Base de dados : MEDLINE
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[PMID]:28212142
[Au] Autor:Reed SJ; Callister LC; Kavaefiafi '; Corbett C; Edmunds D
[Ad] Endereço:Shelly J. Reed is an Associate Teaching Professor at Brigham Young University, College of Nursing, Provo, UT. The author can be reached via e-mail at shelly-reed@byu.edu Lynn Clark Callister is a Professor Emerita at Brigham Young University, College of Nursing, Provo, UT. 'Ana Kavaefiafi is a Nurse Midwife (Retired) at Ministry of Health, Kingdom of Tonga, Nuku'alofa, Tongatapu, Tonga. Cheryl Corbett is an Associate Teaching Professor at Brigham Young University, College of Nursing, Provo, UT. Debra Edmunds is an Assistant Teaching Professor at Brigham Young University, College of Nursing, Provo, UT.
[Ti] Título:Honoring Motherhood: The Meaning of Childbirth for Tongan Women.
[So] Source:MCN Am J Matern Child Nurs;42(3):146-152, 2017 May/Jun.
[Is] ISSN:1539-0683
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The purpose of this ethnographic study was to describe the meaning of childbirth for Tongan women. STUDY DESIGN AND METHODS: In this qualitative descriptive study, 38 Tongan women, 18 from Tonga and 20 from the United States, who had given birth in the past year were invited to share their perceptions of childbirth. Themes were generated collaboratively by the research team. FINDINGS: The overarching theme was honoring motherhood; other themes include using strength to facilitate an unmedicated vaginal birth, describing the spiritual dimensions of birth, adhering to cultural practices associated with childbearing, and the influence of the concept of respect on childbearing. IMPLICATIONS FOR CLINICAL PRACTICE: Understanding the value Tongan women and their families place on motherhood can help nurses to give culturally sensitive nursing care. Tongan beliefs and cultural practices should be respected. Nurses should assess women's personal preferences for their care and advocate for them as needed. Sensitivity to stoicism is important, especially on pain control and patient education. Nurses should be aware of Tongan values regarding modesty and respect, and provide an appropriate care environment. A culturally competent nurse understands the importance of sociocultural influences on women's health beliefs and behaviors and generates appropriate interventions.
[Mh] Termos MeSH primário: Atitude Frente à Saúde
Mães/psicologia
Parto/etnologia
Percepção
[Mh] Termos MeSH secundário: Adulto
Antropologia Cultural
Assistência à Saúde Culturalmente Competente/etnologia
Assistência à Saúde Culturalmente Competente/normas
Feminino
Seres Humanos
Parto/psicologia
Gravidez
Pesquisa Qualitativa
Tonga/etnologia
Estados Unidos
[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; N
[Da] Data de entrada para processamento:170218
[St] Status:MEDLINE
[do] DOI:10.1097/NMC.0000000000000328


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[PMID]:27832020
[Au] Autor:Lutui F; Grant CC; Best E; Howie S; Aho G
[Ad] Endereço:From the *Department of Paediatrics, Vaiola Hospital, Tongatapu, Tonga; †Department of Paediatrics, Child & Youth Health, University of Auckland; ‡Department of General Paediatrics and §Department of Infectious Diseases, Starship Children's Hospital, Auckland, New Zealand; and ¶Department of Paediatrics and Newborn Services, Waitakere Hospital, Auckland, New Zealand.
[Ti] Título:Invasive Pneumococcal Disease in Children in Tonga.
[So] Source:Pediatr Infect Dis J;36(2):239-240, 2017 Feb.
[Is] ISSN:1532-0987
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In Tonga, pneumococcal conjugate vaccine is not a scheduled immunization. We identified all children in Tonga with invasive pneumococcal disease from 2010 to 2013. The average annual invasive pneumococcal disease incidence rate was 113/100,000 (<2 years), 50/100,000 (<5 years) and 25/100,000 (<15 years). The case fatality rate (<5 years) was 25%. The incidence rate and high case fatality rate indicate the need for pneumococcal conjugate vaccine.
[Mh] Termos MeSH primário: Infecções Pneumocócicas/epidemiologia
Streptococcus pneumoniae
[Mh] Termos MeSH secundário: Adolescente
Bacteriemia
Criança
Pré-Escolar
Hospitalização/estatística & dados numéricos
Seres Humanos
Esquemas de Imunização
Incidência
Lactente
Recém-Nascido
Meningite Pneumocócica
Estudos Retrospectivos
Tonga/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170622
[Lr] Data última revisão:
170622
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161111
[St] Status:MEDLINE
[do] DOI:10.1097/INF.0000000000001400


