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Sample records for climacteric stage women

  1. Integrative health care model for climacteric stage women: design of the intervention

    OpenAIRE

    Pérez-Cuevas Ricardo; Infante Claudia; Espinosa-Alarcón Patricia; Flores-Hernández Sergio; Doubova Svetlana V

    2011-01-01

    Abstract Background Climacteric stage women experience significant biological, psychological and social changes. With demographic changes being observed in the growing number of climacteric stage women in Mexico, it is important to improve their knowledge about the climacteric stage and its potential associated problems, encourage their participation in screening programs, and promote the acquisition of healthy lifestyles. At Mexican health care institutions the predominant health care model ...

  2. Integrative health care model for climacteric stage women: design of the intervention

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    Pérez-Cuevas Ricardo

    2011-02-01

    Full Text Available Abstract Background Climacteric stage women experience significant biological, psychological and social changes. With demographic changes being observed in the growing number of climacteric stage women in Mexico, it is important to improve their knowledge about the climacteric stage and its potential associated problems, encourage their participation in screening programs, and promote the acquisition of healthy lifestyles. At Mexican health care institutions the predominant health care model for climacteric stage women has a biomedical perspective. Medical doctors provide mostly curative services and have limited support from other health professionals. This study aims to design an integrative health care model (IHCM: bio-psycho-social, multidisciplinary and women-centered applicable in primary care services aimed at climacteric stage women. Methods/Design We present the design, inclusion criteria and detailed description of an IHCM. The IHCM consists of collaborative and coordinated provision of services by a health team, which is involves a family doctor, nurse, psychologist, and the woman herself. The health team promotes the empowerment of women through individual and group counseling on the climacteric stage and health related self-care. The intervention lasts three months followed by a three-month follow-up period to evaluate the effectiveness of the model. The effectiveness of the model will be evaluated through the following aspects: health-related quality of life (HR-QoL, empowerment, self-efficacy and knowledge regarding the climacteric stage and health-related self-care activities, use of screening services, and improvement in lifestyles (regular leisure time physical activity and healthy diet. Discussion Participation in preventive activities should be encouraged among women in Mexico. Designing and evaluating the effectiveness of an integrative health care model for women at the climacteric stage, based on the empowerment approach

  3. CLIMACTERIC SYMPTOMS AMONG WOMEN IN A RURAL AREA IN KERALA

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    Anil Bindhu

    2013-05-01

    Full Text Available ABSTRACT: Every woman who lives beyond 50 years goes through a period of transition from reproductive to non-reproductive stages of life. Meno pause is considered as a clinical marker of declining ovarian function. The common climacteric symptoms experienced by women during this period can be group into: vasomotor, somatic, psy chological and sexual complaints. The aim of the study was to compare the climacteric symptoms among rural women who attained menopause and those who did not attaine d menopause in the age group of 43-55 years. METHODS AND MATERIALS: A cross-sectional study design was conducted in a r ural area in Kerala. Data were collected from 320 women by interviewing with the help of a structured questionnaire consisting of a socio-demo graphic data, and the Greene’s Climacteric Scale. The Statistical Package for the Social Scien ces software Version 16.0 was used for statistical analyses. Mann Whitney U test was used to compare the total score of climacteric symptoms and each sub-scale symptom scores (psycholo gical, somatic, and sexual scores among women who attained and not attained menopause. The X² test was applied to compare the proportion of the different grades of symptoms bet ween the different menopausal statuses. The level P < 0.05 was considered as the cut-off va lue for significance RESULTS: The total Greene’s climacteric scale score (p: 0.001, the psyc hological subscale scores (p: 0.007, the somatic subscale scores (p : 0.022 , the vasomotor subscale scores (p: 0.011 and the sexual subscale scores (p: 0.001 were significantly higher in women who attained menopause compared to those who did not. CONCLUSION: The climacteric symptoms vary significantly between women who attained menopause and women who d id not attained menopause

  4. Aromatherapy Massage Affects Menopausal Symptoms in Korean Climacteric Women: A Pilot-Controlled Clinical Trial

    OpenAIRE

    Myung-Haeng Hur; Yun Seok Yang; Myeong Soo Lee

    2007-01-01

    This study investigated the effects of aromatherapy massage on menopausal symptoms in Korean climacteric women. Kupperman's menopausal index was used to compare an experimental group of 25 climacteric women with a wait-listed control group of 27 climacteric women. Aromatherapy was applied topically to subjects in the experimental group in the form of massage on the abdomen, back and arms using lavender, rose geranium, rose and jasmine in almond and primrose oils once a week for 8 weeks (eight...

  5. VAGINAL MICROECOLOGY IN WOMEN WITH METABOLIC SYNDROME IN CLIMACTERIC PERIOD

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    Berihanova R. R.

    2016-03-01

    Full Text Available The aim of the research is to study the peculiarities of vaginal microbiocenosis in female patients with metabolic syndrome during peri- and postmenopause. 320 women in the climacteric period aged of 45-70 were examined. Two groups were formed: the main group (160 female patients with metabolic syndrome, the control group (160 women without metabolic syndrome. The average age of women 54.5 ± 7.2 years. Depending on the length of menopause each of the two groups was divided into three subgroups.Microscopy of vaginal smears, the colpocytological analysis, the culture test of vaginal discharge were conducted. The statistical processing of the results was carried out with the help of programme sets Microsoft Office 2010 (MicrosoftExcel and «STATISTICA® for Windows 6.0». A tendency of decreasing frequency of non-specific vaginitis with aging and of increasing frequency of vaginal atrophy, disorders of vaginal biocenosis (lactobacillus deficiency and the domination of conditionally pathogenic microorganisms was discovered. The frequency of vaginal atrophy in women with a length of postmenopause of 10 years and older was 65.9% in the subgroup of in female patients with metabolic syndrome and 63.6% in the subgroup of female patients patients without it. The more observable changes in vaginal biotope were found in women with metabolic syndrome

  6. [The relation between dysmenorrhea and hot flash in a group of women in climacteric].

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    Andreassi, S; Tesseri, E

    1992-01-01

    Hot flushes in climacteric age can cause noticeable discomfort to those who have them. This functional disturbance confirms the strong relationship between the gonadic steroids and the central neurotransmitters. These complex mechanisms which control reproductive functions limit our knowledge of the pathogenesis of hot flushes. The possible intervention of prostaglandins in the rising of this disturbance and their participation in dismenorrhea have raised the hypothesis that the prostaglandins may be the common denominator in the development of dysmenorrhea in fertile age women and of hot flushes in climacteric age women. Under this context, we examined a number of women in menopause to determine if they suffered with dysmenorrhea in fertile age.

  7. Aromatherapy Massage Affects Menopausal Symptoms in Korean Climacteric Women: A Pilot-Controlled Clinical Trial

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    Myung-Haeng Hur

    2008-01-01

    Full Text Available This study investigated the effects of aromatherapy massage on menopausal symptoms in Korean climacteric women. Kupperman's menopausal index was used to compare an experimental group of 25 climacteric women with a wait-listed control group of 27 climacteric women. Aromatherapy was applied topically to subjects in the experimental group in the form of massage on the abdomen, back and arms using lavender, rose geranium, rose and jasmine in almond and primrose oils once a week for 8 weeks (eight times in total. The experimental group reported a significantly lower total menopausal index than wait-listed controls (P < 0.05. There were also significant intergroup differences in subcategories such as vasomotor, melancholia, arthralgia and myalgia (all P < 0.05. These findings suggest that aromatherapy massage may be an effective treatment of menopausal symptoms such as hot flushes, depression and pain in climacteric women. However, it could not be verified whether the positive effects were from the aromatherapy, the massage or both. Further rigorous studies should be done with more objective measures.

  8. Cyto-histologic evaluation of the endometrium in climacteric women at risk for endometrial carcinoma.

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    de Aloysio, D; Rocca, G; Miliffi, L

    1986-08-31

    The authors evaluated the diagnostic effectiveness of a triple specimen technique (cyto-histologic) performed by the Perma device. The incidence of endometrial hyperplasia (according to Dallenbach-Hellweg's classification) was estimated in 254 climacteric women selected from outpatients who come spontaneously to the Menopause Clinic of the Obstetrics and Gynecology Department (Bologna University). The selection criterion was the evidence of risk factors for endometrial carcinoma, climacteric bleedings (obesity, late menopause, high blood pressure, diabetes), or endometriotropic estrogen therapy in the postmenopause. Results showed that the cyto-histologic sampling is most useful for diagnosing endometrial hyperplasia and early carcinoma (diagnostic effectiveness: 89.0-93.8%). Also, endometrial hyperplasia was found to have a significant incidence in the group we examined. This incidence was highest in women with climacteric bleedings, secondly in women using high-dose estrogens, and thirdly in women with risk factors for endometrial carcinoma. When evaluating the different kinds of endometrial hyperplasia, we never found adenomatous hyperplasia in women on estrogen therapy. Affinity between histologic and cytologic classes was around 50% in endometrial hyperplasia and 100% in early carcinoma. This emphasizes that both samplings are needed to perform an accurate diagnosis.

  9. Comparative evaluation of course and treatment of climacteric period in women living in radionuclide-contaminated territories

    International Nuclear Information System (INIS)

    The appearance of heavy forms of climacteric syndrome in territories with density of radioactive contamination up to 15 Ci/km2 is higher than in those living in territories with the level of contamination from 1 to 5 Ci/km2. At treatment of climacteric syndrome during menopause in women living in radionuclide-contaminated territory, preparations containing natural estrogen and gestagens are of higher priority. (Authors)

  10. Self-esteem of hypertensive women with menopause (climacteric) problems

    OpenAIRE

    Zélia Maria de Sousa Araújo Santos; Klívia Regina de Oliveira Saraiva

    2004-01-01

    The study analyzed the self-stem of hyper tense women who experience the climacterium. The research was done based in a descriptive study, and it was experienced in a health clinic located in Fortaleza, Ceara. This clinic works attending people who suffer of cardiologic and pulmonary diseases. Twenty hyper tense women, between forty-five and fifty-five years old, took part on this study. The data was colleted using the method of interviewing the patients, and then classifying them in categori...

  11. The Effect of Melatonin on Climacteric Symptoms in Menopausal Women; A Double-Blind, Randomized Controlled, Clinical Trial.

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    Nehleh Parandavar

    2014-10-01

    Full Text Available Menopause is one of the most critical periods of woman's life. With reducing of ovarian estrogen; women are more prone to psychological and physical symptoms. The present study aimed to investigate the effect of melatonin on the climacteric symptoms.The present double blind, placebo randomized controlled clinical trial was conducted on 240 menopausal women (40 - 60 years old referring to the gynecology clinics of Shiraz University of Medical Sciences (January - November 2012. The participants were randomly divided into two groups through sortition. Demographic characteristics, Goldberg's general health questionnaire (GHQ, Greene Climacteric Scale and level of Follicle Stimulating Hormone (FSH were determined for both groups before the intervention. The intervention group received one 3mg melatonin tablet each night for 3 months and the control group received the placebo in the same period. Changes of climacteric symptoms and drug complications were measured 1, 2 and 3 months after the intervention.We analyzed the data of 99 postmenopausal women in the intervention group and 101 postmenopausal women in the control group. In the melatonin group, the climacteric symptoms score decreased from 35.73+11.6 to 17.09+10.22 during the 3-month study period and regardless of time, a significant difference was observed between the two groups (P<0.001. In addition, a significant difference was found between the two groups regarding various dimensions of the climacteric symptoms over time (P<0.001. No significant difference was found regarding side effects between the two groups (P= 0.135.The study findings showed that using melatonin improved the climacteric symptoms.

  12. The effectiveness of planned health education given to climacteric women on menopausal symptoms, menopausal attitude and health behaviors

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    Gülbu Tortumluoğlu

    2006-11-01

    Full Text Available Objective: The research was made to assign the effect of planned health education given to climacteric women on menopausal symptoms, menopausal attitude and health behaviors. Methods: The research was carried between January 2002-February 2003 in the district of Abdurrahman Gazi Primary Health department which lies in the borders of metropolitan municipality of Erzurum. 2761 climacteric women between the age of 40-60 formed the population of the research. In sample selection, because of knowing the frequency of event and the number of individuals in the population; the formula of, n=N . t2 . pq / y2 .(N-1 + t2 . pq was used and samples are assigned as 337. Afterresearch problem had been assigned on 337 women, the research was made control group with pretest-posttest of quasi experimental design on 100 women who were selected proper to the aim of the research, 50 of which was experiment, the rest was control group. But 87 women 44 of which was control, 434 of which was experiment group completed the research. Results: According to the research results, after planned health education given by the researcher, decrease in common menopausal symptoms and increase in point averages of menopausal attitude (t=4.697, p=.000 and health promotion life style behaviors (t=7.127, p=.000 were determined. Conclusion: After planned health education given to the women in climacteric period, positive health behaviors can be developed so as to make women live a more peaceful life. According to these result, it can be suggested to health professionals to mind education programs about climacteric period.

  13. Conditions of life and climacteric in middle aged women in a health area of Sancti Spiritus.

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    Silvia Esther de la Torre Cárdenas

    2012-09-01

    Full Text Available A climacteric is one of the difficult steps in women life in which a particular attention is needed by the doctor and a big comprehension from the social point of view. A retrospective descriptive study was made in the South Area Polyclinic of Sancti Spiritus Municipality, period january – april 2007, with a female population having between 45 -59 years of age from 8 family medical clinics, 4 belonging to the urban area and 4 to the rural one (191 in total, including all which referred to present any disorder with the menstrual cycle due to excess or defect in the 6 months previous to interview (165 in total with the objective to evaluate the relation between conditions of life and the frequency; criticality and morbidity associated with menopause syndrome. Life conditions, kind of work, kind of activity carried out and associated pathologies are the factors that according to the study influence in frequency, criticality and morbidity associated with menopause syndrome in middle aged women and the overhead given by the conditioning of gender, favored the appearance of symptoms such as hot, depression, anxiety, tachycardia and vaginal dryness.

  14. Changes of Plasma Concentration of 5-hydroxytryptamine and 5-hydroxyindoleacetic acid in climacteric women with hot flushes

    Institute of Scientific and Technical Information of China (English)

    Chen Ya-qiong; Wu Wei-guang

    2007-01-01

    Objective: To investigate the relationship between the changes of serotonin metabolism and the hot flushes in climacteric women.Methods.Ninety eight climacteric women, aged 40-60, were enrolled and divided into 4 groups: Group A: 20 cases of early menopausal transition.Group B: 26 cases of late menopausal transition, with skip of periods 3-12 months.Group C: 28 cases of early postmenopause (1-3 yrs).Group D: 24 cases of late postmenopause(>3-6 yrs).Twelve normal women of reproductive age (24±3yrs) were served as young controls.Fifty two postmenopausal women were subdivided into 3 groups according to the presence or the absence of hot flushes: (1) postmenopausal controls without hot flushz 17 cases, (2) mild hot flushes group: 20 eases,fewer≤5 times/d, (3) severe hot flushes group: 15 cases, more than 5 times/d.Plasma concentrations of tryptophan (TP), 5-hydroxytryptophane (5-HTP), 5-hydroxytryptamine (5-HT or serotonin), 5-hydroxyindoleacetic acid (5-HIAA) and luteinizing hormone (LH) were measured in all participants by high pressure liquid chromatography-fluorescence spectrophotometer (HPLC-FS).The relationship between serotonin metabolic parameters and menopause, hot flushes were analysed.Results: (1) Mean 5-HT and 5-HIAA concentrations in plasma were significantly higher in climacteric women than those in young controls, especially in Group B.Mean 5-HTP and 5-HT levels were higher and 5-HIAA lower in Group D as compared with those of young controls.(2) Plasma 5-HT levels was positively correlated to luteinizing hormone concentration in postmenopansal women (P<0.01).(3) In the mild hot flushes group, only plasma 5-HTP levels were significantly higher than that in the non-hot flushes group.In severe hot flushes group,plasma 5-HT and 5-HTP contents were significantly higher and 5-HIAA/5-HT ratio lower than those in the non-hotflushes groups.Conclusion: The results suggest that the catabolic disorder of serotonin maybe involve in the underling mechanism of

  15. Relationship of menopausal status and climacteric symptoms to sleep in women undergoing chemotherapy

    OpenAIRE

    Rissling, Michelle B.; Liu, Lianqi; Natarajan, Loki; He, Feng; Ancoli-Israel, Sonia

    2010-01-01

    Goals of work The goal of this study was to examine the relationship between menopausal symptoms, sleep quality, and mood as measured by actigraphy and self-report prior to treatment and at the end of four cycles of chemotherapy in women with breast cancer. Patients and methods Data on sleep quality (measured using actigraphy and self-report) and mood were collected prior to treatment and 12 weeks later at the end of four cycles of chemotherapy in 69 women with newly diagnosed breast cancer. ...

  16. Asymmetric facial skin viscoelasticity during climacteric aging

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    Piérard GE

    2014-04-01

    Full Text Available Gérald E Piérard,1 Trinh Hermanns-Lê,1 Ulysse Gaspard,2 Claudine Piérard-Franchimont11Laboratory of Skin Bioengineering and Imaging, Department of Clinical Sciences, University of Liège, 2Department of Gynecology and Obstetrics, University Hospital of Liège, Liège, BelgiumBackground: Climacteric skin aging affects certain biophysical characteristics of facial skin. The purpose of the present study was to assess the symmetric involvement of the cheeks in this stage of the aging process.Methods: Skin viscoelasticity was compared on both cheeks in premenopausal and post-menopausal women with indoor occupational activities somewhat limiting the influence of chronic sun exposure. Eighty-four healthy women comprising 36 premenopausal women and 48 early post-menopausal women off hormone replacement therapy were enrolled in two groups. The tensile characteristics of both cheeks were tested and compared in each group. A computerized suction device equipped with a 2 mm diameter hollow probe was used to derive viscoelasticity parameters during a five-cycle procedure of 2 seconds each. Skin unfolding, intrinsic distensibility, biological elasticity, and creep extension were measured.Results: Both biological elasticity and creep extension were asymmetric on the cheeks of the post-menopausal women. In contrast, these differences were more discrete in the premenopausal women.Conclusion: Facial skin viscoelasticity appeared to be asymmetric following menopause. The possibility of asymmetry should be taken into account in future studies of the effects of hormone replacement therapy and any antiaging procedure on the face in menopausal women.Keywords: climacteric aging, biomechanics, photoaging, skin unfolding, biological elasticity, skin tensile properties

  17. Mulher no climatério: reflexões sobre desejo sexual, beleza e feminilidade Women in the climacteric: reflections on sexual desire, beauty and femininity

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    Cecília Nogueira Valença

    2010-06-01

    Full Text Available O climatério é um período abrangente da vida feminina, caracterizado por alterações metabólicas e hormonais que trazem mudanças envolvendo o contexto psicossocial. Tendo como referência as alterações de sexualidade vivenciadas no climatério, este trabalho tem por objetivo refletir sobre desejo sexual, beleza e feminilidade da mulher nessa fase. A metodologia adotada consistiu em estudo bibliográfico, em livros e artigos publicados, entre 1999 e 2009. A exigência exacerbada pela beleza eterna e jovialidade é agravada no climatério, no qual o corpo feminino não tem o mesmo vigor físico pelas alterações decorrentes do envelhecimento. A mulher climatérica vive o mito da perda do desejo sexual, todavia, continua a sentir prazer, não devendo deixar de manifestar amor e sexualidade. A visão social estereotipada sobre o papel da mulher (esposa e mãe pode interferir negativamente na visão das mulheres sobre si mesmas e no seu relacionamento com as pessoas e o mundo. Nesse sentido, é importante que as mulheres tenham acesso à informação em saúde para a compreensão das mudanças do período de climatério/menopausa, contemplando e ressignificando tal fase como integrante de seus ciclos de vida e não como sinônimo de velhice, improdutividade e fim da sexualidade.The climacteric is a long period of a woman's life, characterized by metabolic and hormonal alterations that bring changes involving the psychosocial context. Having as reference the sexuality alterations experienced in the climacteric, this literature review aims to reflect on women's sexual desire, beauty and femininity in this phase. The methodology involved a bibliographic study of papers and books published between 1999 and 2009. The exaggerated need of eternal beauty and youth is aggravated in the climacteric, when the female body does not have the same physical vigor due to alterations deriving from aging. The climacteric woman lives the myth of loss of sexual

  18. Estado nutricional e qualidade de vida da mulher climatérica Nutritional status and quality of life of climacteric women

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    Carin Weirich Gallon

    2012-04-01

    Full Text Available OBJETIVO: Associar a qualidade de vida com o estado nutricional da mulher climatérica. MÉTODOS: Trata-se de estudo transversal, no qual foi incluída uma amostra com 200 mulheres climatéricas, de 40 a 65 anos, que responderam a um Recordatório Alimentar de 24 horas e questões sobre fatores socioeconômicos, história clínica atual, pregressa e familiar. Para a avaliação antropométrica, foram utilizados índice de massa corpórea (IMC, circunferência da cintura (CC e relação cintura/quadril. Para avaliação da qualidade de vida, foi aplicado o MRS-menopause rating scale. RESULTADOS: A média do IMC e da CC foi de 30,1 kg/m² (obesidade grau 1 e 99 cm (risco muito aumentado para doença cardiovascular, respectivamente. Constatou-se consumo aumentado de proteínas e diminuído de fibras, cálcio e vitamina D. A comorbidade mais prevalente foi a hipertensão arterial, 48,5% faziam uso de medicação para doenças cardiovasculares e 23%, de medicações antidepressivas. Quanto à qualidade de vida, foram encontrados resultados significativos relacionados ao IMC, como também à pressão arterial. CONCLUSÕES: Uma intervenção nutricional visando corrigir ou melhorar o consumo alimentar e o perfil antropométrico poderá resultar em benefícios relativos à saúde da mulher climatérica. A prevalência de obesidade, associada com pior qualidade de vida e morbimortalidade, reforça a necessidade de existir um programa de reeducação alimentar no climatério.PURPOSE: To associate the quality of life with the nutritional status of climacteric women. METHODS: This was a cross-sectional study on a sample of 200 climacteric women aged 40 to 65 years who responded to a 24-hour food recall and to questions about socioeconomic factors and current, previous and family medical history. Body mass index (BMI, waist circumference (WC and waist-hip ratio were used for anthropometric evaluation. To assess the quality of life, we applied the MRS

  19. Influences of climacteric in female sexual activity

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    Anthonio Alisancharles Batista de Almeida

    2016-01-01

    Full Text Available Objective: to identify complaints of sexual function related to climacteric symptoms among women in climacteric age. Methods: this is an descritive study. A sample of 330 women aged from 35 to 65 years old, with three previous Pap tests. We used a semi-structured questionnaire developed by the researchers. A descriptive statistical analysis was performed having the central tendency of proportion and measure the average as a parameter. Results: it was evidenced that 50.0% were between 35-45 years, 73.0% were sexually active, 59.4% had decreased libido, and 58.5% reported dyspareunia. Conclusion: it is necessary that the health services and professionals are aware of the influence of climacteric on women’s health to develop strategies aimed at quality of life.

  20. Clinical Observation on Treatment of Women Climacteric Insomnia by Plum-Blossom Needle: A Report of 50 Cases

    Institute of Scientific and Technical Information of China (English)

    LI Xiao-qing; LI Nai-rong

    2004-01-01

    To observe the treatment of 50 female patients with climacteric insomnia by plum-blossom needle therapy. According to differentiation of symptoms and signs the head, back, belly and other location were tapping. Besides 50 patients were treated with Western medicine as a control group. The result showed the immediate and long-term effect in plum-blossom needle group was better than that in control group (P<0.01).%梅花针叩刺头部,背部和腹部,并根据辨证配穴治疗更年期综合征以失眠为主症的患者50例,并与西药治疗50例相对照,梅花针组近期疗效和远期疗效均好于对照组(P<0.01).

  1. Non-climacteric ripening and sorbitol homeostasis in plum fruits.

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    Kim, Ho-Youn; Farcuh, Macarena; Cohen, Yuval; Crisosto, Carlos; Sadka, Avi; Blumwald, Eduardo

    2015-02-01

    During ripening fruits undergo several physiological and biochemical modifications that influence quality-related properties, such as texture, color, aroma and taste. We studied the differences in ethylene and sugar metabolism between two genetically related Japanese plum cultivars with contrasting ripening behaviors. 'Santa Rosa' (SR) behaved as a typical climacteric fruit, while the bud sport mutant 'Sweet Miriam' (SM) displayed a non-climacteric ripening pattern. SM fruit displayed a delayed ripening that lasted 120 days longer than that of the climacteric fruit. At the full-ripe stage, both cultivars reached similar final size and weight but the non-climacteric fruits were firmer than the climacteric fruits. Fully ripe non-climacteric plum fruits, showed an accumulation of sorbitol that was 2.5 times higher than that of climacteric fruits, and the increase in sorbitol were also paralleled to an increase in sucrose catabolism. These changes were highly correlated with decreased activity and expression of NAD(+)-dependent sorbitol dehydrogenase and sorbitol oxidase and increased sorbitol-6-phosphate dehydrogenase activity, suggesting an enhanced sorbitol synthesis in non-climacteric fruits.

  2. Study on nursing intervention for climacteric women in depression status%更年期妇女抑郁状态的护理干预研究

    Institute of Scientific and Technical Information of China (English)

    曹继艳

    2009-01-01

    目的 探讨更年期妇女抑郁状态的护理干预效果.方法 将80例更年期抑郁妇女随机分对照组和观察组,每组40例.观察组实施综合护理干预,对照组不予护理干预.采用抑郁自评量表(SDS)、自评症状量表(SSCL-90)、社会支持评定量表(SSRS)对其效果进行评价.结果 干预前两组SDS、SSRS、SSCL-90得分差异无显著性;干预后两组SDS、SSRS、SSCL-90的得分与干预前及组间比较,差异有显著性(P<0.01).结论 实施护理干预明显改善患者的抑郁状态,有效地提高患者的生活质量,减轻了社会和家庭的负担,体现了人本关怀的理念.%Objective To research the effect of nursing intervention for climacteric women in depression status. Methods 80 depressed climacteric women were randomly divided into control and observation groups. The observation group was given integration nursing intervention. The Self-rating Depressive Scale (SDS), Symptom Checklist 90 (SCL-90), Social Support Bating Scale (SSBS) were used to evaluate the treatment effective-hess. Results Before nursing intervention, the scores of SDS, SSRS, SCL-90 between two groups werenot dif-ferent;and the scores of SDS, SSRS, SCL - 90 were significant difference after the nursing intervention (P <0.01 ). Conclusions The treatment with nursing intervention can improve the depressive state of patients, uplift patients'life quality, lighten the burden of society and patients'familles, and embody the idea of people oriented.

  3. ¿Which is the quality of life in climacteric that have colombian diabetic women when they are assessed with “Menopause Rating Scale”?

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    Monterrosa-Castro Álvaro

    2012-06-01

    Full Text Available Introduction: Diabetes mellitus (DM is the most prevalent chronic disease inpostmenopausal. The gradual estrogenic deficiency followed in climacteric, causessymptoms and deterioration of some organs and systems, with negative changes in thequality of life (QOL.Objective: Evaluate the presence and severity of symptoms related with themenopause, just as the QOL that have climacteric women diagnosed with DM type II.Methods: A cross sectional study was done among Colombian women with DM typeII, resident in Atlantic and Pacific coasts, in urban and rural areas, between 40 and 59years, and that are part of the database of the Life Quality in Menopause in ColombianEthnic Groups project (CAVIMEC. They were assessed with “Menopause Rating Scale”(MRS, specific scale of CV to menopausal women, to establish the prevalence andseverity of the menopausal manifestations, the deterioration of the subscales and thetotal score of the scale. The formulary of sociodemographics information and the MRSscale were applied door to door in the women residences. Data is expressed in mean ±DS and percentages.Results: 192 climacteric women suffering from DM type II were assessed with MRS.Average age was 52.3 ± 5.8. Schooling higher than six years: 67.8%. In overweight andobesity: 66.2%. Never smoker: 63.2%. Fifty or more years old: 68.9%. Concomitantlyarterial hypertension: 40.9%. With sexual partner: 58.5%. In postmenopausal: 63.7%,between these the median age of last menstruation was 48.4±4.3 years. The mostprevalent symptoms were hot flashes (70.3%, joint and muscular discomfort (69.2%,physical and mental exhaustation (68.7% and sleep disturbances (68.2%, similar tothose obtained in other Colombian population. The most prevalent severe problem weresexual problems (30.6%. 25% of the women had severe deterioration of the urogenitalsubscale and 16% had severe deterioration in the QOL.Conclusion: Colombian climacteric women with DM have total MRS score similar to

  4. 针灸治疗女性更年期综合征实验研究进展%ADVANCES OF EXPERIMENTAL RESEARCH ON ACUPUNCTURE AND MOXIBUSTION FOR TREATMENT OF WOMEN'S CLIMACTERIC SYNDROME

    Institute of Scientific and Technical Information of China (English)

    陈贵珍; 许云祥

    2007-01-01

    To introduce the advances of expeyimental research on acupuncture and moxibustion for treatment of Women's Climacteric Syndrome.The recent years experimental research Iiterature of acupuncture and moxibustion for treatment of Women's Climacteric Syndrome were reviewed.The research literatures on acupuncture treatment were major,focusing on the field of acupuncture and moxibustion regulating hypothalamic-pituitary-gonad axis and nerval-endocritic-irrrnune net.Acupuncture and moxibustion could regulate the endocrine environment of menopausal women.Taking advantage of combination biomedicine with multi-sciences,to improve the acupuncture and moxibustion curative effct and probe the mechanism of menopausal pathology and acupuncture and moxibustion function to Women's Climacteric Syndrome,is the research direction afterward.%从实验研究角度对近年来针灸治疗女性更年期综合征文献报道进行综述.在各种刺激方式中.以针刺法方面的研究最多,其研究主要体现在针灸对下丘脑-垂体-性轴、神经-内分泌-免疫的影响方面.通过综述可以看到针灸对女性绝经后生殖内分泌环境有调节作用.利用生物医学与多学科交叉优势,进一步提高针灸临床疗效,力争从多层次、多指标、多学科交叉的角度,探讨更年期综合征的发病机制及针灸治疗更年期综合征的作用机制,是今后工作的重点.

  5. Sleep condition of climacteric women with hot flashes%更年期潮热妇女睡眠状况分析

    Institute of Scientific and Technical Information of China (English)

    张巧利; 张丽娟; 李芬

    2016-01-01

    目的:探讨更年期潮热的妇女睡眠状况,以及潮热程度与睡眠的关系。方法回顾分析2006年10月至2008年5月间于西安交通大学医学院第一附属医院体检中心进行健康体检的1206名40~60岁妇女分为潮热组、无潮热组,分别完成调查问卷。问卷具体内容包括一般情况、潮热状况和匹兹堡睡眠质量指数( PSQI),并对结果进行分析。结果潮热组妇女PSQI总分平均值高于无潮热组妇女(8.03±4.28 vs 5.58±3.56,t=-2.359,P<0.05);潮热妇女发生睡眠质量差的风险是无潮热妇女的4.172倍(OR=4.172,95%CI:1.26~13.80,P<0.05)。 PSQI表中睡眠质量、睡眠障碍及日间功能项,潮热组妇女均高于无潮热组妇女(t值分别为-1.936、-2.556、-2.217,均P<0.05)。重度潮热妇女的PSQI得分显著高于轻度潮热的妇女(9.85±3.72 vs 7.96±3.92,F=12.316,P<0.05),亦显著高于中度潮热的妇女(9.85±3.72 vs 8.31±4.08,F=4.261,P<0.05)。结论更年期潮热影响妇女的睡眠,其中以重度潮热最为显著,导致妇女出现睡眠障碍、睡眠质量和日间功能下降。%Objective To explore the sleep quality of climacteric women with hot flashes and its relation with hot flashes degree .Methods A total of 1 206 eligible women aged 40-60 years were divided into hot flashes group and no hot flashes group .All women were asked to finish the questionnaires .The contents of questionnaires included general situation , hot flashes and the Pittsburgh Sleep Quality Index (PSQI) self-rating scale.Results The mean scores of PSQI in hot flashes group were higher than those in no hot flashes group (8.03 ± 4.28 vs 5.58 ±3.56, t=-2.359, P<0.05).The risk of poor sleep quality among hot flashes cases were 4.172 fold (OR=4.172,95%CI:1.26-13.80, P<0.05) compared with no hot flashes cases .The item scores of PSQI

  6. Hormones for therapy of climacteric afflictions

    Directory of Open Access Journals (Sweden)

    Greiner, Wolfgang

    2007-03-01

    Full Text Available Background: In Western countries hormone replacement therapy (HT is widely used in the treatment of climacteric women who are affected with hot flashes and night sweats. Besides, long-term HT was frequently used to manage the higher risks for osteoporosis and heart attack in postmenopause. Estrogens alone or combined with progestin feature most frequently in HT. Objectives: This HTA report addresses the questions on medical efficacy and cost-effectiveness of HT as a treatment of hot flashes and night sweats as well as in the primary prevention of osteoporosis and cardiovascular disease in postmenopause in general healthy women. Methods: The literature search for articles published after 1998 was conducted in March 2004 in standard medical and economic databases. The analysis included randomised controlled trials, systematic reviews, meta-analysis and economic evaluations considering relevant clinical endpoints in English or German language. The quality of the studies was assessed using checklists corresponding to the study type. Results: HT is highly effective in treating hot flashes in climacteric women. The question of economical efficiency cannot be answered due to the scarce database. As the positive effects (lower risk for fractures and endometrial cancer do not outweigh the negative effects (higher risk for breast cancer and general cardiovascular risk estrogen-progestin combination HT cannot be recommended for primary prevention of osteoporosis and cardiovascular disease in postmenopausal women. Discussion: The observation period of most of the studies regarding therapy of hot flashes and night sweats were too short to evaluate possible risks of long-term HT. The economic publications assessing HT for this indication varied vastly in terms of applied methods and were not carried out with respect to the German health care system. Conclusions: HT can be recommended in the short-term treatment of hot flashes and night sweats in climacteric

  7. [Our experience in the treatment of climacteric complaints with Livial (Organon)].

    Science.gov (United States)

    Pekhlivanov, B; Malinova, M; Milchev, N

    2001-01-01

    The authors are sharing their experience in using a new medicine Livial (Organon) for the treatment of climacteric complaints. Twenty women have been included in the study. They have received one tablet of 2.5 mg Livial daily throughout four cycles of 28 days. All women report decrease of climacteric symptoms, especially hot flushes and night sweats. Only one of them had genital bleeding while using the drug. Twenty percent of the women reported adverse effects (breast tenderness and nausea), which turned out to be transitional. Conclusions concerning the usage of Livial in the treatment of climacteric complaints have been made.

  8. 743名农村更年期妇女睡眠状况调查分析%Investigation on the sleep state of 743 climacteric women living in rural areas

    Institute of Scientific and Technical Information of China (English)

    葛建芬; 臧红艳; 袁丽娟; 鲍丹凤; 耿莉

    2014-01-01

    目的:了解农村更年期妇女睡眠情况,为制定农村更年期妇女保健措施提供依据。方法以农村妇女两癌筛查为平台,采用现场问卷调查的方式,对农村更年期妇女睡眠情况及影响因素进行调查,并对相关因素进行分析。结果有效调查的743名妇女中,睡眠正常和基本正常者586人,占78.87%;睡眠较差或很差的有157人,占21.13%;影响睡眠的因素包括:年龄、月经改变、潮热、抑郁、焦虑症状等。在校正了年龄、体重指数( BMI)、文化程度、婚姻状况、夫妻关系等后,更年期女性睡眠的危险因素是潮热症状(OR=1.997,P=0.001)、抑郁症状(OR=4.757,P<0.001)和焦虑(OR=2.151,P=0.021)。结论应加强农村更年期妇女保健工作,关注农村妇女睡眠保健问题,以促进农村妇女生活质量提高。%Objective To know the sleep state of climacteric women living in rural areas and its related factor, so as to provide scientific evidence for health care measure.Methods Taking two cancer screening program for platform, we investigated the sleep state and its influencing factors of climacteric women living in rural areas by questionnaires on spot.Results Among 743 participants, 586 (78.87%) women had normal or almost normal sleep.The sleep quality of 157 (21.13%) women was relatively poor or very poor.The influencing factors included age, menstrual change, hot flush, depression and anxiety.After correcting age, BMI, educational degree, marital state and couple relationship, the risk factors of climacteric women included hot flush (OR=1.997,P=0.001), depression (OR=4.757,P=0.000) and anxiety (OR=2.151,P=0.021).Conclusion Health care service of climacteric women living in rural areas should be strengthened.We should pay attention to sleep health care and improve life quality of rural women.

  9. Climacteric and menopause in seven South-east Asian countries.

    Science.gov (United States)

    Boulet, M J; Oddens, B J; Lehert, P; Vemer, H M; Visser, A

    1994-10-01

    The menopause is universal, but what about the climacteric? In an attempt to answer this question, a study was conducted in seven south-east Asian countries, namely, Hong Kong, Indonesia, Korea, Malaysia, the Philippines, Singapore and Taiwan. Samples of approximately 400 women in each country were questioned about a number of climacteric complaints, incontinence and dyspareunia, consultation of a physician, menopausal status and several background characteristics. Special care was taken to overcome linguistic and cultural problems, and the data collected were kept as objective as possible. From the results obtained we were able to show that the climacteric was indeed experienced in south-east Asian countries, although in a mild form. The prevalence of hot flushes and of sweating was lower than in western countries, but was nevertheless not negligible. The percentages of women who reported the more psychological types of complaint were similar to those in western countries. The occurrence of climacteric complaints affected perceived health status. A physician was consulted for climacteric complaints by 20% of the respondents, although this was most frequently associated with the occurrence of psychological complaints and less so with that of hot flushes and sweating. The median age at menopause (51.09) appeared to be within the ranges observed in western countries. Ethnic background and age at menarche were found to have a significant influence on age at menopause. The study clearly demonstrated that climacteric complaints occur in south-east Asia. The findings suggest, however, that vasomotor-complaint-related distress might be 'translated' into psychological complaints, which are more frequently considered to warrant consulting a physician.

  10. β-受体阻滞剂干预更年期妇女心电图变化的临床价值%Clinical significance of beta-receptor blocker intervention on ECG changes in climacteric women

    Institute of Scientific and Technical Information of China (English)

    贺桦; 李针; 渠红霞; 孟凡琳; 王兵

    2015-01-01

    目的:探讨β-受体阻滞剂干预更年期妇女心电图变化的临床价值。方法选取无器质性疾病但有心电图改变的更年期妇女62例,经患者知情同意按照数字表法随机分为治疗组31例,予以β-受体阻滞剂治疗3周;另31例为对照组,不给予任何治疗。观察治疗前后2组间及治疗组心电图指标(心率、心律、ST-T)的改变。结果(1)经β-受体阻滞剂治疗3周后,2组平均心率、心律、ST-T改变(除ST上斜外)比较差异均有统计学意义(P<0.05)。(2)治疗组治疗前后比较,成对房早、ST上斜和T波倒置虽有改变,但差异无统计学意义(P>0.05);其余指标均有明显改变,差异有统计学意义(P<0.05)。结论β-受体阻滞剂应用于心电图改变的更年期妇女有一定的临床价值。%Objective To investigate the clinical significance of beta-receptor blocker intervention on ECG changes in climac-teric women.Methods Sixty-two subjects of climacteric women without organic diseases but with ECG changes were chosen and ran-domly divided into 2 groups:the control group(n=32)and the treatment group(n=30).The subjects of the control group were not giv-en any treatment, while the subjects of the treatment group were given treatment of beta-receptor blocker intervention for 3 weeks.ECG changes ( heart rate, rhythm and ST-T changes) were detected both before and after treatment, and then, comparisons were made be-tween the groups and within the groups.Results ( 1 ) After 3 weeks of beta-receptor blocker intervention, significant ECG changes could be noted in heart rate, rhythm and ST-T changes ( except ST cable) in the subjects of the treatment group, with statistical signifi-cance, when comparisons were made between the 2 groups (P0.05).There were significant changes in the remaining parameters, with statistical significance (P<0.05). Conclusion Beta-receptor blocker had its clinical

  11. 武汉市妇女绝经相关因素的调查%Survey on related factors of the climacteric syndrome among women in Wuhan city

    Institute of Scientific and Technical Information of China (English)

    卢实; 张雅君; 王声萍; 张红菱; 罗宝华; 胡引珍; 吴荣海

    2014-01-01

    Objective To investigate the epidemiologic factors associated with the menopausal symptoms among women at the age of 40 to 65 in Wuhan City.Methods From Apr.2014 to Oct , women at the age of 40 to 65 attending health examination in Wuhan City were enrolled in this study.A structured questionnaire was used to collect data of basic information, menopausal status, exercise, important physical diseases and perimenopausal symptoms.Also the menopausal symptoms were evaluated by Greene scale. The menopausal symptoms and its influencing factors were analyzed.Results The top 5 highest scores symptoms in perimenopausal women were fatigue, insomnia, dizziness or weakness, hot flashes, muscle/joint pain(P<0.01).The top highest scores syndromes in perimenopausal women were vasomotor symptoms, anxiety symptoms, somatic symptoms and depression symptoms (P<0.05).While insomnia, hot flashes, fatigue, muscle/joint pain got the highest scores symptoms in postmenopausal women (P<0.05).Vasomotor symptoms and sexual problems got the highest score syndromes in postmenopausal women ( P <0.05 ) .Somatic symptoms had a significant impact on five kinds of menopausal syndromes ( P <0.05 ) .Women at the age of 40 to 50 were more likely to have depressive symptoms than those at the age of 61 to 65 ( P <0.05 ) .Women of increasing BMI were more likely to have vasomotor symptoms( P <0.05 ) .Conclusions There were different menopausal symptoms at each stage of menopause.The main factor contributing to menopausal symptoms were somatic symptoms.%目的:评估武汉市40~65岁妇女自然绝经过程中绝经相关症状的发生及影响因素。方法选取2014年4~10月武汉市参加年度健康体检、年龄40~65岁的956名妇女为调查对象,采用问卷形式调查妇女的基本信息、月经状况、运动锻炼情况、重要躯体疾病以及围绝经期相关症状,用Greene评分法评估绝经症状,分析绝经症状的发生情况及影响因素。结果月经不

  12. Autopercepción del estado de salud en climatéricas derechohabientes del Instituto Mexicano del Seguro Social Self-rated health among climacteric women affiliated to Instituto Mexicano del Seguro Social

    Directory of Open Access Journals (Sweden)

    Svetlana Vladislavovna-Doubova

    2008-10-01

    Full Text Available OBJETIVO: Evaluar la autopercepción del estado de salud positivo (APES + o negativo (APES - de mujeres climatéricas e identificar los factores relacionados con la APES-. MATERIAL Y MÉTODOS: Se analizó la información de 9 248 mujeres de 40 a 59 años. Las variables dependientes fueron la APES y las independientes las características generales, antecedentes ginecoobstétricos, enfermedades crónicas, actividad física, participación en programas de detección y educación. Se realizó un análisis descriptivo, bivariado y multivariado. RESULTADOS: Una proporción de 42% de las mujeres refirió APES+ y 58% APES-. Los factores vinculados con APES- fueron primaria completa o menos (RM=1.78; IC95% 1.62-1.95, no tener trabajo remunerado (RM=1.20; IC95% 1.09-1.33, menopausia (RM=1.22; IC95% 1.11-1.33, diabetes (RM=1.88; IC95% 1.65-2.13, hipertensión (RM=2.01; IC95% 1.82-2.22, actividad física irregular (RM=1.30; IC95% 1.12-1.50, sedentarismo (RM=1.395; IC95% 1.23-1.57, falta de integridad de detección (RM=0.82; IC95% 0.75-0.89 y de información sobre el climaterio por parte de los servicios de salud (RM=1.17; IC95% 1.07-1.28. CONCLUSIÓN: Los factores relacionados con APES- son múltiples y algunos, como la información acerca del climaterio y la actividad física, deben fortalecerse.OBJECTIVE: To evaluate self-rated health (SRH in climacteric women and to identify the factors associated with negative SRH. MATERIAL AND METHODS: Information from 9 248 women aged 40 to 59 years was analyzed. SRH was the dependent variable. Independent variables were demographic characteristics, history of reproductive and chronic diseases, physical activity, and participation in screening and health education programs. Data were analyzed using descriptive statistics, bivariate analysis, and logistic regression modeling. RESULTS: Forty-two percent of women reported positive SRH and 58% reported negative SRH. Factors associated with negative SRH were: low literacy

  13. A Survey on the Prevalence of Cardiovascular Diseases and their Risk Factors in Chinese Climacteric Women%围绝经期妇女月经状况与心血管疾病的关系

    Institute of Scientific and Technical Information of China (English)

    崔文欣; 张小松; 陈丽君; 赵更力

    2014-01-01

    目的:调查城市社区围绝经期女性中心血管疾病的患病率及其危险因素,并探讨绝经与心血管疾病危险因素之间的关系。方法采用现况调查的方法入选社区年龄40岁~59岁围绝经期妇女,填写调查问卷,内容包括:人口学特征、月经情况、身高体重、心血管疾病患病情况。根据月经状况将入选人群分为月经规律组、月经不规律组和绝经后期组。结果入选女性中,高血压和冠心病患病率分别为23.5%和7.7%,超重、肥胖、高脂血症及糖尿病的患病率分别为25.3%、2.4%、10.4%和6.2%,三组中绝经后期组超重、肥胖、高脂血症及其糖尿病比例最高。绝经后期组、月经不规律组及月经规律组中高血压的患病率分别为13.6%、5.8%和4.1%,具有统计学意义(P<0.01)。月经不规律组中冠心病患病率高于月经规律组(P<0.01),月经不规律组中高脂血症患病率高于月经规律组(P<0.01)。结论高血压、高血脂、冠心病、肥胖和超重是城市社区围绝经期女性中最常见的心血管疾病。心血管疾病患病率及其危险因素从绝经过渡期即开始增加。%Objectives To investigate the prevalence of cardiovascular diseases (CVDs)and their risk factors in urban climacteric women and explore the relationship between menopause and risk factors of CVDs.Methods In this cross sectional study,788 women were selected by multistage cluster sampling.All subjects lived in Beijing and were investigated with structured interview questionnaire.The response rate was 93.5%.The sample consisted of 242 premenopausal women,187 menopausal transition women (menses change),and 358 postmenopausal women.Results the prevalence of hypertension and coronary heart disease was 23.5%and 7.7%.The prevalence of overweight,obesity,hyperlipidemia,and diabetes was 25.3%,2.4%,10.4%,and 6.2%,respectively.Among three groups,the proportion of overweight

  14. Ensaio clínico placebo-controlado com isoflavonas da soja para sintomas depressivos em mulheres no climatério Placebo-controlled clinical trial with soy isoflavones for depressive symptoms in climacteric women

    Directory of Open Access Journals (Sweden)

    Rilva Lopes de Sousa

    2006-02-01

    Full Text Available OBJETIVOS: avaliar a eficácia do uso de isoflavonas da soja no tratamento de sintomas depressivos em mulheres com síndrome climatérica. MÉTODOS: estudo experimental placebo-controlado, randomizado e duplo-cego, com 84 pacientes climatéricas atendidas ambulatorialmente no Hospital Universitário Lauro Wanderley, em João Pessoa (PB. Na avaliação de sintomas depressivos empregou-se o Questionário de Auto-avaliação da Escala de Hamilton para Depressão (QAEH-D nas visitas pré-tratamento (VT1 e na 8ª (VT2 e na 16ª (VT3 semana pós-tratamento. O grupo experimental (GExp recebeu extrato de isoflavonas da soja, 120 mg por dia, e o controle (GCont, placebo. A comparação dos escores do QAEH-D entre os grupos em VT1, VT2 e VT3 constituiu a medida primária de eficácia (teste t, p0,05. De VT1 para VT3, evidenciou-se diferença estatisticamente significativa de 8,9% na redução dos escores entre os grupos (p=0,03. Não houve correlação da redução dos sintomas depressivos com resposta dos sintomas vasomotores (p>0,05. Houve redução das concentrações de FSH apenas no GExp (p=0,02, sem alterações do estradiol. Não ocorreram eventos adversos clinicamente relevantes. CONCLUSÕES: o efeito do extrato de isoflavonas foi superior ao do placebo, porém de pequena magnitude e apenas após 8 semanas de tratamento. Este pequeno efeito atribuído ao tratamento experimental, de boa tolerabilidade, poderá beneficiar pacientes que têm efeitos colaterais aos estrógenos ou que preferem não usar estes hormônios.PURPOSE: to evaluate the efficacy of the use of isoflavones in the treatment of depressive symptoms in climacteric women. METHODS: placebo-controlled, randomized double-blind experimental study with 84 climacteric women who were assisted at the Lauro Wanderley University Hospital Ambulatory, in João Pessoa, Paraíba, Brazil. In the evaluation of the depressive symptoms the Self-evaluation questionnare of Hamilton's rating scale for

  15. 围绝经期潮热妇女焦虑与抑郁状况的分析%Relation between Hot Flashes and Anxiety, Depression among Climacteric Women

    Institute of Scientific and Technical Information of China (English)

    张巧利; 李芬; 于英; 盛秋

    2012-01-01

    目的:探讨围绝经期前后妇女潮热与焦虑、抑郁之间的关系.方法:将符合条件的1 206名40~60岁妇女分为潮热组、无潮热组,分别完成调查问卷.问卷具体内容包括一般情况、潮热状况、焦虑自评量表(SAS)、抑郁自评量表(SDS).结果:潮热组妇女SAS和SDS的平均值高于无潮热组妇女(SAS:39.8±7.3 vs 36.0±6.1;SDS:44.1±8.3 vs 40.9±8.9,P均<0.05),潮热组轻度焦虑和抑郁的发生率明显高于无潮热组(焦虑:8.3%vs 3.4%;抑郁:23.3%vs 14.2%,P均<0.05).潮热妇女焦虑、抑郁的发生风险分别是无潮热妇女的4.1倍(95%CI,1.20~13.74)、2.4倍(95%CI,1.15~4.92).重度潮热妇女较轻度潮热妇女SAS和SDS得分均高(SAS:46.4±7.9 vs 38.8±6.6; SDS:43.9±6.9 vs 52.7±12.5,P均<0.05).潮热妇女的月经状况与SAS和SDS得分无关.结论:围绝经期潮热妇女易发生焦虑、抑郁症状,且重度潮热妇女更易发生.对妇女进行潮热治疗时,还应对妇女进行心理疏导.%Objective: To explore the relation of hot flashes, anxiety and depression among climacteric women. Methods: A total of 1 206 eligible women aged 40-60 years were divided into hot flashes group and no hot flashes group. All women were asked to finish the questionnaire. The content of questionnaire included general situation, hot flashes, anxiety (SAS) and depression (SDS) self-rating scale. Results: The mean scores of SAS and SDS in hot flashes group were higher than those in no hot flashes group (SAS: 39.8 ± 7.3 vs 36.0 ±6.1; SDS:44.1 ± 8.3 vs 40.9 ± 8.9, all P<0.05). The incidences of mild anxiety and mild depression were obviously higher than those in no hot flashes group (anxiety: 8.3% vs 3.4%; depression: 23.3% vs 14.2%; all P< 0.001). The risk of anxiety, depression among hot flashes group were 4.1-fold (OR=4.07,95%CI: 1.20-13.74) and 2.4-fold (OR=2.3S, 95%CI: 1.15-4.92) compared with no hot flashes group, respectively. The mean scores of SAS and SDS in

  16. Quality of Care in Women With Stage I Cervical Cancer

    OpenAIRE

    Chu, Joseph; Polissar, Lincoln; Tamimi, Hisham K.

    1982-01-01

    A study was done to assess the quality of care received by women with stage I cervical cancer. Through a population-based registry serving 13 counties of western Washington, including Seattle, we identified all women residents in whom local-stage cervical cancer developed between January 1974 and December 1978 (N=369). The cases were subdivided into stage IA (microinvasive) and stage IB (frankly invasive). Quality of care was defined as optimal or suboptimal at the outset of the study; this d...

  17. Female Climacteric Syndrome Treated by Ear Embedding

    Institute of Scientific and Technical Information of China (English)

    王勤

    2003-01-01

    @@ Female climacteric syndrome is a common disease occurring before and after menopause. The author has treated the disease with ear embedding therapy, and achieved satisfactory therapeutic results. The following is a report of the clinical observation.

  18. Identification of Differentially Expressed Genes During Ethylene Climacteric of Melon Fruit by Suppression Subtractive Hybridization

    Institute of Scientific and Technical Information of China (English)

    GAO Feng; NIU Yi-ding; HAO Jin-feng; BADE Rengui; ZHANG Li-quan; HASI Agula

    2013-01-01

    Melon (Cucumis melo L.) is an important horticultural crop worldwide. Ethylene regulates the ripening process and affects the ripening rate. To screen genes that are differentially expressed at the burst of ethylene climacteric in melon fruit, we performed suppression subtractive hybridization (SSH) to generate forward and reverse libraries, for which we sequenced 439 and 445 clones, respectively. Our BLAST analysis showed that the genes from the 2 libraries were involved in metabolism, signal transduction, cell structure, transcription, translation, and defense. Six genes were analyzed by qRT-PCR during the differential developmental stage of melon fruit. Our results provide new insight into the understanding of climacteric ripening of melon fruit.

  19. Characterisation of ethylene pathway components in non-climacteric capsicum

    OpenAIRE

    Aizat, Wan M; Able, Jason A; Stangoulis, James CR; Able, Amanda J.

    2013-01-01

    Background Climacteric fruit exhibit high ethylene and respiration levels during ripening but these levels are limited in non-climacteric fruit. Even though capsicum is in the same family as the well-characterised climacteric tomato (Solanaceae), it is non-climacteric and does not ripen normally in response to ethylene or if harvested when mature green. However, ripening progresses normally in capsicum fruit when they are harvested during or after what is called the ‘Breaker stage’. Whether e...

  20. Avaliação da sintomatologia depressiva de mulheres no climatério com a escala de rastreamento populacional para depressão CES-D Depressive symptoms in climacteric women evaluated by the Center for Epidemiological Studies Depression Scale

    Directory of Open Access Journals (Sweden)

    Rita de Cássia Leite Fernandes

    2008-12-01

    climacteric women using the Center for Epidemiological Studies Depression Scale (CES-D from the National Institute of Mental Health (USA. METHOD: This is a cross-sectional study carried out in a gynecological outpatient unit in Rio de Janeiro, Brazil, including 151 climacteric women between 40 and 65 years of age. The CES-D was used to assess depressive symptoms and a structured interview obtained sociodemographic, clinical and gynecological data. A score above 15 points on the CES-D was considered as a cut-point for depressive state. RESULTS: Mean CES-D score was 9.2 points (standard deviation = 9.0. Insomnia, sadness and despondency had the highest scores. There was no significant association between CES-D scores and the climacteric period, sociodemographic, clinical or gynecological characteristics, except for women with psychiatric symptoms, history of depression or on antidepressants (p = 0.000. In 32 women (21% who scored > 15 on the CES-D, 72% had already suffered from a depressive state. Women with no history of depressive disorder scored more frequently above 15 when they were perimenopausal. CONCLUSION: This sample of climacteric women, from a non-specialized mental or menopausal health service, had low mean scores on the CES-D, with the item insomnia being the most highly scored. History of a previous depressive episode, but not the woman's climacteric period, was a risk factor for higher scores on the CES-D. In the group of women with no history of depression, the perimenopausal women had more scores above the cut-point. This fact may suggest that the perimenopause is a period of higher susceptibility to new onset of depressive episodes.

  1. Treatment results in women with clinical stage I and pathologic stage II endometrial carcinoma.

    Science.gov (United States)

    Jobsen, J J; Schutter, E M; Meerwaldt, J H; Van Der Palen, J; Van Der Sijde, R; Ten Cate, L N

    2001-01-01

    The aim of this study is to report survival and results of therapy and possible prognostic factors in women with pathologic stage II endometrial carcinoma. Forty-two patients with pathologic stage II endometrial carcinoma were treated at the department of Radiation Oncology of the Medisch Spectrum Twente between 1987 and 1998. All patients received external radiotherapy following standard surgical procedures and no adjuvant systemic therapy was given. From the 42 patients 21 had a pathologic stage IIA and 21 stage IIB. The median follow-up was 62 months. The overall recurrence rate was 21.5% (9/42). Seven patients had distant metastasis, of which three also had locoregional recurrence, vaginal vault and/or pelvic. The presence of myometrial invasion (> (1/2)) and/or lymph-angioinvasion showed a significant relation with distant metastasis (P = 0.017). Stage IIB showed more recurrences, 33% (7/21). There was a significant different 5-year disease specific survival for stage IIA and IIB, respectively, 95% and 74% (P = 0.0311). Patients with a differentiation grade 3 and stage IIB showed a significantly poorer (P = 0.003) 5-year survival of 48.6% (P = 0.003). Results obtained in the present series of patients are in accordance with the literature. The present treatment policy seems justified, except for patients with pathologic stage IIB and grade 3, in which a more aggressive treatment should be considered.

  2. Traditional Chinese medicine valuably augments therapeutic options in the treatment of climacteric syndrome.

    Science.gov (United States)

    Eisenhardt, Sarah; Fleckenstein, Johannes

    2016-07-01

    Climacteric syndrome refers to recurring symptoms such as hot flashes, chills, headache, irritability and depression. This is usually experienced by menopausal women and can be related to a hormonal reorganization in the hypothalamic-pituitary-gonadal axis. In Traditional Chinese Medicine, originating 1000s of years ago, above-mentioned symptoms can be interpreted on the basis of the philosophic diagnostic concepts, such as the imbalance of Yin and Yang, the Zang-Fu and Basic substances (e.g. Qi, Blood and Essence). These concepts postulate balance and harmonization as the principle aim of a treatment. In this context, it is not astounding that one of the most prominent ancient textbooks dating back to 500-200 BC, Huang di Neijing: The Yellow Emperor's Classic of Internal Medicine gives already first instructions for diagnosis and therapy of climacteric symptoms. For therapy, traditional Chinese medicine comprises five treatment principles: Chinese herbal medicine, TuiNa (a Chinese form of manual therapy), nutrition, activity (e.g. QiGong) and acupuncture (being the most widespread form of treatment used in Europe). This review provides an easy access to the concepts of traditional Chinese medicine particularly regarding to climacteric syndrome and also focuses on current scientific evidence. PMID:27040419

  3. Depressão em mulheres climatéricas: análise de mulheres atendidas ambulatorialmente em um hospital universitário no Maranhão Depression in climacteric women: analysis of a sample receiving care at a university hospital in Maranhão, Brazil

    Directory of Open Access Journals (Sweden)

    Mari-Nilva Maia da Silva

    2008-08-01

    Full Text Available Introdução: O climatério, período de transição entre a fase reprodutiva e não-reprodutiva, ocasiona mudanças biopsicossociais nas mulheres que o vivenciam. A associação entre a maior prevalência de depressão nesse período é, no entanto, ainda controversa. O objetivo deste estudo foi avaliar a prevalência de depressão em mulheres climatéricas atendidas em um hospital universitário numa cidade da Região Nordeste do Brasil e identificar fatores associados. Método: Foi realizado um estudo prospectivo e analítico de 70 mulheres climatéricas. O diagnóstico de depressão foi dado segundo critérios diagnósticos da Classificação Internacional de Doenças em um período de seguimento mínimo de 3 meses. Foram investigadas as seguintes variáveis: escolaridade, situação conjugal, renda pessoal, gravidade da depressão segundo escala de Hamilton, presença e intensidade de sintomas climatéricos, menopausa (natural ou cirúrgica, dependência econômica do parceiro, antecedentes familiares de depressão, história prévia de depressão pós-parto, episódios depressivos e transtorno disfórico pré-menstrual, alterações da função sexual e visão positiva ou negativa da menopausa. Resultados: Um percentual de 34,3% das pacientes apresentou depressão, sendo 70,8% destas na categoria leve da escala de Hamilton. Não houve associação estatisticamente significante entre variáveis socioeconômicas, diminuição da libido e antecedentes familiares de depressão com a presença de depressão. Houve associação entre a presença de depressão e pacientes com sintomas vasomotores (p = 0,03, insônia (p Introduction: The climacteric is a transition period between reproductive and non-reproductive ages that leads to biopsychossocial changes in women who experience it. However, association between a larger prevalence of depression in this period is still controversial. The objective of this study was to assess the prevalence of

  4. Efficacy of biorhythmic transdermal combined hormone treatment in relieving climacteric symptoms: a pilot study

    Directory of Open Access Journals (Sweden)

    B Formby

    2011-02-01

    Full Text Available B Formby, F SchmidtThe Rasmus Institute for Medical Research, Program in Reproductive Endocrinology, Santa Barbara, CA, USAObjective: To evaluate the efficacy of a combination of bioidentical combined 17β-estradiol and progesterone transdermal delivery system (lipophilic emulsion-type base to relieve climacteric symptoms. The hormonal replacement was given during a period of 6 months at four different cyclic doses to mimic the normal ovary secretory pattern.Design: An open, randomized, comparative, between-patient trial conducted over 6 months in 29 menopausal women with climacteric symptoms assessed with the Kupperman index at baseline and during treatments. Saliva and serum values of 17β-estradiol and progesterone were quantitated before treatment and after 3 and 6 months. Pharmacokinetic data following transdermal administration of 17β-estradiol (0.3 mg, daily and progesterone (100 mg, daily were calculated from saliva levels using high-performance liquid chromatography analysis.Results: Improvement in climacteric symptoms was reported in 93% of women evaluated before and after 3 and 6 months of treatment. Values of saliva 17β-estradiol increased after 6 months from 0.6 ± 0.3 pg/mL to 14.1 ± 3.3 pg/mL, and the values of serum 17β-estradiol increased from 3.3 ± 2.8 pg/mL to 80.6 ± 21.9 pg/mL. Of responders, 88% characterized symptom relief as complete. No adverse health-related events were attributed to the bioidentical hormone therapy. Time to maximum saliva concentrations (Tmax, in all experimental cases, was observed after 6 hours. Baseline values were reached within 24 hours, indicating a diurnal rhythm of 17β-estradiol seen in normally cyclic women over the 24-hour period, ie, its daily biological rhythm.Conclusion: Percutaneous absorption of 17β-estradiol, as well as the absorption of progesterone, was associated with relief of climacteric symptoms. The cyclical transdermal delivery of combined bioidentical hormones may be

  5. The battle for centre stage: Women's football in South Africa

    DEFF Research Database (Denmark)

    Engh, Mari Haugaa

    2010-01-01

    From when the first official South African Women's National Football team was established in 1993, Banyana Banyana have been 'making it happen' for women's football in South Africa. National team players have become inspirational icons and role models for thousands of South African women and girls....... This Focus draws on academic research, media reports and interviews with national team players to highlight the struggles and victories of South African women footballers over the last 40 years. Despite numerous challenges and setbacks, womenB football has experienced immense growth over the past 15 years....... Highlighting examples of battles for power and leadership, homophobic attitudes and attempts to feminise the bodies of women footballers, this Focus illustrates the hard fought victories and disappointing losses in the history of South African women's football....

  6. Management of women with surgically staged 1 uterine papillary serous cancer.

    Science.gov (United States)

    Elit, Laurie; Laroche, Andre; Smith, Lauren; Mazurka, John; Moens, Francois; Hauspy, Jan; Jimenez, Waldo

    2011-01-01

    Objective. To review the management and outcomes of women with surgically staged 1 UPSC. Methods. We report on a case series from 2008-2010 from Hamilton Canada. We summarize the data from a literature search on surgically staged 1 UPSC. Results. There is a group women with Stage 1A UPSC with no residual disease at time of surgery who do not require adjuvant therapy. Vault recurrences appear to be lower in women who received adjuvant vault radiation. Chemotherapy appears to confer longer survival for those women with Stage 1B or 1C disease compared of those observed or who had radiation alone. Conclusion. Adjuvant therapy appears to confer benefit in certain groups of women with stage 1 UPSC. A randomized controlled study would clarify the degree of benefit. PMID:21918723

  7. 'Movers and shakers' in the regulation of fruit ripening: a cross-dissection of climacteric versus non-climacteric fruit.

