Journal of Human Growth and Development
type: channel
description: Journal of Human Growth and Development (JHGD) is an online journal that provides access to high quality and open access and free publication. Was founded in 1991 by Professor Arnaldo Augusto Franco de Siqueira. link: http://revistas.marilia.unesp.br/index.php/jhgd
publisher: UNESP
language: en
publication name: Journal of Human Growth and Development
issn: 0104-1282
copyright: CODE OF CONDUCT FOR JOURNAL PUBLISHERS Publishers who are Committee on Publication Ethics members and who support COPE membership for journal editors should: Follow this code, and encourage the editors they work with to follow the COPE Code of Conduct for Journal Edi- tors (http://publicationethics.org/files/u2/New_Code.pdf) Ensure the editors and journals they work with are aware of what their membership of COPE provides and en- tails Provide reasonable practical support to editors so that they can follow the COPE Code of Conduct for Journal Editors (http://publicationethics.org/files/u2/New_Code.pdf_) Publishers should: Define the relationship between publisher, editor and other parties in a contract Respect privacy (for example, for research participants, for authors, for peer reviewers) Protect intellectual property and copyright Foster editorial independence Publishers should work with journal editors to: Set journal policies appropriately and aim to meet those policies, particularly with respect to: – Editorial independence – Research ethics, including confidentiality, consent, and the special requirements for human and animal research – Authorship – Transparency and integrity (for example, conflicts of interest, research funding, reporting standards – Peer review and the role of the editorial team beyond that of the journal editor – Appeals and complaints Communicate journal policies (for example, to authors, readers, peer reviewers) Review journal policies periodically, particularly with respect to new recommendations from the COPE Code of Conduct for Editors and the COPE Best Practice Guidelines Maintain the integrity of the academic record Assist the parties (for example, institutions, grant funders, governing bodies) responsible for the investigation of suspected research and publication misconduct and, where possible, facilitate in the resolution of these cases Publish corrections, clarifications, and retractions Publish content on a timely basis
items: Delivery and postpartum care in Rio Branco in the northern state of Acre, Brazil: a population based survey
items: Juridical perspectives of interruption of pregnancy with zika virus infection regarding medical, emotional and social consequences
items: Knowledge and acceptance of HPV vaccine among adolescents, parents and health professionals: construct development for collection and database composition
items: Evaluation of postural control in children and adolescents with down syndrome aged eight to twelve years old
items: Sociodemographic factors and overweight in children participating in a government program for fortified milk distribution
items: Characteristics of medication use during lactation
items: Fingernails as a biomarker for dental fluorosis
items: Gender and violence: contributions to the debate
items: Validity and Reproducibility of a Food Frequency Questionnaire for Children
items: Portuguese translation and Brazilian cultural adaptation of the Assessment of Burden in Chronic Venous Disease questionnaire (ABC-V)
items: Conception of the Right to Health of Mid-Level Technical Professionals of Unified Health System In Brazil
items: Health in School Program: From training processes to practice scenarios
items: Intimate partner violence and severe maternal morbidity among pregnant and postpartum women in São Paulo, Brazil
items: Functionality and quality of life of children with disability
items: Nutritional status of children from lower Amazonas: agreement between three classification criteria
items: Clinical decision making for diagnosis and treatment of dental enamel injuries
items: Impact of type of delivery on thoracoabdominal mobility of newborns
items: Will artificial intelligence be a blessing or concern in assistive robots for play?
items: Sociocultural aspects of health and disease and their pragmatic impact
items: Body, culture and meaning
items: Descriptions of Perceived Quality of Life of Residents from a Quilombo in North Brazil
items: Quality of Life and Metabolic Syndrome in Brazilian quilombola communities: A Crosssectional Study
items: Nurturing resilience: the ‘ordinary magic’ of everyday life
items: Human dignity in the light of the Constitution, human rights and bioethics
items: Do we really know who are left behind and who are at risk of being left behind?
items: Health Disparities: Challenges, Opportunities, and What You Can Do About It
items: Physical violence and alcohol drinking consumption among teenagers
items: Scorpion stings and spider bites in the Upper Juruá, Acre – Brazil
items: Complex measurements of heart rate variability in obese youths: distinguishing autonomic dysfunction
items: Retrospective study of the epidemiological overview of the transmission of Chagas disease in the State of Acre, South-Western Amazonia, from 2009 to 2016

Delivery and postpartum care in Rio Branco in the northern state of Acre, Brazil: a population based survey
type: item
description: Introduction: Pregnancy can be associated with health risks for both the mother and infant, and specialised care during the pregnancy, delivery and puerperium periods can help reduce complications for the mother-infant binomial. Objective: To assess the demographic, social and reproductive aspects of delivery and the postpartum period in Rio Branco, Acre, Brazil. Methods: A population-based cross-sectional survey was conducted via an interview with 552 mothers with children aged 0 to 5 years between 2007 and 2008. Cluster sampling of the population was performed in two stages (census sectors and domiciles). Results: The majority of the 552 mothers were multiparous (79.6%). Around 70% of pregnancies occurred in teenage mothers. The proportion of caesarean section deliveries was 38.4% in mothers from urban zones and 28.5% in those from rural areas, and was higher in mothers who attended private clinics, who self-reported as being Caucasian, and who had a higher educational level. With regard to puerperal complications, mothers who underwent caesarean section had a higher prevalence of hypertension (71.1%) with an adjusted prevalence ratio of 3.90 (95% CI [2.00, 7.61]). Conclusions: The results revealed a high rate of teenage pregnancy, and arterial hypertension was the leading complication during the postpartum period experienced by women who had undergone caesarean section. These findings merit further attention, and should be used to improve the care provided to Rio Branco.
subject: Artigos Originais
  topic: section
subject: natural childbirth
  topic: keywords
subject: cesarean section
  topic: keywords
subject: postpartum period
  topic: keywords
creator: Andréa Ramos da Silva Bessa
creator: Leila Maria Geromel Dotto
creator: Margarida de Aquino Cunha
creator: Pascoal Torres Muniz
creator: Suelen de Oliveira Cavalcante
rights: Copyright (c) 2018 Journal of Human Growth and Development
date: 2018-03-12
publication date: 2018-03-12
starting page: 69
ending page: 76
doi: 10.7322/jhgd.118010

Juridical perspectives of interruption of pregnancy with zika virus infection regarding medical, emotional and social consequences
type: item
description: Uganda and isolated in humans in 1952 in the same country. Up to 2007 there were few cases of human infection in African and Asian countries. The first outbreak of the Zika virus occurred in Brazil in 2015, becoming a serious public health problem due to the increase in the number of cases of microcephaly in infected pregnant women. Objective: To describe the legal abortion at Zika virus infection during pregnancy regarding medical, emotional and social consequences. perspectives of abortion for the pregnant woman with Zika virus regarding the medical, emotional and social consequences. Methods: This is a documentary study based on documents about abortion and its outcomes in Brazil. Technical norms, textbooks, indexed articles of Scopus and PubMed, documents extracted from international human rights treaties and conventions, and legal documents on the subject were used. It was decided to direct the text based on the experiences of each theme on abortion and its outcomes in Brazil, with a synthesis of the current scenario. Results: Recognizing the exceptional nature of this situation, it is sought to confer an interpretation according to the Constitution and Article 128 of the Criminal Code, based on an analogical application, which seeks to protect the physical and mental health of women infected by the Zika virus. It is possible to qualify the practice of abortion in these circumstances as atypical conduct by the state of necessity, excluding the unlawfulness by comparing with articles 23, I and 24 of the Penal Code. Conclusion: Authorizing the termination of pregnancy after diagnosis of the virus Zika guarantees women the free exercise of their reproductive rights, which is not confused with state imposition of abortion or eugenic practice.
subject: Artigos Originais
  topic: section
subject: Zika virus infection
  topic: keywords
subject: foetal diseases
  topic: keywords
subject: microcephaly
  topic: keywords
subject: induced abortion
  topic: keywords
subject: women’s health
  topic: keywords
subject: public health
  topic: keywords
creator: Ana Rita Souza Prata
creator: Daniela Pedroso
creator: Greice Menezes
creator: Jefferson Drezett
creator: José Henrique Rodrigues Torres
creator: José Ruben de Alcântara Bonfim
creator: Leila Adesse
creator: Maria Elisa dos Santos Braga
creator: Monica Kulcsar
creator: Roberto Luiz Corcioli Filho
creator: Thomaz Rafael Gollop
creator: Yasmin Oliveira Mercadante Pestana
rights: Copyright (c) 2018 Journal of Human Growth and Development
date: 2018-03-12
publication date: 2018-03-12
starting page: 77
ending page: 81
doi: 10.7322/jhgd.143875

