Background: The sexual function is an essential aspect of life for women irrespective of age because it is closely correlated with overall wellbeing and relationship satisfaction. Female Sexual Dysfunction (FSD) is a ...Background: The sexual function is an essential aspect of life for women irrespective of age because it is closely correlated with overall wellbeing and relationship satisfaction. Female Sexual Dysfunction (FSD) is a common public health issue that is defined as one or more problems of female sexual desire, arousal, orgasm and/or sexual pain/discomfort that leads to significant distress. Aim: This study aimed to assess the female sexual function among Libyan women. Methods and materials: This descriptive cross-sectional study was carried out at Tripoli University Hospital over six months duration between January and June 2024. It included 314 female participants who attended the hospital during that period. The data underwent analysis and prescription via a computerized program of SPSS version 24. Results: The most frequent age range was between 26 to 35 years accounting for 54.8% (172). The mean duration of marriage was 7.42 years ± 7.228 SD. The majority of participants were multipara accounting for 79.9% (251). Based on the classification of female sexual dysfunction severity, 41.7% (131) of participants had mild to moderate severity followed by 32.2% (101) had mild severity with an overall female sexual dysfunction rate of 81.2% (255). Based on female sexual function characteristics, 28.3% (89) had abnormal desire, 22% (69) had abnormal arousal, 55.4% (174) had abnormal lubrication, 24.5% (77) had undetected orgasm, 23.2% (73) had inappropriate satisfaction and 19.1% (60) had pain. Conclusion: The overall rate of female sexual dysfunction among Libyan women was (81.2%) which is considered high but with low severity, (41.7%) had mild to moderate dysfunction followed by (32.2%) with mild dysfunction. These findings had significant effects on sexual life and marital status which require a basic strategy approach to increase sexual awareness and marital counseling among couples and to avoid adverse sexual dysfunction consequences such as divorce, marital problems, insufficient sexual satisfaction, and psychosocial concern.展开更多
BACKGROUND Economic violence is a type of domestic violence in which an intimate partner attempts to oppress,restrict,or direct a female by exercising control over her financial resources.AIM To explore the impact of ...BACKGROUND Economic violence is a type of domestic violence in which an intimate partner attempts to oppress,restrict,or direct a female by exercising control over her financial resources.AIM To explore the impact of economic abuse on individual work performance and clarify the effective factors on financial exploitation among physicians and nurses.METHODS The study has a cross-sectional design,and 305 married,female physicians and nurses working in a university hospital were included.Data was collected with demographic characteristics forms,“Revised Scale of Economic Abuse”and“Individual Work Performance Questionnaire”.Pearson correlation,comparative analyses,and internal consistency reliability tests were used.RESULTS The average age was 39.04±9.41.Among the respondents 69.2%were nurses and 63.9%held a bachelor’s degree.The mean score for the Revised Scale of Economic Abuse was 2.80±4.73 while it was 3.86±0.60 for the Individual Work Performance Questionnaire.CONCLUSION Our study revealed no relationship between economic abuse and individual work performance,confirming that nurses are exposed to more economic abuse and exploitation than physicians and exhibit higher work performance.展开更多
Background:Preparticipation examinations(PPEs)are unstandardized screening tools routinely used to collect an athlete's baseline health information prior to the start of a new competitive season.However,many PPEs ...Background:Preparticipation examinations(PPEs)are unstandardized screening tools routinely used to collect an athlete's baseline health information prior to the start of a new competitive season.However,many PPEs include minimal and often nonspecific questions related to the health concerns of female athletes.A lack of female athlete specific health questions could result in missed red flags and subsequent injury or illness.As such,the objectives of this scoping review were to(a)determine what female athlete specific health questions currently exist in PPEs in the scientific literature to prevent injury and illness,and(b)map the results against the health domains outlined in the International Olympic Committee(IOC)consensus statement supplement on the female athlete.Methods:We searched Embase,Scopus,CINAHL,Medline Ovid,and SPORTDiscus from inception to December 2022.Any study with female athlete specific health PPE questions or recommendations for questions(i.e.,menstrual health,eating habits,musculoskeletal health,etc.)was included.Three reviewers independently screened titles and abstracts,followed by full text articles for eligibility and data extraction,with conflicts resolved by a third-party reviewer.Extracted data were summarized into 3 determined groupings.Results:Of the 1356 studies screened,41 were included in this study.Forty studies(98%)included questions/recommendations related to menstrual health.Thirty-one studies(76%)had questions/recommendations concerning disordered eating/eating habits.Twenty-four studies(59%)referred to body weight/image,and 16 studies(39%)referred to musculoskeletal health.No studies included questions on all IOC female athlete health domains.Conclusion:There is currently a gap in female athlete specific health content included in PPEs.A more comprehensive,standardized PPE with a focus on inclusion of female athlete specific health questions and considerations should be developed to improve health and optimal participation of female athletes around the world.展开更多
Early-life stress(ES)leads to cognitive dysfunction in female adolescents,but the underlying neural mechanisms remain elusive.Recent evidence suggests that the cell adhesion molecules NECTIN1 and NECTIN3 play a role i...Early-life stress(ES)leads to cognitive dysfunction in female adolescents,but the underlying neural mechanisms remain elusive.Recent evidence suggests that the cell adhesion molecules NECTIN1 and NECTIN3 play a role in cognition and ES-related cognitive deficits in male rodents.In this study,we aimed to investigate whether and how nectins contribute to ES-induced cognitive dysfunction in female adolescents.Applying the well-established limited bedding and nesting material paradigm,we found that ES impairs recognition memory,suppresses prefrontal NECTIN1 and hippocampal NECTIN3 expression,and upregulates corticotropin-releasing hormone(Crh)and its receptor 1(Crhr1)mRNA levels in the hippocampus of adolescent female mice.Genetic experiments revealed that the reduction of dorsal CA1(dCA1)NECTIN3 mediates ES-induced object recognition memory deficits,as knocking down dCA1 NECTIN3 impaired animals’performance in the novel object recognition task,while overexpression of dCA1 NECTIN3 successfully reversed the ES-induced deficits.Notably,prefrontal NECTIN1 knockdown did not result in significant cognitive impairments.Furthermore,acute systemic administration of antalarmin,a CRHR1 antagonist,upregulated hippocampal NECTIN3 levels and rescued object and spatial memory deficits in stressed mice.Our findings underscore the critical role of dCA1 NECTIN3 in mediating ES-induced object recognition memory deficits in adolescent female mice,highlighting it as a potential therapeutic target for stress-related psychiatric disorders in women.展开更多
