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Corona Virus Disease among Pregnant Women: A Systematic Scoping Review 认领
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作者 Consolata Kirigia 《妇产科期刊(英文)》 2020年第5期671-677,共7页
Corona Virus Disease 2019 (COVID-19) is a deadly respiratory viral disease that started in China in the year 2019 before spreading to the world. It affects everybody regardless of race, religion, social economic statu... Corona Virus Disease 2019 (COVID-19) is a deadly respiratory viral disease that started in China in the year 2019 before spreading to the world. It affects everybody regardless of race, religion, social economic status or age. However, literature indicates that people with compromised immune status are at a higher risk of contracting viral infections. During pregnancy, the immune status of the woman is suppressed because it acts to protect both the mother and her unborn baby. The purpose of this study was to provide an overview of available evidence on the risk of contracting COVID-19 and COVID-19 infection prevention among pregnant women. Relevant and recent articles were identified from various databases. Article selection was aligned to the study questions. Articles that were related to study objectives were included and those not related to study objectives were excluded. A narrative report was produced and results were described according to study objectives. Approximately 8 data sources were included and most of the reviewed articles indicated that pregnant women are at a higher risk of getting COVID-19. The reviews further indicated that pregnant women can be prevented from this deadly virus by providing community antenatal services instead of visiting the health facilities. If a pregnant woman develops symptoms of respiratory infection, it is advisable to seek immediate diagnosis to rule out COVID-19 and get appropriate management to avoid complications. The selected studies’ quality was appraised through Mixed Methods Appraisal Tool (MMAT) version 2018. Knowledge on the risk of COVID-19 infection among pregnant women will help health workers especially midwives who take care of pregnant women to design confidently and put into action preventive programs to address health needs of pregnant women who are at a higher risk of contracting COVI-19 as compared to other people in the general population. This also will assist health workers to provide appropriate care to pregnant women on the basis of their COV 展开更多
关键词 CORONA VIRUS Risk of COVID-19 PREGNANT WOMEN PREGNANCY INFECTION Prevention
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Preventing Pregnant Women’s Exposure to Secondhand Smoke: Development and Suitability Assessment of an Educational Comic Booklet 认领
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作者 Kimiko Inaoka Ishak Halim Octawijaya +1 位作者 Windy Mariane Virenia Wariki Erika Ota 《健康(英文)》 2020年第9期1186-1201,共16页
<strong>Aim:</strong> The aim of this mixed methods research was to develop an educational comic booklet to prevent pregnant women’s exposure to secondhand smoke. <strong>Methods:</strong> We ... <strong>Aim:</strong> The aim of this mixed methods research was to develop an educational comic booklet to prevent pregnant women’s exposure to secondhand smoke. <strong>Methods:</strong> We assessed the suitability of the comic booklet by measuring participant response to content, literacy demand, graphics, layout and typography, learning stimulation, motivation, and cultural appropriateness. The participants were 17 Indonesians living in Japan who were recruited through Respondent-Driven-Sampling and met all criteria for the survey. Means and standard deviations were used to determine the suitability of the educational comic. <strong>Results:</strong> About 80% of participants rated the comic as “superior” on a rating scale with options of “superior”, “adequate”, “not suitable”, or “not applicable”. The most successful aspects of the comic were content and cultural appropriateness, as it provided clear contents and the graphics showed realistic Indonesian smoking behavior. The least successful aspect of the comic was the literacy demand because there were long sentences using difficult words. <strong>Conclusions:</strong> The results of this study may be used to conduct a randomized controlled trial using this comic booklet with some modifications. 展开更多
