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Combined mind-body intervention for premenstrual dysphoric disorder: A randomized controlled trial. 针对经前期焦虑症的身心综合干预:随机对照试验
IF 1.4 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-02-12 DOI: 10.1080/07399332.2024.2314219
Hatice Abaoğlu, Huri Şeyma Çiftçi, Gamze Ekici

In this study, we aimed to examine the effectiveness of relaxation training in women with PMDD through a randomized controlled design. Sixty-three women were recruited and randomized to relaxation training or control groups. The outcome measurements, administered at baseline and post-training, included the Premenstrual Symptoms Screening Tool (PSST), Hospital Anxiety and Depression Scale (HADS), Nottingham Health Profile (NHP), and Sheehan Disability Scale (SDS). The intervention group received 12 sessions of relaxation training, including progressive muscle relaxation and guided imagination. While there were significant differences within the group in the relaxation training group, no significant differences were found in the control group. Relaxation training had a positive effect on reducing premenstrual symptoms, anxiety, depression and disability and improving quality of life in women with PMDD. More research is necessary to recommend relaxation training as a primary and long-term treatment and to understand how it should be included in a comprehensive treatment plan.

在这项研究中,我们旨在通过随机对照设计来检验放松训练对患有 PMDD 的女性的有效性。我们招募了 63 名女性,并将她们随机分为放松训练组或对照组。在基线和训练后进行的结果测量包括经前期症状筛查工具(PSST)、医院焦虑抑郁量表(HADS)、诺丁汉健康档案(NHP)和希汉残疾量表(SDS)。干预组接受了 12 次放松训练,包括渐进式肌肉放松和引导想象。虽然放松训练组的组内差异明显,但对照组没有发现明显差异。放松训练对减少经前症状、焦虑、抑郁和残疾以及改善 PMDD 妇女的生活质量有积极作用。有必要开展更多的研究,以推荐将放松训练作为一种主要的长期治疗方法,并了解如何将其纳入综合治疗计划。
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引用次数: 0
Emergency obstetric and newborn care signal functions: The situation in health facilities in Nepal between 2015 and 2021. 紧急产科和新生儿护理信号功能:2015 年至 2021 年尼泊尔医疗机构的情况。
IF 1.4 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-02-12 DOI: 10.1080/07399332.2024.2313659
Sabita Tuladhar, Eva Rehfuess, Maria Delius, Matthias Siebeck, Deepak Paudel, Cornelia Oberhauser

Expanding access to facility-based delivery services and improving the functionality of emergency obstetric and neonatal care (EmONC) are important strategies toward achieving a maternal mortality ratio of 70 deaths per 100,000 live births by 2030. In this study the researchers assess signal functions at designated facilities in Nepal, using Nepal Health Facility Survey data for 2015 and 2021. The functionality of basic and comprehensive EmONC sites was low, declining over the six-year period. Lack of progress may partly be attributed to the COVID-19 pandemic. Nepal needs to expand EmONC sites strategically, strengthen referral systems, improve service readiness, and periodically assess service quality.

扩大设施内分娩服务的可及性以及改善产科急诊和新生儿护理(EmONC)的功能是到 2030 年实现每 10 万活产 70 例死亡的孕产妇死亡率目标的重要战略。在这项研究中,研究人员利用 2015 年和 2021 年的尼泊尔医疗机构调查数据,对尼泊尔指定医疗机构的信号功能进行了评估。基本和综合EmONC站点的功能较低,在六年期间有所下降。缺乏进展的部分原因可能是 COVID-19 大流行。尼泊尔需要战略性地扩大EmONC站点,加强转诊系统,改善服务准备情况,并定期评估服务质量。
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引用次数: 0
Correction. 更正。
IF 1.4 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-02-05 DOI: 10.1080/07399332.2024.2312047
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引用次数: 0
The effect of yoga practice on pain intensity, menstruation symptoms and quality of life of nursing students with primary dysmenorrhea. 瑜伽练习对患有原发性痛经的护理专业学生的疼痛强度、月经症状和生活质量的影响。
IF 1.4 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-01-22 DOI: 10.1080/07399332.2024.2303526
Aslıhan Aksu, Duygu Vefikuluçay Yılmaz