Citrus,which has been consumed internationally for a long time,is widely used as a health food.Citrus and its active components exert significant effects on oxidative stress and lipid metabolism,which are closely asso...Citrus,which has been consumed internationally for a long time,is widely used as a health food.Citrus and its active components exert significant effects on oxidative stress and lipid metabolism,which are closely associated with female reproductive health.Studies suggest that citrus-derived compounds may alleviate oxidative stress by activating signaling pathways such as nuclear factor erythroid 2-related factor 2(Nrf2)and Sirtuin 1(SIRT1),and improve lipid metabolism through the activation of pathways such as peroxisome proliferator-activated receptorα(PPARα).This review focuses on the effects of Citrus on oxidative stress and lipid metabolism,aiming to provide new insights for promoting female reproductive health;however,further work is needed to elucidate the mechanisms involved and validate the therapeutic potential of Citrus’s bioactive components in clinical settings.展开更多
Background:Existing hepatocellular carcinoma(HCC)prediction models lack transferability and generalizability when applied to female populations,resulting in diminished performance and inadequate tools for accurate HCC...Background:Existing hepatocellular carcinoma(HCC)prediction models lack transferability and generalizability when applied to female populations,resulting in diminished performance and inadequate tools for accurate HCC risk stratification among females.This study aims to develop and validate a score-based prediction model for early detection of HCC in female hepatitis B surface antigen(HBsAg)carriers.Methods:Participants were recruited from a multicenter prospective cohort engaged in liver cancer screening across China including seven high-risk rural areas and one additional high-risk rural area.The study involved 7080 females as the derivation cohort and 2069 as the validation cohort,with all participants aged 35-70 years and HBsAg positive.Laboratory tests and epidemiological surveys were conducted.Key predictor variables were identified through LASSO regression analysis,and score-based prediction models were developed based on Cox proportional hazards model.Model performance including discrimination and calibration was evaluated,and compared to existing prediction models and screening strategies.Results:After a median follow-up of 3.69 and 5.42 years,147 and 45 HCC cases were identified in the derivation and validation cohorts,respectively.The female HCC(HCCF)model incorporating five independent variables:age,α-fetoprotein(AFP),albumin,alanine aminotransferase,and platelet,showed excellent performance with an area under the receiver operating characteristic curve(AUC)of 0.82(95%CI:0.78-0.86).The HCCF-Enhanced model which included cirrhosis,achieved an AUC of 0.85(95%CI:0.81-0.89).Both models demonstrated superior predictive performance than existing models,with strong predictive accuracy in the validation cohort:AUCs of 0.83(95%CI:0.77-0.89)and 0.88(95%CI:0.83-0.92),respectively.The HCCF model,at a score threshold of 7,achieved the largest Youden’s index and identified 32.80%of high-risk individuals.When combined with ultrasonography(US),the model detected 37 additional cases,significantly improved screening sensitivity and accuracy compared to the traditional AFP plus US strategy.Conclusions:The developed HCCF models with good performance for HCC prediction in HBsAg-positive females significantly improve screening efficiency and provide an effective tool for surveillance,ultimately helping to optimize prevention and management strategies for HCC.展开更多
In brood-parasitic Cuculus cuckoos,male vocalizations are species-specific and easily distinguishable,whereas female calls are remarkably similar across species,making species identification challenging.In this study,...In brood-parasitic Cuculus cuckoos,male vocalizations are species-specific and easily distinguishable,whereas female calls are remarkably similar across species,making species identification challenging.In this study,we examined the structural characteristics and variability of female bubbling calls among four Cuculus species(Common Cuckoo C.canorus,Oriental Cuckoo C.optatus,Indian Cuckoo C.micropterus,and Lesser Cuckoo C.poliocephalus)breeding in South Korea.Comprehensive acoustic analyses of seven call parameters,using recordings from 2021 to 2023,were conducted to quantify the characteristics of their calls and compare withinand between-individual variability across species.Significant differences were found across all call parameters,with the Common Cuckoo producing the highest number of notes and the Oriental Cuckoo the lowest-frequency calls.Despite these differences,the overall structure of the calls remained acoustically similar,with overlapping characteristics across species.Furthermore,female Common Cuckoos exhibited greater within-individual variability in their calls,while the other species showed higher between-individual variability,which may further complicate species identification based vocalization alone.These findings highlight the complexities of female vocalizations in Cuculus cuckoos and suggest that ecological,social,and evolutionary factors may contribute to this vocal variability.展开更多
Objective:To investigate the potential efficacy and safety of Lutai Danshen Baishao granules(LDBG)for treating female melasma associated with kidney deficiency and blood stasis patterns.Methods:A randomized,double-bli...Objective:To investigate the potential efficacy and safety of Lutai Danshen Baishao granules(LDBG)for treating female melasma associated with kidney deficiency and blood stasis patterns.Methods:A randomized,double-blind,placebo-controlled trial was conducted at the Third Central Hospital of Tianjin,China from March to December 2023.A total of 110 female patients with melasma linked to kidney deficiency and blood stasis were enrolled and treated with either LDBG or a placebo twice daily for 60 days.Efficacy was assessed through measures such as the total melasma area,reduced melasma area,reduction rate of melasma area,melasma color score,Melasma Area and Severity Index(MASI)score,and traditional Chinese medicine(TCM)symptom score scale.Safety assessments included routine blood and biochemical tests.Results:Participants in both groups were aged 52-63 years,with no significant differences.After the 2-month intervention,the total melasma area decreased in both groups;however,a greater reduction was observed in the test group[462.50 mm^(2)(12.81%)vs.100.00 mm2(3.11%),P<.001].Moreover,LDBG treatment significantly reduced the MASI and melasma color scores in the test group(P<.05).The total TCM symptom evaluation score significantly decreased(test group:6.00 vs.placebo group:7.00,P=.001),with significant relief in symptoms such as improvement in dark lips,nails,and waist soreness in the test group,compared with that in the placebo group(P<.05).Within-group comparisons revealed that TCM syndrome was significantly alleviated in the test group(P<.05).Conclusion:LDBG intervention shows promising effectiveness in reducing female melasma and alleviating TCM syndromes.展开更多
