Base de dados : MEDLINE
Pesquisa : M01.686.508.150 [Categoria DeCS]
Referências encontradas : 390 [refinar]
Mostrando: 1 .. 10   no formato [Detalhado]

página 1 de 39 ir para página                         

  1 / 390 MEDLINE  
              next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28747094
[Au] Autor:Hamdullahpur K; Jacobs KWJ; Gill KJ
[Ad] Endereço:a McGill University Health Centre , Montréal , Quebec , Canada.
[Ti] Título:A comparison of socioeconomic status and mental health among inner-city Aboriginal and non-Aboriginal women.
[So] Source:Int J Circumpolar Health;76(1):1340693, 2017.
[Is] ISSN:2242-3982
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Aboriginal women in urban areas have been reported to experience high rates of poverty, homelessness, interpersonal violence, and health problems. However, there are few prior ethnocultural comparisons of urban women from similar socioeconomic backgrounds. The current study explored the mental and physical health of Aboriginal and non-Aboriginal women accessing social services agencies and shelters. Half of the sample (n=172) was Aboriginal (48.3%). The lifetime rate of physical abuse was significantly higher in Aboriginal women, and they were more likely to have been victims of violence or crime in the past year (A=50.6%, NA=35.6%, p<0.05). Rates of teenage pregnancy (<18 years of age) were significantly higher among Aboriginals (A=51.3%, NA=30.6%, p<0.05) and they reported more parental drug/alcohol problems (A=79.2%, NA=56.5%, p<0.05). Aboriginal women were also more likely to have previously received treatment for a drug or alcohol problem. There were no differences in self-reported physical health, medication use, hospitalisations, and current substance misuse. Irrespective of ethnicity, lifetime rates of anxiety, depression and suicide attempts were extremely high. Future research should explore the effects of individual resources (e.g. social support, family relations) and cultural beliefs on women's ability to cope with the stress of living with adverse events, particularly among low SES women with children.
[Mh] Termos MeSH primário: Grupo com Ancestrais Nativos do Continente Americano/estatística & dados numéricos
Mulheres Agredidas/estatística & dados numéricos
Grupo com Ancestrais do Continente Europeu/estatística & dados numéricos
Saúde Mental/estatística & dados numéricos
Transtornos Relacionados ao Uso de Substâncias/epidemiologia
Saúde da Mulher/estatística & dados numéricos
[Mh] Termos MeSH secundário: Comparação Transcultural
Feminino
Seres Humanos
Transtornos Mentais/epidemiologia
Pobreza/estatística & dados numéricos
Quebeque
Fatores Socioeconômicos
População Urbana/estatística & dados numéricos
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:180202
[Lr] Data última revisão:
180202
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170728
[St] Status:MEDLINE
[do] DOI:10.1080/22423982.2017.1340693


  2 / 390 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28859572
[Au] Autor:Adhikari K; Chacón-Duque JC; Mendoza-Revilla J; Fuentes-Guajardo M; Ruiz-Linares A
[Ad] Endereço:Department of Genetics, Evolution, and Environment, University College London, London WC1E 6BT, United Kingdom.
[Ti] Título:The Genetic Diversity of the Americas.
[So] Source:Annu Rev Genomics Hum Genet;18:277-296, 2017 Aug 31.
[Is] ISSN:1545-293X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The history of the Americas involved the encounter of millions of Native Americans, Europeans, and Africans. A variable admixture of these three continental groups has taken place throughout the continent, influenced by demography and a range of social factors. This variable admixture has had a major influence on the genetic makeup of populations across the continent. Here, we summarize the demographic history of the region, highlight some social factors that affected historical admixture, and review major patterns of ancestry across the Western Hemisphere based on genetic data.
[Mh] Termos MeSH primário: Demografia
Variação Genética
Genética Populacional
[Mh] Termos MeSH secundário: Grupo com Ancestrais do Continente Africano/genética
Grupo com Ancestrais Nativos do Continente Americano/genética
Américas
Grupo com Ancestrais do Continente Europeu/genética
Feminino
Seres Humanos
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171018
[Lr] Data última revisão:
171018
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170902
[St] Status:MEDLINE
[do] DOI:10.1146/annurev-genom-083115-022331