    Science.gov (United States)

    Cherian, Sam; Figueroa, Carlos R; Nair, Helen

    2014-09-01

    Fruit ripening is a complex and highly coordinated developmental process involving the expression of many ripening-related genes under the control of a network of signalling pathways. The hormonal control of climacteric fruit ripening, especially ethylene perception and signalling transduction in tomato has been well characterized. Additionally, great strides have been made in understanding some of the major regulatory switches (transcription factors such as RIPENING-INHIBITOR and other transcriptional regulators such as COLOURLESS NON-RIPENING, TOMATO AGAMOUS-LIKE1 and ETHYLENE RESPONSE FACTORs), that are involved in tomato fruit ripening. In contrast, the regulatory network related to non-climacteric fruit ripening remains poorly understood. However, some of the most recent breakthrough research data have provided several lines of evidences for abscisic acid- and sucrose-mediated ripening of strawberry, a non-climacteric fruit model. In this review, we discuss the most recent research findings concerning the hormonal regulation of fleshy fruit ripening and their cross-talk and the future challenges taking tomato as a climacteric fruit model and strawberry as a non-climacteric fruit model. We also highlight the possible contribution of epigenetic changes including the role of plant microRNAs, which is opening new avenues and great possibilities in the fields of fruit-ripening research and postharvest biology.

  8. The non-estrogenic alternative for the treatment of climacteric complaints: Black cohosh (Cimicifuga or Actaea racemosa).

    Science.gov (United States)

    Wuttke, Wolfgang; Jarry, Hubertus; Haunschild, Jutta; Stecher, Guenter; Schuh, Markus; Seidlova-Wuttke, Dana

    2014-01-01

    In postmenopausal women estrogens in combination with progestins have beneficial effects on climacteric complaints and on osteoporosis but this hormone replacement therapy (HRT) bears the risk of increased mammary carcinomas and cardiovascular diseases. Phytoestrogens at low doses have little or no effects on climacteric complaints, at high doses they mimic the effects of estrogens. Therefore other plant derived substances are currently intensively investigated. Extracts of the rhizome of black cohosh (Cimicifuga racemosa=CR) did not bind to estrogen receptors and were shown to be devoid of estrogenic effects on mammary cancer cells in vitro and on mammary gland and uterine histology in ovariectomized rats. In addition in this rat model the special extract CR BNO 1055 inhibited the occurrence of hot flushes and development of osteoporosis. In postmenopausal women CR BNO 1055 reduced major climacteric complaints as effectively as conjugated estrogens and significantly more than placebo. Similar data were published for other European CR preparations whereas 2 US American preparations were ineffective. This was most likely due to the too high doses or due to the adulteration with Asian Cimicifuga preparations. In all European studies neither effects in the uterus nor in mammary glands were observed. The effective compounds in CR are most likely neurotransmitter-mimetic in nature: dopaminergic, noradrenergic, serotoninergic and GABAergic effects were demonstrated and some have been structurally identified. We conclude that CR extracts at low doses are effective to ameliorate climacteric complaints but are devoid of adverse estrogenic effects. These finding strengthens the role of CR extracts as substitutes for HRT. This article is part of a special issue entitled: Special Issue on Phytoestrogens.

  9. Involvement of wound and climacteric ethylene in ripening avocado discs.

    Science.gov (United States)

    Starrett, D A; Laties, G G

    1991-10-01

    Avocado (Persea americana Mill. cv Hass) discs (3 mm thick) ripened in approximately 72 hours when maintained in a flow of moist air and resembled ripe fruit in texture and taste. Ethylene evolution by discs of early and midseason fruit was characterized by two distinct components, viz. wound ethylene, peaking at approximately 18 hours, and climacteric ethylene, rising to a peak at approximately 72 hours. A commensurate respiratory stimulation accompanied each ethylene peak. Aminoethoxyvinyl glycine (AVG) given consecutively, at once and at 24 hours following disc preparation, prevented wound and climacteric respiration peaks, virtually all ethylene production, and ripening. When AVG was administered for the first 24 hours only, respiratory stimulation and softening (ripening) were retarded by at least a day. When AVG was added solely after the first 24 hours, ripening proceeded as in untreated discs, although climacteric ethylene and respiration were diminished. Propylene given together with AVG led to ripening under all circumstances. 2,5-Norbornadiene given continuously stimulated wound ethylene production, and it inhibited climacteric ethylene evolution, the augmentation of ethylene-forming enzyme activity normally associated with climacteric ethylene, and ripening. 2,5-Norbornadiene given at 24 hours fully inhibited ripening. When intact fruit were pulsed with ethylene for 24 hours before discs were prepared therefrom, the respiration rate, ethylene-forming enzyme activity buildup, and rate of ethylene production were all subsequently enhanced. The evidence suggests that ethylene is involved in all phases of disc ripening. In this view, wound ethylene in discs accelerates events that normally take place over an extended period throughout the lag phase in intact fruit, and climacteric ethylene serves the same ripening function in discs and intact fruit alike.

  10. Management of Women with Surgically Staged 1 Uterine Papillary Serous Cancer

    OpenAIRE

    Jan Hauspy; Francois Moens; John Mazurka; Andre LaRoche; Lauren Smith; Laurie Elit; Waldo Jimenez

    2011-01-01

    Objective. To review the management and outcomes of women with surgically staged 1 UPSC. Methods. We report on a case series from 2008–2010 from Hamilton Canada. We summarize the data from a literature search on surgically staged 1 UPSC. Results. There is a group women with Stage 1A UPSC with no residual disease at time of surgery who do not require adjuvant therapy. Vault recurrences appear to be lower in women who received adjuvant vault radiation. Chemotherapy appears to confer longer surv...

  11. Women's positions during the second stage of labour : views of primary care midwives

    NARCIS (Netherlands)

    Teunissen, Doreth A. M.; van Diem, Mariet Th.; Scheepers, Peer L. H.; Lagro-Janssen, Antoine L. M.

    2008-01-01

    Aim. This paper is a report of a study to explore the views of midwives on women's positions during the second stage of labour. Background. Many authors recommend encouraging women to use positions that are most comfortable to them. Others advocate encouragement of non-supine positions, because offe

  12. Couple-Focused Group Intervention for Women With Early Stage Breast Cancer

    Science.gov (United States)

    Manne, Sharon L.; Ostroff, Jamie S.; Winkel, Gary; Fox, Kevin; Grana, Generosa; Miller, Eric; Ross, Stephanie; Frazier, Thomas

    2005-01-01

    This study examined the efficacy of a couple-focused group intervention on psychological adaptation of women with early stage breast cancer and evaluated whether perceived partner unsupportive behavior or patient functional impairment moderated intervention effects. Two hundred thirty-eight women were randomly assigned to receive either 6 sessions…

  13. Fatores Associados à Obesidade e ao Padrão Andróide de Distribuição da Gordura Corporal em Mulheres Climatéricas Factors Related to Obesity and Android Pattern of Body Fat Distribution in Climacteric Women

    Directory of Open Access Journals (Sweden)

    Diana Beatriz Filip Raskin

    2000-08-01

    Full Text Available Objetivos: descrever as características de um grupo de mulheres climatéricas, conhecer a freqüência e os fatores associados à obesidade e ao padrão andróide de distribuição da gordura corporal. Métodos: estudo observacional com 518 pacientes com idade entre 45 e 65 anos em um ambulatório de climatério. Foram considerados a idade, cor, status menopausal, tempo de menopausa, atividade física, tabagismo, dieta, etilismo, antecedentes pessoais e familiares de hipertensão, diabetes, doença cardiovascular, dislipidemia e obesidade. O índice de massa corpórea e a relação das medidas cintura/quadril foram variáveis dependentes. Na análise estatística utilizaram-se os testes de Wilcoxon, c² de Pearson, com nível de significância de 5%, e análise múltipla por regressão logística. Resultados: mais de dois terços das participantes eram não-obesas com perfil andróide e menopausadas. Aproximadamente um quarto tinha atividade física adequada, era tabagista, metade referiu dieta inadequada e um quinto era etilista. Pacientes com perfil andróide apresentaram média etária maior que mulheres com padrão ginecóide. Antecedentes pessoais de obesidade, hipertensão, diabetes e história familiar de diabetes relacionaram-se com obesidade e padrão andróide. O status pós-menopausa associou-se significativamente ao perfil andróide. Conclusões: a maioria das mulheres foram não-obesas com perfil andróide, brancas, pós-menopáusicas, sedentárias, não-tabagistas nem etilistas. Os principais fatores associados à obesidade e padrão andróide foram os antecedentes pessoais de obesidade, hipertensão arterial, diabetes, história familiar de diabetes e, particularmente, o status pós-menopausa com o perfil andróide.Purpose: to describe sociodemographic characteristics of a group of climacteric women in order to discover the frequency and the variables associated with obesity and android profile of body fat distribution. Methods

  14. Observation of Climacteric-Like Behavior of Citrus Leaves Using Fluorescence Spectroscopy

    Directory of Open Access Journals (Sweden)

    Caio B. Wetterich

    2014-01-01

    Full Text Available Observation of climacteric-like behavior in citrus leaves depends on the detection of ethylene. However, such detection requires a gas chromatographer and complex sample preparation procedures. In this work, fluorescence spectroscopy was investigated as a diagnostic technique for climacteric-like behavior in citrus leaves. Our results indicate that the chlorophyll fluorescence presents a time evolution consistent with the ethylene evolution. Therefore, fluorescence spectroscopy may be used to observe the climacteric-like behavior in citrus leaves.

  15. A non-climacteric fruit gene CaMADS-RIN regulates fruit ripening and ethylene biosynthesis in climacteric fruit.

    Directory of Open Access Journals (Sweden)

    Tingting Dong

    Full Text Available MADS-box genes have been reported to play a major role in the molecular circuit of developmental regulation. Especially, SEPALLATA (SEP group genes play a central role in the developmental regulation of ripening in both climacteric and non-climacteric fruits. However, the mechanisms underlying the regulation of SEP genes to non-climacteric fruits ripening are still unclear. Here a SEP gene of pepper, CaMADS-RIN, has been cloned and exhibited elevated expression at the onset of ripening of pepper. To further explore the function of CaMADS-RIN, an overexpressed construct was created and transformed into ripening inhibitor (rin mutant tomato plants. Broad ripening phenotypes were observed in CaMADS-RIN overexpressed rin fruits. The accumulation of carotenoid and expression of PDS and ZDS were enhanced in overexpressed fruits compared with rin mutant. The transcripts of cell wall metabolism genes (PG, EXP1 and TBG4 and lipoxygenase genes (TomloxB and TomloxC accumulated more abundant compared to rin mutant. Besides, both ethylene-dependent genes including ACS2, ACO1, E4 and E8 and ethylene-independent genes such as HDC and Nor were also up-regulated in transgenic fruits at different levels. Moreover, transgenic fruits showed approximately 1-3 times increase in ethylene production compared with rin mutant fruits. Yeast two-hybrid screen results indicated that CaMADS-RIN could interact with TAGL1, FUL1 and itself respectively as SlMADS-RIN did in vitro. These results suggest that CaMADS-RIN affects fruit ripening of tomato both in ethylene-dependent and ethylene-independent aspects, which will provide a set of significant data to explore the role of SEP genes in ripening of non-climacteric fruits.

  16. Community prevention and treatment of female climacteric syndrome%女性更年期综合征的社区防治

    Institute of Scientific and Technical Information of China (English)

    张利燕

    2012-01-01

    更年期综合征是指妇女在围绝经期前后由于卵巢功能逐渐衰退或丧失,激素水平下降而引起的以植物神经功能紊乱、代谢障碍为主的综合征.现今逐渐老龄化的社区,更年期妇女这一庞大的群体出现的生理及心理方面的问题尤为突出,为解决这一社区妇女常见疾患,社区医生采取激素替代疗法、心理疏导、健康教育等综合方法,有效地改善了更年期综合征患者的症状,提高其心理健康水平及生活质量.%Climacteric syndrome refers to a series of symptoms caused by disorders of vegetative nervous system and metabolic system due to hypofunction of ovary in women before and after menopause. At present, the population aging has become serious gradually, and the physiological and psychological disorders of climacteric women are becoming prominent. In order to treat the climacteric syndrome, community doctors carry out the hormone replacement therapy, psychological counseling and health education, effectively improve the syndromes of climacteric women, as well as enhance their mental health and quality of life.

  17. Analysis of Dehydration in the Different Stages of Women Training: Wrestling vs. Judo

    Directory of Open Access Journals (Sweden)

    Bibiana Calvo Rico

    2013-12-01

    Full Text Available This study aimed at analyzing variables concerning body composition and strength affected by dehydration methods used to reach the competition weight in sportswomen (19 women. This study took into account two combat sports (wrestling sample: 11 women and judo sample: 8 women in three different training stages: base, specific and pre-competitive. The assessment tools applied to body composition sizes and strength variables were Inbody 230 and Isocontro 5.0, respectively. Results showed that both wrestling training and judo training in specific and pre-competitive stages were done under water scarcity. Then, the most affected strength variables were: maximum strength and the body composition ones were: weight, percentage of water and body fat. Thus, this research proposed to set some regulations to be applied in reasoned weight loss depending on training goals in order to avoid a disservice to each stage, competition and sportswomen health.

  18. Sanitation, Stress, and Life Stage: A Systematic Data Collection Study among Women in Odisha, India.

    Directory of Open Access Journals (Sweden)

    Kristyna R S Hulland

    Full Text Available Emerging evidence demonstrates how inadequate access to water and sanitation is linked to psychosocial stress, especially among women, forcing them to navigate social and physical barriers during their daily sanitation routines. We examine sanitation-related psychosocial stress (SRPS across women's reproductive lives in three distinct geographic sites (urban slums, rural villages, and rural tribal villages in Odisha, India. We explored daily sanitation practices of adolescent, newly married, pregnant, and established adult women (n = 60 and identified stressors encountered during sanitation. Responding to structured data collection methods, women ranked seven sanitation activities (defecation, urination, menstruation, bathing, post-defecation cleaning, carrying water, and changing clothes based on stress (high to low and level of freedom (associated with greatest freedom to having the most restrictions. Women then identified common stressors they encountered when practicing sanitation and sorted stressors in constrained piles based on frequency and severity of each issue. The constellation of factors influencing SRPS varies by life stage and location. Overall, sanitation behaviors that were most restricted (i.e., menstruation were the most stressful. Women in different sites encountered different stressors, and the level of perceived severity varied based on site and life stage. Understanding the influence of place and life stage on SRPS provides a nuanced understanding of sanitation, and may help identify areas for intervention.

  19. Obstetric outcomes in women with end-stage renal disease on chronic dialysis: a review

    Science.gov (United States)

    Yang, L Y; Thia, E W H; Tan, L K

    2010-01-01

    Pregnancies in women on chronic dialysis for end-stage renal disease are high risk, but outcomes appear to have improved with increasing experience and advances in dialysis care. This paper reviews the existing data on outcomes in such pregnancies to enable evidence-based preconception counselling and anticipation of antenatal complications.

  20. Experimental Study on Angeng Formula for Climacteric Syndrome in Rats

    Institute of Scientific and Technical Information of China (English)

    CHEN Da-shuai; LI Peng-li; TAN Hai-zhi

    2014-01-01

    Objective:To observe the effect of Angeng Formula on climacteric syndrome in rats. Methods:The ovaries of female SD rats were removed for the establishment of menopausal syndrome rat models. After drug delivery for 30 d, serum sex hormone levels and indexes of uterus, adrenal gland and pituitary were detected. Meanwhile, the effects of drugs on the histopathology of uterus, adrenal gland and pituitary in rats were observed. Results:Angeng Formula could increase the level of estradiol (E2) in castrated rat (P<0.01) and had a tendency to increase the level of progestin (P), lower the level of luteinizing hormone (LH) and follicle-stimulating hormone (FSH) as well as increase the indexes of the uterus and adrenal gland. Moreover, Angeng Formula could improve the pathologic condition of the uterus, adrenal gland and pituitary in castrated rats. Conclusion:Angeng Formula has a therapeutic effect on climacteric syndrome, the mechanism of which might be related with the function of regulating sex hormone.

  1. Effect of the Ginseng extractive E on experimental climacteric disturbance in rats

    Institute of Scientific and Technical Information of China (English)

    WU Tian-yu; XU Feng; YU Yao-hong; GANG Guang-xi

    2008-01-01

    Objective To search the effects of the extractive E of Ginseng (EG) on experimental climacteric syndrome in rats. Methods Extirpating the both sides of ovary of rats to turbulence estrogen secretion, induce climacteric syndrome. The weight, bite and sup, substance of bone, blood lipid, calcium urine biochemistry, estrodiol, behavior perfomance were also observed. Results The body weight of ovariotomied rat was controlled, bone density was increased, estradiol level increased, the weight of bone increased. Conclusions EG ameliorated climacteric syndrome. Increase bone density and bone mine content, enhanced the level of estradiol.

  2. Promising clinical practices of metformin in women with PCOS and early-stage endometrial cancer

    Directory of Open Access Journals (Sweden)

    Ruijin Shao

    2014-12-01

    Full Text Available Young women with polycystic ovary syndrome (PCOS have a high risk of developing endometrial cancer (EC. There is an urgent need for non-surgical prevention and treatment strategies for these patients who fail to respond to progesterone treatment and wish to preserve their fertility. Recently, we have reported that the combined treatment with metformin and progesterone-based oral contraceptives has successfully reversed the early-stage EC into normal endometria in addition to improvement of insulin resistance in women with PCOS. More importantly, one of these treated women has successfully delivered a healthy newborn baby. However, before such treatment can be recommended to the clinical practice, the molecular basis of metformin in the endometrium under physiological and pathological conditions must be elucidated.

  3. Age and stage at diagnosis: a hospital series of 11 women with intellectual disability and breast carcinoma

    International Nuclear Information System (INIS)

    Breast cancer has been poorly studied in women with intellectual disability (ID), which makes designing a policy for screening the nearly 70 million women with ID in the world difficult. As no data is available in the literature, we evaluated breast cancer at diagnosis in women with ID. Women with ID were searched retrospectively among all women treated for invasive breast cancer in a single hospital over 18 years. Age at diagnosis was compared among the whole group of women. Tumor size, lymph node involvement, SBR grade, TNM classification, and AJCC stage were compared to controls matched for age and period of diagnosis using conditional logistic regression. Among 484 women with invasive breast cancer, 11 had ID. The mean age at diagnosis was 55.6 years in women with ID and 62.4 years in the other women. The mean tumor size in women with ID was 3.53 cm, compared to 1.80 cm in 44 random controls from among the 473 women without ID. Lymph node involvement was observed in 9 of the 11 women with ID compared to 12 of the controls (OR = 11.53, p = 0.002), and metastases were found in 3 of the 11 women with ID compared to 1 of the 44 controls (OR = 12.00, p = 0.031). The AJCC stage was higher in women with ID compared to controls (OR = 3.19, p = 0.010). Women with ID presented at an earlier age with tumors of a higher AJCC stage than controls despite no significant differences in tumor grade and histological type. Thus, delayed diagnosis may be responsible for the differences between disabled and non-disabled women

  4. Validación de un cuestionario para la medición de las creencias sobre el climaterio Validity test of a questionnaire used to measure climacteric beliefs

    Directory of Open Access Journals (Sweden)

    Rubén Chávez-Ayala

    2002-09-01

    Full Text Available Objetivo. Diseñar un instrumento para medir las creencias sobre las consecuencias sociales, psicológicas y fisiológicas de la etapa del climaterio. Material y métodos. El estudio se realizó de junio a octubre de 2000 en 340 mujeres derechohabientes de la unidad de medicina familiar del Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (media de edad=49.46, (DE 7.92. Se seleccionó un total de mujeres entre los 40 y 60 años de edad, en virtud del criterio de la Organización Mundial de la Salud: el promedio de edad de la menopausia es de 50 años. El promedio de embarazos en la muestra fue de 3.75 (DE 2.57, y el de hijos nacidos de 3.21 (DE 2.19. El 48.3% de las mujeres eran premenopáusicas, 10.9% perimenopáusicas y 40.6% posmenopáusicas. El instrumento contó con 25 reactivos, y la escala utilizada para evaluar las respuestas fue de tipo Likert con cinco opciones. El tipo de diseño fue observacional exploratorio, de corte transversal multivariado. Se hicieron comparaciones de medias por factor entre los grupos de mujeres premenopáusicas, perimenopáusicas y posmenopáusicas. Resultados. Se realizó un análisis factorial con rotación Varimax, confirmándose cuatro factores: desventajas, (alfa=0.769; ventajas, (alfa=0.839; fisiológico, (alfa=0.659, y psicológico, (alfa=0.711. Conclusiones. El presente instrumento tiene una buena consistencia interna, y mide cuatro grupos de creencias sobre el climaterio: a creencias de desventajas, b creencias de ventajas, c creencias sobre padecimientos fisiológicos, y d creencias de síntomas psicológicos. Las tres dimensiones confirmadas del climaterio han sido propuestas en otros estudios.Objective. To design an instrument for measuring beliefs about the social, psychological, and physiological consequences of women's climacteric stage. Material and Methods. The study included 340 women affiliated to Instituto de Seguridad y Servicios Sociales para los Trabajadores del

  5. Analysis of Clinical Treatment Efficiency for 179 Geriatric Women with Stage I or II Cervical Carcinoma

    Institute of Scientific and Technical Information of China (English)

    YongwenHuang; MengdaLi; FuyuanLiu; YanfangLi

    2004-01-01

    OBJECTIVE To evaluate the efficiency of surgery plus radiotherapy and chemotherapy versus radiotherapy plus chemotherapy in the treatment of older patients with stage I or II cervical carcinoma and to seek suitable treatment for such patients. METHODS The clinical data of 179 elderly women with stage la or lib cervical cancer were analyzed retrospectively. One hundred and thirty-four cases underwent radical hysterectomy followed by adjuvant radiotherapy and/or chemotherapy (Group 1). Forty-five cases underwent radiation therapy plus adjuvant chemotherapy (Group 2). RESULTS The 5-year survival rates in group 1 and group 2 were 78.3% and 49.1%(P=0.04), respectively. The incidence of complications in group1 was 47.0%. Three patients died of complications after radical hysterectomy. The incidence of complications in group 2 was 75.6%. CONCLUSION Elderly patients with stage I or II cervical carcinoma should receive an operation if possible. In addition they should receive adjuvant treatments according to their personal conditions, and be treated with appropriate adjuvant chemo-and/or radiotherapy.

  6. Morbidades e fatores associados em mulheres climatéricas: estudo de base populacional em mulheres com 11 anos ou mais de escolaridade Morbidity and associated factors in climacteric women: a population based study in women with 11 or more years of formal education

    Directory of Open Access Journals (Sweden)

    Vanessa de Souza Santos Machado

    2012-05-01

    Full Text Available OBJETIVO: Avaliar os fatores associados a algumas morbidades em mulheres brasileiras de 40 a 65 anos e com 11 anos ou mais de escolaridade. MÉTODOS: Análise secundária de estudo transversal de base populacional, empregando-se um questionário anônimo e autorrespondido por 377 mulheres. Foram avaliadas, com o uso deste instrumento, algumas morbidades (hipertensão, diabetes, insônia e depressão e fatores sociodemográficos, comportamentais, clínicos e reprodutivos. A associação entre as morbidades e as variáveis independentes foi avaliada por meio do teste do Χ2. Realizou-se a regressão logística múltipla com critério de seleção stepwise para selecionar os principais fatores associados a cada uma das morbidades. RESULTADOS: Na análise múltipla, a insônia esteve associada à autopercepção da saúde péssima/ruim (OR=2,3 e ao nervosismo (OR=5,1. O relato de depressão esteve associado à autopercepção da saúde péssima/ruim (OR=3,7 e ter lazer péssimo/ruim (OR=2,8. A hipertensão apresentou-se relacionada à obesidade (OR=3,1 e a estar na pós-menopausa (OR=2,6. Já diabetes, à idade acima de 50 anos (OR=3,9 e obesidade à (OR=12,5. CONCLUSÕES: A prevalência de morbidades foi alta e pior autopercepção da saúde e obesidade foram os principais fatores associados à presença de morbidades.PURPOSE: To evaluate factors associated with morbidities among Brazilian women aged 40-65 years and with 11 or more years of schooling. METHODS: A secondary analysis of a cross-sectional population-based study was conducted, using an anonymous self-report questionnaire completed by 377 women. Were evaluated, with this instrument, some morbidities (hypertension, diabetes, insomnia and depression and sociodemographic, behavioral, clinical and reproductive factors. The association between morbidities and independent variables was evaluated by the Χ2 test. Multiple logistic regression analysis with stepwise selection criteria was used to

  7. A SEPALLATA gene is involved in the development and ripening of strawberry (Fragaria x ananassa Duch.) fruit, a non-climacteric tissue

    Science.gov (United States)

    Climacteric and non-climacteric fruits have traditionally been viewed as representing two distinct programs of ripening associated with differential respiration and ethylene hormone effects. In climacteric fruits, such as tomato and banana, the ripening process is marked by increased respiration and...

  8. Perceived barriers to exercise and stage of exercise adoption in older women of different racial/ethnic groups.

    Science.gov (United States)

    Heesch, K C; Brown, D R; Blanton, C J

    2000-01-01

    The purpose of this study was to determine whether barriers to exercise differ among racial/ethnic groups at the same stage of exercise adoption and adjacent stages within racial/ethnic groups. Questions about stage of exercise adoption and perceived barriers to exercise were administered to a cross sectional sample of 745 African American, 660 Hispanic, 738 Native American/Native Alaskan, and 769 Caucasian U.S. women aged 40 years and older. Correlations between rankings of barriers among racial/ethnic groups within the same stage ranged from .43 to .89. For each racial/ethnic group, significant differences existed between adjacent stages in the percentage of women reporting barriers to interfere with exercise (p < .10). Barriers were not similar enough among racial/ethnic groups to recommend that the same barriers be addressed for all races/ethnicities.

  9. Robotic-assisted laparoscopic hysterectomy seems safe in women with early-stage endometrial cancer

    DEFF Research Database (Denmark)

    Herling, Suzanne Forsyth; Havemann, Maria Cecilie; Palle, Connie;

    2015-01-01

    INTRODUCTION: Robotic surgery is increasingly used in the management of endometrial cancer; and although it is known that minimally invasive surgery reduces post-operative morbidity, the outcomes of this novel treatment should be monitored carefully. The aim of this study was to examine...... the incidence of complications according to the Clavien-Dindo scale after robotic-assisted laparoscopic hysterectomy (RALH) for early-stage endometrial cancer and atypical complex hyperplasia. The Clavien-Dindo scale grades the severity of complications. METHODS: This was a retrospective, descriptive cohort...... study of 235 women with endometrial cancer or atypical complex hyperplasia who had RALH. Surgeries were stratified into two groups: with or without pelvic lymphadenectomy. RESULTS: A total of 6% developed a grade 3 or higher complication with no significant difference (p = 0.24) between the groups...

  10. Advanced Imaging and Receipt of Guideline Concordant Care in Women with Early Stage Breast Cancer

    Science.gov (United States)

    Buist, Diana S. M.; Gold, Laura S.; Zeliadt, Steven; Hunter Merrill, Rachel; Etzioni, Ruth; Ramsey, Scott D.; Sullivan, Sean D.; Kessler, Larry

    2016-01-01

    Objective. It is unknown whether advanced imaging (AI) is associated with higher quality breast cancer (BC) care. Materials and Methods. Claims and Surveillance Epidemiology and End Results data were linked for women diagnosed with incident stage I-III BC between 2002 and 2008 in western Washington State. We examined receipt of preoperative breast magnetic resonance imaging (MRI) or AI (defined as computed tomography [CT]/positron emission tomography [PET]/PET/CT) versus mammogram and/or ultrasound (M-US) alone and receipt of guideline concordant care (GCC) using multivariable logistic regression. Results. Of 5247 women, 67% received M-US, 23% MRI, 8% CT, and 3% PET/PET-CT. In 2002, 5% received MRI and 5% AI compared to 45% and 12%, respectively, in 2008. 79% received GCC, but GCC declined over time and was associated with younger age, urban residence, less comorbidity, shorter time from diagnosis to surgery, and earlier year of diagnosis. Breast MRI was associated with GCC for lumpectomy plus radiation therapy (RT) (OR 1.55, 95% CI 1.08–2.26, and p = 0.02) and AI was associated with GCC for adjuvant chemotherapy for estrogen-receptor positive (ER+) BC (OR 1.74, 95% CI 1.17–2.59, and p = 0.01). Conclusion. GCC was associated with prior receipt of breast MRI and AI for lumpectomy plus RT and adjuvant chemotherapy for ER+ BC, respectively. PMID:27525122

  11. Advanced Imaging and Receipt of Guideline Concordant Care in Women with Early Stage Breast Cancer

    Directory of Open Access Journals (Sweden)

    Elizabeth Trice Loggers

    2016-01-01

    Full Text Available Objective. It is unknown whether advanced imaging (AI is associated with higher quality breast cancer (BC care. Materials and Methods. Claims and Surveillance Epidemiology and End Results data were linked for women diagnosed with incident stage I-III BC between 2002 and 2008 in western Washington State. We examined receipt of preoperative breast magnetic resonance imaging (MRI or AI (defined as computed tomography [CT]/positron emission tomography [PET]/PET/CT versus mammogram and/or ultrasound (M-US alone and receipt of guideline concordant care (GCC using multivariable logistic regression. Results. Of 5247 women, 67% received M-US, 23% MRI, 8% CT, and 3% PET/PET-CT. In 2002, 5% received MRI and 5% AI compared to 45% and 12%, respectively, in 2008. 79% received GCC, but GCC declined over time and was associated with younger age, urban residence, less comorbidity, shorter time from diagnosis to surgery, and earlier year of diagnosis. Breast MRI was associated with GCC for lumpectomy plus radiation therapy (RT (OR 1.55, 95% CI 1.08–2.26, and p=0.02 and AI was associated with GCC for adjuvant chemotherapy for estrogen-receptor positive (ER+ BC (OR 1.74, 95% CI 1.17–2.59, and p=0.01. Conclusion. GCC was associated with prior receipt of breast MRI and AI for lumpectomy plus RT and adjuvant chemotherapy for ER+ BC, respectively.

  12. Reference intervals for common thyroid function tests, during different stages of pregnancy in Chinese women

    Institute of Scientific and Technical Information of China (English)

    FAN Jian-xia; HAN Mi; TAO Jun; LUO Jun; SONG Meng-fan; YANG Shuai; KHOR Shu-zin

    2013-01-01

    Background The importance of diagnosis of thyroid dysfunction during pregnancy has been widely recognized.Our study was designed to compare two different detection reagents between Abbott and Roche and to establish the gestational-related reference intervals for thyroid function tests (TFT) in Chinese women and to assay the reference ranges with the American Thyroid Association recommended standard.Methods Serum samples were collected from 693 normal pregnant Chinese women and divided into five groups according to their gestational age:9-13,16-20,24-28,32-34 and 37-40 weeks.Thyroid stimulating hormone (TSH) and free thyroxine (FT4) levels were determined by two different detection reagents:Abbott Architect l 2000 and Roche Cobas Elecsys 600.The reference ranges of the TFT indexes were calculated according to the National Academy of Clinical Biochemistry (NACB).The 2.5th and 97.5th percentiles of each stage were calculated,and the results were analyzed by one-way analysis of variances,t-test,and Spearman correlation analysis.Results Thyroid hormone levels varied greatly among different gestational stages.TSH levels,as assessed via two different TSH ELISA kits showed consistent changing pattern during pregnancy and displayed linear correlation (P <0.001).In 9-13 gestational weeks,TSH levels were significantly lower than that of other groups; and in 37-40 gestational weeks,it was higher than that of other groups (all P <0.001).TSH reference ranges determined by Roche detection reagent in each group were higher than those by Abbott detection reagent (P <0.01 respectively).FT4 levels were higher in 9-13 gestational weeks than that of other groups (P <0.001).FT4 levels determined by Roche reagent were higher than Abbott reagent in 9-13 weeks,(P <0.001),and lower in 24-28 and 37-40 weeks (P <0.001 and P=0.016,respectively).The TSH level was correlated with FT4 levels in 9-13 gestational weeks by detection reagents (for Abbott reagent,r=-0.319 for FT4 P <0

  13. The incidence of complications after cesarean section in HIV-infected women with advanced WHO stages of HIV disease

    Directory of Open Access Journals (Sweden)

    S Shevchenko

    2012-11-01

    Full Text Available Prevalence of HIV infection in Ukraine is 1.6% overall, with antenatal prevalence of 0.52%, the highest in Europe. According to national protocol, cesarean section has been recommended for women with viral load above 50 copies/mL to further prevent vertical transmission of HIV. The aim of our study was to compare the infectious complication rates after cesarean delivery in HIV-infected women with advanced WHO stages of HIV disease who received HAART, and HIV-infected women with I or II WHO stages. Materials and methods: A retrospective analysis was performed on data derived from 150 HIV-infected women with advanced WHO stages of HIV disease (group I and 150 HIV-infected women with I or II WHO stages (group II, who underwent cesarean delivery. Postoperative infectious morbidity in both groups was analyzed according to whether the cesarean section was an elective or emergent delivery. Descriptive, comparison analyses were performed. Results: There was no significant difference between the both groups in terms of gravidity, parity, number of previous cesarean sections, estimated gestational age at time of delivery. It has been shown that HIV-infected women from the group I have 2 times more factors for the appearance of postpartum infectious complications, such as anemia, the urinary tract infection, sexually transmitted infections. Both groups of women were statistically more likely to experience postpartum endometritis when being delivered by emergent cesarean section than by elective cesarean section (14.6% versus 4.6%, respectively in the group I and 5.3% versus 0.5%, respectively, in the group II, superficial or deep wound breakdown (22.6% versus 4.6%, respectively, in the first group and 5.3% versus 2.6%, respectively, in the second group. Septic pelvic thrombophlebitis was only in 2% of HIV-infected women from the group I. Urinary tract infection had 25% HIV-infected women in the both groups. Overall, the rate of postpartum infectious

  14. Contraceptive intentions among Christian women in India: a multi-stage Logit model analysis

    Directory of Open Access Journals (Sweden)

    Niyati Joshi

    2014-06-01

    Results: Though spatial factors affect both Christian and non-Christian women, SLI directly affect Christian womens' intention while it operates through education for non-Christian women. The best model for future contraceptive intention among Christian women is affected by unmet need operating through standard of living. Conclusions: The study finds two different paths of causation affecting future contraceptive intentions of Christian and non-Christian women with separate policy concerns and suggests that paths to future contraceptive intentions of Christian women may act as a social learning through diffusion process for non-Christian women. [Int J Reprod Contracept Obstet Gynecol 2014; 3(3.000: 523-532

  15. Plasma oxidative stress parameters in men and women with early stage Alzheimer type dementia.

    Science.gov (United States)

    Puertas, M C; Martínez-Martos, J M; Cobo, M P; Carrera, M P; Mayas, M D; Ramírez-Expósito, M J

    2012-08-01

    It is well known that oxidative stress is one of the earliest events in Alzheimer's disease pathogenesis, indicating that may play a key role in this disease. In our study, we measured the levels of oxidative stress indicators (TBARS and protein carbonyls content) and the non-enzymatic (glutathione (GSH) and oxidized glutathione (GSSG)) and enzymatic (glutathione peroxidase (GPx), catalase (CAT) and superoxide dismutase (SOD)) defense systems in the plasma of 46 patients diagnosed of ATD and 46 age-matched controls. We found decreased levels in total GSH in ATD patients, although healthy control women showed lower levels of total GSH than healthy control men. On the contrary, we found increased levels of TBARS and carbonyl groups content in ATD patients in both genders. The activity of the plasma antioxidant enzymes showed no changes for SOD activity in ATD patients, independently of the gender, although western blot analysis showed an increase in SOD-1 protein. CAT activity was also decreased in ATD patients, although this decrease is mainly due to the decrease found in men but not in women. However, western blot analysis did not show differences in CAT protein between controls and ATD patients. Finally, a decrease of GPx activity was found in ATD patients in both genders. However, as with CAT protein, western blot analysis did not show differences in GPx protein between controls and ATD patients. Our results suggest that there is a defect in the antioxidant defense system that is incapable of responding to increased free radical production, which may lead to oxidative damage and the development of the pathological alterations that characterize the neurodegenerative disorder of patients with ATD. Thus, oxidative damage could be one important aspect for the onset of ATD and oxidative stress markers could be useful to diagnose the illness in their earliest stages through both non-invasive, reliable and cost-affordable methods.

  16. Personality predicts perceived availability of social support and satisfaction with social support in women with early stage breast cancer

    NARCIS (Netherlands)

    B.L. den Oudsten; G.L. van Heck; A.F.W. van der Steeg; J.A. Roukema; J. de Vries

    2010-01-01

    This study examines the relationships between personality, on the one hand, and perceived availability of social support (PASS) and satisfaction with received social support (SRSS), on the other hand, in women with early stage breast cancer (BC). In addition, this study examined whether a stressful

  17. Uterine electromyography for identification of first-stage labor arrest in term nulliparous women with spontaneous onset of labor

    NARCIS (Netherlands)

    Vasak, Blanka; Graatsma, Elisabeth M.; Hekman-Drost, Elske; Eijkemans, Marinus J.; van Leeuwen, Jules H. Schagen; Visser, Gerard H.; Jacod, Benoit C.

    2013-01-01

    OBJECTIVE: We sought to study whether uterine electromyography (EMG) can identify inefficient contractions leading to first-stage labor arrest followed by cesarean delivery in term nulliparous women with spontaneous onset of labor. STUDY DESIGN: EMG was recorded during spontaneous labor in 119 nulli

  18. Couples' Support-Related Communication, Psychological Distress, and Relationship Satisfaction among Women with Early Stage Breast Cancer

    Science.gov (United States)

    Manne, Sharon; Sherman, Marne; Ross, Stephanie; Ostroff, Jamie; Heyman, Richard E.; Fox, Kevin

    2004-01-01

    This study examined associations between couple communication about cancer and psychological distress and relationship satisfaction of women diagnosed with early stage breast cancer. One hundred forty-eight couples completed a videotaped discussion of a cancer-related issue and a general issue. Patients completed measures of psychological distress…

  19. Increased Incidence of Loco-Regional Recurrences Among African American Women with Terminal Stage Breast Cancer

    OpenAIRE

    Gerardo Colón-Otero; Sherry King; Vandelyn Smith; Carolyn Bieber; Julia Crook; Solberg, Lawrence A.; Robert Shannon; Perez, Edith A.

    2008-01-01

    A prospective analysis of women with terminal breast cancer admitted to CHNE from November 2006-August 2007 evaluated anecdotal observations that African American (AA) women are likelier than Caucasian women to evidence loco-regional recurrences (LRR). Women with terminal breast cancer who were admitted to CHNE, a not-for-profit hospice serving over 90% of Northeast Florida hospice patients, were eligible for participation. 134 terminal breast cancer patients were assessed by hospice nurses f...

  20. Breast cancer in kurdish women of northern Iraq: incidence, clinical stage, and case control analysis of parity and family risk

    Directory of Open Access Journals (Sweden)

    Safar Banaz M

    2009-12-01

    Full Text Available Abstract Background Breast cancer in the Middle-East occurs in relatively young women and frequently presents as advanced disease. A protective effect of multiparity is not apparent, and high familial risk is reported in some countries. This study investigates breast cancer rates and clinical stage related to age in the Kurdish region of Iraq and evaluates risk associated with parity and family history. Findings are compared with nearby countries and the West. Methods Sulaimaniyah Directorate of Health records identified 539 women diagnosed with breast cancer during 2006-2008. Clinical survey forms were completed on 296 patients and on 254 age-matched controls. Age specific incidence rates were calculated from Directorate of Health population estimates. Results Average patient age was 47.4 ± 11 years and 59.5% were pre-menopausal. Diagnosis was at clinical stage 1 for 4.1%, stage 2 for 43.5%, stage 3 for 26.0%, and stage 4 for 8.1% of patients. For 18.2%, stage was unknown. Annual breast cancer incidence rates per 100,000 women peaked at 168.9 at age 55 to 59 and declined to 57.3 at 60 and above. Patients had an average of 5.0 ± 3.3 children compared to 5.4 ± 3.5 for controls, P = 0.16. A first degree family member had breast cancer among 11.1% of patients and 2.1% of controls (P 50% of these patients and controls being ≥50 years old. No statistically significant relationship was found between tumor stage and age, P = 0.59. Conclusions In Kurdish Iraq, breast cancer is predominantly a disease of pre-menopausal women having multiple pregnancies. For younger patients, breast cancer incidence was similar to the West and possibly higher than many Middle-Eastern countries, but unlike the West, the estimated rates declined markedly in the elderly. The familial breast cancer risk for both older and younger women was within the general population risk of Western countries. Clinical stages were advanced and indicated delays in diagnosis that were

  1. The Relationship between AMH and AMHR2 Polymorphisms and the Follicular Phase in Late Reproductive Stage Women

    Directory of Open Access Journals (Sweden)

    Anna Jurczak

    2016-02-01

    Full Text Available The objective of this work was the analysis of the relationships between the genotypes of the AMH and AMH receptor type 2 genes, hormone levels and the menstrual cycle in a group of Polish women in the late reproductive stage. The study was conducted using a measurement-based method (body weight and height, laboratory method (serum hormone levels AMH, FSH and E2, and genetic analysis (DNA isolated from whole blood by a salting-out method. The study involved 345 healthy, late-reproductive-stage women from Poland, aged 42.3 ± 4.5 years. The analysis demonstrated that neither the T/T and G/T+G/G genotypes of the AMH Ile49Ser polymorphism (rs10407022, nor the A/A and the G/A + G/G genotypes of the AMHR2 2482 A > G polymorphism (rs2002555, nor the C/C and C/T + T/T genotypes of the AMH polymorphism (rs11170547 were statistically significantly related (p > 0.05 to such factors as age, BMI, hormone (FSH and E2 levels and ovarian parameters (AMH in the follicular phase. No relationships were found between ovarian parameters (FSH, E2, AMH and genetic variants of AMH (rs10407022 and AMHR2 (rs11170547, rs2002555 in healthy women in the late reproductive stage.

  2. Phytoestrogens for menopausal bone loss and climacteric symptoms.

    Science.gov (United States)

    Lagari, Violet S; Levis, Silvina

    2014-01-01

    Women have always looked for non-hormonal options to alleviate menopausal vasomotor symptoms and prevent menopausal bone loss. The use of complementary and alternative medicine for these purposes has particularly increased after the publication of the Women's Health Initiative's results suggesting that there might be more risks than benefits with hormone replacement. Phytoestrogens are plant-derived estrogens that, although less potent than estradiol, bind to the estrogen receptor and can function as estrogen agonists or antagonists. Soy isoflavones extracted from soy are the phytoestrogens most commonly used by menopausal women. Because typical Western diets are low in phytoestrogens and taking into account the general difficulty in changing dietary habits, most clinical trials in Western women have used isoflavone-fortified foods or isoflavone tablets. Although some women might experience a reduction in the frequency or severity of hot flashes, most studies point towards the lack of effectiveness of isoflavones derived from soy or red clover, even in large doses, in the prevention of hot flashes and menopausal bone loss. This article is part of a Special Issue entitled 'Phytoestrogens'. PMID:23246986

  3. The Pathogenesis of Climacteric Syndrome and Principle of Acupuncture Treatment Based on TCM Theory about Brain

    Institute of Scientific and Technical Information of China (English)

    Shen Xiaoming; Du Yuanhao; Shi Xuemin

    2005-01-01

    The brain is the sea of marrow, stores the cerebral spirit and dominates all the life activities of the human body, which are the basic TCM knowledge about the brain. Based on this knowledge, the pathogenesis of climacteric syndrome is considered as consumption and deficiency of kidney-essence, and incoordination between the brain and kidney. The principle of acupuncture treatment should be soothing the mind and tonifying the kidney.

  4. Analysis of gene expression during the transition to climacteric phase in carnation flowers (Dianthus caryophyllus L.).

    Science.gov (United States)

    In, Byung-Chun; Binder, Brad M; Falbel, Tanya G; Patterson, Sara E

    2013-11-01

    It has been generally thought that in ethylene-sensitive plants such as carnations, senescence proceeds irreversibly once the tissues have entered the climacteric phase. While pre-climacteric petal tissues have a lower sensitivity to ethylene, these tissues are converted to the climacteric phase at a critical point during flower development. In this study, it is demonstrated that the senescence process initiated by exogenous ethylene is reversible in carnation petals. Petals treated with ethylene for 12h showed sustained inrolling and senescence, while petals treated with ethylene for 10h showed inrolling followed by recovery from inrolling. Reverse transcription-PCR analysis revealed differential expression of genes involved in ethylene biosynthesis and ethylene signalling between 10h and 12h ethylene treatment. Ethylene treatment at or beyond 12h (threshold time) decreased the mRNA levels of the receptor genes (DcETR1, DcERS1, and DcERS2) and DcCTR genes, and increased the ethylene biosynthesis genes DcACS1 and DcACO1. In contrast, ethylene treatment under the threshold time caused a transient decrease in the receptor genes and DcCTR genes, and a transient increase in DcACS1 and DcACO1. Sustained DcACS1 accumulation is correlated with decreases in DcCTR genes and increase in DcEIL3 and indicates that tissues have entered the climacteric phase and that senescence proceeds irreversibly. Inhibition of ACS (1-aminocyclopropane-1-carboxylic acid synthase) prior to 12h ethylene exposure was not able to prevent reduction in transcripts of DcCTR genes, yet suppressed transcript of DcACS1 and DcACO1. This leads to the recovery from inrolling of the petals, indicating that DcACS1 may act as a signalling molecule in senescence of flowers.

  5. CLINICAL STUDY ON CLIMACTERIC SYNDROME TREATED WITH AURICULAR PLUS BODY ACUPUNCTURE

    Institute of Scientific and Technical Information of China (English)

    徐天舒

    2003-01-01

    Aim: To search for the best therapeutic method for climacteric syndrome. Methods: A total of 190 cases of climacteric syndrome participants were randomly divided into auricular plus body acupuncture group (treatment group, n = 96) and simple body acupuncture group (control group, n = 94). Serum sexual hormone (FSH, LH and E2) and blood lipid (TC, LDL-C, HDL-C and TG) levels were detected before and after treatment. Results: After 30sessions of treatment, the total effective rates of treatment and control groups were 82.29% and 76.02% respectively, with the former being significantly higher than the later ( P < 0.01 ). In comparison with pre-treatment of each group, serum follicle-stimulating hormone (FSH) and luterotropic hormone (LH) levels lowered significantly; serum estradiol (E2) increased remarkably ( P < 0.05 - 0.01 ); serum high-density l ipoprotein-cholesterol (HDL-C) of two groups raised significantly ( P< 0.05- 0.01 ), and Iow-density lipoprotein (LDL)-C of treatment group decreased evidently (P< 0.05). In addition, the improvement of complaints of hot flushes, sweating, paresthesia, insomnia and emotional irritability in treatment group is significantly better than that of control group. Conclusion: Auricular acupuncture combined with body acupuncture has a better therapeutic effect than that of simple body acupuncture in the treatment of climacteric syndrome.

  6. A nested case-control study of adjuvant hormonal therapy persistence and compliance, and early breast cancer recurrence in women with stage I-III breast cancer

    OpenAIRE

    Bennett, Kathleen

    2013-01-01

    PUBLISHED Background: Non-persistence and non-compliance are common in women prescribed hormonal therapy for breast cancer, but little is known about their influence on recurrence. Methods: A nested case–control study of associations between hormonal therapy non-persistence and non-compliance and the risk of early recurrence in women with stage I–III breast cancer was undertaken. Cases, defined as women with a breast cancer recurrence within 4 years of hormonal therapy initiati...

  7. A nested case–control study of adjuvant hormonal therapy persistence and compliance, and early breast cancer recurrence in women with stage I–III breast cancer

    OpenAIRE

    Barron, T I; Cahir, C; Sharp, L.; Bennett, K.

    2013-01-01

    Background: Non-persistence and non-compliance are common in women prescribed hormonal therapy for breast cancer, but little is known about their influence on recurrence. Methods: A nested case–control study of associations between hormonal therapy non-persistence and non-compliance and the risk of early recurrence in women with stage I–III breast cancer was undertaken. Cases, defined as women with a breast cancer recurrence within 4 years of hormonal therapy initiation, were matched to contr...

  8. Breast implants following mastectomy in women with early-stage breast cancer: prevalence and impact on survival

    International Nuclear Information System (INIS)

    Few studies have examined the effect of breast implants after mastectomy on long-term survival in breast cancer patients, despite growing public health concern over potential long-term adverse health effects. We analyzed data from the Surveillance, Epidemiology and End Results Breast Implant Surveillance Study conducted in San Francisco–Oakland, in Seattle–Puget Sound, and in Iowa. This population-based, retrospective cohort included women younger than 65 years when diagnosed with early or unstaged first primary breast cancer between 1983 and 1989, treated with mastectomy. The women were followed for a median of 12.4 years (n = 4968). Breast implant usage was validated by medical record review. Cox proportional hazards models were used to estimate hazard rate ratios for survival time until death due to breast cancer or other causes for women with and without breast implants, adjusted for relevant patient and tumor characteristics. Twenty percent of cases received postmastectomy breast implants, with silicone gel-filled implants comprising the most common type. Patients with implants were younger and more likely to have in situ disease than patients not receiving implants. Risks of breast cancer mortality (hazard ratio, 0.54; 95% confidence interval, 0.43–0.67) and nonbreast cancer mortality (hazard ratio, 0.59; 95% confidence interval, 0.41–0.85) were lower in patients with implants than in those patients without implants, following adjustment for age and year of diagnosis, race/ethnicity, stage, tumor grade, histology, and radiation therapy. Implant type did not appear to influence long-term survival. In a large, population-representative sample, breast implants following mastectomy do not appear to confer any survival disadvantage following early-stage breast cancer in women younger than 65 years old

  9. Genetic variants at 1p11.2 and breast cancer risk: a two-stage study in Chinese women.

    Directory of Open Access Journals (Sweden)

    Yue Jiang

    Full Text Available BACKGROUND: Genome-wide association studies (GWAS have identified several breast cancer susceptibility loci, and one genetic variant, rs11249433, at 1p11.2 was reported to be associated with breast cancer in European populations. To explore the genetic variants in this region associated with breast cancer in Chinese women, we conducted a two-stage fine-mapping study with a total of 1792 breast cancer cases and 1867 controls. METHODOLOGY/PRINCIPAL FINDINGS: Seven single nucleotide polymorphisms (SNPs including rs11249433 in a 277 kb region at 1p11.2 were selected and genotyping was performed by using TaqMan® OpenArray™ Genotyping System for stage 1 samples (878 cases and 900 controls. In stage 2 (914 cases and 967 controls, three SNPs (rs2580520, rs4844616 and rs11249433 were further selected and genotyped for validation. The results showed that one SNP (rs2580520 located at a predicted enhancer region of SRGAP2 was consistently associated with a significantly increased risk of breast cancer in a recessive genetic model [Odds Ratio (OR  =  1.66, 95% confidence interval (CI  =  1.16-2.36 for stage 2 samples; OR  =  1.51, 95% CI  =  1.16-1.97 for combined samples, respectively]. However, no significant association was observed between rs11249433 and breast cancer risk in this Chinese population (dominant genetic model in combined samples: OR  =  1.20, 95% CI  =  0.92-1.57. CONCLUSIONS/SIGNIFICANCE: Genotypes of rs2580520 at 1p11.2 suggest that Chinese women may have different breast cancer susceptibility loci, which may contribute to the development of breast cancer in this population.

  10. Stages of change of behavior in women on a multi-professional program for treatment of obesity 1

    Science.gov (United States)

    Bevilaqua, Cheila Aparecida; Pelloso, Sandra Marisa; Marcon, Sonia Silva

    2016-01-01

    ABSTRACT Objective: to ascertain the effectiveness of an intervention program in relation to anthropometric measurements and stage of readiness for behavioral change in women with excess weight. Methods: the intervention group (IG) was made up of 13 women, and the control group (CG), by 20. The intervention lasted 16 weeks, and included the practice of guided physical activity three times a week, and health education once a week. The application of the questionnaire on stage of readiness for behavioral change, and the anthropometric evaluations, were undertaken at two points - before and after the period of intervention. The statistical analysis involved tests of comparison and association. Results: in general, at the first point, the participants in the two groups were predisposed to make changes in what they ate and in their physical activity. However, significant difference was only observed in relation to weight, body mass index (BMI), waist circumference and waist-hip ratio and readiness for change among the members of the intervention group. Conclusion: the intervention programmed was effective in weight loss, reduction of waist circumference and waist-hip ratio, and in changing behaviors related to the practicing of physical exercise and eating habits. PMID:27737377

  11. Socioeconomic position and stage of cervical cancer in Danish women diagnosed 2005 to 2009

    DEFF Research Database (Denmark)

    Ibfelt, Else; Kjær, Susanne Krüger; Johansen, Christoffer;

    2012-01-01

    To reduce social disparities in cervical cancer survival, it is important to understand the mechanisms by which social position influence cancer prognosis. We investigated the relations between socioeconomic factors, comorbidity, time since last Papanicolau smear, and stage at diagnosis in Danish...

  12. Staging of women with breast cancer after introduction of sentinel node guided axillary dissection

    DEFF Research Database (Denmark)

    Tvedskov, Tove Filtenborg

    2012-01-01

    Today, sentinel lymph node dissection (SLND) has replaced axillary lymph node dissection (ALND) as standard procedure for staging of the axilla in the treatment of breast cancer. SLND can accurately stage the axilla by removing on average only two lymph nodes. Only in case of metastatic spread...... at diagnosis, increasing tumor size and increasing proportion of positive sentinel nodes in a multivariate analysis. If patients were ≥ 40 years at diagnosis with tumor size ≤ 2 cm as well as one or more negative sentinel nodes, NSN metastases were found in only 2%. Omission of ALND in this group would spare 1...... and increasing proportion of positive sentinel nodes in a multivariate analysis. However, a model based on these traditional prognostic markers could not identify a subgroup of patients with a risk of NSN metastases less than 10%. We then investigated whether the biochemical prognostic markers TIMP-1, Ki67...

  13. Tomato ACS4 is necessary for timely start of and progression through the climacteric phase of fruit ripening

    Directory of Open Access Journals (Sweden)

    Suzanne eHoogstrate

    2014-09-01

    Full Text Available Climacteric fruit ripening, as it occurs in many fruit crops, depends on a rapid, autocatalytic increase in ethylene production. This agriculturally important process has been studied extensively, with tomato simultaneously acting both as a model species and target crop for modification. In tomato, the ethylene biosynthetic genes ACC SYNTHASE2 (ACS2 and ACS4 are highly expressed during fruit ripening, with a combined loss of both ACS2 and ACS4 activity preventing generation of the ethylene burst necessary for fruit ripening. However, the individual roles and importance of ACS2 and ACS4 have not been determined. In this study, we examined specifically the role of ACS4 by comparing the phenotype of an acs4 mutant firstly with that of the wild-type, and secondly with two novel ripening-inhibitor (rin mutants. Ethylene production during ripening was significantly reduced in both acs4-1, and rin lines, with rin genotypes showing the weaker ethylene burst. Also i the time between anthesis and the start of fruit ripening and ii the time required to progress through ripening were significantly longer in acs4-1 than in the wild type, but shorter than in the strongest rin mutant. The delay in ripening was reflected in the lower expression of ripening-related transcripts during the mature green and light red ripening stages. Furthermore, expression of ACS2 and ACS4 was strongly dependent on a functional RIN gene, while ACS2 expression was largely independent of ACS4. Altogether, we show that ACS4 is necessary for normal progression of tomato fruit ripening and that mutation of this gene may provide a useful means for altering ripening traits.

  14. Can Locoregional Treatment of the Primary Tumor Improve Outcomes for Women With Stage IV Breast Cancer at Diagnosis?

    Energy Technology Data Exchange (ETDEWEB)

    Nguyen, David H.A., E-mail: dhanguyen@yahoo.com [British Columbia Cancer Agency, Department of Radiation Oncology, BC (Canada); Departement de Radio-Oncologie, Hopital Maisonneuve-Rosemont, Montreal, Quebec (Canada); Truong, Pauline T. [British Columbia Cancer Agency, Department of Radiation Oncology, BC (Canada); Breast Cancer Outcomes Unit, British Columbia Cancer Agency, BC (Canada); University of British Columbia, BC (Canada); Alexander, Cheryl; Walter, Caroline V.; Hayashi, Emily; Christie, Jennifer [Breast Cancer Outcomes Unit, British Columbia Cancer Agency, BC (Canada); Lesperance, Mary [Department of Mathematics and Statistics, University of Victoria, BC (Canada)

    2012-09-01

    Purpose: To examine the effect of locoregional treatment (LRT) of the primary tumor on survival in patients with Stage IV breast cancer at diagnosis. Methods and Materials: The study cohort comprised 733 women referred to the British Columbia Cancer Agency between 1996 and 2005 with newly diagnosed clinical or pathologic M1 breast cancer. Tumor and treatment characteristics, overall survival (OS), and locoregional progression-free survival were compared between patients treated with (n = 378) and without (n = 355) LRT of the primary disease. Multivariable analysis was performed with Cox regression modeling. Results: The median follow-up time was 1.9 years. LRT consisted of surgery alone in 67% of patients, radiotherapy alone in 22%, and both in 11%. LRT was used more commonly in women with age <50 years, Eastern Cooperative Oncology Group (ECOG) performance status 0-1, Stage T1-2 tumors, N0-1 disease, limited M1 burden, and asymptomatic M1 disease (all p < 0.05). Systemic therapy was used in 92% of patients who underwent LRT and 85% of patients who did not. In patients treated with LRT compared with those without LRT, the 5-year OS rates were 21% vs. 14% (p < 0.001), and the rates of locoregional progression-free survival were 72% vs. 46% (p < 0.001). Among 378 patients treated with LRT, the rates of 5-year OS were higher in patients with age <50, ECOG performance status 0-1, estrogen receptor-positive disease, clear surgical margins, single subsite, bone-only metastasis, and one to four metastatic lesions (all p < 0.003). On multivariable analysis, LRT was associated with improved OS (hazard ratio, 0.78; 95% confidence interval, 0.64-0.94, p = 0.009). Conclusion: Locoregional treatment of the primary disease is associated with improved survival in some women with Stage IV breast cancer at diagnosis. Among those treated with LRT, the most favorable rates of survival were observed in subsets with young age, good performance status, estrogen receptor-positive disease

  15. HEALTH EDUCATION AS A TOOL FOR WOMEN IN CLIMACTERIC: GRANTS FOR NURSING CARE

    Directory of Open Access Journals (Sweden)

    Jéssica de Lyra Sousa

    2012-01-01

    Full Text Available Objetivo:. Conhecer a assistência prestada pelo enfermeiro à mulher no climatério identificando estratégias de educação em saúde no atendimento à mesma. Metodologia:. Realizado levantamento de dados sobre o tema entre 2001 a 2010 seguindo leitura analítica alcançando bibliografia potencial com 10 artigos e 1 monografia divididos em três categorias. Resultados e discussão:. Algumas obras demonstram que as mulheres desconhecem a educação pela enfermagem, constatado pela falta de informações dessas pacientes. Conclusão:. O enfermeiro como educador se insere como grande estímulo, beneficiando estas mulheres com informações, com variados métodos desempenhados buscando vivenciar estas alterações fisiológicas de forma mais saudável permitindo a transformação consciente da realidade. Educar em saúde tornou-se uma das atribuições que o enfermeiro desempenha em toda sua área de atuação e, portanto perpassa todos os níveis de assistência à saúde.

  16. Malate Oxidation and Cyanide-Insensitive Respiration in Avocado Mitochondria during the Climacteric Cycle.

    Science.gov (United States)

    Moreau, F; Romani, R

    1982-11-01

    After preparation on self-generated Percoll gradients, avocado (Persea americana Mill, var. Fuerte and Hass) mitochondria retain a high proportion of cyanide-insensitive respiration, especially with alpha-ketoglutarate and malate as substrates. Whereas alpha-ketoglutarate oxidation remains unchanged, the rate of malate oxidation increases as ripening advances through the climacteric. An enhancement of mitochondrial malic enzyme activity, measured by the accumulation of pyruvate, closely parallels the increase of malate oxidation. The capacity for cyanide-insensitive respiration is also considerably enhanced while respiratory control decreases (from 3.3 to 1.7), leading to high state 4 rates.Both malate dehydrogenase and malic enzyme are functional in state 3, but malic enzyme appears to predominate before the addition of ADP and after its depletion. In the presence of cyanide, a membrane potential is generated when the alterntive pathway is operating. Cyanide-insensitive malate oxidation can be either coupled to the first phosphorylation site, sensitive to rotenone, or by-pass this site. In the absence of phosphate acceptor, malate oxidation is mainly carried out via malic enzyme and the alternative pathway. Experimental modification of the external mitochondrial environment in vitro (pH, NAD(+), glutamade) results in changes in malate dehydrogenase and malic enzyme activities, which also modify cyanide resistance. It appears that a functional connection exists between malic enzyme and the alternative pathway via a rotenone-insensitive NADH dehydrogenase and that this pathway is responsible, in part, for nonphosphorylating respiratory activity during the climacteric.

  17. Dose-Dependent Effects of the Cimicifuga racemosa Extract Ze 450 in the Treatment of Climacteric Complaints: A Randomized, Placebo-Controlled Study

    Directory of Open Access Journals (Sweden)

    Ruediger Schellenberg

    2012-01-01

    Full Text Available Extracts from Cimicifuga racemosa (CR, synonym Actaea racemosa have shown efficacy in trials in women with menopausal symptoms. Yet, dose dependency remains unclear. Therefore, 180 female outpatients with climacteric complaints were treated for 12 weeks in a randomized, double-blind, placebo-controlled, 3-armed trial (CR extract Ze 450 in 6.5 mg or 13.0 mg, or placebo. Primary outcome was the difference in menopausal symptoms (vasomotor, psychological, and somatic, assessed by the Kupperman Menopausal Index between baseline and week 12. Secondary efficacy variables were patients’ self-assessments of general quality of life (QoL, responder rates, and safety. Compared to placebo, patients receiving Ze 450 showed a significant reduction in the severity of menopausal symptoms in a dose-dependent manner from baseline to endpoint (mean absolute differences 17.0 (95% CI 14.65–19.35 score points, P<0.0001 for 13.0 mg; mean absolute differences 8.47 (95% CI 5.55–11.39 score points, P=0.0003 for 6.5 mg. QoL and responder rates corresponded with the main endpoint. Changes in menopausal symptoms and QoL were inversely correlated. Reported adverse events and clinical laboratory testing did not raise safety concerns. The CR extract Ze 450 is an effective and well-tolerated nonhormonal alternative to hormone treatment for symptom relief in menopausal women.

  18. A SEPALLATA gene is involved in the development and ripening of strawberry (Fragaria x ananassa Duch.) fruit, a non-climacteric tissue.

    Science.gov (United States)

    Seymour, Graham B; Ryder, Carol D; Cevik, Volkan; Hammond, John P; Popovich, Alexandra; King, Graham J; Vrebalov, Julia; Giovannoni, James J; Manning, Kenneth

    2011-01-01

    Climacteric and non-climacteric fruits have traditionally been viewed as representing two distinct programmes of ripening associated with differential respiration and ethylene hormone effects. In climacteric fruits, such as tomato and banana, the ripening process is marked by increased respiration and is induced and co-ordinated by ethylene, while in non-climacteric fruits, such as strawberry and grape, it is controlled by an ethylene-independent process with little change in respiration rate. The two contrasting mechanisms, however, both lead to texture, colour, and flavour changes that probably reflect some common programmes of regulatory control. It has been shown that a SEPALLATA(SEP)4-like gene is necessary for normal ripening in tomato. It has been demonstrated here that silencing a fruit-related SEP1/2-like (FaMADS9) gene in strawberry leads to the inhibition of normal development and ripening in the petal, achene, and receptacle tissues. In addition, analysis of transcriptome profiles reveals pleiotropic effects of FaMADS9 on fruit development and ripening-related gene expression. It is concluded that SEP genes play a central role in the developmental regulation of ripening in both climacteric and non-climacteric fruits. These findings provide important information to extend the molecular control of ripening in a non-climacteric fruit beyond the limited genetic and cultural options currently available.

