Academic literature on the topic 'Female Medical Education Society (Boston, Mass.)'

The process of the formation of ethnic identities in Turkey was fairly intricate with the influence of migrations, conflicts and newly adopted ideologies. The differential demographic development between the three main ethnclass groups in the country was one of the main reasons that led to political and social tensions causing political and social crises in Turkish society. While the fertility of the secular part of society was in the process of constant stagnation after World War II, the more traditional part of society experienced a demographic growth that was accompanied by mass migrations to large cities and political mobilization of the economically neglected newly formed urban and young population, which led to electoral homogenization and social divisions in Turkish society. Fertility among ethnic Turks converged at the commencement of the XXI century, but the demographic transition has stalled among the Kurdish population due to economic underdevelopment, female illiteracy and the survival of traditional institutions of patriarchy. While at the given period, the total fertility rate (TFR) of ethnic Turks fell to 1.88, in the Kurdish provinces, it was still over 4, although in 2020 it fell to around 3. Turkey went through one of the fastest processes of the society modernization with a fast urbanization and education of the population in the last two decades, where the share of the population living in cities surpassed 80% and as one of the highest in Europe was followed by a further decline in fertility, an increase in secularity among youth and with new forms of political mobilization. Also, Turkey is facing one of the biggest refugee crises in the world with around 4 million refugees, mostly from Syria.

Background: Cancer awareness and emphasis on preventive oncology is an essential weapon in our war against cancer. Globally the approach towards cancer awareness is non-targeted with mass media and social media coverage being unselective. This study aimed to demonstrate the disparities prevalent in society especially in a developing country with regard to cancer awareness for two of the commonest female cancers and suggested measures to increase the efficacy of awareness programs in the urban and suburban population of a typical third world Indian metropolitan city.Methods: In a cross-sectional study conducted between January 2021 to June 2021, 119 suitable female patients attending the gynaecology OPD of a medical college and hospital were randomly selected. Informed consent was taken and their knowledge/awareness about preventive oncology in carcinoma breast and carcinoma cervix (two most common cancers in Indian women) was documented using pre tested and pre structured questionnaire. The results were analysed by suitable statistical tests.Results: Higher education and socio-economic condition was associated with increased levels of awareness for preventive measures of carcinoma breast and carcinoma cervix. Within each educational strata, higher socio-economic status predicted for increased awareness for risk factors, screening tests and vaccination.Conclusions: Subtle differences in the patterns and degree of awareness in common female cancers were noticed with regard to educational and socio-economic standards in the studies population. These have widespread implications in planning awareness programs in resource constrained setting to ensure most efficacious utilization of Cancer awareness and Prevention programmes.

ImportanceFertility status is a marker for future health, and infertility has been associated with risk for later cancer and diabetes, but associations with midlife cardiovascular health (CVH) in female individuals remain understudied.ObjectiveTo evaluate the association of infertility history with CVH at midlife (approximately age 50 years) among parous individuals.Design, Setting, and ParticipantsProject Viva is a prospective cohort study of pregnant participants enrolled between 1999 and 2002 who delivered a singleton live birth in the greater Boston, Massachusetts, area. Infertility history was collected at a midlife visit between 2017 and 2021, approximately 18 years after enrollment. Data analysis was performed from January to June 2023.ExposuresThe primary exposure was any lifetime history of infertility identified by self-report, medical record, diagnosis, or claims for infertility treatment.Main Outcomes and MeasuresThe American Heart Association’s Life’s Essential 8 (LE8) is a construct for ranking CVH that includes scores from 0 to 100 (higher scores denote better health status) in 4 behavioral (diet, physical activity, sleep, and smoking status) and 4 biomedical (body mass index, blood pressure, blood lipids, and glycemia) domains to form an overall assessment of CVH. Associations of a history of infertility (yes or no) with mean LE8 total, behavioral, biomedical, and blood biomarker (lipids and glycemia) scores were examined, adjusting for age at outcome (midlife visit), race and ethnicity, education, household income, age at menarche, and perceived body size at age 10 years.ResultsOf 468 included participants (mean [SD] age at the midlife visit, 50.6 [5.3] years) with exposure and outcome data, 160 (34.2%) experienced any infertility. Mean (SD) LE8 scores were 76.3 (12.2) overall, 76.5 (13.4) for the behavioral domain, 76.0 (17.5) for the biomedical domain, and 78.9 (19.2) for the blood biomarkers subdomain. In adjusted models, the estimated overall LE8 score at midlife was 2.94 points lower (95% CI, −5.13 to −0.74 points), the biomedical score was 4.07 points lower (95% CI, −7.33 to −0.78 points), and the blood subdomain score was 5.98 points lower (95% CI, −9.71 to −2.26 points) among those with vs without history of infertility. The point estimate also was lower for the behavioral domain score (β = −1.81; 95% CI, −4.28 to 0.66), although the result was not statistically significant.Conclusions and RelevanceThis cohort study of parous individuals found evidence for an association between a history of infertility and lower overall and biomedical CVH scores. Future study of enhanced cardiovascular preventive strategies among those who experience infertility is warranted.