  3 / 390 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28542394
[Au] Autor:Daigle RM; Archambault P; Halpern BS; Stewart Lowndes JS; Côté IM
[Ad] Endereço:Institut des Sciences de la Mer, Université du Québec à Rimouski, Rimouski, Québec, Canada.
[Ti] Título:Incorporating public priorities in the Ocean Health Index: Canada as a case study.
[So] Source:PLoS One;12(5):e0178044, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The Ocean Health Index (OHI) is a framework to assess ocean health by considering many benefits (called 'goals') provided by the ocean provides to humans, such as food provision, tourism opportunities, and coastal protection. The OHI framework can be used to assess marine areas at global or regional scales, but how various OHI goals should be weighted to reflect priorities at those scales remains unclear. In this study, we adapted the framework in two ways for application to Canada as a case study. First, we customized the OHI goals to create a national Canadian Ocean Health Index (COHI). In particular, we altered the list of iconic species assessed, added methane clathrates and subsea permafrost as carbon storage habitats, and developed a new goal, 'Aboriginal Needs', to measure access of Aboriginal people to traditional marine hunting and fishing grounds. Second, we evaluated various goal weighting schemes based on preferences elicited from the general public in online surveys. We quantified these public preferences in three ways: using Likert scores, simple ranks from a best-worst choice experiment, and model coefficients from the analysis of elicited choice experiment. The latter provided the clearest statistical discrimination among goals, and we recommend their use because they can more accurately reflect both public opinion and the trade-offs faced by policy-makers. This initial iteration of the COHI can be used as a baseline against which future COHI scores can be compared, and could potentially be used as a management tool to prioritise actions on a national scale and predict public support for these actions given that the goal weights are based on public priorities.
[Mh] Termos MeSH primário: Conservação dos Recursos Naturais/métodos
Saúde Ambiental
Prioridades em Saúde
Oceanos e Mares
Opinião Pública
[Mh] Termos MeSH secundário: Grupo com Ancestrais Nativos do Continente Americano
Canadá
Ecossistema
Seres Humanos
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170918
[Lr] Data última revisão:
170918
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170526
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0178044


  4 / 390 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28418431
[Au] Autor:Nieboer E; Martin ID; Liberda EN; Dewailly E; Robinson E; Tsuji LJS
[Ad] Endereço:Department of Biochemistry and Biomedical Sciences, McMaster University, 1280 Main Street West, Hamilton, ON L8S 4K1, Canada. nieboere@mcmaster.ca.
[Ti] Título:Body burdens, sources and interrelations of selected toxic and essential elements among the nine Cree First Nations of Eeyou Istchee, James Bay region of northern Quebec, Canada.
[So] Source:Environ Sci Process Impacts;19(5):727-741, 2017 May 24.
[Is] ISSN:2050-7895
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: this article constitutes a report on the comprehensive Nituuchischaayihtitaau Aschii multi-community environment-and-health study conducted among the Cree peoples (Eeyouch) of northern Quebec, Canada. OBJECTIVES: to interpret observed concentrations of a suite of chemical elements in a multi-media biological monitoring study in terms of sources and predictors. METHODS: the concentrations of 5 essential and 6 toxic chemical elements were measured in whole blood, and/or in urine or hair by ICP-MS. Concentrations of essential elements are compared to those considered normal (i.e., required for good health) and, when toxic, deemed acceptable at specified concentrations in public health guidelines. Their dependence on age, sex, the specific community lived-in and diet were explored employing multivariate analysis of variance (MANOVA) involving new variables generated by principle component analysis (PCA) and correspondence analysis (CA). RESULTS: the 5 most prominent PCA axes explained 67.7% of the variation, compared to 93.0% by 6 main CA factors. Concentrations of the essential elements in whole blood (WB) and iodine(i) and arsenic (As) in urine were comparable to those reported in the recent Canadian Health Measures survey and are assigned to dietary sources. By contrast, WB cadmium (Cd) was elevated even when smoking was considered. Mercury (Hg) concentrations in WB and hair were also higher in adults, although comparable to those observed for other indigenous populations living at northern latitudes. Fish consumption was identified as the prominent source. Of the 5 coastal communities, all but one had lower Hg exposures than the four inland communities, presumably reflecting the type of fish consumed. Use of firearms and smoking were correlated with WB-lead (Pb). The concentrations of both Hg and Pb increased with age and were higher in men, while WB-Cd and smoking prevalence were higher in women when considering all communities. Hg and Pb were low in children and women of reproductive age, with few exceedances of health guidelines. Although individuals with T2D had somewhat lower WB-Cd, there is some indication that Cd may potentiate renal dysfunction in this subgroup. Plots of selected CA axes grouped those elements expected to be in a normal diet and distinguished them from those with well-known unique sources (especially Hg and As in hair; and Hg, Pb and Cd in WB). CONCLUSIONS: the use of multiple biological media in conjunction with the complementary PCA and CA approaches for constructing composite variables allowed a more detailed understanding of both the sources of the essential and toxic elements in body fluids and the dependencies of their observed concentrations on age, sex, community and diet.
[Mh] Termos MeSH primário: Grupo com Ancestrais Nativos do Continente Americano
Baías/química
Exposição Ambiental/análise
Poluentes Ambientais/análise
Metais Pesados/análise
Oligoelementos/análise
[Mh] Termos MeSH secundário: Adulto
Animais
Carga Corporal (Radioterapia)
Criança
Dieta
Monitoramento Ambiental
Poluentes Ambientais/sangue
Poluentes Ambientais/urina
Feminino
Peixes
Cabelo/química
Seres Humanos
Masculino
Metais Pesados/sangue
Metais Pesados/urina
Análise de Componente Principal
Quebeque
Fumar
Oligoelementos/sangue
Oligoelementos/urina
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Environmental Pollutants); 0 (Metals, Heavy); 0 (Trace Elements)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170925
[Lr] Data última revisão:
170925
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170419
[St] Status:MEDLINE
[do] DOI:10.1039/c7em00052a


