scholarly journals Perfil clínico-epidemiológico e fatores de risco associados ao desenvolvimento de depressão perinatal em gestantes de risco acompanhadas nos anos de 2017-2018 em Hospital Materno-Infantil no Distrito Federal / Clinical-epidemiological profile and risk factors associated with the development of perinatal depression in high-risk pregnant women followed in 2017-2018 at the Hospital Materno-Infantil in the Federal District

2021 ◽  
Vol 7 (11) ◽  
pp. 102072-102084
Author(s):  
Antonio Pedro de Melo M ◽  
Júlia Visconti Segovia Barbosa ◽  
Maria Marta Neves de Oliveira Feire ◽  
Alessandra da Rocha Arrais
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
Pregnant Women ◽  
Perinatal Depression ◽  
Federal District ◽  
Factors Associated ◽  
Distrito Federal ◽  
Epidemiological Profile

scholarly journals SARS, MERS, COVID-19: Identification of Patients at a Higher Risk: A Narrative Review

2021 ◽  
Vol 2 (1) ◽  
pp. 57-70
Author(s):  
Hussein Noureldine ◽  
Georges Chedid ◽  
Jad Gerges Harb ◽  
Wared Nour-Eldine ◽  
Mariam Nour Eldine ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Cardiovascular Disease ◽  
High Risk ◽  
Pregnant Women ◽  
Early Identification ◽  
Factors Associated ◽  
High Risk Patients ◽  
Increased Risk ◽  
Risk Patients

The different presentations, comorbidities, and outcomes of COVID-19 highlight the importance of early identification and proper triage of patients. High-risk patients can be divided into patients with common comorbidities and patients with special categories. Common comorbidities include, but are not limited to, Cardiovascular Disease (CVD), Diabetes Mellitus (DM), immunosuppression, underlying respiratory disease, and obesity. Certain categories of COVID-19 patients are also at increased risk, including neonates and pregnant women.  In the present article, we delineate the reported risk factors for acquisition of infection, and for increased severity of the clinical disease. We also comparatively analyze those risk factors associated with COVID-19 and with the antecedent human acute respiratory syndrome-causing viruses, SARS-CoV-1 and MERS-CoV. We hypothesize that the structural similarities of the three viruses predict a similarity in the profile of high-risk patients. Several pathophysiological patterns have been detected to support this theory.

scholarly journals Perfil epidemiológico das gestantes diagnosticadas com toxoplasmose no exame de pré natal do distrito federal no ano de 2018 / Epidemiological profile of pregnant women diagnosed with toxoplasmosis in the prenatal examination of the federal district in 2018

2021 ◽  
Vol 4 (2) ◽  
pp. 6882-6895
Author(s):  
Pedro Henrique Martins Piedade ◽  
Angela Valéria Sampaio Gomes Ferreira ◽  
Carlos Augusto de Oliveira Botelho ◽  
Carlos Augusto de Oliveira B. Junior ◽  
Fernando Saab ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Federal District ◽  
Distrito Federal ◽  
Epidemiological Profile ◽  
Prenatal Examination

scholarly journals Monitoramento das ações pró-redução da transmissão vertical da sífilis na rede pública do Distrito Federal

2012 ◽  
Vol 3 (1) ◽  
pp. 29-35
Author(s):  
Leonor Henriette de Lannoy Coimbra Tavares ◽  
Onã Silva ◽  
Leidijany Costa Paz ◽  
Luiz Antônio Bueno Lopes ◽  
Maria Liz Cunha De Oliveira ◽  
...  
Keyword(s):  
Black Women ◽  
Pregnant Women ◽  
Federal District ◽  
Public Network ◽  
The Public ◽  
Distrito Federal ◽  
Per Capita ◽  
Las Mujeres ◽  
Epidemiological Profile ◽  
Transmisión Vertical