Understanding mixed infections in the female lower genital tract is a critical challenge in modern infection research.The interplay of multiple pathogens complicates disease progression,often resulting in treatment fa...Understanding mixed infections in the female lower genital tract is a critical challenge in modern infection research.The interplay of multiple pathogens complicates disease progression,often resulting in treatment failure,recurrent infections,and significant public health and economic burdens.These infections are further exacerbated by disrupted host immune responses,which hinder the recovery of the vaginal microecosystem.Additionally,microbial biofilms—a fundamental mode of pathogen coexistence—contribute to the persistence and drug resistance of these infections,complicating management strategies.This review examines the pathogenesis,diagnosis,and treatment of mixed infections in the female lower genital tract while exploring potential avenues for future research.These findings emphasize the need for greater focus on these infections and offer insights to enhance further research in this area.展开更多
BACKGROUND Primary signet ring cell carcinoma of the urethra in women is an exceedingly rare malignancy.It was first reported in postmenopausal women in 1987,and only five patients have been reported to date.CASE SUMM...BACKGROUND Primary signet ring cell carcinoma of the urethra in women is an exceedingly rare malignancy.It was first reported in postmenopausal women in 1987,and only five patients have been reported to date.CASE SUMMARY A 61-year-old woman presented with irregular vaginal bleeding,and subsequent evaluation identified a tumor located in the distal urethra.Upon diagnosis of primary urethral carcinoma,she underwent a distal urethrectomy.Histopathological analysis demonstrated that the tumor consisted of a combination of intestinal adenocarcinoma and signet ring cell carcinoma.At the 12-month postoperative follow-up,there was no evidence of disease recurrence.CONCLUSION This case report highlights the exceptional rarity of female urethral signet ring cell carcinoma,emphasizing the importance of early clinical detection and the necessity for precise and conservative surgical intervention.展开更多
Membrane-initiated estrogen receptorα(mERα)signaling has been shown to affect bone mass in murine models.However,it remains unknown which cell types mediate the mERα-dependent effects on bone.In this study,we gener...Membrane-initiated estrogen receptorα(mERα)signaling has been shown to affect bone mass in murine models.However,it remains unknown which cell types mediate the mERα-dependent effects on bone.In this study,we generated a novel mouse model with a conditional C451A mutation in Esr1,which enables selective knockout of the palmitoylation site essential for the membrane localization of ERα(C451A^(f/f)).First,we used Runx2-Cre mice to generate Runx2-C451A^(f/f)mice with conditional inactivation of mERαsignaling in Runx2-expressing osteoblast lineage cells.No significant changes were observed in body weight,weights of estrogen-responsive organs,or serum concentrations of estradiol between female Runx2-C451A^(f/f)and homozygous C451A^(f/f)littermate controls.High-resolution microcomputed tomography analysis showed a consistent decrease in cortical bone mass in the tibia,femur,and vertebra L5 of Runx2-C451A^(f/f)mice and three-point bending analysis of humerus revealed an impaired mechanical bone strength in Runx2-C451A^(f/f)female mice compared to controls.Additionally,primary osteoblast cultures from mice lacking mERαsignaling showed impaired differentiation compared to controls.展开更多
Background:Female fish farmers in coastal Bangladesh face significant reproductive health(RH)challenges due to occupational,nutritional,and sociocultural factors.However,their health burdens have been largely overlook...Background:Female fish farmers in coastal Bangladesh face significant reproductive health(RH)challenges due to occupational,nutritional,and sociocultural factors.However,their health burdens have been largely overlooked in labor and health policies.Objectives:This study aims to investigate the prevalence,severity,determinants,and emotional and relationship consequences of RH morbidities among female fish farmers in Shyamnagar,Satkhira,Bangladesh.Methods:A cross-sectional survey with structured questionnaires was conducted among 297 female fish farmers.Data were supplemented by rural appraisal activities.Descriptive statistics,chi-square tests,Poisson regression,and Structural Equation Modeling were used for analysis.Results:The study found that 59.60%(177/297)of participants suffered from moderate to severe uterine issues,remarkably menstrual irregularities(92.65%,164/177),backache(59.32%,105/177),pelvic and fatigue pain(42.37%,75/177),anemia(28.24%,50/177),with the"21-30"year age group bearing a higher physiological burden with greater relational and emotional disruptions than“31-40”year age group,and“41-50”year age group women.High exposure to occupational chemicals(81.82%,243/297)and lack of personal protective equipment(93.94%,279/297)were key contributors.Access to formal healthcare is limited due to financial hardships(85.86%,255/297),social stigma(51.52%,153/297),and inadequate health services(46.47%,138/297).Structural Equation Modeling results also revealed significant associations among RH morbidities,emotional distress,social isolation,and diminishing well-being.Conclusion:The study highlights the urgent need for integrated health policies addressing reproductive care,occupational safety,and mental health support for female fish farmers in coastal Bangladesh.Addressing these issues will improve their health,well-being,and resilience.展开更多
Background: In the global burden of non-communicable diseases, the top slot among them all is occupied by various cardiovascular diseases (CVD), which also claim primacy in mortality rates. Generally speaking, the pat...Background: In the global burden of non-communicable diseases, the top slot among them all is occupied by various cardiovascular diseases (CVD), which also claim primacy in mortality rates. Generally speaking, the pathophysiological pathway frequently involves either (or a combination of) elevated serum cholesterol levels, predominantly attributed to dietary patterns characterized by extremely high levels of saturated and trans-fat consumption. Day-to-day nutritional epidemiology among university students suggests that they represent a crucial demographic for the study of preventive interventions. Objective: This in-depth study and investigation were specifically aimed to quantitatively assess and compare prevailing patterns of dietary fat consumption between female students enrolled in health sciences and non-health sciences programs at major universities in Riyadh, Saudi Arabia. Methodology: This cross-sectional study was comprised of 434 Saudi female university students (age range: 18 - 25 years), utilizing a validated Block Dietary Fat Screener accompanied by anthropometric measurements and comprehensive demographic data collection. The sampling methodology consisted of a snowball technique that