RESUMO
The aim of the present study was to determine the association between different types of intimate partner violence against women and nonattendance at the Growth and Development Control Program (CRED or well-child visits) of their children under 5 years of age. This was an analytical cross-sectional study that comprised a secondary analysis of data from the Demographic and Family Health Survey (ENDES in Spanish) of Peru, 2019. Data from 19,647 mothers (aged 15-49 years) and their children under 5 years were analyzed. The independent variables were the types of intimate partner violenceâ =â emotional, physical, and sexual. The outcome variable was nonattendance at CRED in the last 6 months. The mean maternal age was 30.47â ±â 6.66 years; 66.1% of children were between 25 and 60 months of age; the prevalence of nonattendance at CRED was 29.9%. A relationship was found between partner violence against the mother and nonattendance at CRED. Specifically, there was a higher probability of nonattendance in the children of women who experienced partner violence (sexualâ =â aPRâ =â 1.25 [95% CIâ =â 1.07-1.44]; physicalâ =â aPRâ =â 1.17 [95% CIâ =â 1.08-1.26]; emotionalâ =â aPRâ =â 1.12 [95% CIâ =â 1.03-1.21]). This study showed an association indicating that children born to mothers experiencing intimate partner violence exhibit an elevated likelihood of nonattendance at CRED when compared to children of mothers not subjected to such violence. Therefore, emphasizing the promotion and monitoring of child development, especially for those with a history of maternal violence, should be a primary priority, particularly in primary care.
Assuntos
Desenvolvimento Infantil , Violência por Parceiro Íntimo , Humanos , Feminino , Pré-Escolar , Estudos Transversais , Violência por Parceiro Íntimo/psicologia , Mães/psicologia , Violência , Prevalência , Fatores de Risco , Parceiros Sexuais/psicologiaRESUMO
El objetivo de esta investigación fue comparar la respuesta fisiológica de los pacientes traumatizados con choque hipovolémico, tras la administración de 1.000 ml de solución cristaloide o coloide, en etapas tempranas de la reanimación en la sala de urgencias. Se trata de un estudio prospectivo, aleatorio, unicéntrico, triple ciego, realizado durante el año 2007 en el Servicio de Emergencia del Hospital Universitario Dr. Luis Razetti, localizado en Barcelona, Venezuela. El estudio comprendió 97 pacientes, politraumatizados, con trauma por proyectil de arma de fuego y arma blanca, con choque hipovolémico, distribuidos en tres grupos: grupo A (31 pacientes), que recibieron 1.000 ml de lactato de Ringer; grupo B (34 pacientes), a quienes se les administraron 1.000 ml de gelatina y el grupo C (32 pacientes), los cuales recibieron 1.000 ml de almidón. Las variables estudiadas (tensión arterial diastólica, sistólica y media, frecuencia cardiaca, saturación de oxígeno y frecuencia respiratoria) fueron medidas a los 15 minutos de la administración de las soluciones. Los datos se procesaron con el programa estadístico SPSS para Windows, versión 15.0, en el que se utilizó el análisis de varianza (ANOVA). Los hallazgos encontrados evidencian que el lactato de Ringer y la gelatina producían una respuesta fisiológica más favorable, similar y estadísticamente signifcativa, para los pacientes de ambos grupos, en comparación con aquéllos a quienes se les administró solución de almidón.
The objective of this investigation was to compare the physiologic response of hypovolemic shock in trauma patients, after the administration of 1, 000 ml of crystalloid or colloid solutions, in early stages of resuscitation in the emergency room. It was a randomized prospective, triple blind study carried out at Dr. Luis Razetti Universitary Hospitals emergency room in Barcelona, Venezuela. The study included 97 polytraumatized patients, wounded by fire and white arms. This group of patients presented hypovolemic shock and they same which was divided into three different groups: group A (31 patients), which received 1,000 ml of Ringers solution, group B (34 patients) which received 1,000ml of gelatin solution, and group C (32 patients), which received 1,000 ml of a starch solution. The studied variables (diastolic, systolic, medial blood pressure, pulse, heart frequency, oxygen saturation and pulse) were measured 15 minutes after the administration of the solutions. Data was processed with version 15.0 SPSS statistic program for windows, using ANOVA. The fndings indicate that the Ringers and gelatin solutions produced a more propitious physiologic response, similar and statiscally signifcant to patients in both groups, compared with those who were treated with the starch solution.