  5 / 390 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28218396
[Au] Autor:Herrera B; Peart D; Hernandez N; Spradley K; Hubbe M
[Ad] Endereço:Department of Anthropology, The Ohio State University, Columbus, Ohio.
[Ti] Título:Morphological variation among late holocene Mexicans: Implications for discussions about the human occupation of the Americas.
[So] Source:Am J Phys Anthropol;163(1):75-84, 2017 May.
[Is] ISSN:1096-8644
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Cranial morphology has previously been used to estimate phylogenetic relationships among populations, and has been an important tool in the reconstruction of ancient human dispersals across the planet. In the Americas, previous morphological studies support a scenario of people entering the Americas and dispersing from North America into South America through Meso America, making the Mexican territory the natural funnel through which biological diversity entered South America. MATERIALS AND METHODS: We explore the cranial morphological affinities of three late Holocene Mexican series, in relation to ancient and modern crania from North and South America, Australo-Melanesia, and East Asia. Morphological affinities were assessed through Mahalanobis Distances, and represented via Multidimensional Scaling and Ward's Linkage Cluster analysis. Minimum F values were also calculated for each series. RESULTS: Our results show Mexican groups share morphological affinities with the Native American series, but do not cluster together as would be expected. The minimum F estimates show between-group variation in the Americas is higher than the Asian or Australo-Melanesian populations, and that Mexican series have high between-group variance (F = 0.124), compared to the geographically larger South America (F = 0.116) and North America (F = 0.076). DISCUSSION: These results show that the Mexican series share morphological affinities with the East Asian series, but maintains high levels of between-group variation, similar to South America. This supports the suggestion that the high phenotypic variation seen the Americas is not a result of its size, as it can be found in more constricted areas, such as the Mexican territory.
[Mh] Termos MeSH primário: Grupo com Ancestrais Nativos do Continente Americano/classificação
Migração Humana
[Mh] Termos MeSH secundário: Antropologia Física
Cefalometria
Grupos de Populações Continentais/classificação
Feminino
Seres Humanos
Masculino
México
Crânio/anatomia & histologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170609
[Lr] Data última revisão:
170609
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170221
[St] Status:MEDLINE
[do] DOI:10.1002/ajpa.23186