关键词 Comic Booklet Health Education Indonesia Pregnant Women Secondhand Smoke
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Relationships of Handgrip Strength with Menstruation-Related Symptoms in Female University Students in Japan 认领
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作者 Yukie Matsuura Honoka Atsumi +5 位作者 Erina Kane Mizuki Yano Kiko Akamine Ayumi Murakami Tokimi Wada Toshiyuki Yasui 《妇产科期刊(英文)》 2020年第8期1056-1066,共11页
Introduction: <span style="font-family:""><span style="font-family:Verdana;">Some somatic and psychological disorders have been associated with handgrip strength, which is an easy,... Introduction: <span style="font-family:""><span style="font-family:Verdana;">Some somatic and psychological disorders have been associated with handgrip strength, which is an easy, inexpensive and noninvasive method for assessment of muscle strength. We conducted a cross-sectional </span><span style="font-family:Verdana;">study to clarify the relationship of handgrip strength and menstruation-related </span><span style="font-family:Verdana;">symptoms. </span><b><span style="font-family:Verdana;">Material and Methods:</span></b><span style="font-family:Verdana;"> Handgrip strength was measured and a self-administered questionnaire was performed in female university students in Japan. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">Handgrip strength did not significantly differ among the menstrual phases. The mean handgrip strength level (n = 260) was 26.0 ± 3.9 kg. We divided the subjects into three groups according to the handgrip strength level. Handgrip strength was associated with degrees of depression and anxiety during menstruation.</span><b><span style="font-family:Verdana;"> Conclusion: </span></b><span style="font-family:Verdana;">This can be used as fundamental data in further clarifying the relationship between muscle strength and menstruation-related symptoms.</span></span> 展开更多
关键词 Handgrip Strength Menstruation-Related Symptoms Menstrual Phases Young Women
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Research Progress of Related Laboratory Testing Indexes before and after Mother-Infant Blocking in HIV/AIDS Pregnant Women 认领
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作者 Guosheng Su Lihua Qin Lida Mo 《艾滋病(英文)》 2020年第2期149-157,共9页
More than 90% of HIV-positive children come from mother-to-child transmission, so mother-to-child interdiction is the main measure to prevent AIDS in children. Relevant data show that the incidence of mother-to-child ... More than 90% of HIV-positive children come from mother-to-child transmission, so mother-to-child interdiction is the main measure to prevent AIDS in children. Relevant data show that the incidence of mother-to-child transmission of HIV usually fluctuates between 15% and 50% without intervention. Standardized and effective comprehensive intervention can reduce the transmission rate of mother to child to less than 1%. At present, it is believed that mother-to-child transmission of AIDS can be blocked by comprehensive intervention, and its mechanism has been clearly studied. Combined with highly effective antiviral treatment, safe labor and artificial feeding, the mother to child transmission rate can be reduced to less than 1%. However, due to the effect of drugs on mother-to-child transmission of AIDS may lead to some changes in the main biochemical indicators of mother-to-child, there is no systematic analysis of the viral load, T lymphocyte subsets and major biochemical indicators of HIV/AIDS pregnant women before and after maternal-to-child transmission. In this study, the viral load, T lymphocyte subsets and major biochemical indicators of HIV/AIDS pregnant women before and after maternal-infant blockade were dynamically analyzed. It is hoped that this study will help to observe the basic physical fitness and disease development of pregnant women with HIV/AIDS during pregnancy, to provide a strong basis for the treatment and evaluation of maternal-infant blockade of HIV/AIDS pregnant women, and to establish a complete set of laboratory indicators to understand the body status of pregnant women at all stages to minimize the probability of fetal transmission, which will make good economic and social benefits. 展开更多