Knowledge and acceptance of HPV vaccine among adolescents, parents and health professionals: construct development for collection and database composition
type: item
description: Introduction: The human papillomavirus (HPV) is a prevalent viral infection in the sexually active population, which can be oncogenic and non-oncogenic. Educational efforts by health professionals, aimed at adolescents and their parents, help decision-making on human papillomavirus vaccination, benefiting the implantation process and vaccine coverage. Objective: To describe the data collection constructs about knowledge and acceptability of HPV vaccine among adolescents, parents and health professionals. Methods: Study of construct elaboration based on an empirical review of the literature with a qualitative focus on PubMed database, from 2007 to 2014, using the following keywords: Papillomaviridae AND Papillomavirus Vaccines AND Knowledge AND Community Health Services. A total of 31 questions were divided into six categories. In the internal validation, the final construct was applied in 390 subjects (adolescents, parents/guardians and health professionals) in the period of 2014. The proportion of assertive responses and respective 95% confidence interval (CI) were used to describe each question. Results: Three articles on the subject were found in the databases consulted that served as the basis for the elaboration of the questionnaire. There was a lower proportion of correct answers among adolescents about knowledge of HPV. Adolescents, parents, and carers showed a low proportion of correctness about the safety and efficacy of the vaccine. The three groups did not show any barriers to vaccine acceptability. Conclusion: The instrument was adequate to measure knowledge about HPV, its repercussions and its vaccine among adolescents, parents/guardians and health professionals, as well as measuring the acceptability of the human papillomavirus vaccine.
subject: Artigos Originais
  topic: section
subject: HPV
  topic: keywords
subject: papillomavirus vaccines
  topic: keywords
subject: knowledge
  topic: keywords
subject: adolescent
  topic: keywords
subject: parents
  topic: keywords
subject: health-care professional
  topic: keywords
subject: surveys and questionnaires
  topic: keywords
creator: Priscila Dantas Leite e Sousa
creator: Albertina Duarte Takiuti
creator: Edmund Chada Baracat
creator: Isabel Cristina Esposito Sorpreso
creator: Luiz Carlos de Abreu
rights: Copyright (c) 2018 Journal of Human Growth and Development
date: 2018-03-12
publication date: 2018-03-12
starting page: 58
ending page: 68
doi: 10.7322/jhgd.143856

Evaluation of postural control in children and adolescents with down syndrome aged eight to twelve years old
type: item
description: Introduction: Down Syndrome is a genetic disorder caused by the presence of the third copy of chromosome 21 (total or partial). The syndrome occurs in approximately one out of every 700 – 1000 newborns per year. Objective:To analyze postural control (PC) of children and adolescents with Down Syndrome (DS) and to compare differences regarding age, sex, nutritional status, and physical activity (PA) levels. Methods: In this cross-sectional study, a convenience sample composed of 21 children and adolescents (9 girls) was categorized according to age: G1 (8 to 9 years old; n = 8), G2 (10 years old; n = 7), and G3 (11 to 12 years old; n = 6), Score-Z: eutrophic (n = 9) and overweight (n = 12), and PA level: practitioners (n = 7) and non-practitioners (n = 14). PC was assessed in the force platform (FP), in the standing position, with feet together during 30 seconds. The variables analyzed were the center of pressure area (COP) and the mean velocities of anteroposterior and mediolateral oscillation (VEL-AP and VEL-ML). Shapiro-Wilk test was used to test the normality of data. Kruskal-Wallis, Dunn’s, and Mann Whitney tests were performed to analyze associations with PC. Statistical significance was set at p<0.05. Results: The median COP, VEL-AP and VEL-ML were 3.55 [2.13 – 6.82] , 2.81 [2.32 – 3.16], and 2.98 [2.42 – 3.43], respectively. There were no differences in PC regarding sex, body mass index and PA level. The adolescents in G3 presented lower values of VEL-AP (G1=2,88 [2,82 – 3,21]; G2= 2,94 [2,35 – 3,39]; G3= 2,27 [2 – 2,3]) and VEL-ML (G1= 3,22 [3,14 – 3,68]; G2= 2,91 [2,52 – 3,63]; G3= 2,34 [2,1 – 2,39]). Conclusion: Sex, nutritional status, and PA level did not affect COP area and AP-VEL and ML-VEL. However, strategies were affected by age, as observed by differences in velocity, but did not affect the COP area.
subject: Artigos Originais
  topic: section
subject: Down Syndrome
  topic: keywords
subject: postural balance
  topic: keywords
subject: motor activity
  topic: keywords
subject: anthropometry
  topic: keywords
creator: Jessica Cristina Leite
creator: Jéssica Caroliny de Jesus Neves
creator: Leonardo George Victorio Vitor
creator: Dirce Shizuko Fujisawa
rights: Copyright (c) 2018 Journal of Human Growth and Development
date: 2018-03-12
publication date: 2018-03-12
starting page: 50
ending page: 57
doi: 10.7322/jhgd.127335

Sociodemographic factors and overweight in children participating in a government program for fortified milk distribution
type: item
description: Introduction: Previous studies have shown the effectiveness of the VIVALEITE Project for promoting weight gain in children under two years old. Given the program´s effectiveness, children whose weight on entry was close to the normal limit for age may have become overweight during their participation. Objective: To analyze the association between sociodemographic factors and overweight in participants of the VIVALEITE Project. Methods: A cohort study with data on 1,039 infants from low-income families in the state of São Paulo enrolled on the Vivaleite Program at six months of age with a weight near the upper limit of adequacy between January 2003 and September 2008 was conducted. The proportion of children that became overweight during participation in the program and associations with sociodemographic conditions of each child (breastfeeding at six months, sex and birth weight) and mother/guardian (marital status, age, employment status and education) were investigated. Modeling was performed using multilevel logistic regression of socioeconomic variables and ages at weighing. The Stata program version 10.1 was used for analysis. Results: On multilevel analysis, the “yes” category of breastfeeding at six months (OR = 0.29, p = 0.000) and maternal employment (OR = 0.36, p = 0.012) were significantly associated with overweight in the children. The variables birth weight, sex, marital status, maternal age and education were not statistically associated with overweight. Conclusions: The sociodemographic factors “not breastfeeding at six months” and “maternal unemployment” were positively associated with overweight among the infants participating in the program.
subject: Artigos Originais
  topic: section
subject: fortified milk distribution program
  topic: keywords
subject: nutrition programs and policies
  topic: keywords
subject: infant
  topic: keywords
subject: weight gain
  topic: keywords
creator: Fernanda Martins Dias Escaldelai
creator: Rosangela Aparecida Augusto
creator: José Maria Pacheco de Souza
rights: Copyright (c) 2018 Journal of Human Growth and Development
date: 2018-06-26
publication date: 2018-06-26
starting page: 129
ending page: 138
doi: 10.7322/jhgd.115676

