首页 > 最新文献

Archives of women health and care最新文献

英文 中文
A Correlational Model of Sadomasochistic Fantasies and Psychosocial Features among Male and Female Medical University Students 医大学生施虐受虐幻想与心理社会特征的相关模型
Pub Date : 2020-06-01 DOI: 10.31038/awhc.2020332
Juliana Kimie Izukawa, Nicolas Augusto Cabral Ribeiro, L. C. Abreu, Renata Almeida de Souza Aranha e Silva, D. Baltieri
The deliberate act of mentally envisioning a sexual scenario involving a target and/or behavior is a normal part of human sexuality. The content of the mental imagery or sexual fantasy frequently reflects one’s sexual interest and is experienced as sexually arousing [1]. In fact, some studies have shown a positive correlation between the experience of arousing sexual fantasies and sexual satisfaction [2].
有意识地在心理上设想涉及目标和/或行为的性场景是人类性行为的正常组成部分。心理意象或性幻想的内容经常反映一个人的性兴趣,并被体验为性唤起[1]。事实上,一些研究表明性幻想的唤起体验与性满足之间存在正相关关系[2]。
{"title":"A Correlational Model of Sadomasochistic Fantasies and Psychosocial Features among Male and Female Medical University Students","authors":"Juliana Kimie Izukawa, Nicolas Augusto Cabral Ribeiro, L. C. Abreu, Renata Almeida de Souza Aranha e Silva, D. Baltieri","doi":"10.31038/awhc.2020332","DOIUrl":"https://doi.org/10.31038/awhc.2020332","url":null,"abstract":"The deliberate act of mentally envisioning a sexual scenario involving a target and/or behavior is a normal part of human sexuality. The content of the mental imagery or sexual fantasy frequently reflects one’s sexual interest and is experienced as sexually arousing [1]. In fact, some studies have shown a positive correlation between the experience of arousing sexual fantasies and sexual satisfaction [2].","PeriodicalId":93266,"journal":{"name":"Archives of women health and care","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91287171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A comparison of external pelvic chemoradiation and high dose-rate conventional brachytherapy (BT) and image-guided adaptive brachytherapy (IGABT) in treatment of advanced cervical carcinomas 盆腔外放化疗与高剂量率常规近距离放射治疗(BT)和图像引导适应性近距离放射治疗(IGABT)治疗晚期宫颈癌的比较
Pub Date : 2020-05-29 DOI: 10.31038/awhc.2020331
Louise Bohr Mordhorst, Ruth S. Hermansson, L. Karlsson, U. Granlund, S. Möller, Cecilia Riemarsma, B. Sorbe
Purpose: External pelvic chemo-radiotherapy and brachytherapy were studied in a consecutive series of advanced cervical carcinomas. Conventional brachytherapy and image-guided adaptive brachytherapy were compared. Material and Methods: From a single regional cancer center 272 consecutive patients with advanced cervical cancer were recruited. One hundred thirty-four patients were treated with external beam radiotherapy and conventional conformal brachytherapy (BT) and 138 patients with image-guided adaptive brachytherapy (IGABT). A comprehensive dosimetric study was performed in the IGABT-group. Predictive and prognostic factors were defined. Toxicity of the organs at risk were evaluated by the CTCAE-grading system. Results: The mean follow-up was 59 months. Tumor size was in mean 43 mm. The mean external dose was 52 Gy and the total dose to the clinical target volume was 78 Gy. Sixty-five percent of the patients received weekly cisplatin. The mean overall treatment time was 44 days. The median number of brachytherapy fractions was four and in 86 patients in the IGABT-group interstitial needles were applied. The primary local control was 98%. The overall pelvic control was 86%. The overall recurrence rate was 29%. The overall 5-year survival rate was 65% and cancer-specific survival rate 69%. Prognostic factors were FIGO-stage, pelvic and distant control of the disease. Late serious toxicity of the bladder and intestine were rare with only 3% in the IGABT-group. Conclusion: The local and pelvic controls were excellent. The IGABT was an important part of the treatment schedule with regard to large tumors and adenocarcinomas. Late toxicity was significantly lower after treatment with IGABT compared with BT.