  6 / 390 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28205222
[Au] Autor:Massey SE
[Ad] Endereço:Biology Department, University of Puerto Rico - Rio Piedras, PO Box 23360, San Juan, Puerto Rico, 00931.
[Ti] Título:Strong Amerindian Mitonuclear Discordance in Puerto Rican Genomes Suggests Amerindian Mitochondrial Benefit.
[So] Source:Ann Hum Genet;81(2):59-77, 2017 Mar.
[Is] ISSN:1469-1809
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:A large discrepancy between the Amerindian contribution to the mitochondrial and nuclear genetic components of 55 Puerto Rican (PR) genomes from the 1000 Genomes Project is identified, with Amerindian mitochondrial haplotypes being highly represented (67.3%), in strong contrast to the Amerindian autosomal contribution (12.9%). I examine the potential causes behind this strong mitonuclear discordance. The Amerindian contribution to the X chromosome is 19.8%, implying assortative mating with Amerindian females during the establishment of the PR population. However, this scenario does not account for the extraordinarily high Amerindian mitochondrial contribution. Demographic simulation of simple assortative mating scenarios during establishment of the PR population indicates that the observed Amerindian mitochondrial contribution is higher than expected. The simulations show that expansion from a small founding population does not produce the observed frequencies, instead producing the frequencies expected under neutrality, with the Amerindian mitochondrial frequencies approximately twice the Amerindian autosomal proportion. In addition, multiple replicated simulations show that drift is an unlikely explanation for the elevated Amerindian mitochondrial frequency, as these are unable to produce the elevated Amerindian mitochondrial frequency observed in the PR genomic dataset, under a range of different starting conditions. I conclude that the mitonuclear discordance appears most consistent with adaptive mitochondrial benefit; however, the molecular mechanism(s) remain to be characterized before this can be confirmed and warrant further investigation. Lastly, I show potential evidence of selection on autosomes and allosomes, using admixture proportions. Interestingly, the major histocompatibility complex locus on chromosome 6 shows greatly elevated single nucleotide polymorphism density but is unaccompanied by strong admixture variance. The observations on mitonuclear discordance may affect the interpretation of apparent assortative mating in recent human admixture events, which should be treated with caution when relying only on mitochondrial haplotype frequencies.
[Mh] Termos MeSH primário: Grupo com Ancestrais Nativos do Continente Americano/genética
DNA Mitocondrial/genética
Hispano-Americanos/genética
[Mh] Termos MeSH secundário: Cromossomos Humanos X/genética
Evolução Molecular
Feminino
Deriva Genética
Variação Genética
Genoma Humano
Haplótipos
Seres Humanos
Masculino
Modelos Genéticos
Porto Rico
Seleção Genética
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (DNA, Mitochondrial)
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170530
[Lr] Data última revisão:
170530
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170217
[St] Status:MEDLINE
[do] DOI:10.1111/ahg.12185


  7 / 390 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28135624
[Au] Autor:Fowokan AO; Lesser IA; Humphries KH; Mancini JG; Lear SA
[Ad] Endereço:Department of Biomedical Physiology and Kinesiology, Simon Fraser University, V6B 5K3 Vancouver, BC, Canada.
[Ti] Título:The predictive relationship between baseline insulin and glucose with subclinical carotid atherosclerosis after 5 years in a multi-ethnic cohort.
[So] Source:Atherosclerosis;257:146-151, 2017 Feb.
[Is] ISSN:1879-1484
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:BACKGROUND AND AIMS: We aimed at exploring the relationship between baseline insulin and glucose and the progression of carotid atherosclerosis in a multi-ethnic cohort. METHODS: Males and females (n = 797) of European, Chinese, South Asian and Aboriginal origin were assessed as part of the Multicultural Community Health Assessment Trial (MCHAT) study for socio-demographics, smoking status, fasting insulin and glucose at baseline. IMT, plaque area and total area were assessed after 5 years. RESULTS: A total of 545 participants returned after 5 years for a follow-up assessment. Average age of the study participants was 47.5 (SD 8.9) years. At baseline, the median and interquartile range for insulin was 62.0 (49.5) pmol/L, and glucose was 5.2 (0.60) mmol/L. Baseline glucose and insulin predicted the 5-year progression of atherosclerosis in our models, after adjusting for covariates. We found significant insulin-ethnicity interactions in the IMT model (p = 0.044) with the slope of the relationship showing that for every percentage change in insulin the Europeans experienced 7.3% more increase in IMT at 5 years than the Aboriginals. In the plaque area and total area models, there were significant glucose-ethnicity interactions (p = 0.009 and p=0.016 respectively), with the slope showing a 101% and 121% increase for plaque area and total area, respectively, in Europeans, at 5 years per percent change in glucose at baseline. Logistic regression found a significant glucose-ethnicity interaction with the presence of plaques (OR = 0.31, p = 0.03) such that compared to the Europeans, the South Asians had a lower odds of developing plaque presence. Similarly, we found glucose-ethnicity interactions in the logistic regression when comparing the Chinese to the Europeans (OR = 0.2, p=0.005), with the Chinese being less likely to develop plaque presence. CONCLUSIONS: Ethnicity modifies the predictive relationship between insulin and glucose with sub-clinical indicators of carotid atherosclerosis but not consistently so.
[Mh] Termos MeSH primário: Grupo com Ancestrais Nativos do Continente Americano
Grupo com Ancestrais do Continente Asiático
Glicemia/metabolismo
Doenças das Artérias Carótidas/etnologia
Grupo com Ancestrais do Continente Europeu
Insulina/sangue
[Mh] Termos MeSH secundário: Adulto
Doenças Assintomáticas
Biomarcadores/sangue
Canadá/epidemiologia
Doenças das Artérias Carótidas/diagnóstico por imagem
Espessura Intima-Media Carotídea
Distribuição de Qui-Quadrado
China/etnologia
Progressão da Doença
Feminino
Seres Humanos
Modelos Lineares
Modelos Logísticos
Estudos Longitudinais
Masculino
Meia-Idade
Razão de Chances
Prognóstico
Medição de Risco
Fatores de Risco
Fatores de Tempo
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Biomarkers); 0 (Blood Glucose); 0 (Insulin)
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171101
[Lr] Data última revisão:
171101
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170131
[St] Status:MEDLINE


