Adolescent pregnancies and girls' sexual and reproductive rights in the amazon basin of Ecuador: an analysis of providers' and policy makers' discourses

<p>Abstract</p> <p>Background</p> <p>Adolescent pregnancies are a common phenomenon that can have both positive and negative consequences. The rights framework allows us to explore adolescent pregnancies not just as isolated events, but in relation to girls' sexual and reproductive freedom and their entitlement to a system of health protection that includes both health services and the so called social determinants of health. The aim of this study was to explore policy makers' and service providers' discourses concerning adolescent pregnancies, and discuss the consequences that those discourses have for the exercise of girls' sexual and reproductive rights' in the province of Orellana, located in the amazon basin of Ecuador.</p> <p>Methods</p> <p>We held six focus-group discussions and eleven in-depth interviews with 41 Orellana's service providers and policy makers. Interviews were transcribed and analyzed using discourse analysis, specifically looking for interpretative repertoires.</p> <p>Results</p> <p>Four interpretative repertoires emerged from the interviews. The first repertoire identified was "sex is not for fun" and reflected a moralistic construction of girls' sexual and reproductive health that emphasized abstinence, and sent contradictory messages regarding contraceptive use. The second repertoire -"gendered sexuality and parenthood"-constructed women as sexually uninterested and responsible mothers, while men were constructed as sexually driven and unreliable. The third repertoire was "professionalizing adolescent pregnancies" and lead to patronizing attitudes towards adolescents and disregard of the importance of non-medical expertise. The final repertoire -"idealization of traditional family"-constructed family as the proper space for the raising of adolescents while at the same time acknowledging that sexual abuse and violence within families was common.</p> <p>Conclusions</p> <p>Providers' and policy makers' repertoires determined the areas that the array of sexual and reproductive health services should include, leaving out the ones more prone to cause conflict and opposition, such as gender equality, abortion provision and welfare services for pregnant adolescents. Moralistic attitudes and sexism were present - even if divergences were also found-, limiting services' capability to promote girls' sexual and reproductive health and rights.</p

Adolescent pregnancies in the Amazon Basin of Ecuador: a rights and gender approach to adolescents' sexual and reproductive health

In the Andean region of Latin America over one million adolescent girls get pregnant every year. Adolescent pregnancy (AP) has been associated with adverse health and social outcomes, but it has also been favorably viewed as a pathway to adulthood. AP can also be conceptualized as a marker of inequity, since it disproportionately affects girls from the poorest households and those who have not been able to attend school

Is the economic crisis affecting birth outcome in Spain? Evaluation of temporal trend in underweight at birth (2003–2012)

This is an Accepted Manuscript of an article published by Taylor & Francis in Annals of Human Biology on 13th January 2016, available online: http://www.tandfonline.com/10.3109/03014460.2015.1131847.Background: There is growing evidence of the impact of the current European economic crisis on health. In Spain, since 2008, there have been increasing levels of impoverishment and inequality, and important cuts in social services. Aim: The objective is to evaluate the impact of the economic crisis on underweight at birth in Spain. Method: Trends in underweight at birth were examined between 2003 and 2012. Underweight at birth is defined as a singleton, term neonatal weight lesser than -2 SD from the median weight at birth for each sex estimated by the WHO Standard Growth Reference. Using data from the Statistical Bulletin of Childbirth, 2 933 485 live births born to Spanish mothers have been analysed. Descriptive analysis, seasonal decomposition analysis and crude and adjusted logistic regression including individual maternal and foetal variables as well as exogenous economic indicators have been performed. Results and conclusions: Results demonstrate a significant increase in the prevalence of underweight at birth from 2008. All maternal-foetal categories were affected, including those showing the lowest prevalence before the crisis. In the full adjusted logistic regression, year-on-year GDP per capita remains predictive on underweight at birth risk. Previous trends in maternal socio-demographic profiles and a direct impact of the crisis are discussed to explain the trends described

A922 Sequential measurement of 1 hour creatinine clearance (1-CRCL) in critically ill patients at risk of acute kidney injury (AKI)

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Hydroalcoholic extracts from the bark of Quercus suber L. (Cork): optimization of extraction conditions, chemical composition and antioxidant potential

Cork is the bark of the tree Quercus suber L. which ï¬ nds use in diverse applications. However, a signiï¬ cant percentage is still rejected and burned for energy production, despite containing valuable molecules for materials processing and with important biological activities. Herein, the optimization of the extraction process to obtain these molecules, using mild solvents and conditions, is described within a bioreï¬ nery perspective. The extracts were obtained by direct contact solvent extractions with water, ethanol and its mixtures for different time and temperatures, and evaluated for chemical composition, total phenolic content (TPC) and antioxidant properties [by DPPH radical scavenging, ferric reducing antioxidant power (FRAP), Trolox equivalent antioxidant capacity (TEAC) and oxygen radical absorbance capacity (ORAC) assays]. The results showed that the extraction process is accelerated and higher yields are achieved with the increase in temperature without chemical degradation or compromising the antioxidant capacity. For all solvents, at reï¬ ux temperature, more than 90% of the extractable material is obtained within 6 h (80% within 1 h). The highest TPC and antioxidant capacity are observed for the extracts obtained with mixtures of water and ethanol of similar volumes. The antioxidant capacity measured by DPPH, FRAP and TEAC assays was found to be proportional to the extract TPC, while ORAC is favored for higher percentages of ethanol on the extracting solvent. The main constituents of these extracts are the ellagitannins, vescalagin, castalagin and b-O-ethylvescalagin, along with other phenolic acids (mainly ellagic and gallic acids) and various ï¬ avonols. The extracts stability was monitored up to 1 year of storage with neither reduction in the antioxidant capacity nor chemical degradation. These results show that extracts with strong antioxidant potential and high content of bioactive molecules can be obtained from the processing of waste streams. Cork is a sustainable forest product and the development of new ï¬ elds of application contributes toward a zero waste cycle for a complete material bioreï¬ nery.The authors are grateful to Amorim Cork Composites for providing the cork powder and for the financing provided by the COMPETE/QREN/EU funding program through project BioActiveCork (QREN FCOMP-01-0202-FEDER-005455). Ivo M. Aroso and João P. Fernandes Fig. 6 Comparison between fresh and 1 year stored extracts for a TPC and b DPPH scavenging capacity Wood Sci Technol123 acknowledge the financial support from FCT through grants SFRH/BD/42273/2007 and SFRH/BD/73162/2010, respectively. Funding was also granted from the European Union’s Seventh Framework Programme (FP7/2007–2013) under Grant Agreement No. REGPOT-CT2012-316331-POLARIS and from Project ‘‘Novel smart and biomimetic materials for innovative regenerative medicine approaches (Ref.: RL1 - ABMR - NORTE-01-0124-FEDER-000016)’’ co-financed by North Portugal Regional Operational Programme (ON.2 – O Novo Norte), under the National Strategic Reference Framework (NSRF), through the European Regional Development Fund (ERDF). Conflict of Interest: The authors declare that they have no conflict of interest.info:eu-repo/semantics/publishedVersio