surgery may contribute to lower final volumes. Testes with full epididymal-testicular dissociation have lower total volumes. No relation between testicular volume and paternity rates was found. Further long-term studies are required.


OBJETIVOS: Determinar el efecto de la orquidopexia sobre el volumen testicular. Determinar si la edad de intervención afecta el volumen testicular. Determinar si la paternidad se asocia al volumen testicular. METODOS: Pacientes nacidos entre los años 1961 y 1985, intervenidos de criptorquidia por el Servicio de Cirugía Pediátrica del Hospital Universitario Miguel Servet, tomando datos de la localización del teste y aspecto macroscópico. Se realizan ecografías testiculares de control y encuestas de paternidad. Realizamos un estudio inicial descriptivo y posteriormente inferencial. RESULTADOS: La ecografía se realizó con una media de 14,9 años postoperatorios en 216 unidades testiculares y la encuesta de paternidad con una media 41,9 años postoperatorios a 157 participantes. Existen diferencias significativas (p = 0,0038) en la distribución del volumen testicular según disyunción del epidídimo. Hay correlación lineal entre mayor edad de tratamiento quirúrgico y menor volumen testicular sin llegar a significancia estadística. Se observan diferencias significativas (p < 0,0001) en el volumen testicular según grupos de operados y no operados, como también entre los unilaterales y los bilaterales. No se observan diferencias en índices de paternidad según volumen testicular. CONCLUSION: El teste intervenido presenta un volumen testicular menor que el teste de descenso normal. Una mayor edad de tratamiento quirúrgico puede contribuir a un menor volumen final del teste. Los testículos con disyunción epidídimo testicular completa, tienen menor volumen total. No observamos relación entre el volumen testicular y índices de paternidad. Más estudios a largo plazo son necesarios.


Assuntos
Criptorquidismo , Adulto , Idoso , Criança , Criptorquidismo/diagnóstico por imagem , Criptorquidismo/epidemiologia , Criptorquidismo/cirurgia , Humanos , Lactente , Masculino , Orquidopexia , Paternidade , Testículo/diagnóstico por imagem , Ultrassonografia
11.
Leg Med (Tokyo) ; 54: 101983, 2022 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-34736143

RESUMO

In the current scenario, DNA typing is the need of forensic science field due to its ability to provide results in much shorter time. In view of advancement of forensic DNA typing and incensement in the number of STRs markers, Promega offered a new VersaPlex™ 27PY system with 27 loci (23 autosomal STR loci, Amelogenin, DYS391 and two rapidly mutating Y-STR loci (DYS570 and DYS576)). In this study, the efficacy of "23 autosomal STR loci" for paternity testing and personal identification was demonstrated in Indian population. For this, 217 central Indians were tested and all the statistical parameters of forensic and population genetic interest were calculated. In addition, sensitivity of the kit was also tested for forensic casework. During investigation with VersaPlex™ 27PY system, allele 11 at locus TPOX was observed to be most frequent with the highest allelic frequency 0.432. Studied 23 loci showed valuable together with highest value of combined power of discrimination (CPD = 1), combined power of exclusion (CPI = 0.9999999989) and lowest value of combined matching probability (CPM = 7.92x10-28).


Assuntos
Impressões Digitais de DNA , Repetições de Microssatélites , Frequência do Gene , Genética Populacional , Humanos , Repetições de Microssatélites/genética , Paternidade
12.
J Forensic Sci ; 67(1): 328-331, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34596233

RESUMO

Pregnancies, including ones that follow sexual assaults, occasionally produce hydatidiform moles. The alleged fathers (AFs) of moles have been tested for paternity by identifying the mole's locus phenotype-the one or two visible paternal obligate alleles (POAs) per locus. The probability that the mole inherited the POAs from the AF was divided by the probability that the mole inherited the POAs from a random man. This likelihood ratio (LR) would increase if the mole's specific genotype was known. Moles are generated in five different ways that produce five distinct genotypes. Examining a mole's multilocus STR profile reveals a mole's pathogenesis, determines locus genotypes, and increases paternity LRs.