was spread across three major academic institutions in Riyadh. Results: Statistical analysis revealed a significant association between academic specialization and patterns of dietary fat consumption (p = 0.012). Paradoxically, students of health science exhibited a higher prevalence of very high fat intake (41.9%) compared with their non-health sciences counterparts (27.6%). Surprisingly, anthropometric stratification revealed that it was the underweight students who demonstrated very high levels of fat consumption. A notable socioeconomic gradient was observed, with students from households earning 15,000 - 20,000 SR monthly showing the highest prevalence of very high-fat consumption (47.1%), although this association did not achieve statistical significance (p = 0.104). Conclusion: These findings challenge the conventional assumption that health sciences education correlates with superior dietary behaviors. The data suggests a critical need for enhanced education in nutrition, as well as intervention using various behavioral programs across all academic disciplines, particularly those addressing the disconnect between nutritional knowledge and dietary practices among students of health sciences. Future longitudinal studies are warranted in order to elucidate the temporal relationship between academic specialization and dietary behaviors.展开更多
The 19th century was a significant period for feminine literature.Louisa May Alcott,a representative female writer of the time,created numerous romance novels.Her masterpiece Little Women follows the growth experience...The 19th century was a significant period for feminine literature.Louisa May Alcott,a representative female writer of the time,created numerous romance novels.Her masterpiece Little Women follows the growth experiences of the four March sisters and illustrates their the pursuit of independence under family education.This paper will analyze how family education impacts the characters’growth and explore the formation of female independence.展开更多
This study employs leadership contingency theory and resource dependency theory,utilizing financial data from Shanghai and Shenzhen A-share listed companies between 2012 and 2021.Ultimately,data samples from 4,742 com...This study employs leadership contingency theory and resource dependency theory,utilizing financial data from Shanghai and Shenzhen A-share listed companies between 2012 and 2021.Ultimately,data samples from 4,742 companies were selected to empirically examine the impact and moderating role of female executives on corporate digital transformation.Findings reveal that the proportion of female executives positively promotes corporate digital transformation.Further analysis indicates that female executives drive digital transformation by enhancing corporate innovation investment and risk control capabilities.Supported by the heterogeneity analysis,it shows that this effect is more pronounced in high-tech industries,non-state-owned enterprises,and companies in economically developed regions.This study provides a gender-perspective theoretical explanation for the drivers of digital transformation and offers practical insights for optimizing corporate executive teams.展开更多
Angela Carter’s short story,The Bloody Chamber,was created by rewriting the fairy tale Bluebeard,which expressed her strong feminist views.Based on the theory of spatial criticism,this paper is meant to interpret the...Angela Carter’s short story,The Bloody Chamber,was created by rewriting the fairy tale Bluebeard,which expressed her strong feminist views.Based on the theory of spatial criticism,this paper is meant to interpret the growth of the heroine in The Bloody Chamber.It analyzes the nameless bride’s growth process of searching for her true self in the novel from the three levels:social space,physical space and psychological space.展开更多
Objective: The purpose of this study was to evaluate health education using videos and leaflets for preconception care (PCC) awareness among adolescent females up to six months after the health education. Methods: The...Objective: The purpose of this study was to evaluate health education using videos and leaflets for preconception care (PCC) awareness among adolescent females up to six months after the health education. Methods: The subjects were female university students living in the Kinki area. A longitudinal survey was conducted on 67 members in the intervention group, who received the health education, and 52 members in the control group, who did not receive the health education. The primary outcome measures were knowledge of PCC and the subscales of the Health Promotion Lifestyle Profile. Surveys were conducted before, after, and six months after the intervention in the intervention group, and an initial survey and survey six months later were conducted in the control group. Cochran’s Q test, Bonferroni’s multiple comparison test, and McNemar’s test were used to analyze the knowledge of PCC data. The Health Awareness, Nutrition, and Stress Management subscales of the Health Promotion Lifestyle Profile were analyzed by paired t-test, and comparisons between the intervention and control groups were performed using the two-way repeated measures analysis of variance. Results: In the intervention group of 67 people, the number of subjects who answered “correct” for five of the nine items concerning knowledge of PCC increased immediately after the health education (P = 0.006) but decreased for five items from immediately after the health education to six months later (P = 0.043). In addition, the number of respondents who answered “correct” for “low birth weight infants and future lifestyle-related diseases” (P = 0.016) increased after six months compared with before the health education. For the 52 subjects in the control group, there was no change in the number of subjects who answered “correct” for eight out of the nine items after six months. There was also no increase in scores for the Health Promotion Lifestyle Profile after six months for either the intervention or control group. Conclusion: Providing health education about PCC using videos and leaflets to adolescent females was shown to enhance the knowledge of PCC immediately after the education.展开更多
Premenstrual and menstrual exacerbation of psychiatric disorders is a significant area of concern in female mental health.Many females experience a worsening of psychiatric symptoms in the premenstrual and menstrual p...Premenstrual and menstrual exacerbation of psychiatric disorders is a significant area of concern in female mental health.Many females experience a worsening of psychiatric symptoms in the premenstrual and menstrual phases of their menstrual cycle,including heightened anxiety,depression,irritability,and mood swings.These exacerbations are most commonly associated with premenstrual syndrome and premenstrual dysphoric disorder that are characterized by severe emotional and physical symptoms that interfere with daily functioning.The hormonal fluctuations during the menstrual cycle,particularly changes in estrogen and progesterone levels,are believed to play a pivotal role in these exacerbations.Psychiatric disorders such as depression,anxiety,bipolar disorder,and schizophrenia may be influenced by these hormonal changes,with many females reporting an increase in symptom severity during specific phases of the cycle.The mechanisms behind this phenomenon remain complex,with both biological and psychosocial factors contributing to the heightened vulnerability.Clinical management includes careful monitoring of symptom patterns in relation to the menstrual cycle,with treatment options ranging from lifestyle modifications and psychotherapy to pharmacological interventions such as antidepressants and hormonal therapies.Understanding the link between menstruation and psychiatric disorders is essential for improving diagnosis and tailoring effective treatment strategies for affected individuals.展开更多
