Dissertations / Theses on the topic 'Fetal death Risk factors'
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Bell, Ruth. "Trends in late fetal death 1982-2000 : the influence of changing risk factors." Thesis, University of Newcastle upon Tyne, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.424086.
Full textMyers, Patricia D. "The Association of Maternal Pregnancy Complications and Sudden Infant Death Syndrome." [Tampa, Fla.] : University of South Florida, 2003. http://purl.fcla.edu/fcla/etd/SFE0000068.
Full textMaia, Carolina Bastos. "Predição do resultado perinatal em gestações trigemelares." Universidade de São Paulo, 2014. http://www.teses.usp.br/teses/disponiveis/5/5139/tde-26082014-114541/.
Full textThe present study, involving triplet pregnancies, describes perinatal mortality and investigates predictors of the following outcomes: number of children alive, no child alive (unfavorable outcome) and at least one child alive (favorable outcome) at hospital discharge. It is a retrospective study involving triplet pregnancies with live fetuses at the first ultrasound scan, performed after 11 weeks of gestation, at the Department of Obstetrics and Gynecology, São Paulo University Medical School Hospital, between 1998 and 2012. Final sample included 67 women, 77.6% reported spontaneous conception. Regarding the chorionicity, 49.2% were trichorionic; 16.4% had a medical complication prior to pregnancy, and 49.2% were nulliparous. The incidence of obstetric and/or clinical complications during pregnancy was 52.2%, and fetal complications occurred in 25.2%, (13.4% of major fetal abnormalities, 7.5% twin-to-twin transfusion syndrome, 5.9% stillbirth, 4.5% placental insufficiency, 4.4% conjoined twins and 1.5% acardic twin). The average gestational age at delivery was 31.9 ± 3.1 weeks, and 83.5% were cesarean. The average birthweight was 1683 ± 508 g and birth weight discordance up to 20% occurred in 57% of the cases; 23,2% had 20 to 30% discordance and 19.6%, was greater than 30%. The rate of stillbirth was 31.7%o births (95%CI: 11.7 - 67.8) and the perinatal mortality was 249%o births (95%CI: 189 - 317). The average hospital stay was 29.3 ± 24.7 days amongst children that were discharged alive. Stepwise logistic regression analysis was used to investigate prediction according to: maternal age, parity (nuliparous/multiparous), prior clinical history, gestational age at the first ultrasound scan at HCFMUSP, pregnancy chorionicity (trichorionic/non trichorionic), occurrence of clinical and/or obstetric complications during pregnancy, occurrence of fetal complications and gestational age at delivery. Significance level was set at 0.05. The number of children alive at hospital discharge was correlated with the occurrence of fetal complications (OR 0,1, 95%IC: 0,03 - 0,36; p < 0,001) and gestational age at delivery (OR 1,55, IC95%: 1,31-1,85; p < 0,001). Whereas favorable and unfavorable outcome were associated with gestational age at delivery (OR 1.84, 95%CI: 1.26 - 2.7-; p=0,002 and OR 0.54, 95%CI: 0.37-0.79; p=0.002, respectively)
Ødegård, Rønnaug A. "Preeclampsia - maternal risk factors and fetal growth." Doctoral thesis, Norwegian University of Science and Technology, Department of Cancer Research and Molecular Medicine, 2002. http://urn.kb.se/resolve?urn=urn:nbn:no:ntnu:diva-484.
Full textPreeclampsia is a complex and variable maternal disturbance that ranges from a dramatic onset at early gestation to slowly developing symptoms towards term. Hypertension and renal involvement with proteinuria are cardinal signs, which are often accompanied by fluid retention, blood-clotting dysfunction, and reduced organ perfusion. HELLP (haemolysis, elevated liver enzymes, and low platelet count) syndrome is regarded as a variant of preeclampsia, and the fulminante disease, eclampsia, includes convulsions. Preeclampsia is the main cause of maternal and fetal morbidity and mortality in western countries (1, 2), and in Nordic countries, 17 percent of maternal deaths have been ascribed to preeclampsia (2). Antenatal care in Norway includes on average 12 doctor/midwife consultations per pregnancy (3), and since blood pressure monitoring and urinary testing are main aims of the consultations, preeclampsia is a pregnancy complication that also generates substantial societal costs.
Paper II, III, IV and V reproduced with permission of Elsevier, sciencedirect.com
Smoleniec, John Stefan. "Preterm fetal behavioural states and the risk of sudden infant death syndrome." Thesis, University of Bristol, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.324366.
Full textMoore, Vivienne M. "Fetal growth and cardiovascular risk factors in an Australian cohort /." Title page, contents and abstract only, 1997. http://web4.library.adelaide.edu.au/theses/09PH/09phm824.pdf.
Full textStephansson, Olof. "Epidemiological studies of stillbirth and early neonatal death /." Stockholm, 2002. http://diss.kib.ki.se/2002/91-7349-143-8.
Full textBlair, Peter Sinclair Paul. "Assessing the changing risk factors associated with Sudden Infant Death Syndrome." Thesis, University of Bristol, 1998. http://hdl.handle.net/1983/275cdd77-5f8e-487d-8e8d-3aa62eea16e8.
Full textRadford-Paz, Elisa. "Risk and protective factors for criminality among adults with FASD." Thesis, Laurentian University of Sudbury, 2013. https://zone.biblio.laurentian.ca/dspace/handle/10219/2128.
Full textPeterson, Caroline. "Psycho-Socio-Cultural Risk Factors for Breech Presentation." Scholar Commons, 2008. https://scholarcommons.usf.edu/etd/451.
Full textHan, Guangming. "Prevalence of Chronic Diseases and Risk Factors for Death among Elderly Americans." Digital Archive @ GSU, 2011. http://digitalarchive.gsu.edu/math_theses/108.
Full textMacdonald, Jennifer. "History of pregnancy termination as a risk factor for preterm birth, Virginia 2000-20007." VCU Scholars Compass, 2009. http://scholarscompass.vcu.edu/etd/1739.
Full textLamberts, R. J. "Sudden death in epilepsy : an analysis of potential underlying mechanisms and risk factors." Thesis, University College London (University of London), 2015. http://discovery.ucl.ac.uk/1469392/.
Full textHietaniemi, M. (Mirella). "Studies on novel and traditional risk factors of atherosclerosis." Doctoral thesis, University of Oulu, 2009. http://urn.fi/urn:isbn:9789514291296.
Full textTiivistelmä Ateroskleroosi eli valtimonkovettumatauti on sairaus, joka saa alkunsa verisuonen sisäseinämään kiinnittyvistä tulehdussoluista ja veren rasvapartikkeleista, joista muodostuu pitkän ajan kuluessa ateroskleroottisia plakkeja. Plakit voivat kasvaessaan heikentää veren virtausta valtimoissa ja pahimmillaan jopa tukkia suonen kokonaan. Mikäli plakki repeää, voi muodostua verihyytymä joka sydämessä aiheuttaa sydäninfarktin ja aivoissa aivoinfarktin. Vaikka useita ateroskleroosille altistavia tekijöitä tunnetaan, taudin syntymekanismit ovat vielä suurelta osin selvittämättä. Tämän väitöskirjatyön tarkoituksena oli tutkia sekä ateroskleroosin perinteisiä että mahdollisia uusia riskitekijöitä. Ensimmäisessä osatyössä tutkittiin insuliininkaltaisen kasvutekijä I:n (IGF-I) yhteyttä kaulavaltimon ateroskleroosiin sekä perinteisiin ateroskleroosin riskitekijöihin. Matalat IGF-I pitoisuudet liittyivät moniin ateroskleroosin riskitekijöihin. Naisissa korkeammat IGF-I pitoisuudet kuitenkin yhdistyivät paksumpaan kaulavaltimoon, mikä viittaa ateroskleroosiin. Tulosten perusteella IGF-I saattaa liittyä ateroskleroosin kehitykseen ja mahdollisesti sen vaikutukset ilmenevät naisissa ja miehissa eri tavoin. Toisessa osatyössä tutkittiin maksan geenien ilmentymistä lihavuudessa ja laihdutusjakson jälkeen. Laihduttaneessa ryhmässä 142:n geenin ilmentyminen oli vähentynyt ja vain yhden lisääntynyt suhteessa kontrolliryhmään. Ubikitiini-syklin geenien ilmentymisen väheneminen voi viitata vähentyneeseen oksidatiiviseen stressiin elimistössä dieetin seurauksena. Muun muassa diabetekseen liittyvän geenin, peroxisome proliferator-activated receptor gamma cofactor 1 alpha, väheneminen puolestaan voi liittyä parantuneeseen insuliiniherkkyyteen laihduttaneissa. Lisäksi tässä työssä tuli esiin monia uusia, mielenkiintoisia geenejä, joita ei aiemmin ole yhdistetty lihavuuteen tai ateroskleroosiin. Kolmannessa ja neljännessä osatyössä selvitettiin ns. Barkerin hypoteesia, eli sitä, voisiko sairastumisalttius määräytyä jo sikiökauden ja varhaiskehityksen aikana. Rottakokeemme osoittivat, että sikiöaikaisen aliravitsemuksen seurauksena kolesteroliarvot olivat korkeammat ja että lihavuuteen liittyvien peptidihormonien, adiponektiinin ja resistiinin, pitoisuuksissa oli tapahtunut epäsuotuisia muutoksia, jotka voivat altistaa insuliiniresistenssille Tulokset viittasivat myös siihen, että aliravitsemus oli mahdollisesti vaikuttanut haiman kehitykseen, mikä voi myös osaltaan vaikuttaa mm. insuliini- ja sokeriaineenvaihduntaan. Tämänkaltaiset muutokset saattavat altistaa ateroskleroosille myöhemmällä iällä
Kaikkonen, K. (Kari). "Risk factors for sudden cardiac death from an acute ischemic event in general population:a case-control study." Doctoral thesis, University of Oulu, 2009. http://urn.fi/urn:isbn:9789514290473.
Full textWu, Yanlan, and 吴艳兰. "Risk factors for death in pediatric intensive care unit of a tertiary children's hospital in Guangzhou city." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2014. http://hdl.handle.net/10722/206970.
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Pasupathy, Dharmintra. "An analysis of factors contributing to the risk and trend of delivery related perinatal death at term." Thesis, University of Cambridge, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.608790.
Full textToukola, T. (Tomi). "Physical exercise and sudden cardiac death:characteristics and risk factors." Doctoral thesis, Oulun yliopisto, 2018. http://urn.fi/urn:isbn:9789526220413.
Full textTiivistelmä Säännöllinen aktiivinen elämäntapa on yhteydessä pienempään fyysisten ja psyykkisten sairauksien riskiin. Tutkimuksissa on kuitenkin havaittu raskaampaan liikuntaan liittyvä väliaikaisesti lisääntynyt akuutin sydäntapahtuman, kuten äkkikuoleman, riski. Väitöskirjatutkimuksessa tutkitaan rasitukseen liittyvän sydänperäisen äkkikuoleman erityispiirteitä ja fyysisen aktiivisuuden merkitystä hyvinvoinnille. Ensimmäisessä osajulkaisussa havaittiin, että rasitukseen liittyvissä kuolemissa oli ruumiinavauslöydöksenä merkittävästi enemmän sepelvaltimotautia, sydänlihaksen arpeutumista ja sydänlihaksen liikakasvua verrattuna äkkikuolemiin levossa. Miessukupuoli oli selkeästi yliedustettuna rasituspopulaatiossa, sillä peräti 94 % oli miehiä. Yleisimmät rasitusmuodot olivat hiihto, pyöräily ja lumenluonti. Toisessa osatutkimuksessa tutkittiin edeltävien EKG-muutosten yhteyttä rasitusperäisiin äkkikuolemiin. Havaitsimme, että QRS-kompleksin pirstoutuminen etuseinäkytkennöissä oli selkeästi yleisempi löydös rasitusryhmässä. Tämä löydös oli erityisen merkittävä sepelvaltimotautipotilailla. Kolmas julkaisu sisältää tiedot sairaalan ulkopuolisista sydänpysähdyksistä Pohjois-Pohjanmaalla vuosina 2007–2012. Tässä aineistossa havaitsimme, että rasitukseen liittyvän sydänpysähdyksen alkurytmi oli useammin defibrilloitava, potilaat olivat nuorempia ja terveempiä, ja maallikkoelvytys aloitettiin useammin. Rasituksessa elottomaksi menneillä oli suhteellisen hyvä selviämisennuste. Neljännessä tutkimuksessa havaitsimme selkeästi paremman ennusteen niillä stabiilia sepelvaltimotautia sairastaneilla, jotka olivat liikunnallisesti aktiivisia. Sydänperäinen kuolleisuus oli pienempi myös niillä potilailla, jotka onnistuivat lisäämään liikunnallista aktiivisuuttaan. Samankaltainen tulos todettiin sydänperäisten äkkikuolemien osalta. Sepelvaltimotauti ja miessukupuoli ovat hyvin yleisiä löydöksiä, kun sydänperäinen äkkikuolema tapahtuu rasituksessa. Myös QRS-kompleksin pirstoutuminen etuseinäkytkennöissä liittyi rasitusperäisiin kuolemiin. Toisaalta potilaan ennuste selvitä on selkeästi parempi sydänpysähdyksen tapahtuessa rasituksessa. Osoitimme myös, että liikunnallinen aktiivisuus ja sen pienikin lisäys parantavat sepelvaltimotautipotilaiden ennustetta
Salawu, Emmanuel Oluwatobi. "Spatiotemporal Variations in Coexisting Multiple Causes of Death and the Associated Factors." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/6108.
Full textFerm, Anna, and Nicklas Olsson. "Plötslig spädbarnsdöd, ett känsligt ämne : En litteraturöversikt om risker, förebyggande åtgärder och sjuksköterskans roll vid SIDS." Thesis, Högskolan Väst, Avd för vårdvetenskap på grundnivå, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-7196.
Full textEdner, Ann. "Apnea, small for date and autonomic imbalance - risk factors in relation to SIDS /." Stockholm, 2003. http://diss.kib.ki.se/2003/91-7349-503-4/.
Full textKerche, Luciane Teresa Rodrigues Lima. "Fatores de risco para macrossomia fetal em gestações complicadas por diabete ou hiperglicemia diária /." Botucatu : [s.n.], 2004. http://hdl.handle.net/11449/95361.