A sífilis é um agravo de grande preocupação epidemiológica e tem critérios para cumprir a meta de sua eliminação. Objetivou-se, nesta pesquisa, a apresentação do perfil epidemiológico de gestantes e parturientes atendidas na rede pública do Distrito Federal. Analisaram-se informações sobre a transmissão vertical da sífilis em 3.726 mulheres participantes. Coletaram-se dados primários e secundários utilizando a entrevista, informações de cartão de pré-natal e prontuários. Nos resultados, observou-se que muitas gestantes não foram testadas no pré-natal, segundo o protocolo de três testes de sífilis, diretriz expressa na portaria distrital nº 37/2008. Detectaram-se desigualdades de testagem em mulheres negras, adolescentes e com baixa escolaridade e renda per capita. Conclui-se que, na atenção básica, exige o cumprimento de protocolos instituídos para a sífilis.Descritores: Gestantes, Parturientes, Transmissão Vertical da Sífilis, Epidemiologia.Syphilis is a health problem of great epidemiological concern and has criteria to meet the goal of its elimination.The aim of this research is the presentation of the epidemiological profile of pregnant women and pregnant women assisted in the public network in the Federal District. It was analyzed information about the transmission of syphilis in 3726 women participants. Data were collected using primary and secondary interviews, information card and prenatal records. The results showed that many pregnant women have not been tested during prenatal care, according to the protocol of three tests for syphilis, district guidelines expressed in the decree No. 37/2008. Inequalities were detected testing for black women, adolescents with low education and income per capita. We conclude that, in primary care requires compliance with established protocols for syphilis.Descriptors: Pregnancy, childbirth, vertical transmission of syphilis, Epidemiology.Seguimiento de las acciones pro la reducción de la transmisión vertical de la sífilis en público en el Distrito FederalLa sífilis es un agravio que preocupa y tiene criterios epidemiológicos para cumplir con la meta de eliminación. El objetivo de esta investigación es la presentación del perfil epidemiológico de las mujeres embarazadas y las mujeres embarazadas observados en público en el Distrito Federal. Se analizó información sobre la transmisión de la sífilis en 3726 mujeres participantes. Los datos primarios y secundarios fueron recolectados a través de entrevista, informaciones de tarjeta de prenatal y registros. Los resultados mostraron que muchas mujeres embarazadas no han sido probadas durante la atención prenatal, según el protocolo de tres pruebas para sífilis, normas expresas en el decreto No. 37/2008. Desigualdades de pruebas fueron detectadas en mujeres negras, jóvenes con baja escolaridad y renta per cápita. Se concluye que en la atención básica es necesario el cumplimiento de protocolos establecidos para la sífilis.Descriptores: Embarazo, parto, la transmisión vertical de la sífilis, epidemiología.

Development of an Emergency Revisit Score for Patients With Drug-Related Problems

2021 ◽  
pp. 875512252110117
Author(s):  
Jesus Ruiz Ramos ◽  
Laura Gras-Martin ◽  
Ana María Juanes Borrego ◽  
Marta Blazquez-Andion ◽  
Mireia Puig Campmany ◽  
...  
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
Receiver Operating Curve ◽  
Drug Related Problems ◽  
Derivation Cohort ◽  
Factors Associated ◽  
Final Score ◽  
Anticholinergic Burden ◽  
Risk Categories ◽  
Frequent Reason

Background: Drug-related problems (DRPs) are a frequent reason for emergency departments (EDs) visits. However, data about the risk factors associated with EDs revisits are limited. Objective: To develop and validate a predictive model indicating the risk factors associated with EDs revisit within 30 days of the first visit. Methods: A retrospective cohort study was conducted involving patients who attended an ED for DRPs related to cardiovascular drugs. A 30-day prediction model was created in a derivation cohort by logistic regression. An integer score proportional to the regression coefficient was assigned to the variables with P < .100 in the multivariate analysis. Results: 581 patients (mean age: 80.0 [12.6] years) were included, 133 (22.9%) revisited the ED within 30 days from discharge. Six factors (chronic kidney disease, chronic heart failure, visit to an ED in the preceding 3 months, high anticholinergic burden, DRPs associated with heparin, and safety-related DRPs) were identified as risk factors and combined into a final score, termed the DREAMER score. The model reached an area under the receiver operating curve values of 0.72 (95% confidence interval [CI] = 0.67-0.77) in the referral cohort and 0.71 (95% CI = 0.65-0.74) in the validation cohort ( P = .273). Three risk categories were generated, with the following scores and estimated risks: low risk (0-8 points): 11.6%; intermediate risk (9-14 points): 21.3%; and high risk (>14 points): 41.2%. Conclusion and Relevance: The DREAMER score identifies patients at high risk for ED revisit within 30 days from the first visit for a DRPs, being a useful tool to prioritize interventions on discharge.

