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Pesquisa : I01.880.787.539 [Categoria DeCS]
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[PMID]:29211413
[Au] Autor:Thorley V; Sioda T
[Ti] Título:Selection criteria for wet-nurses: Ancient recommendations that survived across time.
[So] Source:Breastfeed Rev;24(3):13-24, 2016 Nov.
[Is] ISSN:0729-2759
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:This article will describe the content of the key criteria for the selection of wet nurses that persisted across time and the authors who transmitted this advice. Where relevant, it will include variations, such as additional recommendations or a different weighting being given to one or other criterion by a particular author. The focus is on the selection of a wet nurse for the employer's baby. The factors that led a woman to enter this employment and the consequences for her own baby will not be addressed here as they will be discussed elsewhere. The article is an historical one, drawing on primary sources, where possible, and important secondary sources. Guidelines for the selection of wet-nurses have existed from antiquity to the early 20th century. The key recommendations managed to survive across the centuries because they were considered useful by influential ancient and Early Modern and later authors who passed them on through copying and translations. It is tempting to assume that the prescriptive advice was followed by physicians and mothers. However, the discussion will raise doubts about whether the criteria were adhered to by physicians and parents, particularly when wet nurses were in scarce supply.
[Mh] Termos MeSH primário: Aleitamento Materno/história
Cuidado do Lactente/história
Alimentos Infantis/história
Bem-Estar do Lactente/história
[Mh] Termos MeSH secundário: Feminino
História Antiga
História Medieval
Seres Humanos
Recém-Nascido
Sobreviventes
[Pt] Tipo de publicação:HISTORICAL ARTICLE; JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171227
[Lr] Data última revisão:
171227
[Sb] Subgrupo de revista:K
[Da] Data de entrada para processamento:171207
[St] Status:MEDLINE


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[PMID]:29211412
[Au] Autor:Giglia R
[Ti] Título:A partnership between researchers and breastfeeding advocates to support safe alcohol consumption during breastfeeding.
[So] Source:Breastfeed Rev;24(3):7-11, 2016 Nov.
[Is] ISSN:0729-2759
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:In 2009 the first national and international guideline providing direction for breastfeeding women on drinking alcohol was included in the National Health and Medical Research Council Australian guidelines to reduce health risks from drinking alcohol. In the absence of an accompanying education campaign for the guidelines, the Australian Breastfeeding Association was able to fill this gap and work in partnership with a breastfeeding researcher to develop an education resource for Australian women that was also a national and international first. This commentary outlines the journey of the research that informed the development of the resource and the integral involvement of the Australian Breastfeeding Association throughout.
[Mh] Termos MeSH primário: Consumo de Bebidas Alcoólicas/prevenção & controle
Aleitamento Materno/estatística & dados numéricos
Promoção da Saúde/organização & administração
Bem-Estar do Lactente/estatística & dados numéricos
[Mh] Termos MeSH secundário: Consumo de Bebidas Alcoólicas/epidemiologia
Austrália
Feminino
Seres Humanos
Recém-Nascido
Política Organizacional
Período Pós-Parto
Guias de Prática Clínica como Assunto
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171227
[Lr] Data última revisão:
171227
[Sb] Subgrupo de revista:K
[Da] Data de entrada para processamento:171207
[St] Status:MEDLINE


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[PMID]:28832911
[Au] Autor:Farrar D; Duley L; Dowswell T; Lawlor DA
[Ad] Endereço:Maternal and Child Health, Bradford Institute for Health Research, Bradford Royal Infirmary, Duckworth Lane, Bradford, UK, BD9 6RJ.
[Ti] Título:Different strategies for diagnosing gestational diabetes to improve maternal and infant health.
[So] Source:Cochrane Database Syst Rev;8:CD007122, 2017 08 23.