  3 / 230 MEDLINE  
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[PMID]:26969171
[Au] Autor:Sugden C; Phongsavan P; Gloede S; Filiai S; Tongamana VO
[Ad] Endereço:Ministry of Health, Nuku'alofa, Tonga.
[Ti] Título:Developing antitobacco mass media campaign messages in a low-resource setting: experience from the Kingdom of Tonga.
[So] Source:Tob Control;26(3):344-348, 2017 May.
[Is] ISSN:1468-3318
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Tobacco use has become the leading cause of preventable death in Tonga, a small island nation in the South Pacific. One pragmatic and economical strategy to address this worrying trend is to adapt effective antitobacco mass media materials developed in high-income countries for local audiences. Using Tonga as an example, this paper shares the practical steps involved in adapting antitobacco campaign materials for local audiences with minimal resources, a limited budget and without the need for an external production team. The Tongan experience underscores the importance of an adaptation process that draws from evidence-based best-practice models and engages local and regional stakeholders to ensure that campaign materials are tailored to the local context and are embedded within a mix of antitobacco strategies.
[Mh] Termos MeSH primário: Meios de Comunicação de Massa
Abandono do Hábito de Fumar/métodos
Uso de Tabaco/prevenção & controle
[Mh] Termos MeSH secundário: Comunicação em Saúde/métodos
Promoção da Saúde/métodos
Seres Humanos
Fumar/epidemiologia
Prevenção do Hábito de Fumar
Uso de Tabaco/epidemiologia
Tonga
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160313
[St] Status:MEDLINE
[do] DOI:10.1136/tobaccocontrol-2015-052755


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[PMID]:27930649
[Au] Autor:Purcell SW; Ngaluafe P; Foale SJ; Cocks N; Cullis BR; Lalavanua W
[Ad] Endereço:National Marine Science Centre, Southern Cross University, Coffs Harbour, New South Wales, Australia.
[Ti] Título:Multiple Factors Affect Socioeconomics and Wellbeing of Artisanal Sea Cucumber Fishers.
[So] Source:PLoS One;11(12):e0165633, 2016.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Small-scale fisheries are important to livelihoods and subsistence seafood consumption of millions of fishers. Sea cucumbers are fished worldwide for export to Asia, yet few studies have assessed factors affecting socioeconomics and wellbeing among fishers. We interviewed 476 men and women sea cucumber fishers at multiple villages within multiple locations in Fiji, Kiribati, Tonga and New Caledonia using structured questionnaires. Low rates of subsistence consumption confirmed a primary role of sea cucumbers in income security. Prices of sea cucumbers sold by fishers varied greatly among countries, depending on the species. Gender variation in landing prices could be due to women catching smaller sea cucumbers or because some traders take advantage of them. Dissatisfaction with fishery income was common (44% of fishers), especially for i-Kiribati fishers, male fishers, and fishers experiencing difficulty selling their catch, but was uncorrelated with sale prices. Income dissatisfaction worsened with age. The number of livelihood activities averaged 2.2-2.5 across countries, and varied significantly among locations. Sea cucumbers were often a primary source of income to fishers, especially in Tonga. Other common livelihood activities were fishing other marine resources, copra production in Kiribati, agriculture in Fiji, and salaried jobs in New Caledonia. Fishing other coastal and coral reef resources was the most common fall-back livelihood option if fishers were forced to exit the fishery. Our data highlight large disparities in subsistence consumption, gender-related price equity, and livelihood diversity among parallel artisanal fisheries. Improvement of supply chains in dispersed small-scale fisheries appears as a critical need for enhancing income and wellbeing of fishers. Strong evidence for co-dependence among small-scale fisheries, through fall-back livelihood preferences of fishers, suggests that resource managers must mitigate concomitant effects on other fisheries when considering fishery closures. That is likely to depend on livelihood diversification programs to take pressure off co-dependent fisheries.
[Mh] Termos MeSH primário: Pesqueiros/economia
Pepinos-do-Mar
[Mh] Termos MeSH secundário: Animais
Feminino
Fiji
Pesqueiros/estatística & dados numéricos
Seres Humanos
Renda
Masculino
Micronésia
Nova Caledônia
Satisfação Pessoal
Fatores Socioeconômicos
Inquéritos e Questionários
Tonga
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170713
[Lr] Data última revisão:
170713
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161209
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0165633