Assuntos
Mola Hidatiforme , Toupeiras , Neoplasias Uterinas , Alelos , Animais , Feminino , Genótipo , Humanos , Mola Hidatiforme/genética , Masculino , Toupeiras/genética , Paternidade , Gravidez , Neoplasias Uterinas/genética
14.
J Anim Breed Genet ; 139(1): 113-124, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34499371

RESUMO

Genome-wide single nucleotide polymorphism (SNP) markers in Japanese Black cattle enable genomic prediction and verifying parent-offspring relationships. We assessed the performance of opposing homozygotes (OH) for paternity testing in Japanese Black cattle, using SNP genotype information of 50 sires and 3,420 fattened animals, 1,945 of which were fathered by the 50 genotyped sires. The number of OH was counted for each sire-progeny pair in 28,764 SNPs with minor allele frequencies of ≥0.05 in this population. Across all pairs of animals, the number of OH tended to increase as the pedigree-based coefficient of relationship decreased. With a threshold of 288 (1% of SNPs) for paternity testing, most sire-progeny pairs were detected as true relationships. The frequency of Mendelian inconsistencies was 2.4%, reflecting the high accuracy of pedigree information in Japanese Black cattle population. The results indicate the utility of OH for paternity testing in Japanese Black cattle.


Assuntos
Paternidade , Polimorfismo de Nucleotídeo Único , Animais , Bovinos/genética , Frequência do Gene , Genótipo , Homozigoto , Linhagem
15.
J Intern Med ; 291(1): 95-100, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-34288189

RESUMO

BACKGROUND: The occurrence of misattributed paternity has consequences throughout society with implications ranging from inheritance and royal succession to transplantation. However, its frequency in Sweden is unknown. OBJECTIVE: To estimate the contemporary frequency of misattributed paternity in Sweden. METHODS: The study was based on nationwide ABO blood group data and a nationwide register of familial relationships in Sweden. These data were analysed using both a frequentist Poisson model and the Bayesian Gibbs model. The conduct of the study was approved by the regional ethics committee in Stockholm, Sweden (reference numbers 2018/167-31 and 2019-04656). RESULTS: Nearly two million mother-father-offspring family units were included. Overall, the frequency of misattributed paternity was estimated at 1.7% in both models. Misattributed paternity was more common among parents with low educational levels, and has decreased over time to a current 1%. CONCLUSIONS: The misattributed paternity rate is similar to the rates in other West European populations. Apart from widespread societal implications, studies on heritability may consider misattributed paternity as a minor source of error.


Assuntos
Paternidade , Revelação da Verdade , Teorema de Bayes , Estudos de Coortes , Humanos , Masculino , Suécia/epidemiologia
16.
J Natl Cancer Inst ; 114(1): 149-155, 2022 01 11.
Artigo em Inglês | MEDLINE | ID: mdl-34180995

RESUMO

BACKGROUND: Testicular germ cell cancer (TC) incidence peaks during reproductive age, but knowledge on fertility after treatment is insufficient. The aim was to evaluate paternity after today's TC treatment. METHODS: Clinical data were extracted from the Danish Testicular Cancer database, and patients were divided into 4 groups: 1) surveillance; 2) bleomycin, etoposide, and cisplatin (BEP); 3) BEP + postchemotherapy retroperitoneal surgery (BEP + surgery); and 4) abdominal radiotherapy. For each patient, 10 men matched on date of birth were randomly sampled from the normal population. Paternity was defined as date of birth of first child after TC treatment with or without the use of assisted reproductive technology and was assessed by linkage to the Danish Medical Birth Register and the Danish in vitro fertilization register. RESULTS: We included 4846 unilateral TC patients and 48 456 men from the normal population. The 20-year predicted chance of obtaining fatherhood for a 30-year-old man was 39.7% in TC patients compared with 42.5% in the normal population. The chance of obtaining fatherhood was statistically significantly decreased after BEP (hazard ratio [HR] = 0.87, 95% confidence interval [CI] = 0.78 to 0.97) and BEP + surgery (HR = 0.74, 95% CI = 0.63 to 0.87), but not after radiotherapy (HR = 0.89, 95% CI = 0.75 to 1.06) or surveillance (HR = 0.95, 95% CI = 0.89 to 1.02). The risk of needing assisted reproductive technology to obtain fatherhood was increased after all treatment modalities. CONCLUSIONS: The chance of obtaining fatherhood after TC treatment was substantially higher than previously reported. Patients followed on a surveillance program had a similar chance of obtaining fatherhood as noncancerous men.


