Dias potenciais de gravidez perdidos: uma medida inovadora da idade gestacional

Diniz, Carmen Simone Grilo; Reis-Queiroz, Jéssica; Kawai, Carlos A.; Queiroz, Marcel Reis; Bonilha, Eliana de Aquino; Niy, Denise Yoshie; Lansk, Sonia; Sena, Brena F.

doi:10.11606/s1518-8787.2020054002098

Cited by 13 publications

(8 citation statements)

References 26 publications

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“…Within pregnancy care, the loss of gestational days or weeks is valuable information to guide the action of healthcare. A loss can severely impact the unborn child’s development [ 25 ].…”

Section: Resultsmentioning

confidence: 99%

Syphilis Trigram: a domain-specific visualisation to combat syphilis epidemic and improve the quality of maternal and child health in Brazil

Morais

Teixeira

Sadok

et al. 2022

BMC Pregnancy Childbirth

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Background The Brazilian healthcare system is a large and complex system, specially considering its mixed public and private funding. The incidence of syphilis has increased in the last four years, in spite of the presence of an effective and available treatment. Furthermore, syphilis takes part in a group of disorders of compulsory notification to the public health surveillance. The epidemiological implications are especially important during pregnancy since it can lead to complications, related to prematurity stillbirth and miscarriage, in addition to congenital syphilis, characterized by multisystem involved in the newborn. Methods The Action Research methodology was applied to address the complexity of the syphilis surveillance scenario in Pernambuco, Brazil. Iterative learning cycles were used, resulting in six cycles, followed by a formal validation of an operational version of the syphilis Trigram visualisation at the end of the process. The original data source was analyzed and prepared to be used without any new data or change in the ordinary procedure of the current system. Results The main result of this work is the production of a Syphilis Trigram: a domain-specific infographic for presenting gestational data and birth data. The second contribution of this work is the Average Trigram, an organized pie chart which synthesizes the Syphilis Trigram relationship in an aggregated way. The visualization of both graphics is presented in an Infographic User Interface, a tool that gathers an infographic broad visualization aspect to data visualization. These interfaces also gather selections and filters tools to assist and refine the presented information. The user can experience a specific case-by-case view, in addition to an aggregated perspective according to the cities monitored by the system. Conclusions The proposed domain-specific visualization amplifies the understanding of each syphilis case and the overall characteristics of cases of a chosen city. This new information produced by the Trigram can help clarify the reinfection/relapse cases, optimize resource allocation and enhance the syphilis healthcare policies without the need of new data. Thus, this enables the health surveillance professionals to see the broad tendency, understand the key patterns through visualization, and take action in a feasible time.

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“…Within pregnancy care, the loss of gestational days or weeks is valuable information to guide the action of healthcare. A loss can severely impact the unborn child’s development [ 25 ].…”

Section: Resultsmentioning

confidence: 99%

Syphilis Trigram: a domain-specific visualisation to combat syphilis epidemic and improve the quality of maternal and child health in Brazil

Morais

Teixeira

Sadok

et al. 2022

BMC Pregnancy Childbirth

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“…12 Entende-se que o parto prematuro tardio tem origem multicausal e está amplamente e globalmente sendo discutido, visto um "surto" de cesárea e partos prematuros iatrogênicos, além de estar relacionado ao aumento evitável da morbidade e mortalidade neonatal e materna, onerando financeiramente e logisticamente um sistema de saúde que já convive com problemas. 13 Alguns fatores como, indução do parto e cesárea, múltiplas gestações, idade materna, comorbidades maternas como hipertensão, diabetes e uso ou necessidade de uso de tecnologia assistida para reprodução humana e menor nível socioeconômico, são fatores de risco para o parto prematuro. 14 Diante disto, é importante haver identificação das causas maternas que fazem com que ocorram partos antes das 37 semanas, pois o peso ao nascer relacionado com a IG são fatores determinantes para mortalidade neonatal.…”