关键词 AIDS Pregnant Women Prevention of Mother to Child Transmission Viral Load T Lymphocyte Biochemical Index
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Metabolic Abnormalities and Metabolic Syndrome among Cameroonian Women: Comparative Study between Pre- and Post-Menopausal Women 认领
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作者 Françoise Raïssa Ntentie Mary-Ann Angie Mbong +5 位作者 Maxwell Wandji Nguedjo Boris Rornald Tonou Tchuenté Ousmane Mfopou Mboindi Boris Gabin Kingue Azantsa Judith Laure Ngondi Julius Enyong Oben 《生物科学与医学(英文)》 2020年第7期76-89,共14页
The high prevalence of non-communicable diseases is a challenging problem in the Cameroonian population and women are the most affected. The aim of the present study was to determine and compare the prevalence of meta... The high prevalence of non-communicable diseases is a challenging problem in the Cameroonian population and women are the most affected. The aim of the present study was to determine and compare the prevalence of metabolic abnormalities and metabolic syndrome (MetS) among pre- and post-men- opausal women living in urban areas in Cameroon. A total of 499 women were recruited during a mass health campaign in 2018. Metabolic abnormalities were diagnosed using International Diabetes Federation (IDF) criteria. MetS was defined using IDF criteria with slight modification (total cholesterol used instead of HDL cholesterol). Logistic regression was used to estimate the association between menopausal status and metabolic abnormalities and MetS in age control and non-control models. The prevalence of high waist- to-hip ratio (56.8% vs 36.3%, p < 0.001), elevated fasting blood glucose (glycemia ≥ 100 mg/dL) (38.7% vs 26.9%, p = 0.006);diabetes (14.6% vs 5.7%, p = 0.001);high triglycerides level (29.7% vs 17.1%, p = 0.002);hyperlipidemia (high total cholesterol and or triglycerides levels) (45.0% vs 30.8%, p = 0.002);and elevated blood pressure (67.9% vs 56.1%, p = 0.007) were higher among post-menopausal than pre-menopausal women. The overall prevalence of MetS was 30.1% and post-menopausal women were more affected (33.8% vs 25.0%;p = 0.034). The odds ratio of MetS was 1.888 (95% CI: 1.016 - 3.507) when age was covariate, but was slightly reduced without age control (OR = 1.532;95% CI: 1.031 - 2.275). Metabolic abnormalities seem to be a major health problem among Cameroonian women and menopausal status increased the risk of developing a cardiovascular event. 展开更多
关键词 Metabolic Abnormalities METS Menopausal Status Cameroonian Women
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Performance of Sickle SCAN<sup>®</sup>in the Screening of Sickle Cell Disease in Kisangani Pregnant Women and Attitude towards Results 认领
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作者 Yvette Neema-Ufoy Mungu Jean Jeannot Juakali-Sihalikyolo +6 位作者 Roland Djang’eing’a Marini Gédéon Katenga-Bosunga Hermane Avohou-Tonakpon Stéphane Leduc Franç ois Boemer Salomon Batina-Agasa 《血液病期刊(英文)》 2020年第2期23-36,共14页
In the Democratic Republic of the Congo, the sickle cell trait carriage is estimated at 25%. Routine neonatal screening is not a common practice, leading to a very late diagnosis. In this study, the screening of pregn... In the Democratic Republic of the Congo, the sickle cell trait carriage is estimated at 25%. Routine neonatal screening is not a common practice, leading to a very late diagnosis. In this study, the screening of pregnant women was assessed as well as their attitudes. This is an analytical cross-sectional study conducted in 245 pregnant women, sampled by convenience in four hospitals in Kisangani city (Democratic Republic of Congo) and screened using the sickle SCAN® test, from February 1 to July 31, 2019. The sensitivity and specificity of the latter were determined using liquid chromatography coupled with mass spectrometry as the gold standard. The attitudes of 240 pregnant women without previous screening history were assessed upon the announcement of the results. The sensitivity of screening for hemoglobin (Hb) AA and Hb AS was 96.69% and 98.39%, respectively;while the specificities were 99.43% and 96.32%, respectively. The Kappa coefficient (<i>κ</i>) was excellent. Concerning attitudes, Hb SS pregnant women and 55.17% of AS pregnant women worried when the results relating to their hemoglobin status were announced. The sickle SCAN® test was found reliable for sickle cell disease screening in Kisangani. The announcement of the results, mainly positive, raises worry among pregnant woman. Therefore, we recommend the involvement of a clinician psychologist for pre-screening counselling and for results announcement, as well as early newborns and unmarried teenage girls screening. 展开更多