Assuntos
Neoplasias Embrionárias de Células Germinativas , Neoplasias Testiculares , Adulto , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Bleomicina , Criança , Cisplatino , Estudos de Coortes , Dinamarca/epidemiologia , Etoposídeo , Humanos , Masculino , Neoplasias Embrionárias de Células Germinativas/epidemiologia , Neoplasias Embrionárias de Células Germinativas/cirurgia , Paternidade , Neoplasias Testiculares/epidemiologia , Neoplasias Testiculares/radioterapia , Neoplasias Testiculares/cirurgia
17.
Cir. pediátr ; 35(1): 1-6, Enero, 2022. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-203585

RESUMO

Objetivos: Determinar el efecto de la orquidopexia sobre el volu-men testicular. Determinar si la edad de intervención afecta el volumentesticular. Determinar si la paternidad se asocia al volumen testicular.Métodos: Pacientes nacidos entre los años 1961 y 1985, interveni-dos de criptorquidia por el Servicio de Cirugía Pediátrica del HospitalUniversitario Miguel Servet, tomando datos de la localización del testey aspecto macroscópico. Se realizan ecografías testiculares de controly encuestas de paternidad. Realizamos un estudio inicial descriptivo yposteriormente inferencial.Resultados: La ecografía se realizó con una media de 14,9 añospostoperatorios en 216 unidades testiculares y la encuesta de paternidadcon una media de 41,9 años postoperatorios a 157 participantes. Existendiferencias significativas (p = 0,0038) en la distribución del volumentesticular según disyunción del epidídimo. Hay correlación lineal entremayor edad de tratamiento quirúrgico y menor volumen testicular, sinllegar a significancia estadística. Se observan diferencias significativas(p = <0,0001) en el volumen testicular según grupos de operados y nooperados, como también entre los unilaterales y los bilaterales. No seobservan diferencias en índices de paternidad según volumen testicular.Conclusión: El teste intervenido presenta un volumen testicularmenor que el teste de descenso normal. Una mayor edad de tratamientoquirúrgico puede contribuir a un menor volumen final del teste. Lostestículos con disyunción epidídimo testicular completa tienen menorvolumen total. No observamos relación entre el volumen testicular eíndices de paternidad. Más estudios a largo plazo son necesarios.


Objective: To determine the impact of orchiopexy on testicularvolume. To determine whether age at surgery impacts testicular volume.To determine whether paternity is associated with testicular volume.Methods: Patients born between 1961 and 1985 who had under-gone cryptorchidism surgery at the Pediatric Surgery Department ofMiguel Servet University Hospital were included. Testis location andmacroscopic appearance data were collected. Control testicular ultra-sonographies and paternity surveys were carried out. Initially, the studywas descriptive, and subsequently, inferential.Results: Ultrasonography was performed in 216 testicular units amean of 14.9 years following surgery, whereas the paternity survey wasconducted among 157 respondents a mean of 41.9 years following sur-gery. There were significant differences (p = 0.0038) in testicular volumedistribution according to epididymal dissociation. There was a linearcorrelation between older age at surgery and lower testicular volume,but without statistical significance. Significant differences (p = <0.0001)in testicular volume according to groups –operated and non-operated–,as well as between unilateral and bilateral cases, were found. No dif-ferences in paternity rates according to testicular volume were noted.Conclusion: Operated testes have lower volumes than normallydescended testes. Older age at surgery may contribute to lower finalvolumes. Testes with full epididymal-testicular dissociation have lowertotal volumes. No relation between testicular volume and paternity rateswas found. Further long-term studies are required.


Assuntos
Humanos , Masculino , Criptorquidismo/cirurgia , Criptorquidismo/epidemiologia , Criptorquidismo/diagnóstico por imagem , Testículo , Paternidade , Pediatria , Epidemiologia Descritiva , Orquidopexia
18.
Psicol. ciênc. prof ; 42: e233736, 2022. tab
Artigo em Português | LILACS-Express | LILACS, Index Psicologia - Periódicos | ID: biblio-1356598