[Is] ISSN:1469-493X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Gestational diabetes mellitus (GDM) is carbohydrate intolerance resulting in hyperglycaemia with onset or first recognition during pregnancy. If untreated, perinatal morbidity and mortality may be increased. Accurate diagnosis allows appropriate treatment. Use of different tests and different criteria will influence which women are diagnosed with GDM. This is an update of a review published in 2011 and 2015. OBJECTIVES: To evaluate and compare different testing strategies for diagnosis of gestational diabetes mellitus to improve maternal and infant health while assessing their impact on healthcare service costs. SEARCH METHODS: We searched Cochrane Pregnancy and Childbirth's Trials Register, ClinicalTrials.gov, WHO International Clinical Trials Registry Platform (ICTRP) (9 January 2017) and reference lists of retrieved studies. SELECTION CRITERIA: We included randomised trials if they evaluated tests carried out to diagnose GDM. We excluded studies that used a quasi-random model, cluster-randomised or cross-over trials. DATA COLLECTION AND ANALYSIS: Two review authors independently assessed trials for inclusion and risk of bias, extracted data and checked them for accuracy. The quality of the evidence was assessed using the GRADE approach. MAIN RESULTS: We included a total of seven small trials, with 1420 women. One trial including 726 women was identified by this update and examined the two step versus one step approach. These trials were assessed as having varying risk of bias, with few outcomes reported. We prespecified six outcomes to be assessed for quality using the GRADE approach for one comparison: 75 g oral glucose tolerance test (OGTT) versus 100 g OGTT; data for only one outcome (diagnosis of gestational diabetes) were available for assessment. One trial compared three different methods of delivering glucose: a candy bar (39 women), a 50 g glucose polymer drink (40 women) and a 50 g glucose monomer drink (43 women). We have included the results reported by this trial as separate comparisons. No trial reported on measures of costs of health services.We examined six main comparisons. 75 g OGTT versus 100 g OGTT (1 trial, 248 women): women who received 75 g OGTT had a higher relative risk of being diagnosed with GDM (risk ratio (RR) 2.55, 95% confidence interval (CI) 0.96 to 6.75; very-low quality evidence). No data were reported for the following additional outcomes prespecified for GRADE assessment: caesarean section, macrosomia > 4.5 kg or however defined in the trial, long-term type 2 diabetes maternal, long-term type 2 diabetes infant and economic costs. Candy bar versus 50 g glucose monomer drink (1 trial, 60 women): more women receiving the candy bar, rather than glucose monomer, preferred the taste of the candy bar (RR 0.60, 95% CI 0.42 to 0.86) and 1-hour glucose was less with the candy bar. There were no differences in the other outcomes reported (maternal side effects). No infant outcomes were reported or any review primary outcomes. 50 g glucose polymer drink versus 50 g glucose monomer drink (3 trials, 239 women): mean difference (MD) in gestation at birth was -0.80 weeks (1 trial, 100 women; 95% CI -1.69 to 0.09). Total side effects were less common with the glucose polymer drink (1 trial, 63 women; RR 0.21, 95% CI 0.07 to 0.59), and no clear difference in taste acceptability was reported (1 trial, 63 women; RR 0.99, 95% CI 0.76 to 1.29). Fewer women reported nausea following the 50 g glucose polymer drink compared with the 50 g glucose monomer drink (1 trial, 66 women; RR 0.29, 95% CI 0.11 to 0.78). No other measures of maternal morbidity or outcomes for the infant were reported. 