  8 / 390 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:27741502
[Au] Autor:Kisely S; Alichniewicz KK; Black EB; Siskind D; Spurling G; Toombs M
[Ad] Endereço:Departments of Psychiatry, Community Health and Epidemiology, Dalhousie University, Canada; School of Medicine, The University of Queensland, Australia. Electronic address: s.kisely@uq.edu.au.
[Ti] Título:The prevalence of depression and anxiety disorders in indigenous people of the Americas: A systematic review and meta-analysis.
[So] Source:J Psychiatr Res;84:137-152, 2017 Jan.
[Is] ISSN:1879-1379
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Indigenous populations are considered at higher risk of psychiatric disorder but many studies do not include direct comparisons with similar non-Indigenous controls. We undertook a meta-analysis of studies that compared the prevalence of depression and anxiety disorders in Indigenous populations in the Americas with those of non-Indigenous groups with similar socio-demographic features (Registration number: CRD42015025854). A systematic search of PubMed, Medline, PsycInfo, PsycArticles, ScienceDirect, EMBASE, and article bibliographies was performed. We included comparisons of lifetime rates and prevalence of up to 12 months. We found 19 studies (n = 250, 959) from Latin America, Canada and the US. There were no differences between Indigenous and similar non-Indigenous groups in the 12-month prevalence of depressive, generalised anxiety and panic disorders. However, Indigenous people were at greater risk of PTSD. For lifetime prevalence, rates of generalised anxiety, panic and all the depressive disorders were significantly lower in Indigenous participants, whilst PTSD (on adjusted analyses) and social phobia were significantly higher. Results were similar for sub-analyses of Latin America, Canada and the US, and sensitivity analyses by study quality or setting (e.g. health, community etc.). Risk factors for psychiatric illness may therefore be a complex interaction of biological, educational, economic and socio-cultural factors that may vary between disorders. Accordingly, interventions should reflect that the association between disadvantage and psychiatric illness is rarely due to one factor. However, it is also possible that assessment tools don't accurately measure psychiatric symptoms in Indigenous populations and that further cross-cultural validation of diagnostic instruments may be needed too.
[Mh] Termos MeSH primário: Grupo com Ancestrais Nativos do Continente Americano
Transtornos de Ansiedade/etnologia
Transtorno Depressivo/etnologia
[Mh] Termos MeSH secundário: Grupo com Ancestrais Nativos do Continente Americano/psicologia
Américas/epidemiologia
Seres Humanos
Prevalência
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171008
[Lr] Data última revisão:
171008
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161015
[St] Status:MEDLINE