The researchers aimed to determine the effects of yoga on pain severity, menstrual symptoms and quality of life of undergraduate nursing students with primary dysmenorrhea. The 60 female students were divided into intervention (n = 30) and control groups (n = 30) by block randomization. In the study, data were evaluated with the Visual Analog Scale for Pain, the Menstruation Symptom Scale and the Short Form-36 Health Survey Scale. The 12-week intervention program, which included all components of Hatha yoga, was carried out twice a week for a total of 24 sessions of 60 min. The control group did not receive any intervention. The severity of menstrual pain and symptoms decreased in yoga group compared to control group, and there were significant improvements in quality of life (p < 0.001). The researchers shows that regular Hatha yoga may be a possible nonpharmacological treatment for primary dysmenorrhea in young women in this study.

研究人员旨在确定瑜伽对患有原发性痛经的护理专业本科生的疼痛严重程度、月经症状和生活质量的影响。60 名女学生被随机分为干预组(30 人)和对照组(30 人)。研究采用疼痛视觉模拟量表、月经症状量表和简表-36健康调查量表对数据进行评估。为期 12 周的干预计划包括哈达瑜伽的所有内容,每周进行两次,共 24 次,每次 60 分钟。对照组不接受任何干预。与对照组相比,瑜伽组痛经的严重程度和症状均有所减轻,生活质量也有显著改善(P<0.05)。
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引用次数: 0
Commercial surrogacy: Landscapes of empowerment or oppression explored through integrative review. 商业代孕:通过综合审查探讨赋权还是压迫的问题。
IF 1.4 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-01-22 DOI: 10.1080/07399332.2024.2303520
Jutharat Attawet, Ethar Alsharaydeh, Mark Brady

The surge in demand for surrogacy treatments, combined with regulatory loopholes, has spurred the widespread adoption of global commercial surrogacy. This phenomenon poses potential risks to all involved parties, including surrogates and children, encompassing ethical, legal, physical, and psychological concerns. Although commercial surrogacy is under discussion in various jurisdictions, some countries may reintroduce legislation on the matter. In addressing this intricate landscape, the researchers performed an integrative review of existing literature with the intention of providing guidance to researchers and policymakers. The researchers emphasized notable legal and ethical challenges linked to commercial surrogacy. Surrogates often experience disempowerment and oppression, exacerbated by the contractual nature of these arrangements, perpetuating structural inequalities. Children born through commercial surrogacy, especially internationally, risk losing cultural heritage and future benefits. Banning commercial surrogacy may drive it underground, harming surrogates. Reconsidering prohibitions without penalizing surrogates could mitigate downstream issues and safeguard them from exploitation.

代孕治疗需求激增,再加上监管漏洞,促使全球商业代孕得到广泛采用。这种现象给包括代孕者和儿童在内的所有相关方带来了潜在风险,包括伦理、法律、身体和心理方面的问题。尽管商业代孕在不同的司法管辖区都在讨论,但一些国家可能会重新就这一问题立法。针对这一错综复杂的情况,研究人员对现有文献进行了综合评述,旨在为研究人员和政策制定者提供指导。研究人员强调了与商业代孕相关的显著法律和伦理挑战。代孕者经常会受到剥夺权力和压迫,而这些安排的契约性质又加剧了这种情况,使结构性不平等永久化。通过商业代孕出生的儿童,尤其是国际儿童,有可能失去文化遗产和未来福利。禁止商业代孕可能会使其转入地下,对代孕者造成伤害。在不惩罚代孕者的情况下重新考虑禁令,可以缓解下游问题,保护代孕者免受剥削。
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引用次数: 0
Risk sexual behaviors for sexually transmitted infections among sexual minority women: A cross-sectional study in Beijing, China. 性少数群体女性的性传播感染风险性行为:中国北京横断面研究。
IF 1.4 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-01-18 DOI: 10.1080/07399332.2024.2303522
Xiaofang Wang, Enwu Liu, Mengjie Han, Yiyun Hu

Researchers in this study assesses risk behaviors for sexually transmitted infections (STIs) among sexual minority women (SMW) in Beijing, China. A total of 1,631 SMW participated in the study. Compared with women who have sex with women exclusively, women who have sex with both women and men reported more sex partners, more likely sharing sex toys, experiencing STI infections. Digital-genital sex, using sex toys, G-spot stimulation is associated with STI symptoms. SMW in Beijing engaged in high-risk sexual behaviors that may cause substantial risk for STIs. SMW and healthcare providers should be informed and STI testing should be promoted among SMW.

