Can cash transfer interventions increase contraceptive use and reduce adolescent birth and pregnancy in low and middle income countries? A systematic review and meta-analysis

Becoming pregnant and giving birth under the age of 20 is associated with a range of adverse social, socioeconomic and health outcomes for adolescent girls and their children in Low and middle income countries. Cash transfers are an example of a structural intervention that can change the local social and economic environment, and have been linked with positive health and social outcomes across several domains. As part of a wider review of structural adolescent contraception interventions, we conducted a systematic review on the impact of cash transfers on adolescent contraception and fertility. Fifteen studies were included in the review with eleven studies providing evidence for meta-analyses on contraception use, pregnancy and childbearing. The evidence suggests that cash transfer interventions are generally ineffective in raising levels of contraceptive use. However, cash transfer interventions did reduce levels of early pregnancy (OR 0.90, 95% CI 0.81 to 1.00). There was suggestive evidence that conditional, but not unconditional, cash transfers reduce levels of early childbearing. Given that much of the evidence is drawn from interventions providing cash transfers conditional on school attendance, supporting school attendance may enable adolescent girls and young women to make life choices that do not involve early pregnancy

Taxas de serviço, concepção e prenhez de vacas nelore tratadas com gonadotrofina coriônica humana e 17²-estradiol após a inseminação artificial em tempo fixo

Strategies to reduce embryo mortality in cattle have been evaluated. Nelore (Bos taurus indicus) cows were submitted to timed artificial insemination (TAI D0) after a GnRH/PGF2±/GnRH protocol. Cows were divided in the following groups: Control (Gc; n=55), hCG (GhCG; n=55) received 3000 IU of hCG on D5 , E2 (G E2; n=55) received 5 mg of Estradiol-17² (E2) on D12 and hCG/E2 (GhCG/E2; n=55) received hCG on D5 and E2 on D12. TAI represented the 1st day of a 64 day breeding season. The Ç2 test was applied to compare mating rate (MR), conception rate (CR) and pregnancy rate (PR) to TAI and AIs after natural estrus within the season as well as their accumulated figures at the end of the season. MR and CR for AIs within season did not differ (P>;.10). PR to TAI differed (P<.05) among groups. G E2 showed the lowest rate (5,4%). Gc (34.5%) and GhCG (36.5%) tended (P<.10) to be higher than GhCG/E2 (18.2%). There was no effect of hCG on pregnancy rates. E2 reduced PR to TAI and at the end of season which means that cows receiving E2 (G E2 + GhCG/E2) had lower (66.4%; P<.05) PR than cows not receiving E2 (G C + GhCG; 80.9%). In conlusion, the strategies to manipulate luteal and follicular function herein tested did not increase pregnancy rates in Nelore cows submitted to a TAI.Avaliaram-se estratégias para reduzir a mortalidade embrionária em bovinos. Vacas Nelore (Bos taurus indicus) foram inseminadas em tempo fixo (IATF - D0) após o protocolo GnRH/PGF2±/GnRH e divididas nos grupos: Controle (Gc; n=55), hCG (GhCG; n=55) recebeu 3000 UI da hCG no D5 , E2 (G E2; n=55) recebeu 5 mg de 17²-Estradiol (E2) no D12 e hCG/E2 (GhCG/E2; n=55) recebeu 3000 UI da hCG no D5 e 5 mg do E2 no D12. A IA TF foi o 1º dia da estação de reprodução de 64 dias. Usou-se o teste do Ç2 para comparar as taxas de serviço (TS), concepção (TC) e prenhez à IA TF (TP IATF), às IAs de repasse e acumuladas. A TS e a TC das IAs de repasse não diferiu (P>;0,10). Houve diferenças nas TP IATF (P<0,05), pois a TP IATF do G E2 (5,4%) foi a mais baixa e a do Gc (34,5%) e GhCG (36,5%) tenderam (P<0,10) ser maiores que a do GhCG/E2 (18,2%). Não houve efeito da hCG sobre as taxas de prenhez. O E2 reduziu a TP IATF e ao final da estação as vacas que receberam o E2 (G E2 + GhCG/E2) tiveram TPacum (66,4%) mais baixa (P<0,05) de que aquelas (80,9%) que não receberam (G C + GhCG). Em conclusão, as estratégias adotadas de manipulação luteínica ou folicular não aumentaram as taxas de prenhez em vacas Nelore após uma IA TF