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[PMID]:27846814
[Au] Autor:Cadzow M; Merriman TR; Boocock J; Dalbeth N; Stamp LK; Black MA; Visscher PM; Wilcox PL
[Ad] Endereço:Department of Biochemistry, University of Otago, Dunedin, New Zealand.
[Ti] Título:Lack of direct evidence for natural selection at the candidate thrifty gene locus, PPARGC1A.
[So] Source:BMC Med Genet;17(1):80, 2016 Nov 15.
[Is] ISSN:1471-2350
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The gene PPARGC1A, in particular the Gly482Ser variant (rs8192678), had been proposed to be subject to natural selection, particularly in recent progenitors of extant Polynesian populations. Reasons include high levels of population differentiation and increased frequencies of the derived type 2 diabetes (T2D) risk 482Ser allele, and association with body mass index (BMI) in a small Tongan population. However, no direct statistical tests for selection have been applied. METHODS: Using a range of Polynesian populations (Tongan, Maori, Samoan) we re-examined evidence for association between Gly482Ser with T2D and BMI as well as gout. Using also Asian, European, and African 1000 Genome Project samples a range of statistical tests for selection (F , integrated haplotype score (iHS), cross population extended haplotype homozygosity (XP-EHH), Tajima's D and Fay and Wu's H) were conducted on the PPARGC1A locus. RESULTS: No statistically significant evidence for association between Gly482Ser and any of BMI, T2D or gout was found. Population differentiation (F ) was smallest between Asian and Pacific populations (New Zealand Maori ≤ 0.35, Samoan ≤ 0.20). When compared to European (New Zealand Maori ≤ 0.40, Samoan ≤ 0.25) or African populations (New Zealand Maori ≤ 0.80, Samoan ≤ 0.66) this differentiation was larger. We did not find any strong evidence for departure from neutral evolution at this locus when applying any of the other statistical tests for selection. However, using the same analytical methods, we found evidence for selection in specific populations at previously identified loci, indicating that lack of selection was the most likely explanation for the lack of evidence of selection in PPARGC1A. CONCLUSION: We conclude that there is no compelling evidence for selection at this locus, and that this gene should not be considered a candidate thrifty gene locus in Pacific populations. High levels of population differentiation at this locus and the reported absence of the derived 482Ser allele in some Melanesian populations, can alternatively be explained by multiple out-of-Africa migrations by ancestral progenitors, and subsequent genetic drift during colonisation of Polynesia. Intermediate 482Ser allele frequencies in extant Western Polynesian populations could therefore be due to recent admixture with Melanesian progenitors.
[Mh] Termos MeSH primário: Diabetes Mellitus Tipo 2/genética
Grupo com Ancestrais Oceânicos/genética
Coativador 1-alfa do Receptor gama Ativado por Proliferador de Peroxissomo/genética
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Alelos
Índice de Massa Corporal
Diabetes Mellitus Tipo 2/patologia
Feminino
Genótipo
Gota/genética
Gota/patologia
Haplótipos
Seres Humanos
Modelos Lineares
Modelos Logísticos
Masculino
Meia-Idade
Razão de Chances
Polimorfismo de Nucleotídeo Único
Samoa
Seleção Genética
Tonga
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (PPARGC1A protein, human); 0 (Peroxisome Proliferator-Activated Receptor Gamma Coactivator 1-alpha)
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170515
[Lr] Data última revisão:
170515
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161117
[St] Status:MEDLINE