本研究的研究人员对中国北京性少数群体女性(SMW)的性传播感染(STI)风险行为进行了评估。共有 1631 名性少数群体女性参与了这项研究。与只与女性发生性关系的女性相比,同时与女性和男性发生性关系的女性有更多的性伴侣,更有可能共用性玩具,并有感染性传播疾病的经历。数字生殖器性行为、使用性玩具、G 点刺激与性传播感染症状有关。北京的 SMW 从事的高风险性行为可能会导致性传播感染的巨大风险。应告知SMW和医疗保健提供者,并在SMW中推广性传播感染检测。
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引用次数: 0
Transport-related emissions and lifetime risk of maternal death in developing nations. 发展中国家与运输有关的排放与孕产妇终生死亡风险。
IF 1.4 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-01-18 DOI: 10.1080/07399332.2024.2303521
Azmat Gani, Noor Sulastry Yurni Binti Ahmad

In this study, the authors investigate whether transport-related emissions impact the lifetime risk of maternal death in developing nations. The authors estimate a health production model that incorporates annual data on carbon emissions from transportation on lifetime risks of maternal death and mortality rate for adult females from 2002 to 2016 for thirty-eight developing countries. Our analysis reveals a statistically significant positive correlation between transport-related carbon emissions and the lifetime risk of maternal death. A positive but statistically insignificant correlation between transportation-related carbon emissions and adult female mortality rates is also revealed. The success of Sustainable Development Goal 3, Target 3.1, will largely depend on the developing countries' solid commitments to adopt policies for clean energy in the transportation sector that can reduce women's exposure to pollutants and minimize the risk imposed on their health.

在这项研究中,作者调查了与交通相关的排放是否会影响发展中国家孕产妇的终生死亡风险。作者估算了一个健康生产模型,该模型纳入了 2002 年至 2016 年 38 个发展中国家每年的交通碳排放数据,这些数据影响了孕产妇终生死亡风险和成年女性死亡率。我们的分析表明,与交通相关的碳排放与孕产妇终生死亡风险之间存在统计学意义上的显著正相关。与交通相关的碳排放与成年女性死亡率之间也存在正相关,但在统计上并不显著。可持续发展目标 3 具体目标 3.1 能否成功实现,在很大程度上取决于发展中国家是否做出坚定承诺,在交通领域采取清洁能源政策,从而减少女性接触污染物的机会,并将对其健康造成的风险降至最低。
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引用次数: 0
A comprehensive trajectory analyzing the impact of neighborhood on women's health. 分析邻里关系对妇女健康影响的综合轨迹。
IF 1.4 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-01-18 DOI: 10.1080/07399332.2024.2303515
Papia Raj, Anwesha Sarkar

Impacts of neighborhoods are more pronounced on women's health since gender roles are often influenced by neighborhoods. To comprehend specific influences of neighborhoods on women's health, a systematic review of literature has been conducted. Authors have found that positive physical and social attributes of the neighborhood tend to promote good health status among women. While degraded physical and social environments of the neighborhoods result in adverse health status for women. The researchers suggest that majority of researchers' focuses are restricted to the United States of America (USA) and their works have peaked since the year 2003. Nevertheless, there is a dearth of researchers examining neighborhoods' influence on women's health in developing countries like India. Also, the health status of reproductive age group of women has not been specifically studied in any of these publications.