Characteristics of medication use during lactation
type: item
description: Introdução: É inquestionável a importância do aleitamento materno. Seus benefícios abrangem o lactente, a nutriz, a família e a sociedade. A Organização Mundial de Saúde preconiza o aleitamento exclusivo até os seis meses de idade, o qual pode ser comprometido por alguns motivos, dentre eles o uso de medicamentos. Objetivo: Caracterizar os medicamentos utilizados por nutrizes, no que se refere a: categorias de risco; locais e responsáveis pela prescrição médica e orientações recebidas. Método: estudo transversal, retrospectivo, quantitativo. Os dados foram coletados na Estratégia de Saúde da Família (ESF) com 161 nutrizes nos anos de 2012 e 2013, por meio de questionário estruturado, contendo informações sobre o uso de medicamentos durante a lactação. Os dados foram apresentados em frequências absolutas e relativas, e comparados às variáveis selecionadas no estudo para verificação da existência de associação, utilizando-se o Teste do Qui-quadrado. Resultados: 55,9% das entrevistadas referiram uso de medicamentos, predominando os que atuam no Sistema hormonal, seguidos dos de uso sistêmico e cardivascular. O clínico geral foi o que mais prescreveu, seguido do ginecologista, na ESF. 64,4% das entrevistadas receberam algum tipo de orientação. A análise estatística demonstrou associação positiva entre categoria de risco e as variáveis especialidade médica (p=0,03) e local de atendimento (p=0,001). Conclusão: A classe de medicamento mais utilizada foi a dos anticoncepcionais. Todo medicamento classificado como contra indicado foi prescrito, na Atenção Primária, pelo clínico geral. Sendo assim, destaca-se a necessidade de profissionais qualificados em toda rede de atenção à saúde.
subject: Artigos Originais
  topic: section
subject: breastfeeding
  topic: keywords
subject: prescription medications
  topic: keywords
subject: lactation
  topic: keywords
subject: maternal-infant health
  topic: keywords
subject: primary health care
  topic: keywords
creator: Thaís Albano Hernandes
creator: Alessandra Nikaido Fuginami
creator: Enrique Caetano Raimundo
creator: Cristina Peres Cardoso
creator: Elza de Fátima Ribeiro Higa
creator: Carlos Alberto Lazarini
rights: Copyright (c) 2018 Journal of Human Growth and Development
date: 2018-06-26
publication date: 2018-06-26
starting page: 113
ending page: 119
doi: 10.7322/jhgd.147215

Fingernails as a biomarker for dental fluorosis
type: item
description: Introduction: Biomarkers indicate levels of a particular chemical agent in the environment studied, which may be useful for monitoring health status, and nails may be major indicators of fluoride. Objective: To evaluate fluoride concentration in the fingernails of children as a biomarker for fluoride exposure. Methods: Twenty students were selected, aged 4-5 years old. Their nails were cut at 15 and 45 days (two collections), and the fluoride concentration in the nails was analyzed with the ion-specific electrode (Orion 9409) after rapid diffusion with HDMS. Results: The total fluoride mean of the samples was 3.68 μg F/g (sd 1.44), ranging from 1.39 μg F/g to 7.81 μg F/g. Eleven children (55%) brush their teeth three times a day, but only three children (15%) swallow toothpaste. Conclusion: There is a high prevalence of fluoride exposure in the fingernails of the children studied, presenting risk of developing dental fluorosis in permanent teeth.
subject: Artigos Originais
  topic: section
subject: Fluoride poisoning
  topic: keywords
subject: Fluoride
  topic: keywords
subject: Biological marker
  topic: keywords
subject: Dental tooth fluorosis
  topic: keywords
creator: Lilian Rigo
creator: Graziela Oro Cericato
creator: Clarice Sagin Sabadin
creator: Caroline Solda
creator: Débora Nunes Mário
creator: Marília Afonso Rabelo Buzalaf
rights: Copyright (c) 2018 Journal of Human Growth and Development
date: 2018-03-12
publication date: 2018-03-12
starting page: 82
ending page: 88
doi: 10.7322/jhgd.133582

Gender and violence: contributions to the debate
type: item
description: The term gender is defined as the social construction of sex, differentiating itself from the variable "sex" because this refers to the biological dimension of anatomical and physiological characterization of human beings, recognized as essential and innate in determining the distinctions between men and women. Gender violence is characterized as a phenomenon of multiple determinations that defines any act based on gender relations that result in physical and psychological harm or suffering. It refers to the hierarchy of power, desires of domination and annihilation of the other, and that can be used consciously sometimes in relationships as a mechanism for subordination of one person to the partner. Understanding how violence occurs from gender relations is essential in order for the phenomenon to be addressed. In this perspective, the Journal of Human Growth and Development has provided a wide debate on the subject, contributing to the decision making in regards to the fight against gender violence.
subject: Editorial
  topic: section
subject: Gender Identity
  topic: keywords
subject: knowledge
  topic: keywords
subject: violence
  topic: keywords
creator: Kerle Dayana Tavares de Lucena
creator: Elisa Tristán-Cheever
rights: Copyright (c) 2018 Journal of Human Growth and Development
date: 2018-06-26
publication date: 2018-06-26
starting page: 109
ending page: 112
doi: 10.7322/jhgd.147315

Validity and Reproducibility of a Food Frequency Questionnaire for Children
type: item
description: Introduction: A Quantitative Food Frequency Questionnaire (QUEFAC) was developed by Hinnig et al. (2010) to evaluate the usual food consumption of children 7 to 10 years old, since those developed for adults may overestimate the consumption of children. However, its validity and reproducibility must be tested to assert that the instrument has a recognized quality. Objective: To assess the reproducibility and validity of the QUEFAC to children aged 7 to 10 years. Methods: Reproducibility was tested with 89 children who responded to two QUEFAC's. Validity was tested with 167 children who responded to three 24-hour recalls (reference method) and one QUEFAC. For the evaluation, the paired t-tests, Wilcoxon, intraclass correlation coefficients, weighted Kappa and analysis of the Bland-Altman graphs were used. Results: For reproducibility, mean differences were observed for all nutrients investigated, correlation coefficients ranged from 0.12 to 0.54 and Kappa values from 0.01 to 0.39. For validity, mean differences for all nutrients were observed, except for energy and zinc, correlation coefficients ranged from 0 to 0.37, Kappa values from 0 to 0.27. Bland-Altman graphs showed a random distribution for most of the nutrients investigated. Conclusion: The QUEFAC was not valid for evaluation of usual food consumption of the last three months in children aged 7 to 10 years in São Paulo and presented moderate reproducibility for energy, protein, calcium, phosphorus, iron, potassium, magnesium and vitamin B2.
subject: Artigos Originais
  topic: section
subject: Food consumption
  topic: keywords
subject: Child
  topic: keywords
subject: Questionnaires
  topic: keywords
subject: Validity of results
  topic: keywords
subject: Reproducibility of results
  topic: keywords
subject: Nutritional Assessment
  topic: keywords
creator: Patrícia de Fragas Hinnig
creator: Barbara Grassi Prado
creator: Maria do Rosário Dias de Oliveira Latorre
rights: Copyright (c) 2018 Journal of Human Growth and Development
date: 2018-06-26
publication date: 2018-06-26
starting page: 120
ending page: 128
doi: 10.7322/jhgd.147217