  9 / 390 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:27417420
[Au] Autor:Lafond G; Haver CR; McLeod V; Clarke S; Horsburgh B; McLeod KM
[Ad] Endereço:First Nations and Métis Health Services, Royal University Hospital, Saskatoon Health Region, Saskatoon, Saskatchewan, Canada.
[Ti] Título:Characteristics and residence of First Nations patients and their use of health care services in Saskatchewan, Canada: informing First Nations and Métis health services.
[So] Source:J Eval Clin Pract;23(2):294-300, 2017 Apr.
[Is] ISSN:1365-2753
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:RATIONALE: In Canada, Aboriginal people, particularly First Nations experience significant health disparities and a lower health status compared with the non-Aboriginal population. AIMS AND OBJECTIVES: The purpose of this study was to examine the demographic and clinical characteristics of First Nations patients admitted to hospitals in Saskatchewan, and the acute care services used by First Nations compared with non-First Nations, specifically hospital length of stay. Primary residence of patients was also mapped to determine geographic patterns that would inform health service provision. METHODS: A retrospective medical chart audit was carried out to collect data on patient demographics and clinical characteristics of 203 First Nations and 200 non-First Nations patients admitted to two urban hospitals in Saskatchewan from 2012 to 2014. RESULTS: The most common reason for admission of First Nations and non-First Nations patients was infection (24.6%) and cardiology conditions (19.5%), respectively. There was no significant difference in mean length of stay for First Nations (10.44 days) compared with non-First Nations (10.57 days). After adjusting for age, mean length of stay for First Nations was nearly 3 days longer than non-First Nations. First Nations patients' residence was from across the broad geography of Saskatchewan, with 45% living in rural communities or on reserve. CONCLUSIONS: The outcomes of this study are clinically meaningful and support the need for research, in collaboration with Aboriginal patients and families, to further examine and improve the care experience in order to decrease health disparities for Aboriginal patients in Canada.
[Mh] Termos MeSH primário: Grupo com Ancestrais Nativos do Continente Americano/estatística & dados numéricos
Serviços de Saúde/utilização
[Mh] Termos MeSH secundário: Adulto
Fatores Etários
Feminino
Seres Humanos
Índios Norte-Americanos/estatística & dados numéricos
Tempo de Internação
Masculino
Meia-Idade
Estudos Retrospectivos
População Rural
Saskatchewan
Fatores Sexuais
Fatores Socioeconômicos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160716
[St] Status:MEDLINE
[do] DOI:10.1111/jep.12601


  10 / 390 MEDLINE  
              first record previous record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:27394926
[Au] Autor:Charlier P; Coppens Y; Malaurie J; Brun L; Kepanga M; Hoang-Opermann V; Correa Calfin JA; Nuku G; Ushiga M; Schor XE; Deo S; Hassin J; Hervé C
[Ad] Endereço:Section of Medical and Forensic Anthropology (UVSQ, EA 4569 Paris-Descartes), UFR of Health Sciences, 2 avenue de la source de la Bièvre, 78180, Montigny-Le-Bretonneux, France; CASH, Max Fourestier Hospital, Nanterre, France. Electronic address: philippe.charlier@uvsq.fr.
[Ti] Título:A new definition of health? An open letter of autochthonous peoples and medical anthropologists to the WHO.
[So] Source:Eur J Intern Med;37:33-37, 2017 Jan.
[Is] ISSN:1879-0828
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Currently, for many practitioners (hospital and liberals) and researchers (including public health), the WHO definition of health is outdated: first it seems more utopian than pragmatic; then, it proves unsuitable for a large part of the world population. There is clearly a need to refine this definition or propose additional criteria to be more relevant or discriminating. In this perspective, what can indigenous people offer in the elaboration of a new definition of health? In this article, leaders or representatives of autochthonous peoples, anthropologists and physicians from many cultural origins (Amazonia, Patagonia, Papua New-Guinea, Inuit, North-American Indian, sub-Saharan Africa, India, China, Melanesia and Polynesia) have tried to identify and explain several key concepts that WHO should reintegrate into its new definition of health: human equilibrium in nature, accepted spirituality and adaptation. On the sidelines of the application of COP21 decisions that should give back to man his place into the environment, autochthonous people leaders, anthropologists and MDs explain why these three concepts are fundamental and universal health determinants, and need to be included in a new WHO definition of health.
[Mh] Termos MeSH primário: Meio Ambiente
Saúde
Espiritualidade
Organização Mundial da Saúde
[Mh] Termos MeSH secundário: Adaptação Fisiológica
Adaptação Psicológica
Grupo com Ancestrais do Continente Africano
Grupo com Ancestrais Nativos do Continente Americano
Antropologia Médica
Grupo com Ancestrais do Continente Asiático
Ecologia
Seres Humanos
Grupos Populacionais
Saúde Pública
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160711
[St] Status:MEDLINE



página 1 de 39 ir para página                         
   


Refinar a pesquisa
  Base de dados : MEDLINE Formulário avançado   

    Pesquisar no campo  
1  
2
3
 
           



Search engine: iAH v2.6 powered by WWWISIS

BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde