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151.
Joyce C.S. Camargo Vitor Varela Fernanda M. Ferreira Lucila Pougy Angela M. Ochiai Maria Elisabete Santos Maria Catarina L.R. Grande 《Women and birth : journal of the Australian College of Midwives》2018,31(5):e325-e333
Introduction
The following quantitative observational study aimed to analyse the maternal and neonatal outcomes of 90 low-risk pregnant women who gave birth in water at São Bernardo Hospital.Methods
A form containing information on the obstetric history of the parturient, the type of immersion, and the labour and birth follow-up was used by midwives to collect the data.Background
The Apgar score (at 1 min after birth) used in this study, called Aqua Apgar, was adapted by Cornelia Enning.Results
The mean water immersion time was 1 h and 46 min and had an influence on the duration of labour (mean 5 h and 37 min), with a statistically significant difference (P = 0.004). There was a decreased cervical dilatation time and a shorter duration of the expulsion phase. In the immersion scenario, 30% of the women did not undergo any examination to assess the length of the cervix, and 57.8% presented intact perennial areas or first-degree tears. As for neonatal outcomes, during maternal immersion, 97% maintained normal fetal heart rates (between 110 and 160 beats per minute) and Aqua Apgar was higher than 7, both in the first minute (mean of 9.4) and in the fifth minute of life (mean of 9.9).Conclusion
These safety outcomes, based on sound scientific evidence, should increasingly support and inform clinical decisions and increase the number of waterbirths in health facilities. The results of this study align with growing evidence that suggests waterbirth is a safe delivery option and therefore should be offered to women. 相似文献152.
Using geographically weighted regression for environmental justice analysis: Cumulative cancer risks from air toxics in Florida 总被引:4,自引:0,他引:4
Angela GilbertJayajit Chakraborty 《Social science research》2011,40(1):273-286
Previous quantitative research on environmental justice has been limited by simplistic assumptions used to measure health risks and traditional regression techniques that fail to discern spatial variations in statistical relationships. We address these gaps through a case study that examines: (a) whether potential health risks from exposure to hazardous air pollutants in Florida are related to race/ethnicity and socioeconomic status, and (b) how the significance of statistical associations between health risk and race/ethnicity or socioeconomic status vary across the state. This study integrates census tract level estimates of cumulative cancer risk compiled by the EPA with Census 2000 data and a spatial statistical technique known as geographically weighted regression that allows us to explore spatial variability in analytical results. Our findings indicate that while race and ethnicity are significantly related to cancer risks in Florida, conventional regression can hide important local variations in statistical relationships relevant to environmental justice analysis. 相似文献
153.
Margo Gardner Stephen Hutt Donald Kamentz Angela L. Duckworth Sidney K. DMello 《Journal of research on adolescence》2020,30(3):753-768
This study answered novel questions about the connection between high school extracurricular dosage (number of activities and participation duration) and the attainment of a bachelor’s degree. Using data from the Common Application and the National Student Clearinghouse (N = 311,308), we found that greater extracurricular participation positively predicted bachelor’s degree attainment. However, among students who ultimately earned a bachelor’s degree, participating in more than a moderate number of high school activities (3 or 4) predicted decreasing odds of earning a bachelor’s degree on time (within 4 years). This effect intensified as participation duration increased, such that students who participated in the greatest number of high school activities for the most years were the most likely to delay college graduation. 相似文献
154.
As fertility declines in low- and middle-income countries, the time women devote to childbearing and rearing may also be reduced. This shift has been described as one of the positive consequences of the demographic transition, as it opens opportunities for women to pursue educational and employment opportunities that were previously constrained by the demands of bearing and raising children. We estimate the numbers of children residing at home (with their mother) for women in 58 countries in Asia, Latin America, the Middle East and North Africa, and sub-Saharan Africa. We then examine the association between women’s employment and having children at home. Finally, we assess trends over recent decades in the relationship between employment and childbearing, and differences in this relationship by mother’s occupation. We find a negative association between women’s employment and having children at home; this association varies substantially by world region, age of child, and mother’s occupation. 相似文献
155.
Karen May Barry Megan Woods Angela Martin Christine Stirling Emma Warnecke 《Journal of American college health : J of ACH》2019,67(4):299-307
Objectives: To examine the impact of guided mindfulness practice on psychological distress and psychological capital (hope, optimism, resilience, and efficacy) in doctoral candidates. Participants: Recruitment of a convenience sample of doctoral candidates occurred in July 2015 and participants were randomly allocated to the control or intervention group (38 and 34 participants completed the trial, respectively). Methods: A single-blinded, randomized controlled trial with intention-to-treat analysis was conducted. The intervention consisted of a daily guided mindfulness practice, using an audio CD. Indicators of psychological distress and psychological capital were measured pre- and post-trial with validated questionnaires. Results: Compared to the control group, the intervention group reported a statistically significantly reduction in depression (p?=?.045) and increased self-efficacy (p?=?.004), hope (p?=?.000), and resilience (p?=?.011). Conclusions: These results highlight the effectiveness of self-administered mindfulness practice on the psychological health of doctoral candidates, and the positive effect on psychological capital is reported as a key finding. 相似文献
156.
157.
Vincent Guilamo-Ramos Vincent Goldberg Jane J. Lee Katharine McCarthy Sarah Leavitt 《Clinical Social Work Journal》2012,40(2):144-156
Latinos are the largest and fastest growing minority youth group in the United States. Currently, Latino adolescents experience higher rates of teen pregnancy compared to any other racial or ethnic group and have disproportionately high levels of sexually transmitted infections and HIV. Latino teens are also affected by a number of social problems such as school dropout, poverty, depression and limited access to healthcare, which contributes to disparities in reproductive health outcomes for this population. Relatively few intervention research studies and programs have been dedicated to reducing sexual risk among Latino youth, despite their particular vulnerabilities in experiencing negative reproductive health outcomes. We provide recommendations for identifying the unique reproductive health needs of Latino youth and specific applied strategies so that agency-based social workers and other providers can develop family-based interventions that improve adolescent Latino sexual and reproductive health. 相似文献
158.
159.
160.
Santana AM Gomes JK De Marchi D Girondoli YM Rosado LE Rosado GP de Andrade IM 《Work (Reading, Mass.)》2012,41(Z1):2908-2914
This study aimed to investigate the relationship between stress, working conditions and the nutritional status of 53 military police officers in a Southeast city of Brazil. In order to evaluate the symptomatology and the stress phase, the Inventory of Stress Symptoms Lipp for Adults - ISSL was utilized. The assessment of the working conditions was performed by means of socio-demographic questionnaire, direct observation and interviews. The nutritional and health conditions were assessed through anthropometric measures, biochemical tests, blood pressure measurements and cardiovascular disease risk calculator. The sample is of the male gender (92.5%) and aging below 40 years old (73.6%). From these, 35.8% showed stress and 68.4% were in the resistance phase, with 31.6% almost burned out. Through the calculation of Chi-square we could find positive association between the BMI and tiredness (P = 0.0188), between the BMI and irritation (P = 0.0005) and the BMI and the appearance of nervous system problems or emotional problems (P = 0.0304), indicating that these statuses or problems could be related to work. We can conclude then, the stress is present among military police officers. No case of critical stress was found, and the stress phases identified are still susceptible to intervention. 相似文献