目的:研究盆腔外放化疗和近距离放疗对晚期宫颈癌患者的治疗效果。比较常规近距离治疗与影像引导下的适应性近距离治疗。材料和方法:从一个区域性癌症中心连续招募了272例晚期宫颈癌患者。134例患者接受外束放疗和常规适形近距离放射治疗(BT), 138例患者接受图像引导适应性近距离放射治疗(IGABT)。对igabt组进行了全面的剂量学研究。确定预测和预后因素。采用ctcae分级系统对危险器官的毒性进行评价。结果:平均随访59个月。肿瘤大小平均43 mm。平均外照射剂量为52 Gy,临床靶体积总剂量为78 Gy。65%的患者每周接受顺铂治疗。平均总治疗时间为44天。近距离放射治疗的中位数为4次,igabt组中有86例患者使用间质针。主要的局部控制率为98%。总体盆腔控制率为86%。总复发率为29%。总体5年生存率为65%,癌症特异性生存率为69%。预后因素为figo分期、盆腔和病情的远期控制。晚期膀胱和肠的严重毒性很少见,在igabt组中仅占3%。结论:局部及盆腔控制效果良好。IGABT是大肿瘤和腺癌治疗方案的重要组成部分。与BT相比,IGABT治疗后的晚期毒性明显降低。
{"title":"A comparison of external pelvic chemoradiation and high dose-rate conventional brachytherapy (BT) and image-guided adaptive brachytherapy (IGABT) in treatment of advanced cervical carcinomas","authors":"Louise Bohr Mordhorst, Ruth S. Hermansson, L. Karlsson, U. Granlund, S. Möller, Cecilia Riemarsma, B. Sorbe","doi":"10.31038/awhc.2020331","DOIUrl":"https://doi.org/10.31038/awhc.2020331","url":null,"abstract":"Purpose: External pelvic chemo-radiotherapy and brachytherapy were studied in a consecutive series of advanced cervical carcinomas. Conventional brachytherapy and image-guided adaptive brachytherapy were compared. Material and Methods: From a single regional cancer center 272 consecutive patients with advanced cervical cancer were recruited. One hundred thirty-four patients were treated with external beam radiotherapy and conventional conformal brachytherapy (BT) and 138 patients with image-guided adaptive brachytherapy (IGABT). A comprehensive dosimetric study was performed in the IGABT-group. Predictive and prognostic factors were defined. Toxicity of the organs at risk were evaluated by the CTCAE-grading system. Results: The mean follow-up was 59 months. Tumor size was in mean 43 mm. The mean external dose was 52 Gy and the total dose to the clinical target volume was 78 Gy. Sixty-five percent of the patients received weekly cisplatin. The mean overall treatment time was 44 days. The median number of brachytherapy fractions was four and in 86 patients in the IGABT-group interstitial needles were applied. The primary local control was 98%. The overall pelvic control was 86%. The overall recurrence rate was 29%. The overall 5-year survival rate was 65% and cancer-specific survival rate 69%. Prognostic factors were FIGO-stage, pelvic and distant control of the disease. Late serious toxicity of the bladder and intestine were rare with only 3% in the IGABT-group. Conclusion: The local and pelvic controls were excellent. The IGABT was an important part of the treatment schedule with regard to large tumors and adenocarcinomas. Late toxicity was significantly lower after treatment with IGABT compared with BT.","PeriodicalId":93266,"journal":{"name":"Archives of women health and care","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81193705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
https://researchopenworld.com/latina-and-black-women-narratives-on-the-path-to-homelessness/# https://researchopenworld.com/latina-and-black-women-narratives-on-the-path-to-homelessness/#
Pub Date : 2020-05-20 DOI: 10.31038/awhc.2020325
Maria Elena Ruiz, Carlos Contreras
An increasing number of Americans are experiencing homelessness, with the latest count estimating that over one-half million people were living in the street or occupying areas not meant for human occupation in one single night. While a general portrait of the homeless population tends to highlight black or older men, almost 40 percent of the homeless population are now women. Among these are the growing numbers of Latina and Black women. In this manuscript, we present a community based participatory research study approach designed to explore the experiences of Latina and Black women living in skid row Los Angeles, frequently recognized as the “homeless capital. Of the U.S. The finding from the mixed quantitative and qualitative study reveals similarities and salient differences on the factors that the women perceive led them on a path to homelessness. Included in the narratives are how the Black women have learned to navigate various support systems, in contrast to how the Latina women have struggled to gain entry into the system. The women’s narratives present a portrait of structural and cultural inequities, and a need for interdisciplinary and intersectoral collaboration with diverse teams in order to develop programs the serve the needs of these new homeless populations. The findings call for urgent need to address systems of inequity and bias, along with needed policy changes.