50 g glucose food versus 50 g glucose drink (1 trial, 30 women): women receiving glucose in their food, rather than as a drink, reported fewer side effects (RR 0.08, 95% CI 0.01 to 0.56). No clear difference was noted in the number of women requiring further testing (RR 0.14, 95% CI 0.01 to 2.55). No other measures of maternal morbidity or outcome were reported for the infant or review primary outcomes. 75 g OGTT World Health Organization (WHO) criteria versus 75 g OGTT American Diabetes Association (ADA) criteria (1 trial, 116 women): no clear differences in included outcomes were observed between women who received the 75 g OGTT and were diagnosed using criteria based on WHO (1999) recommendations and women who received the 75 g OGTT and were diagnosed using criteria recommended by the ADA (1979). Outcomes measured included diagnosis of gestational diabetes (RR 1.47, 95% CI 0.66 to 3.25), caesarean section (RR 1.07, 95% CI 0.85 to 1.35), macrosomia defined as > 90th percentile by ultrasound or birthweight equal to or exceeding 4000 g (RR 0.73, 95% CI 0.19 to 2.79), stillbirth (RR 0.49, 95% CI 0.02 to 11.68) and instrumental birth (RR 0.21, 95% CI 0.01 to 3.94). No other secondary outcomes were reported. Two-step approach (50 g oral glucose challenge test followed by selective 100 g OGTT Carpenter and Coustan criteria) versus one-step approach (universal 75 g OGTT ADA criteria) (1 trial, 726 women): women allocated the two-step approach had a lower risk of being diagnosed with GDM at 11 to 14 weeks' gestation compared to women allocated the one-step approach (RR 0.51, 95% CI 0.28 to 0.95). No other primary or secondary outcomes were reported. AUTHORS' CONCLUSIONS: There is insufficient evidence to suggest which strategy is best for diagnosing GDM. Large randomised trials are required to establish the best strategy for correctly identifying women with GDM.
[Mh] Termos MeSH primário: Diabetes Gestacional/diagnóstico
Bem-Estar do Lactente
Bem-Estar Materno
[Mh] Termos MeSH secundário: Bebidas
Doces
Feminino
Glucose/administração & dosagem
Teste de Tolerância a Glucose/métodos
Seres Humanos
Recém-Nascido
Gravidez
Efeitos Tardios da Exposição Pré-Natal/prevenção & controle
Ensaios Clínicos Controlados Aleatórios como Assunto
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; RESEARCH SUPPORT, NON-U.S. GOV'T; REVIEW
[Nm] Nome de substância:
IY9XDZ35W2 (Glucose)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170920
[Lr] Data última revisão:
170920
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170824
[St] Status:MEDLINE
[do] DOI:10.1002/14651858.CD007122.pub4


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[PMID]:28771289
[Au] Autor:Tieu J; McPhee AJ; Crowther CA; Middleton P; Shepherd E
[Ad] Endereço:ARCH: Australian Research Centre for Health of Women and Babies, Robinson Research Institute, Discipline of Obstetrics and Gynaecology, The University of Adelaide, Women's and Children's Hospital, 1st floor, Queen Victoria Building, 72 King William Road, Adelaide, South Australia, Australia, 5006.
[Ti] Título:Screening for gestational diabetes mellitus based on different risk profiles and settings for improving maternal and infant health.
[So] Source:Cochrane Database Syst Rev;8:CD007222, 2017 08 03.