  19. Novel Insight into Vascular, Stress and Auxin Dependent and Independent Gene Expression Programs in Strawberry, a Non-Climacteric Fruit

    NARCIS (Netherlands)

    Aharoni, A.; Keizer, L.C.P.; Broeck, van den H.C.; Bois, G.; Smit, P.; Vos, de R.C.H.

    2002-01-01

    Using cDNA microarrays, a comprehensive investigation of gene expression was carried out in strawberry (Fragaria x ananassa) fruit to understand the flow of events associated with its maturation and non-climacteric ripening. We detected key processes and novel genes not previously associated with fr

  20. The value of complementary and alternative medicine in the treatment of climacteric symptoms : Results of a survey among German gynecologists

    NARCIS (Netherlands)

    von Studnitz, Friederike S. G.; Eulenburg, Christine; Mueck, Alfred O.; Buhling, Kai J.

    2013-01-01

    Objectives: The present study aims to detect the attitude and experience towards complementary and alternative medicine (CAM) in the treatment of climacteric disorders among gynecologists in Germany. Study design: A self-administered questionnaire, containing 15 questions, was sent to all gynecologi

  1. Development of Patients' Decision Aid for Older Women With Stage I Breast Cancer Considering Radiotherapy After Lumpectomy

    Energy Technology Data Exchange (ETDEWEB)

    Wong, Jennifer [Department of Radiation Oncology, Odette Cancer Centre, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario (Canada); D' Alimonte, Laura [Department of Radiation Therapy, Odette Cancer Centre, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario (Canada); Angus, Jan [Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario (Canada); Paszat, Larry [Department of Radiation Oncology, Odette Cancer Centre, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario (Canada); Metcalfe, Kelly [Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario (Canada); Whelan, Tim [Department of Radiation Oncology, Juravinski Cancer Centre, McMaster University, Hamilton, Ontario (Canada); Llewellyn-Thomas, Hilary [Department of Community and Family Medicine, The Center of Informed Choice, The Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth Medical School, Lebanon, NH (Lebanon); Warner, Eiran [Department of Radiation Oncology, Odette Cancer Centre, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario (Canada); Franssen, Edmee [Consultant Statistician, Faculty of Medicine, University of Toronto, Toronto, Ontario (Canada); Szumacher, Ewa, E-mail: Ewa.Szumacher@sunnybrook.ca [Department of Radiation Oncology, Odette Cancer Centre, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario (Canada)

    2012-09-01

    Purpose: To develop a patient decision aid (PtDA) for older women with Stage I, pathologically node negative, estrogen receptor-positive progesterone receptor-positive breast cancer who are considering adjuvant radiotherapy after lumpectomy and to examine its impact on patients' decision making. Methods and Materials: A PtDA was developed and evaluated in three steps according to the Ottawa Decision Support Framework: (1) needs assessment (n = 16); (2) Pilot I to examine PtDA acceptability (n = 12); and (3) Pilot II, a pretest posttest (n = 38) with older women with estrogen receptor-positive progesterone receptor-positive breast cancer after lumpectomy who were receiving adjuvant radiation therapy. Measures included patients' satisfaction with the PtDA, self-reported decisional conflict, level of distress, treatment-related knowledge, and choice predisposition. Results: The PtDA is a booklet that details each adjuvant treatment option's benefits, risks, and side effects tailored to the patient's clinical profile; includes a values clarification exercise; and includes steps to guide patients towards their decision. On the basis of qualitative comments and satisfaction ratings, all women thought that the PtDA was helpful and informative. In comparison with their baseline scores, patients had a statistically significant (p < 0.05) reduction in decisional conflict (adjusted mean difference [AMD], -7.18; 95% confidence interval [CI], -13.50 to 12.59); increased clarity of the benefits and risks (AMD, -10.86; CI, -20.33 to 21.49); and improved general treatment knowledge (AMD, 8.99; CI, 2.88-10.28) after using the PtDA. General trends were also reported in the patients' choice predisposition scores that suggested potential differences in treatment decision after PtDA use. Conclusions: This study provides evidence that this PtDA may be a helpful educational tool for this group of women. The quality of care for older breast cancer patients may be

  2. Development of Patients’ Decision Aid for Older Women With Stage I Breast Cancer Considering Radiotherapy After Lumpectomy

    International Nuclear Information System (INIS)

    Purpose: To develop a patient decision aid (PtDA) for older women with Stage I, pathologically node negative, estrogen receptor–positive progesterone receptor–positive breast cancer who are considering adjuvant radiotherapy after lumpectomy and to examine its impact on patients’ decision making. Methods and Materials: A PtDA was developed and evaluated in three steps according to the Ottawa Decision Support Framework: (1) needs assessment (n = 16); (2) Pilot I to examine PtDA acceptability (n = 12); and (3) Pilot II, a pretest posttest (n = 38) with older women with estrogen receptor–positive progesterone receptor–positive breast cancer after lumpectomy who were receiving adjuvant radiation therapy. Measures included patients’ satisfaction with the PtDA, self-reported decisional conflict, level of distress, treatment-related knowledge, and choice predisposition. Results: The PtDA is a booklet that details each adjuvant treatment option’s benefits, risks, and side effects tailored to the patient’s clinical profile; includes a values clarification exercise; and includes steps to guide patients towards their decision. On the basis of qualitative comments and satisfaction ratings, all women thought that the PtDA was helpful and informative. In comparison with their baseline scores, patients had a statistically significant (p < 0.05) reduction in decisional conflict (adjusted mean difference [AMD], −7.18; 95% confidence interval [CI], −13.50 to 12.59); increased clarity of the benefits and risks (AMD, −10.86; CI, −20.33 to 21.49); and improved general treatment knowledge (AMD, 8.99; CI, 2.88–10.28) after using the PtDA. General trends were also reported in the patients’ choice predisposition scores that suggested potential differences in treatment decision after PtDA use. Conclusions: This study provides evidence that this PtDA may be a helpful educational tool for this group of women. The quality of care for older breast cancer patients may

  3. Effectiveness of a low dose testosterone undecanoate to improve sexual function in postmenopausal women

    OpenAIRE

    Tungmunsakulchai, Reuthairat; Chaikittisilpa, Sukanya; Snabboon, Thiti; Panyakhamlerd, Krasean; Jaisamrarn, Unnop; Taechakraichana, Nimit

    2015-01-01

    Background Adding testosterone to hormonal therapy could improve sexual function and general well-being among women during climacteric. We evaluated the effectiveness of testosterone undecanoate on sexual function in postmenopausal women utilizing the standardized questionnaire FSFI score. Methods Postmenopausal women with sexual complaints and Female Sexual Function Index (FSFI) ≤ 26.5 were enrolled in to this randomized, double-blinded, placebo-controlled trial. Participants were randomly a...

  4. Local Recurrence in Women With Stage I Breast Cancer: Declining Rates Over Time in a Large, Population-Based Cohort

    Energy Technology Data Exchange (ETDEWEB)

    Canavan, Joycelin, E-mail: canavanjoycelin@gmail.com [Radiation Therapy Program and Breast Cancer Outcomes Unit, British Columbia Cancer Agency, Vancouver Island Centre, University of British Columbia, Victoria, British Columbia (Canada); Truong, Pauline T.; Smith, Sally L. [Radiation Therapy Program and Breast Cancer Outcomes Unit, British Columbia Cancer Agency, Vancouver Island Centre, University of British Columbia, Victoria, British Columbia (Canada); Lu, Linghong; Lesperance, Mary [Department of Mathematics and Statistics, University of Victoria, British Columbia (Canada); Olivotto, Ivo A. [Department of Radiation Oncology, Tom Baker Cancer Centre, University of Calgary (Canada)

    2014-01-01

    Purpose: To evaluate whether local recurrence (LR) risk has changed over time among women with stage I breast cancer treated with breast-conserving therapy. Methods and Materials: Subjects were 5974 women aged ≥50 years diagnosis with pT1N0 breast cancer from 1989 to 2006, treated with breast-conserving surgery and radiation therapy. Clinicopathologic characteristics, treatment, and LR outcomes were compared among 4 cohorts stratified by year of diagnosis: 1989 to 1993 (n=1077), 1994 to 1998 (n=1633), 1999 to 2002 (n=1622), and 2003 to 2006 (n=1642). Multivariable analysis was performed, with year of diagnosis as a continuous variable. Results: Median follow-up time was 8.6 years. Among patients diagnosed in 1989 to 1993, 1994 to 1998, 1999 to 2002, and 2003 to 2006, the proportions of grade 1 tumors increased (16% vs 29% vs 40% vs 39%, respectively, P<.001). Surgical margin clearance rates increased from 82% to 93% to 95% and 88%, respectively (P<.001). Over time, the proportions of unknown estrogen receptor (ER) status decreased (29% vs 10% vs 1.2% vs 0.5%, respectively, P<.001), whereas ER-positive tumors increased (56% vs 77% vs 86% vs 86%, respectively, P<.001). Hormone therapy use increased (23% vs 23% vs 62% vs 73%, respectively, P<.001), and chemotherapy use increased (2% vs 5% vs 10% vs 13%, respectively, P<.001). The 5-year cumulative incidence rates of LR over the 4 time periods were 2.8% vs 1.7% vs 0.9% vs 0.8%, respectively (Gray's test, P<.001). On competing risk multivariable analysis, year of diagnosis was significantly associated with decreased LR (hazard ratio, 0.92 per year, P=.0003). Relative to grade 1 histology, grades 2, 3, and unknown were associated with increased LR. Hormone therapy use was associated with reduced LR. Conclusion: Significant changes in the multimodality management of stage I breast cancer have occurred over the past 2 decades. More favorable-risk tumors were diagnosed, and margin clearance and systemic therapy use

  5. Staging the axilla in women with breast cancer:the utility of preoperative ultrasound-guided needle biopsy

    Institute of Scientific and Technical Information of China (English)

    Nehmat Houssami; Robin M.Turner

    2014-01-01

    Preoperative staging of the axilla in women with invasive breast cancer using ultrasound-guided needle biopsy (UNB) identiifes approximately 50% of patients with axillary nodal metastases prior to surgical intervention. Although moderately sensitive, it is a highly speciifc staging strategy that is rarely falsely-positive, hence a positive UNB allows patients to be triaged to axillary lymph-node dissection (ALND) avoiding potentially unnecessary sentinel node biopsy (SNB). In this review, we extend our previous work through an updated literature search, focusing on studies that report data on UNB utility. Based on data for 10,934 breast cancer patients, sourced from 35 studies, a positive UNB allowed triage of 1,745 cases (simple proportion 16%) to axillary surgical treatment: the utility of UNB was a median 19.8% [interquartile range (IQR) 11.6%-26.7%] across these studies. We also modelled data from a subgroup of studies, and estimated that amongst patients with metastases to axillary nodes, the odds ratio (OR) for high nodal disease burden for a positive UNB versus a negative UNB was 4.38 [95% confidence interval (95% CI): 3.13, 6.13],P<0.001. From this model, the estimated proportion with high nodal disease burden was 58.9% (95% CI: 50.2%, 67.0%) for a positive UNB, whereas the estimated proportion with high nodal disease burden was 24.6% (95% CI: 17.7%, 33.2%) if UNB was negative. Overall, axillary UNB has good clinical utility and a positive UNB can effectively triage to ALND. However, the evolving landscape of axillary surgical treatment means that UNB will have relatively less utility where surgeons have modiifed their practice to omission of ALND for minimal nodal metastatic disease.

  6. Tissue specific analysis reveals a differential organization and regulation of both ethylene biosynthesis and E8 during climacteric ripening of tomato

    OpenAIRE

    Van de Poel, Bram; Vandenzavel, Nick; Smet, Cindy; Nicolay, Toon; Bulens, Inge; Mellidou, Ifigeneia; Vandoninck, Sandy; Hertog, Maarten LATM; Derua, Rita; Spaepen, Stijn; Vanderleyden, Jos; Waelkens, Etienne; De Proft, Maurice P; Nicolai, Bart M.; Geeraerd, Annemie H

    2014-01-01

    Background: Solanum lycopersicum or tomato is extensively studied with respect to the ethylene metabolism during climacteric ripening, focusing almost exclusively on fruit pericarp. In this work the ethylene biosynthesis pathway was examined in all major tomato fruit tissues: pericarp, septa, columella, placenta, locular gel and seeds. The tissue specific ethylene production rate was measured throughout fruit development, climacteric ripening and postharvest storage. All ethylene intermediate...

  7. 腹针治疗更年期综合征40例%Abdominal acupuncture for 40 cases of climacteric syndrome

    Institute of Scientific and Technical Information of China (English)

    顾群; 朱文罡

    2011-01-01

    Climacteric syndrome,so-called symptoms before and after menopause in TCM,encompasses a series of symptoms due to disorder of endocrine and autonomic nerve caused by declination of ovary function during perimenopausal period.In western medicine,the major treatment is hormone replacement therapy.However,different opinions exist on estrogen application and its safety,which shows more contraindications and adverse reactions combined.From 2004,the author has applied abdominal acupuncture on 40 cases of climacteric syndrome.

  8. Surgery Should Complement Endocrine Therapy for Elderly Postmenopausal Women with Hormone Receptor-Positive Early-Stage Breast Cancer

    Directory of Open Access Journals (Sweden)

    Olivier Nguyen

    2012-01-01

    Full Text Available Introduction. Endocrine therapy (ET is an integral part of breast cancer (BC treatment with surgical resection remaining the cornerstone of curative treatment. The objective of this study is to compare the survival of elderly postmenopausal women with hormone receptor-positive early-stage BC treated with ET alone, without radiation or chemotherapy, versus ET plus surgery. Materials and Methods. This is a retrospective study based on a prospective database. The medical records of postmenopausal BC patients referred to the surgical oncology service of two hospitals during an 8-year period were reviewed. All patients were to receive ET for a minimum of four months before undergoing any surgery. Results. Fifty-one patients were included and divided in two groups, ET alone and ET plus surgery. At last follow-up in exclusive ET patients (n=28, 39% had stable disease or complete response, 22% had progressive disease, of which 18% died of breast cancer, and 39% died of other causes. In surgical patients (n=23, 78% were disease-free, 9% died of recurrent breast cancer, and 13% died of other causes. Conclusions. These results suggest that surgical resection is beneficial in this group and should be considered, even for patients previously deemed ineligible for surgery.

  9. Identification of a Predictive Biomarker for the Beneficial Effect of Keishibukuryogan, a Kampo (Japanese Traditional Medicine, on Patients with Climacteric Syndrome

    Directory of Open Access Journals (Sweden)

    Takao Namiki

    2014-01-01

    Full Text Available Keishibukuryogan (KBG; Guizhi-Fuling-Wan in Chinese is one of the Kampo (Japanese traditional medicines used to treat patients with climacteric syndrome. KBG can be used by patients who cannot undergo hormone replacement therapy due to a history of breast cancer. We evaluated whether cytosine-adenine (CA repeat polymorphism of the estrogen receptor β gene can be a predictor of the beneficial effect of KBG on climacteric syndrome. We also investigated the relationship between CA repeat polymorphism, the patients’ profiles, and the therapeutic effect. We found that CA was an SS, SL, or LL genotype according to the number of repeats. We studied 39 consecutive patients with climacteric disorders who took KBG for 12 weeks. The diagnosis of climacteric disorders was made on the basis of the Kupperman index. KBG significantly improved the patients’ climacteric symptoms (i.e., vasomotor symptoms in the patients with the LL genotype and melancholia in the patients with the SL genotype. No relationship between the patients’ profiles and CA repeat polymorphism was recognized. CA repeat polymorphism could thus be a potential biomarker to predict the efficacy of KBG in climacteric syndrome, and its use will help to reduce the cost of treating this syndrome by focusing the administration of KBG on those most likely to benefit from it.

  10. Ten-Year Locoregional Recurrence Risks in Women With Nodal Micrometastatic Breast Cancer Staged With Axillary Dissection

    Energy Technology Data Exchange (ETDEWEB)

    Lupe, Krystine [Department of Radiation Oncology, British Columbia Cancer Agency, Vancouver Island Centre, Victoria, BC (Canada); Truong, Pauline T., E-mail: ptruong@bccancer.bc.ca [Department of Radiation Oncology, British Columbia Cancer Agency, Vancouver Island Centre, Victoria, BC (Canada); Breast Cancer Outcomes Unit, British Columbia Cancer Agency, Vancouver Island Centre, Victoria, BC (Canada); University of British Columbia, Victoria, BC (Canada); Alexander, Cheryl; Speers, Caroline [Breast Cancer Outcomes Unit, British Columbia Cancer Agency, Vancouver Island Centre, Victoria, BC (Canada); Tyldesley, Scott [Department of Radiation Oncology, British Columbia Cancer Agency, Vancouver Island Centre, Victoria, BC (Canada); Breast Cancer Outcomes Unit, British Columbia Cancer Agency, Vancouver Island Centre, Victoria, BC (Canada); University of British Columbia, Victoria, BC (Canada)

    2011-12-01

    Purpose: To compare the locoregional recurrence (LRR) rates in patients with nodal mirometastases (pNmic) with those in patients with node-negative (pN0) and macroscopic node-positive (pNmac) breast cancer; and to evaluate the LRR rates according to locoregional treatment of pNmic disease. Methods and Materials: The subjects were 9,616 women diagnosed between 1989 and 1999 with Stage pT1-T2, pN0, pNmic, or pNmac, M0 breast cancer. All women had undergone axillary dissection. The Kaplan-Meier local recurrence, regional recurrence, and LRR rates were compared among those with pN0 (n = 7,977), pNmic (n = 490) and pNmac (n = 1,149) and according to locoregional treatment. Multivariate analysis was performed to identify the significant factors associated with LRR. Results: The median follow-up was 11 years. The 10-year Kaplan-Meier recurrence rate in the pN0, pNmic, and pNmac cohorts was 6.1%, 6.8%, and 8.7% for local recurrence; 3.1%, 6.2%, and 10.3% for regional recurrence; and 8.0%, 11.6%, and 15.2% for LRR, respectively (all p < .001). In the pNmic patients, the 10-year regional recurrence rate was 6.4% with breast-conserving surgery plus breast radiotherapy (RT), 5.4% with breast-conserving surgery plus locoregional RT, 4.6% with mastectomy alone, 11.1% with mastectomy plus chest wall RT, and 10.7% with mastectomy plus locoregional RT. In patients with pNmic disease and age <45 years, Grade 3 histologic features, lymphovascular invasion, nodal ratio >0.25, and estrogen receptor-negative disease, the 10-year LRR rates were 15-20%. On multivariate analysis of the entire cohort, pNmic was associated with greater LRR than Stage pN0 (hazard ratio [HR], 1.6; p = .002). On multivariate analysis of pNmic patients only, age <45 years was associated with significantly greater LRR (HR, 1.9; p = .03), and trends for greater LRR were observed with a nodal ratio >0.25 (HR, 2.0; p = .07) and lymphovascular invasion (HR, 1.7; p = .07). Conclusion: Women with pNmic had a greater

  11. The Experience of Robotic-Assisted Laparoscopic Hysterectomy for Women Treated for Early-Stage Endometrial Cancer

    DEFF Research Database (Denmark)

    Herling, Suzanne Forsyth; Palle, Connie; Moeller, Ann M;

    2016-01-01

    , the women did not consider themselves surviving cancer patients but as cured. The women searched for information from various sources, for example, the Internet and the online patient chart, to prepare for surgery and to come to terms with the diagnosis. CONCLUSIONS: Although the women had confidence...

  12. Síndrome do climatério: inquérito populacional domiciliar em Campinas, SP Climacteric syndrome: a population-based study in Brazil

    Directory of Open Access Journals (Sweden)

    Adriana Orcesi Pedro

    2003-12-01

    prevalence of climacteric, urogenital and sexual symptoms in a population of Brazilian women. METHODS: A cross-sectional descriptive population-based study was conducted. The selection of 456 women aged 45-60 years, living in Campinas, SP, in 1997, was done through area cluster sampling, according to data from the Brazilian Institute of Geography and Statistics. Data were collected via home interviews, using structured pretested questionnaires. Data were analyzed using the chi-squared test and the nonparametric Kruskal-Wallis test; a probability of <0.05 was considered statistically significant. The degree of climacteric symptoms was analyzed through circulatory and psychological indices. Analysis of the main components was used to determine symptom interrelationships. RESULTS: The most prevalent symptoms were nervousness (82%, hot flushes (70%, headache (68%, irritability (67% and sweating (59%. Hot flushes, sweating and insomnia were significantly more prevalent in the peri and postmenopausal phases. The frequency (severity of vasomotor and psychological symptoms did not vary according to the menopause phase. The prevalence of urinary incontinence was 27.4%. Complaints of dyspareunia and vaginal dryness were infrequent. Decreased libido was the most frequent sexual complaint. It was observed that some climacteric complaints were interrelated. The first cluster included hot flushes and sweating (vasomotor cluster. The second cluster included nervousness, depression and irritability (psychological cluster. The third cluster included dizziness and palpitation (atypical cluster. CONCLUSION: Climacteric symptoms in this population were highly prevalent and similar to those described in developed Western countries.

  13. The Impact of Comorbidities on Outcomes for Elderly Women Treated With Breast-Conservation Treatment for Early-Stage Breast Cancer

    International Nuclear Information System (INIS)

    Purpose: Breast cancer incidence increases with age and is a major cause of morbidity and mortality in elderly women, but is not well studied in this population. Comorbidities often impact on the management of breast cancer in elderly women. Methods and Materials: From 1979 to 2002, a total of 238 women aged 70 years and older with Stage I or II invasive carcinoma of the breast underwent breast-conservation therapy. Outcomes were compared by age groups and comorbidities. Median age at presentation was 74 years (range, 70-89 years). Age distribution was 122 women (51%) aged 70-74 years, 71 women (30%) aged 75-79 years, and 45 women (19%) aged 80 years or older. Median follow-up was 6.2 years. Results: On outcomes analysis by age groups, 10-year cause-specific survival rates for women aged 70-74, 75-79, and 80 years or older were 74%, 81%, and 82%, respectively (p = 0.87). Intercurrent deaths at 10 years were significantly higher in older patients: 20% in those aged 70-74 years, 36% in those aged 75-79 years, and 53% in those 80 years and older (p = 0.0005). Comorbidities were not significantly more common in the older age groups and did not correlate with cause-specific survival adjusted for age. Higher comorbidity scores were associated with intercurrent death. Conclusions: Older age itself is not a contraindication to standard breast-conservation therapy, including irradiation. Women of any age with low to moderate comorbidity indices should be offered standard breast-conservation treatment if otherwise clinically eligible

  14. [The climacteric and biomedicine: reflections from nursing and the sociology of health and illness disciplines].

    Science.gov (United States)

    Leyva-Moral, Juan Manuel

    2012-03-01

    This article critically examines the biomedical model and how it has influenced the social construction of the meaning of the menopause. This model has been criticized as reductionist since it understands people as entities made of several parts that can be studied separately. Contrarily for nursing, people are formed by several parts in direct relation with the environment and themselves. Therefore, it is not posible to understand people's reality without considering social factors. The menopause has been described in various biomedical texts as a phenomenon similar to a disease, with severe symptoms and negative connotations. However the experiences and meanings that women ascribe to this stage of their life are varied and not always negative. In order to offer appropriate care, it is important for nursing to think about the role of social interaction in constructing the meaning individuals attribute to phenomena.

  15. Role of MRI (magnetic resonance imaging) versus conventional imaging for breast cancer presurgical staging in young women or with dense breast

    OpenAIRE

    Biglia, N.; Bounous, V.E.; Martincich, L.; Panuccio, E.; Liberale, V.; Ottino, L.; Ponzone, R; Sismondi, P.

    2011-01-01

    Abstract Aims The role of magnetic resonance imaging (MRI) in the local staging of breast cancer is currently uncertain. The purpose of this prospective study is to evaluate the accuracy of preoperative MRI compared to conventional imaging in detecting breast cancer and the effect of pre-operative MRI on the surgical treatment in a subgroup of women with dense breasts, young age, invasive lobular cancer (ILC) or multiple lesions. Methods Between Jan...

  16. Ambivalent sexism and attitudes toward women in different stages of reproductive life: a semantic, cross-cultural approach.

    Science.gov (United States)

    Chrisler, Joan C; Gorman, Jennifer A; Marván, Maria Luisa; Johnston-Robledo, Ingrid

    2014-01-01

    College students in southeastern Mexico (n = 185) and the northeastern United States (n = 96) utilized a semantic differential scale to rate subtypes of women: a menstruating woman, a menopausal woman, a pregnant woman, a premenstrual woman, a woman with a hysterectomy, a teenage girl, a woman in love, and a woman with a young baby. Americans reported significantly more negative attitudes than Mexicans did toward a menstruating woman, a premenstrual woman, a teenage girl, and a pregnant woman. Participants chose more positive words to describe a teenage girl, a woman in love, a pregnant woman, and a woman with a young baby, which is suggestive of a pronatal bias. Participants also completed the Ambivalent Sexism Inventory (ASI). Men scored significantly higher than women on hostile sexism. Mexicans scored significantly higher than Americans on both hostile and benevolent sexism. Sexism scores are related to attitudes toward premenstrual, menstruating, and menopausal women; women with a hysterectomy; and women with a young baby. PMID:23627400

  17. Ambivalent sexism and attitudes toward women in different stages of reproductive life: a semantic, cross-cultural approach.

    Science.gov (United States)

    Chrisler, Joan C; Gorman, Jennifer A; Marván, Maria Luisa; Johnston-Robledo, Ingrid

    2014-01-01

    College students in southeastern Mexico (n = 185) and the northeastern United States (n = 96) utilized a semantic differential scale to rate subtypes of women: a menstruating woman, a menopausal woman, a pregnant woman, a premenstrual woman, a woman with a hysterectomy, a teenage girl, a woman in love, and a woman with a young baby. Americans reported significantly more negative attitudes than Mexicans did toward a menstruating woman, a premenstrual woman, a teenage girl, and a pregnant woman. Participants chose more positive words to describe a teenage girl, a woman in love, a pregnant woman, and a woman with a young baby, which is suggestive of a pronatal bias. Participants also completed the Ambivalent Sexism Inventory (ASI). Men scored significantly higher than women on hostile sexism. Mexicans scored significantly higher than Americans on both hostile and benevolent sexism. Sexism scores are related to attitudes toward premenstrual, menstruating, and menopausal women; women with a hysterectomy; and women with a young baby.

  18. Differentiated Evaluation of Extract-Specific Evidence on Cimicifuga racemosa's Efficacy and Safety for Climacteric Complaints

    Directory of Open Access Journals (Sweden)

    A.-M. Beer

    2013-01-01

    Full Text Available Past reviews on Cimicifuga racemosa (CR without differentiation between extracts, quality, and indication altogether led to inconsistent data. Therefore, for the first time, we meet the requirements of the system's logic of evidence-based phytotherapy by taking into consideration extracts, pharmaceutical quality (reflected in a regulatory status as medicinal product, and indication. A literature search for clinical studies examining CR's efficacy and safety for menopausal complaints was conducted. The results were sorted by type of extract, regulatory status, and indication. Accordingly, Oxford Levels of Evidence (LOE and Grades of Recommendation (GR were determined. CR extracts demonstrated a good to very good safety in general, on estrogen-sensitive organs and the liver. However, only registered CR medicinal products were able to prove their efficacy. Best evidence was provided by the isopropanolic CR extract (iCR: the multitude of studies including more than 11,000 patients demonstrated consistent confirmatory evidence of LOE 1b (LOE 1a for safety leading to GR A. The studies on the ethanolic extract BNO 1055 including more than 500 patients showed exploratory evidence of LOE 2b resulting in GR B. A positive benefit-risk profile is stated and limited to Cimicifuga racemosa products holding a marketing authorisation for treating climacteric complaints.

  19. Differentiated Evaluation of Extract-Specific Evidence on Cimicifuga racemosa's Efficacy and Safety for Climacteric Complaints.

    Science.gov (United States)

    Beer, A-M; Neff, A

    2013-01-01

    Past reviews on Cimicifuga racemosa (CR) without differentiation between extracts, quality, and indication altogether led to inconsistent data. Therefore, for the first time, we meet the requirements of the system's logic of evidence-based phytotherapy by taking into consideration extracts, pharmaceutical quality (reflected in a regulatory status as medicinal product), and indication. A literature search for clinical studies examining CR's efficacy and safety for menopausal complaints was conducted. The results were sorted by type of extract, regulatory status, and indication. Accordingly, Oxford Levels of Evidence (LOE) and Grades of Recommendation (GR) were determined. CR extracts demonstrated a good to very good safety in general, on estrogen-sensitive organs and the liver. However, only registered CR medicinal products were able to prove their efficacy. Best evidence was provided by the isopropanolic CR extract (iCR): the multitude of studies including more than 11,000 patients demonstrated consistent confirmatory evidence of LOE 1b (LOE 1a for safety) leading to GR A. The studies on the ethanolic extract BNO 1055 including more than 500 patients showed exploratory evidence of LOE 2b resulting in GR B. A positive benefit-risk profile is stated and limited to Cimicifuga racemosa products holding a marketing authorisation for treating climacteric complaints. PMID:24062793

  20. Effect of mindfulness based stress reduction on immune function, quality of life and coping in women newly diagnosed with early stage breast cancer.

    Science.gov (United States)

    Witek-Janusek, Linda; Albuquerque, Kevin; Chroniak, Karen Rambo; Chroniak, Christopher; Durazo-Arvizu, Ramon; Mathews, Herbert L

    2008-08-01

    This investigation used a non-randomized controlled design to evaluate the effect and feasibility of a mindfulness based stress reduction (MBSR) program on immune function, quality of life (QOL), and coping in women recently diagnosed with breast cancer. Early stage breast cancer patients, who did not receive chemotherapy, self-selected into an 8-week MBSR program or into an assessment only, control group. Outcomes were evaluated over time. The first assessment was at least 10 days after surgery and prior to adjuvant therapy, as well as before the MBSR start-up. Further assessments were mid-MBSR, at completion of MBSR, and at 4-week post-MBSR completion. Women with breast cancer enrolled in the control group (Non-MBSR) were assessed at similar times. At the first assessment (i.e., before MBSR start), reductions in peripheral blood mononuclear cell NK cell activity (NKCA) and IFN-gamma production with increases in IL-4, IL-6, and IL-10 production and plasma cortisol levels were observed for both the MBSR and Non-MBSR groups of breast cancer patients. Over time women in the MBSR group re-established their NKCA and cytokine production levels. In contrast, breast cancer patients in the Non-MBSR group exhibited continued reductions in NKCA and IFN-gamma production with increased IL-4, IL-6, and IL-10 production. Moreover, women enrolled in the MBSR program had reduced cortisol levels, improved QOL, and increased coping effectiveness compared to the Non-MBSR group. In summary, MBSR is a program that is feasible for women recently diagnosed with early stage breast cancer and the results provide preliminary evidence for beneficial effects of MBSR; on immune function, QOL, and coping.

  1. Study on Correlation between Sex Hormones and Female Climacteric Hypertension%女性更年期高血压病中医证型与性激素水平相关性研究

    Institute of Scientific and Technical Information of China (English)

    林雪; 杨娜; 葛丽; 王晶

    2013-01-01

    目的:通过检测性激素在女性更年期高血压病不同证型中的差异性,以期为女性更年期高血压痛患者中医辨证分型提供客观化研究依据.方法:对210例女性更年期高血压病患者进行中医辨证分型,分为心脾两虚、肝郁痰结、阴虚内燥、阴阳两虚4个证型,以30例血压正常的更年期女性作为对照组,检测不同中医证型组及对照组血清性激素水平,做统计分析比较.结果:女性更年期高血压病4个中医证型组的血清雌二醇(E2)水平均低于对照组,孕酮(P)及促卵泡激素(FSH)水平高于对照组,阴虚内燥证组的E2、E2/T水平低于其余各证型组及对照组,E2/P水平低于心脾两虚组,4个证型组的FSH水平按阴虚内燥>肝郁痰结>心脾两虚>阴阳两虚组的趋势递减.进一步亚组分析女性更年期高血压痛2级患者的血清雌二醇、E2/P、E2/T水平低于更年期高血压病1级组,FSH水平较高血压1级组升高,高血压病1级及2级中阴虚内燥组的E2水平、E2/T水平均显著低于其他3证型组.结论:性激素紊乱在女性更年期高血压病起到一定的作用,随着更年期高血压痛的分级水平升高,体内的性激素紊乱情况加重.E2、E2/T水平在女性更年期高血压阴虚内燥证中的变化显著,可以作为阴虚内燥证的客观化指标,而FSH水平在四组中医证型中水平不同,可以作为区分4个证型的特征性指标.%Objective:To detect the sex hormone levels in menopausal women with hypertension in different syndromes,and provide the objective basis for hypertension in female climacteric syndrome type.Methods:This study collected 210 cases of hypertension in menopausal hypertensive patients.30 cases of selected menopausal women with normal blood pressure were as controls.The menopausal syndrome patients with essential hypertension were divided into both deficiency of heart and spleen group (40 cases),liver depression and phlegm accumulation

  2. Increasing Stages of Social Activism and Responsiveness to the National Agenda: How Women Experience Membership in the American Association of University Women

    OpenAIRE

    Leist, Marilyn Thomas

    1998-01-01

    The problem investigated in this study was how individuals participate in the local units of the American Association of University Women (AAUW) and particularly how their participation relates to the program and policy initiatives of the national association. The purpose was to understand and describe how individuals experience branch membership, how they respond to the current program and policy initiatives of the association, and to examine some of the differences between members with rega...

  3. Effect of Inhalation of Aroma of Geranium Essence on Anxiety and Physiological Parameters during First Stage of Labor in Nulliparous Women: a Randomized Clinical Trial

    Directory of Open Access Journals (Sweden)

    Fahimeh Rashidi Fakari

    2015-06-01

    Full Text Available Introduction: Anxiety increases significantly during labor, especially among nulliparous women. Such anxiety may affect the progress of labor and physiological parameters. The use of essential oils of aromatic plants, or aromatherapy, is a non-invasive procedure that can decrease childbirth anxiety. This study examined the effect of inhalation of the aroma of geranium essential oil on the level of anxiety and physiological parameters of nulliparous women in the first stage of labor. Methods: In study, was carried out on 100 nulliparous women admitted to Bent al-Hoda Hospital in the city of Bojnord in North Khorasan province of Iran during 2012-2013. The women were randomly assigned to two groups of equal size, one experimental group (geranium essential oil and one control (placebo group. Anxiety levels were measured using Spielberger’s questionnaire before and after intervention. Physiological parameters (systolic and diastolic blood pressure, respiratory rate, pulse rate were also measured before and after intervention in both groups. Data analysis was conducted using the x2 test, paired t-test, Mann-Whitney U test, and Wilcox on test on SPSS 11.5. Results: The mean anxiety score decreased significantly after inhalation of the aroma of geranium essential oil. There was also a significant decrease in diastolic blood pressure.Conclusion: Aroma of essential oil of geraniums can effectively reduce anxiety during labor and can be recommended as a non-invasive anti-anxiety aid during childbirth.

  4. Prof WANG Xiao-yun's Experience in Treating Climacteric Syndrome from the Pathogenesis of Kidney Deficiency and Liver Stagnancy

    Institute of Scientific and Technical Information of China (English)

    XU Ying; LIU Jian; WANG Xiao-yun

    2010-01-01

    @@ Prof. WANG Xiao-yun, a chief physician in the Second Affiliated Hospital of Guangzhou TCM University (Guangdong Provincial Hospital of TCM), is a leading physician, professor, and the supervisor of doctoral students in the national key subject of TCM gynecology. Having been engaged in TCM gynecological clinical practice and scientific researches for about 30 years, Prof. WANG has obtained rich experience in the treatment of obstinate and miscellaneous diseases of gynecology, especially in the analysis of pathogenesis and differential treatment of climacteric syndrome.

  5. Mind the gap: Racial differences in breast cancer incidence and biologic phenotype, but not stage, among low-income women participating in a government-funded screening program

    Science.gov (United States)

    Cunningham, Joan E.; Walters, Christine A.; Hill, Elizabeth G.; Ford, Marvella E.; Barker-Elamin, Tiffany; Bennett, Charles L.

    2013-01-01

    Background Breast cancer mortality rates in South Carolina (SC) are 40% higher among African-American (AA) than European-American (EA) women. Proposed reasons include race-associated variations in care and/or tumor characteristics, which may be subject to income effects. We evaluated race-associated differences in tumor biologic phenotype and stage among low-income participants in a government-funded screening program. Methods Best Chance Network (BCN) data were linked with the SC Central Cancer Registry. Characteristics of breast cancers diagnosed in BCN participants aged 47–64 years during 1996–2006 were abstracted. Race-specific case proportions and incidence rates based on estrogen receptor (ER) status and histologic grade were estimated. Results Among 33,880 low-income women accessing BCN services, repeat breast cancer screening utilization was poor, especially among EAs. Proportionally, stage at diagnosis did not differ by race (607 cancers, 53% among AAs), with about 40% advanced stage. Compared to EAs, invasive tumors in AAs were 67% more likely (proportions) to be of poor-prognosis phenotype (both ER-negative and high-grade); this was more a result of the 46% lesser AA incidence (rates) of better-prognosis (ER+ lower-grade) cancer than the 32% greater incidence of poor-prognosis disease (p-values <0.01). When compared to the general SC population, racial disparities in poor prognostic features within the BCN population were attenuated; this was due to more frequent adverse tumor features in EAs rather than improvements for AAs. Conclusion Among low-income women in SC, closing the breast cancer racial and income mortality gaps will require improved early diagnosis, addressing causes of racial differences in tumor biology, and improved care for cancers of poor-prognosis biology. PMID:23239148

  6. Preradiotherapy Calcium Scores of the Coronary Arteries in a Cohort of Women With Early-Stage Breast Cancer: A Comparison With a Cohort of Healthy Women

    International Nuclear Information System (INIS)

    Purpose: Breast cancer radiotherapy has been associated with an increased risk of cardiac toxicity. However, no data are available on the probability of developing coronary artery disease (CAD) in breast cancer patients when compared with healthy women. Therefore, baseline coronary artery calcium (CAC) scores, as an accepted tool to predict CAD, were determined and compared with the CAC scores of a healthy, asymptomatic cohort, the Multi-Ethnic Study of Atherosclerosis (MESA) cohort. Methods and Materials: Eighty consecutive patients with ductal carcinoma in situ or infiltrative breast cancer referred for radiotherapy after breast-conserving surgery were included in our study. Their cardiovascular risk profile was registered, and a 64 multislice CT scan was performed. The CAC scores of an unselected (Caucasian only) Radiotherapy Centre West (RCWEST) cohort, as well as of those of a selected (comorbidity and race adjusted) RCWEST cohort, were determined. The scores of both cohorts were compared with those of the female (Caucasian only) MESA cohort. Results: For the unselected RCWEST cohort (n = 62) we found significant (p < .01) higher scores for women in the 55–64 age category compared with those of the MESA cohort. In the selected cohort (n = 55) the CAC scores of the women in the age category 55–64 were significantly (p = .02) higher compared with the MESA cohort. No significant differences were noted in the other age categories. Conclusion: Both cohorts revealed that CAC scores in the 55–64 age category were significantly higher than the CAC scores in the asymptomatic (female) MESA population. These data suggest that breast cancer patients bear a higher risk of developing coronary heart disease before the start of radiotherapy. Therefore, measures to decrease cardiac dose further in breast cancer radiotherapy are even more important.

  7. Disparities in late stage diagnosis, treatment, and breast cancer-related death by race, age, and rural residence among women in Georgia.

    Science.gov (United States)

    Markossian, Talar W; Hines, Robert B

    2012-01-01

    The objectives of this study were to examine the outcomes of late stage breast cancer diagnosis, receiving first course treatment, and breast cancer-related death by race, age, and rural/urban residence in Georgia. The authors used cross-sectional and follow-up data (1992-2007) for Atlanta and Rural Georgia cancer registries that are part of the National Cancer Institute's Surveillance, Epidemiology, and End Results Program (N = 23,500 incident breast cancer cases in non-Hispanic whites or non-Hispanic African Americans). Multilevel modeling and Cox proportional hazard models revealed that compared to whites, African American women had significantly increased odds of late stage diagnosis (odds ratio [OR] = 2.08, p = 0.0001) and unknown tumor stage (OR = 1.27, p = 0.0001), decreased odds of receiving radiation (OR = 0.93, p = 0.041) or surgery (OR = 0.50, p = 0.0001), and increased risk of death following breast cancer diagnosis (hazard rate ratio [HR] = 1.50, p = 0.0001). Increased age was significantly associated with the odds of late/unknown stage at diagnosis, worse treatment, and survival. Women residing in rural areas had significantly decreased odds of receiving radiation and surgery with radiation (OR = 0.59, p = 0.0001), and for receiving breast-conserving surgery compared to mastectomy (OR = 0.73, p = 0.005). Factors affecting each level of the breast cancer continuum are distinct and should be examined separately. Efforts are needed to alleviate disparities in breast cancer outcomes in hard-to-reach populations. PMID:22591230

  8. Effect of Compound Recipe Gengniankang (更年康) on Senile Sexual Hormone and Expression of Estrogen Receptor in Bone of Climacteric Female Rats

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    Objective: To compare the therapeutic effect of Compound Recipe Gengniankang (更年康,GNK) with that of hormone replacement treatment (HRT) on climacteric female rats with osteoporosis, and to investigate the roles of estrogen and estrogen receptors in the mechanism of osteoporosis. Methods: Climac-teric female rats with osteoporosis were chosen and divided into three groups (GNK group, HRT group and control group). Apoptosis of ovarian granulose cells was measured by terminal-deoxynucleotidyl transferae mediated nick end labeling (TUNEL) assay. Serum level of estrdiol (E2), follicle stimulating hormone (FSH), luteinizing hormone (LH) were determined by the method of radioimmunoassay (RIA). Reverse transcriptase polymerase chain reaction (RT-PCT) technology was used to evaluate the expression of estrogen receptor (ER) in bone. Bone mineral density (BMD) was measured by double energy X-ray absorption (DEXA). Results: In the climacteric rats, BMD, serum E2, ER mRNA expression in bone decreased remarkably, and serum FSH, LH and apoptosis of ovarian granulose cells increased obviously. After treating with GNK, all the indexes were reversed except serum E2. The increase of E2 was not significant. Conclusion:GNK is effective on climacteric osteoporosis female rats. Its role is performed not by increasing serum E2 but by enhancing ER in the bone and inhibiting apoptosis of ovarian granulose cells. GNK can deter further exhaustion of ovarian function.

  9. Birthing positions during second stage of labor and long-term psychological outcomes in low-risk women

    NARCIS (Netherlands)

    Jonge, A. de; Rijnders, M.E.B.; Diem, M.T. van; Scheepers, P.L.H.; Lagro-Janssen, A.L.M.

    2011-01-01

    PURPOSE: To examine the long-term influence of birthing positions during the second stage of labor, as well as other factors, on birth satisfaction, self-esteem (based on the Rosenberg Self-esteem Scale [RSE]) and emotional well-being (based on the Edinburgh Postnatal Depression Scale [EPDS]). STUDY

  10. PROBLEMATIC ISSUES OF DIAGNOSTICS AND THERAPY OF NON-PSYCHOTIC MENTAL DISORDERS IN FEMALE PATIENTS OF CLIMACTERIC AGE WITH HYSTERICAL SYMPTOM COMPLEX (LITERATURE REVIEW

    Directory of Open Access Journals (Sweden)

    Ye. V. Lukiyanova

    2013-01-01

    Full Text Available In the article, problematic questions of diagnostics and therapy of non-psychotic mental disorders (NPMD in female patients of climacteric age with hysterical symptom complex are considered. Efficacy of psychotherapy (PT in NPMD, hypnopsychotherapy in hysterical states: hysterical neurosis, neurasthenia and obsessive-compulsive neurosis is indicated. In treatment of NPMD, PT by creative selfexpression is successfully used. It is highlighted that PT forms conscious-critical attitude of patients toward themselves. Combination of PT with physiotherapy in hysterical conversional symptoms has been described. In hysterical manifestations neuroleptics are recommended, in neurotic depressions – antidepressants of mild action. In severe hysterical state, psychopharmacotherapy (PPhT with tranquilizers and neuroleptics is applied on long-term basis. Stable recovery in dissociative and hysterical disorders has been shown. In vegetovascular disorders in structure of climacteric syndrome (CS vinpocetine, in psychoemotional manifestations phenibut was administered. In therapy of hysterical neurosis, “minor neuroleptics”, hypnosuggestive therapy, social rehabilitation were applied. Effective group PT of psychogenically conditioned disorders in asthenicand anxiety-depressive symptoms is effective. Complex therapy of NPMD in hysterical and asthenic neurosis, obsessive-compulsive neurosis has been suggested. Organization of specialized preventive examinations for early revealing of persons with personality pathology is based. Efficacy of a number of medications in periand post-menopause – SSRIs and gabapentin, during menopause paroxetine, in depressions of non-psychotic level – pyrazidol, coaxil, in neurotic hypochondriasis sulpiride and quetiapine, diazepam, in climacteric vegetative and mental disorders hormone replacement therapy (HRT, hormonal therapy, PPhT and PT, in neurovegetative symptoms of CS – antidepressants, in psychovegetative syndromes

  11. Development in self-reported arm-lymphedema in Danish women treated for early-stage breast cancer in 2005 and 2006 – A nationwide follow-up study

    DEFF Research Database (Denmark)

    Gärtner, Rune; Mejdahl, Mathias Kvist; Andersen, Kenneth Geving;

    2014-01-01

    contrast to 30% treated with ALND. However, 19% of women treated with ALND and not reporting lymphedema in 2008 had developed lymphedema by 2012. In conclusion lymphedema remains a frequent problem, years after treatment for breast cancer, though, number of women reporting lymphedema and overall severity......The main purpose of this nationwide follow-up study was to examine the development of self-reported lymphedema in the population of women with early-stage breast cancer in Denmark. In 2008 and 2012 two identical questionnaires were sent to the women aged 18-70 years treated for unilateral primary...... breast cancer in 2005 and 2006. 2293 women (87%) reported on lymphedema in 2008 and 2012. Overall 37% reported lymphedema in 2008 while 31% reported lymphedema in 2012 and severity of symptoms decreased. 50% of women treated with SLNB and reporting lymphedema in 2008 did not report symptoms by 2012 in...

  12. Clinical Observation of Combined Acupuncture and Herbs in Treating Low Back Pain due to Climacteric Osteoporosis in 40 Cases

    Institute of Scientific and Technical Information of China (English)

    WANG Ning; XIAO Yuan-chun

    2004-01-01

    针刺双侧风池、大椎、膈俞、天宗及阿是穴,配合内服中药,治疗40例更年期骨质疏松腰背痛患者,治愈25例,好转9例,无效6例,总有效率85.0%.%Forty cases of low back pain due to climacteric osteoporosis were treated by needling Fengchi (GB 20), Dazhui (GV 14), Geshu (BL 17), Tianzong (SI 11) and Ashi points, as well as oral Chinese herbs. Results showed cure in 25 cases, improvement in 9 cases and failure in 6 cases, with the total effective rate of 85.0%.

  13. Physical rehabilitation as the base component of treatment and rehabilitation women sick with gonarthrosis of the third radiological stages of disease

    Directory of Open Access Journals (Sweden)

    Andriychuk O.Y.

    2012-08-01

    Full Text Available The rehabilitations of women, patients given in relation to the programs are resulted, on gonarthrosis to the roentgenologic stage. The changes of indexes expressed of the pain feeling are analysed, morning constraint, pain index and amplitude of motions in joints for patients. 132 patients took part in research. As an index of amplitude of motions information of the active unbending was utillized in a knee-joint. Testing was conducted in three months and six months. Probed and determined a pain index at passive and active motions in a knee. The complex program of physical rehabilitation is offered. The program included a medical physical culture, massotherapy, mechanotherapy, physiotherapy, dietotherapy, psychological support and educational programs. Rehabilitation on the author program set positive changes intensity of the pain feelings, morning constraint, pain index and amplitude of motions, in a knee.

  14. Long-term radiation sequelae after breast-conserving therapy in women with early-stage breast cancer: an observational study using the LENT-SOMA scoring system

    International Nuclear Information System (INIS)

    Purpose: To evaluate the long-term toxicity after breast-conserving therapy in women with early-stage breast cancer. Methods and Materials: Late toxicity according to the late effects of normal tissue-subjective, objective, management, and analytic (LENT-SOMA) criteria and cosmetic outcome (graded by physicians) were evaluated in 590 of 2943 women with early-stage breast cancer who were irradiated between 1983 and 1995 using the following fractionation schedules: group A, 1983-1987, 2.5 Gy 4x/wk to 60 Gy; group B, 1988-1993, 2.5 Gy 4x/wk to 55 Gy, group C, 1994-1995, 2.0 Gy 5x/wk to 55 Gy. Results: LENT-SOMA Grade 3-4 toxicity was observed as follows: group A (median follow-up 171 months; range 154-222 months), fibrosis 16% (7 of 45), telangiectasia 18% (8 of 45), and atrophy 4% (2 of 45); group B (median follow-up 113 months; range 78-164 months), pain 2% (8 of 345), fibrosis 10% (34 of 345), telangiectasia 10% (33 of 345), arm edema 1% (2 of 345), and atrophy 8% (27 of 345); and group C (median follow-up 75 months, range 51-96 months, n = 200), occurrence of Grade 3-4 late morbidity ≤2%. The cosmetic outcome was very good to acceptable in 78% (35 of 45) of patients in group A, 83% (286 of 345) in group B, and 94% (187 of 200) in group C. Conclusion: In our population, the long-term side effects after breast-conserving therapy were not rare, but were mainly asymptomatic. The LENT-SOMA breast module is a practical tool to assess radiation-induced long-term toxicity

  15. Clinical outcome analysis of 98 elderly women with early-stage breast cancer undergoing modified radical mastectomy or simple mastectomy

    Institute of Scientific and Technical Information of China (English)

    Zhilong Jia; Baoxia Su

    2012-01-01

    Objective: The aim of our study was to analyze the clinical results and prognosis for early elderly patients after surgery and to explore the rational treatment. Methods: Between January 1992 and December 2008, 98 early elderly breast cancer patients aged ≥ 65 years were treated with surgery, of which 52 patients received modified radical mastectomy and 46 patients received simple mastectomy. Results: Sixty-four (65.3%) patients had comorbidities including coronary heart disease, hypertension, diabetes, etc. After a median follow up of 56 months (21 to 280 months), the 5-year cumulative survival rate of breast modified radical mastectomy group and mastectomy group were 84.0% and 82.7%, separately (P = 0.653). The 5-year recurrence rate were 3.8% and 8.1%, separately (P = 0.504). Conclusion: The simple mastectomy is suitable for the treatment of early elderly breast cancer patients for its lower complication and recurrence rate. Early old women with breast cancer may be safely treated by simple mastectomy. Our findings suggest that modified radical mastectomy does not significantly increase the overall survival.

  16. A study of menopausal symptoms in relation to habits of smoking and make-up using in Japanese women aged 35-59.

    Science.gov (United States)

    Oi, N; Ohi, K

    2012-08-01

    We conducted a survey to elucidate the influence with menopause symptoms and the impact of not only smoking but also using make-up among for Japanese women, included ages above and below the menopausal generation. The subjects of this study were 335 Japanese women from 35 to 59 years of age who were examined for the first time in the specialized women's outpatient clinic of our institution from July 2010 to June 2011 for 1 year period. We used the items of the Menopause-Specific Quality of Life Questionnaire. Similarly, we analysed the scores in relation to menopausal symptoms and whether the subject smoked, whether the subject used make-up depend on women (including foundation, lip rouge, brush one's eyebrows), how frequently she used make-up. The JMP version 9.0 software program was used to statistically analyse the score data. Significant associations were observed in psychosocial (P = 0.0196), tended to be more severe in women before menopause and after climacteric. Furthermore, the frequency of using make-up were negative relations with menopause symptoms (P = 0.0251) after climacteric. Smoking had made worse for physical symptoms (P psychological symptoms. Also, physical conditions were influenced by smoking. Using make-up frequently was often seen after climacteric because of appearance changes by oestrogen dynamic decline.

  17. PROBLEMATIC ISSUES OF DIAGNOSTICS AND THERAPY OF NON-PSYCHOTIC MENTAL DISORDERS IN FEMALE PATIENTS OF CLIMACTERIC AGE WITH HYSTERICAL SYMPTOM COMPLEX (LITERATURE REVIEW)

    OpenAIRE

    Ye. V. Lukiyanova

    2013-01-01

    In the article, problematic questions of diagnostics and therapy of non-psychotic mental disorders (NPMD) in female patients of climacteric age with hysterical symptom complex are considered. Efficacy of psychotherapy (PT) in NPMD, hypnopsychotherapy in hysterical states: hysterical neurosis, neurasthenia and obsessive-compulsive neurosis is indicated. In treatment of NPMD, PT by creative selfexpression is successfully used. It is highlighted that PT forms conscious-critical attitude of patie...

  18. Second stage of labor.

    Science.gov (United States)

    Cheng, Yvonne W; Caughey, Aaron B

    2015-06-01

    Current American College of Obstetricians and Gynecologists' definition of prolonged second stage diagnoses 10% to 14% of nulliparous and 3% to 3.5% of multiparous women as having a prolonged second stage. The progression of labor in modern obstetrics may have deviated from the current labor norms established in the 1950s, likely due to differences in obstetric population characteristics and variation in clinical practice. Optimal management of the second stage in women with and without epidural remains debatable. Although prolonged second stage is associated with increased risk of maternal morbidity, conflicting data exist regarding the duration of second stage and associated neonatal morbidity and mortality.

  19. Study for the change of health-related quality of life in women with early stage breast cancer, one year after the diagnosis

    Directory of Open Access Journals (Sweden)

    Vasiliki E. Kοutsopοulοu-Sofikiti

    2010-01-01

    Full Text Available Health - related quality of life of women with breast cancer is defined as the subjective evaluation of the effect of the disease and its treatment to physical, psychological and social level of functioning and well-being.The aim of the present study was to estimate the change of health- related quality of life at patients with early- stage breast cancer one year after the diagnosis and the initial therapeutic intervention.Material – method: The material of the study was 181 patients age between 28 to 88 years with breast cancer stage II. The entry criteria were: 1 females with breast cancer stage II, who would have been in need of adjuvant therapy after the initial operational intervention. 2 Moreover, they should not have been hospitalized for the same reason in the past and they should have a satisfying ability in communication. The data collection was made with the use of the QLQ C-30 questionnaire of the European Organization for the Research and Treatment of Cancer (EORTC in association with the module for the breast cancer (module Br23.The data collection was realized through interviews conducted by the researchers at two different time points: at the diagnosis point and the one year after the diagnosis. It was an easy sample.Results: To sum up, health- related quality of life was estimated as worse in the first year after diagnosis and the initial therapeutic intervention. Furthermore, remarkable was, the deterioration of symptoms (fatigue, pain, nausea, sleep loss, appetite loss, constipation, dyspnoea. The deterioration was also visible to the patients’ body image and to the treatment side effects of adjuvant therapies.Conclusions: The breast cancer influences negatively health- related quality of life in patients with early stage breast cancer. After the completion of the adjuvant therapies, there are major problems like fatigue, pain and aggravated body image, which make patients suffer. The altered body image provokes stress and

  20. Evaluation Of Hormone Profile And Dexa Values in Premenopausal, Perimenopausal and Postmenopausal Women

    Directory of Open Access Journals (Sweden)

    Esra Esen

    2005-09-01

    Full Text Available This study was carried out in 130 women, between 44-55 ages, admitted to outpatient clinic of Physical Medicine and Rehabilitation Department of Trakya University Medical Faculty in order to make. comparison of hormone profile and DEXA values of premenopausal, perimenopausal, and postmenopausal women . Three groups were allocated according to climacteric symptoms and menopause condition. Premenopausal group consisted of women who had regular menstruation and did not have any climacteric symptoms , perimenopausal group consisted of women who had menstruation disorder and climacteric symptoms within one year and postmenopausal group consisted of women who had last menstruation within more than one year and less than 5 years. Women who had prior osteoporosis diognosis and treatment, hormone replacement therapy, surgical menopause and menopause duration more than 5 years were excluded from the study. Age, body weight ,height, hormone profile including estradiol (E2, progesterone (P, follicule stimulating hormone (FSH, luteinizing hormone (LH, parathyroid hormone (PTH, thyroid hormones (T3, T4, thyroid stimulating hormone (TSH and DEXA values representing bone mineral density (BMD of both groups were evaluated. In peri and postmenopausal groups, E2, P, FSH and LH values were significantly lower, while there was no significant difference for PTH and thyroid hormone levels comparing to premenopausal group. For DEXA values, T scores of L2-L4, L2, L3, L4, femur neck, trochanter, Wards and Z scores of femur neck, Wards area were significantly lower in peri and postmenopausal groups. It was demonstrated paralel to literature that BMD decreased in peri and early postmenopausal women associated with hormone profile changes, mainly lower E2.

  1. Knowledge, non-use, use and source of information on contraceptive methods among women in various stages of reproductive age in rural Lagos, Southwest Nigeria

    Directory of Open Access Journals (Sweden)

    Afolabi BM

    2015-05-01

    Full Text Available Bamgboye M Afolabi,1 Emmanuel NU Ezedinachi,2 Iwara Arikpo,2 Abiodun Ogunwale,3 Damilola Fatimah Ganiyu,1 Rashidat A Abu,1 Adewunmi A Ajibade1 1Health, Environment and Development Foundation, Yaba, Lagos, Nigeria; 2Institute of Tropical Disease and Research, University of Calabar, Calabar, Nigeria; 3Project Hope, Washington, DC, USA Background: Contraceptives are advocated to be used against unwanted pregnancy and sexually transmitted diseases as unsafe abortion contributes to high maternal mortality in Nigeria while unwanted pregnancies have terminated the educational development of many females. Objective: This questionnaire-based survey aimed to describe the knowledge, nonuse, and use of various contraceptive methods among women in different child-bearing age groups in rural Lagos, Nigeria. Materials and methods: Between 2012 and 2013, 816 females in rural communities within Lagos State were surveyed for their knowledge, source of information, and use of contraceptives. They were grouped into early, mid, and late reproductive age. Statistical analysis of data harvested from respondents was carried out using STATA 13 software. Results: In all, 816 females in different stages of reproductive age were involved in the study, among whom 19% were single, 78% married, 3% divorced, and 0.5% widowed. About 6% had no formal education, while the majority (81% were of the Yoruba ethnic group. Married respondents were approximately thrice more likely to know of contraceptives than single respondents (χ2=29.9, P=0.000, odds ratio =2.9, 95% confidence interval =1.9, 4.2. Condom use was the most widely known and used method of contraceptive regardless of marital status and reproductive age status. Information about contraceptives was mainly from health facilities among married and divorced women and from school or educational institution among singles. Overall prevalence of contraceptive use was 51.9%. Nonuse of contraceptives was 43% among married women

  2. Cost-effectiveness of a 21-gene recurrence score assay versus Canadian clinical practice in women with early-stage estrogen- or progesterone-receptor-positive, axillary lymph-node negative breast cancer

    International Nuclear Information System (INIS)

    A 21-gene recurrence score (RS) assay may inform adjuvant systematic treatment decisions in women with early stage breast cancer. We sought to investigate the cost effectiveness of using the RS-assay versus current clinical practice (CCP) in women with early-stage estrogen- or progesterone-receptor-positive, axilliary lymph-node negative breast cancer (ER+/ PR + LN- ESBC) from the perspective of the Canadian public healthcare system. We developed a Markov model to project the lifetime clinical and economic consequences of ESBC. We evaluated adjuvant therapy separately in post- and pre-menopausal women with ER+/ PR + LN- ESBC. We assumed that the RS-assay would reclassify pre- and post-menopausal women among risk levels (low, intermediate and high) and guide adjuvant systematic treatment decisions. The model was parameterized using 7 year follow up data from the Manitoba Cancer Registry, cost data from Manitoba administrative databases, and secondary sources. Costs are presented in 2010 CAD. Future costs and benefits were discounted at 5%. The RS-assay compared to CCP generated cost-savings in pre-menopausal women and had an ICER of $60,000 per QALY gained in post-menopausal women. The cost effectiveness was most sensitive to the proportion of women classified as intermediate risk by the RS-assay who receive adjuvant chemotherapy and the risk of relapse in the RS-assay model. The RS-assay is likely to be cost effective in the Canadian healthcare system and should be considered for adoption in women with ER+/ PR + LN- ESBC. However, ongoing assessment and validation of the assay in real-world clinical practice is warranted

  3. The Effects of Nutritional Juice Supplementation on the Extent of Climacteric Symptoms: An Observational Study

    Directory of Open Access Journals (Sweden)

    Stefanie I. Siebler

    2016-01-01

    Full Text Available Objective. This study aims to evaluate the effect of daily dietary nutritional supplement on somatic, psychological, and urogenital symptoms in postmenopausal women. Material and Methods. In this study 28 healthy, symptomatic, peri- and postmenopausal women of 47–67 years of age were allocated to use the nutritional supplement JuicePLUS+®. Primary research parameters: Menopause Rating Scale (MRS was used to assess menopausal symptoms at baseline and after 8 and 16 weeks of treatment. Secondary parameters: proliferation behaviour of vaginal smear was scored at baseline and after treatment. Results. Treatment with the supplement resulted in a reduction of somatic, psychological, and urogenital symptoms. The overall MRS score showed an average improvement of 44.01%. Most benefits were observed for the psychological symptoms irritability (60.55% and physical and mental exhaustion (49.08%; modest effects were observed for hot flashes (44.86% and sleeping problems (35.56%. There was a minor improvement in sexual problems; 6 women reported an increased libido. No statistically significant effect was found in vaginal dryness and proliferation behaviour of vaginal mucosa. No adverse effects were observed. Conclusion. Dietary nutritional supplement may constitute an effective alternative therapy to conventional alternative medicine for somatic, psychological, and sexual symptoms.

  4. Hormone replacement therapy and hypercoagulability. Results from the Prospective Collaborative Danish Climacteric Study

    DEFF Research Database (Denmark)

    Sidelmann, Johannes Jakobsen; Jespersen, Jørgen; Andersen, Lars F.;

    2003-01-01

    norethindrone acetate, (E). E(2) combined with local delivery of levonorgestrel and (F). E(2)V plus medroxyprogesterone. HRT-induced changes in the concentration of inhibitors of coagulation and markers of fibrin turnover during 12 months of treatment. RESULTS: Significant decreases of antithrombin and protein......-normalised ratio were measured at baseline and after 6 and 12 months of HRT in six groups of healthy postmenopausal women: (A). no HRT (reference group), (B). continuous oestradiol valerate (E(2)V) plus cyproterone acetate, (C). cyclic E(2)V plus cyproterone acetate, (D). continuous combined oestrogen (E(2)) plus...

  5. Socio-demographic factors and processes associated with stages of change for smoking cessation in pregnant versus non-pregnant women

    OpenAIRE

    Tognazzo Federica; Forza Giovanni; Guarnieri Emanuela; Buja Alessandra; Sandonà Paolo; Zampieron Alessandra

    2011-01-01

    Abstract Background The tobacco control community assumes that the most effective interventions are personalized. Nevertheless, little attention is paid to understanding differences between pregnant and non-pregnant European women in terms of the social factors that influence tobacco use and the processes of change used to quit smoking. Methods The study consecutively enrolled 177 pregnant women who acknowledged smoking the year before pregnancy and 177 non-pregnant women who acknowledged smo...

