<strong>Objective:</strong><span style="font-family:Verdana;"> To describe the epidemiological aspects, clinical characteristics, aspects of childbirth and to determine the maternal and per...<strong>Objective:</strong><span style="font-family:Verdana;"> To describe the epidemiological aspects, clinical characteristics, aspects of childbirth and to determine the maternal and perinatal prognosis during the delivery of adolescent</span><span style="font-family:""> </span><span style="font-family:""><span style="font-family:Verdana;">girls at the reference health centre of commune VI of the district of Bamako in Mali. </span><b><span style="font-family:Verdana;">Materials and Methods: </span></b><span style="font-family:Verdana;">This was a descriptive, cross-sectional, analytical case-control study from January 1</span></span><span style="font-family:""> </span><span style="font-family:""><span style="font-family:Verdana;">to December 31, 2018, or 12 months with prospective data collection. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> During the study period from January 01 to December 31, 2018, we recorded 1768 teenage deliveries out of a total of 9012 deliveries, a frequency of 19.61%. The average age of the cases was 17</span></span><span style="font-family:Verdana;">.</span><span style="font-family:Verdana;">4</span><span style="font-family:""> </span><span style="font-family:Verdana;">±</span><span style="font-family:""> </span><span style="font-family:Verdana;">1 years. Single adolescent girls accounted for 14</span><span style="font-family:Verdana;">.</span><span style="font-family:Verdana;">67% (OR</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">3</span><span style="font-family:Verdana;">.</span><span style="font-family:Verdana;">05, P</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0</span><span style="font-family:Verdana;">.</span><span style="font-family:Verdana;">001) unintended pregnancies (11.67% vs. 2.3%;P</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.000007;OR</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:""><span style="font-family:Verdana;">5.52), the non-completion of </span><span style="font-family:Verdana;">the antenatal consultation (14.67% vs. 5.33%;P</span></span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.0001;preterm births (14.33%</span><span style="font-family:Verdana;"> vs. 7.67%);P</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.01;OR</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">2.5), anaemia (7.33% vs. 3%;P</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.009;OR</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">2.01), instrumental extractions</span><span style="font-family:""> </span><span style="font-family:Verdana;">(P</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.00008, OR</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">2.87), perineal tears (P</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.0016;OR</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">3.05), mechanical dystocies</span><span style="font-family:""> </span><span style="font-family:Verdana;">(P</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.0039</span><span style="font-family:Verdana;">)</span><span style="font-family:Verdana;">;low birth weights</span><span style="font-family:""> </span><span style="font-family:Verdana;">(P</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.039;OR</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:""><span style="font-family:Verdana;">2.2) were found to be significantly higher in adolescent girls than adults. </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> Teenage versus adult births are associated with many more maternal-fetal complications.</span></span>展开更多
Background:Body image dissatisfaction(BID)has garnered global attention.It is significantly correlated with the development of depression,anxiety,eating disorders(EDs)and low self-esteem.BID is increasingly common amo...Background:Body image dissatisfaction(BID)has garnered global attention.It is significantly correlated with the development of depression,anxiety,eating disorders(EDs)and low self-esteem.BID is increasingly common among adolescents and young women in China,whereas it lacks the effective treatment and prevention programs for BID.Objective:This paper expects to analyze the effective CAMs methods on improving BID,and based on the results,we put forward a feasible and effective study protocol to fill the gap of BID improvement among teenage girls.Methods:Fifty-two studies of CAM in 2015-2020 years in influencing body image and its correlates are col-lected and analyzed,and a study protocol combined“In Favor of Myself”is sent up.This study protocol adds praise,psychological counselling,nutrition education and yoga to the project“In Favor of Myself”,improving BID through group support,shifting attention from focusing on one’s physical appearance to enhancing one’s value,and alleviating pressure and emotions through yoga.Results:Many methods,such as fitness training,psychoeducation,nutritional therapy,music therapy,health promotion programs and internet-based interventions are considered the existing interventions to improve BID.Other CAMs,such as acupuncture,beauty care,Tai chi,and aromatherapy,could be tried in the improvement of BID in further studies.Conclusion:CAM is capable of subjectively changing feelings of bodies,adjusting their cognition of body image,enhancing the body-mind connection,improving self-esteem and relieving negative emotions,but the efficacy and mechanism of CAM working on BID still need more systematic and standardized research.展开更多