Portuguese translation and Brazilian cultural adaptation of the Assessment of Burden in Chronic Venous Disease questionnaire (ABC-V)
type: item
description: Introduction: The Assessment of Burden in Chronic Venous Disease questionnaire (ABC-V) is a valuable tool for assessing the impact that chronic venous disease (CVD) has on patients’ quality of life (QL). There was a need for a translated and adapted version suitable for use in the Brazilian population. CVD is becoming a public health issue as the incidence and prevalence are high. The ABC-V can be used to collect information on patients’ QL and thus the development of a Brazilian version that facilitates research into the CVD population. Objective: To provide translation and cultural validation of the Assessment of Burden in Chronic-Venous Disease (ABC-V) questionnaire for the Portuguese language. Methods: The ABC-V was translated into Portuguese by two bilingual translators working independently. The translators then created a consensus version, which was translated back into English by two native English speakers. Finally all the versions were analysed by a committee of with expertise in translation and the two cultures involved. The committee produced a draft Portuguese-language version which was tested in a pilot sample of between 30 and 40 people. The committee evaluated feedback from the pilot sample on the clarity and comprehensibility of the draft version. Results: The draft version was completed by 31 patients at the Chronic Venous Diseases Department of Padre Anchieta’s Teaching Hospital. With the analysis of the questionnaires used in the pre-test, it is possible to observe that in English, unlike Portuguese, verbs are often used in the passive tense. It also emerged that there was a need to use more colloquial terms and expressions so that the question would be easier to understand, whilst preserving the meaning of the original items. Changing the tone of the questionnaire in this way should make it more suitable for use with people from a wide range of socioeconomic levels, especially those with lower social status and less education. Because the questi…
subject: Artigos Originais
  topic: section
subject: Chronic venous disease
  topic: keywords
subject: Quality of life
  topic: keywords
subject: Inquiries and Questionnaires
  topic: keywords
subject: Translation
  topic: keywords
creator: Rafael Cunha de Almeida
creator: Paulo Roberto Zamfolini Zachêu
creator: Mariana Terra Diniz
creator: Maria Carolina Cozzi Pires de Oliveira Dias
creator: Isabella Cherkezian Guiguer
creator: Ricardo Cunha de Almeida
creator: João Antonio Corrêa
rights: Copyright (c) 2018 Journal of Human Growth and Development
date: 2018-03-12
publication date: 2018-03-12
starting page: 89
ending page: 94
doi: 10.7322/jhgd.143885

Conception of the Right to Health of Mid-Level Technical Professionals of Unified Health System In Brazil
type: item
description: Introduction: The right to health, one of the achievements guaranteed by the Citizen Constitution promulgated in 1988, came in response to the citizens’ struggle for health reform in 1986. The guarantee of this right is established in the Unified Health System (SUS). Objective: To analyze the conception of the right to health of middle level proffesionals of SUS. Methods: Qualitative approach research, through 2 focus groups involving 9 graduates of a Health Technical School of the SUS in the north of Brazil, from the courses of clinical analysis, dental hygiene and nursing, working in the Unified Health System. Content analysis proposed by Bardin (2009), with the definition of 3 categories. Results: Three categories show the results obtained concluding concepts of health, the right to health and health conceptions; Health practices and access to care; and topics of training, health care and humanization. Conclusion: The participants of this study have a conception of the right to health directed to the legislation, their concepts of health approach elements of SUS policy, among others, promotion, prevention, humanization; their conceptions of health are strongly focused on the biomedical model centered on disease and medicine.
subject: Artigos Originais
  topic: section
subject: health to rigth
  topic: keywords
subject: unified health system
  topic: keywords
subject: professional qualification
  topic: keywords
subject: curriculum
  topic: keywords
subject: healtcare personnel
  topic: keywords
creator: Rosa Maria de Souza Barbosa de Melo
creator: Giovana Barbosa Morais
creator: Jullyana Barbosa Morais
creator: Silvana Nair Leite
rights: Copyright (c) 2018 Journal of Human Growth and Development
date: 2018-03-12
publication date: 2018-03-12
starting page: 95
ending page: 104
doi: 10.7322/jhgd.143886

Health in School Program: From training processes to practice scenarios
type: item
description: Introduction: The Health in School Program (PSE) is an intersectoral policy between the ministries of health and education with the perspective of integral attention (prevention, promotion and attention) to the health of children, adolescents and young people in basic public education, within the framework of schools and basic health units. It has five structural components to be developed by professionals, who need ongoing training to reach their goals and goals. Objective: To analyse the training process of PSE health and education professionals. Methods: Qualitative research, based on the theoretical framework of Paulo Freire, whose epistemological categories were compiled by Ecco (reading of the world, significant themes, dialogue, curiosity and problematization). Collection of data was conducted through an interview with 45 professionals and analysed. Results: The reading of the world in relation to the training was permeated with doubts regarding the work with the adolescents. Regarding the significant themes, they expressed an interest in studying some content for the particularities of this publication. The dialogue was encouraged in the transfer of the information and determinations established by management. As for the curiosity, the professionals pointed out uncertainties about the continuity of the actions of the programme and reported learning needs that were not contemplated. The problematization was not evident in the speeches. Conclusion: There are gaps in the professional formation in the PSE for an action that considers the promotion of health in adolescents.
subject: Artigos Originais
  topic: section
subject: School health
  topic: keywords
subject: Health promotion
  topic: keywords
subject: Adolescent
  topic: keywords
subject: Continued education
  topic: keywords
creator: Mirna Neyara Alexandre de Sá Barreto Marinho
creator: Neiva Francenely Cunha Vieira
creator: Heraldo Simões Ferreira
creator: Alice Maria Correira Pequeno
creator: Itamara da Costa Sousa
creator: Antônia Priscila Pereira
creator: Aretha Feitosa de Araújo
creator: Maria de Fátima Antero Sousa Machado
rights: Copyright (c) 2018 Journal of Human Growth and Development
date: 2018-06-26
publication date: 2018-06-26
starting page: 175
ending page: 182
doi: 10.7322/jhgd.147219

Intimate partner violence and severe maternal morbidity among pregnant and postpartum women in São Paulo, Brazil
type: item
description: This article investigates the association between intimate partner violence (IPV) during a current pregnancy and severe maternal morbidity (SMM) among pregnant and postpartum women cared for in public maternity centers located in São Paulo, Brazil. A total of 109 women who developed SMM were selected according to criteria adopted by the World Health Organization (WHO). Another 337 women who did not experience any clinical, laboratory or management intercurrences during a current pregnancy and postpartum were selected for the control group. The participants were submitted to a retrospective investigation of IPV using an instrument adapted from the WHO Multi-country Study on Women’s Health and Domestic Violence against Women, applied between November 2010 and June 2011. The relationship between the response variable (SMM) and the exposure variable (IPV) adjusted for the remaining independent variables was assessed through proportions, a chi-square test, a Fisher’s exact test, and multiple logistic regression. A prevalence of 12.6% (CI:9,5–15,7) for psychological violence, 7.6% (CI:5,1–10,1) for physical violence and 1.6% (CI:0,4–2,8) for sexual violence were observed during a current pregnancy in both the case and control groups. Although no statistical significance was found between IPV exposure during a current pregnancy and the occurrence of SMM (p>0,264), we identified factors associated with unfavorable socio-demographic and reproductive conditions in both the women exposed to IPV and those who developed SMM. Systematic monitoring of SMM and routine screening of IPV among pregnant women are important measures to reduce maternal morbidity and mortality and to qualify reproductive health care.
subject: Artigos Originais
  topic: section
subject: Intimate partner violence
  topic: keywords
subject: Battered women
  topic: keywords
subject: Severe acute maternal morbidity
  topic: keywords
subject: Pregnancy complications
  topic: keywords
subject: Maternal health
  topic: keywords
creator: Maria Inês Rosselli Puccia
creator: Marli Villela Mamede
creator: Luiz de Souza
rights: Copyright (c) 2018 Journal of Human Growth and Development
date: 2018-06-26
publication date: 2018-06-26
starting page: 165
ending page: 174
doi: 10.7322/jhgd.147218