[Is] ISSN:1469-493X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Gestational diabetes mellitus (GDM) is a form of diabetes that occurs in pregnancy. Although GDM usually resolves following birth, it is associated with significant morbidities for mothers and their infants in the short and long term. There is strong evidence to support treatment for GDM. However, there is uncertainty as to whether or not screening all pregnant women for GDM will improve maternal and infant health and if so, the most appropriate setting for screening. This review updates a Cochrane Review, first published in 2010, and subsequently updated in 2014. OBJECTIVES: To assess the effects of screening for gestational diabetes mellitus based on different risk profiles and settings on maternal and infant outcomes. SEARCH METHODS: We searched Cochrane Pregnancy and Childbirth's Trials Register (31 January 2017), ClinicalTrials.gov, the WHO International Clinical Trials Registry Platform (ICTRP) (14 June 2017), and reference lists of retrieved studies. SELECTION CRITERIA: We included randomised and quasi-randomised trials evaluating the effects of different protocols, guidelines or programmes for screening for GDM based on different risk profiles and settings, compared with the absence of screening, or compared with other protocols, guidelines or programmes for screening. We planned to include trials published as abstracts only and cluster-randomised trials, but we did not identify any. Cross-over trials are not eligible for inclusion in this review. DATA COLLECTION AND ANALYSIS: Two review authors independently assessed study eligibility, extracted data and assessed the risk of bias of the included trials. We resolved disagreements through discussion or through consulting a third reviewer. MAIN RESULTS: We included two trials that randomised 4523 women and their infants. Both trials were conducted in Ireland. One trial (which quasi-randomised 3742 women, and analysed 3152 women) compared universal screening versus risk factor-based screening, and one trial (which randomised 781 women, and analysed 690 women) compared primary care screening versus secondary care screening. We were not able to perform meta-analyses due to the different interventions and comparisons assessed.Overall, there was moderate to high risk of bias due to one trial being quasi-randomised, inadequate blinding, and incomplete outcome data in both trials. We used GRADEpro GDT software to assess the quality of the evidence for selected outcomes for the mother and her child. Evidence was downgraded for study design limitations and imprecision of effect estimates. Universal screening versus risk-factor screening (one trial) MotherMore women were diagnosed with GDM in the universal screening group than in the risk-factor screening group (risk ratio (RR) 1.85, 95% confidence interval (CI) 1.12 to 3.04; participants = 3152; low-quality evidence). There were no data reported under this comparison for other maternal outcomes including hypertensive disorders of pregnancy, caesarean birth, perineal trauma, gestational weight gain, postnatal depression, and type 2 diabetes. ChildNeonatal outcomes: large-for-gestational age, perinatal mortality, mortality or morbidity composite, hypoglycaemia; and childhood/adulthood outcomes: adiposity, type 2 diabetes, and neurosensory disability, were not reported under this comparison. Primary care screening versus secondary care screening (one trial) MotherThere was no clear difference between the primary care and secondary care screening groups for GDM (RR 0.91, 95% CI 0.50 to 1.66; participants = 690; low-quality evidence), hypertension (RR 1.41, 95% CI 0.77 to 2.59; participants = 690; low-quality evidence), pre-eclampsia (RR 0.80, 95% CI 0.36 to 1.78; participants = 690;low-quality evidence), or caesarean section birth (RR 1.00, 95% CI 0.80 to 1.27; participants = 690; low-quality evidence). There were no data reported for perineal trauma, gestational weight gain, postnatal depression, or type 2 diabetes. ChildThere was no clear difference between the primary care and secondary care screening groups for large-for-gestational age (RR 1.37, 95% CI 0.96 to 1.96; participants = 690; low-quality evidence), neonatal complications: composite outcome, including: hypoglycaemia, respiratory distress, need for phototherapy, birth trauma, shoulder dystocia, five minute Apgar less than seven at one or five minutes, prematurity (RR 0.99, 95% CI 0.57 to 1.71; participants = 690; low-quality evidence), or neonatal hypoglycaemia (RR 1.10, 95% CI 0.28 to 4.38; participants = 690; very low-quality evidence). There was one perinatal death in the primary care screening group and two in the secondary care screening group (RR 1.10, 95% CI 0.10 to 12.12; participants = 690; very low-quality evidence). There were no data for neurosensory disability, or childhood/adulthood adiposity or type 2 diabetes. AUTHORS' CONCLUSIONS: There are insufficient randomised controlled trial data evaluating the effects of screening for GDM based on different risk profiles and settings on maternal and infant outcomes. Low-quality evidence suggests universal screening compared with risk factor-based screening leads to more women being diagnosed with GDM. Low to very low-quality evidence suggests no clear differences between primary care and secondary care screening, for outcomes: GDM, hypertension, pre-eclampsia, caesarean birth, large-for-gestational age, neonatal complications composite, and hypoglycaemia.Further, high-quality randomised controlled trials are needed to assess the value of screening for GDM, which may compare different protocols, guidelines or programmes for screening (based on different risk profiles and settings), with the absence of screening, or with other protocols, guidelines or programmes. There is a need for future trials to be sufficiently powered to detect important differences in short- and long-term maternal and infant outcomes, such as those important outcomes pre-specified in this review. As only a proportion of women will be diagnosed with GDM in these trials, large sample sizes may be required.