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[PMID]:27698418
[Au] Autor:Skoglund P; Posth C; Sirak K; Spriggs M; Valentin F; Bedford S; Clark GR; Reepmeyer C; Petchey F; Fernandes D; Fu Q; Harney E; Lipson M; Mallick S; Novak M; Rohland N; Stewardson K; Abdullah S; Cox MP; Friedlaender FR; Friedlaender JS; Kivisild T; Koki G; Kusuma P; Merriwether DA; Ricaut FX; Wee JT; Patterson N; Krause J; Pinhasi R; Reich D
[Ad] Endereço:Department of Genetics, Harvard Medical School, Boston, Massachusetts 02115, USA.
[Ti] Título:Genomic insights into the peopling of the Southwest Pacific.
[So] Source:Nature;538(7626):510-513, 2016 10 27.
[Is] ISSN:1476-4687
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:The appearance of people associated with the Lapita culture in the South Pacific around 3,000 years ago marked the beginning of the last major human dispersal to unpopulated lands. However, the relationship of these pioneers to the long-established Papuan people of the New Guinea region is unclear. Here we present genome-wide ancient DNA data from three individuals from Vanuatu (about 3,100-2,700 years before present) and one from Tonga (about 2,700-2,300 years before present), and analyse them with data from 778 present-day East Asians and Oceanians. Today, indigenous people of the South Pacific harbour a mixture of ancestry from Papuans and a population of East Asian origin that no longer exists in unmixed form, but is a match to the ancient individuals. Most analyses have interpreted the minimum of twenty-five per cent Papuan ancestry in the region today as evidence that the first humans to reach Remote Oceania, including Polynesia, were derived from population mixtures near New Guinea, before their further expansion into Remote Oceania. However, our finding that the ancient individuals had little to no Papuan ancestry implies that later human population movements spread Papuan ancestry through the South Pacific after the first peopling of the islands.
[Mh] Termos MeSH primário: Grupo com Ancestrais do Continente Asiático/genética
Genoma Humano/genética
Genômica
Migração Humana/história
Grupo com Ancestrais Oceânicos/genética
Filogenia
[Mh] Termos MeSH secundário: Feminino
Genética Populacional
História Antiga
Seres Humanos
Masculino
Nova Guiné/etnologia
Polinésia/etnologia
Tonga
Vanuatu
[Pt] Tipo de publicação:HISTORICAL ARTICLE; JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170922
[Lr] Data última revisão:
170922
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161005
[St] Status:MEDLINE
[do] DOI:10.1038/nature19844


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[PMID]:27517112
[Au] Autor:Manchester A
[Ti] Título:Passing on her knowlege to patients.
[So] Source:Nurs N Z;22(5):14-5, 2016 Jun.
[Is] ISSN:1173-2032
[Cp] País de publicação:New Zealand
[La] Idioma:eng
[Mh] Termos MeSH primário: História da Enfermagem
Enfermeiras Internacionais
Síndromes da Apneia do Sono/enfermagem
[Mh] Termos MeSH secundário: História do Século XX
História do Século XXI
Nova Zelândia
Tonga/etnologia
[Pt] Tipo de publicação:BIOGRAPHY; HISTORICAL ARTICLE; JOURNAL ARTICLE; PORTRAITS
[Ps] Nome de pessoa como assunto:Ofa M
[Em] Mês de entrada:1609
[Cu] Atualização por classe:160812
[Lr] Data última revisão:
160812
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:160813
[St] Status:MEDLINE


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[PMID]:27132386
[Au] Autor:Ashton L
[Ti] Título:NURSING STUDENTS GAIN LIFE CHANGING EXPERIENCE IN THE KINGDOM OF TONGA.
[So] Source:Aust Nurs Midwifery J;23(8):30, 2016 Mar.
[Is] ISSN:2202-7114
[Cp] País de publicação:Australia
[La] Idioma:eng
[Mh] Termos MeSH primário: Preceptoria
Estudantes de Enfermagem
[Mh] Termos MeSH secundário: Atitude do Pessoal de Saúde
Austrália
Bacharelado em Enfermagem
Seres Humanos
Tonga
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1605
[Cu] Atualização por classe:160502
[Lr] Data última revisão:
160502
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:160503
[St] Status:MEDLINE