  6. Conhecimento, percepções e assistência à saúde da mulher no climatério Conocimiento, percepciones y asistencia a la salud de la mujer en lo climaterio Knowledge, perceptions and assistance to woman's health in the climacteric

    Directory of Open Access Journals (Sweden)

    Neiva Iolanda de Oliveira Berni

    2007-06-01

    Full Text Available As vivências do climatério foram o objeto deste estudo, em pesquisa descritivo-qualitativa com mulheres das cidades de Canoas e Porto Alegre, RS. A coleta de informações utilizou entrevista semi-estruturada em 15 mulheres entre 41 e 59 anos de idade. A interpretação e análise basearam-se na análise de conteúdo. As mulheres expressam confusão sobre o significado do climatério, relacionando-o aos sintomas que associam ao envelhecimento. Reconhecem tratar-se de uma fase da vida com aspectos também positivos e a vivem sem maiores preocupações.As percepções das mulheres sobre o climatério são fragmentadas e a assistência médica o trata como doença passível de tratamento. Portanto, o profissional enfermeiro, pela presença interativa constante na vida dessas mulheres, pode ajudar a desmistificar e ressignificar esse processo na vida da mulher.Las vivencias del climaterio fueron el objeto de este estudio, en investigación descriptiva-cualitativa con mujeres de las ciudades de Canoas y Porto Alegre, RS. La recolección de informaciones utilizó entrevista semiestructurada con 15 mujeres entre 41 y 59 años de edad. La interpretación y el análisis se basaran en el análisis de contenido. Las mujeres expresan confusión acerca del significado de climaterio, relacionándolo con los síntomas que asociados al envejecimiento. Reconocen tratarse de una fase de la vida con aspectos también positivos y la viven sin mayores preocupaciones. Las percepciones de las mujeres acerca del climaterio son fragmentadas y la asistencia médica lo trata como enfermedad factible de tratamiento. Por lo tanto, el profesional enfermero, por su presencia interactiva constante en la vida de esas mujeres, puede ayudar a desmistificar y a re-significar ese proceso en la vida de la mujer.The experience of the climacteric period is the object of the present descriptive-qualitative study with women from the cities of Canoas and Porto Alegre, RS. The

  7. Reflections on sexuality during the climacteric Reflexiones sobre la sexualidad durante la vivencia del climaterio Reflexões sobre a sexualidade durante a vivência do climatério

    Directory of Open Access Journals (Sweden)

    Roselane Gonçalves

    2009-04-01

    Full Text Available Qualitative and phenomenological study based on reports of women between 48 and 55 years old with spontaneous menopause for 12 months or more. Results evidenced five theme categories that were analyzed and interpreted based on Maurice Merleau-Ponty's theoretical-philosophical reference framework. Among the categories that emerged from reports, the theme "reflecting on sexuality" was emphasized, and is presented with a view to understanding the existential aspects of the climacteric experience, focusing on the exercise of sexuality.Se trata de un estudio cualitativo de abordaje fenomenológico, realizado a partir del relato de mujeres con edad entre 48 y 55 años que habían presentado menopausia espontánea hace 12 meses o más. Los resultados mostraron cinco categorías temáticas que fueron analizadas e interpretadas con base en el marco teórico filosófico de Maurice Merleau-Ponty. Entre las categorías que surgieron de los relatos sobresalió el tema" Reflexionando sobre la sexualidad" que será presentado con el objetivo de comprender los aspectos existenciales de la vivencia del climaterio con énfasis en la sexualidad.Estudo qualitativo de abordagem fenomenológica, realizado a partir do depoimento de mulheres entre 48 e 55 anos que haviam apresentado menopausa espontânea há 12 meses ou mais. Os resultados evidenciaram cinco categorias temáticas que foram analisadas e interpretadas à luz do referencial teórico filosófico de Maurice Merleau-Ponty. Dentre as categorias que emergiram dos depoimentos destacou-se o tema: "refletindo sobre a sexualidade", que será apresentado com o objetivo de compreender os aspectos existenciais da vivência do climatério com ênfase no exercício da sexualidade.

  8. "I should live and finish it": A qualitative inquiry into Turkish women's menopause experience

    Science.gov (United States)

    Cifcili, Serap Y; Akman, Mehmet; Demirkol, Abdullah; Unalan, Pemra C; Vermeire, Etienne

    2009-01-01

    Background While bio-medically, menopause could be treated as an illness, from a psychosocial and cultural perspective it could be seen as a "natural" process without requiring medication unless severe symptoms are present. Our objective is to explore the perceptions of Turkish women regarding menopause and Hormone Therapy (HT) to provide health care workers with an insight into the needs and expectations of postmenopausal women. Methods A qualitative inquiry through semi-structured, in-depth interviews was used to explore the study questions. We used a purposive sampling and included an equal number of participants who complained about the climacteric symptoms and those who visited the outpatient department for a problem other than climacteric symptoms but when asked declared that they had been experiencing climacteric symptoms. The interview questions focused on two areas; 1) knowledge, experiences, attitudes and beliefs about menopause and; 2) menopause-related experiences and ways to cope with menopause and perception of HT. Results Most of the participants defined menopause as a natural transition process that one should go through. Cleanliness, maturity, comfort of not having a period and positive changes in health behaviour were the concepts positively attributed to menopause, whereas hot flushes, getting old and difficulties in relationships were the negatives. Osteoporosis was an important concern for most of the participants. To deal with the symptoms, the non-pharmacological options were mostly favoured. Conclusion To our knowledge, this is the first qualitative study which focuses on Turkish women's menopausal experiences. Menopause was thought to be a natural process which was characterised by positive and negative features. Understanding these features and their implications in these women's lives may assist healthcare workers in helping their clients with menopause. PMID:19134179

  9. "I should live and finish it": A qualitative inquiry into Turkish women's menopause experience

    Directory of Open Access Journals (Sweden)

    Unalan Pemra C

    2009-01-01

    Full Text Available Abstract Background While bio-medically, menopause could be treated as an illness, from a psychosocial and cultural perspective it could be seen as a "natural" process without requiring medication unless severe symptoms are present. Our objective is to explore the perceptions of Turkish women regarding menopause and Hormone Therapy (HT to provide health care workers with an insight into the needs and expectations of postmenopausal women. Methods A qualitative inquiry through semi-structured, in-depth interviews was used to explore the study questions. We used a purposive sampling and included an equal number of participants who complained about the climacteric symptoms and those who visited the outpatient department for a problem other than climacteric symptoms but when asked declared that they had been experiencing climacteric symptoms. The interview questions focused on two areas; 1 knowledge, experiences, attitudes and beliefs about menopause and; 2 menopause-related experiences and ways to cope with menopause and perception of HT. Results Most of the participants defined menopause as a natural transition process that one should go through. Cleanliness, maturity, comfort of not having a period and positive changes in health behaviour were the concepts positively attributed to menopause, whereas hot flushes, getting old and difficulties in relationships were the negatives. Osteoporosis was an important concern for most of the participants. To deal with the symptoms, the non-pharmacological options were mostly favoured. Conclusion To our knowledge, this is the first qualitative study which focuses on Turkish women's menopausal experiences. Menopause was thought to be a natural process which was characterised by positive and negative features. Understanding these features and their implications in these women's lives may assist healthcare workers in helping their clients with menopause.

  10. TOWARDS COLLABORATION BETWEEN PUBLIC WELFARE AGENCIES AND MASS ENTERTAINMENT MEDIA TO BRING ABOUT A TURNING POINT STAGE IN THE LIVES OF BATTERED WOMEN

    Directory of Open Access Journals (Sweden)

    Nourit Segev

    2010-06-01

    Full Text Available This article examines the promoting and impeding factors that advance the turning point in thelives of battered women. The subject is important because of the contribution of the turning pointstage to the ability of women to leave the violent relationship and the way in which the publicwelfare agencies become involved in order to help the victim to advance towards the turning point.The article also reviews the influence of the entertainment media in shaping the positions of thepublic regarding marital violence, the presentation of battered women in the media, and theconnection between their media presentation and their advancement towards the turning point inreality.The research is based on a combination of qualitative and quantitative data, and focuses on contentanalysis. The qualitative content analysis included 40 journal articles, 1 documentary film and onedrama series, the personal interviews included 8 social workers and 6 journalists, and the focusgroup included 8 battered women. The findings indicate an awareness of battered women in thevarious media, and of a gap between the perception of social workers and the journalists regardingthe role of the media in raising social problems.The article calls for cooperation between the media and the professionals in order to construct messages of empowerment that will enable women to advance towards the turning point in theirlives.

  11. Selection of the Optimal Herbal Compositions of Red Clover and Pomegranate According to Their Protective Effect against Climacteric Symptoms in Ovariectomized Mice.

    Science.gov (United States)

    Kang, Su Jin; Choi, Beom Rak; Kim, Seung Hee; Yi, Hae Yeon; Park, Hye Rim; Song, Chang Hyun; Ku, Sae Kwang; Lee, Young Joon

    2016-01-01

    This study aimed to ascertain the optimal range of red clover dry extracts (RC) and dried pomegranate concentrate powder (PCP) to induce anti-climacteric effects. Thus, the dose ranges showing protective effect of mixed formulae consisting of RC and PCP were examined in ovariectomized mice. At 28 days after bilateral ovariectomy (OVX), mixed herbal compositions (RC:PCP = 1:1, 1:2, 1:4, 1:8, 2:1, 4:1, and 8:1) were administered orally, at 120 mg/kg once daily for 84 days. We evaluated that RC and PCP mixture attenuate OVX-caused obesity, hyperlipidemia, hepatic steatosis, and osteoporosis. Compared to OVX-induced control mice, body weight and abdominal fat weight in OVX-induced mice were significantly decreased, concomitantly with increase of uterus weight by RC:PCP mixture. Additionally, significant increases in serum estradiol levels were observed in all RC:PCP-treated mice. RC:PCP mixture also showed protective effect against OVX-induced hyperlipidemia, hepatic steatosis. Total body and femur mean bone mineral density (BMD), osteocalcin, bALP contents were effectively increased by RC:PCP mixture. Taken together, RC:PCP mixture (2:1, 1:1, and 4:1) has remarkable protective effects against the changes induced by OVX. In particular, RC:PCP mixture (2:1) shows the strongest effect and may be considered as a potential protective agent against climacteric symptoms. PMID:27455321

  12. Selection of the Optimal Herbal Compositions of Red Clover and Pomegranate According to Their Protective Effect against Climacteric Symptoms in Ovariectomized Mice

    Directory of Open Access Journals (Sweden)

    Su Jin Kang

    2016-07-01

    Full Text Available This study aimed to ascertain the optimal range of red clover dry extracts (RC and dried pomegranate concentrate powder (PCP to induce anti-climacteric effects. Thus, the dose ranges showing protective effect of mixed formulae consisting of RC and PCP were examined in ovariectomized mice. At 28 days after bilateral ovariectomy (OVX, mixed herbal compositions (RC:PCP = 1:1, 1:2, 1:4, 1:8, 2:1, 4:1, and 8:1 were administered orally, at 120 mg/kg once daily for 84 days. We evaluated that RC and PCP mixture attenuate OVX-caused obesity, hyperlipidemia, hepatic steatosis, and osteoporosis. Compared to OVX-induced control mice, body weight and abdominal fat weight in OVX-induced mice were significantly decreased, concomitantly with increase of uterus weight by RC:PCP mixture. Additionally, significant increases in serum estradiol levels were observed in all RC:PCP-treated mice. RC:PCP mixture also showed protective effect against OVX-induced hyperlipidemia, hepatic steatosis. Total body and femur mean bone mineral density (BMD, osteocalcin, bALP contents were effectively increased by RC:PCP mixture. Taken together, RC:PCP mixture (2:1, 1:1, and 4:1 has remarkable protective effects against the changes induced by OVX. In particular, RC:PCP mixture (2:1 shows the strongest effect and may be considered as a potential protective agent against climacteric symptoms.

  13. Personality characteristics of patients with male climacteric syndrome%男性更年期综合征患者性格特征及应对方式

    Institute of Scientific and Technical Information of China (English)

    彭汉珍

    2013-01-01

    Objective To explore the personality characteristics of patients with male climacteric syndrome and summarize the coping styles.Method 32 patients with male climacteric syndrome involved in the investigation of personality characteristics and coping styles by Eysenck Personality Questionnaire(EPQ).As a control,another 32 healthy subjects were enrolled for the controlled investigation.Results In the climacteric syndrome group,the scores on extraversion(E)was significantly lower than that of the control group,the scores on neuroticism(N)and lie(L)were significantly higher than the control group(P<0.01).In the climacteric syndrome group,the scores on active coping style was significantly lower than those of the control group and the scores on negative coping style score were significantly higher than those in the control group(P<0.01).Conclusions The patients with male climacteric syndrome is characterized with incomplete catharsis and emotional lability.They tend to suppress their negative emotions and take passive coping styles.%  目的探讨男性更年期综合征患者个性特征及应对方式。方法采用艾森克人格问卷(eysenck personality questionnaire,EPQ)和简易应对方式量表对32例男性更年期综合征患者进行性格特征和应对方式调查,并选择32例健康人进行对比。了解男性更年期综合征患者性格特征及应对方式状况。结果更年期综合征组中内外向(E)维度得分明显低于对照组,情绪稳定性(N)维度及掩饰性(L)维度得分明显高于对照组,两组比较,差异具有统计学意义,(均P<0.01);更年期综合征组患者积极应对方式得分明显低于对照组,消极应对方式得分明显高于对照组,两组比较,差异具有统计学意义,(均P<0.01)。结论男性更年期综合征患者具有不完善的宣泄和情绪不稳定性,过分压抑自己的负性情绪特点,而且倾向于采取消极的应对方式。

  14. Proteomic analysis of nipple aspirate fluid from women with early-stage breast cancer using isotope-coded affinity tags and tandem mass spectrometry reveals differential expression of vitamin D binding protein

    Directory of Open Access Journals (Sweden)

    Hunt Kelly K

    2006-03-01

    Full Text Available Abstract Background Isotope-coded affinity tag (ICAT tandem mass spectrometry (MS allows for qualitative and quantitative analysis of paired protein samples. We sought to determine whether ICAT technology could quantify and identify differential expression of tumor-specific proteins in nipple aspirate fluid (NAF from the tumor-bearing and contralateral disease-free breasts of patients with unilateral early-stage breast cancer. Methods Paired NAF samples from 18 women with stage I or II unilateral invasive breast carcinoma and 4 healthy volunteers were analyzed using ICAT labeling, sodium dodecyl sulfate-polyacrylamide gel (SDS-PAGE, liquid chromatography, and MS. Proteins were identified by sequence database analysis. Western blot analysis of NAF from an independent sample set from 12 women (8 with early-stage breast cancer and 4 healthy volunteers was also performed. Results 353 peptides were identified from tandem mass spectra and matched to peptide sequences in the National Center for Biotechnology Information database. Equal numbers of peptides were up- versus down-regulated. Alpha2HS-glycoprotein [Heavy:Light (H:L ratio 0.63] was underexpressed in NAF from tumor-bearing breasts, while lipophilin B (H:L ratio 1.42, beta-globin (H:L ratio 1.98, hemopexin (H:L ratio 1.73, and vitamin D-binding protein precursor (H:L ratio 1.82 were overexpressed. Western blot analysis of pooled samples of NAF from healthy volunteers versus NAF from women with breast cancer confirmed the overexpression of vitamin D-binding protein in tumor-bearing breasts. Conclusion ICAT tandem MS was able to identify and quantify differences in specific protein expression between NAF samples from tumor-bearing and disease-free breasts. Proteomic screening techniques using ICAT and NAF may be used to find markers for diagnosis of breast cancer.

  15. [Leanness, obesity, and breast cancer risk-different impact of body weight on breast cancer risk according to women's life stages].

    Science.gov (United States)

    Suzuki, Reiko; Saji, Shigehira

    2015-05-01

    Numerous epidemiological studies, although not all, in Western countries have reported a possible differential impact of BMI on breast cancer risk in women of various lifestages. Among premenopausal women, a number of epidemiological studies in Western populations suggested a weak inverse association between BMI and breast cancer risk. Conversely, there exists substantial evidence for a statistically significant positive association between body weight and breast cancer risk among postmenopausal women. The cumulative exposure to estrogen throughout a woman's life is one of the significant risk factors for breast cancer. After menopause, adipose tissue is a major source of estrogen. Therefore, an increase in body fat after menopause is one of the possible explanations for the positive association of body weight with the development of breast cancer. To evaluate the impact of body weight on the risk of breast cancer, we need to consider the role of adipose tissue in the development and differentiation of normal mammary glands. Special attention should be paid to women in their twenties and/or during their lactation periods when the development of normal mammary glands is significant. Further studies are needed to investigate the association between BMI and breast cancer risk, considering the role of body fat in the development of mammary glands.

  16. Clinical factors are not the best predictors of quality of sexual life and sexual functioning in women with early stage breast cancer

    NARCIS (Netherlands)

    B.L. den Oudsten; G.L. van Heck; A.F.W. van der Steeg; J.A. Roukema; J. de Vries

    2010-01-01

    Background: Few studies have prospectively assessed the impact of breast cancer (BC) on women's sexual lives. Therefore, this study examines the determinants of quality of sexual life (QOSL), sexual functioning (SF), and sexual enjoyment (SE) at 6 and 12 months after surgical treatment. Methods: All

  17. 不同孕期妊娠妇女凝血四项指标变化及意义%Analysis of the blood coagulation test of pregnant women in different stage and discuss its clinical significance

    Institute of Scientific and Technical Information of China (English)

    魏文迅; 林进考

    2008-01-01

    Objective To study the results of blood coagulation test,including PT,APTT,FG and TT of pregnant women in different stage,and to discuss its clinical significance.Methods Blood coagulation monitor(STA-GO-ArT4,French)was used in this study.The experiment samples were divided into four grroups:group intermediate stage gestation(30 persons),group advanced stage gestation(26 persons),group in labor(30 persons)and group normal of none-gestation(37 persons).The prothrombin time(PT),activated partiat thromboplastin time(APTT).fibrinogen(FG)and thrombin time(TT)of these persons were detected.At last,the data of the test was analysised.Results The PT,FG and TT of the group advanced stage gestation and group in labor were higher compared with the group normal of none-gestation(P<0.05).Conclusion The blood coagulation function of pregnant women in different stage is different from the none-pregnant women,and it is important to know the PT,APTT,FG and TT promptly.%目的 探讨妊娠妇女不同孕期凝血酶原时间(PT)、部分凝血活酶时间(APTT)、纤维蛋白原(FG)和凝血酶时间(TT)四项反映凝血功能指标的变化及其临床意义.方法 采用法国STAGO-ArT4血凝仪检测86例正常中孕、晚孕、临产妇女和37例正常非孕妇女的PT、APTT、FG和TT,并对检测结果进行比较.结果:晚孕组和临产组与健康对照组比较,PT、FG和TT差异有统计学意义(P<0.05).结论 不同孕期妊娠妇女凝血功能发生改变,及时了解这些变化具有重要临床意义.

  18. Decreasing menopausal symptoms in women undertaking a web-based multi-modal lifestyle intervention: The Women's Wellness Program.

    Science.gov (United States)

    Anderson, Debra; Seib, Charrlotte; McGuire, Amanda; Porter-Steele, Janine

    2015-05-01

    Menopausal transition can be challenging for many women. This study tested the effectiveness of an intervention delivered in different modes in decreasing menopausal symptoms in midlife women. The Women's Wellness Program (WWP) intervention was delivered to 225 Australian women aged between 40 and 65 years through three modes (i.e., on-line independent, face-to-face with nurse consultations, and on-line with virtual nurse consultations). All women in the study were provided with a 12-week Program Book outlining healthy lifestyle behaviors while women in the consultation groups were supported by a registered nurse who provide tailored health education and assisted with individual goal setting for exercise, healthy eating, smoking and alcohol consumption. Pre- and post-intervention data were collected on menopausal symptoms (Greene Climacteric Scale), health related quality of life (SF12), and modifiable lifestyle factors. Linear mixed-effect models showed an average 0.87 and 1.23 point reduction in anxiety (plifestyle intervention embedded within a wellness framework has the potential to reduce menopausal symptoms and improve quality of life in midlife women thus potentially enhancing health and well-being in women as they age. Of course, study replication is needed to confirm the intervention effects.

  19. Markers of iron status are associated with stage of pregnancy and acute-phase response, but not with parity among pregnant women in Guinea-Bissau

    DEFF Research Database (Denmark)

    Kæstel, Pernille; Aaby, Peter; Ritz, Christian;

    2015-01-01

    While prenatal Fe supplementation prevents maternal Fe deficiency and anaemia, it is uncertain whether it improves infant health outcomes, at least when taken by Fe-replete women. Inflammation as well as physiological changes complicates the assessment of Fe status during pregnancy. In the present...... pregnancy. Using cut-off values for Fe deficiency as established in non-pregnant individuals, 52 % of the women had sTfR levels >2·3 mg/l, while only 25 % had serum ferritin levels 2·3 mg/l decreased to 47 % after adjustment for elevated serum CRP and ACT levels. On the contrary, the proportion of serum...... ferritin pregnancy-specific cut-offs since increased erythropoiesis is expected in response to increased plasma volume of pregnancy. The present study further underlines the need to adjust...

  20. Telbivudine treatment of hepatitis B virus-infected pregnant women at different gestational stages for the prevention of mother-to-child transmission

    Science.gov (United States)

    Tan, Zhangmin; Yin, Yuzhu; Zhou, Jin; Wu, Lingling; Xu, Chengfang; Hou, Hongying

    2016-01-01

    Abstract This prospective study evaluated the viability of telbivudine for blocking mother-to-child transmission (MTCT) of hepatitis B virus (HBV) infection. Pregnant women positive for the hepatitis B surface antigen began telbivudine treatment before 14 weeks of gestation (i.e., early), between 14 and 28 weeks of gestation (late), or not at all (control). In the late-treatment group, 55 women terminated telbivudine therapy within puerperium. All neonates underwent routine hepatitis B immunoglobulin plus vaccination. Mothers and infants were followed for 7 months after birth. Pregnancy outcomes were similar among the 3 groups. HBV MTCT rates in the early and late treatment and control groups were 0, 0, and 4.69%, respectively. The rates of infant vaccination success among the 3 groups were similar, as were neonatal outcomes including birth weights, asphyxia, hyperbilirubinemia, Apgar score, birth defects, and weight and height at 7 months. Puerperal discontinuation of telbivudine did not increase the alanine transaminase value at 7 months after birth, but increased serum HBV DNA levels, and rates of positive hepatitis Be-antigen. Telbivudine treatment in HBV-infected pregnant women was associated with lower serum HBV DNA levels and reduced rates of HBV MTCT; there were no associated changes in pregnancy or neonatal outcomes at birth or 7 months after birth, or in the rate of infant vaccination success. Puerperal drug withdrawal after short-term antiviral therapy will not influence hepatic function, but may increase virus replication. PMID:27749537

  1. Markers of iron status are associated with stage of pregnancy and acute-phase response, but not with parity among pregnant women in Guinea-Bissau.

    Science.gov (United States)

    Kæstel, Pernille; Aaby, Peter; Ritz, Christian; Friis, Henrik

    2015-10-14

    While prenatal Fe supplementation prevents maternal Fe deficiency and anaemia, it is uncertain whether it improves infant health outcomes, at least when taken by Fe-replete women. Inflammation as well as physiological changes complicates the assessment of Fe status during pregnancy. In the present study, we measured the concentrations of serum ferritin and soluble transferrin receptors (sTfR), Hb and the acute-phase proteins C-reactive protein (CRP) and α1-antichymotrypsin (ACT) in a cross-sectional study among 738 pregnant women attending antenatal care in Guinea-Bissau, West Africa. Multiple linear regression analysis was used to identify the predictors of Fe status markers. The mean gestational age was 23 (sd 7) weeks. Serum ferritin values were lower with progressing gestation, from 27% lower during weeks 16-20 of gestation up to 59% lower after 29 weeks of gestation compared with early pregnancy. Using cut-off values for Fe deficiency as established in non-pregnant individuals, 52% of the women had sTfR levels >2·3 mg/l, while only 25% had serum ferritin levels 2·3 mg/l decreased to 47% after adjustment for elevated serum CRP and ACT levels. On the contrary, the proportion of serum ferritin < 12 μg/l increased to 33% after adjustment for ACT and CRP. The high proportion of elevated serum sTfR calls for pregnancy-specific cut-offs since increased erythropoiesis is expected in response to increased plasma volume of pregnancy. The present study further underlines the need to adjust for inflammation when serum sTfR and serum ferritin are used to assess Fe status in pregnancy.

  2. Contribution of three-dimensional conformal intensity-modulated radiation therapy for women affected by bulky stage II supradiaphragmatic Hodgkin disease

    OpenAIRE

    Antoni, Delphine; Natarajan-Ame, Shanti; Meyer, Philippe; Niederst, Claudine; Bourahla, Khalil; Noel, Georges

    2013-01-01

    Purpose To analyze the outcome and dose distribution of intensity-modulated radiation therapy (IMRT) by helical tomotherapy in women treated for large supradiaphragmatic Hodgkin’s disease. Material and methods A total of 13 patients received adjuvant radiation at a dose of 30 Gy to the initially involved sites with a boost of 6 Gy to those areas suspected of harboring residual disease on the simulation CT scan. Results With a median follow-up of 23 months, the two-year progression-free surviv...

  3. Improved survival for women with stage I breast cancer in south-east Sweden: A comparison between two time periods before and after increased use of adjuvant systemic therapy

    International Nuclear Information System (INIS)

    Purpose. Continuous minor steps of improvement in the management of breast cancer have resulted in decreased mortality rates during the last decades. The aim of this study was to compare the clinical outcome of patients with stage I breast cancer diagnosed during two time periods that differed with respect to adjuvant systemic therapy. Material and methods. The studied population consisted of all women < 60 years of age, who were diagnosed breast cancer stage I between 1986 and 1999 in south-east Sweden, a total of 1 407 cases. The cohort was divided into two groups based on the management programmes of 1986 and 1992, hereafter referred to as Period 1 and Period 2. Before 1992 the only adjuvant systemic therapy recommended was tamoxifen for hormone receptor positive patients aged 50 years or older. During Period 2 the use of adjuvant treatment was extended to younger patients at high risk, identified by a high tumour S-phase fraction, with either hormonal or cytotoxic treatment. Results. The estimated distant recurrence-free survival rate was significantly higher during Period 2 than during Period 1 (p = 0.008). Subgroup analysis showed that the most evident reduction of distant recurrence risk was among hormone receptor-negative patients (HR = 0.58, 95% CI 0.31-1.09, p = 0.09) and among patients with a high tumour S-phase fraction (HR = 0.53, 0.30-0.93, p = 0.028). The risk reduction between the periods was still statistically significant in multivariate analysis when adjusting for different tumour characteristics and treatment modalities, indicating an influence of other factors not controlled for. One such factor may be the duration of tamoxifen treatment, which likely was more frequently five years during Period 2 than during Period 1. Conclusions. We conclude that the causes of the increase in distant recurrence free survival for women with breast cancer stage I are complex. The results support though that high-risk subgroups of stage I breast cancer patients

  4. Improved survival for women with stage I breast cancer in south-east Sweden: A comparison between two time periods before and after increased use of adjuvant systemic therapy

    Energy Technology Data Exchange (ETDEWEB)

    Johansson, Patrik (Dept. of Clinical and Experimental Medicine, Div. of Oncology, Linkoeping Univ. (Sweden)); Fohlin, Helena (Oncologic Centre, Univ. Hospital, Linkoeping (Sweden)); Arnesson, Lars-Gunnar (Dept. of Surgery, Univ. Hospital, Linkoeping (Sweden)) (and others)

    2009-05-15

    Purpose. Continuous minor steps of improvement in the management of breast cancer have resulted in decreased mortality rates during the last decades. The aim of this study was to compare the clinical outcome of patients with stage I breast cancer diagnosed during two time periods that differed with respect to adjuvant systemic therapy. Material and methods. The studied population consisted of all women < 60 years of age, who were diagnosed breast cancer stage I between 1986 and 1999 in south-east Sweden, a total of 1 407 cases. The cohort was divided into two groups based on the management programmes of 1986 and 1992, hereafter referred to as Period 1 and Period 2. Before 1992 the only adjuvant systemic therapy recommended was tamoxifen for hormone receptor positive patients aged 50 years or older. During Period 2 the use of adjuvant treatment was extended to younger patients at high risk, identified by a high tumour S-phase fraction, with either hormonal or cytotoxic treatment. Results. The estimated distant recurrence-free survival rate was significantly higher during Period 2 than during Period 1 (p = 0.008). Subgroup analysis showed that the most evident reduction of distant recurrence risk was among hormone receptor-negative patients (HR = 0.58, 95% CI 0.31-1.09, p = 0.09) and among patients with a high tumour S-phase fraction (HR = 0.53, 0.30-0.93, p = 0.028). The risk reduction between the periods was still statistically significant in multivariate analysis when adjusting for different tumour characteristics and treatment modalities, indicating an influence of other factors not controlled for. One such factor may be the duration of tamoxifen treatment, which likely was more frequently five years during Period 2 than during Period 1. Conclusions. We conclude that the causes of the increase in distant recurrence free survival for women with breast cancer stage I are complex. The results support though that high-risk subgroups of stage I breast cancer patients

  5. Estadiamento inicial dos casos de câncer de mama e colo do útero em mulheres brasileiras Initial staging of breast and cervical cancer in Brazilian women

    Directory of Open Access Journals (Sweden)

    Luiz Claudio Santos Thuler

    2005-11-01

    nas regiões onde estes hospitais estão localizados houve melhora na detecção precoce destes tipos de câncer.PURPOSE: to analyze time trends in the clinical staging at the moment of diagnosis in patients with breast and cervix cancer based on data produced by the Brazilian Public Health System (SUS. METHODS: in the first part of this study we identified the published documents describing clinical staging of patients at the moment of diagnosis. Considering their scarcity and poor representativity we conducted the second part of this study through an active search for information. A form was sent via regular mail to all cancer centers in the country (n=173 requesting information about the tumor site and stage at diagnosis by year, in the period of 1995-2002. The statistical analysis was performed using the "R" statistical package. The results are reported as percentage and boxplots. RESULTS: in the first part of the study (1990-1994 we described data from 18 hospitals concerning 7,458 patients with breast cancer and 7,216 patients with cervix cancer. The median of the percentage of cancers diagnosed at an advanced stage (stages III or IV was 52.6 and 56.8%, respectively. In the second part of the study (1995-2002 data were collected from 89 cancer hospitals and 7 chemotherapy or radiotherapy clinics. There was a total of 43,442 cases of breast cancer and 29,263 of cervix cancer. The response rate based on the potential contact list was 55%. The median percentage of patients in advanced stage was 45.3% for breast cancer and 42.5% for cervix cancer. CONCLUSIONS: few studies have examined the time trends in staging of cancer at diagnosis in Brazilian hospitals. Data obtained from Hospital Cancer Registries showed that in the last decade there was a reduction in the percentage of cervix and breast cancer at the advanced stage. This reduction can be due to an improvement in early detection of these cancers.

  6. Randomized Control Trial: Evaluating Aluminum-Based Antiperspirant Use, Axilla Skin Toxicity, and Reported Quality of Life in Women Receiving External Beam Radiotherapy for Treatment of Stage 0, I, and II Breast Cancer

    Energy Technology Data Exchange (ETDEWEB)

    Watson, Linda C., E-mail: Linda.watson@albertahealthservices.ca [Department of Interdisciplinary Practice, Community Oncology, Alberta Health Services-Cancer Care, Calgary, AB (Canada); Gies, Donna [Department of Radiation Oncology Nursing, Tom Baker Cancer Centre, Alberta Health Services-Cancer Care, Calgary, AB (Canada); Thompson, Emmanuel [Department of Mathematics and Statistics, University of Calgary Faculty of Science, Calgary, AB (Canada); Thomas, Bejoy [Department of Psychosocial Resources, Tom Baker Cancer Centre, Alberta Health Services-Cancer Care, Calgary, AB (Canada); Department of Psychosocial Oncology, University of Calgary Faculty of Medicine, Calgary, AB (Canada)

    2012-05-01

    Purpose: Standard skin care instructions regarding the use of antiperspirants during radiotherapy to the breast varies across North America. Women have articulated that when instructed to not use antiperspirant, the potential for body odor is distressing. Historical practices and individual opinions have often guided practice in this field. The present study had 2 purposes. To evaluate whether the use of aluminum-based antiperspirant while receiving external beam radiotherapy for stage 0, I, or II breast cancer will increase axilla skin toxicity and to evaluate whether the use of antiperspirant during external beam radiotherapy improves quality of life. Methods: A total of 198 participants were randomized to either the experimental group (antiperspirant) or control group (standard care-wash only). The skin reactions in both groups were measured weekly and 2 weeks after treatment using the National Cancer Institute Common Toxicity Criteria Adverse Events, version 3, toxicity grading criteria. Both groups completed the Functional Assessment for Chronic Illness Therapy's questionnaire for the breast population quality of life assessment tool, with additional questions evaluating the effect of underarm antiperspirant use on quality of life before treatment, immediately after treatment, and 2 weeks after treatment during the study. Results: The skin reaction data were analyzed using the generalized estimating equation. No statistically significant difference was seen in the skin reaction between the 2 groups over time. The quality of life data also revealed no statistically significant difference between the 2 groups over time. Conclusions: Data analysis indicates that using antiperspirant routinely during external beam radiotherapy for Stage 0, I, or II breast cancer does not affect the intensity of the skin reaction or the self-reported quality of life. This evidence supports that in this particular population, there is no purpose to restrict these women from

  7. Randomized Control Trial: Evaluating Aluminum-Based Antiperspirant Use, Axilla Skin Toxicity, and Reported Quality of Life in Women Receiving External Beam Radiotherapy for Treatment of Stage 0, I, and II Breast Cancer

    International Nuclear Information System (INIS)

    Purpose: Standard skin care instructions regarding the use of antiperspirants during radiotherapy to the breast varies across North America. Women have articulated that when instructed to not use antiperspirant, the potential for body odor is distressing. Historical practices and individual opinions have often guided practice in this field. The present study had 2 purposes. To evaluate whether the use of aluminum-based antiperspirant while receiving external beam radiotherapy for stage 0, I, or II breast cancer will increase axilla skin toxicity and to evaluate whether the use of antiperspirant during external beam radiotherapy improves quality of life. Methods: A total of 198 participants were randomized to either the experimental group (antiperspirant) or control group (standard care-wash only). The skin reactions in both groups were measured weekly and 2 weeks after treatment using the National Cancer Institute Common Toxicity Criteria Adverse Events, version 3, toxicity grading criteria. Both groups completed the Functional Assessment for Chronic Illness Therapy’s questionnaire for the breast population quality of life assessment tool, with additional questions evaluating the effect of underarm antiperspirant use on quality of life before treatment, immediately after treatment, and 2 weeks after treatment during the study. Results: The skin reaction data were analyzed using the generalized estimating equation. No statistically significant difference was seen in the skin reaction between the 2 groups over time. The quality of life data also revealed no statistically significant difference between the 2 groups over time. Conclusions: Data analysis indicates that using antiperspirant routinely during external beam radiotherapy for Stage 0, I, or II breast cancer does not affect the intensity of the skin reaction or the self-reported quality of life. This evidence supports that in this particular population, there is no purpose to restrict these women from using

  8. 重庆地区妊娠妇女早中孕期叶酸水平分析%Analysis of folic acid levels in early and medium stage of pregnant women in Chongqing area

    Institute of Scientific and Technical Information of China (English)

    何敏; 向林

    2014-01-01

    Objective To understand the serum folic acid level in early and medium stage of pregnant women in Chongqing area .Methods The chemiluminescence method was adopted to detect serum folic acid levels in 3 312 cases of pregnant women .Results The serum folic acid level in the early pregnancy group was higher than that of the medium pregnancy group ,and the folic acid deficiency rate was lower than that in the medium pregnancy group ,the difference was statistically significant (P<0 .05);as the gestational age increase ,the serum folic acid level was in-creased and the folic acid deficiency rate was decreased with statistical difference (P< 0 .05) .Conclusion Pregnant women replenishing folic acid and monitoring the level of folic acid have the important significance to prepotency .%目的:了解重庆地区妊娠妇女早中孕期血清叶酸水平。方法采用化学发光法对3312例孕妇血清叶酸水平进行检测。结果早孕组血清叶酸水平高于中孕组,叶酸缺乏率低于中孕组,差异有统计学意义(P<0.05);随孕龄增加,血清叶酸水平增加,叶酸缺乏率降低,差异有统计学意义(P<0.05)。结论妊娠妇女做好叶酸补充,监测孕妇体内叶酸水平对于优生优育具有重要意义。

  9. Staging Mobilities

    DEFF Research Database (Denmark)

    Jensen, Ole B.

    and lived as people are “staging themselves” (from below). Staging mobilities is a dynamic process between “being staged” (for example, being stopped at traffic lights) and the “mobile staging” of interacting individuals (negotiating a passage on the pavement). Staging Mobilities is about the fact...

  10. S-adenosyl-L-methionine usage during climacteric ripening of tomato in relation to ethylene and polyamine biosynthesis and transmethylation capacity.

    Science.gov (United States)

    Van de Poel, Bram; Bulens, Inge; Oppermann, Yasmin; Hertog, Marten L A T M; Nicolai, Bart M; Sauter, Margret; Geeraerd, Annemie H

    2013-06-01

    S-adenosyl-L-methionine (SAM) is the major methyl donor in cells and it is also used for the biosynthesis of polyamines and the plant hormone ethylene. During climacteric ripening of tomato (Solanum lycopersicum 'Bonaparte'), ethylene production rises considerably which makes it an ideal object to study SAM involvement. We examined in ripening fruit how a 1-MCP treatment affects SAM usage by the three major SAM-associated pathways. The 1-MCP treatment inhibited autocatalytic ethylene production but did not affect SAM levels. We also observed that 1-(malonylamino)cyclopropane-1-carboxylic acid formation during ripening is ethylene dependent. SAM decarboxylase expression was also found to be upregulated by ethylene. Nonetheless polyamine content was higher in 1-MCP-treated fruit. This leads to the conclusion that the ethylene and polyamine pathway can operate simultaneously. We also observed a higher methylation capacity in 1-MCP-treated fruit. During fruit ripening substantial methylation reactions occur which are gradually inhibited by the methylation product S-adenosyl-L-homocysteine (SAH). SAH accumulation is caused by a drop in adenosine kinase expression, which is not observed in 1-MCP-treated fruit. We can conclude that tomato fruit possesses the capability to simultaneously consume SAM during ripening to ensure a high rate of ethylene and polyamine production and transmethylation reactions. SAM usage during ripening requires a complex cellular regulation mechanism in order to control SAM levels.

  11. Well staged

    Energy Technology Data Exchange (ETDEWEB)

    Budd, Godfrey

    2011-06-15

    Packers Plus Energy Services Inc. has commercially launched QuickFRAC, a multi-stage completition system which can fracture four to five isolated stages in one treatment and set up a record of 23-stage slickwater frac in less than 10 hours. It could take up to 40 days to do 100 fracture treatments with other systems. This technology makes it possible to distribute fluid at each port thanks to the limited entry system. In order to make multiple isolated stages within one treatment zone, each zone includes multiple QuickPORT sleeves with packers on either side. The other technology which made this possible is the repeater port system, it allows them to perform more frac stages. This technology could be useful in the future since the need for stages will be doubling soon with microdarcy shale oil extraction which is more difficult than gas.

  12. Evaluation of bone alterations in the jaws of HIV-infected menopausal women

    Directory of Open Access Journals (Sweden)

    Bruno Vieira Caputo

    2013-06-01

    Full Text Available The advent of highly active antiretroviral therapy (HAART has caused a reduction in mortality, thus contributing to an increase in the number of women with HIVࢧAIDS who reach the climacteric period, experience decline in ovarian function, and develop complications of viral infection and HAART, which can accelerate bone loss. The aim of this study was to detect possible alterations in the jaws of HIV-infected women by panoramic radiography. The study comprised a total of 120 women above 40 years of age who were divided into the following two groups: women who are HIV positive (Group I and women with no known HIV infection (Group II. Measurement of the following three radiomorphometric indexes was performed by panoramic radiography: Mental Index (MI, Panoramic Mandibular Index (PMI and Antegonial Depth (AD. A total of 70% of women in the control group and 50% of women in the HIV group were in the postmenopausal period, and the average values of both MI (p = 0.0054 and AD (p < 0.0001 for this period were lower in the HIV group than in the control group. For patients who were in the premenopausal period, the average AD was lower in the HIV group than in the control group (p = 0.0003. Despite the difference in the average age between groups, greater bone resorption in the mandible was found in the group of HIV-positive women.

  13. Effect of exercise on the auditory discrimination task in perimenopausal women: a preliminary study.

    Science.gov (United States)

    Hwang, R-J; Wu, H-Y; Chen, H-J; Yan, Y-J

    2016-06-01

    Background The climacteric phase of menopausal transition (perimenopause) is marked by reproductive hormone fluctuations and reduced cognitive capacity. Exercise enhances neurocognitive performance. However, auditory perceptual sensitivity has not been examined. Purpose This study aimed to determine the effect of aerobic exercise on the response speed (reaction time) and error rate during auditory processing among perimenopausal women. Methods Three pitches (500, 1000, and 2000 Hz) were used during a simple auditory discrimination task, which was performed before and after exercise. We included 14 perimenopausal women and 17 right-handed young women (aged 46-54 years and 18-22 years, respectively). To achieve similar exercise intensity in both groups, we proposed two types of physical activities for each group. Mixed models statistics were used to analyze the reaction time and error rate before and after training in the two groups. Results Perimenopausal women exhibited a significantly longer reaction time than young women during the baseline auditory discrimination task (p performance differs between the two groups. Aerobic exercise improves auditory discrimination performance specifically for perimenopausal women. These results provide preliminary evidence concerning the acoustic features of middle-aged women, underscoring the importance of exercise for preventing decline in auditory cognitive function in perimenopausal women. PMID:26940827

  14. Women's Health

    Science.gov (United States)

    Women have unique health issues. And some of the health issues that affect both men and women can affect women differently. Unique issues ... and men also have many of the same health problems. But these problems can affect women differently. ...

  15. Women and medicine.

    Science.gov (United States)

    Dacre, Jane; Shepherd, Susan

    2010-12-01

    It is now clear that women doctors will soon make up the majority of the medical workforce. Research shows that women often prefer part time and flexible working, and are inclined to favour some specialist fields over others. Although these facts are widely known, as yet it appears that little account has been taken of their economic and organisational consequences. All doctors require sound careers advice, but women doctors reported that this is often poor or inconsistent. Women's preference for flexible working at certain stages of their careers could be a major advantage in health service planning; models need to be developed that recognise women's willingness to work in new ways. Although women are under-represented in positions of national leadership, there is no evidence to suggest that they are disadvantaged in their endeavours, or unwilling to deliver the commitment necessary. However, they may need timely advice and encouragement to reach their full potential. PMID:21413474

  16. Health of Indonesian women city-dwellers of perimenopausal age.

    Science.gov (United States)

    Samil, R S; Wishnuwardhani, S D

    1994-10-01

    In the last few years more women of climacteric age, living in urban areas, have been seeking medical care. In 1989, on the invitation of 6 women's organizations in Jakarta and other cities, the Indonesian Menopause Society gave talks and held discussions in cooperation with the Department of Obstetrics and Gynaecology, Faculty of Medicine of the University of Indonesia/Dr. Cipto Mangunkusumo Hospital, Jakarta. These occasions were used to accumulate data from women participants of 40 years of age and older. The age of the respondents ranged between 40-59 years. Most were 42 years old (13.9%). Ninety-four percent were still married. Twenty-five percent had three living children. Sixty-three percent of the respondents were high school graduates who worked full time (33%), part time, or were unemployed. The average menarche age was 13 and menopausal age 50-51. Menopausal complaints were rare, hence medical consultations were rare. Tranquilizers were prescribed for those who did seek medical help. This data constitutes the basis of the formulation of a strategy to solve menopause related problems in Indonesia, where female life expectancy, and the contribution of women to society, is on the increase.

  17. Determinants of Menopausal Symptoms among Ghanaian Women

    Directory of Open Access Journals (Sweden)

    Jacob Setorglo

    2012-07-01

    Full Text Available The onset of menopause is unique to every woman with varying symptoms which have implications on health and well-being. This study evaluated the perception, knowledge and beliefs about menopause and the prevalence of climacteric symptoms. The study was a cross-sectional survey of 280 menopausal women aged 45 years and older in the Accra Metropolis of the Greater Accra Region of Ghana. Data on socio-demographic characteristics, knowledge, beliefs and experience of menopausal symptoms were collected using a semi-structured questionnaire. Anthropometric data on weight, height, % body fat and MUAC were also taken. All data were analyzed using SPSS version 16.0 and presented as means and frequencies. Predictors of menopausal symptoms were determined by logistic regression. The mean age of onset of menopause was (48±2.9 years with 98.2% having some knowledge of the signs and symptoms of menopause. The most frequently reported menopausal symptoms by the women were: night sweats (83.2%, hot flashes (76.4%, mood swings (72.5% and vaginal dryness (71.4%. The significant predictors for the occurrence of the most common symptoms reported were: age at onset of menstruation, age of start of menopause, body weight and % body fat. There was a decreased risk of experiencing symptoms such as night sweats, mood swings and vaginal dryness as age at menopause increased. Menopausal transition was determined by both vasomotor and urogenital symptoms. Counseling and support are needed to enable women manage the symptoms better. Most women have heard of and know what menopause is.

  18. Trading stages

    DEFF Research Database (Denmark)

    Steiner, Uli; Tuljapurkar, Shripad; Coulson, Tim;

    2012-01-01

    because they are hard to use and interpret, and tools for age and stage structured populations are missing. We present easily interpretable expressions for the sensitivities and elasticities of life expectancy to vital rates in age-stage models, and illustrate their application with two biological...

  19. 坤泰胶囊与戊酸雌二醇对更年期综合征各种症状的不同疗效分析%Effects of Kuntai Capsule and Estradiol Valerate on Different Symptoms of Climacteric Syndrome

    Institute of Scientific and Technical Information of China (English)

    陈蓉; 林守清; 杨欣; 栾艳秋; 陈继英; 李冬梅

    2013-01-01

    目的 分析中成药坤泰胶囊与西药戊酸雌二醇(E2V)对更年期综合征各种症状的不同疗效.方法 选择2002年4月至2003年8月在北京协和医院和北京大学第一临床医院就诊的更年期综合征患者147例,进行随机、双盲、双模拟平行对照研究3个月,将每日潮热3次以上的更年期妇女随机分为坤泰组(坤泰胶囊4粒,每日3次,77例)和E2V组(协坤片0.5 mg,每晚1次,70例),按照停经时间再分为绝经过渡期和绝经后两亚组.研究期间患者记录症状日记,随访时由专人进行改良Kupperman症状(K)评分评估更年期症状.结果 ①治疗3个月时,坤泰组和E2V组K评分较治疗前均有统计学意义(P<0.05).坤泰组、E2V组K评分临床有效率分别为86.2%、78.9%,两组比较差异无统计学意义(P>0.05).坤泰过渡期组、绝经后组K评分临床有效率分别为96.5%、77.7%,两组比较差异有统计学意义(P<0.05).②两种药物对不同停经时间亚组患者的潮热评分疗效比较差异无统计学意义(P>0.05).随治疗时间延长,两组的各种症状治疗有效率均明显提高.除头晕、阴道干涩外,两种药物对K评分中其余10项症状的疗效均无统计学意义(P>0.05).过渡期组患者感觉异常、忧郁、头晕、疲乏、肌肉关节痛、头痛6项症状,在治疗1周和1个月时坤泰组疗效优于E2V组.结论 坤泰胶囊和E2V对改善更年期综合征症状均有效.坤泰胶囊对过渡期患者的疲乏、头痛等症状疗效优于小剂量E2V,而对绝经后患者的阴道干涩疗效后者优于前者.%Objective To analyze the different effects of Kuntai capsule,a traditional Chinese preparation and estradiol valerate on different symptoms of climacteric syndrome.Methods One hundred and forty-seven perimenopausal women with hot flushes more than 3 times a day from Peking Union Medical College Hospital and the First Hospital Affiliated to Peking University from Apr.2002 to Aug.2003

  20. Endometrial carcinoma stage I.

    Science.gov (United States)

    Baram, A; Ron, I; Kupferminc, M; Inbar, M

    1997-01-01

    Standard staging and therapeutic approach to endometrial cancer involves lymph node sampling (LNS) at the time of total abdominal hysterectomy (TAH) and bilateral salpingo-oophorectomy (BSO). Lymphadenectomy prolongs time of surgery and increases the risk of morbidity; where other predictors are available, it may not contribute important supplementary information. 185/247 women with stage I endometrial carcinoma underwent the standard surgery while 62 underwent TAH+BSO. Recurrence and survival were monitored for a mean of 6.5 years and retrospectively reviewed: the rates for groups with and without known lymph node status were alike [13.5% (25/185) recurrence for the former and 12.9% (8/62) for the latter, and 5-year survival rates of 75.7% (140/185) for the former and 74.2 (46/62) for the latter]. Myometrial invasion and histological grade appeared to have been highly accurate predictors without lymph node information. Because information on histological grade is available early and is highly predictive, its use could be incorporated into a revised management algorithm for stage I endometrial cancer which would depend upon ensuring lymphadenectomy for women with low grade histopathology and omitting it for those with high grades on the grounds that no further information is necessary to act appropriately. PMID:21590195

  1. O olhar dos responsáveis pela política de saúde da mulher climatérica La mirada de los responsables por la política de la salud de la mujer climatérica The look of the responsible ones for the politics of health of woman climacterics

    Directory of Open Access Journals (Sweden)

    Queli Lisiane Castro Pereira

    2009-06-01

    Regional Co-ordination's Health of Rio Grande do Sul, in the perspective of the Responsible ones for the politics of woman's health. The search of climacterics was characterized for being in function of the symptoms and typical complaints of this phase and, doubts how much to a possible gestation. It has necessary looking for practices the constitutional law of the completeness, preserving the rights already conquered by the women and to extend the attendants services, so that they can correspond in such a way quantitative as qualitatively to the demands, to the necessities of promotion, prevention and recovery of the health of the users of the brazilian system of health.

  2. Staging atmospheres

    DEFF Research Database (Denmark)

    Bille, Mikkel; Bjerregaard, Peter; Sørensen, Tim Flohr

    2015-01-01

    The article introduces the special issue on staging atmospheres by surveying the philosophical, political and anthropological literature on atmosphere, and explores the relationship between atmosphere, material culture, subjectivity and affect. Atmosphere seems to occupy one of the classic...... localities of tensions between matter and the immaterial, the practical and the ideal, and subject and object. In the colloquial language there can, moreover, often seem to be something authentic or genuine about atmosphere, juxtaposing it to staging, which is implied to be something simulated or artificial....... This introduction seeks to outline how a number of scholars have addressed the relationship between staged atmospheres and experience, and thus highlight both the philosophical, social and political aspects of atmospheres...

  3. The effect of TCM acupuncture on hot flushes among menopausal women (ACUFLASH study: A study protocol of an ongoing multi-centre randomised controlled clinical trial

    Directory of Open Access Journals (Sweden)

    Borud Einar K

    2007-02-01

    Full Text Available Abstract Background After menopause, 10–20% of all women have nearly intolerable hot flushes. Long term use of hormone replacement therapy involves a health risk, and many women seek alternative strategies to relieve climacteric complaints. Acupuncture is one of the most frequently used complementary therapies in Norway. We designed a study to evaluate whether Traditional Chinese Medicine acupuncture-care together with self-care is more effective than self-care alone to relieve climacteric complaints. Methods/Design The study is a multi-centre pragmatic randomised controlled trial with two parallel arms. Participants are postmenopausal women who document ≥7 flushes/24 hours and who are not using hormone replacement therapy or other medication that may influence flushes. According to power calculations 200 women are needed to detect a 50% reduction in flushes, and altogether 286 women will be recruited to allow for a 30% dropout rate. The treatment group receives 10 sessions of Traditional Chinese Medicine acupuncture-care and self-care; the control group will engage in self-care only. A team of experienced Traditional Chinese Medicine acupuncturists give acupuncture treatments. Discussion The study tests acupuncture as a complete treatment package including the therapeutic relationship and expectation. The intervention period lasts for 12 weeks, with follow up at 6 and 12 months. Primary endpoint is change in daily hot flush frequency in the two groups from baseline to 12 weeks; secondary endpoint is health related quality of life, assessed by the Women's Health Questionnaire. We also collect data on Traditional Chinese Medicine diagnoses, and we examine treatment experiences using a qualitative approach. Finally we measure biological variables, to examine potential mechanisms for the effect of acupuncture. The study is funded by The Research Council of Norway.

  4. Intimate partner violence towards women

    OpenAIRE

    Sadowski, Laura; Casteel, Carri

    2010-01-01

    Between 10% and 70% of women may have been physically or sexually assaulted by a partner at some stage, with reported assault rates against men about one quarter of the rate against women. In at least half of people studied, the problem lasts for 5 years or more. Intimate partner violence (IPV) has been associated with socioeconomic and personality factors, marital discord, exposure to violence in family of origin, and partner's drug or alcohol abuse.Women reporting IPV are more likely tha...

  5. [Health for women; women for health].

    Science.gov (United States)

    1992-12-01

    This document describes a proposed new health policy for Colombian women. The rationale for the new policy, known as "Health for women, women for health", is discussed, and the general and specific objectives, program description, actions and strategies are presented for each of 5 subprograms. The subprograms cover health promotion and self-care for women, reproductive and sexual health care, prevention of abuse and services for women and children who are victims of violence, mental health, and occupational health Changes in Colombian society and living conditions and in the role of women over the past few decades have been reflected in changing epidemiologic profiles, life expectancy, and demands placed on health services. The Health for women, women for health policy takes into account social discrimination against women and its impact on female health. The subprogram of health promotion and self-care is intended to complement, reinforce, and broaden preventive interventions already offered by the health services. The subprogram will require a mobile interdisciplinary team to conduct educational campaigns and to coordinate activities. Promotional actions include staff training in a gender focus on health and health policy for women, development of a health manual for women, and a mass media campaign on self-care for women. The subprogram for reproductive health and sexuality will reorient existing maternal health services away from their emphasis on increasing coverage of prenatal care, promoting births in health facilities, and actions to reduce infant mortality and toward services appropriate to the different phases of the female reproductive cycle. The subprogram will include provision of family planning services, preventing and managing high risk pregnancies, providing adequate care in maternity centers for labor and delivery, and preventing avoidable maternal deaths. Reviewing and revising existing legislation to protect reproductive health is among proposed

  6. Biological and Social Factors Related to Women's Health during Climateric Factores biológicos y sociales relacionados con la salud de la mujer durante el climaterio

    Directory of Open Access Journals (Sweden)

    Elodia María Rivas Alpízar

    2011-12-01

    Full Text Available

    Background: the life of women, being extended to 30 years after menopause, undergoes an environmental impact that overlaps the clinical expression of the cessation of reproductive function. This increases the need to provide, at this stage, a comprehensive care. Objective: To identify some biological and social factors related to women's health during climateric. Methods: Descriptive and cross sectional study conducted in 307 women from 40 to 59 years old in the Area III Polyclinic of Cienfuegos, from January to December 2006. Through household interviews, a form that allowed collecting general, clinical and medical support information was filled. Results: 56.3% of women experienced mild climacteric syndrome, circulatory (77.2% and psychological (60% symptoms being the most referred ones. The average age of menopause onset was between 47 and 51 years old. It appeared earlier in smokers. The age of menarche, the number of pregnancies and births and menstrual patterns were not related to the age of menopause onset. 44% of women were hypertensive, 41.4% were pre-obese and 100% were sedentary. 81.8% of them did not seek for medical support. Hormonal therapy was prescribed for 32.1% of patients. Conclusions: Despite the risk factors and the chronic diseases that were detected, women interviewed did not seek for medical support, even when they presented discomfort to some extent. This was caused by the lack of information on this stage of life and the inexistence of specialized multidisciplinary consultations in Primary Health Care.

    Fundamento: la vida de la mujer, que se ha  extendido 30 años después de la menopausia, recibe un impacto del medio sobre la expresión clínica del cese de la función reproductiva, lo cual incrementa la necesidad de brindarles en esta etapa una atención integral. Objetivo: identificar

  7. Clinical observation of Tiancan Zhuangyang Powder in treating the male climacteric syndrome%天蚕壮阳散治疗男性更年期综合征临床观察

    Institute of Scientific and Technical Information of China (English)

    李轩; 何清湖; 刘朝圣; 卢杰宁; 萧汉达; 陈粉莲

    2013-01-01

    Objective To observe the clinical efficacy of Tiancan Zhuangyang Powder(TCZYP)on the male climacteric syndrome (kidney yang deficiency type).Methods 106 patients with the kidney yang deficiency type of male climacteric syndrome were randomly divided into 2 groups.Treatment group of 53 cases were given TCZYP and control group of 53 cases was given testosterone undecanoate (TU)(Andriol).Before and after treatment of 8 weeks,the 2 groups' PADAM score and serum testosterone (T) were tested and analysised.Results Changes of each symptom PADAM score of treatment group were better than those of control group (P<0.05).After threatment the serum testosterone of 2 groups were significantly elevated,but there was no significant difference between 2 groups (P>0.05).Conclusion TCZYP is effective in the treating kidney yang deficiency type of male climacteric syndrome.%目的 观察天蚕壮阳散治疗肾阳虚型男性更年期综合征(PADAM)的临床疗效.方法 符合肾阳虚型男性更年期综合征病人106例随机分为2组,治疗组53例,以天蚕壮阳散口服;对照组53例,口服十一酸睾酮胶囊(安特尔).治疗8周后对两组治疗前后PADAM评分及血睾酮(T)变化情况进行统计分析.结果 治疗组PADAM各症状评分变化优于对照组(p<0.05);治疗后2组T值均明显升高(P<0.01),但两组比较差异无统计学意义(P>0.05).结论 天蚕壮阳散能有效治疗肾阳虚型男性更年期综合征.

  8. Prevalence of hormone replacement therapy in a sample of middle-aged women

    DEFF Research Database (Denmark)

    Pedersen, S H; Jeune, B

    1988-01-01

    A survey based on a postal questionnaire sent to a random sample of Danish women aged 40-59 yr living on the island of Fünen (n = 401, response rate = 79%) revealed that the overall prevalence of the use of hormone replacement therapy (HRT) was 16%, the highest rate being in the 50-54 age group (21......%). Among post-menopausal women the rate was 21% and it was highest of all (37%) in those who had undergone an artificial menopause. The median age at the start of treatment was 44.3 yr among the artificial menopause and 48.9 yr among the natural menopause subjects. About half of the women were treated...... with natural oestrogen alone and over a third with cyclic natural oestrogen in combination with progestogens. Almost one-third of the women had consulted their doctor about climacteric complaints and two-thirds of these were current or past users of HRT. The women had ambiguous feelings towards HRT...

  9. Olfactory perception in women with physiologically altered hormonal status (during pregnancy and postmenopause

    Directory of Open Access Journals (Sweden)

    Savović Slobodan N.

    2002-01-01

    Full Text Available Introduction Olfaction is considered to be the ability to: perceive, conduct and recognize scents and odors. With its numerous connections to the limbic system and reticular formation, the olfactory system affects regulation of numerous vegetative functions, visceral functions and sexual behavior. Since estrogen and progesterone protect the olfactory function, changes in their levels in particular physiological states in women (in pregnancy and postmenopause exert an influence on the ability to feel and recognize smells. It has its role in creating emotions and adjustment of visceral and vegetative response to particular emotional states. Also, it represents the connection between higher cortical functions and the endocrine system. Material and methods Our investigation was performed at the Ear, Nose and Throat Clinic in Novi Sad. The research included 80 healthy women classified into 4 groups; 20 women aged between 20 and 30; 20 women in the first trimester of pregnancy aged between 20 and 30; 20 premenopausal women aged between 41 and 50; and 20 women at least 3 years in postmenopause, aged between 41 and 50. For our research we used an olfactometer and the Fortunato-Niccolini method. Results and discussion In pregnancy the thresholds of perception (TP and identification (TI of examined substances were slightly lower in comparison to nonpregnant women of the same ages, but without any statistical significance (p>0.05. In climacteric-postmenopausal women there was a significant decrease of olfactory ability in comparison to nonmenopausal women of the same ages (p<0.01. Conclusion All changes of the olfactory function in pregnancy are explained by mental changes of pregnant women as well as their hormonal status. Significant decrease of olfactory ability in postmenopause is explained by decline in sexual hormone levels.

  10. Analysis of relationships between perimenopausal symptoms and professional functioning and life satisfaction – Subjective perception of the dependence in women aged 40+

    Directory of Open Access Journals (Sweden)

    Iwona Nowakowska

    2015-07-01

    Full Text Available Background: The aim of the study was to analyse and present the opinions of women in perimenopause on subjectively perceived symptoms characteristic of the climacteric period, and connected with their professional functioning, as well as to evaluate the effects of selected variables on the incidence and severity of these symptoms and the women’s life satisfaction. Material and Methods: The study included 250 professionally active women in perimenopausal age (40–57 years. The study used the Satisfaction with Life Scale (SWLS to evaluate life satisfaction of women and the Kupperman Index (KI as quantitative and qualitative self-assessment of climacteric symptoms. The authors also used a questionnaire of their own design that contains an index of defined symptoms of perimenopause, which warrants the use of Pareto-Lorenz analysis. Results: The obtained results prove the presence of statistically significant correlations between the occurrence and severity of menopausal symptoms and the place of enployment (p = 0.04912, gynecological care (p = 0.00325, hormone replacement therapy (HRT (p = 0.01523 and assessment of life satisfaction (p = 0.0325. Among the symptoms particularly influencing effective professional functioning, women pointed out hot flashes, irritability, reduced concentration and coordination, sleep disturbances, and increased sweating. Conclusions: There is a statistically significant correlation between the woman’s place of employment, gynecological care, HRT, the evaluation of life satisfaction and the severity of perimenopausal symptoms. A set of symptoms whose presence and severity influence the sense of life satisfaction and evaluation of professional functioning was observed. Among the most frequently reported symptoms that exert an adverse effect on professional functioning of women are: hot flushes, irritability, reduced concentration and coordination, sleep disturbances, and increased sweating. Med Pr 2015;66(3:351–358

  11. Aspectos clínicos e metabólicos de mulheres na pós-menopausa tratadas com tibolona Clinical and metabolic aspects of postmenopausal women treated with tibolone

    Directory of Open Access Journals (Sweden)

    Salim Wehba

    2000-02-01

    Full Text Available Objetivos: analisar a repercussão da tibolona sobre os sintomas do climatério e sobre algumas variáveis clínicas e metabólicas. Métodos: foram avaliadas 34 pacientes na pós-menopausa que foram submetidas ao tratamento com tibolona na dose de 2,5 mg/dia por 48 semanas. Foram analisados os seguintes parâmetros: peso, pressão arterial e perfis lipídico e lipoprotéico, representados pelos níveis de colesterol total, HDL-c, LDL-c, VLDL-c e triglicerídeos. Resultados: melhora relevante da sintomatologia do climatério foi demonstrada por decréscimo significativo do índice menopausal de Kupperman (pPurpose: to evaluate the effects of tibolone on climacteric symptoms and clinical and metabolic variables. Methods: thirty-four postmenopausal women were treated orally with 2.5 mg tibolone daily for 48 weeks and evaluated as to climacteric complaints, clinical aspects such as weight and blood pressure and lipid profile (total cholesterol, HDL-c, LDL-c, VLDL-c and triglycerides. Results: a significant improvement of climacteric complaints was demonstrated by a significant decrease in the Kupperman index (p<0.001 and the mean number of hot flushes (p<0.001 from the first month of treatment onwards. There was a significant decrease in total cholesterol, triglycerides and VLDL-c (p<0.001. The LDL-c levels presented a slight decrease (not significant. The HDL-c levels showed a significant decrease at week 24. However these levels returned to baseline levels at week 48. With regard to the vital signs no change in body weight and blood pressure was measured. The side effects were mild and temporary, vaginal bleeding, nausea and edema being the most common. Conclusion: tibolone may be considered a safe and efficient option to treat climacteric symptoms in postmenopausal women without significant impact on lipid profile.