越来越多的美国人无家可归,最新的统计估计,在一个晚上,有超过50万人露宿街头或占据了不适合人类居住的地方。虽然对无家可归人口的总体描述往往是黑人或老年男性,但现在几乎40%的无家可归人口是女性。其中包括越来越多的拉丁裔和黑人妇女。在本文中,我们提出了一种基于社区的参与性研究方法,旨在探索居住在洛杉矶贫民窟的拉丁裔和黑人妇女的经历,洛杉矶通常被认为是“无家可归者之都”。在美国,混合定量和定性研究的发现揭示了女性认为导致她们走上无家可归之路的因素的相似之处和显著差异。这些故事讲述了黑人女性如何学会驾驭各种支持系统,与之形成对比的是,拉丁裔女性如何努力进入这个系统。这些妇女的叙述展现了结构性和文化上的不平等,以及与不同团队进行跨学科和跨部门合作的必要性,以便制定方案,满足这些新的无家可归人口的需求。调查结果呼吁迫切需要解决不公平和偏见的制度,以及必要的政策变革。
{"title":"https://researchopenworld.com/latina-and-black-women-narratives-on-the-path-to-homelessness/#","authors":"Maria Elena Ruiz, Carlos Contreras","doi":"10.31038/awhc.2020325","DOIUrl":"https://doi.org/10.31038/awhc.2020325","url":null,"abstract":"An increasing number of Americans are experiencing homelessness, with the latest count estimating that over one-half million people were living in the street or occupying areas not meant for human occupation in one single night. While a general portrait of the homeless population tends to highlight black or older men, almost 40 percent of the homeless population are now women. Among these are the growing numbers of Latina and Black women. In this manuscript, we present a community based participatory research study approach designed to explore the experiences of Latina and Black women living in skid row Los Angeles, frequently recognized as the “homeless capital. Of the U.S. The finding from the mixed quantitative and qualitative study reveals similarities and salient differences on the factors that the women perceive led them on a path to homelessness. Included in the narratives are how the Black women have learned to navigate various support systems, in contrast to how the Latina women have struggled to gain entry into the system. The women’s narratives present a portrait of structural and cultural inequities, and a need for interdisciplinary and intersectoral collaboration with diverse teams in order to develop programs the serve the needs of these new homeless populations. The findings call for urgent need to address systems of inequity and bias, along with needed policy changes.","PeriodicalId":93266,"journal":{"name":"Archives of women health and care","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78746515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
https://researchopenworld.com/menstrual-restrictions-and-its-impact-on-empowerment-a-case-from-jumla-nepal/# https://researchopenworld.com/menstrual-restrictions-and-its-impact-on-empowerment-a-case-from-jumla-nepal/#
Pub Date : 2020-05-04 DOI: 10.31038/awhc.2020323
R. Paudel
The menstrual blood considered impure, dirty and contaminated in Jumla, a place of research for menstrual restriction and its impact on empowerment where the qualitative method, feminist ethnography employed, through three different methods: history/timeline, participant’s observation and In-Depth Interviews. The restriction during menstruation is very complex, vary from person to person, contradictory position between practice to practice within same person or family. The participant followed 29 types of restrictions related with food, touch and mobility during their menstruation. Because of these restrictions, girls and women deprived from access to food, water, shelter, mobility, hygiene, health, education. As a result, they felt isolated, inferior, disempower, deprivation from participation in school, social activities/celebrations and losing dignity. These situations contributed for compromising rights assured by the constitution of Nepal and considered as violation of human rights. Here, the restrictions during menstruation played role to construct and shaped the power among girls and boys. As a result, the all aspects of the girls and women’s life affected and eventually they deprived from the empowerment.