The purpose of this study was to find out the perceived effects of FGM （female genital mutilation） on gender sports performance： implications to sports administration and management in Nigeria. A total of 250 purpo...The purpose of this study was to find out the perceived effects of FGM （female genital mutilation） on gender sports performance： implications to sports administration and management in Nigeria. A total of 250 purposively selected regular female athletes from five Nigerian universities （two federal universities, two state universities and one private university）, in the south-East Geopolitical zone of the country. A self structured questionnaire with reliability value of 0.73. The test-retest method was used for data collection. Data collected were subjected to descriptive statistics of frequency, percentage and Chi-square inferential statistics at 0.05 level of significance. Findings revealed that majority perceived FGM as harmful and detrimental to excellent sports performance, administration and management. Based on the result of the study, it was therefore recommended that government should design programmes aimed at improving the education of the girl-child as this has been identified as one of the factors which will help to change the attitude of mothers towards the practice of FGM.展开更多
文摘Background: The sexual function is an essential aspect of life for women irrespective of age because it is closely correlated with overall wellbeing and relationship satisfaction. Female Sexual Dysfunction (FSD) is a common public health issue that is defined as one or more problems of female sexual desire, arousal, orgasm and/or sexual pain/discomfort that leads to significant distress. Aim: This study aimed to assess the female sexual function among Libyan women. Methods and materials: This descriptive cross-sectional study was carried out at Tripoli University Hospital over six months duration between January and June 2024. It included 314 female participants who attended the hospital during that period. The data underwent analysis and prescription via a computerized program of SPSS version 24. Results: The most frequent age range was between 26 to 35 years accounting for 54.8% (172). The mean duration of marriage was 7.42 years ± 7.228 SD. The majority of participants were multipara accounting for 79.9% (251). Based on the classification of female sexual dysfunction severity, 41.7% (131) of participants had mild to moderate severity followed by 32.2% (101) had mild severity with an overall female sexual dysfunction rate of 81.2% (255). Based on female sexual function characteristics, 28.3% (89) had abnormal desire, 22% (69) had abnormal arousal, 55.4% (174) had abnormal lubrication, 24.5% (77) had undetected orgasm, 23.2% (73) had inappropriate satisfaction and 19.1% (60) had pain. Conclusion: The overall rate of female sexual dysfunction among Libyan women was (81.2%) which is considered high but with low severity, (41.7%) had mild to moderate dysfunction followed by (32.2%) with mild dysfunction. These findings had significant effects on sexual life and marital status which require a basic strategy approach to increase sexual awareness and marital counseling among couples and to avoid adverse sexual dysfunction consequences such as divorce, marital problems, insufficient sexual satisfaction, and psychosocial concern.
文摘BACKGROUND Economic violence is a type of domestic violence in which an intimate partner attempts to oppress,restrict,or direct a female by exercising control over her financial resources.AIM To explore the impact of economic abuse on individual work performance and clarify the effective factors on financial exploitation among physicians and nurses.METHODS The study has a cross-sectional design,and 305 married,female physicians and nurses working in a university hospital were included.Data was collected with demographic characteristics forms,“Revised Scale of Economic Abuse”and“Individual Work Performance Questionnaire”.Pearson correlation,comparative analyses,and internal consistency reliability tests were used.RESULTS The average age was 39.04±9.41.Among the respondents 69.2%were nurses and 63.9%held a bachelor’s degree.The mean score for the Revised Scale of Economic Abuse was 2.80±4.73 while it was 3.86±0.60 for the Individual Work Performance Questionnaire.CONCLUSION Our study revealed no relationship between economic abuse and individual work performance,confirming that nurses are exposed to more economic abuse and exploitation than physicians and exhibit higher work performance.
基金supported by the Ontario Women's Health Scholars Postdoctoral awarda Western's Bone&Joint Institute Collaborative Training in Musculoskeletal Heath Program Trainee Award.
文摘Background:Preparticipation examinations(PPEs)are unstandardized screening tools routinely used to collect an athlete's baseline health information prior to the start of a new competitive season.However,many PPEs include minimal and often nonspecific questions related to the health concerns of female athletes.A lack of female athlete specific health questions could result in missed red flags and subsequent injury or illness.As such,the objectives of this scoping review were to(a)determine what female athlete specific health questions currently exist in PPEs in the scientific literature to prevent injury and illness,and(b)map the results against the health domains outlined in the International Olympic Committee(IOC)consensus statement supplement on the female athlete.Methods:We searched Embase,Scopus,CINAHL,Medline Ovid,and SPORTDiscus from inception to December 2022.Any study with female athlete specific health PPE questions or recommendations for questions(i.e.,menstrual health,eating habits,musculoskeletal health,etc.)was included.Three reviewers independently screened titles and abstracts,followed by full text articles for eligibility and data extraction,with conflicts resolved by a third-party reviewer.Extracted data were summarized into 3 determined groupings.Results:Of the 1356 studies screened,41 were included in this study.Forty studies(98%)included questions/recommendations related to menstrual health.Thirty-one studies(76%)had questions/recommendations concerning disordered eating/eating habits.Twenty-four studies(59%)referred to body weight/image,and 16 studies(39%)referred to musculoskeletal health.No studies included questions on all IOC female athlete health domains.Conclusion:There is currently a gap in female athlete specific health content included in PPEs.A more comprehensive,standardized PPE with a focus on inclusion of female athlete specific health questions and considerations should be developed to improve health and optimal participation of female athletes around the world.