  12. Avanços na elucidação dos mecanismos de ação de Cimicifuga racemosa (L. Nutt. nos sintomas do climatério Advances on the elucidation of mechanisms of action of Cimicifuga racemosa (L. Nutt. in climacteric symptoms

    Directory of Open Access Journals (Sweden)

    A.G. Silva

    2009-01-01

    Full Text Available O objetivo deste trabalho foi levantar os avanços ocorridos para a compreensão da atuação terapêutica de Cimicifuga racemosa, um fitoterápico utilizado no tratamento dos sintomas do climatério em mulheres nas quais a terapia de reposição hormonal (TRH é contra-indicada. A revisão bibliográfica possibilitou concluir que existem quatro principais hipóteses para esclarecer a base mecanística de ação: indução de apoptose por meio da ativação de caspases, inibição do ciclo celular em G1 por alteração de proteínas reguladoras, efeito central em receptor 5HT e ação estrogênica evidenciada pela inibição seletiva dos receptores nicotínicos da acetilcolina. Porém, é incipiente a produção científica abordando as bases moleculares que sustentem os referidos mecanismos de ação. Ainda há necessidade de elucidação quanto à possível existência de pelo menos mais um receptor estrogênico que possa ser o alvo de ligação para as substâncias ativas de C. racemosa, bem como avançar no conhecimento da atividade reguladora seletiva de receptores estrogênicos já evidenciada em estudos de farmacologia experimental.The aim of this survey was to assemble the advances in the comprehension of the therapeutic action of Cimicifuga racemosa, a phytotherapic drug used in the treatment of climacteric symptoms in women to whom the usual hormonal replacement therapy (HRT is counter-indicated. This literature review led to the conclusion that there are four main hypotheses to elucidate the mechanistic basis of action: apoptosis induction by means of caspase activation, cell cycle inhibition at G1 step through disturbance of regulatory proteins, central effect on 5HT receptors, and estrogenic action evidenced by selective inhibition of nicotinic acetylcholine receptors. However, scientific literature is still incipient in supporting the molecular bases for the previously proposed mechanisms of action. There is also the need to

  13. Profile of bazedoxifene/conjugated estrogens for the treatment of estrogen deficiency symptoms and osteoporosis in women at risk of fracture

    Directory of Open Access Journals (Sweden)

    Rossini M

    2013-07-01

    Full Text Available Maurizio Rossini,1 Stefano Lello,2 Ignazio Sblendorio,3 Ombretta Viapiana,1 Elena Fracassi,1 Silvano Adami,1 Davide Gatti11Department of Medicine, Rheumatology Unit, University of Verona, Italy; 2Endocrinological Gynecology, Pathophysiology of Menopause and Osteoporosis, Dermopathic Institute of Immacolata, Roma, Italy; 3Medical Coach Italia Center, Bari, ItalyAbstract: Decreasing levels of estrogens during menopause are associated with reduced bone density and an increased risk of osteoporosis. Many women also experience bothersome vasomotor and vaginal symptoms during the menopausal transition. Results of systematic reviews and meta-analyses of randomized controlled trials have shown that both systemic estrogen therapy or hormone therapy (estrogen combined with a progestin are useful to prevent bone loss, and they are the most effective treatment for such climacteric symptoms as hot flushes, sweating, vaginal dryness, and dyspareunia. Unfortunately, estrogen therapy and hormone therapy increase the risk of endometrial and breast cancer, respectively. The selective estrogen receptor modulators (SERMs result in positive estrogenic effects on bone, with no negative effects on the endometrium and breast but do not provide relief from postmenopausal symptoms. The combination of a SERM with estrogen as a tissue selective estrogen complex (TSEC is a new strategy for the prevention of bone loss and the treatment of climacteric symptoms. This combination is particularly interesting from a clinical point of view, taking into account that estrogen alone did not increase breast cancer risk by the Women's Health Initiative. TSEC is hypothesized to provide the benefits of estrogen-alone therapy, with an improved tolerability profile because the SERM component can make possible the elimination of progestin. The objective of this review was to critically evaluate the evidence from the reports published to date on the use of bazedoxifene (a third

  14. Women boxers

    DEFF Research Database (Denmark)

    Gems, Gerald; Pfister, Gertrud Ursula

    2014-01-01

    This article fills a gap in the very limited literature on women's boxing by examining the gendered space in which women engaged in the sport as participants in saloons, vaudeville theatres and the prize ring. In doing so, they challenged the contemporary gender order and disputed the notion...... of women as the weak sex. Vaudeville provided women with an opportunity to present physical performances that surpassed the restrictions placed on women within the mainstream middle-class society. This article includes biographical sketches of some of the outstanding female boxers of the era by drawing...

  15. Survey on Knowledge, Attitude and Practice of Passive Smoking Among Non - smoking Pregnant Women in Early Gestational Stage%长沙市孕早期非吸烟孕妇被动吸烟KAP调查

    Institute of Scientific and Technical Information of China (English)

    周婧瑜; 胡劲松; 王进; 朱江

    2011-01-01

    Objective To investigate the condition of passive smoking, and the related knowledge, attitude and practice among non - smoking pregnant women in Changsha, and to provide the evidence for reducing passive smoking exposure of non-smoking pregnant women. Methods Six hundred and forty - one non - smoking pregnant women whose pregnant periods were < 12 - week were interviewed by questionnaires. The data were analyzed by SPSS 13.0 software. Results Most of the pregnant women were short of the knowledge about the exact diseases caused by passive smoking. Pregnant women had a lower opposed rate on smoking in repast and entertainment places towards hospitals, schools and other public places. On persuading people not to smoke around, pregnant women had different attitudes towards different people. Pregnant women had the highest expected value on persuading their husbands smoking around, followed by their parents, father and mother in law, and other intimate family members. Pregnant women had the lowest expected value on persuading their leaders and strangers smoking around (< 35%). Conclusions Passive smoking exposure is a very serious public health problem among pregnant women. Educations and trainings are needed to increase the awareness of passive smoking harm and the ability to persuade people to stop smoking around.%目的 了解长沙市非吸烟孕妇被动吸烟情况以及相关知识、态度和行为,为减少孕妇被动吸烟提供科学依据.方法 对641位孕龄不大于12周的非吸烟孕早期孕妇进行有关被动吸烟的问卷调查,SPSS13.0统计软件进行分析.结果 孕妇对被动吸烟具体可以导致的危害了解不足;对在餐厅、咖啡吧等餐饮娱乐场所吸烟的容忍度显著高于医院、中小学校、公交车等公共场所;对周围吸烟者进行劝阻时,对丈夫的预计成功率最高,其次为父母、公公婆婆等亲密家庭成员,对单位领导和公共场所吸烟的陌生人的

  16. Estrogen therapy: from women's choice to women's preference.

    Science.gov (United States)

    Lachowsky, M

    2002-06-01

    The climacteric is not an illness, but the menopause is an event that troubles a woman's present life and puts her future life at risk. One would like to think that, for the woman of the new millennium, the menopause has simply become what it is: a feminine milestone that marks the transition and path to another period of life. She appears younger than her mother was at her age, she has given birth when she decided to, she has had the number of children she wanted, and her social and professional roles are well defined. Nevertheless, none of this makes much difference--the 'change of life' is still something difficult to live through, a bend to negotiate, each woman going at her own pace, using her own means, with the cards that life has already dealt her. Where do we gynecologists come in, what part have we to play in our patients' lives? Sometimes, we need to be less discreet and ask some of those questions women may have trouble voicing aloud. Let us try to help them to talk about their mood changes, the changes in their body, and their anxiety about osteoporosis and aging. Shame or fear of ridicule are still often among the ideas on the menopause and, by preventing honest answers from being given, often modify the scientific statistics on menopausal women--especially as women are often at a loss to know which of the different opinions to believe. The media air their news, the medical community offers its dissent, while friends recount frightening stories. Between the danger of offending Mother Nature and the risk of missing out on the progress of science, what is the right modus operandi that helps to add quality to the quantity of life still there to be enjoyed after the menopause? The doctor-patient relationship is of the utmost importance here, since an atmosphere of confidence and trust is the basis of mutual comprehension. By understanding the patient's needs, her desires, and her ways of coping with the situation, the physician will enable her to accept

  17. Women and Diabetes

    Medline Plus

    Full Text Available ... Consumer Information by Audience For Women Women's Health Topics Women and Diabetes Share Tweet Linkedin Pin it ... Depression in Older Women More in Women's Health Topics Mammography Women and Diabetes HPV, HIV, Birth Control ...

  18. A randomized trial of diet and physical activity in women treated for stage II-IV ovarian cancer: Rationale and design of the Lifestyle Intervention for Ovarian Cancer Enhanced Survival (LIVES): An NRG Oncology/Gynecologic Oncology Group (GOG-225) Study.

    Science.gov (United States)

    Thomson, Cynthia A; Crane, Tracy E; Miller, Austin; Garcia, David O; Basen-Engquist, Karen; Alberts, David S

    2016-07-01

    Ovarian cancer is the most common cause of gynecological cancer death in United States women. Efforts to improve progression free survival (PFS) and quality of life (QoL) after treatment for ovarian cancer are necessary. Observational studies suggest that lifestyle behaviors, including diet and physical activity, are associated with lower mortality in this population. The Lifestyle Intervention for Ovarian Cancer Enhanced Survival (LIVES) NRG 0225 study is a randomized, controlled trial designed to test the hypothesis that a 24month lifestyle intervention will significantly increase PFS after oncological therapy for stage II-IV ovarian cancer. Women are randomized 1:1 to a high vegetable and fiber, low-fat diet with daily physical activity goals or an attention control group. Secondary outcomes to be evaluated include QoL and gastrointestinal health. Moreover an a priori lifestyle adherence score will be used to evaluate relationships between adoption of the diet and activity goals and PFS. Blood specimens are collected at baseline, 6, 12 and 24months for analysis of dietary adherence (carotenoids) in addition to mechanistic biomarkers (lipids, insulin, telomere length). Women are enrolled at NRG clinic sites nationally and the telephone based lifestyle intervention is delivered from The University of Arizona call center by trained health coaches. A study specific multi-modal telephone, email, and SMS behavior change software platform is utilized for information delivery, coaching and data capture. When completed, LIVES will be the largest behavior-based lifestyle intervention trial conducted among ovarian cancer survivors. PMID:27394382

  19. Cognitive behavioral therapy and physical exercise for climacteric symptoms in breast cancer patients experiencing treatment-induced menopause: design of a multicenter trial

    Directory of Open Access Journals (Sweden)

    van Beurden Marc

    2009-06-01

    Full Text Available Abstract Background Premature menopause is a major concern of younger women undergoing adjuvant therapy for breast cancer. Hormone replacement therapy is contraindicated in women with a history of breast cancer. Non-hormonal medications show a range of bothersome side-effects. There is growing evidence that cognitive behavioral therapy (CBT and physical exercise can have a positive impact on symptoms in naturally occurring menopause. The objective of this study is to investigate the efficacy of these interventions among women with breast cancer experiencing treatment-induced menopause. Methods/design In a randomized, controlled, multicenter trial, we are evaluating the effectiveness of CBT/relaxation, of physical exercise and of these two program elements combined, in reducing menopausal symptoms, improving sexual functioning, reducing emotional distress, and in improving the health-related quality of life of younger breast cancer patients who experience treatment-induced menopause. 325 breast cancer patients (aged Discussion Cognitive behavioral therapy and physical exercise are potentially useful treatments among women with breast cancer undergoing treatment-induced, premature menopause. For these patients, hormonal and non-hormonal therapies are contraindicated or have a range of bothersome side-effects. Hence, research into these interventions is needed, before dissemination and implementation in the current health care system can take place. Trial registration The study is registered at the Netherlands Trial Register (NTR1165 and ClinicalTrials.gov (NCT00582244.

  20. 新民主主义革命时期妇女地位研究--基于国共两党婚姻家庭法的比较视角%On the Status of Women in the New-democratic Revolution Stage---Based on the Comparation of the Marriage and Family Law Between the CCP and CNP

    Institute of Scientific and Technical Information of China (English)

    黄磊

    2014-01-01

    新民主主义革命时期,中国共产党和国民党分别制定和实施了一系列婚姻家庭法,但是它们在妇女政治地位﹑经济地位﹑婚姻地位及军婚问题上各有侧重。对中国共产党和国民党在新民主主义革命时期的婚姻家庭法进行比较分析,不仅为我们研究当时妇女地位提供一个新的视角,还为进一步完善我国婚姻家庭法,提高妇女地位提供有益的启示。同时结合当前党和政府推进依法治国建设﹑依法保护妇女权益的大政方针,提出改善妇女地位的几点思考。%Both the Chinese Communist Party and the Nationalist Party had recognized the importance of improving the status of women in the new-democratic revolution stage. They respectively developed and implemented a series of laws on marriage and family issues. However, they had different emphases on women’s political status, economic status, marital status and military marriage problems. Therefore, comparing the marriage and family law which publish by the CCP and CNP during the new-democratic revolution stage, not only provides a new perspective for us to study the status of women, but provide useful enlightenment for further to improve the law and enhance the status of women.

  1. 度洛西汀联合替勃龙治疗女性更年期抑郁症的疗效观察%Efficacy analysis of duloxetine combinate with tibolone in the treatment of female climacteric depression

    Institute of Scientific and Technical Information of China (English)

    赵士贵

    2015-01-01

    目的:探讨度洛西汀联合替勃龙治疗女性更年期抑郁症的疗效和安全性。方法选择2011年9月-2013年9月我院精神科收治的女性更年期抑郁症患者70例,随机分为治疗组与对照组各35例。对照组予度洛西汀肠溶片,治疗组在对照组治疗基础上给予替勃龙片。治疗6周用 HAMD,HAMA,TESS 量表评定疗效和不良反应。结果治疗组显效率85.7%,总有效率94.3%明显高于对照组的65.7%及80.0%,差异有统计学意义( P <0.05)。治疗1、2、4、6周后2组 HAMD 及 HAMA 评分均较治疗前及上一计分段明显降低,且治疗组评分降低程度较对照组更为明显,差异均有统计学意义(P <0.05)。2组常见不良反应发生率比较差异无统计学意义(P >0.05),患者均能耐受或经对症治疗缓解,未对治疗产生影响。结论度洛西汀联合替勃龙治疗女性更年期抑郁症的疗效优于单用度洛西汀且耐受性好。值得临床推广应用。%Objective To discuss the efficacy and safety of duloxetine combinate with tibolone in the treatment of fe-male climacteric depression. Methods From September 2011 to September 2013,70 cases of female patients with climacteric depression were selected,and then randomly divided into treatment group and control group,each of 35 cases. The control group received duloxetine for treatment. The treatment group was added tibolone based on the control group. After treatment for 6 weeks,the efficacy and safety were evaluated with HAMD,HAMA and TESS scale. Results The effective rate and total effec-tive rate was 85. 7% ,94. 3% respectively in the treatment group,which was obviously higher than 65. 7% ,80% in control group,the differences were statistically significant(P 0. 05). The patients were all tolerated or relieved by symptomatic treatment. Conclusion The efficacy of duloxetine combinate with tibolone was better in the treatment of female climacteric depression than

  2. Dynamics of hormonal status in women of different age groups in hemorrhagic fever with renal syndrome

    Directory of Open Access Journals (Sweden)

    Murzabaeva R.Т.

    2012-06-01

    Full Text Available Objective: To study the hormonal parameters in women of different age groups in hemorrhagic fever with renal syndrome. Materials and methods: We have studied the content of cortisol, thyrotropic hormone (TTH, triiodothyro-nine (T3, free thyroxin (FT4, luteinizing hormone (LH, follicle-stimulating hormone (FSH, testosterone, estradiol, progesterone, prolactin in blood serum of 62 women with moderate (33 and severe (29 HFRS forms age (17-62. They were divided into 2 groups: the first group (33 patients women with the normal menstrual cycle, the second group (29 women consisted of patients in climacteric period. Results: TTH secretion increase, T3 and FT4 — decrease with their normalization to the recovery period were registered in the thyroid system of the compared groups. Blood cortisol level was high during the illness. Gonadotropic hypophysis function study demonstrated that LH and blood prolactin concentrations were increased since oliguria period; FSH was authentic reduced. The indices of these hormones were restored to the normal level by the reconvalescence period. LH and FSH contents were authentic higher in women of the second group in comparison with the first group. The hyperprolactinemia was observed in both women groups during the whole period of disease. The increased progesterone and testosterone concentrations have been manifested in blood serum. The estradiol concentration had different direction tendencies. Conclusion: Thus, the complex study of hypophysic- thyreoid and gonadotropic hormone state of adrenal system and the sexual hormone levels in women of different age groups in HFRS revealed the hormone status indces changes due to the period and severity of the disease, connected with the virus action, intoxication, the general inflammation reactions and their age.

  3. Female Sexual Function During the Menopausal Transition in a Group of Iranian Women

    Science.gov (United States)

    Eftekhar, Tahereh; Dashti, Mahboobeh; Shariat, Mamak; Haghollahi, Fedyeh; Raisi, Firoozeh; Ghahghaei-Nezamabadi, Akram

    2016-01-01

    Objective: To determine the prevalence of sexual problems in Iranian women and association of sexual dysfunction with menopausal symptoms. Materials and methods: In this cross-sectional study, 151 married women with the age of 40-60 yearsold who were referred for treatmentto Department of Gynecology in Vali-e-Asr Hospital (Tehran, Iran) from April to July 2012, were recruited. They were evaluated concerning their sexual function in the domains of desire, arousal, lubrication, orgasm, satisfaction and pain with the female sexual function index (FSFI) questionnaire.Menopause rating scale (MRS) was developed for the diagnosis and quantification of climacteric symptoms. Results: Total frequency of sexual dysfunction was 53% with the domains of lubrication, arusal and desire being commonly affected 62%, 70% and 98.5% of cases respectively. There is a relationship between severity of somatic and urogenital symptoms with sexual dysfunction (p = 0.03, p = 0.00 respectively). Conclusion: A considerable percentage of women experienced sexual dysfunctions in this period. Somatic and urogenital symptoms during the menopausal period could be a factor to maintain or intensity of sexual dysfunctions.

  4. Medicine Women.

    Science.gov (United States)

    Beiswenger, James N., Ed.; Jeanotte, Holly, Ed.

    Described as a survival manual for Indian women in medicine, this collected work contains diverse pieces offering inspiration and practical advice for Indian women pursuing or considering careers in medicine. Introductory material includes two legends symbolizing the Medicine or Spirit Woman's role in Indian culture and an overview of Indians Into…

  5. Iyengar-Yoga Compared to Exercise as a Therapeutic Intervention during (Neoadjuvant Therapy in Women with Stage I–III Breast Cancer: Health-Related Quality of Life, Mindfulness, Spirituality, Life Satisfaction, and Cancer-Related Fatigue

    Directory of Open Access Journals (Sweden)

    Désirée Lötzke

    2016-01-01

    Full Text Available This study aims to test the effects of yoga on health-related quality of life, life satisfaction, cancer-related fatigue, mindfulness, and spirituality compared to conventional therapeutic exercises during (neoadjuvant cytotoxic and endocrine therapy in women with breast cancer. In a randomized controlled trial 92 women with breast cancer undergoing oncological treatment were randomly enrolled for a yoga intervention (YI (n=45 or for a physical exercise intervention (PEI (n=47. Measurements were obtained before (t0 and after the intervention (t1 as well as 3 months after finishing intervention (t2 using standardized questionnaires. Life satisfaction and fatigue improved under PEI (p<0.05 but not under YI (t0 to t2. Regarding quality of life (EORTC QLQ-C30 a direct effect (t0 to t1; p<0.001 of YI was found on role and emotional functioning, while under PEI only emotional functioning improved. Significant improvements (p<0.001 were observed at both t1 and t2 also for symptom scales in both groups: dyspnea, appetite loss, constipation, and diarrhea. There was no significant difference between therapies for none of the analyzed variables neither for t1 nor for t2. During chemotherapy, yoga was not seen as more helpful than conventional therapeutic exercises. This does not argue against its use in the recovery phase.

  6. Iyengar-Yoga Compared to Exercise as a Therapeutic Intervention during (Neo)adjuvant Therapy in Women with Stage I–III Breast Cancer: Health-Related Quality of Life, Mindfulness, Spirituality, Life Satisfaction, and Cancer-Related Fatigue

    Science.gov (United States)

    Lötzke, Désirée; Wiedemann, Florian; Rodrigues Recchia, Daniela; Ostermann, Thomas; Sattler, Daniel; Ettl, Johannes; Kiechle, Marion; Büssing, Arndt

    2016-01-01

    This study aims to test the effects of yoga on health-related quality of life, life satisfaction, cancer-related fatigue, mindfulness, and spirituality compared to conventional therapeutic exercises during (neo)adjuvant cytotoxic and endocrine therapy in women with breast cancer. In a randomized controlled trial 92 women with breast cancer undergoing oncological treatment were randomly enrolled for a yoga intervention (YI) (n = 45) or for a physical exercise intervention (PEI) (n = 47). Measurements were obtained before (t0) and after the intervention (t1) as well as 3 months after finishing intervention (t2) using standardized questionnaires. Life satisfaction and fatigue improved under PEI (p < 0.05) but not under YI (t0 to t2). Regarding quality of life (EORTC QLQ-C30) a direct effect (t0 to t1; p < 0.001) of YI was found on role and emotional functioning, while under PEI only emotional functioning improved. Significant improvements (p < 0.001) were observed at both t1 and t2 also for symptom scales in both groups: dyspnea, appetite loss, constipation, and diarrhea. There was no significant difference between therapies for none of the analyzed variables neither for t1 nor for t2. During chemotherapy, yoga was not seen as more helpful than conventional therapeutic exercises. This does not argue against its use in the recovery phase. PMID:27019663

  7. MR staging accuracy for endometrial cancer based on the new FIGO stage

    International Nuclear Information System (INIS)

    Background: Magnetic resonance imaging (MRI) has been frequently used to determine a preoperative treatment plan for gynecologic cancers. However, the MR accuracy for staging an endometrial cancer is not satisfactory based on the old FIGO staging system. Purpose: To evaluate MR accuracy for staging endometrial cancer using the new FIGO staging system. Material and Methods: Between January 2005 and May 2009, 199 women underwent surgery due to endometrial cancer. In each patient, an endometrial cancer was staged using MR findings based on the old FIGO staging system and then repeated according to the new FIGO staging system for comparison. Histopathologic findings were used as a standard of reference. Results: The accuracy of MRI in the staging of endometrial carcinoma stage I, II, III, and IV using the old FIGO staging system were 80% (159/199), 89% (178/199), 90% (179/199), and 99% (198/199), respectively, compared to 87% (174/199), 97% (193/199), 90% (179/199), and 99% (198/199), respectively, when using the new FIGO staging criteria. The overall MR accuracy of the old and new staging systems were 51% (101/199) and 81% (161/199), respectively. Conclusion: MRI has become a more useful tool in the preoperative staging of endometrial cancers using the new FIGO staging system compared to the old one with increased accuracy

  8. 武汉市城区育龄妇女孕前和孕早期增补叶酸情况调查与分析%Investigation and analysis on the supplementary situation of folic acid in women of child - bearing age before pregnancy and at early stage of pregnancy in urban areas of Wuhan city

    Institute of Scientific and Technical Information of China (English)

    黄俊; 王姽; 汪静

    2011-01-01

    Objective: To understand the supplementary situation of folic acid in women of child - bearing age before pregnancy and at early stage of pregnancy in urban areas of Wuhan city for prevention of neural tube malformation, explore the effect factors of supplement of folic acid preliminarily, and try to put forward corresponding solutions.Methods: 1 700 pregnant women who lived in urban areas of Wuhan city and went to perinatal health care outpatient department of the hospital from October 2009 to September 2010 were investigated by random sampling, 1 654 effective questionnaires were obtained.Results: The total supplement rate of folie acid in women of child -bearing age before pregnancy and at early stage of pregnancy in urban areas of Wuhan city was 86.58%, and 30.96% of the women of child - bearing age supplemented folic acid before pregnancy.The supplementary situation of folic acid in women older than 35 years was better, the women with high educational level knew more about the prevention knowledge of birth defects using supplementary folic acid, and the supplementary situation of folic acid was better.The proportion of the prevention knowledge of birth defects using supplementary folic acid from relatives and friends was the highest, the proportion from marriage registration center was the lowest.Conclusion: Strengthening the publicity of prevention knowledge of birth defects using supplementary folic acid is helpful to increase the rate of supplement of folic acid.Marriage registration center should strengthen the publicity of such knowledge to women, especially before their pregnancy.%目的:了解武汉市城区育龄妇女孕前和孕早期增补叶酸预防神经管畸形的情况,初步探讨影响增补叶酸的因素,尝试提出相应的解决办法.方法:通过随机抽样调查2009年10月~2010年9月在江岸区妇幼保健院围产保健门诊就诊的居住在武汉市城区的孕妇1 700人,其中有效调查问卷1 654例.结果:武汉

  9. Women's Experience of Miscarriage: A qualitative study

    OpenAIRE

    Manca, Donna P.; Bass, Martin J.

    1991-01-01

    Physicians lack knowledge on how to help women who have miscarried deal with their emotional distress. We interviewed 16 women 4 and 12 weeks after a miscarriage. The women described their experience of miscarriage and perceptions of what helped or hindered their emotional recovery, particularly physicians' actions. A grief reaction that can be divided into five stages and that was modified through the support of family and friends was identified. The intensity of the grief was related to the...

  10. A method to predict breast cancer stage using Medicare claims

    OpenAIRE

    Smith, Grace L.; Shih, Ya-Chen T.; Giordano, Sharon H.; Smith, Benjamin D.; Buchholz, Thomas A.

    2010-01-01

    Background In epidemiologic studies, cancer stage is an important predictor of outcomes. However, cancer stage is typically unavailable in medical insurance claims datasets, thus limiting the usefulness of such data for epidemiologic studies. Therefore, we sought to develop an algorithm to predict cancer stage based on covariates available from claims-based data. Methods We identified a cohort of 77,306 women age ≥ 66 years with stage I-IV breast cancer, using the Surveillence Epidemiology an...

  11. Women and Diabetes

    Science.gov (United States)

    ... Information by Audience For Women Women's Health Topics Women and Diabetes Share Tweet Linkedin Pin it More ... women during pregnancy. Diabetes and Pregnancy (CDC) Diverse Women in Clinical Trials Campaign Clinical trials can help ...

  12. Women's health

    Science.gov (United States)

    ... Nurse midwives This list may not be all-inclusive. References Freund K. Approach to women's health. In: ... Department of Obstetrics and Gynecology, University of Washington School of Medicine, Seattle, WA. Also reviewed by David ...

  13. Tu Women

    Institute of Scientific and Technical Information of China (English)

    1998-01-01

    When honored guests visit, Tu women will block the door and invite them to show their respect by drinking three cups of wine. Only after this ritual can the guests be led indoors and shown to their seats.

  14. Women Words

    Institute of Scientific and Technical Information of China (English)

    Yuan Yuan

    2012-01-01

    Jiangyong County,a remote place in central China's Hunan Province,has been gathering more attention due to a strange-looking language passed down exclusively by women for hundreds of years. The language,which is called nushu,or women's script,is said to originate from Chinese square-block characters,but the orthography and pronunciation are quite different from all other branches of Chinese dialects.

  15. Early-Stage Caregiving

    Science.gov (United States)

    ... the Diagnosis Early-Stage Caregiving Middle-Stage Caregiving Late-Stage Caregiving Find your local Chapter Zip code: Search by state Get Weekly E-News Stay up-to-date on Alzheimer's treatments and care. First ...

  16. Prostate cancer staging

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000397.htm Prostate cancer staging To use the sharing features on this ... trials you may be able to join How Prostate Cancer Staging is Done Initial staging is based on ...

  17. Staging in oesophageal cancer

    NARCIS (Netherlands)

    Plukker, J. Th. M.

    2006-01-01

    Accurate staging defines groups for stage-specific treatment, minimising inappropriate treatment. Application of dedicated staging methods - including 16-64 multidetector computed tomography (CT), endoscopic ultrasonography with fine-needle aspiration (EUS-FNA) and positron emission tomography (PET)

  18. Climateric: fatigue or third stage of the general adaptation syndrome Climaterio: fatiga o tercera etapa del síndrome de adaptación general

    Directory of Open Access Journals (Sweden)

    William Alvarez Gaviria

    2004-09-01

    Full Text Available The origin of climacteric has been subject of debate. Most opinions agree in that it arises exclusively from natural selection. In this paper the author argues that, besides this reason there is another, even more important; for him, climacteric is the final response to fatigue or the third stage of the general adaptation syndrome, just as in elderly people there is a loss of the capacity of proliferation of fibroblasts and lack of response to insulin. From a genetic point of view, this corresponds to an antagonic pleiotropy: the genetic program that has made the human adrenergic and corticotropic systems hyperactive, has also caused that they do not reach senescence intact. High concentrations of stress hormones during youth and adulthood in humans, as compared to chimpanzees, gorillas and orangutans, and the hormonal cascade reactions elicited by them are meaningfully related to our most conspicuous illnesses, our genotype/phenotype and, in the long term, with climacteric. Se ha conjeturado a menudo sobre las razones del climaterio y la mayoría de los autores sostiene que es un fenómeno que surge exclusivamente de la selección natural. Aquí asumimos que, aunque esa sea parte de la explicación, no es la razón primordial. Así como con la edad se da la pérdida, por ejemplo, de la capacidad proliferativa de los fibroblastos y de la sensibilidad a la insulina, el climaterio podría corresponder no más que a la fatiga o tercera etapa del Síndrome de Adaptación General. En un enfoque genético correspondería, pues, a una pleiotropía antagónica: el programa genético que ha hecho hiperactivos a los sistemas adrenérgico y corticotrópico del ser humano, evitaría también que llegara incólume al punto final de senescencia. Las altas concentraciones de hormonas de estrés en la juventud y la edad adulta que distinguen a nuestra especie, comparada con el chimpancé, el gorila y el orangután, y las reacciones hormonales en cascada que

  19. Transvaginal Sacrospinous Ligament Fixation for Pelvic Organ Prolapse Stage III and Stage IV Uterovaginal and Vault Prolapse

    OpenAIRE

    Pratiksha Gupta

    2015-01-01

    The result of transvaginal sacrospinous ligament fixation technique, as part of the vaginal repair procedure for massive uterovaginal (Pelvic Organ Prolapse stage III and stage IV and vault prolapse) is evaluated. A total of 32 women were included in the present case series. Marked uterovaginal prolapse was present in 28 women and four had vault prolapse following hysterectomy. Patients with vault prolapse and marked uterovaginal prolapse underwent sacrospinous colpopexy. The mean follow-up p...

  20. Autocuidado de mujeres en etapa de menopausia en Toluca, Mexico Autocuidado de mulheres na etapa da menopausa em Toluca, México Self care of women in the menopause stage in Toluca, Mexico

    Directory of Open Access Journals (Sweden)

    María Dolores Martínez Garduño

    2008-03-01

    úde.The woman in the menopause is exposed to risk factors that increase with the self-care. The objective was to identify self care practices in the menopause. Quantitative study, exploratory, with a sample of simple random probability, using the EPI INFO 2000, with 95% trust limit, 5% maximum error, in 354 women. Was observed a self-care deficit, mostly in alimentary habits, showing overweight and obesity (27%; the noise it is a factor that interfere in the sleep, the average sleep was about 5 to 7 hours; 40% don’t do physical exercise; 17.9% don’t do the uterine cervical cancer examination; 37.7% don’t do the breast self exam, without social security. 52.3% only go to the doctor when is ill. The frequent manifestations in the climatery are irregular bleeding, suffocation, fatigue and lack of libido. There aren’t enough information in this group of women, being the nurse who must assume the function of health educator.

  1. 合理情绪疗法治疗更年期皮肤瘙痒症46例%Rational-emotive behavior therapy for women with climacteric itching

    Institute of Scientific and Technical Information of China (English)

    尹洁; 向群英; 赖蓉

    2006-01-01

    目的观察合理情绪治疗法联合皿治林治疗更年期皮肤瘙痒症的疗效.方法对46例更年期皮肤瘙痒症病人分别采用合理情绪治疗法+皿治林(治疗组)和单独使用皿治林治疗(对照组)4周,治疗前后采用症状自评量表(SCL-90)评定疗效,临床症状判断有效率.结果治疗组4周后SCL-90评分总分及因子分显著降低,临床显效率治疗组52.17%,对照组17.39%,两组比较,差异有统计学意义(x2=6.13,P=0.013).结论合理情绪治疗法联合皿治林治疗更年期皮肤瘙痒症,有较好的治疗作用.

  2. Doença arterial coronária no climatério e exclusão social Coronary artery disease in climacteric and social exclusion

    Directory of Open Access Journals (Sweden)

    Sônia Lima Medeiros

    2007-04-01

    disease (that is responsible for the highest number of deaths in the city of São Paulo has been neglected. This is an area of great importance and social impact especially in developing countries. Women, in particular, are living longer now, and they may face the disease and survive many years after menopause. In Brazil, research about this theme is in its early phases and the importance of CAD in women still is underestimated, even when statistical data show that it has been increasing. This descriptive research aimed to establish the relationship between the socio-economic-cultural profile and social exclusion indicators in women after menopause and with CAD in treatment at the Coronary Diseases clinic of Instituto Dante Pazzanese de Cardiologia. The results could help us to better understand the disease and the patients' needs and point out effective actions to guide secondary prevention programs. The dialog between different areas of knowledge, such as Medicine, History, and Social Work, enabled a broad understanding of the studied phenomena, bringing to light social exclusion and gender discrimination aspects experienced by the patients that, till that time, had not been known and valued by the multidisciplinary team.

  3. Revisiting Erikson's Views on Women's Generativity, or Erikson Didn't Understand Midlife Women.

    Science.gov (United States)

    Edelstein, Linda N.

    The past 15 years have brought a re-evaluation of women's adult development in light feminist thinking. However, many outdated assumptions in psychological theory remain comfortably ensconced; to challenge these ideas, some misrepresentations of women's experience are examined. The focus is on Erik Erikson's explanation of the second stage of…

  4. Efficacy and safety of Cimicifuga foetida extract on menopausal syndrome in Chinese women

    Institute of Scientific and Technical Information of China (English)

    ZHENG Ting-ping; SUN Ai-jun; XUE Wei; WANG Ya-ping; JIANG Ying; ZHANG Ying; LANG Jing-he

    2013-01-01

    Background It is now recognized that Cimicifuga foetida extract is effective in alleviating menopausal symptoms.But the durations reported were usually short.This paper compares the clinical effects of different regimens of three-month course on climacteric symptoms in Chinese women,so as to evaluate the efficacy and safety of Cimicifuga foetida extract.Methods This was a prospective,randomized trial.Ninety-six early menopausal women were recruited and randomly assigned into 3 groups to take different kinds of medicine for 3 months; participants were given Cimicifuga foetida extract daily in group A (n=32),given estradiol valerate and progesterone capsule cycle sequentially in group B (n=32),and given estradiol valerate and medroxyprogesterone acetate cycle sequentially in group C (n=32).The questionnaires of Kupperman menopause index,Menopause-Specific Quality of Life,and Hospital Anxiety and Depression Scale were finished before and after the treatment.The status of vaginal bleeding and breast tenderness was recorded every day.Results Eighty-nine participants (89/96,92.7%) completed the treatment.Kupperman menopause index decreased after taking the medicine for 3 months in each group (with all P<0.001),but the score after the treatment was higher in group A than in the other 2 groups.Except for the score of sexual domain in group A (P=0.103),the scores of all domains of the Menopause-Specific Quality of Life decreased significantly after the treatment in all groups (with all P≤-0.01).Score of anxity decreased significantly in group A (P=0.015) and B (P=0.003).Incidence of breast tenderness was 12.9% (4/31) in group A,36.7% (11/30) in group B,and 14.3% (4/28) in group C.Incidence of vaginal bleeding was 6.5% (2/31) in group A,26.7% (8/30) in group B,and 82.1% (23/28) in group C.Conclusions Cimicifuga foetida extract is effective and safe in the treatment of menopausal syndrome.It is worth extending its use in the treatment of climacteric

  5. Rebellious Women

    DEFF Research Database (Denmark)

    Madsen, Peter

    2010-01-01

    At the background of a short presentation of concepts of discourse (in particular in Jürgen Habermas and Michel Foucault) and of the concept of shari'a a Spanish court case against an imam in reference to his publication on Women in Islam, where sura 4 verse 34 of the Quran is a central reference...

  6. Women's worth.

    Science.gov (United States)

    Bloch, N

    1992-01-01

    Jill Conway is a feminist historian, writer, teacher, and now-emerita 1st woman president of Smith College. She claims that women today still suffer from a great deal of oppression. Women around the world are currently in a disadvantage position. In 7 countries women do not have the right to vote. In the US less that .5% of top executives are women. The wage gap in the US between 1939 and 1989 has only shrunk $.10, from $.58-$.68. Conway points out that we are all constrained by our social mores, generational attitudes, political events, and economic circumstances. Few people are able to overcome these things in the way that they live their lives. Conway questions the validity of history written from a male dominated point of view. Around the world the value of women's work is almost always lower than that of men. India is just 1 example, there 75% of women are illiterate and 1/2 the population lives in poverty based on a caste system. Female literacy tripled in the 1st 30 years of independence and by 1981 it had reached 25%. The literacy gap is actually growing in India Today with 44% of girls aged 6 to 11, who are eligible to attend school, not doing so. Rural poverty keeps them at home because their domestic work is more valuable than their education. Other cultural tradition compound the problem: arranged marriages often result in motherhood for 14 year old girls. This is done for many reasons, 1 of which is crop failure insurance. When 2 families are combined through marriage, their total land share grows and they are thus more likely to have enough to eat. Education is just 1 necessary step. Developed nations must realize the realities that exist in the countries they provide aid for. In Africa for example, 70% of continent's food is produced by women. Yet the aid programs of the past have only been designed to offer assistant to men and create jobs for men. PMID:12317441

  7. Representaciones socio-culturales sobre la menopausia: Vivencias del proceso en mujeres residentes en Albacete (España Socio-cultural representations about menopause: Experiences of the process in resident women in Albacete, Spain

    Directory of Open Access Journals (Sweden)

    Angélica Gómez Martínez

    2008-09-01

    Full Text Available Objetivo: Acercamiento a las representaciones sociales constitutivas de un fenómeno biológico-biográfico denominado climaterio, mediante los significados atribuidos por medio de los saberes, actitudes y comportamientos socioculturales de las mujeres en este periodo de su vida. Metodología: Estudio cualitativo mediante siete grupos focales (37 mujeres. Población de estudio: mujeres entre 45-55 años, residentes en la ciudad de Albacete. Resultados: proceso identificado con la edad biológica de las mujeres, con atributos negativos por su relación con el envejecimiento. Se relaciona también con la imagen social de la mujer y los roles socioculturales asignados clásicamente a este colectivo. Esta combinación de factores las conduce hacia un periodo de su vida tildado como "edad crítica", construcción en la que priman elementos biográficos sobre biológicos. Conclusión: Reconocer la "Variabilidad" de la vivencia del proceso. Esto entraría en conflicto con la actual tendencia biomédica, de protocolizar ciertas etapas relacionadas con el ciclo vital de las personas, intentando generar adscripciones unitarias basadas en entidades médicas construidas con fines operativos e instrumentales. Reconocer la "Vulnerabilidad" que supone la confluencia de diversas circunstancias, que las conducen, no sólo a enfrentarse con cambios físicos, emocionales y socioculturales, propios de esta etapa, sino a la realización de una evaluación retrospectiva crítica y profunda de la experiencia de vida, de la autobiografía.Objective: Approach to the social representations constituent of a biological-biographical phenomenon denominated climacteric, by means of the meanings attributed through socio-cultural knowledge, attitudes and behaviours of the woman in this period of their life. Methodology: Qualitative study by means of seven focal groups (37 women. Population of study: women between 45-55 years, residents in the city of Albacete. Results: Process

  8. An international randomised controlled trial to compare TARGeted Intraoperative radioTherapy (TARGIT) with conventional postoperative radiotherapy after breast-conserving surgery for women with early-stage breast cancer (the TARGIT-A trial).

    Science.gov (United States)

    Vaidya, Jayant S; Wenz, Frederik; Bulsara, Max; Tobias, Jeffrey S; Joseph, David J; Saunders, Christobel; Brew-Graves, Chris; Potyka, Ingrid; Morris, Stephen; Vaidya, Hrisheekesh J; Williams, Norman R; Baum, Michael

    2016-01-01

    BACKGROUND Based on our laboratory work and clinical trials we hypothesised that radiotherapy after lumpectomy for breast cancer could be restricted to the tumour bed. In collaboration with the industry we developed a new radiotherapy device and a new surgical operation for delivering single-dose radiation to the tumour bed - the tissues at highest risk of local recurrence. We named it TARGeted Intraoperative radioTherapy (TARGIT). From 1998 we confirmed its feasibility and safety in pilot studies. OBJECTIVE To compare TARGIT within a risk-adapted approach with whole-breast external beam radiotherapy (EBRT) over several weeks. DESIGN The TARGeted Intraoperative radioTherapy Alone (TARGIT-A) trial was a pragmatic, prospective, international, multicentre, non-inferiority, non-blinded, randomised (1 : 1 ratio) clinical trial. Originally, randomisation occurred before initial lumpectomy (prepathology) and, if allocated TARGIT, the patient received it during the lumpectomy. Subsequently, the postpathology stratum was added in which randomisation occurred after initial lumpectomy, allowing potentially easier logistics and a more stringent case selection, but which needed a reoperation to reopen the wound to give TARGIT as a delayed procedure. The risk-adapted approach meant that, in the experimental arm, if pre-specified unsuspected adverse factors were found postoperatively after receiving TARGIT, EBRT was recommended. Pragmatically, this reflected how TARGIT would be practised in the real world. SETTING Thirty-three centres in 11 countries. PARTICIPANTS Women who were aged ≥ 45 years with unifocal invasive ductal carcinoma preferably ≤ 3.5 cm in size. INTERVENTIONS TARGIT within a risk-adapted approach and whole-breast EBRT. MAIN OUTCOME MEASURES The primary outcome measure was absolute difference in local recurrence, with a non-inferiority margin of 2.5%. Secondary outcome measures included toxicity and breast cancer-specific and non

  9. Seven Stages of Alzheimer's

    Science.gov (United States)

    ... Find your chapter: search by state Home > Alzheimer's Disease > Stages Overview What Is Dementia? What Is Alzheimer's? Younger/Early Onset Facts and Figures Know the 10 Signs Stages Inside the Brain: ...

  10. Stages of Adolescence

    Science.gov (United States)

    ... Español Text Size Email Print Share Stages of Adolescence Page Content Article Body Adolescence, these years from puberty to adulthood, may be roughly divided into three stages: early adolescence, generally ages eleven to fourteen; middle adolescence, ages ...

  11. Dynamic Stage Design

    Institute of Scientific and Technical Information of China (English)

    Florian von Hofen[GER

    2013-01-01

    Concepts and methods for dynamic stage designs were introduced ranging from different ifelds of TV live shows, exhibitions and theatre performances, and a special emphasis was put on solution to the theatre stage design.

  12. Breast cancer staging

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000911.htm Breast cancer staging To use the sharing features on this ... Once your health care team knows you have breast cancer , they will do more tests to stage it. ...

  13. Pancreatic Cancer Stage 3

    Science.gov (United States)

    ... 3 Description: Stage III pancreatic cancer; drawing shows cancer in the pancreas, common hepatic artery, and portal vein. Also shown ... and superior mesenteric artery. Stage III pancreatic cancer. Cancer ... near the pancreas. These include the superior mesenteric artery, celiac axis, ...

  14. Two-Stage Bandits

    OpenAIRE

    Clayton, Murray K.; Witmer, Jeffrey A.

    1988-01-01

    Two stochastic processes, or "arms," that yield dichotomous responses are available for use in a two-stage decision problem. During the first stage, arms are chosen sequentially; the resulting observations are discounted by a fixed value $\\beta$. A single arm must be used in the second stage, in which observations are not discounted. The decision to end the first stage is based on the data obtained. Optimal strategies are considered in the presence of the random discount sequence that arises ...

  15. Staging Bipolar Disorder.

    OpenAIRE

    Vieta i Pascual, Eduard, 1963-; Reinares, M.; Rosa, A. R.

    2011-01-01

    The purpose of this study was to analyze the evidence supporting a staging model for bipolar disorder. The authors conducted an extensive Medline and Pubmed search of the published literature using a variety of search terms (staging, bipolar disorder, early intervention) to find relevant articles, which were reviewed in detail. Only recently specific proposals have been made to apply clinical staging to bipolar disorder. The staging model in bipolar disorder suggests a progression from prodro...

  16. Beyond Erikson's Eight Stages.

    Science.gov (United States)

    Whitney, Ruth

    1979-01-01

    Erik Erikson has described eight stages of the healthy personality. This essay offers a revised version of the eight stages. Although most individuals develop through the eight stages, each is personally unique because patterns of fluctuation between safety and growth differ from one individual to another. (Author)

  17. Staging Mobilities / Designing Mobilities

    DEFF Research Database (Denmark)

    Jensen, Ole B.

    2015-01-01

    as people are ‘staging themselves’ (from below). Staging mobilities is a dynamic process between ‘being staged’ (for example, being stopped at traffic lights) and the ‘mobile staging’ of interacting individuals (negotiating a passage on the pavement). Staging mobilities is about the fact that mobility...

  18. Cervical Cancer Stage IA

    Science.gov (United States)

    ... historical Searches are case-insensitive Cervical Cancer Stage IA Add to My Pictures View /Download : Small: 720x576 ... Large: 3000x2400 View Download Title: Cervical Cancer Stage IA Description: Stage IA1 and IA2 cervical cancer; drawing ...

  19. Grassroots Women

    Directory of Open Access Journals (Sweden)

    Rebecca Kay

    2004-01-01

    Full Text Available The economic, social and political changes that have occurred in Russia over the last 10 years have had a profound effect on Russian women’s lives. Economic reform has brought poverty, insecurity and high levels of anxiety and stress to much of the population, both male and female. The impact of these changes on women was amplified in the early 1990s by their structural positioning both within the workforce and within the population, brought about by the legacies of the Soviet planned economy, Soviet attitudes to gender and long established demographic trends. Alongside these historical influences, ‘new’ essentialist attitudes towards gender and the appropriate roles and responsibilities of women in post-Soviet Russian society have been strongly promoted through the media, political and social discourses, imposing new pressures and dilemmas on many post-Soviet Russian women. Numerous women’s organisations have been established in Russia since the early 1990s, many of them with a specific remit of helping Russian women to overcome the upheavals and hardships which they face. Struggling to survive themselves with very few resources and minimal external support, Russia’s grassroots women’s organisations have nonetheless offered practical help and advice and emotional support and solidarity to their members. This paper is based on the findings of a period of intensive fieldwork carried out in 1995-6 with grassroots women’s organisations in Moscow and three Russian provincial centres. It will present the aims, activities and impact of the groups studied. It will also investigate the ways in which these groups and their membership positioned themselves in relation to the development of essentialist attitudes and opinions on gender within Russia on the one hand, and a dialogue with ‘western’ feminist theory and practice on the other.

  20. Women's Club

    CERN Multimedia

    CERN Women's Club

    2012-01-01

     Coffee Morning Tuesday 7th February 2012, 9:00 – 11:00 Bldg 504 (Restaurant n°2 – DSR) 1st Floor, Club Room 3 Presentation of cheque to Terre des Hommes Those interested in helping should come along. New arrivals and all members are cordially invited.You can enrol for membership, renew membership, find out about and sign up for our activities. Visit our website: http://club-womensclub.web.cern.ch/Club-WomensClub/

  1. Women's Club

    CERN Multimedia

    Club des Cernoises

    2012-01-01

    Coffee Morning   Tuesday 24th  April 2012, 9:00 – 14:00 Bldg 504, Ground Floor Spring Jumble Sale   Those interested in helping should come along. New arrivals and all members are cordially invited. You can enrol for membership, renew membership, find out about and sign up for our activities. Visit our website: http://club-womensclub.web.cern.ch/Club-WomensClub/

  2. Women's Club

    CERN Document Server

    Women's Club

    2014-01-01

        CERN WOMEN’S CLUB Coffee Morning Tuesday 8th Avril 2014, 9:30 – 14:00 Bldg 504 (Restaurant No 2 – DSR) Ground Floor Spring Jumble Sale   Those interested in helping should come along. New arrivals and all members are cordially invited. You can enrol for membership, renew membership, find out about and sign up for our activities. Visit our website: http://cern.ch/Club-WomensClub/

  3. Women's club

    CERN Multimedia

    Club des cernoises

    2012-01-01

    Coffee MorningTuesday 9th October 2012, 9:00 – 11:00 Bldg 504 (Restaurant No 2 – DSR) 1st Floor, Club Room 3 Presentation of the charity to benefit from the Christmas Sale “Nous aussi”. Those interested in helping should come along. New arrivals and all members are cordially invited. You can enrol for membership, renew membership, find out about and sign up for our activities. Visit our website: http://cern.ch/Club-WomensClub/

  4. Women's Club

    CERN Multimedia

    Club des Cernoises

    2012-01-01

    Coffee Morning Tuesday 13th  March 2012, 9:00 – 11:00 - Bldg 504 (Restaurant No 2 – DSR) - 1st Floor, Club Room 3. German Theme Those interested in helping should come along. New arrivals and all members are cordially invited. You can enrol for membership, renew membership, find out about and sign up for our activities. Visit our website: http://club-womensclub.web.cern.ch/Club-WomensClub/     CWC – Chinese Women's Community at CERN With an increasing number of Chinese people working at CERN, there are also surely an increasing number of Chinese women in the area, who are not always familiar with the environment, languages, or the people. In the context of the CERN Women’s Club, let's meet together and chat about integrating into the local community, available activities, commerce’s, restaurants, etc. It is also obviously a good opportunity to meet new friends. Everyone is welcome to join us to meet fo...

  5. Women's club

    CERN Multimedia

    Club des Cernoises

    2012-01-01

        CWC – Chinese Women's Community at CERN With an increasing number of Chinese people working at CERN, there are also surely an increasing number of Chinese women in the area, who are not always familiar with the environment, languages, or the people. In the context of the CERN Women’s Club, let's meet together and chat about integrating into the local community, available activities, commerce’s, restaurants, etc. It is also obviously a good opportunity to meet new friends. Everyone is welcome to join us to meet for tea, coffee, and a chat. We will meet every 3rd Tuesday of the month, starting on 20th March 2012, in building 504 (Restaurant 2) in room E-005. 20th March at 9-11am 17th April at 9-11am 22nd May at 9-11am 19th June at 9-11am For more details contact Mme Jean RODERICK, +41 (0) 76 426 61 08, jean.chow.roderick@gmail.com http://club-womensclub.web.cern.ch/Club-WomensClub/     CWC-華人茶敍 越來�...

  6. Prolactin and cortisol levels in women with endometriosis

    Directory of Open Access Journals (Sweden)

    A.P. Lima

    2006-08-01

    Full Text Available Endometriosis is a progressive estrogen-dependent disease affecting women during their reproductive years. The objective of the present study was to investigate whether endometriosis is associated with stress parameters. We determined cortisol and prolactin levels in serum, peritoneal and follicular fluid from infertile women with endometriosis and fertile women without the disease. The extent of the disease was staged according to the revised American Fertility Society classification (1997. Serum and peritoneal fluid were collected from 49 women aged 19 to 39 years undergoing laparoscopy. Eighteen women had stage I-II endometriosis and 10 had stage III-IV. Controls were 21 women undergoing laparoscopy for tubal sterilization. Follicular fluid was obtained from 39 women aged 25-39 years undergoing in vitro fertilization (21 infertile women with endometriosis and 18 infertile women without endometriosis. Serum prolactin levels were significantly higher in infertile women with stage III-IV endometriosis (28.9 ± 2.1 ng/mL than in healthy controls (13.2 ± 2.1 ng/mL. Serum cortisol levels were significantly higher in infertile women with stage III-IV endometriosis (20.1 ± 1.3 ng/mL than in controls (10.5 ± 1.4 ng/mL. Cortisol and prolactin levels in follicular fluid and peritoneal fluid did not differ significantly between groups. The high levels of cortisol and prolactin in the serum from women with endometriosis might contribute to the subfertility frequently associated with the disease. Moreover, since higher levels of cortisol and prolactin are often associated with stress, it is probable that stress might contribute to the development of endometriosis and its progression to advanced stages of the disease.

  7. Prolactin and cortisol levels in women with endometriosis.

    Science.gov (United States)

    Lima, A P; Moura, M D; Rosa e Silva, A A M

    2006-08-01

    Endometriosis is a progressive estrogen-dependent disease affecting women during their reproductive years. The objective of the present study was to investigate whether endometriosis is associated with stress parameters. We determined cortisol and prolactin levels in serum, peritoneal and follicular fluid from infertile women with endometriosis and fertile women without the disease. The extent of the disease was staged according to the revised American Fertility Society classification (1997). Serum and peritoneal fluid were collected from 49 women aged 19 to 39 years undergoing laparoscopy. Eighteen women had stage I-II endometriosis and 10 had stage III-IV. Controls were 21 women undergoing laparoscopy for tubal sterilization. Follicular fluid was obtained from 39 women aged 25-39 years undergoing in vitro fertilization (21 infertile women with endometriosis and 18 infertile women without endometriosis). Serum prolactin levels were significantly higher in infertile women with stage III-IV endometriosis (28.9 +/- 2.1 ng/mL) than in healthy controls (13.2 +/- 2.1 ng/mL). Serum cortisol levels were significantly higher in infertile women with stage III-IV endometriosis (20.1 +/- 1.3 ng/mL) than in controls (10.5 +/- 1.4 ng/mL). Cortisol and prolactin levels in follicular fluid and peritoneal fluid did not differ significantly between groups. The high levels of cortisol and prolactin in the serum from women with endometriosis might contribute to the subfertility frequently associated with the disease. Moreover, since higher levels of cortisol and prolactin are often associated with stress, it is probable that stress might contribute to the development of endometriosis and its progression to advanced stages of the disease.

  8. Women's health and feminist politics.

    Science.gov (United States)

    Faure, D

    1994-06-01

    The Sempreviva Organizacao Feminista (SOF) has aimed since 1963 to improve women's health in low-income communities in southeastern Brazil. There is concern for the whole person in all stages of a woman's life, not just the reproductive one commonly addressed in population control programs. SOF has linked gender, health, and poverty and contributed to social movements to improve conditions. SOF's constituency is about 90% women aged 20-40 years, with 2-5 children, and a lack of education. About 70% remain in the home caring for their families, and 25% are employed formally or informally. The women's fertility rates are high and they desire to limit childbearing. Most women are unaware of their own reproductive physiology and had not discussed sex with their parents before marriage. Active membership by 1971 was 7600 members. SOF's present aims are to strengthen the women's movement, to develop feminist approaches to health issues, to implement a women's health program, and to incorporate gender issued into other social movements. The present goals evolved out of the initial program of offering health services and family planning in a suburb of Sao Paulo. After break with their funding agency in 1967, over the refusal to promote female sterilization, they found funding by the World Council of Churches and others, which opened the doors to improvement in the quality of care. Meetings held every 2 years provide a forum for involvement of grassroots groups. The National Feminist Network for Health and Reproductive Rights provides the integrating mechanism for feminist nongovernmental groups and pressures the national government for reforms that will benefit women. SOF is just one of the grassroots organizations that offers collective and innovative experiences and empowerment. Social movements in the south and west of Sao Paulo have become more organized and demanded better public health policy or improvements in sanitation and waste disposal. SOF is currently

  9. Cetuximab, Cisplatin, and Radiation Therapy in Treating Patients With Stage IB, Stage II, Stage III, or Stage IVA Cervical Cancer

    Science.gov (United States)

    2014-12-29

    Cervical Adenocarcinoma; Cervical Adenosquamous Carcinoma; Cervical Small Cell Carcinoma; Cervical Squamous Cell Carcinoma; Stage IB Cervical Cancer; Stage IIA Cervical Cancer; Stage IIB Cervical Cancer; Stage III Cervical Cancer; Stage IVA Cervical Cancer

  10. Experimental Study on Influence Xuzao Gengping Prescription in Sex Hormones of Female Rats Climacteric Hypertension%虚燥更平方对雌性大鼠高血压病(更年期)性激素影响的实验研究

    Institute of Scientific and Technical Information of China (English)

    周丽萍; 林雪

    2011-01-01

    Obctiveje: To study the clinical efficacy of Xuzao Gengping Prescription on the female climacteric hypertension rats and analyzes theirs sex hormones index before and after the treatment, observe the changes of index.To explore on influence Xuzao Gengping prescription in sex hormones.Methods:the female climacteric hypertension rat model, Randomly divided into blank group, Chinese traditional medicine group, the model group, observe three group, estrogen ( E2 ), follicle-stimulating hormone ( FSH ),T ( testosterone ), corpus luteum ( LH ), progesterone ( PRO ), prolactin ( PRL )level, and statistical analysis is made.Results: Xuzao Gengping Prescription can make the female rat climacteric hypertension of Chinese traditional medicine group after the treatment, E2 raiseded levels, T, FSH reduced levels, a statistically significant ( P<0.05 ), PRO, PRL, LH was not statistically significant ( P>0.05 ).Conclusions:( 1 )Xuzao Gengping Prescription has certainly regulate function to improve the levels of sex hormones of female climacteric hypertension.( 2 ) Through the Chinese traditional medicine group and the model group related indexes and levels of sex hormones, female climacteric hypertension rats with the occurrence and development of hypertension relation, disorder sex hormone index may participate the patho-physiological course of menopausal hypertension in female.%目的:运用虚燥更平方作用于治疗雌性大鼠高血压病(更年期),观察大鼠性激素指标治疗前后的变化,探讨虚燥更平方对性激素的影响.方法:将雌性大鼠高血压病(更年期)模型,随机分成空白组、模型组、中药组,观察3组雌激素(E2)、促卵泡刺激素(FSH)、睾酮(T)、促黄体生成素(LH)、孕酮(PRO)、催乳素(PRL)水平,并做统计分析比较.结果:虚燥更平方可使雌性大鼠高血压病(更年期)中药组治疗后血清E2水平升高,T、FSH水平降低,三者有统计学意义(P0.05).结论:(1)虚燥更平方对改善

  11. Influência dos sintomas climatéricos sobre a função sexual de mulheres de meia-idade Influence of menopausal symptoms on sexual function in middle-aged women

    Directory of Open Access Journals (Sweden)

    Patrícia Uchôa Leitão Cabral

    2012-07-01

    Full Text Available OBJETIVO: Avaliar a influência dos sintomas climatéricos na função sexual de mulheres de meia-idade. MÉTODOS: Estudo populacional de corte transversal, com amostra de 370 mulheres entre 40 e 65 anos, atendidas nas Unidades Básicas de Saúde da cidade de Natal, no estado do Rio Grande do Norte, Brasil. Aplicou-se um questionário referente s características sociodemográficas, clínicas e comportamentais das mulheres. A função sexual foi avaliada pelo Female Sexual Function Index (FSFI, enquanto os sintomas do climatério pelo Menopause Rating Scale (MRS. RESULTADOS: No grupo estudado, 67% das mulheres apresentaram risco de disfunção sexual (FSFI≤26,5. Todos os domínios do FSFI (desejo, excitação, lubrificação, orgasmo, satisfação e dor apresentaram escores mais baixos nas mulheres com risco de disfunção sexual (pPURPOSE: To evaluate the influence of climacteric symptoms on the sexual function in middle-aged women. METHODS: A cross-sectional population study was conducted on a sample of 370 middle-aged women, aged 40 to 65 years-old, cared for at the Basic Health Units in Natal, in the state of Rio Grande do Norte, Brazil. We used a questionnaire containing questions on sociodemographic, clinical, and behavioral characteristics. Sexual function was evaluated by the Female Sexual Function Index (FSFI, while the menopause symptoms by the Menopause Rating Scale (MRS. RESULTS: In the studied group, 67% of the women reported risk for sexual dysfunction (FSFI≤26.5. All FSFI domains (desire, arousal, lubrication, orgasm, satisfaction, and pain were lower in women with risk for sexual dysfunction (p<0.001. The arousal, orgasm, and pain domains were most likely to contribute to lower FSFI scores. All somatovegetative, urogenital, and psychological MRS symptoms were more elevated in women with risk for sexual dysfunction, being significant for all comparisons (p<0.001. Logistic regression analysis revealed that the likelihood of

  12. Stages of Vaginal Cancer

    Science.gov (United States)

    ... miscarriage (premature birth of a fetus that cannot survive). Women who were exposed to DES before birth ... to relieve symptoms and improve quality of life . Chemotherapy Chemotherapy is a cancer treatment that uses drugs ...

  13. Staged electrostatic precipitator

    Energy Technology Data Exchange (ETDEWEB)

    Miller, Stanley J.; Almlie, Jay C.; Zhuang, Ye

    2016-03-01

    A device includes a chamber having an air inlet and an air outlet. The device includes a plurality of stages including at least a first stage adjacent a second stage. The plurality of stages are disposed in the chamber and each stage has a plurality of discharge electrodes disposed in an interior region and is bounded by an upstream baffle on an end proximate the air inlet and bounded by a downstream baffle on an end proximate the air outlet. Each stage has at least one sidewall between the upstream baffle and the downstream baffle. The sidewall is configured as a collection electrode and has a plurality of apertures disposed along a length between the upstream baffle and the downstream baffle. The upstream baffle of the first stage is positioned in staggered alignment relative to the upstream baffle of the second stage and the downstream baffle of the first stage are positioned in staggered alignment relative to the downstream baffle of the second stage.

  14. Making decentralization work for women in Uganda

    OpenAIRE

    Lakwo, A.

    2009-01-01

    This book is about engendering local governance. It explores the euphoria with which Uganda's decentralization policy took centre stage as a sufficient driver to engender local development responsiveness and accountability. Using a case study of AFARD in Nebbi district, it shows first that decentralized governance is gendered and technocratic as grassroots women's effective participation is lacking. Second, it shows that the insertion of women in local governance is merely a symbolic politica...

  15. Changing roles of women: reproduction to production.

    Science.gov (United States)

    Rachapaetayakom, J

    1988-12-01

    The status of women in the countries included in the Economic and Social Commission for Asia and the Pacific (ESCAP) varies widely from home labor and childbearing to social and political participation. In countries where the total fertility rate is high (over 6), such as Bangladesh, Pakistan, and Nepal, the status of women is low. Bangladesh, Pakistan, and Nepal, along with India, Sri Lanka, and China, also have the lowest levels of per capita income. The education of women is one of the earmarks of social development. Education enables women to delay marriage, reduce fertility, and participate in the economy. Between 1970 and 1980, the female literacy rate increased 10% in Thailand, Singapore, Malaysia, Sri Lanka, and the Philippines; and 5% in Bangladesh, Pakistan, and Nepal. Women's participation in the labor force is determined both by the stage of development of the country and by cultural factors. In Muslim countries the level of women's participation in the labor force is low. In Thailand and China it is very high. Women with the most education are likeliest to work in professional and administrative jobs. Self-employed women tend to have as little status and as many children as unpaid family workers, and women working in agriculture are almost as badly off. In Asia and the Pacific, except for Muslim countries, women have participated actively in family planning programs. In several countries in the region, women have been active in politics, but mostly at the local level. If women are to be integrated into the development process in the countries of Asia and the Pacific, attention must be given to their education and employment, to increasing the role of men in household and child rearing duties, and to research in the interrelations of population processes, women's status, and socioeconomic development.