由于性别角色往往受到邻里关系的影响,因此邻里关系对女性健康的影响更为明显。为了了解邻里关系对妇女健康的具体影响,我们对文献进行了系统的回顾。作者们发现,邻里积极的物质和社会属性往往会促进妇女良好的健康状况。而恶化的邻里物质和社会环境则会对妇女的健康状况造成不利影响。研究人员认为,大多数研究人员的研究重点仅限于美利坚合众国(美国),他们的研究工作自 2003 年以来达到了顶峰。然而,研究邻里关系对印度等发展中国家妇女健康影响的研究人员却很少。此外,这些出版物也没有专门研究育龄妇女群体的健康状况。
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引用次数: 0
Does COVID-19 anxiety in pregnant women affect marital adjustment? 孕妇的 COVID-19 焦虑会影响婚姻适应吗?
IF 1.4 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-01-17 DOI: 10.1080/07399332.2024.2303514
Candan Ersanli

In this study, it was tried to determine the relationship between anxiety and marital adjustment in pregnant women during the epidemic, and to explain the variables affecting anxiety and marital adjustment. During the epidemic, many factors cause changes in the perceived anxiety level and marital adjustment in pregnant women. As the level of COVID-19 anxiety increases in pregnant women, marital adjustment scores decrease. It was determined that the anxiety levels were lower and marital adjustment was higher in pregnant women who had a planned pregnancy, did not have fears about childbirth, thought that their physical, mental health were not affected.

本研究试图确定疫情期间孕妇焦虑与婚姻适应之间的关系,并解释影响焦虑和婚姻适应的变量。在疫情期间,许多因素会导致孕妇的焦虑感知水平和婚姻适应性发生变化。随着孕妇 COVID-19 焦虑水平的增加,婚姻适应得分也随之降低。结果表明,计划怀孕、对分娩没有恐惧、认为自己的身体和心理健康不受影响的孕妇的焦虑水平较低,婚姻适应性较高。
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引用次数: 0
The knowledge domain and emerging trends in the infertility field: A 67-year retrospective study. 不孕不育领域的知识领域和新趋势:一项长达 67 年的回顾性研究。
IF 1.4 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-01-17 DOI: 10.1080/07399332.2024.2304110
Razieh Akbari, Zahra Panahi, Marjan Ghaemi, Sedigheh Hantoushzadeh

Infertility is a significant problem influencing many couples. Our purpose was to assess the field of infertility in Obstetrics and Gynecology from 1955 to 2022 reviewing 3575 documents found in the Web of Science database. Most articles were in the areas of Reproductive Biology, Fertility, Endometriosis & Hysterectomy, and Chromosome Disorders. We found publication has increased dramatically since 1989. Agarwal, Thomas, and Sharma; United States, England, and Canada; Fertility and Sterility, Human Reproduction, and AJOG were the most-cited authors, countries, and journals, respectively. We discovered five substantive clusters: male infertility factors, female infertility factors, causes and treatment of infertility, the consequence of infertility, and assisted reproductive techniques. Using bibliometric review (Co-citation analysis) six research areas were found: semen analysis and sperm morphology, regional differences in the psychological effects of infertility, unexplained infertility, endometriosis, diagnosis and treatment of infertility, and polycystic ovary syndrome. Despite advances in understanding infertility, further research is needed.

不孕症是影响许多夫妇的一个重要问题。我们的目的是评估 1955 年至 2022 年妇产科不孕不育领域的情况,我们查阅了 Web of Science 数据库中的 3575 篇文献。大部分文章涉及生殖生物学、生育力、子宫内膜异位症与子宫切除术以及染色体疾病等领域。我们发现,自 1989 年以来,发表文章的数量急剧增加。阿加瓦尔、托马斯和夏尔马;美国、英国和加拿大;《生育与不育》、《人类生殖》和《AJOG》分别是被引用最多的作者、国家和期刊。我们发现了五个实质性群组:男性不育因素、女性不育因素、不育的原因和治疗、不育的后果以及辅助生殖技术。通过文献计量学回顾(共引分析),我们发现了六个研究领域:精液分析和精子形态学、不孕症心理影响的地区差异、原因不明的不孕症、子宫内膜异位症、不孕症的诊断和治疗以及多囊卵巢综合征。尽管在了解不孕症方面取得了进展,但仍需开展进一步研究。
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引用次数: 0
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Health Care for Women International
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