文摘<strong>Objective:</strong><span style="font-family:Verdana;"> To describe the epidemiological aspects, clinical characteristics, aspects of childbirth and to determine the maternal and perinatal prognosis during the delivery of adolescent</span><span style="font-family:""> </span><span style="font-family:""><span style="font-family:Verdana;">girls at the reference health centre of commune VI of the district of Bamako in Mali. </span><b><span style="font-family:Verdana;">Materials and Methods: </span></b><span style="font-family:Verdana;">This was a descriptive, cross-sectional, analytical case-control study from January 1</span></span><span style="font-family:""> </span><span style="font-family:""><span style="font-family:Verdana;">to December 31, 2018, or 12 months with prospective data collection. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> During the study period from January 01 to December 31, 2018, we recorded 1768 teenage deliveries out of a total of 9012 deliveries, a frequency of 19.61%. The average age of the cases was 17</span></span><span style="font-family:Verdana;">.</span><span style="font-family:Verdana;">4</span><span style="font-family:""> </span><span style="font-family:Verdana;">±</span><span style="font-family:""> </span><span style="font-family:Verdana;">1 years. Single adolescent girls accounted for 14</span><span style="font-family:Verdana;">.</span><span style="font-family:Verdana;">67% (OR</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">3</span><span style="font-family:Verdana;">.</span><span style="font-family:Verdana;">05, P</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0</span><span style="font-family:Verdana;">.</span><span style="font-family:Verdana;">001) unintended pregnancies (11.67% vs. 2.3%;P</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.000007;OR</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:""><span style="font-family:Verdana;">5.52), the non-completion of </span><span style="font-family:Verdana;">the antenatal consultation (14.67% vs. 5.33%;P</span></span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.0001;preterm births (14.33%</span><span style="font-family:Verdana;"> vs. 7.67%);P</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.01;OR</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">2.5), anaemia (7.33% vs. 3%;P</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.009;OR</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">2.01), instrumental extractions</span><span style="font-family:""> </span><span style="font-family:Verdana;">(P</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.00008, OR</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">2.87), perineal tears (P</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.0016;OR</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">3.05), mechanical dystocies</span><span style="font-family:""> </span><span style="font-family:Verdana;">(P</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.0039</span><span style="font-family:Verdana;">)</span><span style="font-family:Verdana;">;low birth weights</span><span style="font-family:""> </span><span style="font-family:Verdana;">(P</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.039;OR</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:""><span style="font-family:Verdana;">2.2) were found to be significantly higher in adolescent girls than adults. </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> Teenage versus adult births are associated with many more maternal-fetal complications.</span></span>
文摘Background:Body image dissatisfaction(BID)has garnered global attention.It is significantly correlated with the development of depression,anxiety,eating disorders(EDs)and low self-esteem.BID is increasingly common among adolescents and young women in China,whereas it lacks the effective treatment and prevention programs for BID.Objective:This paper expects to analyze the effective CAMs methods on improving BID,and based on the results,we put forward a feasible and effective study protocol to fill the gap of BID improvement among teenage girls.Methods:Fifty-two studies of CAM in 2015-2020 years in influencing body image and its correlates are col-lected and analyzed,and a study protocol combined“In Favor of Myself”is sent up.This study protocol adds praise,psychological counselling,nutrition education and yoga to the project“In Favor of Myself”,improving BID through group support,shifting attention from focusing on one’s physical appearance to enhancing one’s value,and alleviating pressure and emotions through yoga.Results:Many methods,such as fitness training,psychoeducation,nutritional therapy,music therapy,health promotion programs and internet-based interventions are considered the existing interventions to improve BID.Other CAMs,such as acupuncture,beauty care,Tai chi,and aromatherapy,could be tried in the improvement of BID in further studies.Conclusion:CAM is capable of subjectively changing feelings of bodies,adjusting their cognition of body image,enhancing the body-mind connection,improving self-esteem and relieving negative emotions,but the efficacy and mechanism of CAM working on BID still need more systematic and standardized research.