  16. Changing roles of women: reproduction to production.

    Science.gov (United States)

    Rachapaetayakom, J

    1988-12-01

    The status of women in the countries included in the Economic and Social Commission for Asia and the Pacific (ESCAP) varies widely from home labor and childbearing to social and political participation. In countries where the total fertility rate is high (over 6), such as Bangladesh, Pakistan, and Nepal, the status of women is low. Bangladesh, Pakistan, and Nepal, along with India, Sri Lanka, and China, also have the lowest levels of per capita income. The education of women is one of the earmarks of social development. Education enables women to delay marriage, reduce fertility, and participate in the economy. Between 1970 and 1980, the female literacy rate increased 10% in Thailand, Singapore, Malaysia, Sri Lanka, and the Philippines; and 5% in Bangladesh, Pakistan, and Nepal. Women's participation in the labor force is determined both by the stage of development of the country and by cultural factors. In Muslim countries the level of women's participation in the labor force is low. In Thailand and China it is very high. Women with the most education are likeliest to work in professional and administrative jobs. Self-employed women tend to have as little status and as many children as unpaid family workers, and women working in agriculture are almost as badly off. In Asia and the Pacific, except for Muslim countries, women have participated actively in family planning programs. In several countries in the region, women have been active in politics, but mostly at the local level. If women are to be integrated into the development process in the countries of Asia and the Pacific, attention must be given to their education and employment, to increasing the role of men in household and child rearing duties, and to research in the interrelations of population processes, women's status, and socioeconomic development. PMID:12282180

  17. Access to women's health care: a qualitative study of barriers perceived by homeless women.

    Science.gov (United States)

    Gelberg, Lillian; Browner, C H; Lejano, Elena; Arangua, Lisa

    2004-01-01

    Homelessness is an escalating national problem and women are disproportionately affected. Nevertheless, few studies have focused on the special circumstances associated with being a homeless woman. For instance, while both genders experience serious barriers to obtaining health care, homeless women face an additional burden by virtue of their sexual and reproductive health needs. The current study was conducted as the first stage of a qualitative/quantitative investigation of homeless women's access and barriers to family planning and women's health care. We interviewed 47 homeless women of diverse ages and ethnic backgrounds. A qualitative approach was initially taken to explore the factors homeless women themselves perceive as barriers to their use of birth control and women's health services, and factors they believe would facilitate their use. Key findings are that health is not a priority for homeless women, that transportation and scheduling can be particularly burdensome for homeless women, and that being homeless leads some to feel stigmatized by health care providers. Despite being homeless, having children was extremely important to the women in our study. At the same time, those interested in contraception confronted significant barriers in their efforts to prevent pregnancies. We conclude with suggested interventions that would make general, gynecological, and reproductive health care more accessible to homeless women.

  18. Multiple stage railgun

    International Nuclear Information System (INIS)

    A multiple stage magnetic railgun accelerator for accelerating a projectile by movement of a plasma arc along the rails. The railgun is divided into a plurality of successive rail stages which are sequentially energized by separate energy sources as the projectile moves through the bore of the railgun. Propagation of energy from an energized rail stage back towards the breech end of the railgun can be prevented by connection of the energy sources to the rails through isolation diodes. Propagation of energy from an energized rail stage back towards the breech end of the railgun can also be prevented by dividing the rails into electrically isolated rail sections. In such case means are used to extinguish the arc at the end of each energized stage and a fuse or laser device is used to initiate a new plasma arc in the next energized rail stage

  19. The other stage

    OpenAIRE

    Anderson, Christopher Stephen Williamson

    2012-01-01

    An interactive electroacoustic music composition and solo mixed-media performance realized as an alternatively-staged one-night concert event. This project examines the tradition of staging live electronic music and the role of a solo computer music composer-performer. It is a four-movement interactive work with an appended generative music system performed solo within an alternative stage layout. It is derived from an interdisciplinary practice of combining electroacoustic music and electro...

  20. Prevalence of hypertension among reproductive age group tribal women in Visakhapatnam district, Andhra Pradesh, India

    Directory of Open Access Journals (Sweden)

    S. Appala Naidu

    2016-04-01

    Results: Among the study women, 40.6% belonged to prime tribe groups (PTG and 36% of women had debts. Two fifths (40.7% of tribal women were normotensive and another two fifths (42.1% were in pre-hypertensive stage. Stage-1 hypertension was observed in 16.3% of study women. Non- PTGs and women with debts had significantly high prevalence of hypertension when compared to other groups. Conclusions: Prevalence of HTN was more in tribal women when compared to national prevalence indicating the need of screening of blood pressures in tribal communities. [Int J Res Med Sci 2016; 4(4.000: 1224-1228

  1. [Cartography of healthcare for pregnant women].

    Science.gov (United States)

    Silva, Raimunda Magalhães da; Costa, Milena Silva; Matsue, Regina Yoshie; Sousa, Girliani Silva de; Catrib, Ana Maria Fontenelle; Vieira, Luiza Jane Eyre de Souza

    2012-03-01

    This work uses cartography as a method for mapping the trajectory of primary healthcare provided to pregnant women. The scope of the study comprises 9 Basic Healthcare Units located in the city of Juazeiro do Norte in the State of Ceará. In all, fifteen women in the 37th to 39th week of pregnancy were selected. Interviews were conducted with these women during the period from January to June 2010. The cartographic findings were depicted in stages in the flowchart, which exposed lacunas in prenatal healthcare, such as the low number of oncotic cytology exams conducted and the lack of educational counseling. Nevertheless, in the interviews, a significant number of pregnant women expressed satisfaction with the prenatal care provided. The good relationships developed between the healthcare professionals and the pregnant women were the main reason that led them to continue the treatment. This fact reinforces the importance of dialogue between these two actors for the success of prenatal healthcare.

  2. Women in physics in Cyprus: A first report

    Science.gov (United States)

    Constantinou, Martha

    2015-12-01

    This paper reviews the status of women in science, physics in particular, in Cyprus. We describe the development of physics in the country, focusing on the contributions and participation of women. We present statistical data for the last several years, reviewing the percentage of women who are pursuing physics as a subject of study or as a profession. We report the gender ratios at different career stages and find that while women are well represented in undergraduate studies, female physicists are underrepresented in senior positions. We discuss factors that might affect the career evolution of women in physics in Cyprus.

  3. Ganglion sentinelle et sentibras: pour un "staging" axillaire sur mesure

    OpenAIRE

    CUSUMANO, P; BLERET, Valerie; Nos, C.; Hustinx, Roland; LILET, Henri; Gomez, P.; Lifrange, Eric

    2011-01-01

    The status of the axillary lymph nodes is one of the most important prognostic factors in women with early stage breast cancer. Histologic examination of removed lymph nodes is the most accurate method for assessing spread of disease to these nodes. Axillary lymph node dissection (ALND) remains the standard approach for women who have clinically palpable axillary nodes. The benefits of ALND include its impact on disease control (axillary recurrence and survival), its prognostic value, and its...

  4. Multiple Stages 2

    DEFF Research Database (Denmark)

    Andreasen, John

    Multiple stages 2: theatrical futures, set design, community plays, cultural capitals, democracy & drama, WWII dramas, performance on adoption, promenade about emigration, qualities in political theatre, performance analysis, dramaturgical education, Toulmin Variations......Multiple stages 2: theatrical futures, set design, community plays, cultural capitals, democracy & drama, WWII dramas, performance on adoption, promenade about emigration, qualities in political theatre, performance analysis, dramaturgical education, Toulmin Variations...

  5. Women's Earnings: An Overview.

    Science.gov (United States)

    Bowler, Mary

    1999-01-01

    Over the past 20 years, women's real earnings rose whereas those of men declined. Even as the gender pay gap narrowed, earnings differences between white women and black and Hispanic women continued to grow. (Author)

  6. Women and HIV

    Science.gov (United States)

    ... Consumer Information by Audience For Women Women and HIV Share Tweet Linkedin Pin it More sharing options ... HIV? What should pregnant women know about HIV? HIV Quick Facts What is HIV? HIV is the ...

  7. Healthy Eating for Women

    Science.gov (United States)

    ... For Parents For Men For Women For Seniors Healthy Eating for Women Published April 11, 2014 Print Email ... Food Health Nutrition Wellness Dietary Guidelines and MyPlate Healthy Eating Healthy Aging For Women Latest Content 1 2 ...

  8. Women and Diabetes

    Medline Plus

    Full Text Available ... Audience For Women Women's Health Topics Women and Diabetes Share Tweet Linkedin Pin it More sharing options ... Diabetes How to Report Problems with Glucose Meters Diabetes Treatments Some people with diabetes need to take ...

  9. Abstracting women: essentialism in women's health research.

    Science.gov (United States)

    McCormick, J; Kirkham, S R; Hayes, V

    1998-01-01

    Women's desire to take control of their own bodies creates a natural affinity between the projects of feminism and women's health research. Feminists have used the categories of woman/women, gender, and sex as foundation terms to designate the subject of feminist theories. Universal categories, which have been exposed as essentialist by postmodern and poststructural critiques, create falsely unified subject positions that fail to account for the diversity of women and also fail to acknowledge the situated interests of the dominant groups whose perspectives they reflect. Because it adopts these same categories, research in women's health is also permeated with this essentialized understanding, whether or not it is overtly feminist. In this paper, we point out the dangers of the unreflective use of woman/women, gender, and sex in women's health research. We conclude, that for political purposes, however, a carefully considered "strategic essentialism" can be warranted in research aimed at improving women's health. PMID:9849195

  10. Women of ATLAS - International Women's Day 2016

    CERN Multimedia

    Biondi, Silvia

    2016-01-01

    Women play key roles in the ATLAS Experiment: from young physicists at the start of their careers to analysis group leaders and spokespersons of the collaboration. Celebrate International Women's Day by meeting a few of these inspiring ATLAS researchers.

  11. Minority Women and Advocacy for Women's Health

    Science.gov (United States)

    Kumanyika, Shiriki K.; Morssink, Christiaan B.; Nestle, Marion

    2001-01-01

    US minority health issues involve racial/ethnic disparities that affect both women and men. However, women's health advocacy in the United States does not consistently address problems specific to minority women. The underlying evolution and political strength of the women's health and minority health movements differ profoundly. Women of color comprise only one quarter of women's health movement constituents and are, on average, socioeconomically disadvantaged. Potential alliances may be inhibited by vestiges of historical racial and social divisions that detract from feelings of commonality and mutual support. Nevertheless, insufficient attention to minority women's issues undermines the legitimacy of the women's health movement and may prevent important advances that can be achieved only when diversity is fully considered. PMID:11527764

  12. Respiratory Contribution of the Alternate Path during Various Stages of Ripening in Avocado and Banana Fruits.

    Science.gov (United States)

    Theologis, A; Laties, G G

    1978-08-01

    The respiration of fresh slices of preclimacteric avocado (Persea americana Mill. var. Hass) and banana (Musa cavendishii var. Valery) fruits is stimulated by cyanide and antimycin. The respiration is sensitive to m-chlorobenzhydroxamic acid in the presence of cyanide but much less so in the presence of antimycin. In the absence of cyanide the contribution of the cyanide-resistant pathway to the coupled preclimacteric respiration is zero. In uncoupled slices, by contrast, the alternate path is engaged and utilized fully in avocado, and extensively in banana. Midclimacteric and peak climacteric slices are also cyanide-resistant and, in the presence of cyanide, sensitive to m-chlorobenzhydroxamic acid. In the absence of uncoupler there is no contribution by the alternate path in either tissue. In uncoupled midclimacteric avocado slices the alternate path is fully engaged. Midclimacteric banana slices, however, do not respond to uncouplers, and the alternate path is not engaged. Avocado and banana slices at the climacteric peak neither respond to uncouplers nor utilize the alternate path in the presence or absence of uncoupler.The maximal capacities of the cytochrome and alternate paths, V(cyt) and V(alt), respectively, have been estimated in slices from preclimacteric and climacteric avocado fruit and found to remain unchanged. The total respiratory capacity in preclimacteric and climacteric slices exceeds the respiratory rise which attends fruit ripening. In banana V(alt) decreases slightly with ripening.The aging of thin preclimacteric avocado slices in moist air results in ripening with an accompanying climacteric rise. In this case the alternate path is fully engaged at the climacteric peak, and the respiration represents the total potential respiratory capacity present in preclimacteric tissue. The respiratory climacteric in intact avocado and banana fruits is cytochrome path-mediated, whereas the respiratory climacteric of ripened thin avocado slices comprises

  13. Bioimpedance Spectroscopy in Detecting Lower-Extremity Lymphedema in Patients With Stage I, Stage II, Stage III, or Stage IV Vulvar Cancer Undergoing Surgery and Lymphadenectomy

    Science.gov (United States)

    2016-02-09

    Lymphedema; Perioperative/Postoperative Complications; Stage IA Vulvar Cancer; Stage IB Vulvar Cancer; Stage II Vulvar Cancer; Stage IIIA Vulvar Cancer; Stage IIIB Vulvar Cancer; Stage IIIC Vulvar Cancer; Stage IVA Vulvar Cancer; Stage IVB Vulvar Cancer

  14. DIFFICULTIES OF DIAGNOSTICS HYPERANDROGENISM AT WOMEN

    OpenAIRE

    Volkova, N.; Dimitriadi, T.

    2009-01-01

    The volume of examination of 25 fertile women with mean age 26 years (range 19-40 years) with menstrual irregularity and suspicion of hyperandrogenism were studied retrospectively. Clinical displays of elevated androgen levels was not assessed in patients at the first stage of examination. Non-standard methods of definition serum free testosterone were used.

  15. Motivating Women to Adopt Positive Financial Behaviors

    Science.gov (United States)

    Rowley, Megan E.; Lown, Jean M.; Piercy, Kathleen W.

    2012-01-01

    In a strengths-based study, 17 women ages 25 to 54 participated in focus groups to identify their motivations for positive financial behavior change. Performing a thematic analysis of data, evidence shows they progressed through the Transtheoretical Model stages of change. Emotion, family influence, and life transitions helped participants…

  16. PREVALENCE OF SEXUAL DYSFUNCTION, INSOMNIA AND DETERIORATION OF THE QUALITY OF LIFE IN HYSTERECTOMYZED WOMEN (IN SPANISH

    Directory of Open Access Journals (Sweden)

    Saavedra-Orozco Héctor

    2014-04-01

    deterioration of the quality of life. Four of each ten women had severe deterioration of the quality of life with predominance in the urogenital area. Rev.cienc.biomed. 2014;5(2:235-246. KEYWORDS Hysterectomy, Sexual dysfunction, Quality of life, Insomnia, Climacteric

  17. Intervention group as a resource of Occupational Therapy: an experience with menopausal women

    Directory of Open Access Journals (Sweden)

    Soraya Diniz Rosa

    2013-08-01

    Full Text Available Intervention group as a resource of Occupational Therapy is the main theme of this study. Herein we present an experience carried out in two universities in the areas of occupational therapy, pharmacy and medicine, more specifically in the field of gynecology regarding the care of climacteric woman. The first intervention occurred in 2004 with trainees of the occupational therapy course and medical school residents. However, the study was restarted in 2010 with expansion to the human resources and knowledge areas. The methodology was based on the transcripts of the remarks made after each group meeting, which was coordinated by the Occupational Therapy. Results showed that the intervention group process has helped participants in the understanding of this stage of life and has interfered in the changing of habits and attitudes, with great improvement in daily life organization. We concluded that the use of intervention group as a resource of Occupational Therapy and the liaison with other areas are of great importance because they enable the construction of a unique treatment plan for the group, given the contribution from each clinical area.

  18. Chemotherapy Toxicity On Quality of Life in Older Patients With Stage I, Stage II, Stage III, or Stage IV Ovarian Epithelial, Primary Peritoneal Cavity, or Fallopian Tube Cancer

    Science.gov (United States)

    2016-02-09

    Stage I Ovarian Cancer; Stage IA Fallopian Tube Cancer; Stage IB Fallopian Tube Cancer; Stage IC Fallopian Tube Cancer; Stage II Ovarian Cancer; Stage IIA Fallopian Tube Cancer; Stage IIB Fallopian Tube Cancer; Stage IIC Fallopian Tube Cancer; Stage III Ovarian Cancer; Stage III Primary Peritoneal Cancer; Stage IIIA Fallopian Tube Cancer; Stage IIIB Fallopian Tube Cancer; Stage IIIC Fallopian Tube Cancer; Stage IV Fallopian Tube Cancer; Stage IV Ovarian Cancer; Stage IV Primary Peritoneal Cancer

  19. Center for Women Veterans

    Science.gov (United States)

    ... VA » Center for Women Veterans (CWV) Center for Women Veterans (CWV) 10/27/2016 #VeteranOfTheDay Army Veteran ... Meet the Veteran of the Day » Employment and Women Veterans An interview with the Women Veteran Program ...

  20. Resources for Women's Studies.

    Science.gov (United States)

    Ridinger, Robert B.

    Over 120 bibliographies and other reference sources relevant to women's studies are identified in this annotated listing. Subjects include feminist scholarship, women in management, popular culture, autobiographies, other cultures and countries, history, lesbian women, women's education, the arts, politics, and rape. In addition to author, title,…

  1. Physio-Biochemical Changes in Jujube Fruits(Zizyphus jujuba Mill. cv. Lingwuchangzao) at Mature Stage%灵武长枣果实发育成熟期生理生化变化

    Institute of Scientific and Technical Information of China (English)

    魏天军; 窦云萍

    2008-01-01

    The changes of physiological and biochemical indices in jujube fruits during the late development were investigated from 6-year-old jujube trees (Zizyphus jujuba Mill. cv. Lingwuchangzao). The results showed that the flesh firmness decreased slowly from white-green stage to full-red stage, being significantly related with the developmental maturity of jujube fruits negatively, the correlation coefficient reached -0.980 3**. The contents of ascorbic acid and titratable acid in jujube fruits were significantly related with the developmental process of jujube fruits negatively or positively, the correlation coef-ficients were -0.973 1** and + 0.974 6** respectively. The contents of soluble solids, total sugar, and sucrose increased with jujube ripening, while the relative sweetness of jujube fruits showed the same variation pattern, the correlation coefficients were 0.996 6** , 0.988 0** , and 0.982 8**, respec-tively. Befcre white-green stage during fruit development,the accumulation d moncsaccharide was predom/nant in jujube fruits, following a fast accumula-tion of sucrose, indicating that the main component of sugars is sucrose at the crisp-ripe stage. Furthermore, the starch content of the flesh reached the peak at about thirty percentage of jujube maturity, being 51.54 mg/100 g · FW. The respiratory rates varied between 10 mg/(kg·h) and CO2 26 mg/(kg·h) after fruit turning red and before softening, indicating a non-climacteric respiratory type.

  2. Women's perspectives on illness in being screened for cervical cancer

    DEFF Research Database (Denmark)

    Hounsgaard, Lise; Augustussen, Mikaela; Møller, Helle;

    2013-01-01

    Background In Greenland, the incidence of cervical cancer caused by human papillomavirus (HPV) is 25 per 100,000 women; 2.5 times the Danish rate. In Greenland, the disease is most frequent among women aged 30–40. Systematic screening can identify women with cervical cell changes, which if untrea......Background In Greenland, the incidence of cervical cancer caused by human papillomavirus (HPV) is 25 per 100,000 women; 2.5 times the Danish rate. In Greenland, the disease is most frequent among women aged 30–40. Systematic screening can identify women with cervical cell changes, which...... of analysis: naive reading, structural analysis and critical interpretation. Results These revealed that women were unprepared for screening results showing cervical cell changes, since they had no symptoms. When diagnosed, participants believed that they had early-stage cancer, leading to feelings...

  3. Staging uterine cervical carcinoma with low-field MR imaging

    International Nuclear Information System (INIS)

    To assess the validity of low-field MR in staging cervical cancer compared to clinical staging. Material and Methods: A total of 95 women entered the study over a 3-year period. MR examinations with a 0.1 T resistive magnet using a body coil and clinical staging according to the FIGO recommendations were performed within 2 weeks from clinical diagnosis. T1- and T2-weighted sequences were obtained in transversal and sagittal acquisitions, and an additional T1 before and after contrast (randomisation to 0.1 or 0.3 mmol/kg b.w. gadodiamide). Treatment decisions on surgery or radiation therapy were made solely on the clinical staging. Results: Sixty-one patients were found to be eligible for surgery. In 5 women, the pathological results revealed a more advanced stage of the disease than assessed by clinical staging. MR correctly staged 4 of the 5 but otherwise tended to overstate the disease. Contrast enhancement significantly reduced this trend (p<0.05) regardless of the contrast medium dose used. Divided into two groups, an operable (less than stage 2b) and an inoperable group (more than stage 2a), the clinical staging correctly classified 57 patients (accuracy 92%) compared to 52 patients with MR using contrast enhancement (accuracy 84%). The specificity was no higher than 31%, whereas the reproducibility of the MR assessment was fairly good with kappa values around 0.65 for both intra- and interobserver variations. Conclusion: In the present set-up, clinical assessment was superior to low-field MR in staging cervical cancer. When using contrast enhancement, the staging accuracies of low-field MR were comparable to the ones reported for techniques with higher tesla values, whereas the specificity and reproducibility errors were lower. The method, therefore, needs to be optimised

  4. Effects of repeated mammographic screening on breast cancer stage distribution

    International Nuclear Information System (INIS)

    A randomised controlled trial of mass screening for breast cancer by single-view mammography was begun in Sweden in 1977. All women aged 40 and older and resident in the counties of Koppaberg and Oestergoetland were enrolled. The present report is confined to the Oestergoetland study, which started in 1978 and comprised 92934 women. After randomisation, which was done on the basis of communities rather than individuals, 47001 women were allocated to the study group and offered repeated mammographic screening; 45933 were allocated to the control group. As compliance among women over 74 years of age was poor these were excluded from the present report. The yearly incidence of stage II or more advanced breast cancers after the initial screening round up to and including the second was reduced by 40 per cent in the study group compared with the controls. This effect was less marked in the age group 40-49. After 5.5 years average from the date of entry the absolute number of women with stage II-IV disease in the control group exceeded that for the study group by 44, whereas there was a large excess of cancer in situ and stage I cancer in the study group. (orig.)

  5. Principles of Melanoma Staging.

    Science.gov (United States)

    Boland, Genevieve M; Gershenwald, Jeffrey E

    2016-01-01

    Although now commonplace in contemporary cancer care, the systematic approach to classification of disease-specific cancers into a formalized staging system is a relatively modern concept. Overall, the goals of cancer staging are to characterize the status of cancer at a specific moment in time, risk stratify, facilitate prognostication, and inform clinical decision making. The revisions to the American Joint Committee on Cancer (AJCC) melanoma staging system over time reflect changes in our understanding of the biology of the disease. Since the 1st edition, where tumor thickness was defined anatomically by its relationship to the reticular or papillary dermis (Clark level) as well as tumor thickness (Breslow thickness), there have been significant strides in our use of clinicopathological variables to stratify low- versus high-risk patients. Management of the regional nodal basin has also changed dramatically over time, impacted by techniques such as lymphatic mapping and sentinel lymph node biopsy (SLNB) and changes in pathological evaluation of the regional lymph nodes. Additionally, stratification of distant metastases has evolved as survival outcomes have been shown to vary based upon anatomic site of metastases and serum lactate dehydrogenase levels. The variables in use in the current (7th edition) AJCC staging system are surrogate markers of biology with validated impact of survival outcomes. Going forward, it is likely that these and additional clinicopathological factors will be integrated with molecular and other correlates of melanoma tumor biology to further refine and personalize melanoma staging. PMID:26601861

  6. Staging of extrahepatic cholangiocarcinoma

    International Nuclear Information System (INIS)

    Preoperative staging of extrahepatic cholangiocarcinoma is important in determining the best treatment plan. Several classification systems have been suggested to determine the operability and extent of surgery. Longitudinal tumor extent is especially important in extrahepatic cholangiocarcinoma because operative methods differ depending on the tumor extent. The Bismuth-Corlette classification system provides useful information when planning for surgery. However, this classification system is not adequate for selecting surgical candidates. Anatomic variation of the bile duct and gross morphology of the tumor must be considered simultaneously. Lateral spread of the tumor can be evaluated based on the TNM staging provided by American Joint Committee on Cancer (AJCC). However, there is a potential for ambiguity in the distinction of T1 and T2 cancer from one another. In addition, T stage does not necessarily mean invasiveness. Blumgart T staging is helpful for the assessment of resectability with the consideration of nodal status and distant metastasis as suggested by the AJCC cancer staging system. Computed tomography (CT) and magnetic resonance imaging (MRI) are the primary tools used in the assessment of longitudinal and lateral spread of a tumor when determining respectability. Diagnostic laparoscopy and positron emission tomography (PET) may play additional roles in this regard. (orig.)

  7. Seeking the Holy Grail or the Status of Women in Counseling

    Science.gov (United States)

    Brodsky, Annette M.

    1976-01-01

    Reviews some of the progress in the last 15 years in counseling women. It notes that at this stage of the status of counseling women, there is a need to treat women as individuals who are as different from each other as they are from men. (NG)

  8. Women in Education, Science and Leadership in New Zealand: A Personal Reflection

    Science.gov (United States)

    Austin, Margaret

    2016-01-01

    In global terms, the position of women in New Zealand society is relatively strong and at one stage in the early 2000s many senior roles were occupied by women. Equality of opportunity for women in leadership in science and the community has been a focus of attention in New Zealand in government, education, and the sciences for at least two…

  9. Women and Politics – The Glass Ceiling

    Directory of Open Access Journals (Sweden)

    Irina Zamfirache

    2010-03-01

    Full Text Available The role of women in modern politics is a subject that needs further insight, considering the growthin number of women that nowadays have relevant political positions on the international stage.There are studies today that emphasize the equality issue and all that is gender role related, but ourinterest is to analyze the women representation in power related positions. Due to the fastmodernization of the political environment and the rapid spreading of the feminist way of thought,several authors took interest in the gender differences in politics. The article follows some keydimensions in understanding the gender-role in politics: the glass ceiling, the role of the media indrawing the image of the woman politician, the gender affinity effect. In the end we would like topoint out the differences for men and women in exploiting the opportunities and securing the positions of power.

  10. Capitellocondylar total elbow replacement in late-stage rheumatoid arthritis

    DEFF Research Database (Denmark)

    Ovesen, Janne; Olsen, Bo Sanderhoff; Johannsen, Hans Viggo;

    2012-01-01

    Between 1994 and 2000, 51 capitellocondylar elbow replacements were inserted in 41 patients. All patients had late-stage rheumatoid arthritis. The mean age at operation was 56 years (range, 25-78 years). There were 12 men and 29 women. At follow-up, 6 patients had died of unrelated causes...

  11. Predictors of cervical cancer being at an advanced stage at diagnosis in Sudan

    DEFF Research Database (Denmark)

    Ibrahim, Ahmed; Rasch, Vibeke; Pukkala, Eero;

    2011-01-01

    Cervical cancer is the second most common cancer among women in Sudan, with more than two-thirds of all women with invasive cervical cancer being diagnosed at an advanced stage (stages III and IV). The lack of a screening program for cervical cancer in Sudan may contribute to the late presentation...... of this cancer, but other factors potentially associated with advanced stages of cervical cancer at diagnosis are unknown. The purpose of this research was to investigate the relationship between age, marital status, ethnicity, health insurance coverage, residence in an urban vs a rural setting, and stage (at...... diagnosis) of cervical cancer in Sudan....

  12. Staging of prostate cancer.

    Science.gov (United States)

    Cheng, Liang; Montironi, Rodolfo; Bostwick, David G; Lopez-Beltran, Antonio; Berney, Daniel M

    2012-01-01

    Prostatic carcinoma (PCa) is a significant cause of cancer morbidity and mortality worldwide. Accurate staging is critical for prognosis assessment and treatment planning for PCa. Despite the large volume of clinical activity and research, the challenge to define the most appropriate and clinically relevant staging system remains. The pathologically complex and uncertain clinical course of prostate cancer further complicates the design of staging classification and a substaging system suitable for individualized care. This review will focus on recent progress and controversial issues related to prostate cancer staging. The 2010 revision of the American Joint Committee on Cancer/Union Internationale Contre le Cancer (AJCC/UICC) tumour, node and metastasis (TNM) system is the most widely used staging system at this time. Despite general acceptance of the system as a whole, there is controversy and uncertainty about its application, particularly for T2 subclassification. The three-tiered T2 classification system for organ-confined prostate cancer is superfluous, considering the biology and anatomy of PCa. A tumour size-based substaging system may be considered in the future TNM subclassification of pT2 cancer. Lymph node status is one of the most important prognostic factors for prostate cancer. Nevertheless, clinical outcomes in patients with positive lymph nodes are variable. Identification of patients at the greatest risk of systemic progression helps in the selection of appropriate therapy. The data suggest that the inherent aggressiveness of metastatic prostate cancer is closely linked to the tumour volume of lymph node metastasis. We recommend that a future TNM staging system should consider subclassification of node-positive cancer on the basis of nodal cancer volume, using the diameter of the largest nodal metastasis and/or the number of positive nodes.

  13. 系统化护理干预对改善产妇母乳喂养自信心效果的研究%The effect of synthetic nursing intervention on breastfeeding self-efficacy among maternal women in different postpartum stages

    Institute of Scientific and Technical Information of China (English)

    戴红霞

    2014-01-01

    目的:评价系统化护理干预对改善产妇母乳喂养自信心和纯母乳喂养率的效果。方法:选取在广州市3所三级甲等综合性医院妇产科住院分娩的313例产妇为研究对象,按住院顺序分为对照组148例,实验组165例。向对照组实施母乳喂养口头宣教,对实验组应用《实用母乳喂养手册》实施面对面、一对一的哺乳知识与技能指导并于产后5周、11周实施母乳喂养电话指导2次。比较两组产妇在产后3天、6周、3个月时的母乳喂养自信心量表(BSES)评分及纯母乳喂养率。结果:产后3天和6周时,实验组产妇的BSES评分高于对照组(P<0.001);产后3天、6周、3个月时,实验组的纯母乳喂养率高于对照组(P<0.05)。结论:系统化护理干预能显著提高产妇的母乳喂养自信心和纯母乳喂养率。%Objective: To explore the effect of synthetic nursing intervention on breastfeeding self-efifcacy and exclusive breastfeeding rate among maternal women in different stages. Methods: The control group (n=148) received routine care with verbal education about breastfeeding. The study group (n=165) received synthetic breastfeeding nursing intervention, which composed of a practical handbook on breastfeeding, breastfeeding skills guiding through face-to-face and one-to-one education at bed-side in hospital, two telephone follow-ups related to breastfeeding at 5 and 11 weeks postpartum. All the participants completed Breastfeeding Self-Efifcacy Scale (BSES) in the hospital, at 6 weeks and 3 months postpartum. Results: At 3 days and 6 weeks postpartum, the mean scores of BSES in the study group were higher than those of the control group (P<0.001). At 3 days, 6 weeks and 3 months postpartum, the exclusive breastfeeding rates in the study group were higher than those of the control group (P<0.05). Conclusion: Synthetic breastfeeding nursing intervention could improve maternal women' breastfeeding self

  14. Where Do the Women Stand?

    Institute of Scientific and Technical Information of China (English)

    1999-01-01

    THE legal status of women in acountry is an important benchmarkof the degree of civilization and progressof that country. In the establishment ofthe People’s Republic of China and itsconstruction of the legal system, the legalframework to protect women’s rights andbenefits is improving. Chinese women’slegal status has witnessed great, profoundchange. The construction of the legal system toprotect women’s legal interests has been athree-tiered process: The first stage was from 1949 to theearly 1950s. At the first meeting of all of

  15. Composers on stage

    DEFF Research Database (Denmark)

    Groth, Sanne Krogh

    A trend on the scene of contemporary music is composers going on stage, performing their pieces themselves. Within a discourse of popular music, this is more the rule than exception, but when it comes to the context of contemporary scored music, the historical and aesthetic context differs...... to rise the following questions: What happens to the status of the author, when he suddenly (re-)appears on stage? How is this appearance to be understood in both a contemporary and historical context: Is it the musical virtuous appearing again, are we witnessing musical works turning...... Rønsholdt’s Documentary Concert (2013) and Johannes Kreidler Fremdarbeit (2009)....

  16. Stages of Pregnancy

    Science.gov (United States)

    ... Know your pregnancy rights Getting ready for baby Childbirth and beyond Mom-to-be tools Government in action on pregnancy Pregnancy in Spanish ( en español ) Subscribe to Stages of pregnancy email updates. Enter email address Submit Home > Pregnancy > You're pregnant: Now what? Pregnancy This ...

  17. Pancreatic Cancer Stage 4

    Science.gov (United States)

    ... lung, liver, and peritoneal cavity. An inset shows cancer cells spreading from the pancreas, through the blood and lymph system, to another ... abdomen that contains the intestines, stomach, and liver). Cancer may also have spread to ... pancreas or to lymph nodes. Stage IV pancreatic cancer. ...

  18. World Stage Design

    Index Scriptorium Estoniae

    2005-01-01

    12-19. III Torontos rahvusvaheline lavakujunduse, kostüümi ning valgus- ja helikujunduse näitus, mis toimub samaaegselt OISTATi (International Organization of Scenographers, Theatre Architects and Technicians) maailmakongressiga ja USITT (United States Institute for Theatre Technology) üritustega (konverents, Stage Expo). Eestit esindab lavakujunduse kategoorias Lilja Blumenfeld-Luhse

  19. A Longitudinal Examination of Stages of Change Model Applied to Mammography Screening.

    Science.gov (United States)

    Lee-Lin, Frances; Nguyen, Thuan; Pedhiwala, Nisreen; Dieckmann, Nathan F; Menon, Usha

    2016-04-01

    Application of behavior change theories to ethnically diverse groups is limited. In a secondary analysis of intervention study data, we tested the validity of the transtheoretical model (TTM) of change among Chinese American immigrant women. Three hundred mammography non-adherent women were randomized to an intervention or control group. Compared with contemplators (60%), precontemplators reported higher perceived mammography barriers (p Chinese women's stages of change has significant potential to decrease breast cancer screening disparities. PMID:26712817

  20. Implicit stage topics

    Directory of Open Access Journals (Sweden)

    Karen Lahousse

    2008-04-01

    Full Text Available Il a souvent été proposé que les éléments spatio-temporels en position initiale de phrase spécifient le cadre de l’événement dénoté par la proposition et ont une interprétation thématique ou topicale. Alors que les topiques spatio-temporels explicites ont souvent été étudiés, Erteschik-Schir (1997, 1999 propose l’idée que les topiques spatio-temporels, ou topiques scéniques (stage topics peuvent aussi être implicites.Dans cet article, nous offrons des arguments en faveur de la notion de topique scénique implicite. Nous montrons qu’un certain nombre de cas d’inversion nominale en français, une configuration syntaxique qui est favorisée par la présence d’un topique scénique explicite, s’expliquent par la présence d’un topique scénique implicite. Le fait que les topiques scéniques implicites interagissent avec la structure syntaxique de la même façon que les topiques scéniques explicites constitue un argument empirique en faveur de leur existence.It has often been proposed that sentence-initial spatio-temporal elements specify the frame in which the whole proposition takes place and are topical (i.e. thematic. Whereas considerable attention has been paid to explicit spatio-temporal topics, Erteschik-Shir (1997, 1999 argues that spatio-temporal topics, or stage topics, can also be implicit.In this article we provide evidence in favour of the notion of implicit stage topic. We show that a certain number of nominal inversion cases in French, a syntactic configuration which is triggered by the presence of an explicit stage topic, are explained by the presence of an implicit stage topic. The fact that implicit stage topics interact with syntactic structure the same way explicit stage topics do constitutes a strong empirical argument in favour of their existence.

  1. Albanian women in physics

    Science.gov (United States)

    Deda, Antoneta; Alushllari, Mirela; Mico, Silvana

    2015-12-01

    In this report, presented at the 5th IUPAP International Conference on Women in Physics, we describe the status of women physicists in Albania and offer some statistical data illustrating the present situation. Undergraduate physics enrollment by girls is high and stable, more women are receiving financial support for doctoral studies, women are well represented in recent academic promotions, and recently women scientists have been appointed to several leadership positions. However, both women and men are challenged by the overall low levels of funding for research and by issues of availability and affordability of child care.

  2. Assistência à mulher climatérica: novos paradigmas Atención a la mujer climatérica: nuevos paradigmas Assistance to the climacteric woman: new paradigms

    Directory of Open Access Journals (Sweden)

    Dino Roberto Soares De Lorenzi

    2009-04-01

    Full Text Available O envelhecimento populacional é uma realidade demográfica brasileira. Como conseqüência, espera-se, nos próximos anos, um aumento progressivo na procura dos serviços de saúde por mulheres com queixas relacionadas ao climatério. Paralelamente, a assistência ao climatério tem passado por uma modificação de paradigmas, impondo aos profissionais de saúde uma mudança de atitude. Reconhece-se que o climatério é influenciado tanto por fatores biológicos, como por fatores psicossociais e culturais, cujo conhecimento é fundamental para uma assistência mais qualificada e humanizada. Este artigo propõe refletir sobre as mudanças de paradigmas na assistência ao climatério, destacando a multidisciplinaridade e interdisciplinaridade, no sentido acolher melhor essa parcela da população e proporcionar-lhe um cuidado integral e individualizado, aproximando o saber da sensibilidade, voltado a uma melhor qualidade vida.Envejecimiento poblacional es una realidad demográfica brazilian. Consecuentementese espera un aumento progresivo de la búsqueda en los servicios de salud del país por mujeres con quejas relacionadas al climaterio. La asistencia al climaterio ha pasado por un cambio de paradigmas que han impuesto a los profesionales de la salud. El climaterio es influenciado por factores biológicos, factores psicosociales y culturales, cuyo conocimiento es fundamental para la planificación de una asistencia. Artículo se propone reflexionar sobre los cambios de paradigmas, el abordaje multidisciplinario e interdisciplinario, en el sentido de recibir mejor esta parcela de la población y proporcionarle un cuidado integral e individualizado, aproximando el saber de la sensibilidad, y el tener como objetivo a una mejor calidad de vida.Population aging is a demographic reality for Brazil. Consequently, in the next years it is expected a progressive increase in seeking health care services in the country by women with complaints related to

  3. Immunization for Women

    Science.gov (United States)

    ... Immunization History Vaccine Safety Articles Resources Personal Stories Vaccine Education Videos Research Articles ACOG Resources Resources & Links ACOG Update on Zika Virus Pregnancy Attention pregnant women! Pregnant women, their ...

  4. Women and Diabetes

    Medline Plus

    Full Text Available ... Information on WebMD Order Free Women's Health Publications Information from Other Government Agencies and Offices National Diabetes Education Program Diabetes Information on MedlinePlus Diabetes and Depression in Older Women ...

  5. Women and Alcohol

    Science.gov (United States)

    ... turn JavaScript on. Feature: Rethinking Drinking Women and Alcohol Past Issues / Spring 2014 Table of Contents Women react differently than men to alcohol and face higher risks from it. Pound for ...

  6. Women in Academic Medicine.

    Science.gov (United States)

    Thibault, George E

    2016-08-01

    More than a decade ago, women achieved parity with men in the number of matriculants to medical school, nearly one-third of the faculty of medical schools were women, and there were some women deans and department chairs. These trends were promising, but today there are still significant differences in pay, academic rank, and leadership positions for women compared with men in academic medicine. Though there has been progress in many areas, the progress is too slow to achieve previously recommended goals, such as 50% women department chairs by 2025 and 50% women deans by 2030.The author points to the findings presented in the articles from the Research Partnership on Women in Biomedical Careers in this issue, as well as research being published elsewhere, as an evidence base for the ongoing discussion of gender equity in academic medicine. More attention to culture and the working environment will be needed to achieve true parity for women in academic medical careers.

  7. Women of Jino Nationality

    Institute of Scientific and Technical Information of China (English)

    1996-01-01

    The dress of the Jino nationality differs greafiy from village to village. The upper photo shows the women of Xinyuan Village, Mengwang Township, with the photo on the right featuring women from Jiamazhai Village, Jino Township.

  8. Violence against Women

    Science.gov (United States)

    ... are major public health problems and violations of women's human rights. Recent global prevalence figures indicate that about 1 ... disseminating information and supporting national efforts to advance women's health and rights and the prevention of and response to violence ...

  9. How Women Changed History

    Institute of Scientific and Technical Information of China (English)

    Vivienne; Gill; 袁爱萍

    2003-01-01

    Men sometimes say, "We are better and cleverer than women. Women never invent things. We do. " It is true that men have invented a lot of useful things: the alphabet, machines, rockets, and guns, too.

  10. Women in Academic Medicine.

    Science.gov (United States)

    Thibault, George E

    2016-08-01

    More than a decade ago, women achieved parity with men in the number of matriculants to medical school, nearly one-third of the faculty of medical schools were women, and there were some women deans and department chairs. These trends were promising, but today there are still significant differences in pay, academic rank, and leadership positions for women compared with men in academic medicine. Though there has been progress in many areas, the progress is too slow to achieve previously recommended goals, such as 50% women department chairs by 2025 and 50% women deans by 2030.The author points to the findings presented in the articles from the Research Partnership on Women in Biomedical Careers in this issue, as well as research being published elsewhere, as an evidence base for the ongoing discussion of gender equity in academic medicine. More attention to culture and the working environment will be needed to achieve true parity for women in academic medical careers. PMID:27306968

  11. Women in Portugal.

    Science.gov (United States)

    Barbosa, M

    1981-01-01

    Prior to 1974, women in Portugal were restricted by the Penal Code and had little organizational power. Women's groups were formed within the Catholic Church to teach women about cooking, child care, and home economics. There was no contact with international women's groups. The press only reported events such as bra burning. 80% of all illiterates in Portugal are women. The conditions of Portuguese women are described after the revolution of April 25, 1974. Present roles are discussed for work, health, education, religion, trade unions and political parties, and women's organizations. The Women's Liberation Movement (WLM) appeared in May 1974 among a heterogenous group of women in Lisbon who were concerned about the oppression of women. WLM made feminist issues public amid ridicule and promoted the declaration of equal rights for women in the 1976 Republic Constitution and in the Family Code. Wage discrimination became illegal in 1979. Women represent 32.8% of the labor force. Unemployment is particularly high among women and is increasing. Women's wages and levels of skill are the lowest. The Christian Democratic government is actively engaged in a campaign to keep women at home and has formed the special Ministry of Family Affairs, which encourages large families and women's home activity in order to save jobs for men. There is a crisis in education: large class sizes and limited number of schools. Child care for the working mother is expensive when available and rarely available. An obstacle to women's rights has been the role of the Catholic Church, which fought equal rights legislation, condemned the Family Code and divorce laws, forbade the practice of contraception, and supported the movement against abortion. Only 1 member of government is a women, and she is considered a token. Trade unions have a women's section, but little attention is given to the problems of women. Women's groups within larger organizations have little autonomy. Those with autonomy

  12. Staging interrail mobilities

    DEFF Research Database (Denmark)

    Jensen, Martin Trandberg; Gyimóthy, Szilvia; Jensen, Ole B.

    2016-01-01

    This article applies the multiscalar ‘staging mobilities’ framework from the emergent subfield of mobilities design to analyse an enduring European rail travel phenomenon, interrail. This discussion extends and contributes to tourism mobilities research. Second, the article enriches previous stud...... and seat reservations. To reach these aims, the research design intertwines multi-sited ethnography, netnography, survey and interviews. The conclusion offers theoretical reflections pertaining to the role of mobilities designs and methodical hybrids in tourism mobilities research....

  13. Calibration of Nanopositioning Stages

    Directory of Open Access Journals (Sweden)

    Ning Tan

    2015-12-01

    Full Text Available Accuracy is one of the most important criteria for the performance evaluation of micro- and nanorobots or systems. Nanopositioning stages are used to achieve the high positioning resolution and accuracy for a wide and growing scope of applications. However, their positioning accuracy and repeatability are not well known and difficult to guarantee, which induces many drawbacks for many applications. For example, in the mechanical characterisation of biological samples, it is difficult to perform several cycles in a repeatable way so as not to induce negative influences on the study. It also prevents one from controlling accurately a tool with respect to a sample without adding additional sensors for closed loop control. This paper aims at quantifying the positioning repeatability and accuracy based on the ISO 9283:1998 standard, and analyzing factors influencing positioning accuracy onto a case study of 1-DoF (Degree-of-Freedom nanopositioning stage. The influence of thermal drift is notably quantified. Performances improvement of the nanopositioning stage are then investigated through robot calibration (i.e., open-loop approach. Two models (static and adaptive models are proposed to compensate for both geometric errors and thermal drift. Validation experiments are conducted over a long period (several days showing that the accuracy of the stage is improved from typical micrometer range to 400 nm using the static model and even down to 100 nm using the adaptive model. In addition, we extend the 1-DoF calibration to multi-DoF with a case study of a 2-DoF nanopositioning robot. Results demonstrate that the model efficiently improved the 2D accuracy from 1400 nm to 200 nm.

  14. Staging Sociotechnical Spaces

    DEFF Research Database (Denmark)

    Clausen, Christian; Yoshinaka, Yutaka

    2007-01-01

    The management of innovation and product development is increasingly facing complex challenges of staging design processes across heterogeneous organisational spaces, with multiple actor-concerns and sources of knowledge. This paper addresses how insights from the Actor-Network Theory and politic...... of product development. The concept of socio-technical spaces is further illustrated through actual examples from industry dealing with early conceptualisation in product development and the role played by management concepts in the configuration of spaces.......The management of innovation and product development is increasingly facing complex challenges of staging design processes across heterogeneous organisational spaces, with multiple actor-concerns and sources of knowledge. This paper addresses how insights from the Actor-Network Theory and political...... process theory may contribute to a reflexive understanding of design as the staging of socio-technical relations and processes cutting across boundaries of diverse organisational, political and knowledge domains. This idea is pursued through the notion of ‘socio-technical spaces’. Socio-technical space...

  15. Acne in hirsute women

    OpenAIRE

    Lumezi, Besa Gacaferri; Pupovci, Hatixhe Latifi; Berisha, Violeta Lokaj; Goçi, Aferdita Uka; Gerqari, Antigona

    2014-01-01

    Introduction Acne and hirsutism are common manifestations of hyperandrogenism. Aim To investigate whether or not acne is present in women with hirsutism, associated with different clinical, endocrine and ultrasonographic features. Material and methods The prospective study included 135 women with hirsutism, aged 14–46 years. We measured the levels of hormones with radioimmunoassay/immunoradiometric assay methods. Results Acne were present in 63 (47.6%) women with hirsutism. Sixty women had mi...

  16. Violence against older women.

    Science.gov (United States)

    2016-07-01

    Domestic abuse is widespread and indiscriminate. Older women living with domestic abuse experience a number of health-related concerns and significant mental health issues. Research suggests that the needs of older women experiencing domestic abuse are not being met by existing services. This article examines the issues that older women face as a result of abusive relationships and the barriers to seeking help. Research suggests that a stepped approach, tailored to suit older women's needs, could be beneficial. PMID:27384810

  17. Identifying the Barriers to Women's Agency in Domestic Violence: The Tensions between Women's Personal Experiences and Systemic Responses

    Directory of Open Access Journals (Sweden)

    Jo Aldridge

    2013-04-01

    Full Text Available Despite advances in knowledge and understanding about the impacts of domestic violence on women's lives, global research on violence against women shows there is a need for research that not only places women centre stage in research praxis, but also that involves them more collaboratively in genuine dialogue about their experiences, including their agentic stances. This is especially the case for marginalised and socially excluded women victims of domestic violence, such as those who are not known or do not present to services and who survive abusive relationships alone or with little outside support. Evidence from two studies reported here—secondary analysis of women with severe and enduring mental health problems and a collaborative narrative project with unsupported women victims of domestic violence—suggest that women's capacity for agency are compromised by a number of critical factors, and that these are also reflected in the tensions between micro–macro analyses and understanding of the impact of domestic violence on women. This article considers the barriers to women's agency from the women's perspective and in the context of broader, systemic dynamics, including the denial or obscuring of abuse by governments and states and the consequences of stringent fiscal retrenchment that put women at increased risk of domestic violence.

  18. Workplace Safety and Women

    Centers for Disease Control (CDC) Podcasts

    2009-05-11

    This women's health podcast focuses on four important issues for women at work: job stress, work schedules, reproductive health, and workplace violence.  Created: 5/11/2009 by Office of Women's Health (OWH) and National Institute for Occupational Safety and Health (NIOSH).   Date Released: 5/11/2009.

  19. Women's Right To Unlearn.

    Science.gov (United States)

    Longwe, Sara Hlupekile

    2001-01-01

    Critiques the panel topic, policy advocacy for the right to learn of all women and men, from the standpoint that women and men have different political and social positions and advocacy may be aimed at institutions with a vested interest in continuing oppression. Argues that women must unlearn their indoctrination into a subordinate place and…

  20. Heart Disease in Women

    Science.gov (United States)

    ... United States, 1 in 4 women dies from heart disease. The most common cause of heart disease in both men and women is narrowing or ... It's the major reason people have heart attacks. Heart diseases that affect women more than men include Coronary ...

  1. Women at Work.

    Science.gov (United States)

    Valiant, Sharon

    This resource booklet about working women presents role models of interesting women, past and present, many of whom have been successful in non-traditional work roles. Included are brief biographical sketches of working women in early America, during the industrial revolution, the early twentieth century, the Depression, World War II, and modern…

  2. Acne in hirsute women

    Science.gov (United States)

    Pupovci, Hatixhe Latifi; Berisha, Violeta Lokaj; Goçi, Aferdita Uka; Gerqari, Antigona

    2014-01-01

    Introduction Acne and hirsutism are common manifestations of hyperandrogenism. Aim To investigate whether or not acne is present in women with hirsutism, associated with different clinical, endocrine and ultrasonographic features. Material and methods The prospective study included 135 women with hirsutism, aged 14–46 years. We measured the levels of hormones with radioimmunoassay/immunoradiometric assay methods. Results Acne were present in 63 (47.6%) women with hirsutism. Sixty women had mild forms of acne, including: whiteheads, blackheads, papules and pustules. Only 3 women had moderate to severe acne, including nodules. In a group of women with hirsutism and acne, 6 (9.5%) were obese. In our study we found a high prevalence of androgen excess among hirsute women with acne: total testosterone was increased in 79%, free testosterone in 20.6%, androstenedione in 69.8%, dehydroepiandrosterone sulfate (DHEAS) in 30.1%, 17-OH-progesterone 68.2% and sex hormone-binding globulin (SHBG) was decreased in 33.3% of women. Women with hirsutism and acne have received oral contraceptives for a year, without or in a combination with other medication. Thirty-four (53.9%) women have shown improvement in hirsutism and acne. Conclusions In this study we found a high prevalence of acne in hirsute women. The prevalence of acne was higher in polycystic ovarian syndrome. Since these women have associated endocrine changes it is important to correct them with hormonal therapy. PMID:25610349

  3. Longevity of Women Superintendents

    Science.gov (United States)

    Sethna, Kim C.

    2014-01-01

    Public schools are facing a leadership crisis regarding the lack of women superintendents in the United States. Although, historically, women have dominated the positions of classroom teachers and outnumbered men in receiving administrative leadership certificates, there is a disproportion in the number of men and women superintendents leading the…

  4. Women and Diabetes

    Medline Plus

    Full Text Available ... Diabetes Information on WebMD Order Free Women's Health Publications Information from Other Government Agencies and Offices National ... YourDiabetesInfo.org American Diabetes Association Get Other FDA Publications for Women For Women Homepage FDA Diabetes Information ...

  5. Women in physics in France

    Energy Technology Data Exchange (ETDEWEB)

    Pierron-Bohnes, Véronique [CNRS-University of Strasbourg, Strasbourg (France)

    2015-12-31

    We present six associations and entities working in France on issues of women in physics: the Women and Physics Commission, French Physical Society; Women in Nuclear (WiN) France; Women and Science Association; Mission for the Place of Women at CNRS; Parity, Diversity, and Women Network, CEA; and the Network of University Equality-Diversity Representatives.

  6. Women in Latin American History.

    Science.gov (United States)

    Lavrin, Asuncion

    1981-01-01

    Presents a bibliography and suggests a number of topics around which a college level history course on Latin American women could be organized. Course topics include migration of women, definition of sex roles, legal status of women, women's work and society, feminism, politics, religion, women and the family, and women's education and…

  7. Initial Staging of Hodgkin’s Disease

    Science.gov (United States)

    Chiaravalloti, Agostino; Danieli, Roberta; Caracciolo, Cristiana Ragano; Travascio, Laura; Cantonetti, Maria; Gallamini, Andrea; Guazzaroni, Manlio; Orlacchio, Antonio; Simonetti, Giovanni; Schillaci, Orazio

    2014-01-01

    Abstract The objective of this study was to compare the diagnostic accuracy of positron emission tomography/low-dose computed tomography (PET/ldCT) versus the same technique implemented by contrast-enhanced computed tomography (ceCT) in staging Hodgkin’s disease (HD). Forty patients (18 men and 22 women, mean age 30 ± 9.6) with biopsy-proven HD underwent a PET/ldCT study for initial staging including an unenhanced low-dose computed tomography for attenuation correction with positron emission tomography acquisition and a ceCT, performed at the end of the PET/ldCT scan, in the same exam session. A detailed datasheet was generated for illness locations for separate imaging modality comparison and then merged in order to compare the separate imaging method results (PET/ldCT and ceCT) versus merged results positron emission tomography/contrast-enhanced computed tomography (PET/ceCT). The nodal and extranodal lesions detected by each technique were then compared with follow-up data that served as the reference standard. No significant differences were found at staging between PET/ldCT and PET/ceCT in our series. One hundred and eighty four stations of nodal involvement have been found with no differences in both modalities. Extranodal involvement was identified in 26 sites by PET/ldCT and in 28 by PET/ceCT. We did not find significant differences concerning the stage (Ann Arbor). Our study shows a good concordance and conjunction between PET/ldCT and ceCT in both nodal and extranodal sites in the initial staging of HD, suggesting that PET/ldCT could suffice in most of these patients. PMID:25121354

  8. Pelvic organ prolapse symptoms in relation to POPQ, ordinal stages and ultrasound prolapse assessment.

    NARCIS (Netherlands)

    Kluivers, K.B.; Hendriks, J.C.M.; Shek, C.; Dietz, H.P.

    2008-01-01

    Adequate staging of pelvic organ prolapse is important in clinical practice and research. The ability of the POPQ, ordinal stages and ultrasound prolapse assessment were evaluated for their ability to discriminate between women with and without prolapse symptoms. The leading edge of the predominant

  9. Chimpanzee sleep stages.

    Science.gov (United States)

    Freemon, F. R.; Mcnew, J. J.; Adey, W. R.

    1971-01-01

    The electroencephalogram and electro-oculogram of two unrestrained juvenile chimpanzees was monitored for 7 consecutive nights using telemetry methods. Of the sleeping time, 23% was spent in the rapid eye movement of REM type of sleep, whereas 8, 4, 15, and 10% were spent in non-REM stages 1 through 4, respectively. Seven to nine periods of REM sleep occurred per night. The average time from the beginning of one REM period to the beginning of the next was approximately 85 min.

  10. Nuclear Cryogenic Propulsion Stage

    Science.gov (United States)

    Houts, Michael G.; Borowski, S. K.; George, J. A.; Kim, T.; Emrich, W. J.; Hickman, R. R.; Broadway, J. W.; Gerrish, H. P.; Adams, R. B.

    2012-01-01

    The fundamental capability of Nuclear Thermal Propulsion (NTP) is game changing for space exploration. A first generation Nuclear Cryogenic Propulsion Stage (NCPS) based on NTP could provide high thrust at a specific impulse above 900 s, roughly double that of state of the art chemical engines. Characteristics of fission and NTP indicate that useful first generation systems will provide a foundation for future systems with extremely high performance. The role of the NCPS in the development of advanced nuclear propulsion systems could be analogous to the role of the DC-3 in the development of advanced aviation. Progress made under the NCPS project could help enable both advanced NTP and advanced NEP.

  11. Women and schizophrenia.

    Science.gov (United States)

    Thara, R; Kamath, Shantha

    2015-07-01

    Women's mental health is closely linked to their status in society. This paper outlines the clinical features of women with schizophrenia and highlights the interpersonal and social ramifications on their lives. There is no significant gender difference in the incidence and prevalence of schizophrenia. There is no clear trend in mortality, although suicides seem to be more in women with schizophrenia. In India, women face a lot of problems, especially in relation to marriage, pregnancy, childbirth, and menopause. Most studies have shown better premorbid functioning, and social adjustment for women compared with men. There is a great need to plan for gender-sensitive mental health services targeting the special needs of these women. Women caregivers also deserve due attention. PMID:26330642

  12. Endometrial carcinoma in elderly women.

    Science.gov (United States)

    Hoffman, K; Nekhlyudov, L; Deligdisch, L

    1995-08-01

    Endometrial carcinoma remains the most common invasive gynecologic malignancy. Increased longevity is associated with an increased incidence of endometrial carcinoma (EC) in elderly women. While recent studies have looked at aging and its relation to ovarian, breast, and cervical cancer, few have focused on EC in the growing elderly population. This study analyzed 35 histologic specimens of EC in women 75-92 years of age. Findings revealed that only 23% of the tumors were Stage I, G1. The majority (77%) were deeply invasive or of advanced stage (IC-IV). These were G2, G3, or "virulent" types of nonendometrioid EC (undifferentiated, clear cell, uterine serous papillary, and squamous cell carcinoma). Fifty-seven percent of tumors were endometrioid, of which 9% were mixed, including a rare case of nongestational choriocarcinoma. The nonendometrioid tumors, compared to the endometrioid types, were more often high-stage tumors with vascular invasion. They were also more often associated with atrophic (vs hyperplastic) uninvolved endometrium. Clinical risk factors (nulliparity, obesity, estrogen replacement therapy) were assessed and correlated with the histologic findings. It was shown that tumors in the elderly were less likely to be estrogen-related. It was concluded that EC in this age group is more aggressive, histologically less differentiated, and often nonendometrioid compared with EC in the general population. The increased virulence of EC in the elderly may be related to the tumor's independence from hormonal factors, to the poorly understood but well-known diminished immunologic defense against cancer in general in elderly patients, and/or to the belated diagnosis of the disease in this population. PMID:7622105

  13. Clinical Curative Effect Observation of Ear Acupoints Application Therapy on the Female Climacteric Syndrome with the Type of Incoordination between Heart and Kidney%耳穴贴压治疗心肾不交型女性更年期综合征临床疗效观察

    Institute of Scientific and Technical Information of China (English)

    朱晓宏; 龚丽; 陆永嘉; 倪晓春; 陈吉; 孙臣忠

    2015-01-01

    目的:观察耳穴贴压治疗心肾不交型女性更年期综合征临床疗效。方法:将69例女性更年期综合征患者按照随机数字表法分为单纯汤药组35例和耳穴贴压组34例。单纯汤药组采用黄连阿胶汤治疗,耳穴贴压组在汤药组的基础上予耳穴贴压治疗,治疗12周,观察两组患者治疗前后中医症状评分、血清性激素水平(FSH、LH、E2)及中医症状改善临床疗效。结果:与治疗前相比,两组中医症状评分及性激素水平比较差异均有统计学意义(P0.05)。结论:耳穴贴压治疗能明显改善心肾不交型女性更年期综合征患者临床症状及调节体内性激素水平,且耳穴贴压法操作简单、安全易行,值得临床推广。%Objective:To observe the clinical curative effect of ear acupoints application therapy on female climacteric syndrome with the type of incoordination between heart and kidney.Method:69 female climacteric syndrome patients were randomly divided into the pure medicine group for 35 cases and the ear acupoints application therapy group for 34 cases.The pure medicine group was given Huanglian Ejiao Decoction,the ear acupoints application therapy group was given ear acupoints application therapy on the basis of the control group.Treatment for 12 weeks,TCM symptom score and serum sex hormone levels(FSH,LH,E2) before and after treatment and clinical efficacy of traditional Chinese Medicine in TCM symptoms improvement between the two groups were observed.Result:TCM symptom scores and sex hormone levels of the two groups after treatment had significant differences(P0.05). Conclusion:The ear acupoint application therapy can significantly improve female climacteric syndrome with the type of incoordination between heart and kidney in patients with clinical symptoms and adjust the sex hormone levels in the body.What’s more the ear acupoints application therapy is simple,safe,feasible and worth promoting in

  14. Women scientists joining Rokkasho women to sciences

    Energy Technology Data Exchange (ETDEWEB)

    Aratani, Michi [Office of Regional Collaboration, Institute for Environmental Sciences, Rokkasho, Aomori (Japan); Sasagawa, Sumiko

    1999-09-01

    Women scientists generally play a great role in the public acceptance (PA) for the national policy of atomic energy developing in Japan. The reason may be that, when a woman scientist stands in the presence of women audience, she will be ready to be accepted by them as a person with the same gender, emotion and thought to themselves. A case of interchange between the Rokkasho women and the women scientists either resident at the nuclear site of Rokkasho or staying for a short time at Rokkasho by invitation has been described from the viewpoint of PA for the national policy of atomic energy developing, and more fundamentally, for promotion of science education. (author)

  15. Women residents, women physicians and medicine's future.

    Science.gov (United States)

    Serrano, Karen

    2007-08-01

    The number of women in medicine has increased dramatically in the last few decades, and women now represent half of all incoming medical students. Yet residency training still resembles the historical model when there were few women in medicine. This article reviews the issues facing women in residency today. Data suggest that the experience of female residents is more negative than that of males. Unique challenges facing female residents include the existence of gender bias and sexual harassment, a scarcity of female mentors in leadership positions, and work/family conflicts. Further research is needed to understand the experience of female residents and to identify barriers that hinder their optimal professional and personal development. Structural and cultural changes to residency programs are needed to better accommodate the needs of female trainees.

  16. Women scientists joining Rokkasho women to sciences

    International Nuclear Information System (INIS)

    Women scientists generally play a great role in the public acceptance (PA) for the national policy of atomic energy developing in Japan. The reason may be that, when a woman scientist stands in the presence of women audience, she will be ready to be accepted by them as a person with the same gender, emotion and thought to themselves. A case of interchange between the Rokkasho women and the women scientists either resident at the nuclear site of Rokkasho or staying for a short time at Rokkasho by invitation has been described from the viewpoint of PA for the national policy of atomic energy developing, and more fundamentally, for promotion of science education. (author)

  17. Lymphadenectomy in locally advanced cervical cancer study (LiLACS): Phase III clinical trial comparing surgical with radiologic staging in patients with stages IB2-IVA cervical cancer.

    Science.gov (United States)

    Frumovitz, Michael; Querleu, Denis; Gil-Moreno, Antonio; Morice, Philippe; Jhingran, Anuja; Munsell, Mark F; Macapinlac, Homer A; Leblanc, Eric; Martinez, Alejandra; Ramirez, Pedro T

    2014-01-01

    Radiation treatment planning for women with locally advanced cervical cancer (stages IB2-IVA) is often based on positron emission tomography (PET). PET, however, has poor sensitivity in detecting metastases in aortocaval nodes. We have initiated a study with the objective of determining whether pre-therapeutic laparoscopic surgical staging followed by tailored chemoradiation improves survival as compared with PET/computed tomography (CT) radiologic staging alone followed by chemoradiation. This international, multicenter phase III trial will enroll 600 women with stages IB2-IVA cervical cancer and PET/CT findings showing fluorodeoxyglucose-avid pelvic nodes and fluorodeoxyglucose-negative para-aortic nodes. Eligible patients will be randomized to undergo either pelvic radiotherapy with chemotherapy (standard-of-care arm) or surgical staging via a minimally invasive extraperitoneal approach followed by tailored radiotherapy with chemotherapy (experimental arm). The primary end point is overall survival. Secondary end points are disease-free survival, short- and long-term morbidity with pre-therapeutic surgical staging, and determination of anatomic locations of metastatic para-aortic nodes in relationship to the inferior mesenteric artery. We believe this study will show that tailored chemoradiation after pre-therapeutic surgical staging improves survival as compared with chemoradiation based on PET/CT in women with stages IB2-IVA cervical cancer.

