Gender Issues最新文献

Background: Post-operative pancreatic fistula (POPF) is a major cause of morbidity following pancreatoduodenectomy. The risk of POPF varies between individuals and thus assessment without risk adjustment is crude. However, despite the availability of numerous scores to determine risk, no study has provided a risk adjusted assessment of POPF outcomes.

Methods: The observed and risk adjusted occurrence of POPF from consecutive patients operated upon by eight surgeons were recorded. Surgeons varied in experience from newly appointed (n = 5) to established (n = 3). CUSUM (cumulative sum) analysis was used to assess performance.

Results: 104 POPF occurred among 519 patients (20.0%). The occurrence of POPF was significantly lower among experienced surgeons (20/186, 10.7% vs 84/333, 25.2%; p < 0.001). Following risk adjustment surgeons observed 16.6 fewer to 6.5 excess POPF per 100 patients than predicted. Analysis of the CUSUM plots demonstrated the experienced surgeons performed steadily with a gradual reduction in observed POPF compared to what was predicted. The new surgeon's performance was less consistent and evidence of a learning curve was observed with steady improvement occurring after 50-70 patients.

Conclusions: Risk adjusted assessment of POPF demonstrates differences between experienced and less experienced surgeons. This method could be used to audit practice and observe effects of changes to technique.

This study provides an analysis of the content of feminine and masculine characteristics/behaviors described in writing by 366 young women and 289 young men from the U.S. Emergent characteristics/behaviors were placed into domains. For both femininity and masculinity, the domains of "physical differences related to sex" and "emphasized physical differences" emerged. For masculinity, additional domains were: "activities and interests focused on the body," "powerful or oriented toward power," and "emotion-control or emotionally-limited." For femininity, additional domains were "lacking power," "orientation to other people," and "emotional." We then compared the characteristics/behaviors and domains we discovered to gender inventories that are commonly used in the contemporary period. The masculine domains focused on physical differences, activities, and interests that emerged from the present study are mostly absent from these masculinity inventories. The domains focused on power and restricted emotion are evident in these inventories, but these inventories do not cover all of the characteristics within our domains. The feminine domains that emerged from the present study are more often covered in these inventories, but some of the specific feminine characteristics we found are not evident in these inventories. Results are discussed in terms of gender role theory, gender inequality, and potential application for qualitative and quantitative inquiries into the construction of gender.

Objective: To assess the general attitude toward women's participation in research studies in Jordan and determine the various cultural and religious issues that could impact the rate of inclusion of Arab and Muslim women in research studies.

Methods: A descriptive cross-sectional questionnaire-based survey study was conducted among Jordanian university students using a 17-item opinion questionnaire.

Results: A total of 1265 students from different professional disciplines completed the questionnaire. The majority of the respondents (69.1%) believed that females in Jordan do not have the full autonomy to make their decision to participate in research studies. Study findings also showed that females are more likely to avoid the participation in research studies that require staying outside home or involve direct interaction between researcher and study participants. Females would prefer to deal with female research assistants when participating in research studies.

Conclusion: More efforts are required to encourage and enhance the rate of participation in research studies among women in Jordan and, probably, other Middle Eastern societies. When designing and conducting research studies in these countries, researchers should seriously consider the cultural and religious beliefs.