[Mh] Termos MeSH primário: Diabetes Gestacional/diagnóstico
Teste de Tolerância a Glucose/métodos
Programas de Rastreamento/métodos
[Mh] Termos MeSH secundário: Diabetes Gestacional/terapia
Feminino
Teste de Tolerância a Glucose/efeitos adversos
Seres Humanos
Bem-Estar do Lactente
Recém-Nascido
Bem-Estar Materno
Gravidez
Resultado da Gravidez
Ensaios Clínicos Controlados Aleatórios como Assunto
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; RESEARCH SUPPORT, NON-U.S. GOV'T; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170920
[Lr] Data última revisão:
170920
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170804
[St] Status:MEDLINE
[do] DOI:10.1002/14651858.CD007222.pub4


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[PMID]:28574685
[Au] Autor:Wile M
[Ti] Título:Walking a tightrope. States are balancing the rights of addicted women with the health needs of their developing babies.
[So] Source:State Legis;43(5):24-5, 27, 2017 May.
[Is] ISSN:0147-6041
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Desenvolvimento Fetal/efeitos dos fármacos
Bem-Estar do Lactente/legislação & jurisprudência
Transtornos Relacionados ao Uso de Opioides/epidemiologia
Transtornos Relacionados ao Uso de Opioides/terapia
Cuidado Pós-Natal
Cuidado Pré-Natal
Direitos da Mulher/legislação & jurisprudência
[Mh] Termos MeSH secundário: Efeitos Psicossociais da Doença
Feminino
Necessidades e Demandas de Serviços de Saúde
Seres Humanos
Recém-Nascido
Cobertura do Seguro/legislação & jurisprudência
Notificação Compulsória
Gravidez
Complicações na Gravidez
Resultado da Gravidez
Efeitos Tardios da Exposição Pré-Natal
Governo Estadual
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170707
[Lr] Data última revisão:
170707
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:170603
[St] Status:MEDLINE


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[PMID]:28499483
[Au] Autor:Terraz M
[Ad] Endereço:c/o Soins Pédiatrie-Puériculture, Elsevier Masson, 92442 Issy-les-Moulineaux cedex, France. Electronic address: martine.terraz@gmail.com.
[Ti] Título:["An adopted family for Kathérina"].
[Ti] Título:« Une famille de cÅ“ur pour Kathérina ¼..
[So] Source:Soins Pediatr Pueric;38(296):41-42, 2017 May - Jun.
[Is] ISSN:1259-4792
[Cp] País de publicação:France
[La] Idioma:fre
[Ab] Resumo:A foster mother took into her home Kathérina, a 5-month-old girl placed by the child welfare services. Before taking the decision, she discussed it with her partner and her own children. Straight after Kathérina's arrival, visits were organised in order to maintain, as much as possible, the child's bond with her mother.
[Mh] Termos MeSH primário: Cuidados no Lar de Adoção
Bem-Estar do Lactente
Relações Pais-Filho
[Mh] Termos MeSH secundário: Feminino
França
Seres Humanos
Lactente
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170829
[Lr] Data última revisão:
170829
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170514
[St] Status:MEDLINE


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[PMID]:28378956
[Au] Autor:Herbst ChM
[Ad] Endereço:School of Public Affairs, Arizona State University, Phoenix, AZ, USA. chris.herbst@asu.edu
[Ti] Título:Are Parental Welfare Work Requirements Good for Disadvantaged Children? Evidence From Age-of-Youngest-Child Exemptions.
[So] Source:J Policy Anal Manage;36(2):327-57, 2017.