  18. Examples of geoscientists women in France

    Science.gov (United States)

    Mognard-Campbel, N.; Cazenave, A.

    2004-12-01

    Although the presence of women in sciences has been increasing in the past few decades in Europe, it remains incredibly low at the top levels. Recent statistics from the European Commission indicate that now women represent 50 percent of first degree students in many countries. However, the proportion of women at each stage of the scientific career decreases almost linearly, reaching less than 10 percent at the highest level jobs. From my own experience, I don't think that this results from sexism nor discrimination. Rather, I think that this is a result of complex cultural factors making women subconsciously persuaded that top level jobs are destined to male scientists only. Many women scientists drop the idea of playing a role at high-level research, considering it as a way of exerting power (a matter reserved to men). Others give up the possibility of combining childcare and high level commitments in research. And too many (married women) still find only natural to sacrifice their own scientific ambitions to the benefit of their spouse's career. Examples of personal experiences in the French research system are presented. We discuss some choices of prioritizing scientific productivity and expertise against hierarchical responsibilities and of keeping a satisfactory balance between family demand and research involvement. This is somewhat facilitated by the French system, which provides substantial support to women's work (nurseries, recreation centers during school holidays, etc.). As a conclusion, we think that the most promising way of increasing the number of women at top levels in research is through education and mentality evolution.

  19. Changes in Brain Function in Patients With Stage I, Stage II, Stage III, or Stage IV Ovarian, Primary Peritoneal, or Fallopian Tube Cancer Who Are Receiving Chemotherapy

    Science.gov (United States)

    2016-02-09

    Cognitive Side Effects of Cancer Therapy; Malignant Ovarian Epithelial Tumor; Malignant Ovarian Mixed Epithelial Tumor; Ovarian Brenner Tumor; Ovarian Carcinosarcoma; Ovarian Choriocarcinoma; Ovarian Clear Cell Cystadenocarcinoma; Ovarian Dysgerminoma; Ovarian Embryonal Carcinoma; Ovarian Endometrioid Adenocarcinoma; Ovarian Mixed Germ Cell Tumor; Ovarian Mucinous Cystadenocarcinoma; Ovarian Polyembryoma; Ovarian Sarcoma; Ovarian Serous Cystadenocarcinoma; Ovarian Teratoma; Ovarian Yolk Sac Tumor; Stage I Ovarian Cancer; Stage IA Fallopian Tube Cancer; Stage IA Ovarian Cancer; Stage IA Ovarian Germ Cell Tumor; Stage IB Fallopian Tube Cancer; Stage IB Ovarian Cancer; Stage IB Ovarian Germ Cell Tumor; Stage IC Fallopian Tube Cancer; Stage IC Ovarian Cancer; Stage IC Ovarian Germ Cell Tumor; Stage II Ovarian Cancer; Stage IIA Fallopian Tube Cancer; Stage IIA Ovarian Cancer; Stage IIA Ovarian Germ Cell Tumor; Stage IIB Fallopian Tube Cancer; Stage IIB Ovarian Cancer; Stage IIB Ovarian Germ Cell Tumor; Stage IIC Fallopian Tube Cancer; Stage IIC Ovarian Cancer; Stage IIC Ovarian Germ Cell Tumor; Stage IIIA Fallopian Tube Cancer; Stage IIIA Ovarian Cancer; Stage IIIA Ovarian Germ Cell Tumor; Stage IIIA Primary Peritoneal Cancer; Stage IIIB Fallopian Tube Cancer; Stage IIIB Ovarian Cancer; Stage IIIB Ovarian Germ Cell Tumor; Stage IIIB Primary Peritoneal Cancer; Stage IIIC Fallopian Tube Cancer; Stage IIIC Ovarian Cancer; Stage IIIC Ovarian Germ Cell Tumor; Stage IIIC Primary Peritoneal Cancer; Stage IV Fallopian Tube Cancer; Stage IV Ovarian Cancer; Stage IV Ovarian Germ Cell Tumor; Stage IV Primary Peritoneal Cancer; Undifferentiated Ovarian Carcinoma

  20. [Changes in the status of women].

    Science.gov (United States)

    De Barbieri, T

    1997-01-01

    Fundamental changes have occurred during the 20th century in the status of women in Latin America, as elsewhere. The first stage entailed the struggle for basic citizens' rights (voting and holding office), concluded between 1929 (in Ecuador) and 1962 (in Paraguay). The second stage began around 1945 with broadening of property, employment, and other civil rights of women. This phase has not yet ended in several Latin American countries where husbands still have authority over their wives in different spheres of life. The third stage, still underway, began in the 1970s with the appearance of feminism and of women's organizations in different sectors of society. The changes did not appear simultaneously or coherently in all countries. They were stimulated in some cases by outside forces, including, at different times, the Inter-American Commission of Women, various UN organizations, the World Bank, and the Inter-American Development Bank. Since midcentury, there has been an increase in the average life expectancy of Latin American women from 53.5 to 71.4 years, increases in female rates of school enrollment to near parity at all levels to those of males, a decline in the total fertility rate from 5.9 to 3.1, and significant increases in female economic activity. Beginning in the 1970s, other limitations on the freedom and equality of women became part of the public debate in various countries. Questions such as the failure of husbands to perform an equitable share of domestic work, gender wage differentials, sexual harassment, and domestic violence began to prompt changes in laws and norms, creation of service agencies and government offices for women, design of specific public policies, and other measures. It must be noted that Latin American societies are structured on three great sources of social inequality: gender, class, and ethnicity. Laws and norms are applied to very different realities and produce different effects. Middle- and upper-class women have

  1. First Mayan Women's Congress.

    Science.gov (United States)

    Teissedre, S

    1997-01-01

    In October 1997, over 200 participants attended the First Mayan Women's Congress in Mexico and called for financial assistance, capacity building, and training to help Mayan women escape poverty. The Congress was initiated by the UN Development Fund for Women in collaboration with the Small Grants Program of the UN Development Program. Traditionally, Mayan women and men have played distinct roles in society, and efforts are underway to increase gender sensitivity and achieve a new balance of power. Mayan women attending the Congress reported that they face daily challenges in gaining their husbands' approval for participation in income-generating activities outside of the home. Eventually, however, some husbands also start working in these enterprises and are learning to assume their share of domestic responsibilities. Mayan women have been forced to reevaluation their role in society by a prevailing agricultural and environmental crisis as well as a high unemployment rate. Crafts that were once produced only for household consumption are now considered for export. Because the women need funds to initiate income-generating activities, the Conference linked women's groups with development practitioners, policy-makers, and donors. The women requested financial aid for more than 30 specific projects, and Congress participants agreed to pursue innovate strategies to support the enterprises with funds, training, and technical assistance. The Congress also encouraged environmental nongovernmental organizations to include Mayan women in mainstream development activities. This successful Congress will be duplicated in other Mexican states. PMID:12293736

  2. Magnetic resonance imaging in the staging of cervical cancer

    Energy Technology Data Exchange (ETDEWEB)

    Camisao, Claudia C. [Hospital Sao Lucas, Rio de Janeiro, RJ (Brazil)]. E-mail: ccamisao@inca.gov.br; Brenna, Sylvia M.F. [Hospital Maternidade Leonor Mendes de Barros, Sao Paulo, SP (Brazil); Lombardelli, Karen V.P. [Hospital do Cancer (HCII), Rio de Janeiro, RJ (Brazil); Djahjah, Maria Celia R. [Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ (Brazil). Faculdade de Medicina. Dept. de Radiologia; Zeferino, Luiz Carlos [Universidade Estadual de Campinas (UNICAMP), Campinas, SP (Brazil). Faculdade de Ciencias Medicas. Dept. de Ginecologia

    2007-05-15

    Cervical cancer is the worldwide leading cause of cancer-related death of women, especially in developing countries. The International Federation of Gynecology and Obstetrics recommends staging during surgery, however, surgical-pathologic staging would not be feasible in cases of more advanced cancers. Generally, in these cases, the staging is performed by means of clinical and gynecological examination and basic imaging studies. However, such an approach fails to demonstrate the actual extent of the disease, and does not include significant prognostic factors such as tumor volume, stromal invasion and lymph node involvement. Magnetic resonance imaging has increasingly been utilized in cervical cancer staging, since at early stages of the disease its performance may be compared to intraoperative findings and, at advanced stages, it shows to be superior to the clinical evaluation. Additionally, magnetic resonance imaging presents an excellent imaging resolution for the different densities of pelvic structures, does not require ionizing radiation, is comfortable for the patient, improves de staging, allowing the early detection of recurrence and the identification of reliable prognostic factors which contribute to the therapeutic decision making process and results prediction with an excellent cost-effectiveness. The present article is aimed at reviewing the most significant aspects of magnetic resonance imaging in the cervical cancer staging. (author)

  3. PREDICTING TURBINE STAGE PERFORMANCE

    Science.gov (United States)

    Boyle, R. J.

    1994-01-01

    This program was developed to predict turbine stage performance taking into account the effects of complex passage geometries. The method uses a quasi-3D inviscid-flow analysis iteratively coupled to calculated losses so that changes in losses result in changes in the flow distribution. In this manner the effects of both the geometry on the flow distribution and the flow distribution on losses are accounted for. The flow may be subsonic or shock-free transonic. The blade row may be fixed or rotating, and the blades may be twisted and leaned. This program has been applied to axial and radial turbines, and is helpful in the analysis of mixed flow machines. This program is a combination of the flow analysis programs MERIDL and TSONIC coupled to the boundary layer program BLAYER. The subsonic flow solution is obtained by a finite difference, stream function analysis. Transonic blade-to-blade solutions are obtained using information from the finite difference, stream function solution with a reduced flow factor. Upstream and downstream flow variables may vary from hub to shroud and provision is made to correct for loss of stagnation pressure. Boundary layer analyses are made to determine profile and end-wall friction losses. Empirical loss models are used to account for incidence, secondary flow, disc windage, and clearance losses. The total losses are then used to calculate stator, rotor, and stage efficiency. This program is written in FORTRAN IV for batch execution and has been implemented on an IBM 370/3033 under TSS with a central memory requirement of approximately 4.5 Megs of 8 bit bytes. This program was developed in 1985.

  4. Pancreatic Cancer Stage 2A

    Science.gov (United States)

    ... 2A Description: Stage IIA pancreatic cancer; drawing shows cancer in the pancreas and duodenum. The bile duct and pancreatic duct are also shown. Stage IIA pancreatic cancer. Cancer has spread to nearby tissue and organs ...

  5. Pancreatic Cancer Stage 2B

    Science.gov (United States)

    ... 2B Description: Stage IIB pancreatic cancer; drawing shows cancer in the pancreas and in nearby lymph nodes. Also shown are the bile duct, pancreatic duct, and duodenum. Stage IIB pancreatic cancer. Cancer has spread to nearby lymph nodes and ...

  6. Bipolar disorder: staging and neuroprogression

    OpenAIRE

    Rodrigues, Aline André; Rosa, Adriana R.; Kunz, Maurício; Ascoli, Bruna; Kapczinski, Flávio

    2014-01-01

    In bipolar disorder illness progression has been associated with a higher number of mood episodes and hospitalizations, poorer response to treatment, and more severe cognitive and functional impairment. This supports the notion of the use of staging models in this illness. The value of staging models has long been recognized in many medical and malignant conditions. Staging models rely on the fact that different interventions may suit different stages of the disorder, and that better outcomes...

  7. Health screening - women - over age 65

    Science.gov (United States)

    Health maintenance visit - women - over age 65; Physical exam - women - over age 65; Yearly exam - women - over age 65; Checkup - women - over age 65; Women's health - over age 65; Preventive care exam - women - over ...

  8. Obesity and Women

    Centers for Disease Control (CDC) Podcasts

    2009-05-11

    This women's health podcast focuses on obesity in women and girls. It discusses obesity-related health risks and includes tips to help achieve and maintain a healthy weight.  Created: 5/11/2009 by Office of Women’s Health (OWH) and National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP).   Date Released: 5/11/2009.

  9. WOMEN IN FAMILY BUSINESS

    OpenAIRE

    Mr Anshu

    2012-01-01

    The role of women in family businesses is explored in the paper. Although recognized as generally very important players, the role of women is often defined as invisible in business decision-making, supportive in men’s traditional business domains and only rarelyadequately recognized and rewarded. The paper explores possible differences in the views of men and women who manage small family firms. Their attitudes opposing the traditional business roles ofwomen, different views on managerial, o...

  10. Women in the military

    OpenAIRE

    Garb, Maja

    2015-01-01

    The Slovenian Armed Forces (SAF) include a significant proportion of women (at least according to other NATO members and make up approximately 15 % of the total structure. Lately, the percentage is diminishing due to stricter standards. At the beginning, women could enter the SAF without any prior military knowledge. Today common training and education is provided for all- men and women. Gender issues are regulated by laws, but the legal regulation appeared rather late. In addition, many aspe...

  11. Gestational Diabetes and Women

    Centers for Disease Control (CDC) Podcasts

    2009-05-12

    This women's health podcast focuses on gestational diabetes (GDM) to help educate women who may have been diagnosed with GDM now or in the past. GDM is a condition that can lead to pregnancy complications.  Created: 5/12/2009 by Office of Women’s Health (OWH) and National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP).   Date Released: 5/12/2009.

  12. Prescribing exercise for women

    OpenAIRE

    Senter, Carlin; Appelle, Nicole; Behera, Sarina K.

    2013-01-01

    One- half of women in the United States do not meet the weekly dose of physical activity recommended by the Centers for Disease Control. Many women could benefit tremendously if they were to adopt a more active lifestyle. Health benefits from exercise include lowering the risk for cardiovascular disease, slowing the rate of bone loss in osteoporosis, and improving mood during pregnancy. In this article, we review the health benefits that women may gain from physical activity and the recommend...

  13. Women in service uniforms

    OpenAIRE

    Hanna Karaszewska; Maciej Muskała

    2012-01-01

    The article discusses the problems of women who work in the uniformed services with the particular emphasis on the performing of the occupation of the prison service. It presents the legal issues relating to equal treatment of men and women in the workplace, formal factors influencing their employment, the status of women in prison, and the problems of their conducting in the professional role. The article also presents the results of research conducted in Poland and all over the world, on th...

  14. Women phase of narrative

    OpenAIRE

    Erdem, Ceren

    2004-01-01

    Women's sexuality, still a taboo subject in Turkey, is often associated with immorality, shame and embarrassment. Such taboo manifests itself in every aspect of social life from advertising and soccer culture to honor killings and virginity tests. Everyday language remains phallogocentric defining sexuality as an act of violence and domination where women are represented as the passive victims. Such predominant representations, including the "virgin" versus "whore" dichotomy, alienates women ...

  15. Chlamydia and Women

    Centers for Disease Control (CDC) Podcasts

    2009-04-02

    This women's health podcast focuses on chlamydia, its severe health consequences for women if left untreated, and the importance of annual chlamydia screening.  Created: 4/2/2009 by Office of Women’s Health (OWH) and National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP).   Date Released: 4/2/2009.

  16. Women in Meteorology.

    Science.gov (United States)

    Lemone, Margaret A.; Waukau, Patricia L.

    1982-11-01

    The names of 927 women who are or have been active in meteorology or closely related fields have been obtained from various sources. Of these women, at least 500 are presently active. An estimated 4-5% of the total number of Ph.D.s in meteorology are awarded to women. About 10% of those receiving B.S. and M.S. degrees are women.The work patterns, accomplishments, and salaries of employed women meteorologists have been summarized from 330 responses to questionnaires, as functions of age, family status, part- or full-time working status, and employing institutions. It was found that women meteorologists holding Ph.D.s are more likely than their male counterparts to be employed by universities. As increasing number of women were employed in operational meteorology, although few of them were married and fewer still responsible for children. Several women were employed by private industry and some had advanced into managerial positions, although at the present time, such positions remain out of the reach of most women.The subjective and objective effects of several gender-related factors have been summarized from the comments and responses to the questionnaires. The primary obstacles to advancement were found to be part-time work and the responsibility for children. Part-time work was found to have a clearly negative effect on salary increase as a function of age. prejudicated discrimination and rules negatively affecting women remain important, especially to the older women, and affirmative action programs are generally seen as beneficial.Surprisingly, in contrast to the experience of women in other fields of science, women Ph.D.s in meteorology earn salaries comparable of their employment in government or large corporations and universities where there are strong affirmative action programs and above-average salaries. Based on the responses to the questionnaire, the small size of the meteorological community is also a factor, enabling women to become recognized

  17. Women and lung cancer.

    OpenAIRE

    Itri, L

    1987-01-01

    Lung cancer has now surpassed breast cancer as the leading cause of cancer deaths in American women. In 1986, 49,000 women were diagnosed as having lung cancer; only 16 percent of them will survive 5 years or more. Cigarette smoking is unquestionably the leading contributing factor. Large numbers of women took up cigarette smoking during and after World War II. The grim aftermath has taken 20 years to surface--between 1950 and 1985, lung cancer deaths in women increased 500 percent. Even wors...

  18. Womens Business Center

    Data.gov (United States)

    Small Business Administration — Women's Business Centers (WBCs) represent a national network of nearly 100 educational centers throughout the United States and its territories, which are designed...

  19. Spring of women?

    Directory of Open Access Journals (Sweden)

    Mónica Castillo

    2012-12-01

    Full Text Available Terms such as “Islamic feminism” and “women’s movement” refer to those social movements of women that seek to assert their rights in Islamic societies. This brief study focuses on theses social movements of women and will presentan overview of the role and participation of women in the Arab Spring by examining news, events, press articles and opinions in order to contextualize the participation of women and feminists in the Arab Spring from a perspective of the social networking phenomenon as apparent drivers of the revolution.

  20. Women in service uniforms

    Directory of Open Access Journals (Sweden)

    Hanna Karaszewska

    2012-12-01

    Full Text Available The article discusses the problems of women who work in the uniformed services with the particular emphasis on the performing of the occupation of the prison service. It presents the legal issues relating to equal treatment of men and women in the workplace, formal factors influencing their employment, the status of women in prison, and the problems of their conducting in the professional role. The article also presents the results of research conducted in Poland and all over the world, on the functioning of women in prison and their relations with officers of the Prison Service, as well as with inmates.

  1. Mobility of Hellenistic women

    OpenAIRE

    Loman, Pasi

    2004-01-01

    The purpose of the current thesis is to study various aspects of women’s mobility in the so-called Hellenistic period. It will attempt to provide answers to the questions ‘why did women travel,’ ‘how common was it for women to travel,’ and most importantly, ‘did women take part in the Hellenistic colonisation processes.’ The importance of women’s mobility for the Greek societies as a whole will also be evaluated. To study the mobility of Hellenistic women we shall use a wide variety of li...

  2. Panic Disorder and Women

    Science.gov (United States)

    ... disorder. Other types of anxiety disorders include generalized anxiety disorder , obsessive compulsive disorder , social phobia , and post-traumatic stress disorders . Panic disorder affects women twice as often ...

  3. Older Women's Development: A Comparison of Women in Their 60s and 80s on a Measure of Erikson's Developmental Tasks.

    Science.gov (United States)

    Norman, Suzanne M.; McCluskey-Fawcett, Kathleen; Ashcraft, Lisa

    2002-01-01

    Compares women from two ages groups in order to understand their development across the life span. Measures of Psychosocial Development, which assesses Erikson's developmental stages, were administered to 41 women in 2 cohorts (ages 60-70, ages 80-90). Age group differences in the resolution of Erikson's identity and trust developmental tasks were…

  4. Os sentidos atribuídos à voz por mulheres após a menopausa The meanings attributed to the voice by menopause women

    Directory of Open Access Journals (Sweden)

    Maria Aparecida Miranda de Paula Machado

    2005-04-01

    Full Text Available OBJETIVO: Analisar os sentidos atribuídos à voz por mulheres após a menopausa. MÉTODOS: Foram coletados dados de 148 mulheres nos prontuários médicos, entre fevereiro de 2000 e outubro de 2001, no Programa da Saúde da Mulher no Climatério, do ambulatório de ginecologia de um hospital na cidade de Curitiba, Estado do Paraná. Dentre a população total foram selecionadas intencionalmente 30 mulheres entre 48 e 59 anos, que não se consideravam profissionais da voz, no mínimo há 12 meses em amenorréia, e que foram entrevistadas com um roteiro temático, constituído de questões semi-estruturadas. Cada entrevista foi gravada e transcrita. A descrição, análise e interpretação foram fundamentadas pelas representações sociais, por meio do discurso do sujeito coletivo, com aproximações à hermenêutica-dialética. RESULTADOS: Os 27 discursos coletivos estruturados denotaram o relacionamento da voz às características biológicas, psicológicas e aspectos sociais do cotidiano, com a identificação de mudanças vocais no decorrer da vida. CONCLUSÕES: Foi possível observar representações sociais de natureza comunicacional e funcional, que salientaram a voz como elemento de constituição da identidade pessoal, concebida na pertinência social. A pesquisa sugere novas investigações fundamentadas nas ciências sociais, simultâneas aos estudos epidemiológicos, e a necessidade de se refletir sobre o processo de terapêutica vocal aplicado sobre uma laringe mais vulnerável, além de priorizar uma proposta de assistência integral à mulher no climatério, com enfoque sobre a saúde da voz.OBJECTIVE: To analyze the meanings attributed to the voice by menopausal women. METHODS: Data were collected from 148 medical records of women seen in the Climacteric Women Health Program of the Irmandade Santa Casa de Misericórdia Gynecology Outpatient Clinic in Curitiba, Brazil, between February 2000 and October 2001. Of them, 30 women aged

  5. Sexual function in women receiving maintenance dialysis.

    Science.gov (United States)

    Seethala, Srikanth; Hess, Rachel; Bossola, Maurizio; Unruh, Mark L; Weisbord, Steven D

    2010-01-01

    While substantial attention has been paid to the issue of sexual dysfunction in men on chronic dialysis, less is known about this problem in women with end-stage renal disease. We sought to assess sexual dysfunction in women on chronic dialysis and determine whether patients discuss this problem with their providers and receive treatment. We prospectively enrolled women receiving chronic hemodialysis or peritoneal dialysis in Pittsburgh, PA. We asked patients to complete the 19-item Female Sexual Function Index (FSFI) to assess sexual function and a 5-item survey that assessed whether patients had discussed sexual dysfunction with their providers and/or received treatment for this problem in the past. We enrolled 66 patients; 59 (89%) on hemodialysis and 7 (11%) on peritoneal dialysis. All patients completed the FSFI, of whom 53 (80%) had FSFI scores <26.55, consistent with the presence of sexual dysfunction. Of 37 patients who were married or residing with a significant other, 27 (73%) had sexual dysfunction. Among 24 participants who reported having been sexually active over the previous 4 weeks, 11 (46%) had sexual dysfunction. Only 21% of patients with sexual dysfunction had discussed this problem with their gynecologist, renal or primary provider, and 3 (6%) reported having received treatment. Sexual dysfunction is common in women on dialysis, even among patients who are married or residing with a significant other and those who are sexually active. However, few women discuss this issue with their providers or receive treatment.

  6. Insomnia in women approaching menopause: Beyond perception.

    Science.gov (United States)

    Baker, Fiona C; Willoughby, Adrian R; Sassoon, Stephanie A; Colrain, Ian M; de Zambotti, Massimiliano

    2015-10-01

    The menopausal transition is marked by increased prevalence in disturbed sleep and insomnia, present in 40-60% of women, but evidence for a physiological basis for their sleep complaints is lacking. We aimed to quantify sleep disturbance and the underlying contribution of objective hot flashes in 72 women (age range: 43-57 years) who had (38 women), compared to those who had not (34 women), developed clinical insomnia in association with the menopausal transition. Sleep quality was assessed with two weeks of sleep diaries and one laboratory polysomnographic (PSG) recording. In multiple regression models controlling for menopausal transition stage, menstrual cycle phase, depression symptoms, and presence of objective hot flashes, a diagnosis of insomnia predicted PSG-measured total sleep time (p insomnia had, on average, 43.5 min less PSG-measured sleep time (p insomnia reported more WASO (p = 0.002), more night-to-night variability in WASO (p insomnia in the approach to menopause have a measurable sleep deficit, with almost 50% of the sample having less than 6h of sleep. Compromised sleep that develops in the context of the menopausal transition should be addressed, taking into account unique aspects of menopause like hot flashes, to avoid the known negative health consequences associated with insufficient sleep and insomnia in midlife women.

  7. Tohoku Women's Hurdling Project: Science Angels (abstract)

    Science.gov (United States)

    Mizuki, Kotoe; Watanabe, Mayuko

    2009-04-01

    Tohoku University was the first National University to admit three women students in Japan in 1913. To support the university's traditional ``open-door'' policy, various projects have been promoted throughout the university since its foundation. A government plan, the Third-Stage Basic Plan for Science and Technology, aims to increase the women scientist ratio up to 25% nationwide. In order to achieve this goal, the Tohoku Women's Hurdling Project, funded by the Japanese Ministry of Education, Culture, Sports, Science and Technology (MEXT), was adopted in 2006. This project is threefold: support for child/family, improvement of facilities, and support for the next generation, which includes our Science Angels program. ``Science Angels'' are women PhD students appointed by the university president, with the mission to form a strong support system among each other and to become role-models to inspire younger students who want to become researchers. Currently, 50 women graduate students of the natural sciences are Science Angels and are encouraged to design and deliver lectures in their areas of specialty at their alma maters. Up to now, 12 lectures have been delivered and science events for children in our community have been held-all with great success.

  8. Women and Lung Disease. Sex Differences and Global Health Disparities.

    Science.gov (United States)

    Pinkerton, Kent E; Harbaugh, Mary; Han, MeiLan K; Jourdan Le Saux, Claude; Van Winkle, Laura S; Martin, William J; Kosgei, Rose J; Carter, E Jane; Sitkin, Nicole; Smiley-Jewell, Suzette M; George, Maureen

    2015-07-01

    There is growing evidence that a number of pulmonary diseases affect women differently and with a greater degree of severity than men. The causes for such sex disparity is the focus of this Blue Conference Perspective review, which explores basic cellular and molecular mechanisms, life stages, and clinical outcomes based on environmental, sociocultural, occupational, and infectious scenarios, as well as medical health beliefs. Owing to the breadth of issues related to women and lung disease, we present examples of both basic and clinical concepts that may be the cause for pulmonary disease disparity in women. These examples include those diseases that predominantly affect women, as well as the rising incidence among women for diseases traditionally occurring in men, such as chronic obstructive pulmonary disease. Sociocultural implications of pulmonary disease attributable to biomass burning and infectious diseases among women in low- to middle-income countries are reviewed, as are disparities in respiratory health among sexual minority women in high-income countries. The implications of the use of complementary and alternative medicine by women to influence respiratory disease are examined, and future directions for research on women and respiratory health are provided. PMID:25945507

  9. Depressão e ansiedade em mulheres climatéricas: fatores associados Depression and anxiety in menopausal women: associated factors

    Directory of Open Access Journals (Sweden)

    Álvaro Fernando Polisseni

    2009-01-01

    ção significativa entre a presença de sintomas climatéricos de intensidade moderada e o aparecimento dessas alterações do humor (pPURPOSE: to determine the prevalence of depression and anxiety in climacteric women and the probable factors responsible for its occurrence. METHODS: a transversal study that has selected 93 women attended at a climacteric outpatient clinic, from May 2006 to August 2007. Inclusion criteria were: women from 40 to 65 years old who agreed with participating in the project. Exclusion criteria: patients in hormonal therapy, hormone-therapy by implant, DIUs and depo injections in the preceding six months, endocrinopathies leading to menstrual irregularities, hepatopathies, thrombopathies, use of drugs which interfere in the menstrual cycle, anxiolytics and antidepressants (as their use indicates previous diagnosis of mood disorders, hysterectomy, oophorectomy, cancer or psychiatric disease, and patients who had been submitted to radio or chemotherapy. During the interview, four questionnaires were applied: Anamnesis, containing socio-demographic, clinical and living habits data; Blatt-Kupperman's Menopausal Index for climacteric syndrome diagnosis; Anxiety sub-scale of the Hospital Anxiety and Depression scale (HADS-A for anxiety diagnosis; and Beck's Depression Inventory for the diagnosis of depression. Descriptive and correlation analysis among the variables, χ2 and Hosmer-Lemeshow tests were performed using the Statistica Software program, version 6. RESULTS: the average depression prevalence among the patients was 36.8%, while that of anxiety was 53.7%. There was no significant difference between the prevalence of depression and anxiety in the three phases of climacterium. There was a significant relationship between the presence of moderate climacteric symptoms and the presence of mood alterations (p<0.001. Depression was more frequent in women with anxiety (OR=4.2 and insomnia (OR=4.9, having a job being a protection factor (OR=0.2. Risk factors

  10. Staged theta pinch experiments

    International Nuclear Information System (INIS)

    Two implosion heating circuits are being experimentally tested. The principal experiment in the program is the 4.5-m-long Staged Theta Pinch (STP). It uses two relatively low energy (50kJ and 100 kJ), high voltage (125 kV) capacitor banks to produce the theta pinch plasma inside the 20 cm i.d. quartz discharge tube. A lower voltage (50 kV), higher energy (750 kJ) capacitor bank is used to contain the plasma and provide a variable amount of adiabatic compression. Because the experiment produces a higher ratio of implosion heating to compressional heating than conventional theta pinches, it should be capable of producing high temperature plasmas with a much larger ratio of plasma radius to discharge tube radius than has been possible in the past. The Resonant Heating Experiment (RHX) in its initial configuration is the same as a 0.9-m-long section of the high voltage part of the STP experiment and all the plasma results here were obtained with the experiment in that configuration. Part of the implosion bank will be removed and a low inductance crowbar added to convert it to the resonant heating configuration. (U.K.)

  11. Science on stage

    CERN Document Server

    2005-01-01

    During the opening ceremony, the audience was dazzled by a juggling show involving dramatic light effects. They also took away with them a teacher's sheet explaining some of the scientific concepts involved in juggling. Science teachers can sometimes be quite humorous when it comes to explaining serious matters, as those who took part in the 'Science on Stage' festival held at CERN from 21 to 25 November were able to see for themselves. The 500 or so participants from 27 different countries, mostly science teachers but also some university lecturers, science outreach specialists and students, had the opportunity to share their experience of the teaching of science. They also attended presentations and shows, took part in workshops and visited a fair with stands offering ideas on how to make school science lessons more appealing. The festival, organised by the EIROforum (a partnership between CERN, EFDA, ESA, ESO, EMBL, ESRF and ILL), marked the end of two years of projects for the promotion of science in vir...

  12. Arab women's breast cancer screening practices: a literature review.

    Science.gov (United States)

    Donnelly, Tam Truong; Khater, Al-Hareth Al; Al-Bader, Salha Bujassoum; Al Kuwari, Mohammed Ghaith; Al-Meer, Nabila; Malik, Mariam; Singh, Rajvir; Jong, Floor Christie-de

    2013-01-01

    Breast cancer incidence and mortality rates are increasing in the Arab world and the involved women are often diagnosed at advanced stages of breast cancer. This literature review explores factors influencing Arab women's breast cancer screening behavior. Searched databases were: Medline, PubMed, Cochrane Database of Systematic Reviews, CINAHL Plus, Google Scholar, Index Medicus for WHO Eastern Mediterranean, and Asian Pacific Journal of Cancer Prevention. Breast cancer screening participation rates are low. Screening programs are opportunistic and relatively new to the region. Knowledge amongst women and health care providers, professional recommendation, socio-demographic factors, cultural traditions, beliefs, religious, social support, accessibility and perceived effectiveness of screening influence screening behavior.

  13. Rural Women's Land Rights and Interests Merit Close Attention

    Institute of Scientific and Technical Information of China (English)

    MO WENXIU

    2007-01-01

    @@ At the present stage in China,land is rural women's most basic means of production and life and most important material guarantee. Land contracting and related rights and interests have a direct bearing on the interests of rural women. Guaranteeing rural women's land contracting right and related economic rights and interests is of immediate significance for safeguarding their rights and interests and mobilizing them in active participation in the construction of a new socialist countryside. It will also have a farreaching significance for promoting social fairness and justice and building a socialist harmonious society.

  14. Cervical cancer: screening, diagnosis and staging.

    Science.gov (United States)

    Tsikouras, Panagiotis; Zervoudis, Stefanos; Manav, Bachar; Tomara, Eirini; Iatrakis, George; Romanidis, Constantinos; Bothou, Anastasia; Galazios, George

    2016-01-01

    Purpose: Despite the widespread screening programs, cervical cancer remains the third most common cancer in developing countries. Based on the implementation of cervical screening programs with the referred adoption of improved screening methods in cervical cytology with the knowledge of the important role of the human papilloma virus (HPV) it's incidence is decreased in the developed world. Even if cervical HPV infection is incredibly common, cervical cancer is relatively rare. Depending on the rarity of invasive disease and the improvement of detection of pre-cancerous lesions due to the participation in screening programs, the goal of screening is to detect the cervical lesions early in order to be treated before cancer is developed. In populations with many preventive screening programs, a decrease in cervical cancer mortality of 50-75% is mentioned over the past 50 years. The preventive examination of vagina and cervix smear, Pap test, and the HPV DNA test are remarkable diagnostic tools according to the American Cancer Association guidelines, in the investigation of asymptomatic women and in the follow up of women after the treatment of pre-invasive cervical cancer. The treatment of cervical cancer is based on the FIGO 2009 cervical cancer staging.

  15. Anti-Atherosclerotic Effects of a Phytoestrogen-Rich Herbal Preparation in Postmenopausal Women

    Science.gov (United States)

    Myasoedova, Veronika A.; Kirichenko, Tatyana V.; Melnichenko, Alexandra A.; Orekhova, Varvara A.; Ravani, Alessio; Poggio, Paolo; Sobenin, Igor A.; Bobryshev, Yuri V.; Orekhov, Alexander N.

    2016-01-01

    The risk of cardiovascular disease and atherosclerosis progression is significantly increased after menopause, probably due to the decrease of estrogen levels. The use of hormone replacement therapy (HRT) for prevention of cardiovascular disease in older postmenopausal failed to meet expectations. Phytoestrogens may induce some improvements in climacteric symptoms, but their effect on the progression of atherosclerosis remains unclear. The reduction of cholesterol accumulation at the cellular level should lead to inhibition of the atherosclerotic process in the arterial wall. The inhibition of intracellular lipid deposition with isoflavonoids was suggested as the effective way for the prevention of plaque formation in the arterial wall. The aim of this double-blind, placebo-controlled clinical study was to investigate the effect of an isoflavonoid-rich herbal preparation on atherosclerosis progression in postmenopausal women free of overt cardiovascular disease. One hundred fifty-seven healthy postmenopausal women (age 65 ± 6) were randomized to a 500 mg isoflavonoid-rich herbal preparation containing tannins from grape seeds, green tea leaves, hop cone powder, and garlic powder, or placebo. Conventional cardiovascular risk factors and intima-media thickness of common carotid arteries (cIMT) were evaluated at the baseline and after 12 months of treatment. After 12-months follow-up, total cholesterol decreased by 6.3% in isoflavonoid-rich herbal preparation recipients (p = 0.011) and by 5.2% in placebo recipients (p = 0.020); low density lipoprotein (LDL) cholesterol decreased by 7.6% in isoflavonoid-rich herbal preparation recipients (p = 0.040) and by 5.2% in placebo recipients (non-significant, NS); high density lipoprotein (HDL) cholesterol decreased by 3.4% in isoflavonoid-rich herbal preparation recipients (NS) and by 4.5% in placebo recipients (p = 0.038); triglycerides decreased by 6.0% in isoflavonoid-rich herbal preparation recipients (NS) and by 7.1% in

  16. Anti-Atherosclerotic Effects of a Phytoestrogen-Rich Herbal Preparation in Postmenopausal Women.

    Science.gov (United States)

    Myasoedova, Veronika A; Kirichenko, Tatyana V; Melnichenko, Alexandra A; Orekhova, Varvara A; Ravani, Alessio; Poggio, Paolo; Sobenin, Igor A; Bobryshev, Yuri V; Orekhov, Alexander N

    2016-01-01

    The risk of cardiovascular disease and atherosclerosis progression is significantly increased after menopause, probably due to the decrease of estrogen levels. The use of hormone replacement therapy (HRT) for prevention of cardiovascular disease in older postmenopausal failed to meet expectations. Phytoestrogens may induce some improvements in climacteric symptoms, but their effect on the progression of atherosclerosis remains unclear. The reduction of cholesterol accumulation at the cellular level should lead to inhibition of the atherosclerotic process in the arterial wall. The inhibition of intracellular lipid deposition with isoflavonoids was suggested as the effective way for the prevention of plaque formation in the arterial wall. The aim of this double-blind, placebo-controlled clinical study was to investigate the effect of an isoflavonoid-rich herbal preparation on atherosclerosis progression in postmenopausal women free of overt cardiovascular disease. One hundred fifty-seven healthy postmenopausal women (age 65 ± 6) were randomized to a 500 mg isoflavonoid-rich herbal preparation containing tannins from grape seeds, green tea leaves, hop cone powder, and garlic powder, or placebo. Conventional cardiovascular risk factors and intima-media thickness of common carotid arteries (cIMT) were evaluated at the baseline and after 12 months of treatment. After 12-months follow-up, total cholesterol decreased by 6.3% in isoflavonoid-rich herbal preparation recipients (p = 0.011) and by 5.2% in placebo recipients (p = 0.020); low density lipoprotein (LDL) cholesterol decreased by 7.6% in isoflavonoid-rich herbal preparation recipients (p = 0.040) and by 5.2% in placebo recipients (non-significant, NS); high density lipoprotein (HDL) cholesterol decreased by 3.4% in isoflavonoid-rich herbal preparation recipients (NS) and by 4.5% in placebo recipients (p = 0.038); triglycerides decreased by 6.0% in isoflavonoid-rich herbal preparation recipients (NS) and by 7.1% in

  17. Three Stages of Pinoy’s Searching for American Dream in America is in the Heart:in the Perspective of Women%从女性角度析《美国在心中》中菲裔美国人的寻梦三部曲

    Institute of Scientific and Technical Information of China (English)

    王增红; 张旭东

    2014-01-01

    Focusing on three types of women in America is in the Heart,namely,colonial Filipino women,prostitutes in Fil-ipino community,and idealized white women,this paper attempts to testify women’s metaphorical function as a mirror and lamp. On the one hand,women reflect the hardship and torture that Pinoy suffered in Philippine and America;on the other hand,ide-alized white women,as a lamp,guide Pinoy to pursue their dreams in America.Although women narratives in the work are very few,they are the indispensable way to understand and construct Pinoy’s experience of exile.And in women’s metaphorical space,Pinoy fulfills self-cognition.%菲律宾裔美国作家布洛桑的《美国在心中》是菲裔美国文学的扛鼎之作,作品通过自传体形式叙述了早期菲裔劳工的离散经验。本文聚焦于作品中相对零星、却具有较强隐喻性的女性书写,通过分析殖民地菲律宾女性、菲裔社区的妓女和理想化的白人女性3类女性群体,试图证明女性既像一面镜子一样,浓缩并再现了菲裔劳工从家乡到美国的苦难与辛酸,也像一盏明灯一样,指引着他们在黑暗与孤独中,在重重剥削与压迫中奋力前行追寻梦想。在这部书写菲裔男性的书中,零星的女性叙事不是孤立的存在,而是理解与构建菲裔离散经验特殊性与复杂性不可或缺的重要途径。

  18. Women's lives, mothers' health.

    Science.gov (United States)

    Chauliac, M; Masse-raimbault, A M

    1985-01-01

    This document dealing with women's lives and the health of mothers identifies factors conditioning the health and nutritional status of women and girls (life expectancy at birth, maternal mortality rate, and the birthrate); considers nutritional requirements of pregnant and lactating women, weight gain during preganncy, mothers' age and number of children and interbirth interval, maternal nutritional status and breastfeeding, anemia, work and women's health, pregnancy in adolescents, abortion, the growth of small girls and its effect on future pregnancies, and sexual mutilations; and reports on actions aimed at improving the health of women as well as health problems facing rural women. The 3 key concepts of this reflection on women's lives are: women's health should be taken into account as well as children's health; the development of the whole human being should be respected, implying ongoing surveillance of the health status of women and of their children; and the overall living conditions of women within the family and society must be analyzed at the different phases of their life, so as to encourage integrated actions rather than various uncoordinated efforts. Women's health status, like the health status of everyone, depends on a multitude of socioeconomic and sanitational factors. A figure illustrates several of the many interrelations between the various factors which influence the nutritional status of all individuals. Women of childbearing age are at greater risk than other population groups, due to their reproductive function and their ability to nurse children: pregnancy, like lactation, generates metabolic changes and increases nutritional needs. Delivery itself presents a series of risks for the woman's health, and only regular surveillance of pregnancy may prevent many of these. A woman's health status and, most of all her nutritional status during pregnancy and delivery, condition her future health and ability to assume her many tasks as well as

  19. Jobs: women's double burden.

    Science.gov (United States)

    1995-01-01

    Whereas international conventions and national laws provide equal opportunities for women in employment, the reality of women's lives keeps a disproportionate number of women unemployed, underemployed, and living in poverty. The UN itself, which officially is working toward equity among its employees, has a staff composed of just 32.6% women, and women comprise only 10.5% of the top end of the hierarchy. In areas where women's labor force participation has increased dramatically, women typically earn 30-40% less than men doing the same job or else their employment is limited to "traditional female" service positions. The fact that women and girls have received an inadequate education makes it extremely difficult to break the barriers of discrimination in developing countries. The empowerment of women will break the education barrier, and, when that falls, many other barriers will follow suit. Efforts are already underway to break structural barriers caused by economic and social policies. For example, a more flexible pattern of work has been proposed which will include the voluntary assumption of flexible hours, job-sharing, and part-time work. The concept of work is also being broadened to include the important human services that women traditionally provide on a volunteer basis. This will lead to a valuation of women's contribution to society which can be added to calculations of gross domestic product. Women also need protection as they attempt to eke out a living in the informal sector which has been the traditional avenue for women to earn money. This sector is not protected by law and is subject to extortion by officials and by male competitors. A variety of measures is under consideration to increase the protection of informal sector workers. Women also need protection in the conventional work place, especially as they enter fields traditionally reserved for men. These questions are important even in the context of global unemployment because these issues

  20. Bevacizumab, Cisplatin, Radiation Therapy, and Fluorouracil in Treating Patients With Stage IIB, Stage III, Stage IVA, or Stage IVB Nasopharyngeal Cancer

    Science.gov (United States)

    2014-04-21

    Stage II Squamous Cell Carcinoma of the Nasopharynx; Stage III Lymphoepithelioma of the Nasopharynx; Stage III Squamous Cell Carcinoma of the Nasopharynx; Stage IV Lymphoepithelioma of the Nasopharynx; Stage IV Squamous Cell Carcinoma of the Nasopharynx

  1. Analysis of Career Burnout of Middle-aged Career Women%中年职业女性的职业倦怠之分析

    Institute of Scientific and Technical Information of China (English)

    林莉

    2012-01-01

    中年职业女性工作压力大、烦恼多,她们在这段时期面临家庭的压力,如子女升学就业、父母的赡养照料;要面临工作的压力,如知识的更新、评职晋级、人际关系冲突;还要面临生理的变化,如更年期综合症的冲击等。这些方面造成她们更早地进入职业倦怠期。文章着重分析了中年职业女性职业倦怠的生理和心理特征,探寻通过社会、组织、家庭和自身等途径,帮助中年职业女性干预职业倦怠,促进中年女性的职业心理健康。%Middle-aged career women are confronted with pressures and vexation during their work life. They face all kinds of pressures in this period, household pressure such as their children's education and job-hunting, supporting and taking care of their parents; pressure from their own work such as the updating of knowledge, promotion in their position and interpersonal relationship problems; physiological and mental pressure such as climacteric syndrome. All these factors force them to enter into career burnout early. This paper focuses on the analysis of the physiological and psychological features of middle-aged career women with career burnout and seeks ways to help middle-aged career women to solve the problem of career burnout and promote the health in their professional psychology through social, organizational, family and personal means.

  2. Heart Disease in Women

    Science.gov (United States)

    ... States, 1 in 4 women dies from heart disease. The most common cause of heart disease in both men and women is narrowing or ... the heart itself. This is called coronary artery disease, and it happens slowly over time. It's the ...

  3. Women and Heart Disease

    Institute of Scientific and Technical Information of China (English)

    邹国如

    2005-01-01

    Heart disease is the leading killer of Americans. But it kills more women than men. The American Heart Association says heart disease and other cardiovascular (心血管的) disorders kill about five hundred thousand women a year. That is more than the next seven causes of death combined.

  4. Women: A Select Bibliography.

    Science.gov (United States)

    Kusnerz, Peggy A., Comp.; Pollack, Ann M., Comp.

    This select bibliography lists books, monographs, journals and newsletters which relate to feminism, women's studies, and other perspectives on women. Selections are organized by topic: general, bibliographies, art and literature, biography/autobiography, economics, education, family and marriage, history, politics and sex roles. Also included is…

  5. African Women Writing Resistance

    Institute of Scientific and Technical Information of China (English)

    Jennifer Browdy de Hernandez; Pauline Dongala; Omotayo; Jolaosho; Anne Serafin

    2011-01-01

    AFRICAN Women Writing Resistance is the first transnational anthology to focus on women's strategies of resistance to the challenges they face in Africa today.The anthology brings together personal narratives,testimony,interviews,short stories,poetry,performance scripts,folktales and lyrics.

  6. Women and Drug Dependence.

    Science.gov (United States)

    Valentich, Mary

    1982-01-01

    Presents a feminist perspective which offers a social structural framework for examining women's problematic behavior in traditional gender roles. Examines implications for treatment of women with drug dependence problems including developing the helping agent's awareness of the pervasiveness of sexism and its potentially negative effects.…

  7. Women and Diabetes

    Medline Plus

    Full Text Available ... you need depends on your health and the type of diabetes you have. Use these resources to help you ... FDA Publications for Women For Women Homepage FDA Diabetes Information for Patients ... 10903 New Hampshire Avenue Silver Spring, MD 20993 1-888-INFO-FDA (1-888-463-6332) Contact ...

  8. Women in Athletic Leadership

    Science.gov (United States)

    Moore, Sandra L.; Gilmour, Suzanne L.; Kinsella, Mary P.

    2005-01-01

    Despite significant increased participation opportunities for girls and women in sport following the passage of Title IX, women remain underrepresented in athletic leadership roles. Thirty eight female and 158 male high school athletic directors responded to a 19-item Athletic Director Survey (ADS) designed to elicit information on the following:…

  9. Androgenetic alopecia in women.

    Science.gov (United States)

    Price, Vera H

    2003-06-01

    Androgenetic alopecia (AGA), also known in women as female pattern hair loss, is caused by androgens in genetically susceptible women and men. The thinning begins between ages 12 and 40 years, the inheritance pattern is polygenic, and the incidence is the same as in men. In susceptible hair follicles, dihydrotestosterone binds to the androgen receptor, and the hormone-receptor complex activates the genes responsible for the gradual transformation of large terminal follicles to miniaturized follicles. Both young women and young men with AGA have higher levels of 5alpha reductase and androgen receptor in frontal hair follicles compared to occipital follicles. At the same time, young women have much higher levels of cytochrome p-450 aromatase in frontal follicles than men who have minimal aromatase, and women have even higher aromatase levels in occipital follicles. The diagnosis of AGA in women is supported by early age of onset, the pattern of increased thinning over the frontal/parietal scalp with greater density over the occipital scalp, retention of the frontal hairline, and the presence of miniaturized hairs. Most women with AGA have normal menses and pregnancies. Extensive hormonal testing is usually not needed unless symptoms and signs of androgen excess are present such as hirsutism, severe unresponsive cystic acne, virilization, or galactorrhea. Topical minoxidil solution is the only drug available for promoting hair growth in women with AGA. Efficacy has been shown in double-blind studies using hair counts and hair weight. PMID:12894991

  10. Oral Health and Women

    Centers for Disease Control (CDC) Podcasts

    2009-05-12

    This women's health podcast focuses on the importance of maintaining good oral health during pregnancy.  Created: 5/12/2009 by Office of Women’s Health (OWH) and National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP).   Date Released: 5/12/2009.

  11. Women and Private Pensions.

    Science.gov (United States)

    Benson, Helene A.

    This speech focuses on women and private pension plans, such as private pension coverage and smaller benefit amounts. Pension issues affecting women as employees include participation in plans, vesting, break-in service, benefit accruals, integration with Social Security, sex-based actuarial tables, portability, inflation, and individual…

  12. Cancer and Women

    Science.gov (United States)

    ... Framework in a Mammography Promotion Campaign African American Women and Mass Media Campaign Evaluation Cancer Survival: The Start of Global ... Reducing Indoor Tanning Cervical Cancer Rates Among Young Women in the ... Use Social Media Skin Cancer Risk Behaviors Among U.S. Adults Annual ...

  13. Women in Technology.

    Science.gov (United States)

    El Paso Community Coll., TX.

    The objective of the Women in Technology (WIT) program for the Texas Higher Education Year 1990-1991 was to increase women's employment in nontraditional technical-vocational occupations and enrollment in nontraditional technical-vocational education and training. WIT provided information on nontraditional careers to the community and provided…

  14. Women and Diabetes

    Medline Plus

    Full Text Available ... resources to help you talk with your health care provider about your diabetes treatment. Diabetes Medicines - easy-to-read booklet for women ... resources to help you talk to your health care provider about how to manage diabetes ... can help doctors learn more about treatments for diabetes. The FDA Office of Women's Health ...

  15. Women and Law

    Institute of Scientific and Technical Information of China (English)

    1997-01-01

    WOMEN’S rights concern the world over. Even though China has a different legal tradition and social system, participants from the Beijing Sino-British Women and Law Symposium discovered that both Chinese and foreign scholars could reach agreement and understanding on many issues. Enacting Laws for Women Professor Yang Dawen, from the

  16. Women's Bureau '71.

    Science.gov (United States)

    Department of Labour, Ottawa (Ontario). Women's Bureau.

    This publication contains four papers presented by the Director of the Women's Bureau (Canada), which cover topics of concern and interest to the Bureau. Papers are: (1) "The Underemployed, Underpaid Third of the Labour Force," which presents statistical data reflecting a picture of working women in Canada, showing the occupational segregation and…

  17. Migration and women's health.

    Science.gov (United States)

    Adanu, Richard M K; Johnson, Timothy R B

    2009-08-01

    Women have been migrating at similar rates to men for the past 40 years, and comprised about half of all migrants in 2005. Women and children are most affected by displacement as a result of wars and human trafficking. In some cases, the health of female migrants is improved via integration into better health systems in the host country. More often, however, the health of female migrants is affected negatively. Women are doubly disadvantaged because they are discriminated against as women and as migrants. Female migrants are also highly vulnerable to acts of sexual abuse, rape, and violence. This is especially true for women in refugee camps, whose reproductive health needs are often overlooked. To improve the health of female migrants it is important to develop and implement policies that recognize and insist on the respect of the rights of migrants. PMID:19539929

  18. Venous thromboembolism in women

    DEFF Research Database (Denmark)

    Group, ESHRE Capri Workshop; Skouby, Sven Olaf

    2013-01-01

    BACKGROUND Venous thromboembolism (VTE) is a specific reproductive health risk for women. METHODS Searches were performed in Medline and other databases. The selection criteria were high-quality studies and studies relevant to clinical reproductive medicine. Summaries were presented and discussed...... is associated with an inherited thrombophilia in men and women. Changes in the coagulation system and in the risk of clinical VTE in women also occur during pregnancy, with the use of reproductive hormones and as a consequence of ovarian stimulation when hyperstimulation syndrome and conception occur together...... therapy (HRT) increases the VTE risk 2- to 4-fold. There is a synergistic effect between thrombophilia and the various reproductive risks. Prevention of VTE during pregnancy should be offered to women with specific risk factors. In women who are at high risk, CHC and HRT should be avoided. CONCLUSIONS...

  19. Are Women's Colleges Necessary Today?

    Science.gov (United States)

    Jordan, Philip

    1977-01-01

    Presents opposing viewpoints on the issue of whether women's colleges are the best way for educating women. Considers the effects of coeducation and how women develop in both situations as students and as individuals. (RK)

  20. Women's Status on the Rise

    Institute of Scientific and Technical Information of China (English)

    LIU YUNYUN

    2010-01-01

    @@ On the afternoon of March 8,Beijing's department stores and shopping malls were crowded with women on shopping sprees to celebrate International Women's Day.This year marks the 100th anniversary of the establishment of International Women's Day.

  1. Women and Diabetes -- Diabetes Medicines

    Science.gov (United States)

    ... Audience For Women Women's Health Topics Women and Diabetes - Diabetes Medicines Share Tweet Linkedin Pin it More sharing ... 1-800-332-1088 to request a form. Diabetes Medicines The different kinds of diabetes medicines are ...

  2. Financial Literacy Education for Women

    Science.gov (United States)

    Jarecke, Jodi; Taylor, Edward W.; Hira, Tahira K.

    2014-01-01

    Exploring the pedagogical approaches of four women's financial literacy education programs, this chapter provides an overview of trends and needs in financial education for women and offers pedagogical strategies for teaching women about finance.

  3. International Women's Day speech.

    Science.gov (United States)

    Kazibwe, S W

    1993-01-01

    The objectives of the International Women's Day are: 1) to celebrate the struggle for women's rights in the economic, social, political, and cultural domain; 2) to reaffirm women's solidarity in the struggle for peace; 3) and to show what women have achieved. In 1988, Uganda's government of the National Resistance Movement created the Ministry of Women in Development. The period 1988-1990 was one of consultations, needs assessment, planning, and recruiting staff for the Ministry. From 1990 to 1993, measurable results have been achieved. The Ministry's gender concerns pertained to the sector policies of the Ministries of Agriculture, Animal Industry and Fisheries, Education, Health, Water, Energy, Minerals, and Environment Protection. Under the Umbrella Project for Women in Development, gender sensitization has been achieved with policy makers in ministries, at district level, and in the media. Gender issues have also been incorporated in the National Political School Curriculum. The Ministry has also trained a corps of 73 women trainers from 38 districts. The Ministry, with funding from DANIDA, collected women's views on the constitution through meetings and seminars in all the districts in the country. Recommendations were submitted in a consolidated report to the Constitution Commission. A pilot para-legal scheme is successfully being implemented in Kamuli district. A community-based pool of legal advisors has been developed. Legal matters that affect both women and men are undertaken at the community level. The economic emancipation of women is a crucial part of the Ministry's mandate. In conjunction with NGOs, pilot credit programs are being run in Mukono, Jinja, Mbale, and Kapchorwa districts. Cross-sectoral programs are in close collaboration with the rural water and sanitation program, the Northern Uganda rehabilitation program, and the integrated Basic Education Pilot Project to be implemented in 8 districts. PMID:12345405

  4. Staged membrane oxidation reactor system

    Science.gov (United States)

    Repasky, John Michael; Carolan, Michael Francis; Stein, VanEric Edward; Chen, Christopher Ming-Poh

    2012-09-11

    Ion transport membrane oxidation system comprising (a) two or more membrane oxidation stages, each stage comprising a reactant zone, an oxidant zone, one or more ion transport membranes separating the reactant zone from the oxidant zone, a reactant gas inlet region, a reactant gas outlet region, an oxidant gas inlet region, and an oxidant gas outlet region; (b) an interstage reactant gas flow path disposed between each pair of membrane oxidation stages and adapted to place the reactant gas outlet region of a first stage of the pair in flow communication with the reactant gas inlet region of a second stage of the pair; and (c) one or more reactant interstage feed gas lines, each line being in flow communication with any interstage reactant gas flow path or with the reactant zone of any membrane oxidation stage receiving interstage reactant gas.

  5. Staged Repository Development Programmes

    Energy Technology Data Exchange (ETDEWEB)

    Isaacs, T

    2003-10-01

    Programs to manage and ultimately dispose of high-level radioactive wastes are unique from scientific and technological as well as socio-political aspects. From a scientific and technological perspective, high-level radioactive wastes remain potentially hazardous for geological time periods-many millennia-and scientific and technological programs must be put in place that result in a system that provides high confidence that the wastes will be isolated from the accessible environment for these many thousands of years. Of course, ''proof'' in the classical sense is not possible at the outset, since the performance of the system can only be known with assurance, if ever, after the waste has been emplaced for those geological time periods. Adding to this challenge, many uncertainties exist in both the natural and engineered systems that are intended to isolate the wastes, and some of the uncertainties will remain regardless of the time and expense in attempting to characterize the system and assess its performance. What was perhaps underappreciated in the early days of waste management and repository program development were the unique and intense reactions that the institutional, political, and public bodies would have to repository program development, particularly in programs attempting to identify and then select sites for characterization, design, licensing, and ultimate development. Reactions in most nations were strong, focused, unrelenting, and often successful in hindering, derailing, and even stopping national repository programs. The reasons for such reactions and the measures to successfully respond to them are still evolving and continue to be the focus of many national program and political leaders. Adaptive Staging suggests an approach to repository program development that reflects the unique challenges associated with the disposal of high-level radioactive waste. The step-wise, incremental, learn-as-you-go approach is intended to

  6. Stage-specific psychological determinants of stage transition

    NARCIS (Netherlands)

    Dijkstra, A.; Tromp, D; Conijn, B

    2003-01-01

    Objectives. The stages of change construct refers to the different psychological states people move through when they change their behaviour. However, the prediction that people in different stages of change need different sorts of interventions to stimulate the change process has scarcely been test

  7. Carboplatin and Paclitaxel With or Without Cisplatin and Radiation Therapy in Treating Patients With Stage I, Stage II, Stage III, or Stage IVA Endometrial Cancer

    Science.gov (United States)

    2016-02-09

    Endometrial Clear Cell Adenocarcinoma; Endometrial Serous Adenocarcinoma; Stage IA Uterine Corpus Cancer; Stage IB Uterine Corpus Cancer; Stage II Uterine Corpus Cancer; Stage IIIA Uterine Corpus Cancer; Stage IIIB Uterine Corpus Cancer; Stage IIIC Uterine Corpus Cancer; Stage IVA Uterine Corpus Cancer

  8. Second stage gasifier in staged gasification and integrated process

    Energy Technology Data Exchange (ETDEWEB)

    Liu, Guohai; Vimalchand, Pannalal; Peng, Wan Wang

    2015-10-06

    A second stage gasification unit in a staged gasification integrated process flow scheme and operating methods are disclosed to gasify a wide range of low reactivity fuels. The inclusion of second stage gasification unit operating at high temperatures closer to ash fusion temperatures in the bed provides sufficient flexibility in unit configurations, operating conditions and methods to achieve an overall carbon conversion of over 95% for low reactivity materials such as bituminous and anthracite coals, petroleum residues and coke. The second stage gasification unit includes a stationary fluidized bed gasifier operating with a sufficiently turbulent bed of predefined inert bed material with lean char carbon content. The second stage gasifier fluidized bed is operated at relatively high temperatures up to 1400.degree. C. Steam and oxidant mixture can be injected to further increase the freeboard region operating temperature in the range of approximately from 50 to 100.degree. C. above the bed temperature.

  9. HIV, poverty and women.

    Science.gov (United States)

    Rodrigo, Chaturaka; Rajapakse, Senaka

    2010-03-01

    This review examines the interactions of financial status and HIV and its implications for women. MEDLINE and Google scholar were searched using the keywords 'women', 'poverty' and 'HIV' in any field of the article. The search was limited to articles published in English over the last 10 years. The first section of the article tries to establish whether poverty or wealth is a risk factor for HIV. There is credible evidence for both arguments. While wealth shows an increased risk for both sexes, poverty places women at a special disadvantage. The second section explains how the financial status interacts with other 'non biological' factors to put women at increased risk. While discrimination based on these factors disadvantage women, there are some paradoxical observations that do not fit with the traditional line of explanation (e.g. paradoxical impact of wealth and education on HIV). The final section assesses the impact of HIV in driving poverty and the role of women in interventional programmes. The specific impact of poverty on females in families living with HIV is less explored. Though microfinance initiatives to empower women are a good idea in theory, the actual outcome of such a programme is less convincing. PMID:24037044

  10. SEXUAL ASSAULT ON WOMEN

    Directory of Open Access Journals (Sweden)

    Dara Durga

    2014-05-01

    Full Text Available Our India is a vast nation with rich cultural heritage and social diversity. We have been respecting women in the highest form as Goddesses since ages. There have been several laws to protect women from many centuries in this ancient country. Yet our country is still facing difficulties in achieving women safety. And the situation is no different in the rest of the world. The prevailing situation, laws and suggestions to prevent atrocities were discussed. AIM: The current situations of women hardships around the world were mentioned. The current legal situation and recent legal changes were described. The mammoth task ahead of us to achieve the desired social objective of women safety and respect were discussed. MATERIAL & METHODS: various news articles, police journals, legal textbooks and forensic medicine text books. CONCLUSION: Many things were done to prevent sexual assaults on women, yet the true goal is still a mirage. It’s time to look into the issue from its true grass root levels, i.e., from the psycho-social view apart from legal measures, to achieve the much desired objective of prevention of sexual assaults on women.

  11. WOMEN IN FAMILY BUSINESS

    Directory of Open Access Journals (Sweden)

    Mr Anshu

    2012-04-01

    Full Text Available The role of women in family businesses is explored in the paper. Although recognized as generally very important players, the role of women is often defined as invisible in business decision-making, supportive in men’s traditional business domains and only rarelyadequately recognized and rewarded. The paper explores possible differences in the views of men and women who manage small family firms. Their attitudes opposing the traditional business roles ofwomen, different views on managerial, ownership and transition issues and possible gender discrimination are examined. The findings support the paradigm of a different, more feminine style of management, while signs of discrimination are not clearly revealed. This paper is based on a research intended to provide acomparative analysis of the status of women entrepreneurs and men entrepreneurs in Family Business in India. It first draws demographic & psychographic profiles of women and men entrepreneurs in family business, identifies & addresses operational problems faced by women and men entrepreneurs in family business, draws theirinclination for future plans for growth and expansion and also for the furtherance of research on women entrepreneurs in India.

  12. Women holding hands.

    Science.gov (United States)

    Jacobson, J

    1995-01-01

    It is estimated that 80% of the people involved in grassroots environmental protection advocacy in the US are women. One such self-described "average" woman became an activist upon learning that her drinking water was contaminated with uranium leaking from a US Department of Energy (DOE) facility. When DOE officials tried to brush off her concerns and those of her neighbors at a hearing, she presented them with a jar of water from her kitchen tap and challenged them to drink it. They refused. Thus began a long, but ultimately successful, struggle to shut down the offending facility. The efforts of these US women are mirrored all over the world as women have embraced environmental justice as one of their causes. At recent UN conferences, activists have challenged conventional strategies of economic development as being incompatible with equity and environmental sustainability. They have also established that "women's rights are human rights" and added domestic violence and rape to the human rights agenda. The recent International Conference on Population and Development revolved around women's health and rights issues. Throughout the world, women activists have challenged and changed the social dynamics of families, households, communities, and societies in general. One reason for the increased success of women's groups is that they have adopted the tactics of mass communication, including the use of computers, radio, and film. Although the various efforts are arising from diverse circumstances, they have some things in common such as finding personal experience to be a major impetus for action, realizing the self-reinforcing empowering nature of advocacy work, breaking the silence surrounding culturally taboo topics, and challenging the status quo. Such challenges often lead to political backlash or to counter measures taken by fundamentalist religious groups who link improvements in women's status with societal ills. Despite these challenges, the global women

  13. Leadership Characteristics and Training Needs of Women and Men in Charge of Spanish Universities

    Science.gov (United States)

    Sánchez-Moreno, Marita; López-Yáñez, Julián; Altopiedi, Mariana

    2015-01-01

    This article discusses the results obtained by two consecutive enquiries into the leadership styles and training needs of women and men leading higher education organisations. It compares the findings of the first stage of two studies, based on ad hoc questionnaires responded to by 136 women and 129 men. Results showed only subtle differences…

  14. Whose Citizenship? Which State? Work and Its Challenges for Women's Visions of Citizenship, 1900-1925.

    Science.gov (United States)

    Nackenoff, Carol

    The role of the women's movement in shaping women's vision of the obligations of citizenship in 1900-1925 was examined. The analysis focused primarily on the final 2 decades of the suffrage struggle. Special emphasis was placed on the class alliances and tensions that were forged during the struggle for suffrage and later helped set the stage for…

  15. The Impact of Education on Rural Women's Participation in Political and Economic Activities

    Science.gov (United States)

    Bishaw, Alemayehu

    2014-01-01

    This study endeavored to investigate the impact of education on rural women's participation in political and economic activities. Six hundred rural women and 12 gender Activists were selected for this study from three Zones of Amhara Region, Ethiopia using multi-stage random sampling technique and purposeful sampling techniques respectively.…

  16. Screening history of women with cervical cancer: a 6-year study in Aarhus, Denmark

    DEFF Research Database (Denmark)

    Ingemann-Hansen, O.; Niemann, I.; Dinesen, J.;

    2008-01-01

    To identify possible weaknesses in cervical screening in Aarhus County, 10 years after the programme was introduced, screening histories were examined. A major problem for the screening programme was that 31% of women were never screened and 61% under-screened, the latter group being significantly...... dominated by older women and high-stage tumours Udgivelsesdato: 2008/4/1...