scholarly journals Risk factors associated with C hagas disease in pregnant women in S antander, a highly endemic C olombian area

2015 ◽  
Vol 21 (1) ◽  
pp. 140-148 ◽  
Author(s):  
Yeny Z. Castellanos‐Domínguez ◽  
Zulma M. Cucunubá ◽  
Luis C. Orozco ◽  
Carlos A. Valencia‐Hernández ◽  
Cielo M. León ◽  
...  
Keyword(s):  
Risk Factors ◽  
Pregnant Women ◽  
Factors Associated

scholarly journals Perineal trauma after vaginal delivery in healthy pregnant women

2014 ◽  
Vol 132 (4) ◽  
pp. 231-238 ◽  
Author(s):  
Larissa Santos Oliveira ◽  
Luiz Gustavo Oliveira Brito ◽  
Silvana Maria Quintana ◽  
Geraldo Duarte ◽  
Alessandra Cristina Marcolin
Keyword(s):  
Risk Factors ◽  
Pregnant Women ◽  
Vaginal Delivery ◽  
Standing Position ◽  
Professional Activity ◽  
Factors Associated ◽  
Perineal Injury ◽  
Secondary Hospital ◽  
Perineal Injuries

CONTEXT AND OBJECTIVE:Despite all the medical care provided during delivery labor, perineal injury is still prevalent and may lead to diverse pelvic floor disorders. The aim here was to investigate the prevalence of obstetric and anal sphincter injuries (OASIS) in healthy pregnant women after vaginal delivery.DESIGN AND SETTING:Cross-sectional study involving 3,034 patients with singletons in a secondary hospital for low-risk cases.METHODS:A standardized questionnaire was prepared and applied to medical files that had been completely filled out (classification of the Royal College of Obstetricians and Gynecologists, RCOG) in order to identify OASIS and analyze risk factors associated with mild and severe perineal lacerations.RESULTS:The women's mean age was 25 years; more than half (54.4%) were primiparae. Almost 38% of the participants had perineal lacerations; these were severe in 0.9% of the cases. Previous vaginal delivery (odds ratio, OR: 1.64 [1.33-2.04]) and forceps delivery (OR: 2.04 [1.39-2.97]) were risk factors associated with mild perineal injuries (1st and 2nd OASIS classifications). Only remaining standing for prolonged periods during professional activity (OR: 2.85 [1.34-6.09]) was associated with severe perineal injuries.CONCLUSION:The prevalence of severe perineal injuries was concordant with data in the literature. The variable of standing position was considered to be a risk factor for severe perineal injury and should be further investigated.

scholarly journals High-risk human papillomavirus infection and associated factors in the anal canal of HIV-positive patients in Medellín, 2017–2018

2020 ◽  
Vol 54 ◽  
pp. 93
Author(s):  
Daniela Herrera Posada ◽  
Lucia Stella Tamayo Acevedo ◽  
Marleny Valencia Arredondo ◽  
Gloria Inéz Sánchez Vásquez
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Human Papillomavirus ◽  
High Risk ◽  
Elementary Education ◽  
Associated Factors ◽  
Casual Sex ◽  
Hiv Positive ◽  
Factors Associated ◽  
High Risk Hpv

OBJECTIVE: To estimate the prevalence of high-risk human papillomavirus (HR-HPV) anal infection and associated factors in human immunodeficiency virus (HIV) positive patients in Medellín. METHODS: Descriptive cross-sectional study in 300 HIV-positive patients, adults, with history of anal intercourse, treated in two health care services of Medellín 2017–2018. We conducted a structured survey on sociodemographics, sexual behavior and medical history. HPV was detected in anal swabs tested by the COBAS 4800 system. Exploratory data analysis of risk factors associated with HR-HPV was conducted by chi-square test of independence and both raw and adjusted prevalence ratios used the Poisson regression model, at a 95% confidence interval. RESULTS: The high-risk HPV had a prevalence of 82.7%; HPV16 had a prevalence of 32.7%, HPV18 a prevalence of 21.7% and other HPV types scored 78.3%. The high-risk HPV prevalence in women was of 68.2% and 83.8% in men. The risk factors associated with high-risk HPV after adjustment were age under 30 years, elementary education, casual sex partners, and first sexual activity before 18 years old. CONCLUSIONS: The high incidence of high-risk HPV, along with the occurrence of coinfections by multiple types in the study population shows their susceptibility to develop some type of anal intra-epithelial neoplasia. It is important to establish sexual health programs focused on primary health care.