在Jumla,一个研究月经限制及其对赋权影响的地方,定性方法,女权主义人种学采用了三种不同的方法:历史/时间线,参与者观察和深度访谈,被认为是不纯净,肮脏和污染的经血。月经期间的限制是非常复杂的,因人而异,在同一个人或家庭内部实践之间的矛盾地位。参与者在月经期间遵循了29种与食物、触摸和活动有关的限制。由于这些限制,女童和妇女被剥夺了获得食物、水、住所、流动性、卫生、保健和教育的机会。因此,他们感到孤立、自卑、被剥夺权力,无法参与学校、社会活动/庆祝活动,失去尊严。这些情况损害了尼泊尔宪法所保障的权利,并被视为侵犯人权。在这里,月经期间的限制对女孩和男孩之间的权力的建构和塑造起了作用。因此,女孩和妇女生活的各个方面都受到影响,最终她们被剥夺了权力。
{"title":"https://researchopenworld.com/menstrual-restrictions-and-its-impact-on-empowerment-a-case-from-jumla-nepal/#","authors":"R. Paudel","doi":"10.31038/awhc.2020323","DOIUrl":"https://doi.org/10.31038/awhc.2020323","url":null,"abstract":"The menstrual blood considered impure, dirty and contaminated in Jumla, a place of research for menstrual restriction and its impact on empowerment where the qualitative method, feminist ethnography employed, through three different methods: history/timeline, participant’s observation and In-Depth Interviews. The restriction during menstruation is very complex, vary from person to person, contradictory position between practice to practice within same person or family. The participant followed 29 types of restrictions related with food, touch and mobility during their menstruation. Because of these restrictions, girls and women deprived from access to food, water, shelter, mobility, hygiene, health, education. As a result, they felt isolated, inferior, disempower, deprivation from participation in school, social activities/celebrations and losing dignity. These situations contributed for compromising rights assured by the constitution of Nepal and considered as violation of human rights. Here, the restrictions during menstruation played role to construct and shaped the power among girls and boys. As a result, the all aspects of the girls and women’s life affected and eventually they deprived from the empowerment.","PeriodicalId":93266,"journal":{"name":"Archives of women health and care","volume":"44 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91480689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
https://researchopenworld.com/missing-the-menstruation-amidst-covid-19/# https://researchopenworld.com/missing-the-menstruation-amidst-covid-19/#
Pub Date : 2020-05-04 DOI: 10.31038/awhc.2020322
{"title":"https://researchopenworld.com/missing-the-menstruation-amidst-covid-19/#","authors":"","doi":"10.31038/awhc.2020322","DOIUrl":"https://doi.org/10.31038/awhc.2020322","url":null,"abstract":"","PeriodicalId":93266,"journal":{"name":"Archives of women health and care","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76400217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
https://researchopenworld.com/menstrual-restrictions-and-its-impact-on-learning-and-education-a-case-from-jumla-nepal/# https://researchopenworld.com/menstrual-restrictions-and-its-impact-on-learning-and-education-a-case-from-jumla-nepal/#
Pub Date : 2020-05-04 DOI: 10.31038/awhc.2020324
R. Paudel
study entitled `menstrual restrictions and its impact on education’ has done in the accessible village of Chandanath municipality in Jumla where employed qualitative approach, post positivist world view by using multiple methods; history talking/timeline, participatory observation and In-Depth Interview. Participants followed the restrictions during menstruation no matter whether the participants male or female, educated or uneducated or any characteristics. The restrictions grouped in three categories: touch, eat and mobility/participation. All kinds of restrictions have direct and indirect negative impacts on learning and education in many ways: embarrassing learning condition at school, home and huts, constraints of time, facilities at school, home and hut, fear of leaking, deprived from studying, poor performance and school dropped out. The menstrual restrictions and its impact on education has overlapped with the empowerment. Thus, it has significance value to improve the policy on education specially for girls. This study has done for the academic purpose and completed with limited resources.