  17. Women in extreme poverty.

    Science.gov (United States)

    1994-01-01

    Population is estimated to increase from 5.5 billion in 1990 to 10 billion by 2050; the poverty level is expected to increase from 1 billion to 2-3 billion people. Women in development has been promoted throughout the UN and development system, but women in poverty who perform work in the informal sector are still uncounted, and solutions are elusive. The issue of extreme poverty can not be approached as just another natural disaster with immediate emergency relief. Many people live in precarious economic circumstances throughout their lives. Recent research reveals a greater understanding of the underlying causes and the need for inclusion of poor women in sustainable development. Sanitation, water, housing, health facilities need to be improved. Women must have access to education, opportunities for trading, and loans on reasonable terms. UNESCO makes available a book on survival strategies for poor women in the informal sector. The profile shows common problems of illiteracy, broken marriages, and full time involvement in provision of subsistence level existence. Existence is a fragile balance. Jeanne Vickers' "Women and the World" offers simple, low cost interventions for aiding extremely poor women. The 1992 Commission on the Status of Women was held in Vienna. Excerpts from several speeches are provided. The emphasis is on some global responses and an analysis of solutions. The recommendation is for attention to the gender dimension of poverty. Women's dual role contributes to greater disadvantages. Women are affected differently by macroeconomic factors, and that there is intergenerational transfer of poverty. Social services should be viewed as investments and directed to easing the burdens on time and energy. Public programs must be equipped to deal with poverty and to bring about social and economic change. Programs must be aware of the different distribution of resources within households. Women must be recognized as principal economic providers within

  18. Women on the margins.

    Science.gov (United States)

    1995-01-01

    In some parts of the world, females are the victims of violence before birth as they are selectively aborted in societies which favor sons. If infant girls survive, they are subject to the same domestic violence which affects their mothers and leaves women more at risk of death by a male partner than from any other kind of assault. This issue was brought to the world's attention by the 1985 Nairobi Forward-Looking Strategies and is placed second on the 1995 Beijing women's conference list of "critical concerns." Women are also particularly at risk as they grow older, leave their jobs, and require expensive health care. One way to reintegrate older, retired women into society may be by employing them in child care facilities. Women migrants are also at risk of legal discrimination and physical and mental abuse, yet their plight has gone largely unnoticed as the world community focuses on male migrants. Women labor migrants are in a particularly vulnerable position and may be exploited or forced into prostitution when their legal status expires. The rights of women migrants must be clarified, and women must be informed of these rights. The plight of refugee women is better known, but, although refugee programs are becoming more gender sensitive, it is difficult to overcome old ways of behaving during emergency situations. Women also comprise an increasing number of the victims of AIDS, yet women in many societies are unable to deny having sexual intercourse with their husbands or to insist that their husbands use a condom. These same husbands are free to become infected by prostitutes and to pass this infection on to their wives. The prostitutes are often just as helpless as the wives and usually have been forced into the sex trade by abject poverty. The spread of AIDS, poverty, unemployment, and social disintegration all arise from the relegation of women to secondary status. The upcoming UN conferences will measure their success by how well they incorporate a

  19. Hereditary angioedema in women

    Directory of Open Access Journals (Sweden)

    Bouillet Laurence

    2010-07-01

    Full Text Available Abstract Women with hereditary angioedema (HAE are more likely to be symptomatic that men. Hormonal factors (puberty, contraception, pregnancy,.... play a significant role in the precipitation or worsening of the condition in women. So, combined contraceptive pills are not indicated and progestogen pill must be preferred. During pregnancy, attack rate can increase (38-48% of women. C1Inhibitor concentrate and tranexamic acid can be used during pregnancy. Attenuated androgens for long term prophylaxis are effective but side effects appear more often in female patients. These side effects are dose dependant and can be attenuated by titrating the dose down the lowest effective level.

  20. Aromatherapy With Citrus Aurantium Oil and Anxiety During the First Stage of Labor

    OpenAIRE

    Namazi, Masoumeh; Amir Ali Akbari, Seddigheh; Mojab, Faraz; Talebi, Atefe; Alavi Majd, Hamid; Jannesari, Sharareh

    2014-01-01

    Background: Anxiety is the most common psychological response of women to labor. Aromatherapy, i.e. the use of fragrant essential oils to stimulate the olfactory system, can create a state of calmness and help to alleviate anxiety. Objectives: The present study tried to determine the efficacy of aromatherapy with Citrus aurantium oil in reducing anxiety during the first stage of labor. Patients and Methods: This randomized clinical trial was conducted on two groups of pregnant women, referred...

  1. Early-Stage Breast Cancer in the Octogenarian: Tumor Characteristics, Treatment Choices, and Clinical Outcomes

    Science.gov (United States)

    Mamtani, Anita; Gonzalez, Julie J.; Neo, Dayna; Slanetz, Priscilla J.; Houlihan, Mary Jane; Herold, Christina I.; Recht, Abram; Hacker, Michele R.; Sharma, Ranjna

    2016-01-01

    Background Nodal staging with sentinel node biopsy (SLNB), post-lumpectomy radiotherapy (RT), and endocrine therapy (ET) for estrogen receptor-positive (ER+) tumors is valuable in the treatment of early-stage (stages 1 or 2) breast cancer but used less often for elderly women. Methods This retrospective study investigated women referred for surgical evaluation of biopsy-proven primary early-stage invasive breast cancer from January 2001 to December 2010. Clinicopathologic features, treatment course, and outcomes for women ages 80–89 years and 50–59 years were compared. Results The study identified 178 eligible women ages 80–89 years and 169 women ages 50–59 years. The elderly women more often had grade 1 or 2 disease (p = 0.003) and ER+ tumors (p = 0.007) and less frequently had undergone adjuvant therapies (all p ≤ 0.001). Lumpectomy was performed more commonly for the elderly (92 vs. 83 %, p = 0.02), and axillary surgery was less commonly performed (46 vs. 96 %; p < 0.001). Fewer elderly women had undergone post-lumpectomy RT (42 vs. 89 %; p < 0.001) and ET for ER+ tumors (72 vs. 95 %; p < 0.001). During the median follow-up period of 56 months for the 80- to 89-year old group and 98 months for the 50- to 59-year-old group, death from breast cancer was similar (4 vs. 5 %; p = 0.5). The two groups respectively experienced 7 versus 6 locoregional recurrences and 11 versus 13 distant recurrences. Conclusions The octogenarians had disease survivorship similar to that of the younger women despite less frequent use of adjuvant therapies, likely reflecting lower-risk disease features. Whether increased use of axillary surgery, post-lumpectomy RT, and/or ET for ER+ tumors would further improve outcomes is an important area for further study, but treatment should not be deferred solely on the basis of age. PMID:27364507

  2. The Right for Women--After Professions for women

    Institute of Scientific and Technical Information of China (English)

    郑文莉

    2000-01-01

    Woolfwas a flag of right fighter for women. Women fight for their rights genaration after genaration and devote themselves in different professions like men. It was proved that women can do every thing as they are willing ,women can creat many outstanding achievements in their professional life.

  3. Women selectively guard their (desirable) mates from ovulating women.

    Science.gov (United States)

    Krems, Jaimie Arona; Neel, Rebecca; Neuberg, Steven L; Puts, David A; Kenrick, Douglas T

    2016-04-01

    For women, forming close, cooperative relationships with other women at once poses important opportunities and possible threats-including to mate retention. To maximize the benefits and minimize the costs of same-sex social relationships, we propose that women's mate guarding is functionally flexible and that women are sensitive to both interpersonal and contextual cues indicating whether other women might be likely and effective mate poachers. Here, we assess one such cue: other women's fertility. Because ovulating (i.e., high-fertility) women are both more attractive to men and also more attracted to (desirable) men, ovulating women may be perceived to pose heightened threats to other women's romantic relationships. Across 4 experiments, partnered women were exposed to photographs of other women taken during either their ovulatory or nonovulatory menstrual-cycle phases, and consistently reported intentions to socially avoid ovulating (but not nonovulating) women-but only when their own partners were highly desirable. Exposure to ovulating women also increased women's sexual desires for their (highly desirable) partners. These findings suggest that women can be sensitive to subtle cues of other women's fertility and respond (e.g., via social exclusion, enhanced sexual attention to own mate) in ways that may facilitate their mate retention goals while not thwarting their affiliative goals. PMID:26766112

  4. Writing Stages: A Developmental Hierarchy.

    Science.gov (United States)

    Milner, Joseph O.

    The developmental stages of writing can be related to Jean Piaget's final three stages of development (preoperational, concrete operational, and formal operational) and to the narrative, descriptive, explanative, analytical, and artistic rhetorical modes. As the child enters kindergarten or the first grade, narrative blooms. By this age most young…

  5. Relationship between serum trace elements and antioxidant capacity indexes in women of hypertensive disorder complicating pregnancy

    Institute of Scientific and Technical Information of China (English)

    Yang Liu; Mei Xu; Ying Jiang; Yan Zhang

    2016-01-01

    Objective:To analyze the relationship between serum trace elements, antioxidant capacity index and hypertensive disorder complicating pregnancy (HDCP). Methods: Forty cases of normal healthy pregnant women, twenty-one pregnant women with high blood pressure, twenty-eight pregnant women with early stage of mild preeclampsia and twenty-two pregnant women with early stage of severe preeclampsia were selected respectively. Then, the differences of blood routine examination and blood coagulation function of the four groups were compared. At the same time, the levels of the serum trace elements and oxidative stress related indexes in the placental villi tissue were determined by flame atomic absorption spectrometry. Results:The white blood cells and hematocrit of HDCP pregnant women were significantly higher than those of normal healthy pregnant women;platelet and fibrinogen levels were obviously lower than those of normal healthy pregnant women, while thrombin time was shorter than that of normal healthy pregnant women;levels of serum copper, zinc and manganese were also significantly lower than whose of normal healthy pregnant women, while iron level was distinctly higher than that of normal healthy pregnant women. The differences between groups were statistically significant. The activities of SOD and GSH-PX in the placental villi tissue of HDCP pregnant women were significantly smaller than those of normal healthy pregnant women, while the Hcy level was higher than that of normal healthy pregnant women. The differences between groups were statistically significant. Conclusions:Pregnant women with HDCP has both imbalance of trace elements and redox system equilibrium, so we should strengthen the determination of the trace elements and redox related indexes of HDCP pregnant women to ensure health of maternal and child.

  6. Women's decision to major in STEM fields

    Science.gov (United States)

    Conklin, Stephanie

    This paper explores the lived experiences of high school female students who choose to enter into STEM fields, and describes the influencing factors which steered these women towards majors in computer science, engineering and biology. Utilizing phenomenological methodology, this study seeks to understand the essence of women's decisions to enter into STEM fields and further describe how the decision-making process varies for women in high female enrollment fields, like biology, as compared with low enrollment fields like, computer science and engineering. Using Bloom's 3-Stage Theory, this study analyzes how relationships, experiences and barriers influenced women towards, and possibly away, from STEM fields. An analysis of women's experiences highlight that support of family, sustained experience in a STEM program during high school as well as the presence of an influential teacher were all salient factors in steering women towards STEM fields. Participants explained that influential teacher worked individually with them, modified and extended assignments and also steered participants towards coursework and experiences. This study also identifies factors, like guidance counselors as well as personal challenges, which inhibited participant's path to STEM fields. Further, through analyzing all six participants' experiences, it is clear that a linear model, like Bloom's 3-Stage Model, with limited ability to include potential barriers inhibited the ability to capture the essence of each participant's decision-making process. Therefore, a revised model with no linear progression which allows for emerging factors, like personal challenges, has been proposed; this model focuses on how interest in STEM fields begins to develop and is honed and then mastered. This study also sought to identify key differences in the paths of female students pursuing different majors. The findings of this study suggest that the path to computer science and engineering is limited. Computer

  7. Multi-stage complex contagions

    Science.gov (United States)

    Melnik, Sergey; Ward, Jonathan A.; Gleeson, James P.; Porter, Mason A.

    2013-03-01

    The spread of ideas across a social network can be studied using complex contagion models, in which agents are activated by contact with multiple activated neighbors. The investigation of complex contagions can provide crucial insights into social influence and behavior-adoption cascades on networks. In this paper, we introduce a model of a multi-stage complex contagion on networks. Agents at different stages—which could, for example, represent differing levels of support for a social movement or differing levels of commitment to a certain product or idea—exert different amounts of influence on their neighbors. We demonstrate that the presence of even one additional stage introduces novel dynamical behavior, including interplay between multiple cascades, which cannot occur in single-stage contagion models. We find that cascades—and hence collective action—can be driven not only by high-stage influencers but also by low-stage influencers.

  8. Health screening - women - ages 40 to 64

    Science.gov (United States)

    Health maintenance visit - women - ages 40 to 64; Physical exam - women - ages 40 to 64; Yearly exam - ... 64; Checkup - women - ages 40 to 64; Women's health - ages 40 to 64; Preventive care - women - ages ...

  9. Health screening - women - ages 18 to 39

    Science.gov (United States)

    Health maintenance visit - women - ages 18 to 39; Physical exam - women - ages 18 to 39; Yearly exam - ... 39; Checkup - women - ages 18 to 39; Women's health - ages 18 to 39; Preventive care - women - ages ...

  10. Women and Diabetes

    Medline Plus

    Full Text Available ... diabetes. Food Safety for People with Diabetes Your Glucose Meter - easy-to-read booklet for women Other ... Information on Diabetes How to Report Problems with Glucose Meters Diabetes Treatments Some people with diabetes need ...

  11. Minority Women's Health: Latinas

    Science.gov (United States)

    ... left navigation Minority Women's Health African-Americans Latinas Asian-Americans Native Hawaiians and other Pacific Islanders American Indians/ ... Rican, South or Central American, or other Spanish culture or origin. Latinos may be any race. This ...

  12. Sexual Problems in Women

    Science.gov (United States)

    ... affect desire and function. Psychological causes may include work-related stress and anxiety. They may also include depression or concerns about marriage or relationship problems. For some women, the problem results from past sexual trauma. Occasional ...

  13. Democracy and Women's Health

    Directory of Open Access Journals (Sweden)

    Jalil Safaei

    2009-07-01

    Full Text Available New research on broader determinants of health has culminated into the new paradigm of social determinants of health. The fundamental view that underlies this new paradigm is that socioeconomic and political contexts in which people live have significant bearing upon their health and well-being. Unlike a wealth of research on socioeconomic determinants, few studies have focused on the role of political factors. Some of these studies examine the role of political determinants on health through their mediation with the labour environments and systems of welfare state. A few others study the relationship between polity regimes and population health more directly.However, none of them have a focus on women's health.This study explores the interactions, both direct and indirect, between democracy and women's health. In doing so, it identifies some of the main health vulnerabilities for women and explains, through a conceptual model, how democracy and respect for human rights interacts with women's health.

  14. Continuing Education of Women

    Science.gov (United States)

    Duncan, Margaret

    1971-01-01

    The social, psychological and economic problems involved in programs of adult education for women are discussed. The raising of woman's consciousness and her role change in society are explained as the goal in this education program. (RR)

  15. Sexual Health (Women)

    Science.gov (United States)

    ... Glucose Testing Medication Doctors, Nurses & More Oral Health & Hygiene Women A1C Insulin Pregnancy 8 Tips for Caregivers ... glucose, especially at night. This can further compromise sleep already interrupted by menopause-associated hot flashes and ...

  16. Heart disease and women

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/007188.htm Heart disease and women To use the sharing features on ... please enable JavaScript. People often do not consider heart disease a woman's disease. Yet cardiovascular disease is the ...

  17. Mostly Women and Leadership.

    Science.gov (United States)

    Barron, Daniel D.

    1996-01-01

    Discusses educational leadership and women with a focus on roles, characteristics, stereotypes, and change. Describes some sources that deal with this topic, including an article, a study, two books, and some websites. (AEF)

  18. Sexual Dysfunction in Women

    Science.gov (United States)

    ... also cause sexual dysfunction. You may have less sexual desire during pregnancy, right after childbirth or when you are breastfeeding. After menopause many women feel less sexual desire, have vaginal dryness or have pain during sex ...

  19. Women and Diabetes

    Medline Plus

    Full Text Available ... Health is partnering with the NIH Office of Research on Women's Health to raise awareness about diverse ... Federal, State & Local Officials Consumers Health Professionals Science & Research Industry Scroll back to top Popular Content Home ...

  20. Women and Diabetes

    Medline Plus

    Full Text Available ... Beware of Illegally Sold Diabetes Treatments Diabetes and Pregnancy Some women develop diabetes for the first time ... care provider about how to manage diabetes during pregnancy. Medicine and Pregnancy Fact Sheet Pregnancy Registries - Sign- ...

  1. Depression in Women

    Science.gov (United States)

    ... or someone I know is in crisis? Share Depression in Women Download PDF Download ePub Order a ... If so, you may have depression. What is depression? Everyone sometimes feels sad, but these feelings usually ...

  2. Urinary Incontinence in Women

    Science.gov (United States)

    ... so it can hold more urine. Recording daily bathroom habits may be helpful. More information is provided about bladder diaries in the NIDDK health topic, What I need to know about Bladder Control for Women . Pelvic ...

  3. Minority Women's Health

    Science.gov (United States)

    ... migrant issues Access to health care Language barriers Human trafficking Taking care of your health Immunizations and screenings Sharing family health history Health before pregnancy More... Government in action on minority women's health Minority partnerships ...

  4. Drum Performance Tnvolues Women

    Institute of Scientific and Technical Information of China (English)

    1996-01-01

    DRUM teams from along the Yellow River are known not only in China but by many foreign friends. Recently women have formed their own teams and their performances have further increased the popularity of this ancient Chinese folk art.

  5. Women and Diabetes

    Medline Plus

    Full Text Available ... Department of Health and Human Services FDA U.S. Food and Drug Administration Protecting and Promoting Your Health ... Diabetes and Pregnancy (CDC) Diverse Women in Clinical Trials Campaign Clinical trials can help doctors learn more ...

  6. Women and Mice

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This is an advertisement for Dr. Pierce's "Favorite Prescription," which he developed in the 1880's to relieve women of nervous symptoms caused by disease of the...

  7. Women and Cholesterol

    Science.gov (United States)

    ... Blood Pressure Tools & Resources Stroke More Women and Cholesterol Updated:Apr 1,2016 The female sex hormone ... Glossary Related Sites Nutrition Center My Life Check Cholesterol • Home • About Cholesterol • Why Cholesterol Matters • Understand Your ...

  8. Women and Diabetes

    Medline Plus

    Full Text Available ... diabetes for the first time when they become pregnant. This is called gestational (jes-Tay-shun-ul) diabetes. Other women have diabetes before they get pregnant. Use these resources to help you talk to ...

  9. Toxoplasmosis and Pregnant Women

    Science.gov (United States)

    ... Parasites - Toxoplasmosis ( Toxoplasma infection) Parasites Home Share Compartir Pregnant Women On this Page When should I be ... to give up my cat if I'm pregnant or planning on becoming pregnant? No. You should ...

  10. Women and Diabetes

    Medline Plus

    Full Text Available ... How to Report Problems with Glucose Meters Diabetes Treatments Some people with diabetes need to take diabetes ... with your health care provider about your diabetes treatment. Diabetes Medicines - easy-to-read booklet for women ...

  11. Women in Transition

    OpenAIRE

    UNICEF Innocenti Research Centre. MONEE project

    1999-01-01

    The 1999 Central and Eastern Europe and Commonwealth of Independent States Regional Monitoring Report focuses on the experiences of girls and women during the transition, highlighting their role in regional progress and the obstacles they face. The Report covers a broad range of issues, including women’s participation in the emerging market economy and democratic governments, female access to health and education, trends in family formation and violence against women and girls. The Report cal...

  12. Women Leaders in Indian Education.

    Science.gov (United States)

    Ambler, Marjane

    1992-01-01

    Draws from interviews with women serving as tribal college presidents in discussing the current and traditional roles of women in Indian society, why women lead 10 of the 28 member colleges of the American Indian Higher Education Consortium, the need for balanced leadership, and women's future role. (DMM)

  13. Blacks and the Women's Movement.

    Science.gov (United States)

    Loiacono, Stephanie

    1989-01-01

    Although Black female leaders were influential in creating the modern women's movement, feminism has evolved differently for both Black and White women. Suggests that, although Black women have struggled largely against racial and economic inequalities, women of all colors and backgrounds should embrace their diversity and unite to oppose racism…

  14. Women in Italian astronomy

    CERN Document Server

    Matteucci, Francesca

    2014-01-01

    This document gives some quantitative facts about the role of women in Italian astronomy. More than 26% of Italian IAU members are women: this is the largest fraction among the world leading countries in astronomy. Most of this high fraction is due to their presence in INAF, where women make up 32% of the research staff (289 out of 908) and 40% of the technical/administrative staff (173 out of 433); the percentage is slightly lower among permanent research staff (180 out of 599, about 30%). The presence of women is lower in the Universities (27 out of 161, about 17%, among staff). In spite of these (mildly) positive facts, we notice that similarly to other countries (e.g. USA and Germany) career prospects for Italian astronomers are clearly worse for women than for men. Within INAF, the fraction of women is about 35-40% among non-permanent position, 36% for Investigators, 17% for Associato/Primo Ricercatore, and only 13% among Ordinario/Dirigente di Ricerca. The situation is even worse at University (only 6% ...

  15. Violence against women.

    Science.gov (United States)

    1995-04-01

    Domestic violence constitutes historical behavior in accord with patriarchal systems. Family and domestic violence includes female infanticide, higher female mortality, female genital mutilation, bride burning, rape, wife battering, and early marriage. These practices are commonly integrated into values and beliefs. Women accept domestic violence in violation of their basic human rights due to social prejudice and low self esteem. Mothers who perpetuate female genital mutilation believe that they are acting in the best interests of the child by adhering to centuries-long traditions. Women who allow female infanticide or female abortion are motivated to do so in order to maintain the security of their marriage. Women are in unequal power relationships and submit to their own detriment. Negative attitudes against women are perpetuated through incorrect interpretations of religious principles and myths. Economic self-reliance gives women the courage to stand up against domestic violence. Empowerment through education and appropriate and protective legislation also gives women the means to fight violence. Nongovernmental organizations (NGOs) at the national, regional, and international levels are active in creating awareness of domestic violence and influencing policy change. The NGO Working Group on Traditional Practices and the Inter-African Committee have a 10-year history of fighting against practices such as female genital mutilation. In order to bring about change, there must be cooperative and joint action among governmental and inter-governmental groups and NGOs.

  16. Stages of Childhood Soft Tissue Sarcoma

    Science.gov (United States)

    ... Stage I Stage I is divided into stages IA and IB: In stage IA , the tumor is low grade (likely to grow ... tumor does not place any vital organs in danger. Hormone therapy Hormone therapy is a cancer treatment ...

  17. 不同生理阶段更年期综合征证候规律及治疗的临床研究%Clinical study on distribution rule of TCM syndromes and treatment of climacteric syndrome among patients in different menopausal status

    Institute of Scientific and Technical Information of China (English)

    靳岭; 王兴娟

    2011-01-01

    目的:探讨不同生理阶段女性更年期综合征(CS)患者中医证型分布规律及CS与性激素、糖脂代谢之间的关系,为本病的临床治疗提供依据.方法:随机选择绝经前期、围绝经期、绝经后期更年期综合征患者各50例,辨证后给予相应中药服用6周,治疗前后分别进行问卷调查及血清检测.结果:不同生理阶段女性CS患者中医证型的构成比存在差异;中药治疗后患者的更年期症状均明显改善,Kupperman评分降低(P<0.01),雌二醇(E2)、卵泡刺激素(FSH)、黄体生成素(LH)、睾酮(T)水平无明显变化;脾虚组患者的空腹血糖(FBG)、空腹胰岛素(FINS)、胰岛素抵抗指数(HOMA-IR)、瘦素(leptin)较治疗前均降低;肝虚组患者的高密度脂蛋白(HDL)较前升高;肾虚组患者的FBG、总胆固醇(TC)较前降低(P<0.05,P<0.01).结论:不同生理阶段的女性CS患者中医证型分布存在一定规律;本病的发病可能与心血管疾病风险因素有关,其治疗应该重视糖脂代谢功能的调节.%Objective: To explore the distribution rule of TCM (TCM) syndromes of patients with climacteric syndrome (CS) in different menopausal status and the association between CS and sex hormone as well as glucolipid metabolism, and to supply credible evidence for the clinical therapy of CS.Methods: Randomly selected patients with CS 50 cases in premenopausal,perimenopausal, postmenopansal status separately.After differentiation, the patients were treated with the appropriate Chinese medicine for 6 weeks.Questionnaire survey and serum testing were conducted before and after treatment.Results: The constituent ratio of TCM syndromes was different among CS patients in different menopausal status.The climacteric syndrome was significantly improved in patients of all 3 groups after treatment, kupperman score was markedly reduced(P<0.01), but the level of endocrine hormone (F2, FSH, LH, T) didn't show any change.In the spleen deficiency

  18. Avaliação da capacidade orgástica em mulheres na pós-menopausa Assessment of orgasmic capacity of postmenopausal women

    Directory of Open Access Journals (Sweden)

    Sonia Regina Lenharo Penteado

    2004-12-01

    Full Text Available OBJETIVO: Correlacionar a capacidade orgástica (durante a relação sexual e/ou a masturbação solitária de mulheres pós-menopausadas, saudáveis e sem tratamento hormonal com fatores climatéricos, psicossociais, comportamentais, hormonais e interpessoais. MÉTODOS: De um total de 999 mulheres avaliadas com idade entre 41 e 60 anos, selecionaram-se 60 mulheres saudáveis, sexualmente ativas, com pelo menos um ano de amenorréia, útero íntegro, relacionamento estável com parceiro capacitado ao coito e não usuárias de terapia hormonal. Elaborou-se um modelo estatístico de regressão logística que avaliou a capacidade de orgasmo (variável dependente em função de 17 variáveis independentes, que representavam fatores psicossociais, comportamentais, interpessoais, climatéricos e hormonais. RESULTADOS: A capacidade orgástica está significativamente correlacionada à prática da masturbação (p=0,000, ao gostar de abraçar e acariciar o corpo do parceiro (p= 0,036 e à presença de secura vaginal (p=0,021. CONCLUSÕES: Nas mulheres pós-menopausadas avaliadas, a capacidade orgástica relacionou-se positivamente com o relacionamento mais afetivo com o companheiro e com a prática da masturbação. Mulheres que apresentam secura vaginal, mas que praticam a masturbação e mantêm relacionamento afetivo com o parceiro, conseguem obter o mesmo número ou um número maior de orgasmos se comparados à freqüência do coito.OBJECTIVE: To correlate the capacity of healthy postmenopausal women to have orgasms (during intercourse or by solitary masturbation with psychosocial, behavioral, climacteric, hormonal and interpersonal factors. METHODS: Nine hundred and ninety-nine women (aged from 41 to 60 years underwent physical and supplementary tests and answered questionnaires regarding sexual behaviour. Sixty healthy women, sexually active, with one or more years of amenorrhea, without hormone therapy and with a partner capable of intercourse

  19. Advancement of women in dermatology.

    Science.gov (United States)

    Murrell, Dedee F; Ryan, Terence J; Bergfeld, Wilma F

    2011-05-01

    This article reviews the special role that women dermatologists have played in the improvement of skin care for women and children, as well as the role of the Women's Dermatological Society (WDS) in providing networking, mentoring and leadership opportunities for female dermatologists. Women leaders within the International League of Dermatology Societies (ILDS) have influenced WHO directives to assign higher priorities to areas of women's health. Maria Duran and her legacy at the International Society for Dermatology (ISD) has recognized leaders in the area of dermatology education and mentorship. Volunteerism and the promotion of equal access to health care by women and children are other key activities by women dermatologists. PMID:21506978

  20. Comparison of lifestyle in women with polycystic ovary syndrome and healthy women.

    Science.gov (United States)

    Sedighi, Sedigheh; Amir Ali Akbari, Sedigheh; Afrakhteh, Maryam; Esteki, Taraneh; Alavi Majd, Hamid; Mahmoodi, Zohreh

    2014-08-31

    Given the high prevalence of polycystic ovary syndrome (PCOS), and that a lifestyle is recognized effective in development of many diseases, this study aimed to compare lifestyle of women with PCOS and healthy women. Nor are there sufficient studies on the difference between lifestyle of these people with that of healthy people. Furthermore, studies show that changes in lifestyle improve this disease. This descriptive-comparative study was conducted on 65 women with PCOS and 65 healthy women of 18 to 45 years old who presented to hospitals affiliated to Shahid Beheshti University of Medical Sciences in 2013. The subjects were selected using multi stage random sampling method. The data were collected using questionnaires for diet, International Physical Activity Questionnaire, and unhealthy behaviors and were analyzed in SPSS v. 17, using descriptive statistics, Man-Whitney, independent t, Chi-square and logistic regression tests. The results showed there was a significant relationship between PCOS and inappropriate diet (p=0.009), low physical activity (p=0.009), but no relationship was observed between PCOS and unhealthy behaviors. Given the results obtained, training and awareness raising is necessary for women and girls especially about appropriate diet and regular physical activity.

  1. The role of women in dental education: monitoring the pipeline to leadership.

    Science.gov (United States)

    Reed, Michael J; Corry, Ann Marie; Liu, Ying W

    2012-11-01

    The purpose of this study was to analyze data collected by the American Dental Association and the American Dental Education Association over the past two decades relating to changes in the number of women active in dental education and dental practice. The concept of a pipeline of women in dentistry was explored by analyzing predoctoral, postdoctoral, dental practice, and dental education domains for the inclusion of women. Statistical analyses show that there has been a consistent and progressive increase in the number of women in all stages of the pipeline. Over the past two decades, the number of female students attending and graduating from dental school has steadily increased. In 1984-85, 23.7 percent of all predoctoral students were women; in 2009-10, 45.1 percent were women. Similarly, in 1999, the graduating class was 35.3 percent women; in 2009, it was 46.1 percent women. In the postdoctoral domain, in 1996, 29.9 percent of all residents were women; in 2010, this had increased to 39.0 percent. In dental practice, the number of actively licensed women dentists in 1999 was 15.3 percent of the workforce; in 2010, this percentage had grown to 24.0 percent. In dental education, the number of women clinical faculty members has gradually increased from 669 in 1997-98 to 902 in 2007-08. Until 2000, there had been only two women deans and very few associate/assistant deans, with only sixteen in 1990. In 2000, major changes began with three women deans and seventy-two women associate/assistant deans. In 2009-10, there were 111 associate/assistant women deans and twelve women deans. These data show a progressive increase in the presence of women in all domains of dentistry, especially in leadership positions in dental education. PMID:23144477

  2. [Function of neobladders in women after cystectomy

    DEFF Research Database (Denmark)

    Bigum, L.H.; Jensen, J.B.; Jensen, K.M.;

    2008-01-01

    INTRODUCTION: Since 1999, Rigshospitalet (RH) and Aarhus University Hospital, Skejby (SKS) have been offering women an orthotopic neobladder following cystectomy. The aim of the present study was to describe the function of the neobladders in women by examining continence and voiding function....... Cancer stage, cancer recurrence, complications and mortality are also described. MATERIALS AND METHODS: The data was retrospectively collected from patient files. Between 1999 and 2006, a total of 20 female patients at RH and SKS underwent reconstructive surgery with a neobladder. Continence and voiding...... function were evaluated from existing tests and examinations performed during follow-up. RESULTS: The average follow-up was 3.1 years (range: 0.4-7.4). The average age was 57.1 years (40.1-70.6). Fifteen patients (75%) were continent during the daytime, and three of the patients (15%) were incontinent...

  3. Staging of unipolar affective illness

    Directory of Open Access Journals (Sweden)

    Ewa Ferensztajn

    2014-12-01

    Full Text Available In this article, a concept of staging of unipolar affective illness (recurrent depression is presented. In respective subchapters, three most important aspects of this issue have been discussed: 1 staging of unipolar affective illness; 2 staging of treatment-resistant depression; and 3 conversion of unipolar into bipolar affective illness. The evidence for so called neuroprogression of the illness, accumulated in recent years, has allowed for a classification of staging based on a concept of allostasis and allostatic load. In the course of illness, changes in neuroendocrine system (mainly hypothalamic pituitary-adrenal (HPA axis, immunological system, mechanisms of oxidative stress, neurotransmitters, neurotrophic factors as well as structural and functional changes of the brain occur. In their paper of 2007, Fava and Tossani elaborated a concept of staging of unipolar affective illness presenting a continuum model of five consecutive stages with specific clinical features. In the present paper, a concept of treatment-resistant depression and staging of treatment resistance is presented in the context of several models. An important determinant of treatment-resistant depression is so called subthreshold bipolarity which is connected with worse efficacy of antidepressant drugs. In the course of illness, there is a possibility of changing diagnosis from recurrent depression into bipolar affective illness. The studies on this issue show that frequency of such diagnostic conversion is 1,5% of depressed patients per year.

  4. Breast cancer: a study of the psychosocial issues faced by women undergoing radiation therapy

    International Nuclear Information System (INIS)

    The purpose of this study was to determine the psychosocial issues faced by post lumpectomy women with early stage breast cancer undergoing radical radiation to the affected breast. Twenty-five women in their second to fifth week of treatment were given the survey to determine these issues. Responses were then grouped by age category and results compiled. Regardless of age, a majority of women felt that they and their spouses had become closer since their diagnosis and described their spouses as being supportive. Scheduling appointment times around childcare was important for some women. Almost half of the women experienced a change in employment status as a result of their diagnosis. Appointment times and work schedules were important for some women still working. In all age groups, women experienced fatigue at least sometimes. (author)

  5. Women Status and their Discrimination

    OpenAIRE

    PEŠKOVÁ, Pavlína

    2008-01-01

    My work deal with women status and their discrimination. Chapter one contains women status in different historical periods and development of their status to bigger equal with men. There is also written about present feminist trends. Chapter two is about women discrimination. There is about women´ job discrimination, job segregation according to gender and inequality in payment. There is also written about women status at home and unequal duties at home among family mates. Chapter three is ab...

  6. Staging procedures in mycosis fungoides

    Energy Technology Data Exchange (ETDEWEB)

    Griem, M.L.; Moran, E.M.; Ferguson, D.J.; Mettler, F.A.; Griem, S.F.

    1975-01-01

    Mycosis fungoides (MF) in deep-seated lymph nodes, spleen or liver appears to be associated with a lack of response of the disease to topical external therapy. Fourteen patients with mycosis fungoides were clinically staged and had a staging laparotomy. Myosis fungoides was found in the lymph nodes of 3 of these patients, in the spleen in 4 and in the liver of 2 cases. Patients with adenopathy, or with splenomegaly or abnormal spleen scans, should be considered for surgical staging to determine the extent of extracutaneous disease. The documentation of extracutaneous MF becomes necessary in the development of new therapeutic approaches. (auth)

  7. Cognitive Development and Group Stages.

    Science.gov (United States)

    Saidla, Debie D.

    1990-01-01

    Attempts to integrate Perry's (1970) scheme of the cognitive development of college students with a model of group development adapted by Waldo (1985) based on Tuckman's (1965) formulation of developmental group stages. (Author)

  8. Facilitating career advancement for women in the Geosciences through the Earth Science Women's Network (ESWN)

    Science.gov (United States)

    Hastings, M. G.; Kontak, R.; Holloway, T.; Kogan, M.; Laursen, S. L.; Marin-Spiotta, E.; Steiner, A. L.; Wiedinmyer, C.

    2011-12-01

    The Earth Science Women's Network (ESWN) is a network of women geoscientists, many of who are in the early stages of their careers. The mission of ESWN is to promote career development, build community, provide informal mentoring and support, and facilitate professional collaborations, all towards making women successful in their scientific careers. ESWN currently connects over 1000 women across the globe, and includes graduate students, postdoctoral associates, faculty from a diversity of colleges and universities, program managers, and government, non-government and industry researchers. ESWN facilitates communication between its members via an email listserv and in-person networking events, and also provides resources to the broader community through the public Earth Science Jobs Listserv that hosts over 1800 subscribers. With funding from a NSF ADVANCE PAID grant, our primary goals include growing our membership to serve a wider section of the geosciences community, designing and administering career development workshops, promoting professional networking at major scientific conferences, and developing web resources to build connections, collaborations, and peer mentoring for and among women in the Earth Sciences. Recognizing that women in particular face a number of direct and indirect biases while navigating their careers, we aim to provide a range of opportunities for professional development that emphasize different skills at different stages of career. For example, ESWN-hosted mini-workshops at national scientific conferences have targeted skill building for early career researchers (e.g., postdocs, tenure-track faculty), with a recent focus on raising extramural research funding and best practices for publishing in the geosciences literature. More concentrated, multi-day professional development workshops are offered annually with varying themes such as Defining Your Research Identity and Building Leadership Skills for Success in Scientific Organizations

  9. Tryptophan degradation in women with breast cancer: a pilot study

    Directory of Open Access Journals (Sweden)

    Schubert Christine M

    2011-05-01

    Full Text Available Abstract Background Altered tryptophan metabolism and indoleamine 2,3-dioxygenase activity are linked to cancer development and progression. In addition, these biological factors have been associated with the development and severity of neuropsychiatric syndromes, including major depressive disorder. However, this biological mechanism associated with both poor disease outcomes and adverse neuropsychiatric symptoms has received little attention in women with breast cancer. Therefore, a pilot study was undertaken to compare levels of tryptophan and other proteins involved in tryptophan degradation in women with breast cancer to women without cancer, and secondarily, to examine levels in women with breast caner over the course of chemotherapy. Findings Blood samples were collected from women with a recent diagnosis of breast cancer (n = 33 before their first cycle of chemotherapy and after their last cycle of chemotherapy. The comparison group (n = 24 provided a blood sample prior to breast biopsy. Plasma concentrations of tryptophan, kynurenine, and tyrosine were determined. The kynurenine to tryptophan ratio (KYN/TRP was used to estimate indoleamine 2,3-dioxygenase activity. On average, the women with breast cancer had lower levels of tryptophan, elevated levels of kynurenine and tyrosine and an increased KYN/TRP ratio compared to women without breast cancer. There was a statistically significant difference between the two groups in the KYN/TRP ratio (p = 0.036, which remained elevated in women with breast cancer throughout the treatment trajectory. Conclusions The findings of this pilot study suggest that increased tryptophan degradation may occur in women with early-stage breast cancer. Given the multifactorial consequences of increased tryptophan degradation in cancer outcomes and neuropsychiatric symptom manifestation, this biological mechanism deserves broader attention in women with breast cancer.

  10. The Staging of the Turk

    DEFF Research Database (Denmark)

    Holm, Bent

    2013-01-01

    An analytical and contextualized presentation of the figure of the Turk on the Danish stage in the 18. century with a specific focus on the interaction between the actual commercial and military circumstances on the one hand and the performative representations on the other hand. How far did the ...... staged image reflect the actual circumstances and how far was it an internal self-reflection?...

  11. Radioimmunological study of the gonadotropic function of the pituitary gland in women during menstrual cycle recovery

    International Nuclear Information System (INIS)

    The gonadotropic function of the pituitary gland in women atan early stage of pregnancy and a month after abortion has been studied. The results of the investigation testify to the fact that radioimmunoassay of horiones in blood plasma is rather a precise criterion for estimat+on of the gonadotropic function of the pituitary gland at an earby stage of pregnancy and after abortion

  12. Staged regenerative sorption heat pump

    Science.gov (United States)

    Jones, Jack A. (Inventor)

    1995-01-01

    A regenerative adsorbent heat pump process and system for cooling and heating a space. A sorbent is confined in a plurality of compressors of which at least four are first stage and at least four are second stage. The first stage operates over a first pressure region and the second stage over a second pressure region which is higher than the first. Sorbate from the first stage enters the second stage. The sorbate loop includes a condenser, expansion valve, evaporator and the compressors. A single sorbate loop can be employed for single-temperature-control such as air conditioning and heating. Two sorbate loops can be used for two-temperature-control as in a refrigerator and freezer. The evaporator temperatures control the freezer and refrigerator temperatures. Alternatively the refrigerator temperature can be cooled by the freezer with one sorbate loop. A heat transfer fluid is circulated in a closed loop which includes a radiator and the compressors. Low temperature heat is exhausted by the radiator. High temperature heat is added to the heat transfer fluid entering the compressors which are desorbing vapor. Heat is transferred from compressors which are sorbing vapor to the heat transfer fluid, and from the heat transfer fluid to the compressors which are desorbing vapor. Each compressor is subjected to the following phases, heating to its highest temperature, cooling down from its highest temperature, cooling to its lowest temperature, and warming up from its lowest temperature. The phases are repeated to complete a cycle and regenerate heat.

  13. Namibian women and land.

    Science.gov (United States)

    Andima, J J

    1994-03-01

    More than 50% of Namibia's 1.5 million inhabitants live in reserved communal areas; most of these are women who make up a third of the country's total population. Women are the main food producers, but access to land, livestock, water, and fuelwood is determined for women by marriage arrangements and settlements. In some parts of the country, women can obtain land in their own right, but they suffer from such subtle discouragements as receiving inferior land or having their stock mysteriously disappear. In some villages, a fee must be paid to a village head upon the allocation of land. This fee guarantees land tenure until the death or eviction of the person who paid the fee. In some areas, only men or widows (and sometimes divorced women) are eligible, and widows must reapply for permission to stay on their husband's land. Women also have a heavy labor burden. Since most of the men migrate to the urban areas for wage employment, the women must tend livestock and harvest and store the grain as well as run their households. Woman also may be evicted from commercial farms if their husbands die. In some areas, all property reverts to a husband's family upon his death, and the wife must return to her own relative. In some tribes, widows must leave their houses empty-handed; their sisters-in-law inherit any stored grain or clothing available. Other tribes are more liberal, and property remains with the widow. In this case, a male relative will be assigned to help the widow manage the property. Reform efforts which attempt to end such abuses by bringing common and customary law in compliance with the Namibian constitution are having an effect. The Women and Law Committee of the Law Reform and the Development Commission is working with the Customary Law Commission to involve traditional leaders in the adaptation of customary law to modern requirements which make discrimination against women unlawful. Until woman have security of land tenure, they are unwilling to invest

  14. Assessing Readiness to Lose Weight among Obese Women Attending the Nutrition Clinic

    Directory of Open Access Journals (Sweden)

    Fatemeh Ghannadiasl

    2014-07-01

    Full Text Available Background: Assessing individual’s readiness to change and targeting the intervention to the level of readiness may improve successful weight loss rates. This study aimed to assess readiness for weight loss in obese women using the trans theoretical model. Methods: A cross-sectional study was conducted on 90 volunteer apparently healthy obese women, in Ardabil, Iran. Participants completed the translated and validated University of Rhode Island Change Assessment questionnaire in their first visit. Subjects were categorized into one of the stages of change based on the highest of four z-transformed scale scores. The readiness to change score was calculated. Results: More than half of the participants were in early stages of weight loss and 24.5% were in the action stage. The readiness score in the precontemplation stage was significantly lower than the other stages, but no significant difference was observed among the contemplation, action and maintenance stages. The significant correlation was observed between the stages of change and waist-to-hip ratio (r=0.33, P<0.05. Conclusion: Obese women attending the nutrition clinic are in different stages to change for weight loss. Understanding person specific stages of change orientates the dietitian to use the most appropriate counseling strategies. Hence the stages and readiness to change should be considered before implementing any intervention in clinical settings for optimal outcomes.

  15. Women Physicists in Academia

    Science.gov (United States)

    Berrah, Nora

    2010-02-01

    The last decade marked the emergence of several important studies and workshops worldwide that focused attention on women in science, technology, engineering and mathematics (STEM). The Committee on the Status of Women in Physics (CSWP) of the American Physical Society (APS) is very active in organizing national workshops and follow up ``conversations'' with physics departments and national laboratories [1,2] to address the gender gap in the field of physics. The International Union of Pure and Applied Physics (IUPAP) is also very devoted to this issue, and the US is involved by contributing our lesson learned and our plans to increase the number of women in physics. In the US, our goal of doubling the number of women in physics by 2022 is ambitious but could be achieved. I will present the present status on this issue and our plans for the future. [4pt] [1] http://www.aps.org/programs/women/workshops/gender-equity/index.cfm [0pt] [2] Report, ``Gender Equity: Strengthening the Physics Enterprise in Universities and National Laboratories'', 2007. )

  16. Working Women: Indian Perspective

    Directory of Open Access Journals (Sweden)

    Dharmendra MEHTA

    2014-06-01

    Full Text Available In India, due to unprecedented rise in the cost of living, ris-ing prices of commodities, growing expenses on children ed-ucation, huge rate of unemployment, and increasing cost of housing properties compel every Indian family to explore all the possible ways and means to increase the household income. It is also witnessed that after globalization Indian women are able to get more jobs but the work they get is more casual in nature or is the one that men do not prefer to do or is left by them to move to higher or better jobs. Working women refers to those in paid employment. They work as lawyers, nurses, doctors, teachers and secretaries etc. There is no profession today where women are not employed. University of Oxford’s Professor Linda Scott recently coined the term the Double X Economy to describe the global economy of women. The present paper makes an attempt to discuss issues and challenges that are being faced by Indian working women at their respective workstations.

  17. Celebrating women in physics

    CERN Multimedia

    Rolf Heuer

    2010-01-01

    Next Monday the 8th of March is International Women’s Day. In an ideal world, there would be no need for such an event – equality would be taken as read. But since the world is not there yet, let’s take the opportunity to celebrate women in physics, and indeed the full cultural diversity of our field. Perceived as a discipline dominated by men, reality has been diverging from that perception for a long time. Today at CERN, women play key roles in every aspect of the Organization’s activities.   On Women’s Day, we will be sending a clear message to all young women interested in science and engineering that this is also a field for them. In the CERN Control Centre, half of the Engineers-in-Charge who take responsibility for operating the world’s most powerful particle accelerator are women. In the experiments, in all CERN departments and in the management, women are increasingly represented. That’s because at CERN, and in particl...

  18. Collecting data on women's employment in rural Java.

    Science.gov (United States)

    Peluso, N L

    1979-01-01

    A research study was conducted to determine the economic roles of rural women in Java, Indonesia, who work outside the agricultural sector. The study was designed to create a system of job classification for small trade and industry which would distinguish among women's economic activities. The research consisted of 3 phases: 1) 8 case studies which included time observations of the women's days; 2) a household survey, selected according to the woman's primary occupation; and 3) a market survey among women traders of various commodities. The focus of the data collection was family roles and relationships and women's occupations. This collection of information is important because development and the introduction of technology in rural Indonesia is changing the fields of employment traditionally dominated by women. A summary of 1 of the case studies is presented. The data showed trends in occupational choice according to the life-cycle stage of the woman's family. It is hoped that these findings can be used in regional development planning geared to using the labor of rural women. PMID:538790

  19. Neuromuscular function in different stages of sarcopenia.

    Science.gov (United States)

    Morat, Tobias; Gilmore, Kevin J; Rice, Charles L

    2016-08-01

    This study applied the screening tool developed by the European Working Group on Sarcopenia in Older People (EWGSOP) on seniors aged over 65years and concurrently tested various laboratory-based indices of neuromuscular function. Twenty-four healthy and independent living older adults (9 men, 15 women) with a mean age of 79.1±5.8years participated. Based on gait speed, handgrip strength and muscle mass all subjects were categorized into one of the three conceptual sarcopenia stages (pre-sarcopenia, sarcopenia, severe sarcopenia). Maximal strength of dorsiflexors in the left leg was measured and voluntary activation was assessed by the interpolated twitch technique. In addition, isometric evoked contractile properties were recorded. Skeletal muscle mass was assessed by ultrasound from nine sites. There were roughly equal number of subjects in each sarcopenic category, and age was not different among the 3 groups. There were no differences in handgrip strength and skeletal muscle mass index among the 3 groups. Gait speed was significantly slower (psarcopenia group, and 51% slower (p=0.03) compared with the pre-sarcopenia group, but when normalized to peak torques there were no statistical differences. The laboratory tests found neuromuscular differences among the 3 groups which generally supported the classification scheme and helped to illustrate some key factors that could explain differences in functional capacities. These initial findings support the assumption that this categorization is relevant for identifying older adults with different neuromuscular properties. However, further studies are needed to provide more insight into the specific neuromuscular changes in the three sarcopenia stages, and how these changes relate to functional capacity. Such studies could ultimately contribute to identifying optimal interventions to improve neuromuscular functioning. PMID:27108183

  20. 1986 Index/Directory of Women's Media.

    Science.gov (United States)

    Allen, Martha Leslie, Ed.

    This is a directory of women's media, i.e., media primarily owned and operated by and for women. The mission of this annual publication is to aid networking among women, women's organizations, and women's media, both nationally and internationally. The directory includes two sections: women's media groups, and individual media women and…

  1. “Keeping the Boogie Man Away”: Medication Self-Management among Women Receiving Anastrozole Therapy

    Directory of Open Access Journals (Sweden)

    Karen Wickersham

    2012-01-01

    Full Text Available The oral hormonal agent anastrozole improves clinical outcomes for women with breast cancer, but women have difficulty taking it for the five-year course. The unique medication-taking experiences related to self-management of anastrozole therapy for women with early stage breast cancer are not known. Our purpose was to describe the medication-taking experiences for postmenopausal women with early stage breast cancer who were prescribed a course of anastrozole therapy. Twelve women aged 58 to 67 years, midway through therapy, participated in audio-recorded interviews. Women’s medication-taking experiences involved a belief in their importance and an imperative to take anastrozole. We found that women’s side effect experiences, particularly menopausal symptoms, were significant, but only one woman stopped anastrozole due to side effects. Medication-taking included routinization interconnected with remembering/forgetting and a storage strategy. Some women noted a mutual medication-taking experience with their spouse, but most felt taking anastrozole was something they had to do alone. Our results provide insight into the way some women with early stage breast cancer manage their hormonal therapy at approximately the midpoint of treatment. Next steps should include examinations of patient-provider communication, potential medication-taking differences between pre- and postmenopausal women, and the effects of medication-taking on clinical outcomes.

  2. Women and the labyrinth of leadership.

    Science.gov (United States)

    Eagly, Alice H; Carli, Linda L

    2007-09-01

    Two decades ago, people began using the "glass ceiling" catchphrase to describe organizations' failure to promote women into top leadership roles. Eagly and Carli, of Northwestern University and Wellesley College, argue in this article (based on a forthcoming book from Harvard Business School Press) that the metaphor has outlived its usefulness. In fact, it leads managers to overlook interventions that would attack the problem at its roots, wherever it occurs. A labyrinth is a more fitting image to help organizations understand and address the obstacles to women's progress. Rather than depicting just one absolute barrier at the penultimate stage of a distinguished career, a labyrinth conveys the complexity and variety of challenges that can appear along the way. Passage through a labyrinth requires persistence, awareness of one's progress, and a careful analysis of the puzzles that lie ahead. Routes to the center exist but are full of twists and turns, both expected and unexpected. Vestiges of prejudice against women, issues of leadership style and authenticity, and family responsibilities are just a few of the challenges. For instance, married mothers now devote even more time to primary child care per week than they did in earlier generations (12.9 hours of close interaction versus 10.6), despite the fact that fathers, too, put in a lot more hours than they used to (6.5 versus 2.6). Pressures for intensive parenting and the increasing demands of most high-level careers have left women with very little time to socialize with colleagues and build professional networks--that is, to accumulate the social capital that is essential to managers who want to move up. The remedies proposed--such as changing the long-hours culture, using open-recruitment tools, and preparing women for line management with appropriately demanding assignments--are wide ranging, but together they have a chance of achieving leadership equity in our time. PMID:17886484

  3. Women and the labyrinth of leadership.

    Science.gov (United States)

    Eagly, Alice H; Carli, Linda L

    2007-09-01

    Two decades ago, people began using the "glass ceiling" catchphrase to describe organizations' failure to promote women into top leadership roles. Eagly and Carli, of Northwestern University and Wellesley College, argue in this article (based on a forthcoming book from Harvard Business School Press) that the metaphor has outlived its usefulness. In fact, it leads managers to overlook interventions that would attack the problem at its roots, wherever it occurs. A labyrinth is a more fitting image to help organizations understand and address the obstacles to women's progress. Rather than depicting just one absolute barrier at the penultimate stage of a distinguished career, a labyrinth conveys the complexity and variety of challenges that can appear along the way. Passage through a labyrinth requires persistence, awareness of one's progress, and a careful analysis of the puzzles that lie ahead. Routes to the center exist but are full of twists and turns, both expected and unexpected. Vestiges of prejudice against women, issues of leadership style and authenticity, and family responsibilities are just a few of the challenges. For instance, married mothers now devote even more time to primary child care per week than they did in earlier generations (12.9 hours of close interaction versus 10.6), despite the fact that fathers, too, put in a lot more hours than they used to (6.5 versus 2.6). Pressures for intensive parenting and the increasing demands of most high-level careers have left women with very little time to socialize with colleagues and build professional networks--that is, to accumulate the social capital that is essential to managers who want to move up. The remedies proposed--such as changing the long-hours culture, using open-recruitment tools, and preparing women for line management with appropriately demanding assignments--are wide ranging, but together they have a chance of achieving leadership equity in our time.

  4. Muslim Women in Women’s Travel Literature of the 19th and 20th Century

    Directory of Open Access Journals (Sweden)

    Uroš Dokl

    2013-06-01

    Full Text Available In this article I examine the position of women in Islam, from the beginning of the 19th century till the end of the Second World War, through the eyes of female travel writers. The first women travellers who set out for the Middle East were the first outsiders to be accepted into women’s societies in the Islamic world, and thus they entered the life behind the veil. Comparing writers’ encounters with Muslim women and the Muslim world in general, I describe Muslim women throughout various stages of life.

  5. Banking on women's spirit.

    Science.gov (United States)

    Yunus, M

    1993-11-01

    An interview with Professor Mummadad Yunus, Managing Director of the Grameen Bank, revealed that he has provided loans to poor women in Bangladesh since 1976 and that the Grameen Bank has continued his work since 1983. The idea behind the banking system is that poor people without traditionally accepted collateral are good credit risks. In 1993, the Grameen Bank had operations in 33,000 out of a possible 68,000 villages in Bangladesh. The operations include 1030 branches and a staff of 12,000 people. 1.6 million people are recipients of loans, of whom 94% are women. The population served is the poorest and has no experience in income generation. Conclusions drawn from this experience are that women are better managers of resources and are more serious entrepreneurs than men and that the benefits of loan programs for the poor go directly to children and households. Women's self-image suffers from negative social conceptions, and one task is to convince women of their value, skills, and possibility of advancement. The bank philosophy rests with the belief that all human beings are a "treasure of potential possibilities." Women are advised to protect their money and marriage and not to sacrifice one for the other. Husbands initially are against money going to wives, but eventually they understand that the family benefits. Over 200,000 loans have been made for the provision of housing. The loan requirement is that the woman must own the land on which the house is built. Husband's have the opportunity to transfer title of the land to the wife. Ownership of land provides security for the wife.

  6. Promoting nutrition in breastfeeding women.

    Science.gov (United States)

    Wilson, Patty R; Pugh, Linda C

    2005-01-01

    Nurses have a vital role in providing nutritional education to breastfeeding women. In this article, the authors discuss the nutritional requirements for breast-feeding women in terms of micronutrients, macronutrients, and minerals. They provide recommendations for women with vegetarian diets and low-income women enrolled in the Special Supplemental Nutrition Program for Women, Infants, and Children program who may have dietary deficiencies, and they present a directed case study to provide an example of how to perform a dietary assessment and the educational support that may be offered by nurses to breastfeeding women.

  7. Women as Agents

    DEFF Research Database (Denmark)

    Košťál, Jaroslav; Pristed Nielsen, Helene

    2011-01-01

    This part of the project report contain an overview of some quantitative characteristics of the Eurosphere interview data, with a specific view to addressing the two broad research areas ‘where are the women?’ and ‘gendering as a process'. We consider two aspects of whether gender matters...... for the overall research questions of the project: I) women´s position/presence within the organizations, and II) gender differences in attitudes towards key questions in the interview guide....

  8. Women Doctors in 1914

    Institute of Scientific and Technical Information of China (English)

    1998-01-01

    THE five women shown here are doctors. Eighty-four years ago, they sat for this photographic portrait. The photo depicts the tasteful combination of East and West. While the photographic studio was decorated in the European style, the women doctors were dressed in traditional Chinese fashion with their hair coiled in Japanese style. We can also see that though the ladies were in vogue for their time, they still displayed shyness facing a male photographer, as most can be observed shifting their eyesight away from the lens.

  9. Women\\'s Retirement Income Satisfaction and Saving Behaviors

    OpenAIRE

    Hsu, Chungwen

    2013-01-01

    Retirement saving research frequently has investigated the differences between working men and working women and primarily focused on the near retirement and retirement years. There is limited research targeting young to old working-age women including those who do not work for pay and are unemployed.The purpose of this study was to examine what factors affect non-retired working-age (25 years and older) women\\'s retirement saving behaviors, retirement savings, and retirement income satisfact...

  10. Revising You the Staging for Pancreatic Cancer in 2012

    OpenAIRE

    Muhammad Wasif Saif

    2012-01-01

    In 2010, there were an estimated 43,140 new cases of pancreatic ductal adenocarcinoma and 36,800 deaths from pancreatic cancer in the United States [1]. This represents the 10th most common cancer diagnosis but the 4th most common cause of cancer-related death among men and women (6% of all cancer-related deaths), highlighting the disproportionate mortality associated with this diagnosis [2]. Why is Staging so Important? Sadly, only 20% patients are “resectable” at the time of diagnosis...

  11. Current relevance of cervical ultrasonography in staging cancer of the esophagus and gastroesophageal junction

    NARCIS (Netherlands)

    Schreurs, Liesbeth; Verhoef, C.C.; van der Jagt, E.J.; van Dam, G.M.; Groen, H.; Plukker, J.T.

    2008-01-01

    Purpose: To evaluate the value of external ultrasonography (US) of the neck in current dedicated preoperative staging of patients with cancer of the esophagus and gastroesophageal junction (GEJ). Materials and methods: We analyzed 180 consecutive patients (154 men, 26 women, and mean age 63 (38-84)

  12. Indicators for intervention during the expulsive second-stage arrest of labour

    NARCIS (Netherlands)

    E. Leushuis; M. Tromp; A.C.J. Ravelli; A.M. van Huis; B.W. Mol; G.H.A. Visser; J.A.M. van der Post

    2009-01-01

    Objective To identify antepartum and intrapartum indicators of obstetric interventions during the expulsive second-stage arrest of labour. Design Retrospective cohort study. Setting The Netherlands. Population A cohort of 389 086 women with singleton, cephalic, term, live-birth deliveries from 2002

  13. New Scholarship on Academic Women: Beyond "Women's Ways."

    Science.gov (United States)

    Twombly, Susan B.

    1999-01-01

    Reviews four recent books on academic women. Collectively, they suggest that new scholarship on academic women is more international, reflects a postmodern attention to difference and power, rejects "women's ways" feminism as a sufficient response, and seeks to reclaim issues of power, authority, and politics through attention to policy.…

  14. Does Sex Influence the Impact That Smoking, Treatment Interruption and Impaired Pulmonary Function Have on Outcomes in Limited Stage Small Cell Lung Cancer Treatment?

    Directory of Open Access Journals (Sweden)

    Gregory MM Videtic

    2005-01-01

    Full Text Available PURPOSE: To look for survival differences between men and women with limited stage small cell lung cancer (LS-SCLC by examining stratified variables that impair treatment efficacy.

  15. Prognostic value of breast cancer subtypes on breast cancer specific survival, distant metastases and local relapse rates in conservatively managed early stage breast cancer: a retrospective clinical study

    OpenAIRE

    Sanpaolo, Pietro; Barbieri, Viviana; Genovesi, Domenico

    2011-01-01

    International audience To ascertain if breast cancer subtypes had prognostic effect on breast cancer specific survival, distant metastases and local relapse rates in women affected by early stage breast cancer.

  16. WOMEN AND EXERCISE

    OpenAIRE

    Tarran, Leanne

    1995-01-01

    This paper examines the social attitudes and expectations that limit women's freedom to move in the world. The history of gendered attitudes to exercise, current gendered differences in patterns of exercise and issues of body image and ageing are discussed. The importance of these issues when considering exercise as a preventative health measure is emphasised.

  17. HIV among Women

    Science.gov (United States)

    ... VIH En Español Get Tested Find an HIV testing site near you. Enter ZIP code or city Follow HIV/AIDS CDC HIV CDC HIV/AIDS See RSS | ... Email Updates on HIV Syndicated Content Website Feedback HIV Among Women Language: English Español (Spanish) Format: Select ...

  18. Women in Cyberspace.

    Science.gov (United States)

    Lucek, Linda E.

    Although the early settlements in cyberspace have tended to be male-dominated, diversity does exist on the Internet. In fact, a 1994-95 study revealed that women comprise 34% of Internet users. Feminism, as it came of age in the 1960s, often equated technoscience with the Vietnam War and with forces in opposition to nature and life. Postmodern…

  19. Hemostatic disorders in women.

    Science.gov (United States)

    Kadir, R A; Davies, J

    2013-06-01

    The past few decades have seen major advances in multidisciplinary obstetric care and management of gynecological conditions in women with bleeding disorders. Awareness of the impact of bleeding disorders has improved among the obstetric and gynecological community. Undiagnosed bleeding disorders can be the underlying cause for a significant proportion of women with heavy menstrual bleeding. They may also be the cause or a contributory factor for other gynecological problems, such as dysmenorrhea, intermenstrual bleeding, and endometriosis. Hemostatic assessment should be considered in women referred for menstrual abnormalities if they have a positive bleeding history as quantified by bleeding assessment tools. The reproductive choices and options for prenatal diagnosis are also expanding for families with hemophilia with a drive toward achieving a non-invasive approach. Current non-invasive prenatal diagnostic techniques are limited to identification of fetal gender. Research is ongoing to overcome the specific diagnostic challenges of identifying hemophilia mutations, utilizing free fetal DNA circulating in maternal plasma. The management of obstetric hemorrhage has recently evolved to include a greater focus on the identification of and early treatment for coagulation disorders. Deficiencies in certain hemostatic variables are associated with progression to more severe bleeding; therefore, specific interventions have been proposed to target this. Evidence is still lacking to support such strategy, and future research is required to assess the efficacy and the safety of these hemostatic interventions in women with persistent PPH. PMID:23809121

  20. Women, Power, and Libraries.

    Science.gov (United States)

    Schuman, Patricia Glass

    1984-01-01

    Discusses the concept of power in the context of women and the library profession, citing views of power by Max Weber, John Kenneth Galbraith, Letty Cottin Pogrebin, and Rosabeth Moss Kantor. Male power and female submission, defining power, organizing for power, and sharing power are highlighted. A 12-item bibliography is included. (EJS)