基金supported by the National Natural Science Foundation of China(82271569,82001418,82371530,82171529,and 82071528)the Beijing Natural Science Foundation(7222236)the Capital Medical Development Research Fund(2022-1-4111)。
文摘Early-life stress(ES)leads to cognitive dysfunction in female adolescents,but the underlying neural mechanisms remain elusive.Recent evidence suggests that the cell adhesion molecules NECTIN1 and NECTIN3 play a role in cognition and ES-related cognitive deficits in male rodents.In this study,we aimed to investigate whether and how nectins contribute to ES-induced cognitive dysfunction in female adolescents.Applying the well-established limited bedding and nesting material paradigm,we found that ES impairs recognition memory,suppresses prefrontal NECTIN1 and hippocampal NECTIN3 expression,and upregulates corticotropin-releasing hormone(Crh)and its receptor 1(Crhr1)mRNA levels in the hippocampus of adolescent female mice.Genetic experiments revealed that the reduction of dorsal CA1(dCA1)NECTIN3 mediates ES-induced object recognition memory deficits,as knocking down dCA1 NECTIN3 impaired animals’performance in the novel object recognition task,while overexpression of dCA1 NECTIN3 successfully reversed the ES-induced deficits.Notably,prefrontal NECTIN1 knockdown did not result in significant cognitive impairments.Furthermore,acute systemic administration of antalarmin,a CRHR1 antagonist,upregulated hippocampal NECTIN3 levels and rescued object and spatial memory deficits in stressed mice.Our findings underscore the critical role of dCA1 NECTIN3 in mediating ES-induced object recognition memory deficits in adolescent female mice,highlighting it as a potential therapeutic target for stress-related psychiatric disorders in women.
基金supported by the National Natural Science Foundation of China(No.82374510)the General Scientific Research Project of the Education Department of Zhejiang Province(No.Y202455593),China.
文摘Citrus,which has been consumed internationally for a long time,is widely used as a health food.Citrus and its active components exert significant effects on oxidative stress and lipid metabolism,which are closely associated with female reproductive health.Studies suggest that citrus-derived compounds may alleviate oxidative stress by activating signaling pathways such as nuclear factor erythroid 2-related factor 2(Nrf2)and Sirtuin 1(SIRT1),and improve lipid metabolism through the activation of pathways such as peroxisome proliferator-activated receptorα(PPARα).This review focuses on the effects of Citrus on oxidative stress and lipid metabolism,aiming to provide new insights for promoting female reproductive health;however,further work is needed to elucidate the mechanisms involved and validate the therapeutic potential of Citrus’s bioactive components in clinical settings.
基金supported by the Capital’s Funds for Health Improve-ment and Research(grant number:2024-1G-4023)。
文摘Background:Existing hepatocellular carcinoma(HCC)prediction models lack transferability and generalizability when applied to female populations,resulting in diminished performance and inadequate tools for accurate HCC risk stratification among females.This study aims to develop and validate a score-based prediction model for early detection of HCC in female hepatitis B surface antigen(HBsAg)carriers.Methods:Participants were recruited from a multicenter prospective cohort engaged in liver cancer screening across China including seven high-risk rural areas and one additional high-risk rural area.The study involved 7080 females as the derivation cohort and 2069 as the validation cohort,with all participants aged 35-70 years and HBsAg positive.Laboratory tests and epidemiological surveys were conducted.Key predictor variables were identified through LASSO regression analysis,and score-based prediction models were developed based on Cox proportional hazards model.Model performance including discrimination and calibration was evaluated,and compared to existing prediction models and screening strategies.Results:After a median follow-up of 3.69 and 5.42 years,147 and 45 HCC cases were identified in the derivation and validation cohorts,respectively.The female HCC(HCCF)model incorporating five independent variables:age,α-fetoprotein(AFP),albumin,alanine aminotransferase,and platelet,showed excellent performance with an area under the receiver operating characteristic curve(AUC)of 0.82(95%CI:0.78-0.86).The HCCF-Enhanced model which included cirrhosis,achieved an AUC of 0.85(95%CI:0.81-0.89).Both models demonstrated superior predictive performance than existing models,with strong predictive accuracy in the validation cohort:AUCs of 0.83(95%CI:0.77-0.89)and 0.88(95%CI:0.83-0.92),respectively.The HCCF model,at a score threshold of 7,achieved the largest Youden’s index and identified 32.80%of high-risk individuals.When combined with ultrasonography(US),the model detected 37 additional cases,significantly improved screening sensitivity and accuracy compared to the traditional AFP plus US strategy.Conclusions:The developed HCCF models with good performance for HCC prediction in HBsAg-positive females significantly improve screening efficiency and provide an effective tool for surveillance,ultimately helping to optimize prevention and management strategies for HCC.
基金supported by Basic Science Research Program through the National Research Foundation of Korea(NRF)funded by The Ministry of Education(NRF-2020R1I1A2063567)。
文摘In brood-parasitic Cuculus cuckoos,male vocalizations are species-specific and easily distinguishable,whereas female calls are remarkably similar across species,making species identification challenging.In this study,we examined the structural characteristics and variability of female bubbling calls among four Cuculus species(Common Cuckoo C.canorus,Oriental Cuckoo C.optatus,Indian Cuckoo C.micropterus,and Lesser Cuckoo C.poliocephalus)breeding in South Korea.Comprehensive acoustic analyses of seven call parameters,using recordings from 2021 to 2023,were conducted to quantify the characteristics of their calls and compare withinand between-individual variability across species.Significant differences were found across all call parameters,with the Common Cuckoo producing the highest number of notes and the Oriental Cuckoo the lowest-frequency calls.Despite these differences,the overall structure of the calls remained acoustically similar,with overlapping characteristics across species.Furthermore,female Common Cuckoos exhibited greater within-individual variability in their calls,while the other species showed higher between-individual variability,which may further complicate species identification based vocalization alone.These findings highlight the complexities of female vocalizations in Cuculus cuckoos and suggest that ecological,social,and evolutionary factors may contribute to this vocal variability.
基金funded by the National Key Research and Development Plan of the Traditional Chinese Medicine Modernization Research Key Project(2018YFC1706800).
文摘Objective:To investigate the potential efficacy and safety of Lutai Danshen Baishao granules(LDBG)for treating female melasma associated with kidney deficiency and blood stasis patterns.Methods:A randomized,double-blind,placebo-controlled trial was conducted at the Third Central Hospital of Tianjin,China from March to December 2023.A total of 110 female patients with melasma linked to kidney deficiency and blood stasis were enrolled and treated with either LDBG or a placebo twice daily for 60 days.Efficacy was assessed through measures such as the total melasma area,reduced melasma area,reduction rate of melasma area,melasma color score,Melasma Area and Severity Index(MASI)score,and traditional Chinese medicine(TCM)symptom score scale.Safety assessments included routine blood and biochemical tests.Results:Participants in both groups were aged 52-63 years,with no significant differences.After the 2-month intervention,the total melasma area decreased in both groups;however,a greater reduction was observed in the test group[462.50 mm^(2)(12.81%)vs.100.00 mm2(3.11%),P<.001].Moreover,LDBG treatment significantly reduced the MASI and melasma color scores in the test group(P<.05).The total TCM symptom evaluation score significantly decreased(test group:6.00 vs.placebo group:7.00,P=.001),with significant relief in symptoms such as improvement in dark lips,nails,and waist soreness in the test group,compared with that in the placebo group(P<.05).Within-group comparisons revealed that TCM syndrome was significantly alleviated in the test group(P<.05).Conclusion:LDBG intervention shows promising effectiveness in reducing female melasma and alleviating TCM syndromes.