题为“月经限制及其对教育的影响”的研究在Jumla的Chandanath市无障碍村进行,采用了定性方法和多种方法的后实证主义世界观;历史谈话/时间线,参与式观察和深度访谈。无论受试者是男性还是女性,受教育程度或未受教育程度或任何特征,在月经期间都遵守了限制。这些限制分为三类:触摸、饮食和活动/参与。各种限制在许多方面对学习和教育产生直接和间接的负面影响:学校、家和小屋的学习条件令人尴尬,时间的限制,学校、家和小屋的设施,担心泄密,被剥夺学习,成绩不佳,辍学。月经限制及其对教育的影响与赋权重叠。因此,完善女童教育政策具有重要的价值。本研究以学术为目的,在有限的资源下完成。
{"title":"https://researchopenworld.com/menstrual-restrictions-and-its-impact-on-learning-and-education-a-case-from-jumla-nepal/#","authors":"R. Paudel","doi":"10.31038/awhc.2020324","DOIUrl":"https://doi.org/10.31038/awhc.2020324","url":null,"abstract":"study entitled `menstrual restrictions and its impact on education’ has done in the accessible village of Chandanath municipality in Jumla where employed qualitative approach, post positivist world view by using multiple methods; history talking/timeline, participatory observation and In-Depth Interview. Participants followed the restrictions during menstruation no matter whether the participants male or female, educated or uneducated or any characteristics. The restrictions grouped in three categories: touch, eat and mobility/participation. All kinds of restrictions have direct and indirect negative impacts on learning and education in many ways: embarrassing learning condition at school, home and huts, constraints of time, facilities at school, home and hut, fear of leaking, deprived from studying, poor performance and school dropped out. The menstrual restrictions and its impact on education has overlapped with the empowerment. Thus, it has significance value to improve the policy on education specially for girls. This study has done for the academic purpose and completed with limited resources.","PeriodicalId":93266,"journal":{"name":"Archives of women health and care","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74082467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
https://researchopenworld.com/competitive-pressures-and-multiple-births-in-infertility-treatment/# https://researchopenworld.com/competitive-pressures-and-multiple-births-in-infertility-treatment/#
Pub Date : 2020-04-29 DOI: 10.31038/awhc.2020321
Heleno Schneider
Background : With the increase in fertility problems and delayed childbearing, demand for infertility treatments has been rising . Today, in vitro fertilization (IVF) is the most successful infertility treatment but it is costly. To meet rising demand for infertility treatment many markets have seen an increased entry of infertility clinics. Concerns have been raised of the effect of high per-treatment cost and rising competitive pressures on the outcomes of infertility treatments. The objective of this study is to examine the relationship between competitive pressures and prices charged by clinics for in vitro fertilization treatments as well as the effect of prices and competition on multiple gestations. Method : This is a retrospective analysis of 2012-2014 clinic-level data in the United States. This study collects in vitro fertilization prices and combines the price data with the ART Fertility Clinic Success Rates Reports published by the Centers for Disease Control and Prevention (CDC). The Herfindahl– Hirschman Index (HHI) is a widely-used measure of competition within a market. Regression analysis is used to estimate the relationship between HHI and price variables. The effect of prices and competitive pressures on multiple gestations is estimated. Results : Multivariate regression results show that competitive pressures do decrease prices charged by IVF clinics (p-value<0.1). IVF refund programs that reimburse couples for multiple failures are more likely to be offered in more concentrated markets (p-value<0.05) and larger clinics (p-value<0.01). Lower prices translate into lower multiple rates for younger women Controlling for prices, competitive pressures decrease multiple rates for younger women (below 35 years of age) but increase multiple rates for older women (above 40 years of age) (p-value<0.1). Conclusions : Lower IVF prices translate into better quality as measured by the rates of multiples for younger women undergoing infertility treatments. Effect of competitive pressures on quality of care is ambiguous especially after we control for treatment cost. For older women such pressures may lead to more embryo transferred and higher rates of multiples. Further research is needed to identify the relationship between competition and quality of medical care in infertility and other markets.
