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Women's understanding

Victoria Shelus, Nicki Ashcroft, Sarah Burgess, Monica Giuffrida, Victoria Jennings
CONTEXT: Given the proportion of Kenyan women not using hormonal contraceptives, the country appears to have a substantial need for a modern, natural family planning option. The CycleBeads® mobile phone application (app), a digital platform for the Standard Days Method® of family planning, could help address this issue. METHODS: After the CycleBeads app was promoted in Kenya in May-June 2015, a three-month pilot study was conducted to collect quantitative and qualitative data from 185 female app users...
September 1, 2017: International Perspectives on Sexual and Reproductive Health
Julie H Hernandez, Mbadu Muanda, Mélissa Garcia, Grace Matawa
CONTEXT: Despite the commitment of the Democratic Republic of the Congo (DRC) to expand the family planning method mix and increase access to services, awareness of emergency contraception is low among women, and the method remains underused and poorly integrated in family planning programming. METHODS: Data from 15 focus group discussions conducted in 2016 among women aged 15-35 were used to examine awareness and perceptions of, and attitudes toward, emergency contraceptives...
September 1, 2017: International Perspectives on Sexual and Reproductive Health
Hendia Abu Nabaa', Nisreen Shelleh
BACKGROUND: The mammogram is considered a life-saving breast cancer screening procedure for women aged 40 years and older, yet uptake of mammography services by Palestinian women is very low. Breast cancer is the most common cancer, comprising 17% of all reported cancer cases, and the second leading cause of death in women in the occupied Palestinian territory. The aim of this study was to understand the barriers to mammography uptake through an exploratory qualitative study in Ramallah and Salfeet...
February 21, 2018: Lancet
Abeer A Nasir, Razan Salah, Abla Sayyed Ahmad, Samah Abu Hijleh, Sa'eed Abu Kattab, Alia Al Kurd, Rawan Al Sharif, Raed Amro, Ahmad Khatib, Hana' Mousa, Walaa Shamasnah, Khammisa Shqerat, Rita Giacaman
BACKGROUND: Hamm is an Arabic word that is used to express suffering. Idioms of distress are communicated differently in different contexts and cultures. Understanding idioms of distress and symptoms can help in diagnosis and lead to socioculturally sensitive health care. METHODS: In this qualitative study, we did semi-structured interviews with men and women of all age groups. Questions focused on the definition, causes, and consequences of Hamm. Responses were analysed by reading and re-reading interview transcripts until themes and subthemes emerged...
February 21, 2018: Lancet
Jessica L Combs, Elizabeth N Riley, Sarah J Peterson, Carol E Jordan, Gregory T Smith
OBJECTIVE: Exposure to sexual assault results in ongoing harms for women. After an assault, some women engage in higher levels of externalizing behaviors, such as problem drinking, and others experience higher levels of internalizing dysfunction, such as symptoms of anxiety and depression. We sought to understand the role of premorbid factors on the different post-assault experiences of women. METHOD: We studied 1,929 women prospectively during a period of high risk for sexual assault (the first year of college): women were assessed in July before arriving at college and in April near the end of the school year...
March 2018: Journal of Studies on Alcohol and Drugs
Nobuhisa Morimoto, Chikako Kasuga, Airi Tanaka, Keiko Kamachi, Masumi Ai, Kevin Y Urayama, Akira Tanaka
An easily understandable index that measures the quality of carbohydrate may aid people in adopting dietary habits that improve their glucose tolerance. We aimed to evaluate the relationship between a ratio of dietary fibre to carbohydrate intakes (fibre:carbohydrate ratio (F:C-R)) and glucose tolerance cross-sectionally and longitudinally. Subjects were 190 Japanese men and women without type 2 diabetes (mean age 55·4 years) who participated in a 5-month diet and exercise programme. We compared baseline anthropometric, dietary and metabolic profiles between those with higher F:C-R and those with lower ratios...
March 2018: British Journal of Nutrition
Damien J Lazar, Jonathan D Lichtenstein, David J Tybor
Background: Ultimate Frisbee (ultimate) is a fast-growing, popular sport played nationally by over 4 million athletes. While several studies have examined injury rates in ultimate, no work has investigated the prevalence of concussions specifically or players' knowledge and management of those injuries. Purpose: To estimate the lifetime prevalence of concussions in ultimate and to assess players' knowledge of concussions as well as their concussion management behaviors...