Full textResumo: Identificar fatores de risco para a macrossomia fetal na população de gestantes portadoras de diabete ou hiperglicemia diária. Método - Estudo retrospectivo, tipo caso-controle, incluindo 803 pares de mães e recém-nascidos desta população específica, distribuídos em dois grupos - macrossômicos (casos, n = 242) e não-macrossômicos (controles, n = 561). Foram comparadas variáveis relativas à idade, paridade, peso e índice de massa corporal (IMC), ganho de peso (GP), antecedentes de diabete, hipertensão arterial e tabagismo, tipo e classificação do diabete e indicadores do controle glicêmico no terceiro trimestre. As médias foram avaliadas pelo teste F e as variáveis categorizadas foram submetidas à análise univariada, utilizando-se o teste do qui-quadrado (c²). Os resultados significativos foram incluídos no modelo de regressão múltipla, para identificação do risco independente de macrossomia, considerando-se OR, IC95% e valor de p. Para todas as análises foi estabelecido o limite de significância estatística de 5% (p < 0,05). Resultados - Observou-se associação significativa entre macrossomia e GP > 16kg, IMC = 25kg/m2, antecedentes pessoais, obstétricos e, especificamente, o de macrossomia, classificação nos grupos de Rudge (IB e IIA + IIB), média glicêmica (MG) ³120mg/dL e média de glicemia pósprandial (MPP) ³ 130mg/dL no terceiro trimestre. Na análise de regressão múltipla, o GP > 16kg (OR = 1,79; IC95% = 1,23 ¾ 1,60), o IMC = 25kg/m² (OR = 1,83; IC95% = 1,27 ¾ 2,64), o antecedente pessoal de diabete (OR = 1,56; IC95% = 1,05 ¾ 2,31) e de macrossomia (OR = 2,37; IC95% = 1,60 ¾ 3,50) e a MG ³120mg/dL no terceiro trimestre (OR = 1,78; IC95% = 1,13 ¾ 2,80) confirmaram risco independente para macrossomia nestas gestações de risco. Conclusão - O GP > 16Kg, o IMC ³ 25Kg/m2, a MG ³ 120mg/dL no terceiro trimestre e a presença... (Resumo completo, clicar acesso eletrônico abaixo)
Abstract: To identify risk factors for fetal macrosomia in pregnant women having diabetes or daily hyperglycemia. Method - Retrospective study, control-case, including 803 pairs of mothers and newborns belonging to this specific population, distributed in two groups- macrosomic (cases, n = 242) and non-macrosomic (controls, n = 561). Variables related to age, parity, weight and body mass index (BMI), weight gain (WG), diabetes history, high blood pressure and tabagism, diabetes type and classification and glycemic control indicators in the third trimester were compared. The means were evaluated by the F test and the categorized variables were submitted to univariate analysis using the chi square test (c²). The significative results were included in the multiple regression model for the identification of macrosomia independent risk considering OR, 95% CI and p value. The statistical significance limit of 5% was established for all the analysis. Results - There was significative association between macrosomia and WG > 16kg, BMI = 25kg/m², personal, obstetric and macrosomic history, classification in the Rudge groups (IB and IIA + IIB), glycemic mean (GM) = 120mg/dL and postprandial glycemic mean (PPGM) = 130mg/dL in the third trimester. In the multiple regression analysis, the WG > 16kg (OR= 1,79; 95%CI= 1,23 - 1,60), the BMI ³ 25kg/m² (OR = 1,83; 95% CI = 1,27 - 2,64), the diabetes personal history (OR = 1,56; 95%CI = 1,05 - 2,31), and of macrossomia (OR = 2,37; 95%CI= 1,60- 3,50) and the GM ³ 120mg/dL in the third trimester (OR = 1,78; 95%= 1,13 - 2,80) confirmed independent risk for macrossomia in these risk pregnancies. Conclusion - The WG > 16kg, the BMI ³ 25kg/m², the GM = 120mg/dL in the third trimester and macrosomia and diabetes personal history were identified as risk factors for fetal macrosomia in pregnant women having diabetes or daily hyperglycemia.
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Louw, Jacobus Gidion. "Perception of personal and general risk of alcohol use during pregnancy among women in a high risk community in the Northern Cape province, South Africa." Thesis, Stellenbosch : Stellenbosch University, 2014. http://hdl.handle.net/10019.1/95915.
Full textENGLISH ABSTRACT: Maternal drinking during pregnancy and its consequences are a growing health concern worldwide. It has also been identified as a significant problem in South African communities with some of the highest prevalence rates of Fetal Alcohol Spectrum Disorder (FASD) reported in South Africa. The primary aim of this study was to explore how women in a South African community in the Northern Cape Province perceive the personal and general risk of drinking during pregnancy. The secondary aims were to ascertain whether there was evidence of unrealistic optimism, to examine whether there were personal characteristics that are associated with high or low risk perception, and to examine women‟s knowledge of FASD. A total of 128 women from De Aar in the Northern Cape, an area with a high prevalence of FASD, and therefore drinking during pregnancy, were recruited to take part in the study. Participants had previously taken part in a FASD prevention programme. Questionnaires were administered assessing the perception of the risk posed to a participant‟s own child should she drink during pregnancy, and the risk posed to others‟ children should they drink during pregnancy. The questionnaire also contained questions on FASD knowledge and demographic variables. Participants were between 18 and 44 years of age and reported high rates of unemployment. Most women had more than one child and 7.8% had a child diagnosed with FASD. No evidence for unrealistic optimism was found. Multiple regression analyses revealed both FASD knowledge, and the perception of how easy it would be for oneself to stop drinking, were significant predictors for both personal and general risk. A model including the perception of general risk, FASD knowledge and the perception of how easily one could stop drinking accounted for the most variance in the perception of personal risk (66.4%). Perception of personal risk on its own was the strongest predictor of the perception of general risk accounting for 56.1% of variance. There was no significant correlation between passage of time and FASD knowledge, but possible gaps in FASD knowledge were identified. The study provides an overview of the perception of the risk of drinking during pregnancy in the target population. It also suggests improvements to the research design and materials for further research.
AFRIKAANSE OPSOMMING: Moederlike drankgebruik gedurende swangerskap en die gevolge daarvan word wêreldwyd met groeiende kommer beskou. Dit is ook as ʼn wesenlike probleem in Suid-Afrika geïdentifiseer, met van die hoogste voorkomssyfers van Fetale Alkohol Spektrumafwykings (FASA) wat in Suid-Afrika aangeteken is. Die primêre doel van hierdie studie was om, in ʼn Suid-Afrikaanse gemeenskap in die Noord Kaap provinsie, die persepsie van persoonlike en algemene risiko van drink tydens swangerskap onder vrouens, te ondersoek. Die sekondêre doelstellings was om vas te stel of daar bewyse van onrealistiese optimisme is; te bepaal of daar persoonlike eienskappe is wat korreleer met ʼn hoë of lae risiko-persepsie, en om ook die vroue se kennis van Fetale Alkohol Spektrumafwykings (FASA) te ondersoek. 128 vroue van De Aar in die Noord-Kaap is gewerf om aan die studie deel te neem. Die gebied het 'n hoë FASA voorkoms, en dus ook alkoholgebruik tydens swangerskap. Deelnemers het voorheen deelgeneem aan 'n FASA voorkomingsprogram. Vraelyste is voltooi rakende die persepsie van die risiko vir 'n deelnemer se eie kind sou sy tydens swangerskap drink, en die risiko vir ander se kinders, sou hulle tydens swangerskap drink. Die vraelys het ook vrae oor FASA kennis en demografiese veranderlikes ingesluit. Deelnemers was tussen 18 en 44 jaar oud en het hoë vlakke van werkloosheid gerapporteer. Meeste vrouens het meer as een kind gehad en 7.8% het ʼn kind wat met FASA gediagnoseer is gehad. Geen bewyse vir onrealistiese optimisme is gevind nie. Meervoudige regressie-ontleding het bevind dat beide FASA-kennis en die persepsie van hoe maklik dit vir ‟n deelnemer self sou wees om op te hou drink, beduidende voorspellers vir beide persoonlike en algemene risiko is. 'n Model wat die persepsie van algemene risiko, FASA-kennis en die persepsie van hoe maklik 'n deelnemer self kan ophou drink, het die grootste variansie in die persepsie van persoonlike risiko verduidelik (66,4 %). Persepsie van persoonlike risiko op sy eie, was die sterkste voorspeller van die persepsie van algemene risiko, opsigself verantwoordelik vir 56,1% van die variansie. Daar was geen beduidende korrelasie tussen die verloop van tyd en FASA kennis nie, maar moontlike gapings in die kennis van FASA is geïdentifiseer. Die studie bied 'n oorsig van die persepsie van die risiko van drankgebruik tydens swangerskap in die teikenbevolking. Dit stel ook verbeteringe vir die navorsingsmetodiek voor vir toekomstige navorsing.