ObjectiveOverweight and obesity have been shown to be related to multiple chronic conditions, leading to a heavy economic burden on society throughout the world. This study aims to estimate the prevalence of overweight and obesity and determine potential influencing factors among adults in Xinjiang, northwest China.DesignA community-based observational study.SettingThe First Affiliated Hospital of Xinjiang Medical University.MethodsIn total, 14 618 adult participants (7799 males; 6819 females) aged over 35 years were recruited from the Cardiovascular Risk Survey conducted in 2010. Data were obtained from face-to-face interviews and physical examinations. The sample was used to estimate the prevalence of overweight (body mass index (BMI) 24–28 kg/m2) and obesity (BMI ≥28 kg/m2) in Xinjiang Province. Influencing factors were analysed based on statistical methods.ResultsIn Xinjiang Province, the overall prevalence of overweight was 36.5% (male 40.1%; female 33.4%), and the prevalence of obesity was 26.5% (male 27.2%; female 25.8%). The prevalence of both overweight and obesity were higher in women than in men (p<0.001). The main influencing factors for overweight and obesity were sex, age, race, marital status, education level, occupation, smoking, drinking, hypertension, diabetes and dyslipidaemia (p<0.05).ConclusionsThis study estimated that the prevalence of overweight and obesity among adult residents of Xinjiang Province, northwest China, was high. These data suggest that efforts related to the prevention and control of overweight and obesity should be a public health priority in northwest China.

Background: Overweight and obesity kill about 2.8 million adults worldwide a year, and contributes to a host of debilitating chronic illnesses, yet obesity is still not typically a focus of medical student training, or continuing education for physicians. The consequences affect an individual physically, financially, and emotionally. The broader society is affected since obesity threatens national security and public safety by reducing the numbers of military and safety officials who are fit for duty and places a huge burden on the healthcare system. Objective(s): The aim of this study is to determine the mediating role of food addiction and commitment to physical activity. Methodology: The descriptive correlational design has been considered a subtype of correlational research, with its primary purpose being to examine relationships between and among variables and it is referred to occasionally as simple correlational design. The study included a convenience sample of male and females middle school students who agreed to participate in this study. The study subjects were recruited from eight public middle schools. The sample size was determined using G*Power software based on an effect size of 0.25, alpha error probability of 0.05, a power of 0.95, five groups. Thus, the recommended sample size would be 304. Considering an attrition rate of 20%, additional 61 subjects would be required. As such, the recommended sample size would be 365. The final sample size is 380. Results: There is a statistically significant difference in commitment to physical activity between gender groups (p-value = 0.005). While there is no statistically significant difference in commitment to physical activity among grade groups. Conclusion: Male students have greater tendency for food addiction than female students. Male students have greater commitment to physical activity than female students. Recommendations: There is a need for the community health nurses to collaborate with the officials in the Ministry of Health (School Health), mass media, and directorates of education to raise students and school officials’ health awareness of the value of adhering to healthy diet and healthy weight. Keywords: Physical Activity, Food Addiction, Weight Trend, Middle School Students.

