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TRANSTORNOS DE ANSIEDADE E FATORES DE RISCO CARDIOVASCULAR EM GESTANTES DO MUNICÍPIO DE TRÊS LAGOAS-MS: UMA ANÁLISE DAS VARIÁVEIS SOCIODEMOGRÁFICAS E DE SAÚDE
No full textPregnancy is a highly complex physiological event involving profound transformations in a
woman’s body and mind, which are fundamental for maintaining gestation and ensuring fetal
development. These modifications, including hormonal, metabolic, cardiovascular, and
emotional changes, directly impact maternal health and require specific attention during
prenatal care. Anxiety disorders during pregnancy represent a significant public health concern,
with potential repercussions on obstetric and cardiovascular outcomes. The scarcity of studies
integrating emotional, clinical, and sociodemographic variables reveals a gap in knowledge,
especially in regions with sociodemographic characteristics similar to those of the municipality
of Três Lagoas-MS, Brazil. This study aimed to analyze the severity of anxiety disorders and
cardiovascular risk among pregnant women in Três Lagoas-MS, associating these factors with
sociodemographic and health-related variables. This was a cross-sectional, descriptivecorrelational, quantitative study, conducted with 100 pregnant women registered in the 17
Family Health Units. Data were collected during prenatal consultations through a
sociodemographic and health questionnaire, and using a validated instrument for measuring
anxiety risk (GAD-7). The research complied with all ethical principles, having been approved
by the Research Ethics Committee, with informed consent signed by all participants. According
to the risk classification, 57% of pregnant women were stratified as at risk for developing severe
anxiety disorders, whereas 97% were classified as having a low risk of developing
cardiovascular disease over 10 years based on the Framingham Score, despite presenting
several established risk factors described in the literature. Among the pregnant women
evaluated, 31% had total cholesterol levels above 240 mg/dL, and 32% had total cholesterol
between 200 and 239 mg/dL, characterizing hypercholesterolemia and borderline
hypercholesterolemia, respectively. Additionally, 30% had low HDL cholesterol (200 mg/dL), and 24% had elevated LDL cholesterol (>200
mg/dL). Regarding blood pressure, 43% of pregnant women presented high blood pressure
(>140 x 90 mmHg) at the time of measurement, and 14% had a previous diagnosis of
hypertension and were already receiving antihypertensive treatment before pregnancy.
Furthermore, 25% of the participants had a prior diagnosis of diabetes mellitus, of which 21%
were gestational diabetes (GDM), 2% type 1 DM, and 2% type 2 DM. This study demonstrated
that, although the sample presented several known risk factors for cardiovascular disease, the
Framingham Score did not indicate an increased 10-year cardiovascular risk, confirming that
this is not the most robust method for cardiovascular risk assessment in pregnant women.
However, we observed a high risk for severe anxiety disorders among the studied population,
which may be associated with physiological factors, such as hypertension, dyslipidemias, and
pre-existing chronic diseases, as well as with psychosocial factors commonly present during
pregnancy. This study reinforces that comprehensive care for pregnant women must address
psychosocial and clinical dimensions in an integrated way, with a multiprofessional and
intersectoral focus. It is hoped that these findings will provide a basis for future studies,
encouraging the use of different methodologies and approaches that may complement or expand
upon these results.A gestação é um evento fisiológico de alta complexidade, que envolve intensas transformações
no corpo e na mente da mulher, que são fundamentais para a manutenção da gravidez e o
desenvolvimento fetal. Essas modificações, que incluem alterações hormonais, metabólicas,
cardiovasculares e emocionais, impactam diretamente a saúde da mulher e exigem cuidados
específicos no acompanhamento pré-natal. Transtornos de ansiedade durante a gestação
configuram um importante problema de saúde pública, com possíveis repercussões sobre os
desfechos obstétricos e cardiovasculares. A escassez de estudos que integrem variáveis
emocionais, clínicas e sociodemográficas evidencia uma lacuna no conhecimento,
especialmente em regiões com características sociodemográficas como o município de Três
Lagoas-MS. Este estudo teve como objetivo analisar a severidade dos transtornos de ansiedade
e o risco cardiovascular em gestantes de Três Lagoas-MS, associando-os a variáveis
sociodemográficas e de saúde. Trata-se de um estudo descritivo-correlacional, transversal de
abordagem quantitativa, realizado com 100 gestantes cadastradas nas 17 Unidades de Saúde da
Família. Os dados foram coletados durante as consultas de pré-natal, por meio de questionário
sociodemográfico e de saúde, e através de um instrumento validado para mensuração do risco
de ansiedade (GAD-7). A pesquisa seguiu todos os preceitos éticos, sendo aprovada pelo
Comitê de Ética em Pesquisa e com consentimento livre e esclarecido assinado por todas as
participantes. Com a classificação de risco, 57% das gestantes foram estratificadas com risco
para desenvolvimento de transtornos de ansiedade grave, enquanto 97% das gestantes foram
classificadas com risco baixo para o desenvolvimento de doenças cardiovasculares em 10 anos
pelo Escore de Framingham, mesmo apresentando diversos fatores de risco, já consagrados pela
literatura. Dentre as gestantes avaliadas, 31% estavam com o colesterol total acima de 240
mg/dL e 32% estavam com o colesterol total entre 200 e 239 mg/dL, caracterizando
hipercolesterolemia e hipercolesterolemia limítrofe, respectivamente. Identificamos ainda que
30% das gestantes estavam com o colesterol HDL baixo (< 50 mg/dL), 36% estavam com
triglicerídeos alto (>200 mg/dL) e 24% estavam com o colesterol LDL alto (>200 mg/dL). Com