Joyce, Sarah Julia. "Demographic, clinical and environmental risk factors for prelabour rupture of membranes in Western Australia." University of Western Australia. School of Population Health, 2009. http://theses.library.uwa.edu.au/adt-WU2009.0126.
Full textOfori, Samuel N. "Isolated oligohydramnios in low-risk pregnancy- a prospective study of the maternal, placental and fetal aetiological factors and associated perinatal outcomes." Thesis, University of Portsmouth, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.516884.
Full textPease, Anna Susan. "Factors influencing infant care practices in the sleep environment among families at high risk of sudden infant death syndrome." Thesis, University of Bristol, 2015. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.702488.
Full textNeumayr, Andreas Vipa Thanachartwet. "Malarial acute renal failure at Mae Sot general hospital, Thailand : outcome and associated risk factors for death and dialysis /." Abstract, 2008. http://mulinet3.li.mahidol.ac.th/thesis/2551/cd414/5038610.pdf.
Full textLICL has E-Thesis 0038 ; please contact computer services. LIRV has E-Thesis 0038 ; please contact circulation services.
Rogers, Catherine Hilary. "The Effect of the Death of a Child on Midlife Mental and Physical Health: An Exploration of Risk and Resilience Factors." Digital Archive @ GSU, 2005. http://digitalarchive.gsu.edu/psych_diss/8.
Full textClausson, Britt. "Risk factors and adverse pregnancy outcomes in small-for-gestational-age births." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2000. http://publications.uu.se/theses/91-554-4858-5/.
Full textKerche, Luciane Teresa Rodrigues Lima [UNESP]. "Fatores de risco para macrossomia fetal em gestações complicadas por diabete ou hiperglicemia diária." Universidade Estadual Paulista (UNESP), 2004. http://hdl.handle.net/11449/95361.
Full textCoordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
Identificar fatores de risco para a macrossomia fetal na população de gestantes portadoras de diabete ou hiperglicemia diária. Método - Estudo retrospectivo, tipo caso-controle, incluindo 803 pares de mães e recém-nascidos desta população específica, distribuídos em dois grupos - macrossômicos (casos, n = 242) e não-macrossômicos (controles, n = 561). Foram comparadas variáveis relativas à idade, paridade, peso e índice de massa corporal (IMC), ganho de peso (GP), antecedentes de diabete, hipertensão arterial e tabagismo, tipo e classificação do diabete e indicadores do controle glicêmico no terceiro trimestre. As médias foram avaliadas pelo teste F e as variáveis categorizadas foram submetidas à análise univariada, utilizando-se o teste do qui-quadrado (c²). Os resultados significativos foram incluídos no modelo de regressão múltipla, para identificação do risco independente de macrossomia, considerando-se OR, IC95% e valor de p. Para todas as análises foi estabelecido o limite de significância estatística de 5% (p < 0,05). Resultados - Observou-se associação significativa entre macrossomia e GP > 16kg, IMC = 25kg/m2, antecedentes pessoais, obstétricos e, especificamente, o de macrossomia, classificação nos grupos de Rudge (IB e IIA + IIB), média glicêmica (MG) ³120mg/dL e média de glicemia pósprandial (MPP) ³ 130mg/dL no terceiro trimestre. Na análise de regressão múltipla, o GP > 16kg (OR = 1,79; IC95% = 1,23 ¾ 1,60), o IMC = 25kg/m² (OR = 1,83; IC95% = 1,27 ¾ 2,64), o antecedente pessoal de diabete (OR = 1,56; IC95% = 1,05 ¾ 2,31) e de macrossomia (OR = 2,37; IC95% = 1,60 ¾ 3,50) e a MG ³120mg/dL no terceiro trimestre (OR = 1,78; IC95% = 1,13 ¾ 2,80) confirmaram risco independente para macrossomia nestas gestações de risco. Conclusão - O GP > 16Kg, o IMC ³ 25Kg/m2, a MG ³ 120mg/dL no terceiro trimestre e a presença...
To identify risk factors for fetal macrosomia in pregnant women having diabetes or daily hyperglycemia. Method – Retrospective study, control-case, including 803 pairs of mothers and newborns belonging to this specific population, distributed in two groups- macrosomic (cases, n = 242) and non-macrosomic (controls, n = 561). Variables related to age, parity, weight and body mass index (BMI), weight gain (WG), diabetes history, high blood pressure and tabagism, diabetes type and classification and glycemic control indicators in the third trimester were compared. The means were evaluated by the F test and the categorized variables were submitted to univariate analysis using the chi square test (c²). The significative results were included in the multiple regression model for the identification of macrosomia independent risk considering OR, 95% CI and p value. The statistical significance limit of 5% was established for all the analysis. Results – There was significative association between macrosomia and WG > 16kg, BMI = 25kg/m², personal, obstetric and macrosomic history, classification in the Rudge groups (IB and IIA + IIB), glycemic mean (GM) = 120mg/dL and postprandial glycemic mean (PPGM) = 130mg/dL in the third trimester. In the multiple regression analysis, the WG > 16kg (OR= 1,79; 95%CI= 1,23 - 1,60), the BMI ³ 25kg/m² (OR = 1,83; 95% CI = 1,27 - 2,64), the diabetes personal history (OR = 1,56; 95%CI = 1,05 - 2,31), and of macrossomia (OR = 2,37; 95%CI= 1,60- 3,50) and the GM ³ 120mg/dL in the third trimester (OR = 1,78; 95%= 1,13 - 2,80) confirmed independent risk for macrossomia in these risk pregnancies. Conclusion – The WG > 16kg, the BMI ³ 25kg/m², the GM = 120mg/dL in the third trimester and macrosomia and diabetes personal history were identified as risk factors for fetal macrosomia in pregnant women having diabetes or daily hyperglycemia.
Rogers, Catherine. "The effect of the death of a child on midlife mental and physical health an exploration of risk and risilience factors /." unrestricted, 2005. http://etd.gsu.edu/theses/available/etd-07112005-100714/.
Full textTitle from title screen. Frank J Floyd, committee chair; Martha A. Foster, Lawrence P. Riso, Gregory J. Jurkovic, committee members. Electronic text (121 p.) : digital, PDF file. Description based on contents viewed June 12, 2007. Includes bibliographical references (p.104-121).