基金supported by a grant from the National Natural Science Foundation of China(No.81874483).
文摘Understanding mixed infections in the female lower genital tract is a critical challenge in modern infection research.The interplay of multiple pathogens complicates disease progression,often resulting in treatment failure,recurrent infections,and significant public health and economic burdens.These infections are further exacerbated by disrupted host immune responses,which hinder the recovery of the vaginal microecosystem.Additionally,microbial biofilms—a fundamental mode of pathogen coexistence—contribute to the persistence and drug resistance of these infections,complicating management strategies.This review examines the pathogenesis,diagnosis,and treatment of mixed infections in the female lower genital tract while exploring potential avenues for future research.These findings emphasize the need for greater focus on these infections and offer insights to enhance further research in this area.
基金Supported by the Science and Technology Bureau Foundation of Jinhua,No.2021-4-300 and No.2020-3-062The Zhejiang Provincial Medical and Health Science and Technology Plan,No.2025KY1752。
文摘BACKGROUND Primary signet ring cell carcinoma of the urethra in women is an exceedingly rare malignancy.It was first reported in postmenopausal women in 1987,and only five patients have been reported to date.CASE SUMMARY A 61-year-old woman presented with irregular vaginal bleeding,and subsequent evaluation identified a tumor located in the distal urethra.Upon diagnosis of primary urethral carcinoma,she underwent a distal urethrectomy.Histopathological analysis demonstrated that the tumor consisted of a combination of intestinal adenocarcinoma and signet ring cell carcinoma.At the 12-month postoperative follow-up,there was no evidence of disease recurrence.CONCLUSION This case report highlights the exceptional rarity of female urethral signet ring cell carcinoma,emphasizing the importance of early clinical detection and the necessity for precise and conservative surgical intervention.
基金supported by the Swedish Research Council(2017-01286,2020-01840)the Swedish state under the agreement between the Swedish government and the county councils(ALF-agreement)(ALFGBG721581)+2 种基金the Gustaf V 80-years fund(FAI-2018-0466)the IngaBritt and Arne Lundberg Foundation(LU2017-0076)the Novo Nordisk Foundation(26844).
文摘Membrane-initiated estrogen receptorα(mERα)signaling has been shown to affect bone mass in murine models.However,it remains unknown which cell types mediate the mERα-dependent effects on bone.In this study,we generated a novel mouse model with a conditional C451A mutation in Esr1,which enables selective knockout of the palmitoylation site essential for the membrane localization of ERα(C451A^(f/f)).First,we used Runx2-Cre mice to generate Runx2-C451A^(f/f)mice with conditional inactivation of mERαsignaling in Runx2-expressing osteoblast lineage cells.No significant changes were observed in body weight,weights of estrogen-responsive organs,or serum concentrations of estradiol between female Runx2-C451A^(f/f)and homozygous C451A^(f/f)littermate controls.High-resolution microcomputed tomography analysis showed a consistent decrease in cortical bone mass in the tibia,femur,and vertebra L5 of Runx2-C451A^(f/f)mice and three-point bending analysis of humerus revealed an impaired mechanical bone strength in Runx2-C451A^(f/f)female mice compared to controls.Additionally,primary osteoblast cultures from mice lacking mERαsignaling showed impaired differentiation compared to controls.
文摘Background:Female fish farmers in coastal Bangladesh face significant reproductive health(RH)challenges due to occupational,nutritional,and sociocultural factors.However,their health burdens have been largely overlooked in labor and health policies.Objectives:This study aims to investigate the prevalence,severity,determinants,and emotional and relationship consequences of RH morbidities among female fish farmers in Shyamnagar,Satkhira,Bangladesh.Methods:A cross-sectional survey with structured questionnaires was conducted among 297 female fish farmers.Data were supplemented by rural appraisal activities.Descriptive statistics,chi-square tests,Poisson regression,and Structural Equation Modeling were used for analysis.Results:The study found that 59.60%(177/297)of participants suffered from moderate to severe uterine issues,remarkably menstrual irregularities(92.65%,164/177),backache(59.32%,105/177),pelvic and fatigue pain(42.37%,75/177),anemia(28.24%,50/177),with the"21-30"year age group bearing a higher physiological burden with greater relational and emotional disruptions than“31-40”year age group,and“41-50”year age group women.High exposure to occupational chemicals(81.82%,243/297)and lack of personal protective equipment(93.94%,279/297)were key contributors.Access to formal healthcare is limited due to financial hardships(85.86%,255/297),social stigma(51.52%,153/297),and inadequate health services(46.47%,138/297).Structural Equation Modeling results also revealed significant associations among RH morbidities,emotional distress,social isolation,and diminishing well-being.Conclusion:The study highlights the urgent need for integrated health policies addressing reproductive care,occupational safety,and mental health support for female fish farmers in coastal Bangladesh.Addressing these issues will improve their health,well-being,and resilience.