Functionality and quality of life of children with disability
type: item
description: Introduction: Preschool teachers are able to provide realistic information about functionality and quality of life of children with disabilities in regular classrooms. Objective: To analyze functionality and quality of life of children with disabilities included in public schools with early childhood education programs in Florianópolis, in the State of Santa Catarina, Brazil. Methods: Special education teachers, classroom teachers, physical education teachers, special education teaching assistants and classroom assistants for 2- to 5-year-old children with disabilities, who showed motor disabilities and were included in municipal public schools with early childhood education programs in Florianópolis. The instruments used were: the Pediatric Evaluation of Disability Inventory, the Pediatric Quality of Life Inventory version 4.0 and an identification form. Results: There were similarities between teachers’ reports about functionality and quality of life of children with disabilities. Conclusion: There are different academic backgrounds, professional categories and working hours. However, the reports of these teachers showed homogeneity of results, which indicates that they are attentive to the educational tasks and child care, and engaged in inclusive education, child development and well-being.
subject: Artigos Originais
  topic: section
subject: motor disorders
  topic: keywords
subject: quality of life
  topic: keywords
subject: children with disabilities
  topic: keywords
subject: child education.
  topic: keywords
creator: Patrícia Domingos dos Santos
creator: Franciele Cascaes da Silva
creator: Bianca Andrade de Sousa
creator: Greicy Kelly Wosniak Pires
creator: Rodrigo da Rosa Iop
creator: Elizandra Gonçalves Ferreira
creator: Rudney da Silva
rights: Copyright (c) 2018 Journal of Human Growth and Development
date: 2018-06-26
publication date: 2018-06-26
starting page: 154
ending page: 164
doi: 10.7322/jhgd.123455

Nutritional status of children from lower Amazonas: agreement between three classification criteria
type: item
description: Introduction: The knowledge of adequate methods to monitor growth and nutritional status during childhood and adolescence makes possible an early diagnosis of possible problems, such as malnutrition, overweight or obesity in adult life. Objective: To determine the agreement between three methods of nutritional assessment status of children 2 to 6 years old from Lower Amazonas region, Brazil. Methods: Exploratory, epidemiological, and cross-sectional school-based study conducted in 2014 with children of Child Education in the city of Parintins. We assessed the nutritional status, body mass index, according to three criteria: Conde and Monteiro, Cole et al, and World Health Organization (WHO). We used the Kappa coefficient to investigate the agreement between three criteria. Results: Participants were 1.387 children (714 boys) with a mean age of 5 years. The boys had a higher prevalence of overweight than girls by the WHO classification, but higher proportion of girls with low weight, according to the national criteria. The best levels of agreement were for females and national protocol showed good agreement with the international use of protocols, highlighting proposed by the WHO. Conclusion: We concluded that there was agreement among the criteria for assessing the nutritional status of children in the Lower Amazonas.
subject: Artigos Originais
  topic: section
subject: preschoolers
  topic: keywords
subject: body mass index
  topic: keywords
subject: anthropometry
  topic: keywords
subject: nutrition assessment.
  topic: keywords
creator: Marcelo Gonçalves Duarte
creator: Sueyla Ferreira da Silva dos Santos
creator: Giseli Minatto
creator: Glauber Carvalho Nobre
creator: João Otacilio Libardoni dos Santos
creator: Thiago Ferreira de Sousa
creator: Ismael Freitas Junior
rights: Copyright (c) 2018 Journal of Human Growth and Development
date: 2018-06-26
publication date: 2018-06-26
starting page: 139
ending page: 147
doi: 10.7322/jhgd.141627

Clinical decision making for diagnosis and treatment of dental enamel injuries
type: item
description: Introduction: In general, there are difficulties in the decision making regarding the differential diagnosis and the most appropriate treatment in the lesions that affect the dental tissues by dentists, due to the fact that lesions in enamel have similar clinical characteristics. Objective: To evaluate the correct decision making for the diagnosis and treatment of dental enamel lesions by professors and students of the Dentistry course. Methods: Descriptive quantitative study, whose sample was composed by 98 students enrolled in the disciplines of Dental Clinics from IV to VIII level and by 23 professors. The instrument of data collection was a questionnaire composed of photographs of four clinical cases, whose teeth presented different lesions in dental enamel: dental enamel hypoplasia, dental fluorosis, amelogenesis imperfecta and dental caries. Results: Of the 98 students, the predominant success was dental fluorosis, where 93.9% answered the diagnosis. While the predominant treatment success was that of caries lesions, where 86.7% opted for direct restoration. Of the 23 professors, the predominant diagnosis was caries lesion, 100% correct the diagnosis, while the treatment was the direct restoration in the case of dental enamel hypoplasia, where 95.7% chose this treatment option. Conclusion: Professors and students of the Dentistry course had difficulty in making treatment decisions on teeth with amelogenesis imperfecta, with mild dental fluorosis and ease on teeth with hypoplasia and dental caries. In addition, the students reported having difficulties in the differential diagnosis of dental enamel lesions presented in the cases because they had still little knowledge for such.
subject: Artigos Originais
  topic: section
subject: fluorosis dental
  topic: keywords
subject: dental enamel hypoplasia
  topic: keywords
subject: diagnosis differential
  topic: keywords
subject: students dental
  topic: keywords
subject: faculty dental.
  topic: keywords
creator: Izabel Barzotto Correio
creator: Lilian Rigo Correio
rights: Copyright (c) 2018 Journal of Human Growth and Development
date: 2018-06-26
publication date: 2018-06-26
starting page: 189
ending page: 198
doi: 10.7322/jhgd.125609

Impact of type of delivery on thoracoabdominal mobility of newborns
type: item
description: Introduction: In newborns delivered by cesarean section, there is less chest compression and little amount of fluid is drained by gravity, which temporarily reduces thoracoabdominal mobility. Objetive: The objective of this study is to evaluate the impact of the type of delivery on newborns Thoracoabdominal Mobility. Methods: This is a cross-sectional study with newborns of gestational age between 37 and 41 weeks, of both sexes, with up to 72 hours of life, breathing in ambient air and born by normal delivery or cesarean section. The Thoracoabdominal Mobility was evaluated by videogrammetry using MATLAB Software and considered, in metric units (cm2), as the difference between the highest and lowest thoracoabdominal expansibility for each respiratory cycle. Results: Twenty-six infants were included, 11 were male and 50% were born by cesarean section. The mean gestational age was 39 ± 0,9 and 28 ± 18 hours of life. The mobility, difference between greater and lesser expansion, of the thoracic area in vaginal and cesarean delivery was 6 ± 3 cm2 and 7 ± 5 cm2 and the abdominal area was 29 ± 22 cm2 and 21 ± 14 cm2, respectively. This difference was not statistically significant between the two types of delivery for the thoracic area, but was statistically different for the abdominal area (p= 0.01). And the higher the respiratory rate, the lower the abdominal mobility (r= -0.57, p= 0.02). Conclusion: The data indicate that the type of delivery seems to influence abdominal mobility and respiratory rate. In the studied sample, newborns with cesarean section presented lower abdominal mobility.
subject: Artigos Originais
  topic: section
subject: respiratory mechanics
  topic: keywords
subject: photogrammetry
  topic: keywords
subject: newborn
  topic: keywords
subject: labor obstetric.
  topic: keywords
creator: Valéria Lidyanne Silva Gomes
creator: Pedro Henrique Silva de Farias
creator: Danilo Alves Pinto Nagem
creator: Danielle Cristina Gomes
creator: Glauco Francisco de Araújo Silva
creator: Cristiane Aparecida Moran
creator: Simone Nascimento Santos Ribeiro
creator: Silvana Alves Pereira
rights: Copyright (c) 2018 Journal of Human Growth and Development
date: 2018-06-26
publication date: 2018-06-26
starting page: 148
ending page: 153
doi: 10.7322/jhgd.127865