[Is] ISSN:0276-8739
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This paper assesses the impact of welfare reform's parental work requirements on low-income children's cognitive and social-emotional development. The identification strategy exploits an important feature of the work requirement rules­namely, age-of youngest- child exemptions­as a source of quasi-experimental variation in first-year maternal employment. The 1996 welfare reform law empowered states to exempt adult recipients from the work requirements until the youngest child reaches a certain age. This led to substantial variation in the amount of time that mothers can remain home with a newborn child. I use this variation to estimate the impact of work-requirement induced increases in maternal employment. Using a sample of infants from the Birth cohort of the Early Childhood Longitudinal Study, the reduced form and instrumental variables estimates reveal sizable negative effects of maternal employment. An auxiliary analysis of mechanisms finds that working mothers experience an increase in depressive symptoms, and are less likely to breastfeed and read to their children. In addition, such children are exposed to nonparental child care arrangements at a younger age, and they spend more time in these settings throughout the first year of life.
[Mh] Termos MeSH primário: Desenvolvimento Infantil
Bem-Estar da Criança
Emprego
Bem-Estar do Lactente
Bem-Estar Materno
Seguridade Social
[Mh] Termos MeSH secundário: Adulto
Aleitamento Materno
Pré-Escolar
Transtorno Depressivo
Seres Humanos
Lactente
Recém-Nascido
Relações Mãe-Filho
Pobreza
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170419
[Lr] Data última revisão:
170419
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:170406
[St] Status:MEDLINE


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[PMID]:28722837
[Au] Autor:Baskovic M; Zupancic B; Lesjak N; Vukasovic I
[Ti] Título:[Hypertrophic Pyloric Stenosis - Five-Year Retrospective Analysis].
[So] Source:Acta Med Croatica;70(2):103-6, 2016 04.
[Is] ISSN:1330-0164
[Cp] País de publicação:Croatia
[La] Idioma:eng
[Ab] Resumo:Although the etiology of the disease has not yet been fully clarified in the 21st century, clinical significance of the disease is huge because it is frequent in the neonatal period compared with other diseases. Today, owing to advanced diagnostic possibilities, hypertrophic pyloric stenosis is easily distinguished from other differential diagnoses that are manifested by vomiting as the main symptom. At Department of Pediatric Surgery, Zagreb Children's Hospital, efforts have been invested to successfully manage this and a number of other conditions that affect newborns. We retrospectively analyzed data on 40 hospitalized children retrieved from the hospital information system for the 2010-2015 period and present them as a basis for the respective algorithms and future research. Reviewing a range of parameters, we have come to some concrete conclusions. On average, the disease started manifesting on 28th day after birth; 63% of the children developed metabolic alkalosis. Thickness of the muscle wall verified by ultrasound ranged from 3.1 mm to 7 mm. Surgery was performed seven days after hospitalization and correction of metabolic condition. The average duration of surgery was 48 minutes. The mean length of hospital stay was 11.64 days, of which 2 days in the intensive care unit. Complications occurred in two patients.
[Mh] Termos MeSH primário: Bem-Estar do Lactente/estatística & dados numéricos
Estenose Pilórica Hipertrófica/epidemiologia
Estenose Pilórica Hipertrófica/cirurgia
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Lactente
Recém-Nascido
Masculino
Estudos Retrospectivos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170811
[Lr] Data última revisão:
170811
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170720
[St] Status:MEDLINE


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[PMID]:27931399
[Ti] Título:American Academy of Pediatric Dentistry Core Values.
[So] Source:Pediatr Dent;38(6):5-6, 2016 Oct.