relação à PA, 43% das gestantes estavam com a PA elevada (> 140 x 90 mmHg) no momento
em que foi aferida, sendo que 14% já tinham diagnóstico prévio de HAS e estavam em
tratamento medicamentoso antes de engravidar. Ainda, 25% das gestantes apresentaram
diagnóstico prévio de DM, sendo 21% com diabetes mellitus gestacional (DMG), 2% com DM
tipo 1 e 2% com DM tipo 2. O presente estudo demonstrou que, embora as gestantes da amostra
apresentassem diversos fatores de risco conhecidos para doenças cardiovasculares, o Escore de
Framingham não identificou um aumento no risco cardiovascular em 10 anos, confirmando que
este não é o método mais robusto para avaliação do risco cardiovascular em gestantes. No
entanto, observamos um risco elevado para transtornos de ansiedade grave na população
estudada, que pode estar associado a fatores fisiológicos, como hipertensão, dislipidemias e
doenças crônicas pré-existentes, bem como a fatores psicossociais que comumente estão
presentes durante a gestação. Este estudo reforça que o cuidado integral à gestante deve
contemplar dimensões psicossociais e clínicas de forma articulada, com enfoque
multiprofissional e intersetorial. Assim, espera-se que esses achados sirvam de fundamento para
estudos futuros, estimulando o uso de diferentes metodologias e abordagens que possam
complementar ou ampliar os resultados obtidos
Going Beyond Counting First Authors in Author Co-citation Analysis
Get PDFThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Get PDF“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Get PDFWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Dispelling the Myths Behind First-author Citation Counts
Get PDFWe conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
koamabayili/VECTRON-author-checklist: VECTRON author checklist
No full textWe have done our best to complete the author checklist relating to the use of animals in the hut study. Note that the objective for the hut study was to evaluate the IRS treatment applications for residual efficacy against Anopheles mosquitoes, including the local An. coluzzii mosquito population. Cows were only used to attract mosquitoes into the huts and no tests were carried out directly on the cows. The author checklist is intended for use with studies where experiments are carried out on animals, which is why we have had such difficulty in completing this for the hut study, as many of the questions do not relate to how the cows were used
Author-wise bibliometric analysis based on entropy.
No full textAuthor-wise bibliometric analysis based on entropy.</p
Author Under Sail The Imagination of Jack London, 1893-1902
No full textIn Author Under Sail, Jay Williams offers the first complete literary biography of Jack London as a professional writer engaged in the labor of writing. It examines the authorial imagination in London's work, the use of imagination in both his fiction and nonfiction, and the ways he defined imagination in the creative process in his business dealings with his publishers, editors, and agents. In this first volume of a two-volume biography, Williams traverses the years 1893 to 1902, from London's "Story of a Typhoon" to The People of the Abyss. The Jack London who emerges in the pages of Author Under Sail is a writer whose partnership with publishers, most notably his productive alliance with George Brett of Macmillan, was one of the most formative in American literary history. London pioneered many author models during the heyday of realism and naturalism, blurring the boundaries of these popular genres by focusing on absorption and theatricality and the representation of the seen and unseen. London created an impassioned, sincere, and extremely personal realism unlike that of other American writers of the time. Author Under Sail is a literary tour de force that reveals the full range of London as writer, creative citizen, and entrepreneur at the same time it sheds light on the maverick side of machine-age literature.Intro -- Title Page -- Copyright Page -- Dedication -- Contents -- Acknowledgments -- Introduction -- 1. Spirit Truth -- 2. From Absorption to Theatricality and Back Again -- 3. "I Will Build a New Present" -- 4. Sons as Authors -- 5. Fathers as Publishers -- 6. The Daughter as Author -- 7. Lovers as Authors -- 8. At Sea with the Family -- 9. Yellow News, Yellow Stories -- 10. The Return Home -- Notes -- Bibliography -- Index -- About Jay WilliamsIn Author Under Sail, Jay Williams offers the first complete literary biography of Jack London as a professional writer engaged in the labor of writing. It examines the authorial imagination in London's work, the use of imagination in both his fiction and nonfiction, and the ways he defined imagination in the creative process in his business dealings with his publishers, editors, and agents. In this first volume of a two-volume biography, Williams traverses the years 1893 to 1902, from London's "Story of a Typhoon" to The People of the Abyss. The Jack London who emerges in the pages of Author Under Sail is a writer whose partnership with publishers, most notably his productive alliance with George Brett of Macmillan, was one of the most formative in American literary history. London pioneered many author models during the heyday of realism and naturalism, blurring the boundaries of these popular genres by focusing on absorption and theatricality and the representation of the seen and unseen. London created an impassioned, sincere, and extremely personal realism unlike that of other American writers of the time. Author Under Sail is a literary tour de force that reveals the full range of London as writer, creative citizen, and entrepreneur at the same time it sheds light on the maverick side of machine-age literature.Description based on publisher supplied metadata and other sources.Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, YYYY. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries
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