关键词 Sickle SCAN® Liquid Chromatography Pregnant Women ATTITUDES Kisangani
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Psychiatric Aspects of Egyptian Women with Unexplained Infertility 认领
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作者 Mohammed Hussain Mostafa Anwar Mohamed Elashram 《妇产科期刊(英文)》 2020年第9期1331-1339,共9页
<strong>Background:</strong><span style="font-family:""><span style="font-family:Verdana;"> The diagnosis of unexplained infertility may be very frustrating for inferti... <strong>Background:</strong><span style="font-family:""><span style="font-family:Verdana;"> The diagnosis of unexplained infertility may be very frustrating for infertile couples and they show higher depression levels when compared to fertile couples. </span><b><span style="font-family:Verdana;">Aim: </span></b><span style="font-family:Verdana;">To assess the psychiatric aspects of Egyptian women with unexplained infertility. </span><b><span style="font-family:Verdana;">Methods: </span></b><span style="font-family:Verdana;">220 infertile women were included in this study (110 with unexplained infertility and 110 with explained infertility).</span><b> </b><span style="font-family:Verdana;">The psychiatric aspect of these women was evaluated using the translated and validated Hamilton Anxiety Rating Scale and the Beck Depression Inventory-II. </span><b><span style="font-family:Verdana;">Findings: </span></b><span style="font-family:Verdana;">The</span><b> </b><span style="font-family:Verdana;">number of women with mild depression was significantly higher in </span></span><span style="font-family:Verdana;">the </span><span style="font-family:Verdana;">unexplained infertility group (47/110 (42.7%)) versus (22/110 (20%)) in </span><span style="font-family:Verdana;">the </span><span style="font-family:""><span style="font-family:Verdana;">explained infertility group (</span><i><span style="font-family:Verdana;">P</span></i></span><i><span style="font-family:""> </span></i><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.007). The number of women with moderate anxiety was significantly higher in </span><span style="font-family:Verdana;">the </span><span style="font-family:Verdana;">unexplained infertility group (26/110 (23.6%)) versus (8/110 (7.3%)) in </span><span style="font-family:Verdana;">the </span><span style="font-family:""><span style="font-family:Verdana;">explained infertility group (</span><i><span style="font-family:Verdana;">P</span></i></s 展开更多
关键词 Psychiatric Aspects Egyptian Women INFERTILITY Depression ANXIETY
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中国妇女史研究百年回眸 认领
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作者 高世瑜 《山西师大学报:社会科学版》 2020年第4期8-13,共6页
妇女史经过多年的理论建设与研究实践,作为一个学科已然成形。妇女史在中国兴起发展已有百年。初兴于清末民初,主要起源于近代社会变革,体裁从传统《列女传》式的人物传记发展成为妇女群体史。崛起于20世纪80年代,与新时期的改革开放与... 妇女史经过多年的理论建设与研究实践,作为一个学科已然成形。妇女史在中国兴起发展已有百年。初兴于清末民初,主要起源于近代社会变革,体裁从传统《列女传》式的人物传记发展成为妇女群体史。崛起于20世纪80年代,与新时期的改革开放与学术繁荣密切相关,学术因素占据主要地位,在学科理论建设与实证研究方面都取得了前所未有的成果。蓬勃发展于新世纪初,研究课题空前广泛、视野扩大、理论探讨深入,在史学界已从边缘走向主流,成为引人瞩目的一个新兴学科;同时走向妇女/性别史,超越以妇女为研究对象的局限,性别成为解析历史的一个新的理论范畴。 展开更多
关键词 妇女 历史 妇女/性别史
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Malaria and Its Economic Burden among Pregnant Women in Rivers State, Nigeria 认领
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作者 Ifeyinwa Chijioke-Nwauche Omosivie Maduka +8 位作者 Abimbola Awopeju Ibinabo Oboro Nsirimobu Paul Mark Ogoro Godly Otto Terhemen Kasso Lucy Yaguo-Ide Claribel Abam Chijioke Nwauche 《妇产科期刊(英文)》 2020年第4期571-582,共12页