scholarly journals Factores de riesgo asociados a distocias del mecanismo del parto en gestantes primíparas atendidas en el Hospital Dr. Verdi Cevallos Balda

2020 ◽  
Vol 4 (2) ◽  
pp. 1
Author(s):  
Olga Katherine Veintimilla Chinga ◽  
María Alicia Fernanda Ledezma Hurtado ◽  
Dadier Marrero González ◽  
Lizeet López ◽  
Hugo Loor Lino
Keyword(s):  
Risk Factors ◽  
Pregnant Women ◽  
Rural Areas ◽  
Overweight And Obesity ◽  
Modifiable Risk Factors ◽  
Maternal Complications ◽  
Factors Associated ◽  
Factores De Riesgo ◽  
Uterine Malformations ◽  
Delivery Mechanism

  Las distocias del mecanismo del parto en gestantes pueden generar consecuencias significativas tanto maternas como fetales y neonatales, existiendo diversos factores de riesgo asociados a dicha condición. La prevalencia de las distocias es variable para cada localidad, presentándose en el 0,3 % a de los casos. En este sentido, el objetivo de este trabajo fue determinar los principales factores de riesgo que se asocian a distocias del mecanismo del parto en gestantes primíparas atendidas en el Hospital Dr. Verdi Cevallos Balda. Se realizó un estudio descriptivo y retrospectivo, con 250 embarazadas atendidas en el periodo de enero 2018 a diciembre 2019. Las distocias de los mecanismos del parto en primíparas en el Hospital Dr. Verdi Cevallos se presentaron con más frecuencia en las edades entre los 20 y 34 años, con grado de instrucción secundaria, y de zonas rurales. Los principales factores de riesgos modificables asociados a distocias fueron los controles prenatales insuficientes, sobrepeso y obesidad de las gestantes; además de ganancia de peso inadecuada durante el embarazo, bajo peso fetal, duración prolongada de la primera fase del trabajo de parto e inducción del mismo. Los factores de riesgos no modificables identificados fueron la presentación de cara, estrechez pélvica, malformaciones uterinas, hipertensión arterial como enfermedad crónica asociada, talla materna menor a 140 cm y parto prolongado de más de 20 horas. Las complicaciones maternas tuvieron una alta incidencia y dentro de ellas, las cesáreas fueron las más frecuentes, mientras que el distress respiratorio fue la complicación neonatal más presentada.   Palabras clave: Distocia, factores de riesgo, peso elevado, malformaciones uterinas, complicaciones.   Abstract Dystocia of the delivery mechanism in pregnant women can generate significant maternal, fetal and neonatal consequences, with various risk factors associated with this condition. The prevalence of dystocia is variable for each locality, occurring in 0.3% of cases. In this sense, the objective of this study was to determine the main risk factors associated with dystocia in the delivery mechanism in primiparous pregnant women treated at the Dr. Verdi Cevallos Balda Hospital. A descriptive and retrospective study was carried out, with 250 pregnant women seen in the period from January 2018 to December 2019. Dystocia of the labor mechanisms in primiparous women at the Dr. Verdi Cevallos Hospital occurred more frequently in the ages between 20 and 34 years old, with a secondary education degree, and from rural areas. The main modifiable risk factors associated with dystocia were insufficient prenatal care, overweight and obesity in pregnant women; as well as inadequate weight gain during pregnancy, low fetal weight, prolonged duration of the first phase of labor and its induction. The non-modifiable risk factors identified were face presentation, pelvic narrowing, uterine malformations, arterial hypertension as an associated chronic disease, maternal height less than 140 cm and prolonged labor of more than 20 hours. Maternal complications had a high incidence and within them, caesarean sections were the most frequent, while respiratory distress was the most common neonatal complication.   Keywords: Dystocia, risk factors, high weight, uterine malformations, complications.

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