May, Philip, Vries Marlene De, Anna-Susan Marais, Wendy Kalberg, David Buckley, Colleen Adnams, Julie Hasken, et al. "Replication of High Fetal Alcohol Spectrum Disorders Prevalence Rates, Child Characteristics, and Maternal Risk Factors in a Second Sample of Rural Communities in South Africa." MDPI AG, 2017. http://hdl.handle.net/10150/625052.
Full textKarlsson, Nadine. "Prospective cohort studies of disability pension and mortality in a Swedish county /." Stockholm : Karolinska institutet, 2007. http://diss.kib.ki.se/2007/978-91-7357-204-0/.
Full textGoulart, Vanessa Vigna. "Óbito fetal em gestações únicas com diagnóstico de trissomias dos cromossomos 21,18 13 e monossomia do X." Universidade de São Paulo, 2014. http://www.teses.usp.br/teses/disponiveis/5/5139/tde-26112014-090258/.
Full textObjectives: To describe the frequency, and associated factors, of intrauterine fetal death (IUD), in pregnancies with chromosomal abnormality. Methods: This was a retrospective (November 2004 to May 2012) performed at de department of obstetrics, Hospital das Clínicas, São Paulo University Medical School. Inclusion criteria were: singleton pregnancies with prenatal diagnosis of trisomy 21 (T21), 18, 13 (T13/18) and X monosomy (45X), performed up to 26 weeks gestation. Results: 92 women were included in the study with a mean maternal age of 32.7 ± 8.7 years. Fetal chromosomal abnormalities (T21 n=36, T13/T18 n=25, 45X n=31) were diagnosed at a mean gestational age of 18.3 ± 3.7 weeks, by chorionic villus sampling (n=22, 24%), amniocentesis (n=66, 72%) and cordocentesis (n=4, 4%). Major fetal structural abnormality was present in 45 (49%) cases; hydrops was diagnosed in 32 (35%) fetuses, and was more common in 45X group (n=24/31 (77%) versus T21: n=6/36 (17%) and T13/18: n=2/25 (8%), p < 0.001). Specialist fetal echocardiography was performed in 55 (60%) pregnancies and showed structural and/or functional abnormalities in 33 (60%) fetuses; ventricular septal defect was the most common finding (39%). T13/18 fetuses showed a higher incidence of cardiac abnormalities (60% versus 25% (T21) and 29% (45X), p= 0.01). IUD occurred in 55 (60%) pregnancies and was more common in 45X group (n=26/31 (84%) versus T21: n=13/36 (36%) and T13/18: n=16/25 (64%), p < 0.01). Stepwise logistic regression analysis demonstrated an association between hydrops and IUD in T21 pregnancies (LR= 4.29; 95%CI= 1.9-8.0, p < 0.0001). In 45X pregnancies, cardiac abnormalities were associated with a lower risk of IUD (LR= 0.56; 95%CI = 0.27-0.85, p= 0.005). No predictors of IUD were identified in T13/18 group. Conclusion: Intrauterine death rate is high in pregnancies with a fetal chromosomal abnormality. Presence of hydrops increases the risk of this complication in trisomy 21 fetuses. Whereas the presence of a cardiac abnormality is protective in X monosomy pregnancies
Arroyo, Juan Pablo. "Exploring Potential Risk Factors of Fetal Origins of Diabetes| Maternal Stressors during Pregnancy and Birth Outcomes among Women in a Hospital in the Municipality of Caguas, Puerto Rico." Thesis, University of South Florida, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=1543402.
Full textPuerto Rico has the highest prevalence of type 2 diabetes, low birth-weight, and the second highest prevalence of preterm-birth in all the U.S. and its non-incorporated territories. These conditions are related. Birth-weight at both ends of the spectrum and preterm-birth are associated with an increased risk for developing type 2 diabetes and immune-inflammatory dysregulations. Maternal psychosocial stressors during pregnancy have also been recognized as potential risk factors for type 2 diabetes, and have been consistently associated with preterm-birth and low birth-weight across populations. Current evidence points toward epigenetic fetal metabolic-programming as the mechanism that underlies the increased risk for the previously mentioned morbidities. However, the particular psychosocial stressors that may contribute to the high prevalence of low birth-weight and preterm-birth in the population of Puerto Rico have not been well studied.
The present study assesses the relationships between particular psychosocial stressors, socioeconomic status, food insecurity, and birth outcomes. The results of this study show that low-risk pregnancy women were more likely to have babies with a higher ponderal index if they were exposed to stressors during gestation months 5, 6, and 7, or if exposed to "relationship stress" at any time during pregnancy. Women exposed to "financial difficulties" at any time during pregnancy were more likely to deliver babies at an earlier gestational age. Differences in birth outcomes between the exposed and non-exposed women were independent of maternal anthropometric measurements, maternal age at birth, number of previous births, and sex of the baby. Significant differences in birth outcomes were found between categories of father's self-identified and identified by others ethnicity, but sample size within categories was small. Although mothers with children at home had higher levels of food insecurity, and the level of food insecurity was correlated with higher levels of stress, no birth outcome measure was associated with food insecurity.
Some results are atypical in comparison with other populations, and therefore these findings may contribute to the understanding of population differences in the relationship between maternal stress during pregnancy and birth outcomes. The relatively small sample size and strict exclusion criteria of this study may limit the generalizability of the findings. Epidemiological similarities between Puerto Rico and other populations, and the possibility of a higher ponderal index increasing the risk for type 2 diabetes in the population of Puerto Rico need to be examined in future research.
De, Luca Federico. "Measuring people's knowledge and exploring the use of this measure for policies : assessing healthcare professionals' knowledge about Sudden Infant Death Syndrome (SIDS) and its risk factors." Thesis, University of Southampton, 2013. https://eprints.soton.ac.uk/364842/.
Full textWisten, Aase. "Sudden cardiac death among the young in Sweden 1992-1999 : from epidemiology to support of the bereaved." Doctoral thesis, Umeå universitet, Folkhälsa och klinisk medicin, 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-571.
Full textFilipov, Danielle. "Avaliação da dose fetal em radioterapia de mama, com câmara de ionização cilíndrica, usando blindagem e filtros físico e dinâmico." Universidade Tecnológica Federal do Paraná, 2010. http://repositorio.utfpr.edu.br/jspui/handle/1/1311.
Full textWhen a pregnant woman is submitted to breast radiotherapy, the fetus may be seriously affected by the peripheral dose. In order to verify that dose, a humanoid phantom, was irradiated at the left breast. The phantom is an adapted manikin, with some materials (densities close to water) inside and outside of it. The irradiation was done using a 6 MeV x-ray beam energy from a linear accelerator “Clinac 600C”. During the irradiation, a shield around the abdominal area of the manikin, consisting of blocks and slabs of lead was used. In addition, two types of filters were used: a physical, with 30o angulation, and an enhanced dynamic one. Through a cylindrical ionization chamber, positioned in the simulator ́s fetal region, it was found that, at the end of the breast treatment, the peripheral doses reach values between 3.90 and 48.67 cGy, when the physical wedge was used. With the application of the enhanced dynamic wedge, the values were between 1.75 and 13.78 cGy. According to the obtained data, the physical wedge can increase the peripheral dose due to the larger background radiation intensity and to the scattering caused by the attenuator material. In addition, the shielding couldn ́t block all the secondary radiation, which, according to the literature, can be able to induce mental retardation and cancer during postnatal life. However, the induction to these effects is negligible, when the type of wedge was changed.
Copley, G. Bruce. "Epidemiologic risk factors for suicide and attempted suicide by the U.S. Air Force : using administrative data systems and multiple cause of death information to improve prevention policy /." (Requires Adobe Acrobat Reader), 2000. http://stinet.dtic.mil/str/tr4%5Ffields.html.