Background:?Malaria remains a public health concern in sub-Saharan Africa especially in pregnant women because of the potential risk to the life of the mother and risk of transmission to the foetus. Treatment of malar... Background:?Malaria remains a public health concern in sub-Saharan Africa especially in pregnant women because of the potential risk to the life of the mother and risk of transmission to the foetus. Treatment of malaria imposes a great economic burden on households, governments, and ultimately slows down the pace of economic development in these countries. Methods:?This study estimates the economic burden of malaria among pregnant women in Nigeria, using a cross sectional survey, conducted in 8 public health institutions from the three senatorial districts of Rivers State. The data was collected from a sample of 1008 pregnant women visiting antenatal clinics using the open data kit (ODK) pretested questionnaires by trained personnel. Results:?The results show that malaria has a direct economic burden of about N5826.21 or 16.18 United States Dollar (USD) for outpatient treatment including diagnostic tests and about N18,271 or 50.75?USD using an exchange rate of N360:1?USD, for inpatient treatment. A significant statistical association was established between malaria diagnosis and socio-economic status of participants (p-value Conclusion:?Though the intangible cost could not be identified, the study has shown that malaria imposes huge economic burden on households especially poor households. There is need for government to intensify its efforts in malaria eradication schemes. Efforts should be made to put in place a free malaria treatment policy for vulnerable groups like pregnant women. Furthermore, involvement of health systems in reducing the cost of treatment will decrease the economic burden on the households. 展开更多
关键词 MALARIA COST BURDEN PREGNANT Women
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Determining the Prevalence of Bacterial Vaginosis &Vulvovaginal Candidiasis among Married and Unmarried Women &Evaluating the Association Socio-Demographic Risk Factors &Symptoms-Related Variables in Women Attending Gynecology Clinic in Hargeisa Group Hospital, Hargeisa City, Somaliland 认领
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作者 Abdullah Al-Mamari 《医学微生物学(英文)》 2020年第3期114-128,共15页
<b style="line-height:1.5;"><span style="font-family:Verdana;">Background:</span></b><span "="" style="line-height:1.5;"><span style="... <b style="line-height:1.5;"><span style="font-family:Verdana;">Background:</span></b><span "="" style="line-height:1.5;"><span style="font-family:Verdana;"> Vaginitis refers to any inflammation or infection of the vagina. This is a common gynecological problem found in women of all ages, with one-third of women having at least one form of vaginitis at some time during their lives. The vagina is the muscular passageway between the uterus and the external genital area. When the walls of the vagina become inflamed, because some irritant has disturbed the balance of the vaginal area, vaginitis can occur. The most common types of vaginitis are: Candida or “yeast” infection, Bacterial vaginosis, Trichomoniasis vaginitis. </span><b><span style="font-family:Verdana;">Objectives of Study:</span></b><span style="font-family:Verdana;"> Therefore, the present study was carried out to determine the prevalence of bacterial vaginosis (BV), vulvovaginal candidiasis (VVC) among married and unmarried women and evaluat</span></span><span style="line-height:1.5;font-family:Verdana;">e</span><span "="" style="line-height:1.5;"><span style="font-family:Verdana;"> the association socio-demographic risk factors and symptoms-related variables in women attending gynecology clinic in Hargeisa group hospital. </span><b><span style="font-family:Verdana;">Methodology:</span></b><span style="font-family:Verdana;"> A total of 150 married and unmarried women w</span></span><span style="line-height:1.5;font-family:Verdana;">ere</span><span style="line-height:1.5;font-family:Verdana;"> investigated & diagnosed by a researcher in Hargeisa Group Hospital, Hargeisa City, Somaliland for determin</span><span style="line-height:1.5;font-family:Verdana;">ing</span><span "="" style="line-height:1.5;"><span style="font-family:Verdana;"> of VVI prevalence in the present study. Vaginal swabs from these patients were processed for detection of bacterial vaginosis (BV), VVC and trichomoniasis based on guidelines of management of vagina infection. Species s 展开更多