背景:随着生育问题和晚育的增加,对不孕症治疗的需求不断上升。今天,体外受精(IVF)是最成功的不孕症治疗方法,但它很昂贵。为了满足对不孕症治疗日益增长的需求,许多市场都出现了越来越多的不孕症诊所。人们对每次治疗费用高和竞争压力上升对不孕症治疗结果的影响表示关注。本研究的目的是研究竞争压力和诊所收取的体外受精治疗价格之间的关系,以及价格和竞争对多胎妊娠的影响。方法:回顾性分析2012-2014年美国临床数据。本研究收集了体外受精的价格,并将价格数据与疾病控制和预防中心(CDC)发布的ART生育诊所成功率报告相结合。赫芬达尔-赫希曼指数(HHI)是一个广泛使用的衡量市场竞争的指标。回归分析用于估计HHI与价格变量之间的关系。估计了价格和竞争压力对多胎妊娠的影响。结果:多因素回归结果显示,竞争压力确实降低了IVF诊所的收费(p值<0.1)。在更集中的市场(p值<0.05)和更大的诊所(p值<0.01)更有可能提供多次失败的试管婴儿退款计划。在价格控制下,竞争压力降低了年轻女性(35岁以下)的多重费率,但增加了老年女性(40岁以上)的多重费率(p值<0.1)。结论:较低的IVF价格转化为较好的质量,以接受不孕症治疗的年轻妇女的倍数率来衡量。竞争压力对护理质量的影响是模糊的,特别是在我们控制了治疗费用之后。对于年龄较大的妇女,这种压力可能导致更多的胚胎移植和更高的多胎率。需要进一步研究以确定不孕症和其他市场中竞争与医疗保健质量之间的关系。
{"title":"https://researchopenworld.com/competitive-pressures-and-multiple-births-in-infertility-treatment/#","authors":"Heleno Schneider","doi":"10.31038/awhc.2020321","DOIUrl":"https://doi.org/10.31038/awhc.2020321","url":null,"abstract":"Background : With the increase in fertility problems and delayed childbearing, demand for infertility treatments has been rising . Today, in vitro fertilization (IVF) is the most successful infertility treatment but it is costly. To meet rising demand for infertility treatment many markets have seen an increased entry of infertility clinics. Concerns have been raised of the effect of high per-treatment cost and rising competitive pressures on the outcomes of infertility treatments. The objective of this study is to examine the relationship between competitive pressures and prices charged by clinics for in vitro fertilization treatments as well as the effect of prices and competition on multiple gestations. Method : This is a retrospective analysis of 2012-2014 clinic-level data in the United States. This study collects in vitro fertilization prices and combines the price data with the ART Fertility Clinic Success Rates Reports published by the Centers for Disease Control and Prevention (CDC). The Herfindahl– Hirschman Index (HHI) is a widely-used measure of competition within a market. Regression analysis is used to estimate the relationship between HHI and price variables. The effect of prices and competitive pressures on multiple gestations is estimated. Results : Multivariate regression results show that competitive pressures do decrease prices charged by IVF clinics (p-value<0.1). IVF refund programs that reimburse couples for multiple failures are more likely to be offered in more concentrated markets (p-value<0.05) and larger clinics (p-value<0.01). Lower prices translate into lower multiple rates for younger women Controlling for prices, competitive pressures decrease multiple rates for younger women (below 35 years of age) but increase multiple rates for older women (above 40 years of age) (p-value<0.1). Conclusions : Lower IVF prices translate into better quality as measured by the rates of multiples for younger women undergoing infertility treatments. Effect of competitive pressures on quality of care is ambiguous especially after we control for treatment cost. For older women such pressures may lead to more embryo transferred and higher rates of multiples. Further research is needed to identify the relationship between competition and quality of medical care in infertility and other markets.","PeriodicalId":93266,"journal":{"name":"Archives of women health and care","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89890852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
https://researchopenworld.com/special-challenges-related-to-persecution-and-imprisonment-for-woman-in-syria-aspects-of-neglected-problems-in-the-support-of-survivors/# https://researchopenworld.com/special-challenges-related-to-persecution-and-imprisonment-for-woman-in-syria-aspects-of-neglected-problems-in-the-support-of-survivors/#
Pub Date : 2020-04-01 DOI: 10.31038/awhc.2020313
T. Wenzel, Reem Alksiri, S. Mirzaei
Women are at present experiencing unique challenges in the war in Syria and in neighbouring countries with autocratic regimes, especially in two areas so far at least partly neglected in research and humanitarian interventions. Prisons especially in Syria and Iran are not only a risk factor for the present spread of the present Covid-19 pandemic, but have exposed women to torture, sexual violence, forced disappearances, and other traumatic events, that are further aggravated by factors such as separation, and impact on the family. Perpetrators usually go unpunished. In our paper, we discuss problems and health implication, the context of international human rights and humanitarian standards, and measures to address redress and rehabilitation based on women survivors initiatives qualitative research we had conducted in several countries.