March 2018: Orthopaedic Journal of Sports Medicine
Xi Song, Qiyang Shen, Liting Fan, Qiuxiao Yu, Xiao Jia, Yu Sun, Wenpei Bai, Jihong Kang
Polycystic ovary syndrome (PCOS) is the most common endocrinopathy in women of reproductive age and also an important metabolic disorder associated with insulin resistance (IR). Hyperandrogenism is a key feature of PCOS. However, whether hyperandrogenism can cause IR in PCOS remains largely unknown. The mammalian target of rapamycin complex 1 (mTORC1) and its regulated autophagy are closely associated with IR. In the present study, we investigated the role of mTORC1-autophagy pathway in skeletal muscle IR in a dehydroepiandrosterone (DHEA)-induced PCOS mouse model...
February 23, 2018: Oncotarget
Olivia Falconer, Marie-Louise Newell, Christine E Jones
The success of prevention of mother to child transmission programs over the last two decades has led to an increasing number of infants who are exposed to human immunodeficiency virus (HIV), but who are not themselves infected (HIV-exposed, uninfected infants). Although the morbidity and mortality among HIV-exposed, uninfected infants is considerably lower than that among HIV-infected infants, they may remain at increased risk of infections in the first 2 years of life compared with their HIV-unexposed peers, especially in the absence of breastfeeding...
2018: Frontiers in Immunology
Gayathri Priyadarshni Elangovan, Jananni Muthu, Indra Kumar Periyasamy, Pratebha Balu, R Saravana Kumar
Background: The differences in the oral health status between the individuals with a high socioeconomic status (SES) and those with a low SES had markedly increased. There is, however, minimal information available on women understanding the need of dental hygiene for overall health and whether pregnant women comply with the current oral health strategies. In Lieu with the above, the present study aims to assess the awareness, dental hygiene practices, and the frequency of dental visits during pregnancy in postnatal women who delivered preterm low birth weight babies of different SES in and around Puducherry...
November 2017: Journal of Indian Society of Periodontology
Annah K Bender, Nishesh Chalise
Perception of domestic violence is a frequently used indicator of women's empowerment. It is, however, thought to be a binary variable, where women either justify wife beating or they do not. In the Nepal Demographic Health Survey, empowerment is 'high' if the woman answers no to one of five circumstances of wife beating. This study develops a Latent Class Analysis model to determine whether there are categories of women who endorsed some type of violence but not others. A more nuanced measure of perception of domestic violence would improve our understanding on women's empowerment...
2018: International Social Work
Amanda I Lynch, Elizabeth McGowan, Kerstyn C Zalesin
BACKGROUND: Obesity can develop during any life stage. Understanding the contexts within which obesity develops can inform our understanding of the disease and help tailor interventions specific to life stages. OBJECTIVE: Using life-course theory as a guiding framework, this study aimed to explain the development of obesity in bariatric surgery patients by creating personalized weight trajectories. DESIGN: Qualitative methods using semistructured interviews were used to uncover participants' experiences with and explanations for the development of obesity...
March 15, 2018: Journal of the Academy of Nutrition and Dietetics
Audrey Lyndon, Jennifer Malana, Laura C Hedli, Jules Sherman, Henry C Lee
OBJECTIVE: To explore women's birth experiences to develop an understanding of their perspectives on patient safety during hospital-based birth. DESIGN: Qualitative description using thematic analysis of interview data. PARTICIPANTS: Seventeen women ages 29 to 47 years. METHODS: Women participated in individual or small group interviews about their birth experiences, the physical environment, interactions with clinicians, and what safety meant to them in the context of birth...
March 15, 2018: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
Kathryn J Gray, Louise E Wilkins-Haug
Prenatal aneuploidy screening changed significantly in 2012 when cell-free fetal deoxyribonucleic acid (DNA) was introduced as a noninvasive prenatal test. A noninvasive prenatal test detects cell free fragments of fetal DNA from the placenta circulating in maternal blood that coexist with cell-free DNA (cfDNA) of maternal origin. Using next-generation sequencing, the noninvasive prenatal test compares maternal and fetal cfDNA ratios for chromosomes of interest (i.e., 21, 18, 13, X, and Y) to assess chromosomal aneuploidy...