Section: Discussionunclassified

Fatores Associados a Necessidade De Terapia Intensiva Neonatal Em Prematuros Tardios

Jantsch

Torres

Klein

et al. 2021

renome

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Objetivo: Descrever os fatores associados a necessidade de internação em Unidade de Terapia Intensiva Neonatal (UTIN) em população de prematuros tardios. Método: Estudo transversal analítico que acompanhou 123 prematuros tardios no seu primeiro ano de vida, no sul do Brasil. A variável independente foi considerada a necessidade de terapia intensiva, e as variáveis de comparação foram obstétricas e neonatais. Para análise estatística foram utilizados os testes Qui-quadrado e Odds ratio. Resultados: Os principais motivos para as internações em UTIN de prematuros tardios foi o desconforto respiratório (57%), baixo peso (23%) e a hipoglicemia (17,1%). Além disso, os prematuros Pequenos ou Grandes para idade gestacional obtiveram 2,5 vezes mais chances de serem admitidos, comparados aos adequados para idade gestacional (P<0,01). Conclusão: Os fatores associados a internação em UTIN na população de prematuros tardios foi o baixo peso, apgar, nascimento de parto cesárea, considerados esses fatores resultantes da imaturidade fisiológica do prematuro.

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“…Within pregnancy care, the loss of gestational days or weeks is valuable information to guide the action of health care. A loss can severely impact the unborn child's development [17].…”

Section: The Evolution Of the Trigrammentioning

confidence: 99%

Syphilis Trigram: a domain-specific visualisation to combat syphilis epidemic and improve the quality of maternal and child health in Brazil

Morais

Teixeira

Endo

et al. 2022

Preprint

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Background: The Brazilian health system is a large and complex system, specially considering its mixed public and private funding. The amount of syphilis case has been increasing greatly in the last four years, even though it has cheap and simple treatment. The syphilis notification are compulsory by law and the public health surveillance pays great importance to syphilis notification during the pregnancy. Syphilis infection can cause severe newborn conditions, even premature birth and abortion. Methods: The Action Research methodology was applied to deal with the complex syphilis surveillance reality in Pernambuco, Brazil. Iterative learning cycles were used, totaling six cycles with a formal validation of an operational version of the syphilis Trigram visualisation at the end of the process. The original data source was analyzed and prepared to use without any new data or change in the ordinary procedure of the current system. Results: The main result of this work is the Syphilis Trigram, a domain-specific infographic for presenting gestational data and birth data. The second contribution of this work is the Average Trigram, an organized pie chart which synthesizes the Syphilis Trigram relationship in an aggregated way. Both visualization are presented in an Infographic User Interface, a tool that gathers an infographic broad visualization sense to data visualization. This interfaces also gathers selections and filters tools to assist and refine the presented information. The user can experience a specific case-by-case view and an aggregated perspective by any city monitored by the system. Conclusions: The proposed domain-specific visualization amplifies the understanding of each syphilis case and the overall case characteristic of a city. This new information produced by the Trigram can clarify the reinfection/relapse cases, optimize resource allocation and enhance the syphilis healthcare policies without any new data. Thus, the health surveillance professionals can see the broad tendency, understand the key patterns through visualization, and take action in a feasible time.

show abstract

Dias potenciais de gravidez perdidos: uma medida inovadora da idade gestacional

Cited by 13 publications

References 26 publications

Syphilis Trigram: a domain-specific visualisation to combat syphilis epidemic and improve the quality of maternal and child health in Brazil

Syphilis Trigram: a domain-specific visualisation to combat syphilis epidemic and improve the quality of maternal and child health in Brazil

Fatores Associados a Necessidade De Terapia Intensiva Neonatal Em Prematuros Tardios

Syphilis Trigram: a domain-specific visualisation to combat syphilis epidemic and improve the quality of maternal and child health in Brazil

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