Full textStålberg, Gabriella. "Vulnerability and Social Functioning in Schizophrenia." Doctoral thesis, Uppsala universitet, Psykiatri, Akademiska sjukhuset, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-209626.
Full textRibeiro, Ana Freitas. "Fatores de risco para óbito por influenza (AH1N1)pdm09, Estado de São Paulo, 2009." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/6/6132/tde-08042015-095247/.
Full textIntroduction - In April 2009, a new viral subtype was identified, influenza A (H1N1)pdm09. On June 11, the World Health Organization announced the beginning of the influenza pandemic. Objective - To investigate the risk factors for death from influenza A(H1N1)pdm09 in hospitalized patients and pregnant women with Severe Acute Respiratory Infections-SARI. In the pregnant women, the gestational and neonatal outcomes were analyzed. Methodology - Two case control studies were performed in hospitalized patients and pregnant women with laboratory confirmed influenza A (H1N1)pdm09 and SARI. The cases died and the controls recovered. The cases and controls were selected from the Information System for Notifiable Diseases-SINAN-Influenza-web. Two controls were randomly selected in the study of patients and four in the pregnant women, matched by epidemiological week of the date of admission of the case. The first study was conducted in the metropolitan regions of São Paulo and Campinas, from June 28th to August 29th, 2009. The study on pregnant women included the State of São Paulo, from June 09th to December 1th, 2009. Evaluations of the medical records and home interviews were conducted using standardized forms. The Mann-Whitney U test or the chi-square tests were performed to compare the variables, in addition to calculations of crude odds ratio- ORc and their 95 per cent confidence intervals for the assessment of the risk factors. In the first study a multiple logistic regression model was used to analyze factors associated with death. Results - In the first study, 193 cases and 386 controls were investigated, 73.6 per cent of cases and 38.1 per cent of controls presented some risk condition for developing influenza-related complications. In the final model, the following variables were risk factors for death: aged between 18 and 59 , Adjusted Odds Ratio-ORa of 2.31, CI95 per cent 1.31-4.10, (reference patients <18 years), the presence of at least one risk condition (ORa=1.99, CI95 per cent 1.11-3.57), more than one risk condition (ORa=6.05 CI95 per cent 2.76-13.28), obesity (ORa=2.73, CI95 per cent 1.28-5.83), immunosuppression (ORa=3.43 CI95 per cent 1.28-9.19) and being attended prior to hospitalization (ORa=3.35, CI95 per cent 1.75-6.40). Antiviral treatment, when administered during the first 48 hours of onset of symptoms, was a protective factor for death, (ORa=0.17, CI95 per cent 0.08-0.37). There were also benefits from antiviral administration between 48 and 72 hours, (ORa=0.30, CI95 per cent 0.11-0.81). In the pregnant women, 48 cases and 185 controls were investigated. The risk factors for death were: being attended prior to hospitalization, (ORc 8.03, CI95 per cent 2.38-27.09) and third trimester of pregnancy, (ORc=4.45, CI95 per cent 1.15-29.25). Antiviral treatment was a protective factor when administered within 48 hours of onset of symptoms (ORc=0.14, CI95 per cent 0.05-0.37) and between 48 and 72 hours, (ORc= 0.13, CI95 per cent 0.02-0.68). In relation to pregnancy outcomes, there was a higher proportion of fetal losses and premature births among cases, p=0.001. The pregnant women who died had live newborns with lower weight and lower Apgar scores in the first minute, p=0.016 compared to controls who gave birth during hospitalization, p<0.001. Conclusion: The identification of high-risk patients and early treatment are important factors in the reduction of morbidity and mortality from influenza.
Silva, Daniela Vieira. "Distribuição temporal das mortes de vítimas de trauma e fatores associados." Universidade de São Paulo, 2017. http://www.teses.usp.br/teses/disponiveis/7/7139/tde-27042018-120332/.
Full textIntroduction: the trimodal distribution of deaths of trauma victims is still widely accepted by researchers. However, studies point to a change in this pattern, ranging from tri to bimodal. This panorama of deaths and associated factors have not yet been investigated in the Brazilian context, which reinforces the relevance of this investigation. Purpose: to analyze the temporal distribution and the factors associated with the deaths of trauma victims. Method: a cross-sectional, quantitative study consisting of a retrospective analysis of autopsy reports of victims admitted to the Central Medical-Legal Institute of Sao Paulo from January to December 2015, who responded to the following inclusion criteria: being a fatal victim of traumatic causes; having lesions coded by the Abbreviated Injury Scale; and having the time of death identified (time from the traumatic event to the confirmation of death). The dependent variable was the time of death, and the independent variables included age, gender, race, external cause, Injury Severity Score (ISS), New Injury Severity Score (NISS), number of body regions affected and body region more severely injured. Data analysis consisted of descriptive statistics and multinomial multiple logistic regression, with significance level of 5%. Results: the sample consisted of 1,500 victims, predominantly male (75.7%) and white (58.1%). The mean age was 49.7 (± 23.6) years. Blunt trauma prevailed in the sample (68.6%) and the most frequent external cause was fall (33.5%). The analysis of the severity of the trauma of the victims showed that the majority had moderate or severe trauma according to the ISS (mean 21.6±15.3, 58.0% with ISS 16) and NISS (mean 27.7±17.4, 70.9% with NISS 16). The victims had on average 2.4 (±1.3) body regions affected. The distribution of deaths occurred in three distinct moments: immediate (death on the scene), early (death within 24 hours after trauma) and late (death time 24 hours post trauma). Late deaths (44.7%) prevailed in the sample, followed by immediate deaths (28.2%) and early deaths (27.1%). Victims of late deaths had a higher mean age and higher frequency of falls than those who died early or late. Among those who died on the scene, the severity of the trauma measured by ISS and NISS and the mean number of injured regions were greater than the other two groups. The factors associated with immediate deaths were number of affected body regions, NISS and external causes pedestrian/cyclist, motorcyclist, motor vehicle occupant, aggressions, self-harm and unknown cause. For early deaths, the risk factors were number of body regions affected, NISS and self-harm. Finally, for the late, predictive factors were age and blunt trauma mechanism. Conclusion: the temporal distribution of deaths was trimodal, with a higher frequency of late deaths, and the factors associated with death included variables on the traumatic event and the severity of the trauma, besides age. The results of this investigation bring important subsidies for the establishment of public policies for the prevention of trauma and training strategies of health professionals aimed at reducing this clinical outcome.
Bacevičienė, Miglė. "Vidutinio amžiaus Kauno gyventojų gyvenimo kokybė, subjektyvusis sveikatos vertinimas ir jo reikšmė prognozuojant mirtį." Doctoral thesis, Lithuanian Academic Libraries Network (LABT), 2005. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2005~D_20051108_133643-41328.
Full textPandey, Deb Prasad Verfasser], Gunther [Akademischer Betreuer] Köhler, and Jörg [Akademischer Betreuer] [Oehlmann. "Venomous snakes of medical relevance in Nepal: study on species, epidemiology of snake bite and assessment of risk factors of envenoming and death / Deb Prasad Pandey. Betreuer: Gunther Köhler. Gutachter: Gunther Köhler ; Jörg Oehlmann." Frankfurt am Main : Univ.-Bibliothek Frankfurt am Main, 2015. http://d-nb.info/1077557787/34.