RESUMO

Resumo Este estudo é parte de uma pesquisa mais ampla sobre separação na transição para a parentalidade. Diante do crescente índice de pedidos de separação conjugal por mulheres, objetivamos investigar repercussões da dissolução conjugal para as mulheres, na transição para a parentalidade, em sua perspectiva. Como referencial teórico, utilizamos estudos psicanalíticos, sistêmicos e psicossociais. Realizamos 12 entrevistas com mulheres das camadas médias cariocas, entre 30 e 40 anos de idade, que se separaram há, no mínimo, dois anos, no período de zero a dois anos de idade do primeiro filho. Para a análise dos dados utilizamos o método de análise de conteúdo, na vertente categorial. Emergiram das narrativas três categorias de análise: paternidade após a separação conjugal; adaptação ao novo arranjo familiar; e imaginário social sobre a mãe separada. Os resultados indicaram que as mulheres souberam separar questões relativas à conjugalidade daquelas relativas à parentalidade, contribuindo para boa convivência do casal parental após a separação. Mostraram também que o conservadorismo, os preconceitos e o machismo podem ter prejudicado o período pós-separação das participantes e que possivelmente contribuíram para resistências delas mesmas a estabelecerem novos relacionamentos.(AU)


Abstract This study is part of a broader research on separation in the transition to parenthood. According to the growing rate of requests for marital separation from women, we aim to investigate the repercussions of marital dissolution on women in the transition to parenthood, in their perspective. As a theoretical reference, we used psychoanalytical, systemic, and psychosocial studies. We conducted 12 interviews with women from the middle class of the municipality of Rio de Janeiro, aged between 30 and 40 years, who had separated from their partners at least two years before and during the period their first child was zero to two years old. For data analysis, we used the method of content analysis, in the categorial aspect. Three categories of analysis emerged from the narratives: paternity after marital separation; Adaptation to the new family arrangement; and social imaginary about the separate mother. The results pointed out that women were able to separate issues related to conjugality from those related to parenting, contributing to the good relation of the parental couple after the separation. They also showed that conservatism, prejudice, and sexism may have affected the post-separation period of the participants and may have contributed to their own resistance to establishing new relationships.(AU)


Resumen Este estudio parte de una investigación más amplia sobre la separación en la transición a la paternidad. En vista de la creciente tasa de solicitudes de separación matrimonial femenina, el objetivo de este artículo fue investigar las repercusiones de la disolución matrimonial para las mujeres en la transición a la paternidad, desde su perspectiva. Como referencia teórica, utilizamos estudios psicoanalíticos, sistémicos y psicosociales. Realizamos 12 entrevistas con mujeres de clase media de Río de Janeiro, de entre 30 y 40 años de edad que habían estado separadas durante al menos dos años, en el período de cero a dos años del primer hijo. Para el análisis de datos, utilizamos el método de análisis de contenido, en el aspecto categorial. De las narraciones surgieron tres categorías de análisis: paternidad después de la separación conyugal; adaptación al nuevo arreglo familiar; y el imaginario social sobre la madre separada. Los resultados indicaron que las mujeres lograron separar las cuestiones relacionadas con la conyugalidad de las relacionadas con la paternidad, contribuyendo a la buena convivencia de la pareja parental tras la separación. También mostraron que el conservadurismo, los prejuicios y el sexismo pueden haber afectado el período posterior a la separación de los participantes y haber contribuido a su propia resistencia a nuevas relaciones amorosas.(AU)


Assuntos
Humanos , Feminino , Adulto , Divórcio , Casamento , Poder Familiar , Paternidade , Preconceito , Família , Adaptação , Sexismo , Androcentrismo , Mães
19.
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1358309

RESUMO

Objetivo: compreender a percepção do parceiro sobre sua experiência e participação na assistência pré-natal e nascimento. Método: estudo de abordagem qualitativa realizado com 26 pais abordados no período de outubro a novembro de 2020, mediante entrevistas por mídia digital áudio gravadas. Utilizada análise de conteúdo, modalidade temática. Resultados: emergiram três categorias as quais mostram que eles tiveram pouca participação nas consultas de pré-natal e que desconhecem o "pré-natal do parceiro". Em geral, demonstram gratidão pela assistência durante o parto, mas poucos relataram ter recebido informações relacionadas à educação em saúde. Considerações finais: os homens reconhecem que como pais, têm responsabilidade em acompanhar a assistência pré-natal, percebem os benefícios desta participação, mas não se sentem acolhidos e nem incentivados a participar e não têm suas necessidades de saúde consideradas, o que precisa ser revisto pelos profissionais de saúde, em especial o enfermeiro


Objective: to understand the partner's perception of their experience and participation in prenatal care and birth. Method: a qualitative study conducted with 26 parents approached from October to November 2020, through interviews by recorded digital audio media. Content analysis was used, thematic modality. Results: three categories emerged which show that they had little participation in prenatal consultations and are unaware of the "partner's prenatal". In general, they show gratitude for assistance during childbirth, but few reported having received information related to health education. Final considerations: men recognize that as parents, they have a responsibility to monitor prenatal care, realize the benefits of this participation, but do not feel welcomed or encouraged to participate and do not have their health needs considered, which needs to be reviewed by health professionals, especially nurses