Social prescribing in cardiology : rediscovering the nature of and within us

Personalised care is integral to the delivery of the NHSE Long Term Plan. Enabling choice and supporting patients to make decisions predicated on what matters to them, rather than what is the matter with them, is a fundamental part of the NHS vision. Social prescribing uses nonmedical, asset based, salutogenic approaches to promote this personalised paradigm, and places the patient central to decision making. We discuss how Personalised care can be used to help people with Cardiovascular Disease (CVD) using socially prescribed ‘nature-based’ interventions to support the prehabilitation and rehabilitation of patients with CVD. The concept of Personalised care outlined and the significance of salutogenic principles as complementary approach to the pathogenic model is discussed. We argue that this seemingly novel approach to using nature-based interventions can help promote wellbeing for people with CVD as part of the wider personalised agenda

Feeding spectra and activity of the freshwater crab Trichodactylus kensleyi (Decapoda: Brachyura: Trichodactylidae) at La Plata basin

Background: In inland water systems, it is important to characterize the trophic links in order to identify the ‘trophic species’ and, from the studies of functional diversity, understand the dynamics of matter and energy in these environments. The aim of this study is to analyze the natural diet of Trichodactylus kensleyi of subtropical rainforest streams and corroborate the temporal variation in the trophic activity during day hours. Results: A total of 15 major taxonomic groups were recognized in gut contents. The index of relative importance identified the following main prey items in decreasing order of importance: vegetal remains, oligochaetes, chironomid larvae, and algae. A significant difference was found in the amount of full stomachs during day hours showing a less trophic activity at midday and afternoon. The index of relative importance values evidenced the consumption of different prey according to day moments. Results of the gut content indicate that T. kensleyi is an omnivorous crab like other trichodactylid species. Opportunistic behavior is revealed by the ingestion of organisms abundant in streams such as oligochaetes and chironomid larvae. The consumption of allochthonous plant debris shows the importance of this crab as shredder in subtropical streams. However, the effective assimilation of plant matter is yet unknown in trichodactylid crabs. Conclusions: This research provides knowledge that complements previous studies about trophic relationships of trichodactylid crabs and supported the importance of T. kensleyi in the transference of energy and matter from benthic community and riparian sources to superior trophic levels using both macro- and microfauna.Fil: Williner, Verónica. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Santa Fe. Instituto Nacional de Limnología. Universidad Nacional del Litoral. Instituto Nacional de Limnología; Argentina. Universidad Nacional del Litoral. Facultad de Humanidades y Ciencias; ArgentinaFil: de Azevedo Carvalho, Debora. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Santa Fe. Instituto Nacional de Limnología. Universidad Nacional del Litoral. Instituto Nacional de Limnología; ArgentinaFil: Collins, Pablo Agustin. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Santa Fe. Instituto Nacional de Limnología. Universidad Nacional del Litoral. Instituto Nacional de Limnología; Argentina. Universidad Nacional del Litoral. Facultad de Bioquímica y Ciencias Biológicas; Argentin

Dependent seniors garment design

This paper is part of a PhD research in Textile Engineering at University of Minho and aims to establish an ergonomic pattern design methodology to be used in the construction of garments for elderly women, aged 65 and over, dependent of care. The research was developed with a close contact with four institutions involved in supporting this aged population, located in the cities of Guimaraes (Portugal) and Teresina (Brazil). These clothes should be adequate to their anthropometrics and their special needs, in accordance with important functional factors for the dependency of their caregiver, such as: care for the caregiver and comfort for the user. Questions regarding the functional properties of the materials, the pattern design process, trimmings and the assembling process of the garments are specially considered in the desired comfort levels, in order to provide an adequate handling by facilitating the dressing and undressing tasks, but also to assure the user the needed comfort in all its variables.This work is supported by FEDER funds through the Competitive Factors Operational Program (COMPETE) POCI-01-0145-FEDER-007136 and by national funds through Portuguese Foundation for Science and Technology (FCT), under the project UID/CTM/000264 financed by Science Without Borders/CAPEs.info:eu-repo/semantics/publishedVersio