Full textPandey, Deb Prasad [Verfasser], Gunther Akademischer Betreuer] Köhler, and Jörg [Akademischer Betreuer] [Oehlmann. "Venomous snakes of medical relevance in Nepal: study on species, epidemiology of snake bite and assessment of risk factors of envenoming and death / Deb Prasad Pandey. Betreuer: Gunther Köhler. Gutachter: Gunther Köhler ; Jörg Oehlmann." Frankfurt am Main : Univ.-Bibliothek Frankfurt am Main, 2015. http://d-nb.info/1077557787/34.
Full textDamaso, Ênio Luís. "Validação da calculadora de risco para parto pré-termo antes da 34ª semana de gestação disponibilizada pela Fetal Medicine Foundation: um estudo caso-controle em uma população de mulheres brasileiras." Universidade de São Paulo, 2016. http://www.teses.usp.br/teses/disponiveis/17/17145/tde-10012017-134802/.
Full textIntroduction: Prematurity is the leading cause of perinatal morbidity and mortality. The use of an instrument to identify the group of patients at risk for preterm birth (PTB) will allow the implementation of prevention strategies, therefore reducing this complication. Objectives: To validate the calculator for assessment of risk for spontaneous delivery before 34 weeks of pregnancy, provided by the Fetal Medicine Foundation (FMF) for a group of Brazilian women. Methods: This retrospective and observational cohort study comprised 1,325 women undergoing routine antenatal care. Maternal variables were collected through the analysis of questionnaires, medical records and telephone calls. Then the data were inserted in the software to calculate the risk of PTB. The patients were divided in two groups according to the occurrence of PTB before 34 weeks (Group 1) or birth after 37 weeks of pregnancy (Group 2). Multilevel regression analysis was used to determine the effects of maternal characteristics on the occurrence of PTB before 34 weeks and to build a discrimination model which was evaluated by the index c. ROC curve was used to determine sensitivity and specificity, and the cutoff value above which it the risk of PTB before 34 weeks was significantly higher in our patient sample. Results: The prevalence of spontaneous PTB before 34 weeks was 1.3%. Variables that showed significant differences between groups 1 and 2 were: smoking (p=0.0002), history of repetitive PTB between 16-30 weeks without prior term and elective PTB (p<0.0001 and p=0.0271, respectively), and the risk of PTB before 34 week (1.32% vs. 0.78%, p<0.01). Multilevel regression analysis confirmed that smoking and history of PTB increased the risk of spontaneous PTB in our patient sample. On the assessment of performance index test to detect PPT before 34 weeks there was a significant area under the curve of 0.64 and the cutoff above which it the risk of PTB before 34 weeks was significantly higher was 0.7 %. Conclusions: the calculator for assessment of risk for spontaneous delivery before 34 weeks of pregnancy is a good tool for screening pregnant women in our population sample and the cutoff value above which it the risk increases is 0.7%.
Mateus, Sónia Matilde Fonseca. "Acidente vascular cerebral: fatores de risco, exames imagiológicos e repercussões económicas." Doctoral thesis, Universidade de Évora, 2015. http://hdl.handle.net/10174/16842.
Full textTiago, Douglas Bernal. "Fatores clínicos, laboratoriais e expressão placentária de transportadores de glicose no diabetes melito gestacional: associação com a ocorrência de recém-nascido grande para idade gestacional." Universidade de São Paulo, 2013. http://www.teses.usp.br/teses/disponiveis/5/5139/tde-18102013-154521/.
Full textGestational diabetes mellitus (GDM) is related to excessive fetal growth. Knowing the influence of factors related to fetal growth assists in the identification of fetuses at high risk of deviations from normality. Objective: To compare clinical and laboratory tests and the placental expression of glucose transporters according to fetal growth in patients with GDM. Method: A retrospective study of clinical and laboratory factors related with large for gestational age newborns, included 425 pregnant women with GDM was carried out at Sector Endocrine Clinic of Obstetrics Hospital of the School of Medicine, University of São Paulo (HC-FMUSP), between January 2003 to November 2009. For the analysis of placental expression of glucose transporters types 1 (GLUT1), 3 (GLUT3) and 4 (GLUT4) were selected all cases of newborns large for gestational age (LGA) paired with a case control newly born appropriate for gestational age (AGA). We included only patients with singleton pregnancies and GDM diagnosed by OGTT-100g, with newborns without malformations and birth weight classified as adequate or large for gestational age. All pregnant women received diet for diabetes, daily glycemic control and insulin when necessary. The criteria for monitoring and treatment followed strictly the standards of Conduct Protocol Endocrine Obstetric Clinic of the Clinic Hospital, School of Medicine, University of São Paulo. The pregnancies were divided for analysis into two groups: 376 cases of newborns AGA and 49 cases of newborns LGA. Data were analyzed and considered the probability value p <0.05. Results: In the univariate analysis of clinical and laboratory factors, there were no differences between the groups regarding maternal age, family history of diabetes, personal history of hypertension, number of pregnancies, blood fasting glucose and 1 hour in- OGTT 100g, gestational age at delivery, gender of the newborn, type of delivery, Apgar score at 1st and 5th minutes. There were statistically significant differences between the groups regarding: body mass index before pregnancy (p <0.02), insulin (p <0.041), previous macrosomia (p <0.001), gestational age at diagnosis of GDM (p <0.001), blood glucose levels two and three hours at 100 g OGTT, respectively, with (p <0.003) (p <0.026). In logistic regression analysis were considered independent predictors of the occurrence of LGA: body mass index before pregnancy, previous macrosomia gestational age at diagnosis of GDM and two hours after glucose overload 100 grams. Regarding the expression of glucose transporters, the groups did not differ regarding the expression of GLUT1 in the decidua, GLUT3 in the decidua and villi and GLUT4 in the decidua and villi. There were differences between the groups regarding the expression of GLUT1 in the villi. Conclusions: The body mass index before pregnancy, previous macrosomia, gestational age of diagnosis of GDM and two hours after glucose overload 100 grams were predictors of the occurrence of LGA. The expression of GLUT1 in chorionic villi was related to the occurrence of LGA newborn
Vogt, Marianna. "Doença periodontal e resultados perinatais adversos em uma coorte de gestantes." [s.n.], 2006. http://repositorio.unicamp.br/jspui/handle/REPOSIP/290423.