文摘Background: In the global burden of non-communicable diseases, the top slot among them all is occupied by various cardiovascular diseases (CVD), which also claim primacy in mortality rates. Generally speaking, the pathophysiological pathway frequently involves either (or a combination of) elevated serum cholesterol levels, predominantly attributed to dietary patterns characterized by extremely high levels of saturated and trans-fat consumption. Day-to-day nutritional epidemiology among university students suggests that they represent a crucial demographic for the study of preventive interventions. Objective: This in-depth study and investigation were specifically aimed to quantitatively assess and compare prevailing patterns of dietary fat consumption between female students enrolled in health sciences and non-health sciences programs at major universities in Riyadh, Saudi Arabia. Methodology: This cross-sectional study was comprised of 434 Saudi female university students (age range: 18 - 25 years), utilizing a validated Block Dietary Fat Screener accompanied by anthropometric measurements and comprehensive demographic data collection. The sampling methodology consisted of a snowball technique that was spread across three major academic institutions in Riyadh. Results: Statistical analysis revealed a significant association between academic specialization and patterns of dietary fat consumption (p = 0.012). Paradoxically, students of health science exhibited a higher prevalence of very high fat intake (41.9%) compared with their non-health sciences counterparts (27.6%). Surprisingly, anthropometric stratification revealed that it was the underweight students who demonstrated very high levels of fat consumption. A notable socioeconomic gradient was observed, with students from households earning 15,000 - 20,000 SR monthly showing the highest prevalence of very high-fat consumption (47.1%), although this association did not achieve statistical significance (p = 0.104). Conclusion: These findings challenge the conventional assumption that health sciences education correlates with superior dietary behaviors. The data suggests a critical need for enhanced education in nutrition, as well as intervention using various behavioral programs across all academic disciplines, particularly those addressing the disconnect between nutritional knowledge and dietary practices among students of health sciences. Future longitudinal studies are warranted in order to elucidate the temporal relationship between academic specialization and dietary behaviors.
文摘The 19th century was a significant period for feminine literature.Louisa May Alcott,a representative female writer of the time,created numerous romance novels.Her masterpiece Little Women follows the growth experiences of the four March sisters and illustrates their the pursuit of independence under family education.This paper will analyze how family education impacts the characters’growth and explore the formation of female independence.
文摘This study employs leadership contingency theory and resource dependency theory,utilizing financial data from Shanghai and Shenzhen A-share listed companies between 2012 and 2021.Ultimately,data samples from 4,742 companies were selected to empirically examine the impact and moderating role of female executives on corporate digital transformation.Findings reveal that the proportion of female executives positively promotes corporate digital transformation.Further analysis indicates that female executives drive digital transformation by enhancing corporate innovation investment and risk control capabilities.Supported by the heterogeneity analysis,it shows that this effect is more pronounced in high-tech industries,non-state-owned enterprises,and companies in economically developed regions.This study provides a gender-perspective theoretical explanation for the drivers of digital transformation and offers practical insights for optimizing corporate executive teams.
文摘Angela Carter’s short story,The Bloody Chamber,was created by rewriting the fairy tale Bluebeard,which expressed her strong feminist views.Based on the theory of spatial criticism,this paper is meant to interpret the growth of the heroine in The Bloody Chamber.It analyzes the nameless bride’s growth process of searching for her true self in the novel from the three levels:social space,physical space and psychological space.
文摘Objective: The purpose of this study was to evaluate health education using videos and leaflets for preconception care (PCC) awareness among adolescent females up to six months after the health education. Methods: The subjects were female university students living in the Kinki area. A longitudinal survey was conducted on 67 members in the intervention group, who received the health education, and 52 members in the control group, who did not receive the health education. The primary outcome measures were knowledge of PCC and the subscales of the Health Promotion Lifestyle Profile. Surveys were conducted before, after, and six months after the intervention in the intervention group, and an initial survey and survey six months later were conducted in the control group. Cochran’s Q test, Bonferroni’s multiple comparison test, and McNemar’s test were used to analyze the knowledge of PCC data. The Health Awareness, Nutrition, and Stress Management subscales of the Health Promotion Lifestyle Profile were analyzed by paired t-test, and comparisons between the intervention and control groups were performed using the two-way repeated measures analysis of variance. Results: In the intervention group of 67 people, the number of subjects who answered “correct” for five of the nine items concerning knowledge of PCC increased immediately after the health education (P = 0.006) but decreased for five items from immediately after the health education to six months later (P = 0.043). In addition, the number of respondents who answered “correct” for “low birth weight infants and future lifestyle-related diseases” (P = 0.016) increased after six months compared with before the health education. For the 52 subjects in the control group, there was no change in the number of subjects who answered “correct” for eight out of the nine items after six months. There was also no increase in scores for the Health Promotion Lifestyle Profile after six months for either the intervention or control group. Conclusion: Providing health education about PCC using videos and leaflets to adolescent females was shown to enhance the knowledge of PCC immediately after the education.
文摘Premenstrual and menstrual exacerbation of psychiatric disorders is a significant area of concern in female mental health.Many females experience a worsening of psychiatric symptoms in the premenstrual and menstrual phases of their menstrual cycle,including heightened anxiety,depression,irritability,and mood swings.These exacerbations are most commonly associated with premenstrual syndrome and premenstrual dysphoric disorder that are characterized by severe emotional and physical symptoms that interfere with daily functioning.The hormonal fluctuations during the menstrual cycle,particularly changes in estrogen and progesterone levels,are believed to play a pivotal role in these exacerbations.Psychiatric disorders such as depression,anxiety,bipolar disorder,and schizophrenia may be influenced by these hormonal changes,with many females reporting an increase in symptom severity during specific phases of the cycle.The mechanisms behind this phenomenon remain complex,with both biological and psychosocial factors contributing to the heightened vulnerability.Clinical management includes careful monitoring of symptom patterns in relation to the menstrual cycle,with treatment options ranging from lifestyle modifications and psychotherapy to pharmacological interventions such as antidepressants and hormonal therapies.Understanding the link between menstruation and psychiatric disorders is essential for improving diagnosis and tailoring effective treatment strategies for affected individuals.
文摘The purpose of this study was to find out the perceived effects of FGM （female genital mutilation） on gender sports performance： implications to sports administration and management in Nigeria. A total of 250 purposively selected regular female athletes from five Nigerian universities （two federal universities, two state universities and one private university）, in the south-East Geopolitical zone of the country. A self structured questionnaire with reliability value of 0.73. The test-retest method was used for data collection. Data collected were subjected to descriptive statistics of frequency, percentage and Chi-square inferential statistics at 0.05 level of significance. Findings revealed that majority perceived FGM as harmful and detrimental to excellent sports performance, administration and management. Based on the result of the study, it was therefore recommended that government should design programmes aimed at improving the education of the girl-child as this has been identified as one of the factors which will help to change the attitude of mothers towards the practice of FGM.