Will artificial intelligence be a blessing or concern in assistive robots for play?
type: item
description: The recent advances and popularity of artificial intelligence (AI) offer exciting possibilities to improve technology but they also raise concerns. In this paper, we use our research to present the potential benefits of using AI in assistive technology for children with disabilities to access play, and examine potential ethical concerns surrounding data required by AI algorithms. Since play is a key factor in child well-being and cognitive development, secondary disabilities may arise as a consequence of motor impairments. Assistive robots for augmentative manipulation can be instrumental in providing children with physical disabilities play opportunities, but we need to take a principled and user-centered approach to technical innovations.
subject: Artigos Originais
  topic: section
subject: Artificial Intelligence
  topic: keywords
subject: Machine Learning
  topic: keywords
subject: Assistive Robots
  topic: keywords
subject: Augmentative Manipulation
  topic: keywords
subject: Play
  topic: keywords
subject: Children with disabilities.
  topic: keywords
creator: Kim Adams
creator: Pedro Encarnação
creator: Adriana M. Rios-Rincón
creator: Al M. Cook
rights: Copyright (c) 2018 Journal of Human Growth and Development
date: 2018-06-26
publication date: 2018-06-26
starting page: 213
ending page: 218
doi: 10.7322/jhgd.147242

Sociocultural aspects of health and disease and their pragmatic impact
type: item
description: Introduction: Several factors are involved in the health–disease process and important points are related to sociocultural aspects that need to be known and interpreted to understand a more general framework that involves health. Objective:To analyse the sociocultural aspects related to the health and disease process. Methods:This is a reflexive review study. Thematic categories were established for the development and discussion of results according to the analysis of Bardin. Results: Sociocultural aspects influence the health of the population based on creation of work in the field of public health. Conclusion: Many aspects are involved in the health–disease process. All impact in some way on some context in public health and therefore should be analysed and considered.
subject: Artigos Originais
  topic: section
subject: cultural characteristics
  topic: keywords
subject: health
  topic: keywords
subject: disease.
  topic: keywords
creator: Sabrina Alaíde Amorim Alves
creator: Maryldes Lucena Bezerra de Oliveira
rights: Copyright (c) 2018 Journal of Human Growth and Development
date: 2018-06-26
publication date: 2018-06-26
starting page: 183
ending page: 188
doi: 10.7322/jhgd.147236

Body, culture and meaning
type: item
description: Introduction: Human beings go through history in search of the plenitude and perfection of the human body. The actors have changed and the scene has changed, and likewise the sociocultural context, the tastes and interpretations, and the meaning have changed, yet the search for the ideal body remains. Objective: A critical-reflexive approach is proposed regarding the standard of the body throughout the historical trajectory, as well as its cultural representativeness and the meaning attributed to it. Methods: This is a critical-reflexive dissertation based on existing literature. We have used the: MEDLINE, LILACS, Scientific Electronic Library - SciELO and Bireme databases; as well as Google Scholar and grey literature. The preparation of the manuscript followed the norms of literature reviews, and nearly attained the qualitative approach. Results: One must consider the relationship that the media establishes with the body, impelling a relentless search for a standardized reflection in the mirror, seen as beauty; the culture of purchasing power regarding the female body, of discrimination, of violence, and of indifference. It reveals a discussion of aspects that are important and fundamental to understand the body in its totality, not only as an organic structure, but also as something complex and subjective that suffers constant influences from the environment to which it is exposed and from the time and society in which it is inserted. Conclusion: It may be concluded that the body has always been in a prominent position in the civilizations of the numerous historical periods mankind has lived through, and regardless of when, there has always been a corporal stereotype to be followed, cultivated and worshiped, and the search for this conquest continues in current days.
subject: Artigos Originais
  topic: section
subject: Human Body
  topic: keywords
subject: Culture
  topic: keywords
subject: Beauty Industry
  topic: keywords
subject: Narcissism.
  topic: keywords
creator: Claudia de Souza Dourado
creator: Suzete Maria Fustinoni
creator: Janine Schirmer
creator: Camila Brandão-Souza
rights: Copyright (c) 2018 Journal of Human Growth and Development
date: 2018-06-26
publication date: 2018-06-26
starting page: 206
ending page: 212
doi: 10.7322/jhgd.147240

Descriptions of Perceived Quality of Life of Residents from a Quilombo in North Brazil
type: item
description: The study aimed to describe the perceptions regarding the quality of life of Quilombola community in the municipality of Santa Tereza, Tocantins, Brazil. A descriptive cross-sectional study was conducted with children in the Quilombola community. To evaluate the children's quality of life, the questionnaire named Vie Enfant Imagé's Autoquestionnaire Qualité was used, composed of four factors: Autonomy, Leisure, Function, and Family. To evaluate the quality of life in adults, the World Health Organization Quality of Life assessment was used. The program used was Stata version 11.0. Regarding the quality of life of the children according to gender, the girls presented a mean of 11.0 in the Function factor, in the Family, Leisure, and Autonomy factor, presented with a mean of 12.3, 8.2 and 4.8, respectively. For boys, the Function factor had a mean of 11.0, the Family factor of 12.0, and the Leisure and Autonomy factors of 7.6 and 5.6, in this sequence. Among the adults, the men had lower values in the Physical domain with a mean of 13.7, the women had lower averages in the Physical and Environmental domains, with values equal to 13.8. In the general scores, the male sex obtained higher value when compared to the female sex, 14.0 and 13.6, respectively. The study showed that among the children, the Family factor had higher mean values, followed by the Function, Leisure, and Autonomy factors, respectively. When studying adults, the domain with the best score was Social Relations, on the other hand, the Physical domain presented the worst score for men and women. However, investigations carried out regarding the quality of life in quilombolas represent a still low number, making it difficult to understand the possibilities of improving the quality of life in this population.
subject: Artigos Originais
  topic: section
subject: Quality of life
  topic: keywords
subject: Vulnerable Populations
  topic: keywords
subject: racial inequality
  topic: keywords
subject: community.
  topic: keywords
creator: Luiz Vinicius de Alcantara Sousa
creator: Erika da Silva Maciel
creator: Fernando Rodrigues Peixoto Quaresma
creator: Laércio da Silva Paiva
creator: Fernando Luiz Affonso Fonseca
creator: Fernando Adami
rights: Copyright (c) 2018 Journal of Human Growth and Development
date: 2018-06-26
publication date: 2018-06-26
starting page: 199
ending page: 205
doi: 10.7322/jhgd.147239