Aim. To study the factors associated with the intermediate probability of heart failure (HF) with preserved ejection fraction (HFpEF) according to the H2FPEF score (Heavy; Hypertensive; Atrial Fibrillation; Pulmonary Hypertension; Elder; Filling Pressure) in asymptomatic patients in rotation work conditions in the Arctic.Material and methods. In the polar village of Yamburg (68° 21’ 40” northern latitude), 100 men and 80 women with grade 1, 2 hypertension and normotensive persons were examined on the basis of the Medical Unit of OOO Gazprom Dobycha Yamburg. All patients underwent echocardiography using generally accepted methods of imaging and data processing, according to European Society of Echocardiography guidelines. To calculate the probability of HFpEF, the H2FPEF score was used. The Bruce protocol treadmill test was performed. The SF-36 (Health Status Survey) questionnaire for assessment of life quality was used.Results. Group 1 included 95 male and female patients with a low probability of HF (H2FPEF score — 0-1), group 2 — 85 patients of both sexes with an intermediate probability of HF (H2FPEF score — 2-5). Group 2 patients were older (p=0,038), worked longer on a shift (p=0,0143), and had higher ambulatory systolic (p=0,0001) and diastolic blood pressure (p=0,0013) with a higher body mass index (BMI) (p=0,0001). Based on the odds ratio (OR) analysis, the factor most strongly influencing the intermediate probability of HFpEF was BMI (OR=1,261, 95% confidence interval (CI): 1,140-1,393). SF-36 questionnaire revealed intergroup differences only on the role functioning scale (p=0,013) with lower values in group 2. In the logistic regression model, dyspnea during the treadmill test occupied a leading position as follows: OR=8,952; 95% CI: 3,454-15,197 (p<0,0001). The second place was taken by inotropic reserve value (OR=1,020; 95% CI: 1,006-1,035 (p=0,005), which was higher in group 2 and was regarded as one of the compensatory mechanisms for adapting to stress. In the group 2, echocardiography revealed significant differences in terms of left ventricular (LV) myocardial mass (p=0,0002), LV internal area (p=0,0002), isovolumic relaxation time (p=0,003), and ratio of transmitral diastolic flow rate to mean mitral annulus velocity (p=0,0001), which indirectly indicates the presence of LV diastolic dysfunction.Conclusion. There are following factors associated with H2FPEF intermediate probability of HFpEF in asymptomatic patients on shift in the Arctic: BMI, length of shift, dyspnea and an increase in inotropic reserve during exercise due to a decrease in adaptive potential, impaired LV diastolic function. Initiating management strategies that target identified factors in patients with asymptomatic HF may slow symptomatic disease progression in shift workers in the Arctic region.

Background:There are known and established risk factors for gout flares; however, no study has examined the factors specifically associated with a polyarticular gout flare.Objectives:Evaluate risk factors of a polyarticular gout flare in a longitudinal study of individuals with gout.Methods:We used data from the Boston Online Gout Study, a longitudinal internet-based case-crossover study, where gout patients with at least one flare within the past year were enrolled across the US. Participants (N=903) were followed prospectively for 1 year via the internet to collect information on gout flares and related data including number and specific joints involved, medical comorbidities, diet, exercise and medications.A polyarticular gout flare was defined as having 3 or more joints involved during a patient-reported flare period. Individuals with at least one flare (to determine flare pattern) during follow-up were included in the analysis. Univariable associations were first assessed to determine factors were associated with polyarticular joint flares. was used to adjust for confounders. When assessing the association of each risk factor with prevalent polyarticular joint involvement, we used multivariable logistic regression, adjusting specific confounders guided by causal diagram.Results:There were 724 participants with at least one flare with a mean and median age of 55 years. The cohort was 78% male and 89% White with a mean gout disease duration of 8.1 years (median 5). 197 (27%) had a polyarticular gout flare. In univariable analysis (Table 1), female sex, osteoarthritis, obesity, heart failure, hypertension, chronic kidney disease and gout related medication use were each associated with higher odds of polyarticular gout flare, whereas higher education, alcohol use at study enrollment and aspirin use were associated with lower odds. In multivariable analysis, obesity, osteoarthritis and heart failure remained associated with a higher odds of polyarticular gout flare, whereas education remained inversely associated.Conclusion:In this prospective cohort of gout patients, obesity, heart failure and osteoarthritis were independently associated with higher odds for polyarticular gout flares. Female sex was also positively associated, whereas higher education was protective. The positive association with gout-related medications likely reflects residual confounding by indication. If confirmed, these findings would help identify those at risk for polyarticular flares to help improve clinical care.Table 1.Associations with Polyarticular Gout Flare (≥ 3 joints)Risk FactorUnivariable OR (95% CI)Age- and Sex-Adjusted OR (95% CI)Multivariable OR* (95% CI)Age ≥ 55 years (vs < 55)0.82 (0.59,1.14)0.77 (0.56,1.08)0.70 (0.49,1.01)Female Sex1.51 (1.04,2.22)1.55 (1.03,2.32)1.21 (0.78,1.88)White Race (vs Non-White)0.89 (0.54,1.48)0.93 (0.56,1.54)0.75 (0.44,1.28)Education (vs High School or Less)Some college0.63 (0.37,1.07)0.53 (0.37,1.07)0.68 (0.39,1.17)College0.45 (0.25,0.78)0.46 (0.26,0.81)0.49 (0.27,0.88)Post-graduate0.42 (0.25,0.72)0.44 (0.26,0.76)0.48 (0.28,0.84)Body Mass Index (kg/m2) at Enrollment (vs < 25)25-29.91.69 (0.85,3.33)1.77 (0.89,3.51)1.82 (0.90,3.65)≥ 302.38 (1.24,4.58)2.30 (1.19,4.43)2.19 (1.12,4.28)Alcohol Use at Enrollment (vs. Non-Use)0.60 (0.40,0.89)0.60 (0.40,0.91)**Gout Duration ≥ 5 years (vs < 5)0.85 (0.61,1.18)0.93 (0.66,1.31)0.95 (0.66,1.35)Presence of Comorbidities at Enrollment (vs Absence)Osteoarthritis2.35 (1.45,3.81)2.37 (1.43,3.95)2.39 (1.42,4.04)Heart Failure2.06 (1.11,3.81)2.21 (1.17,4.17)2.03 (1.06,3.91)Hypertension1.61 (1.08,2.40)1.69 (1.10,2.60)**Chronic Kidney Disease1.97 (1.03,3.78)2.11 (1.09,4.11)**Medication Use at Enrollment (vs No Use)Allopurinol1.58 (1.13,2.22)1.59 (1.13,2.23)**Diuretics1.53 (1.06,2.21)1.59 (1.06,2.38)**Oral Steroids2.21 (1.16,4.18)2.26 (1.19,4.31)**Aspirin0.68 (0.47,0.98)0.72 (0.49,1.07)***Mutually adjusted for the variables in this column**Not included in modelAcknowledgements:NIH P50AR060772.Disclosure of Interests:Jonathan Dau: None declared, Natalie McCormick: None declared, Sarah Stratton: None declared, Chio Yokose: None declared, Clara Chen: None declared, Tuhina Neogi Shareholder of: Lilly, EMD Merck Serono, Novartis, Regeneron, Pfizer/Lilly, David Hunter Shareholder of: Pfizer, Lilly, Merck Serono, Kenneth Saag Consultant of: Arthrosi, Horizon Therapeutics plc, Atom Bioscience, LG Pharma, Takeda, Mallinkrodt, SOBI, Grant/research support from: Horizon Therapeutics plc, Shanton, SOBI, Yuqing Zhang: None declared, Hyon Choi Consultant of: Ironwood, Selecta, Horizon, Takeda, Kowa, Vaxart, Grant/research support from: Ironwood, Horizon.