Full textDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba
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Resumo: Este estudo teve por objetivo avaliar a prevalência de doença periodontal em uma amostra de gestantes de baixo risco gestacional, os fatores a ela associados, e sua correlação com a ocorrência de resultados perinatais adversos, como parto pré-termo, recém-nascido de baixo peso, recém-nascido pequeno para a idade gestacional e amniorrexe prematura. Trata-se de um estudo de coorte com 334 gestantes fazendo acompanhamento pré-natal no Hospital das Clínicas da UNICAMP, que aceitaram participar voluntariamente e tiveram um único exame periodontal realizado no dia da consulta pré-natal. Os dados foram coletados da anamnese, do exame clínico periodontal e de informações relativas à gestação, parto e puerpério. Os parâmetros clínicos periodontais foram: índice de placa, índice de sangramento gengival à sondagem, profundidade de sondagem, nível de inserção clínica periodontal e retração gengival. As gestantes foram divididas em dois grupos: as com periodontite moderada a grave (P2-P4), e as sem doença ou com doença periodontal leve (P0-P1), pela classificação do índice WS. Avaliaram-se também a idade, paridade, raça, escolaridade, estado civil, hábitos alimentares, índice de massa corpórea (IMC), número de consultas de pré-natal, fumo, uso de bebidas e drogas, uso de medicação, vaginose bacteriana e doenças sistêmicas. Inicialmente foi utilizada uma abordagem analítica de corte transversal para a identificação de fatores associados à ocorrência de doença periodontal na gestação. Depois utilizou-se uma abordagem de estudo de coorte propriamente dito, estimando-se o risco de ocorrência dos resultados perinatais desfavoráveis (parto pré-termo, recém-nascido de baixo peso, recém-nascido pequeno para a idade gestacional e amniorrexe prematura, variáveis dependentes principais do estudo) em função da condição periodontal. Foram analisadas as distribuições de freqüência das variáveis independentes pelas categorias de doença periodontal, estimando-se a Razão de Prevalência e seu IC95% para abordagem transversal. Foi então realizada a análise uni e multivariada para a estimativa do risco de ocorrência das variáveis perinatais desfavoráveis na abordagem de coorte, calculando-se a Razão de Risco e seu IC95% para cada uma delas. Foi estabelecido o nível de significância de 5%. A prevalência de periodontite moderada a grave nas 334 gestantes foi de 47%, e se associou significativamente com a idade gestacional mais avançada ao exame periodontal (17-24 semanas: RP 1,40, IC95% 1,01-1,94; e 25-32 semanas: RP 1,52, IC95% 1,10-2,08), com a idade materna entre 25 e 29 anos (RP 1,65, IC95% 1,02-2,68), com a obesidade (RP 1,38, IC95% 1,04-1,82) e com a presença de sangramento gengival (ORajustado 2,01 - IC95% 1,41-2,88). Foram coletados os dados do parto de 327 gestantes e, entre elas, a doença periodontal esteve associada a um maior risco de ocorrência de parto pré-termo (RR 3,47 IC95% 1,62-7,43), de RN de baixo peso (RR 2,93 IC95% 1,36-6,34) e de amniorrexe prematura (RR 2,48 IC95% 1,35-4,56) na análise multivariada. A prevalência de doença periodontal entre gestantes de baixo risco gestacional é alta e associada com a maior idade gestacional, obesidade e sangramento gengival. A doença periodontal foi um fator de risco para a ocorrência de parto pré-termo, RN de baixo peso e de amniorrexe prematura
Abstract: This study was aimed to evaluate the prevalence of periodontal disease in a sample population of low-risk pregnant women, the factors associated with it and its correlation with the occurrence of adverse perinatal outcomes, including preterm births, low birth weigth, small for gestational age babies and premature rupture of the membranes. This cohort study included 334 pregnant women under prenatal care at the Hospital das Clinicas of the University of Campinas, Brazil, who voluntarily accepted to participate and had one single periodontal examination performed in the same day of a prenatal visit. Data was collected from anamnesis, periodontal clinical exam, and from information regarding pregnancy, delivery and postpartum. The clinical periodontal parameters were: plaque index, bleeding on probing index, probing pocket depth, clinical attachment level and gingival recession. Pregnant women were divided into two groups: those with moderate-to-severe periodontitis (P2-P4) and those with no disease or only mild disease (P0-P1), according to the WS classification index. Age, parity, race/color, years of schooling, marital status, number of prenatal visits, dietary habits, BMI (body mass index), smoking habits, use of alcohol and drugs, use of medication and presence of systemic diseases d bacterial vaginosis were also evaluated. Initially a cross sectional analytic approach was used for identifying factors associated with the occurrence of periodontal disease during pregnancy. After that, a real cohort approach was used, with the estimate of the risk of adverse perinatal outcomes (preterm birth, low birth weight, small for gestational age baby and premature rupture of membranes, the main dependent variables of this study) according to the condition of periodontal disease. Distribution of independent variables within the two groups was analyzed by calculating prevalence ratios and their respective 95% confidence intervals for the cross sectional approach. Uni and multivariate analysis for the estimation of the risk of adverse perinatal outcomes were performed for the cohort approach. The Risk Ratior and its 95%CI were estimated for each outcome. The significance level assumed was 5%. The prevalence of moderate to severe periodontitis in 334 pregnant women was 47%, and it was significantly associated with more advanced gestational age at periodontal examination (17-24 weeks: PR 1.40, 95%CI 1.01-1.94; and 25-32 weeks: PR 1.52, 95%CI 1.10 ¿ 2.08), with maternal age between 25 - 29 years (PR 1.65, 95%CI 1.02 ¿ 2.68), with obesity (PR 1.38, 95%CI 1.04 ¿ 1.82) and with the presence of gingival bleeding (ORadjusted 2.01, 95%CI 1.41 ¿ 2.88). The data of 327 deliveries were collected and, among them, the periodontal disease was associated to a higher risk of preterm birth (RR 3.47 95%CI 1.62-7.43), of low birth weight (RR 2.93 95%CI 1.36-6.34) and of premature rupture of membranes (RR 2.48 95%CI 1.35-4.56) in the multivariate analysis. The prevalence of periodontal disease among low-risk pregnant women is high and it is associated with more advanced gestational age, obesity and gingival bleeding. Periodontal disease was a risk factor for the occurrence of preterm birth, low birth weight and premature rupture of membranes
Mestrado
Periodontia
Mestre em Clínica Odontológica
Almeida, Marcia Furquim de. "Mortalidade neonatal em Santo André." Universidade de São Paulo, 1995. http://www.teses.usp.br/teses/disponiveis/6/6132/tde-24102014-152306/.
Full textA cohort of live births was analysed and the risk of death according to some variables was estimated. The data was obtained from the birth and death certificates. The records were linked, and each death was matched with the birth certificate, in order to identify the neonatal deaths and the survivals of the cohort. It was studied 3,225 live borns of resident mothers of the Santo André Municipality. The births occurred in this area from 01/101/1992 to 06/30/1992. The incidence of low birthweight was 6.8 per cent and the proportion of preterm infants was 5.3 per cent . The low birthweight was associated to the preterm gestation, vaginal deliveries, and to the births which occurred on the SUS public hospital. There was also an association between the low birthweight and the live borns from adolescent and older mothers. The low and high parity were risk factors to the low birthweight. The abscence of notation of the father\'s name on the birth certificate was not associated to the low birthweight. The deaths occurred mainly in the first day of the life (54.5 per cent ) . The data showed that 94.6 per cent of the infant deaths occurred before hospital discharge . The perinatal afections were the leading cause of death. The prematurity/imaturity was assigned as underlying or associated cause in 63.6 per cent of the deaths and the perinatal infections in 25.5 per cent of these deaths. It was found a higher risk of death in low birthweight and preterm newborns and in infants with abscence of the father\'s name on the birth certificate. The cesarean section deliveries showed to be a confounding factor to the neonatal deaths, as well as, the type of the hospital in which the infants were deliveried. The male low birthweight infants presented higher risk of death than the female infants. The low birthweight and preterm babies showed a 82 times higher risk of dying than the normal weight and term infants. The low birthweight newborn showed a higher risk of death from congenital anommalies and perinatal afections. This group of live births, also presented a risk of death from perinatal infections 94.0 times higher than the normal weight babies. The male low birthweigth infants presented 3.6 times higher chance of dying from perinatal respiratory afections than the female newborns of this group. These results suggest that some deaths could be avoided by adequate prenatal, delivery and neonatal care in the maternity wards. The high risk death found in the preterm and very low birth weight infants also suggest that some of these high risk newborns did not had access to neonatal intensive care.