在叙利亚战争和独裁政权的邻国,妇女目前正面临着独特的挑战,尤其是在研究和人道主义干预中迄今为止至少部分被忽视的两个领域。监狱,特别是叙利亚和伊朗的监狱,不仅是当前Covid-19大流行蔓延的一个风险因素,而且使妇女面临酷刑、性暴力、强迫失踪和其他创伤性事件,而分离等因素和对家庭的影响进一步加剧了这种情况。犯罪者通常不会受到惩罚。在我们的论文中,我们讨论了问题及其对健康的影响、国际人权和人道主义标准的背景,以及根据我们在几个国家进行的妇女幸存者倡议的定性研究解决补救和康复问题的措施。
{"title":"https://researchopenworld.com/special-challenges-related-to-persecution-and-imprisonment-for-woman-in-syria-aspects-of-neglected-problems-in-the-support-of-survivors/#","authors":"T. Wenzel, Reem Alksiri, S. Mirzaei","doi":"10.31038/awhc.2020313","DOIUrl":"https://doi.org/10.31038/awhc.2020313","url":null,"abstract":"Women are at present experiencing unique challenges in the war in Syria and in neighbouring countries with autocratic regimes, especially in two areas so far at least partly neglected in research and humanitarian interventions. Prisons especially in Syria and Iran are not only a risk factor for the present spread of the present Covid-19 pandemic, but have exposed women to torture, sexual violence, forced disappearances, and other traumatic events, that are further aggravated by factors such as separation, and impact on the family. Perpetrators usually go unpunished. In our paper, we discuss problems and health implication, the context of international human rights and humanitarian standards, and measures to address redress and rehabilitation based on women survivors initiatives qualitative research we had conducted in several countries.","PeriodicalId":93266,"journal":{"name":"Archives of women health and care","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79876149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
https://researchopenworld.com/higher-maternal-death-rates-occur-in-rural-united-states-and-illinois/# https://researchopenworld.com/higher-maternal-death-rates-occur-in-rural-united-states-and-illinois/#
Pub Date : 2020-02-06 DOI: 10.31038/awhc.2020312
Erin Hinckley, Martin MacDowel, Kaitlin Weisshappel, Annita E Mathew, Meagan Nowlan, Brooke Dean, A. Johnson, Alexandra McVicker
Nationally and internationally, maternal mortality is an important indicator of the quality of a nation’s healthcare [1]. Recent statistics reported by the Centers for Disease Control and Prevention (CDC) indicates an increase in the pregnancy-related maternal mortality ratio (MMR) to 17.0 deaths per 100,000 live births from 2011–2013 [2], while in Europe and maternal death rates are declining [3,4]. When analyzing the demographics of maternal deaths in the U.S., it appears pregnancies in rural environments are more at risk, with some maternal mortality rates in rural areas as high as 28.7 deaths per 100,000 live births [5]. A study by Kozhimannil and colleagues [6] demonstrated a rise in the maternal mortality and morbidity of both rural and urban areas, but rural mothers had a 9% greater chance of an adverse outcome compared to the urban mothers. The WHO has identified several factors that account for 75% of all maternal deaths: severe bleeding and infections after childbirth, pre-eclampsia and eclampsia, complications from delivery, and unsafe abortion [7]. The majority of these conditions could be prevented if recognized and treated by a skilled medical professional and if birth takes place in a sanitary place early enough (e.g. hospital), which can be difficult if the patient lives in an area with a shortage of skilled healthcare providers or a long distance from these professionals, as is often the case in rural settings. The purpose of this article is to examine the differences in maternal death rates between rural and urban Illinois stratified by urbanization level and race/ethnicity from 2007 to 2016.