Abstract Introduction: Breast implant associated anaplastic large cell lymphoma (BIA-ALCL) was recently recognized by the WHO as a lymphoma presenting a median of 8 years after insertion of breast implants for reconstructive surgery following breast cancer, for prophylactic mastectomy due to high genetic risk of breast cancer, e.g. BRACA1/2 mutations, or for other cosmetic reasons. The American Society of Plastic Surgeons BIA-ALCL Global Network reports there are 1,158 known cases of BIA-ALCL and 35 deaths across 46 countries worldwide as of January 28, 2022. Approximately 80% of Australian women present with a peri-implant effusion whereas in the USA, 30% present with a mass +/- lymphadenopathy. Five-year overall survival is 90.1% when disease is confined to a peri-implant effusion and capsule but 72.4% when disease extends beyond the capsule. Therefore, we set out to develop a diagnostic test for early disease detection in peri-implant effusions. Experimental procedure: Our initial publications from the USA and Italy revealed higher mean concentrations of IL-9, IL-10 and IL-13 in BIA-ALCL than in more common benign effusions due to capsule contracture, leakage, trauma and infection. To validate these findings in a larger number of patients, mostly from another geographic region (Australia), we evaluated cryopreserved peri-implant effusions of 25 patients with BIA-ALCL and 30 patients with benign seromas collected at Macquarie University Medical School in Sydney AU and Rhode Island Hospital in the USA. Informed consent and Institutional approvals were obtained. Cytokine concentrations were determined with the Biolegend Human Th Cytokine 12 plex multianalyte flow assay kit (Cat. No. 741028), San Diego, USA. Results: The results show that mean levels of IL-9, IL-10 and IL-13 were elevated 72-, 716- and 22-fold, respectively, in BIA-ALCL compared to benign effusions, and each cytokine separated the two groups with little overlap (P &lt; 0.0001), Mann-Whitney test. For IL-10, there was 92% sensitivity, 100% specificity, Youden Index (YIA08_92), cut-off value 150pg/ml; for IL-9, 96% sensitivity, 80% specificity (YI=76) cut-off value 88pg/ml; for IL-13, 76% sensitivity, 96.7% specificity, (YI= 72.7) cut-off value 714pg/ml. Furthermore, the geometric mean of the 3 cytokines has an area under the Receiver Operated Curve (AUROC) value of 0.9947 with 100% sensitivity and 96% specificity (Youden index of 96). Only one other cytokine, IFNgamma, showed significant diagnostic value.Conclusions: Measurement of a panel of 12 cytokines representing different T helper subsets discriminates with high sensitivity and specificity peri-implant effusions of BIA-ALCL from benign peri-implant effusions, facilitating early diagnosis with potential for curative surgery. The consistent cytokine profile of IL-9, IL-10 and IL-13 in malignant peri-implant effusions in this and 2 previous studies of 40 patients across 3 continents suggest that a specific immune response to unique etiologic agent(s) is an early event in the pathogenesis of BIA-ALCL. Citation Format: Marshall E Kadin, Helen Hu, Elena Elena Shklovskaya, Anand Deva, Mark Dooner, Haiying Xu. Diagnosis of breast implant associated anaplastic large cell lymphoma by analysis of cytokines in peri-implant effusions [abstract]. In: Proceedings of the Third AACR International Meeting: Advances in Malignant Lymphoma: Maximizing the Basic-Translational Interface for Clinical Application; 2022 Jun 23-26; Boston, MA. Philadelphia (PA): AACR; Blood Cancer Discov 2022;3(5_Suppl):Abstract nr A08.