[Is] ISSN:1942-5473
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Assistência à Saúde/organização & administração
Saúde Bucal/normas
Odontopediatria/organização & administração
Odontopediatria/normas
[Mh] Termos MeSH secundário: Adolescente
Criança
Bem-Estar da Criança
Pré-Escolar
Assistência à Saúde/normas
Assistência Odontológica para Crianças/legislação & jurisprudência
Higienistas Dentários
Odontólogos
Recursos Humanos em Saúde
Seres Humanos
Lactente
Bem-Estar do Lactente
Recém-Nascido
Saúde Bucal/educação
Odontopediatria/educação
Odontopediatria/recursos humanos
Sociedades Odontológicas
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171013
[Lr] Data última revisão:
171013
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:161210
[St] Status:MEDLINE


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[PMID]:27846828
[Au] Autor:Reinsma K; Nkuoh G; Nshom E
[Ad] Endereço:Nutrition Improvement Program, Cameroon Baptist Convention Health Services, P.O Box 1, Nkwen, Bamenda, Cameroon. kate.reinsma@gmail.com.
[Ti] Título:The potential effectiveness of the nutrition improvement program on infant and young child feeding and nutritional status in the Northwest and Southwest regions of Cameroon, Central Africa.
[So] Source:BMC Health Serv Res;16(1):654, 2016 Nov 15.
[Is] ISSN:1472-6963
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Despite the recent international focus on maternal and child nutrition, little attention is paid to nutrition capacity development. Although infant feeding counselling by health workers increases caregivers' knowledge, and improves breastfeeding, complementary feeding, and children's linear growth, most of the counselling in sub-Saharan Africa is primarily conducted by nurses or volunteers, and little is done to develop capacity for nutrition at the professional, organizational, or systemic levels. The Cameroon Baptist Convention Health Services Nutrition Improvement Program (NIP) has integrated a cadre of nutrition counselors into prevention of mother-to-child transmission of HIV programs, infant welfare clinics, and antenatal clinics to improve infant and young child feeding practices (IYCF). The study objective was to evaluate the effects of NIP's infant feeding counselors on exclusive breastfeeding (EBF), complementary feeding (CF), and children's linear growth. METHODS: A cross-sectional evaluation design was used. Using systematic random sampling, caregivers were recruited from NIP sites (n = 359) and non-NIP sites (n = 415) from Infant Welfare Clinics (IWCs) in the Northwest (NWR) and Southwest Regions (SWR) of Cameroon between October 2014 and April 2015. Differences in EBF and CF practices and children's linear growth between NIP and non-NIP sites were determined using chi-square and multiple logistic regression. RESULTS: After adjusting for differences in religion, occupation, and number of months planning to breastfeed, children were almost seven times (Odds Ratio [OR]: 6.9; 95% Confidence Interval [CI]: 2.30, 21.09; ß = 1.94) more likely to be exclusively breastfed at NIP sites compared to non-NIP sites. After adjusting for differences in occupation, religion, number of months planning to breastfeed, rural environment, economic status, attending other Infant Welfare Clinics, and non-biological caregiver, children were five times (OR: 5.5; CI: 3.37, 9.02; ß = 1.71) more likely to be stunted at non-NIP sites compared to non-NIP sites. CONCLUSION: Training a cadre of nutrition counselors is one approach towards increasing nutrition human resources to implement nutrition interventions to improve maternal and child nutrition. In this research project, the study design did not allow for conclusive results, but rather suggest IYCF counseling provided by nutrition counselors was effective in increasing EBF and reduced the risk of stunting in children 6-8 months.
[Mh] Termos MeSH primário: Estado Nutricional
Apoio Nutricional/normas
[Mh] Termos MeSH secundário: Aleitamento Materno/estatística & dados numéricos
Camarões
Cuidadores
Criança
Fenômenos Fisiológicos da Nutrição Infantil/fisiologia
Pré-Escolar
Aconselhamento
Estudos Transversais
Feminino
Promoção da Saúde/normas
Seres Humanos
Lactente
Fenômenos Fisiológicos da Nutrição do Lactente
Bem-Estar do Lactente/estatística & dados numéricos
Modelos Logísticos
Masculino
Projetos de Pesquisa
Fatores Socioeconômicos
Voluntários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171010
[Lr] Data última revisão:
171010
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161117
[St] Status:MEDLINE



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