April 2018: Pediatric Radiology
Allison Milner, Tania King, Anthony D LaMontagne, Rebecca Bentley, Anne Kavanagh
This longitudinal investigation assesses the extent to which the gender composition of an occupation (e.g., the extent to which an occupation is comprised of males versus females) has an impact on mental health. We used 14 annual waves of the Household Income Labour Dynamics in Australia (HILDA) study to construct a measure representing the gender ratio of an occupation. The outcome measure was the Mental Health Inventory (MHI-5). A Mundlak model was used to compare within and between person effects, after controlling for possible confounders...
March 12, 2018: Social Science & Medicine
Elia Wyverkens, Marieke Dewitte, Ellen Deschepper, Joke Corneillie, Lien Van der Bracht, Dina Van Regenmortel, Kim Van Cleempoel, Noortje De Boose, Petra Prinssen, Guy T'Sjoen
INTRODUCTION: 10 years ago, Meston and Buss (Arch Sex Behav 2007;36:477-507) identified 237 reasons for having sex. Since then, only a few studies have built on the analyses of differences in sexual motivation. AIM: To replicate the YSEX? in a broader sample of women and men of different ages. METHODS: Women and men younger than 18 (n = 141), 18 to 22 (n = 1,039), 22 to 55 (n = 2,804), and at least 55 (n = 667) years old completed an online survey about their reasons for engaging in sex during the past year...
March 14, 2018: Journal of Sexual Medicine
Carolien J Aantjes, Andrew Gilmoor, Elena V Syurina, Tamaryn L Crankshaw
OBJECTIVE: To conduct a systematic review of the status of post-abortion care (PAC) provision in Eastern and Southern Africa with particular reference to reach, quality and costs of these services. STUDY DESIGN: We searched Pubmed, EMBASE, Science Direct, POPLINE and Web of Science for articles published between 2000 and October 2017 presenting primary or secondary data from one or more countries in the region. RESULTS: Seventy articles representing data from fourteen countries were abstracted and included in the review...
March 14, 2018: Contraception
Kathleen W Zhang, Brian S Finkelman, Gaurav Gulati, Hari K Narayan, Jenica Upshaw, Vivek Narayan, Ted Plappert, Virginia Englefield, Amanda M Smith, Carina Zhang, W Gregory Hundley, Bonnie Ky
OBJECTIVES: The objective of this study was to evaluate the changes in three-dimensional (3D) speckle-tracking echocardiography-derived measures of mechanics and their associations with systolic and diastolic dysfunction after anthracyclines. BACKGROUND: An improved understanding of the changes in 3D cardiac mechanics with anthracyclines may provide important mechanistic insight and identify new metrics to detect cardiac dysfunction. METHODS: A total of 142 women with breast cancer receiving doxorubicin (240 mg/m2 ) with or without trastuzumab underwent 3D speckle-tracking echocardiography at standardized intervals prior to, during, and annually after chemotherapy...
March 9, 2018: JACC. Cardiovascular Imaging
Laura A V Marlow, Rebecca A Ferrer, Amanda J Chorley, Jessica B Haddrell, Jo Waller
Understanding factors associated with different types of cancer screening non-participation will help with the development of more targeted approaches for improving informed uptake. This study explored patterns of general health beliefs and behaviour, and cancer-specific beliefs across different types of cervical screening non-participants using the Precaution Adoption Process Model (PAPM). A population-representative sample of women in Britain completed a home-based survey in 2016. Women classified as non-participants (n = 839) completed additional questions about health beliefs...
March 15, 2018: Preventive Medicine
Daniel B Kopans
It is important to understand the history of breast cancer screening to better understand the continuing effort to reduce access to screening. Since the randomized, controlled trials have shown a statistically significant mortality reduction for women ages 40-74, the appropriate threshold for initiating screening is age 40 with no data to support the use of the age of 50 as a threshold for screening. All women are at risk for developing breast cancer and all women should have access to screening.
March 2018: Clinical Imaging
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