Objectives: The objective of the study is to determine the nutritional status of elderly resident in nursing home through anthropometric measurements (Body Mass Index, mid-upper arm circumference) dietary pattern and food intake and clinical appearance in Baghdad city. Methodology: A descriptive (cross sectional) design was carried throughout the present study to assess the nutritional status of nursing home residents in Baghdad City. This study started in March 22th, 2010 through July 29th, 2010. Probability" random sample of (50) older adults were selected out of nursing home residents in Baghdad City for the present study. The sample was assigned to the study according to the following inclusive criteria, Older adult age was (60-86) years old, who are on unhealthy Status in Nursing Home Residence. Data were collected through the use of the questionnaire and interview, and analyzed through the application of descriptive and inferential statistical data analysis which reveals: demographic characteristic analysis of the sample concerned. Results: the majority of the sample age is (70-74) years inferential (30%), the majority of study sample (62%) are male and the remaining are female, relative subjects level of education is that the greater number of them are illiterate and they are accounted for the indication of clinical appearance the majority for easy hair loss and bleaching nails (24%), show that the majority of BMI are within fourth categories groups and accounted for over weight(30%), the majority of MUAC within three groups and accounted for normal (82%). Conclusion: their current medical problems, are overweight and taking medication. Most of the old age residents are not a customer for vitamins and minerals intake. Most of the old age residents are losing hair easily and bleaching nails. Recommendations: Work on the coordination between the role of the state and civil society institutions and the Ministry of Social Affairs and the Ministry of Health for the purpose of direct supervision on the needs and problems of residents in the role of the state, the researchers recommend conduct a comparative study on the situation nutrition among the elderly living in nursing homes and the elderly living in the community.

Examining how the female body and lifecycle were constructed within 19th-century Scottish psychiatry, and the wider significance of such portrayals, this article situates the Period Products (Free Provision) (Scotland) Act within a much longer history that presents menstruation as a problem. We highlight the historical resonance of two prominent features of the Act and the debates leading to it: the enduring tension between views of menstruation as a normal versus a pathological process, and the perceived deleterious impact of menstruation upon female education and, by extension, women’s status. By 1900, Scottish psychiatry had achieved professional status. Asylums were recognised as the officially approved response to madness, and mass institutionalisation allowed the medical profession unparalleled opportunities to observe, classify and treat those deemed insane. Madness as a ‘female malady’, with doctors portraying the female sex as more vulnerable to insanity in publications and clinical documentation, largely due to their reproductive system, has become a popular theme in historical scholarship. This article examines how 19th-century psychiatry depicted the biological ‘crises’ of the female lifecycle and the extent to which menstruation was conceptualised as a pathological process. The widely cited and prolific medical writer, Thomas Clouston—physician-superintendent of the Royal Edinburgh Asylum (1873–1908), Scotland’s largest and most prestigious asylum—offers a particularly illuminating case study. An advocate of managing mental health holistically, Clouston advised society on healthy living through adherence to respectable Victorian standards. In his policing of social norms, he became a prominent spokesperson for limiting female education to protect women during the ‘dangerous’ transition from childhood to womanhood.