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[PMID]:27122623
[Au] Autor:Lin S; Hufanga S; Linhart C; Morrell S; Taylor R; Magliano DJ; Zimmet P
[Ad] Endereço:University of New South Wales, Sydney, New South Wales, Australia.
[Ti] Título:Diabetes and Obesity Trends in Tonga Over 40 Years.
[So] Source:Asia Pac J Public Health;28(6):475-85, 2016 Sep.
[Is] ISSN:1941-2479
[Cp] País de publicação:China
[La] Idioma:eng
[Ab] Resumo:Disparate population surveys of type 2 diabetes mellitus (T2DM) have been conducted in Tonga for 4 decades. This study standardizes these surveys to enable assessment of T2DM and obesity trends in Tongans aged 25 to 64 years over 1973-2012, and projects T2DM prevalence to 2020 based on demographic and population weight changes. Eight surveys were standardized to the nearest census to produce nationally representative estimates. Linear period trends and prevalence projections to 2020 were produced using random-effects meta-regression. Over 1973-2012, T2DM prevalence increased from 5.2% to 19.0% (1.9%/5 years) and obesity prevalence from 56.0% to 70.2% (2.7%/5 years). T2DM prevalence period projection to 2020 is 22.3%. Based on modeling using body mass index, T2DM prevalence in 2020 could have been 12.7% and 16.8% in 2020 had mean population weight been 1 to 4 kg lower than 2012 levels.
[Mh] Termos MeSH primário: Diabetes Mellitus Tipo 2/epidemiologia
Obesidade/epidemiologia
[Mh] Termos MeSH secundário: Adulto
Inquéritos Epidemiológicos
Seres Humanos
Meia-Idade
Prevalência
Tonga/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170512
[Lr] Data última revisão:
170512
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160429
[St] Status:MEDLINE
[do] DOI:10.1177/1010539516645156


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[PMID]:26713886
[Au] Autor:Winn-Dix EA; Nathan SA; Rawstorne P
[Ad] Endereço:The Kirby Institute, University of New South Wales.
[Ti] Título:Informing the introduction of contraceptive implants in the Pacific: a mixed methods study of contraceptive beliefs and behaviours in Tonga.
[So] Source:Aust N Z J Public Health;40(2):115-9, 2016 Apr.
[Is] ISSN:1753-6405
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To explore the knowledge and attitudes underlying contraceptive use and non-use among Tongan adults and investigate the potential acceptability of contraceptive implants. METHODS: A mixed methods study was conducted that used two focus groups and a short self-completed survey (n=109). Participants were recruited from a Tongan non-governmental sexual and reproductive health clinic. RESULTS: Contraceptive method discontinuation was high among the study group, with reasons for discontinuation often relating to misconceptions circulating in the community about the side effects of contraceptives. A high proportion (38%) reported using 'natural' contraceptive methods. A total of 47% of survey participants reported having heard of implants and 37% indicated they would be willing to try them. CONCLUSION: Current Tongan contraceptive uptake and continuation is hampered by misconceptions about side effects of methods and their risks, particularly among long-acting and reversible methods. Contraceptive implants may be acceptable to Tongans given their arm placement, reversibility and long-lasting effect. IMPLICATIONS: Efforts to improve contraceptive continuation in Tonga should focus on improving counselling on potential side effects for all methods. The introduction of contraceptive implants as an additional long-acting reversible method should be considered.
[Mh] Termos MeSH primário: Comportamento Contraceptivo/psicologia
Anticoncepção/psicologia
Anticoncepcionais Femininos/uso terapêutico
Implantes de Medicamento
Aceitação pelo Paciente de Cuidados de Saúde/psicologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Comportamento do Consumidor
Anticoncepção/métodos
Comportamento Contraceptivo/etnologia
Estudos Transversais
Feminino
Conhecimentos, Atitudes e Prática em Saúde
Seres Humanos
Entrevistas como Assunto
Masculino
Meia-Idade
Aceitação pelo Paciente de Cuidados de Saúde/etnologia
Pesquisa Qualitativa
Tonga/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Contraceptive Agents, Female); 0 (Drug Implants)
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170227
[Lr] Data última revisão:
170227
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151230
[St] Status:MEDLINE
[do] DOI:10.1111/1753-6405.12494



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