Quality of Life and Metabolic Syndrome in Brazilian quilombola communities: A Crosssectional Study
type: item
description: Introduction: The lifestyle of quilombola communities has changed due to extra community influence, thus affecting their environmental and behavioral factors related to the Metabolic Syndrome (MS). However, little is known about the influence of MS on the Quality of Life (QoL) of quilombola residents. Objective: We aimed to study the association between MS and QoL in quilombola communities in northern Tocantins, Brazil. Methods: The QoL of 147 adults from five quilombola communities from Tocantins was assessed using the WHOQOL-BREF instrument. Blood pressure, abdominal perimeter, fasting blood glucose, triglycerides and HDL-cholesterol were measured, and the presence of MS was defined as the alteration of at least three of these clinical aspects. The association of the clinical components and the SM presence with the Quality of Life was evaluated by Student’s t-test for independent samples. Results: We observed that in the total population, an altered abdominal perimeter had an inverse association with both the Physical (15.2 vs. 14.0, p=0.002) and General QoL domains (14.4 vs. 14.0, p=0.045), and MS was inversely associated with the Physical domain (14.9 vs. 14.0, p=0.030). When stratified by sex, the altered abdominal perimeters in men were inversely associated with the Physical (16.5 vs. 14.4, p<0.001), Environmental (14.0 vs. 12.6, p=0.020) and General domains (15.5 vs. 14.0, p<0.001). MS had an inverse association with the Physical (15.8 vs. 14.4, p=0.026) and General domains (14.8 vs. 14.0 p= 0.042) in men. In women there was no association between any risk factor studied and QoL domain. Conclusions: The status of MS was negatively associated with the quality of life of the male population, highlighting the abdominal perimeter, which influences the Physical and General domains of QoL, but in the female population the MS does not interfere in the perception of QoL. Understanding the relationship between chronic diseases and QoL in quilombola communities is nece…
subject: Artigos Originais
  topic: section
subject: Quilombolas
  topic: keywords
subject: quality of life
  topic: keywords
subject: metabolic syndrome
  topic: keywords
subject: WHOQOL-BREF
  topic: keywords
creator: Luiz Vinicius de Alcantara Sousa
creator: Erika da Silva Maciel
creator: Fernando Rodrigues Peixoto Quaresma
creator: Ana Carolina Gonçalves de Abreu
creator: Laércio da Silva Paiva
creator: Fernando Luiz Affonso Fonseca
creator: Fernando Adami
rights: Copyright (c) 2018 Journal of Human Growth and Development
date: 2018-11-28
publication date: 2018-11-28
starting page: 316
ending page: 328
doi: 10.7322/jhgd.152182

Nurturing resilience: the ‘ordinary magic’ of everyday life
type: item
description: A brief exploration of resilience and child development is presented. The concepts of resilience and ‘risk competence’ are elaborated on along with some of the practice implications of these with respect to child care and wellbeing. Questions are raised regarding managing childhood risks while at the same time enabling children to become capable in assessing and handling risks themselves.
subject: Artigos Originais
  topic: section
subject: resilience
  topic: keywords
subject: risk competence
  topic: keywords
subject: child development
  topic: keywords
creator: Ảine de Roiste
rights: Copyright (c) 2018 Journal of Human Growth and Development
date: 2018-11-28
publication date: 2018-11-28
starting page: 278
ending page: 282
doi: 10.7322/jhgd.152175

Human dignity in the light of the Constitution, human rights and bioethics
type: item
description: Introduction: Human dignity, as coined by the Universal Declaration of Human Rights (UDHR / 1948), is an expression social solidarity, which should cement the relations between people. Human dignity is the foundation of all rights, such as freedom, equality, justice and peace in the world, and in Brazil, human dignity was deemed a fundamental pillar of the country’s post-1988 constitutional order. Objective: This article seeks to a deeper investigation about the social nature of human dignity and its definition over time. Methods: This is an exploratory research meant to unpack the concepts of "human dignity", "bioethics", "human rights" and "constitution". After describing the conceptual evolution of human dignity and the facts relevant to its conceptual formation in world history - as a normative standard and a legal rule -, we address the Universal Declaration of Human Rights (UDHR/1948), the Declaration of Helsinki (DH/1964), the Universal Declaration on Bioethics and Human Rights (UDBHR/2005), and the definition adopted in the Constitution of the Federative Republic of Brazil (CFRB/1988). The study was carried out without temporal limitation, and included a review of referenced books, legal doctrines, as well as articles and books in the SciELO database. Results and discussion: The findings ratify that human dignity is the foundation of all rights, including those of freedom, equality, justice and peace in the world, and must also guide the rights and duties of social regulation. Human dignity has changed from a criterion of power attributed to the social position of individuals to a value of the right to freedom, which now goes beyond the right of freedom and is the basis of modern constitutional democracy, which makes possible the realization of solidarity, as well as the duty and purpose of the state and the community. The will of the subject, of society, of the science and of the state, as well as the rules of domination and regulation, must have a limit on…
subject: Artigos Originais
  topic: section
subject: human dignity
  topic: keywords
subject: bioethics
  topic: keywords
subject: human rights
  topic: keywords
subject: constitution
  topic: keywords
creator: Paulo André Stein Messetti
creator: Dalmo de Abreu Dallari
rights: Copyright (c) 2018 Journal of Human Growth and Development
date: 2018-11-28
publication date: 2018-11-28
starting page: 283
ending page: 289
doi: 10.7322/jhgd.152176

Do we really know who are left behind and who are at risk of being left behind?
type: item
description: There is enough evidence to show the importance of the first 1000 days of life for child survival and development, and the next 8000 days for a child to reach adulthood. Yet discrimination, place of residence, socio-economic status, and inequalities within and between countries contribute to earlier mortality and significant morbidities for mothers and their children, particularly in settings with limited resources. Therefore, many children and adolescents and their families were left behind. JHGD has been raising public health issues related to inequalities and right to health. In this issue, articles generate debate around human dignity and health disparities. Several articles discuss a verity of health issues particularly in Amazon and Northeast region. School health was also discussed in this issue. Three studies were conducted in schools in Rio Grande do Sul, Brazil. Research indicate that many children and adolescents are left behind. We are missing many opportunities to bridge the gap of inequality. Actions need to be taken now to make sure no one is left behind.
subject: Editorial
  topic: section
subject: English
  topic: keywords
subject: Português
  topic: keywords
creator: Khalifa Elmusharaf
creator: Blanca Elena Guerrero Daboin
creator: Tania Brusque Crocetta
rights: Copyright (c) 2018 Journal of Human Growth and Development
date: 2018-11-27
publication date: 2018-11-27
starting page: 218
ending page: 222
doi: 10.7322/jhgd.152135

Health Disparities: Challenges, Opportunities, and What You Can Do About It
type: item
description: Racial disparities in health outcomes, access to health care, insurance coverage, and quality of care in the United States have existed for many years. The Development and implementation of effective strategies to reduce or eliminate health disparities are hindered by our inability to accurately assess the extent and types of health disparities due to the limited availability of race/ethnicity-specific information, the limited reliability of existing data and information, and the increasing diversity of the American population. Variations in racial and ethnic classification used to collect data hinders the ability to obtain reliable and accurate health-indicator rates and in some instances cause bias in estimating the race/ethnicity-specific health measures. In 1978, The Office of Management and Budget (OMB) issued "Directive 15" titled "Race and Ethnic Standards for Federal Statistics and Administrative Reporting" and provided a set of clear guidelines for classifying people by race and ethnicity. Access to health care, behavioral and psychosocial factors as well as cultural differences contribute to the racial and ethnic variations that exist in a person’s health. To help eliminate health disparities, we must ensure equal access to health care services as well as quality of care. Health care providers must become culturally competent and understand the differences that exist among the people they serve in order to eliminate disparities. Enhancement of data collection systems is essential for developing and implementing interventions targeted to deal with population-specific problems. Developing comprehensive and multi-level programs to eliminate healthcare disparities requires coordination and collaboration between the public (Local, state and federal health departments), private (Health Insurance companies, private health care providers), and professional (Physicians, nurses, pharmacists, laboratories, etc) sectors.
subject: Artigos Originais
  topic: section
subject: health disparities
  topic: keywords
subject: access to care
  topic: keywords
subject: Data collection
  topic: keywords
subject: quality of care
  topic: keywords
creator: Hani K. Atrash
rights: Copyright (c) 2018 Journal of Human Growth and Development
date: 2018-11-28
publication date: 2018-11-28
starting page: 223
ending page: 231
doi: 10.7322/jhgd.152156