Objetivo: comprender la percepción de la pareja sobre su experiencia y participación en la atención prenatal y el parto. Método: estudio cualitativo realizado con 26 padres abordados de octubre a noviembre de 2020, a través de entrevistas por medio de audio digital grabado. Se utilizó análisis de contenido, modalidad temática. Resultados: surgieron tres categorías que muestran que tuvieron poca participación en las consultas prenatales y desconocen el "prenatal de la pareja". En general, muestran gratitud por la asistencia durante el parto, pero pocos informaron haber recibido información relacionada con la educación para la salud. Consideraciones finales: los hombres reconocen que como padres, tienen la responsabilidad de acompañar el cuidado prenatal, se dan cuenta de los beneficios de esta participación, pero no se sienten bienvenidos ni animados a participar y no se tienen en cuenta sus necesidades de salud, lo que debe ser revisado. por profesionales de la salud, especialmente enfermeras


Assuntos
Humanos , Masculino , Adolescente , Adulto , Pessoa de Meia-Idade , Paternidade , Cuidado Pré-Natal/tendências , Pai , Percepção , Relações Profissional-Paciente , Educação em Saúde , Pesquisa Qualitativa
20.
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1353024

RESUMO

Objective: the study's goal has been to describe the experience of the accompanying father in the birth process by caesarean section at the Obstetric Center and point out the favorable and unfavorable conditions that influence this process.Methods: qualitative research, carried out at a University Hospital from august to september 2016 with 10 accompanying parents. The data collection was established by a semi-structured interview, submitted to Bardin's content analysis. Results: through the analysis, two categories emerged: possibilities and limitations in the experience of accompanying parents and emotional aspects in the birth process, which include the physical aspects of the operating room, the welcoming and guidance of the multidisciplinary team and the feelings presented by the parents. Conclusion: the father's participation in the cesarean delivery provides positive impacts for the mother-child-family trinomial, making crucial his presence since prenatal care and the physical adequacy of the cesarean environment


Objetivo: descrever a vivência do pai acompanhante no processo de nascimento por cesariana no Centro Obstétrico e apontar as condições favoráveis e desfavoráveis que influenciaram neste processo. Métodos: pesquisa qualitativa, realizada em um Hospital Universitário de agosto a setembro de 2016 com 10 pais acompanhantes. A coleta de dados se estabeleceu por meio de uma entrevista semiestruturada, submetida à análise de conteúdo de Bardin. Resultados: pela análise, emergiram duas categorias: possibilidades e limitações na vivência do pai acompanhante e aspectos emocionais no processo de nascimento, que compreenderam: os aspectos físicos da sala de cirurgia, o acolhimento e orientação da equipe multiprofissional e os sentimentos apresentados pelos pais. Conclusão: a participação do pai no parto cesárea proporciona impactos positivos ao trinômio mãe-filho-família, tornando cruciais a sua presença desde o pré-natal e a adequação física do ambiente da cesárea


Objetivo: describir la experiencia del padre acompañante en el proceso de parto por cesárea en el Centro de Obstetricia y señalar las condiciones favorables y desfavorables que influyeron en este proceso. Métodos: investigación cualitativa realizada en un Hospital Universitario de agosto a septiembre de 2016 con 10 padres acompañantes. La recopilación de datos se estableció mediante una entrevista semiestructurada, sometida al análisis del contenido de Bardin. Resultados: por análisis, surgieron dos categorías: posibilidades y limitaciones en la experiencia del padre acompañante y aspectos emocionales en el proceso del parto, que incluyeron los aspectos físicos de la sala de operaciones, la bienvenida y la orientación del equipo multidisciplinario y los sentimientos presentados por los padres. Conclusión: la participación del padre en la cesárea proporciona impactos positivos para el trinomio madre-hijo-familia, lo que hace que su presencia desde la atención prenatal y la adecuación física del entorno de la cesárea sean cruciales


Assuntos
Humanos , Masculino , Pais , Cesárea/psicologia , Enfermagem Obstétrica/tendências , Paternidade , Salas de Parto/tendências , Pesquisa Qualitativa , Relações Familiares , Hospitais Universitários
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