在国内和国际上,孕产妇死亡率是衡量一个国家医疗保健质量的一个重要指标。疾病控制和预防中心(CDC)报告的最新统计数据表明,2011-2013年期间,与妊娠有关的孕产妇死亡率(MMR)上升至每10万例活产死亡17.0例,而在欧洲,孕产妇死亡率正在下降[3,4]。在分析美国孕产妇死亡的人口统计数据时,在农村环境中怀孕的风险似乎更大,农村地区的一些孕产妇死亡率高达每10万例活产死亡28.7例。Kozhimannil及其同事的一项研究表明,农村和城市地区的孕产妇死亡率和发病率都有所上升,但与城市母亲相比,农村母亲出现不良后果的几率要高9%。世卫组织确定了几个因素占所有孕产妇死亡的75%:分娩后大出血和感染、先兆子痫和子痫、分娩并发症和不安全流产。如果能得到熟练的医疗专业人员的识别和治疗,并在足够早的卫生场所(例如医院)分娩,这些情况中的大多数都是可以预防的,但如果患者生活在缺乏熟练医疗保健提供者的地区或距离这些专业人员很远的地方,这可能会很困难,农村地区往往就是这种情况。本文的目的是研究2007年至2016年伊利诺斯州农村和城市按城市化水平和种族/民族分层的孕产妇死亡率差异。
{"title":"https://researchopenworld.com/higher-maternal-death-rates-occur-in-rural-united-states-and-illinois/#","authors":"Erin Hinckley, Martin MacDowel, Kaitlin Weisshappel, Annita E Mathew, Meagan Nowlan, Brooke Dean, A. Johnson, Alexandra McVicker","doi":"10.31038/awhc.2020312","DOIUrl":"https://doi.org/10.31038/awhc.2020312","url":null,"abstract":"Nationally and internationally, maternal mortality is an important indicator of the quality of a nation’s healthcare [1]. Recent statistics reported by the Centers for Disease Control and Prevention (CDC) indicates an increase in the pregnancy-related maternal mortality ratio (MMR) to 17.0 deaths per 100,000 live births from 2011–2013 [2], while in Europe and maternal death rates are declining [3,4]. When analyzing the demographics of maternal deaths in the U.S., it appears pregnancies in rural environments are more at risk, with some maternal mortality rates in rural areas as high as 28.7 deaths per 100,000 live births [5]. A study by Kozhimannil and colleagues [6] demonstrated a rise in the maternal mortality and morbidity of both rural and urban areas, but rural mothers had a 9% greater chance of an adverse outcome compared to the urban mothers. The WHO has identified several factors that account for 75% of all maternal deaths: severe bleeding and infections after childbirth, pre-eclampsia and eclampsia, complications from delivery, and unsafe abortion [7]. The majority of these conditions could be prevented if recognized and treated by a skilled medical professional and if birth takes place in a sanitary place early enough (e.g. hospital), which can be difficult if the patient lives in an area with a shortage of skilled healthcare providers or a long distance from these professionals, as is often the case in rural settings. The purpose of this article is to examine the differences in maternal death rates between rural and urban Illinois stratified by urbanization level and race/ethnicity from 2007 to 2016.","PeriodicalId":93266,"journal":{"name":"Archives of women health and care","volume":"64 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80191276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
https://researchopenworld.com/incidence-and-risk-factors-associated-with-cervical-cancer-in-sub-saharan-africa-a-systematic-review/# https://researchopenworld.com/incidence-and-risk-factors-associated-with-cervical-cancer-in-sub-saharan-africa-a-systematic-review/#
Pub Date : 2020-01-23 DOI: 10.31038/awhc.2020311
{"title":"https://researchopenworld.com/incidence-and-risk-factors-associated-with-cervical-cancer-in-sub-saharan-africa-a-systematic-review/#","authors":"","doi":"10.31038/awhc.2020311","DOIUrl":"https://doi.org/10.31038/awhc.2020311","url":null,"abstract":"","PeriodicalId":93266,"journal":{"name":"Archives of women health and care","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83178140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Archives of women health and care
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1