Physical violence and alcohol drinking consumption among teenagers
type: item
description: Introduction: Adolescence is a period of transition, between childhood and adulthood marked by biological, psychological and social changes. These changes characterize the situations of vulnerability to which these individuals are exposed. Objective: The aim of this study was to examine the association between alcohol consumption and involvement in physical violence among adolescent students in the city of Olinda, Pernambuco, Brazil. Methods: This was a pilot, cross-sectional, study conducted with adolescents enrolled in high school. The Youth Risk Behavior Survey questionnaire was applied in the classroom and questions were taken from the modules on alcohol consumption, violence and socioeconomic data. Analysis of associations was performed using the Chi-square test, or Fisher’s exact test when the Chi-square parameters were not met. Results: Involvement in physical altercations was associated with male gender (p = 0.001), alcohol consumption in the last 30 days (p = 0.019), binge drinking (p = 0.022) and higher maternal education (p = 0.037). Conclusion: There was an association between the consumption of alcohol by adolescents and physical violence. These results are an indication of the vulnerability to which this population is exposed and is a warning of the need for further studies to investigate this issue.
subject: Artigos Originais
  topic: section
subject: alcohol drinking
  topic: keywords
subject: violence
  topic: keywords
subject: adolescent
  topic: keywords
creator: Amanda Pacheco de Carvalho
creator: Carolina da Franca
creator: Valdenice Aparecida de Menezes
rights: Copyright (c) 2018 Journal of Human Growth and Development
date: 2018-11-28
publication date: 2018-11-28
starting page: 273
ending page: 277
doi: 10.7322/jhgd.152172

Scorpion stings and spider bites in the Upper Juruá, Acre – Brazil
type: item
description: Introduction: Epidemiological information on poisonings by venomous animals is fundamental in order to elaborate proposals for educational campaigns for prevention of poisonings, and may contribute to the improvement of the care of patients admitted to health facilities. Objective: Thus, the objective is to analyze the epidemiological profile of spider and scorpion poisoning in the Upper Juruá region, Western Amazonia, Brazil, from 2012 to 2017. Methods: Epidemiological data were obtained from the records of SINAN (Information System of Notifiable Diseases) in the Epidemiological Surveillance Sector of the Juruá Regional Hospital located in Cruzeiro do Sul. Results: There were 207 cases of accidents with arachnids, predominantly stinging by scorpions (148 cases, 71.9%), in the Regional Epidemiological Surveillance Sector of the Juruá Regional Hospital located in Cruzeiro do Sul. The average morbidity coefficient during the study period was 12 cases per 100,000 inhabitants for spider bites and 29.28 for scorpion stings. There was no correlation between spider and scorpion incidents with rainfall over the months during the study period. Conclusion: The average incidence of spider and scorpion incidents in the Upper Juruá region is one of the highest recorded for the Brazilian Amazon and is higher than the averages for Brazil, the Northern region and the state of Acre. Incidents with spiders and scorpions were not correlated with rainfall, and other factors associated with species biology or with human activities related to the temporal distribution, therefore there could be a risk of an arachnid incident throughout the year.
subject: Artigos Originais
  topic: section
subject: venomous animals
  topic: keywords
subject: spiders
  topic: keywords
subject: scorpions
  topic: keywords
subject: epidemiology
  topic: keywords
subject: Amazon
  topic: keywords
creator: Evandro Piccinelli da Silva
creator: Wuelton Marcelo Monteiro
creator: Paulo Sérgio Bernarde
rights: Copyright (c) 2018 Journal of Human Growth and Development
date: 2018-11-28
publication date: 2018-11-28
starting page: 290
ending page: 297
doi: 10.7322/jhgd.152178

Complex measurements of heart rate variability in obese youths: distinguishing autonomic dysfunction
type: item
description: Introduction: Heart rate variability (HRV) can be assessed from RR-intervals. These are derived from an electrocardiographic PQRST-signature and can deviate in a chaotic or irregular manner. In the past, techniques from statistical physics have allowed researchers to study such systems. Objective: This study planned to assess the heart rate dynamics in young obese subjects by nonlinear metrics to heart rate variability. Methods: 86 subjects were split equally according to status. Heart rate was recorded with the subjects resting in a dorsal (prone) position for 30 minutes. The complexity of the RR-intervals was assessed by five Entropies, Detrended Fluctuation Analysis, Higuchi and Katz’s fractal dimensions Following inconclusive tests of normality we calculated the One-Way Analysis of Variance, Kruskal-Wallis, and the Effect Sizes by Cohen’s d significances. Results: It was established that Shannon, Renyi and Tsallis Entropies and the Higuchi and Katz・s fractal dimensions could significantly discriminate the two groups. The three entropies were higher in obese youths, suggesting less predictable sets of RR intervals (p<0.0001; d≈1.0). Whilst the Higuchi (p<0.003; d≈0.76) and Katz・s (p≈0.02; d≈0.57) fractal dimensions were lower in obese youths. Conclusion: As with chaotic globals an increase in response was detected by three measures of entropy in young obese. This is counter to the decreasing response detected by fractal dimensions. Chaotic globals and entropies are more dependable than fractal dimensions when assessing the responses to obesity.
subject: Artigos Originais
  topic: section
subject: youth obesity
  topic: keywords
subject: detrended fluctuation analysis
  topic: keywords
subject: entropy
  topic: keywords
subject: fractal dimensions
  topic: keywords
creator: David M. Garner
creator: Franciele Marques Vanderlei
creator: Luiz Carlos Marques Vanderlei
rights: Copyright (c) 2018 Journal of Human Growth and Development
date: 2018-11-28
publication date: 2018-11-28
starting page: 298
ending page: 306
doi: 10.7322/jhgd.152180

Retrospective study of the epidemiological overview of the transmission of Chagas disease in the State of Acre, South-Western Amazonia, from 2009 to 2016
type: item
description: Introduction: Chagas disease (CD), also known as American Trypanosomiasis, is an infectious parasitic disease caused by the etiologic agent Trypanosoma cruzi. It is considered endemic in the low-income population and is classified by the WHO as a neglected tropical disease. In the state of Acre, there is almost no scientific data regarding the epidemiology of CD, even though the first autochthonous case was registered in the 1980s. Objective: To analyze the epidemiological panorama of the transmission of Chagas disease in the State of Acre, Brazil, from 2009 to 2016. Methods: A survey of the occurrence of Chagas disease in the State of Acre was performed using public domain secondary data from the Brazil’s Notifiable Diseases Information System of SUS (publicly funded health care system), and from the SUS Database of the Health Surveillance Foundation of the State of Acre. Data were collected from the following variables: gender, age group, form of contagion, distribution by region and municipality, perimeter and seasonality. Result: Forty-two cases of CD were confirmed, with an increase of more than 300% from 2015 to 2016 and a frequency coefficient of 3.06 cases per 100,000 people, and in the Tarauacá/Envira region, the probability of a person contracting CD was 600% higher than the state mean. Conclusion: We found that in the state of Acre, in the period from 2009 to 2016, most cases of CD occurred in 2016, in the Tarauacá/Envira region, mainly in the municipality of Feijó, in the rural zone, from July to October, in the age group of 0 to 30 years, being the oral form the main route of transmission and presenting no statistical difference between men and women.
subject: Artigos Originais
  topic: section
subject: neglected diseases
  topic: keywords
subject: American Trypanosomiasis
  topic: keywords
subject: Amazon
  topic: keywords
creator: Gerlandes Fernandes de Oliveira
creator: Mariane Albuquerque Lima Ribeiro
creator: Gabriela Vieira de Souza Castro
creator: André Luiz Rodrigues Menezes
creator: Renato Abreu Lima
creator: Romeu Paulo Martins Silva
creator: Dionatas Ulises de Oliveira Meneguetti
rights: Copyright (c) 2018 Journal of Human Growth and Development
date: 2018-11-28
publication date: 2018-11-28
starting page: 329
ending page: 336
doi: 10.7322/jhgd.152187