关键词 Vulvovaginal Candidiasis Bacterial Vaginosis WOMEN PREVALENCE
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Factors Associated with the Use of Cervical Cancer Screening in the Mbour Health District (Senegal) 认领
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作者 Niang Khadim Tine Jean Augustin Diegane +5 位作者 Thiam Ousmane Ly Toly Diongue Fatoumata Bintou Diallo Amadou Ibra Faye Adama Ndiaye Papa 《妇产科期刊(英文)》 2020年第4期604-614,共11页
Cervical cancer with an estimated incidence between 1700 and 2000 new cases per year and mortality around 70% to 80% has become the leading cancer in Senegal. The objectives of this present work were to study the fact... Cervical cancer with an estimated incidence between 1700 and 2000 new cases per year and mortality around 70% to 80% has become the leading cancer in Senegal. The objectives of this present work were to study the factors associated with cervical cancer screening in the Mbour health district in 2015. It was a cross-sectional, descriptive and analytical study carried out on a sample of 599 women chosen according to a two-stage survey. The survey used a questionnaire where data on individual characteristics, knowledge, attitudes and practices are collected during an individual interview after informed consent. The data collected were entered in the Epi Info 3.5.3 software and analyzed with the R 3.1.2 software. The average age was 44.4 years with a standard deviation of 8.9. The proportion of women screened for cervical cancer was 19.4%. Screening for cervical cancer was positively related to the possession of an income-generating activity (Adjusted OR = 2.39 [1.4 - 4.2]), increase of education and knowledge of a person suffering from cancer in the environment (adjusted OR = 2.40 [1.3 - 4.2]). Knowledge of the methods of diagnosis of cervical cancer was positively associated with cervical cancer screening (adjusted OR = 20 [11.1 - 33.3]). The lack of awareness and the lack of financial resources and education for women were the main obstacles to cervical cancer screening for women in Mbour. The health system should focus on building the capacity of women to fight cervical cancer. 展开更多
关键词 Cancer CERVIX SCREENING WOMEN Senegal
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Socio-Demographics and Late Antenatal Care Seeking Behavior: A Cross Sectional Study among Pregnant Women at Kyenjojo General Hospital, Western Uganda 认领
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作者 Grace Komuhangi 《护理学期刊(英文)》 2020年第1期69-86,共18页
Background: Late antenatal care attendance among pregnant women at health facilities remains a significant public health problem. Globally, approximately 830 women die every day due to pregnancy-related complications ... Background: Late antenatal care attendance among pregnant women at health facilities remains a significant public health problem. Globally, approximately 830 women die every day due to pregnancy-related complications and 99% of these deaths occur in developing countries whereby 86% of pregnant women access Antenatal Care (ANC) services at least once. Objective: The general objective of the study was to determine factors associated with late antenatal care seeking behavior among pregnant women at Kyenjojo general hospital. Methods: This was a descriptive cross sectional study design that considered quantitative data collection methods among pregnant women attending ANC. The sample size was determined using Kish and Leslie (1969) formula using a proportion of 37% (0.37) of women who sought late ANC. A systematic sampling technique was used to sample pregnant women on daily basis. Results: A total of 283 women participated in the study. Spouse’s occupation was significantly associated with late ANC attendance (p = 0.026). On the other hand, education level of respondent (Fisher’s = 8.363, p = 0.028*), religion (Fisher’s = 5.77, p = 0.048*) and parity (Fisher’s 10.312, p = 0.026*) revealed statistically significant association with late ANC attendance. In multivariate logistic regression, on occupation, women with unemployed spouses were significantly associated with 25% increase in attendance of late ANC compared to those in formal employment (AOR = 0.25, CI: 0.073 - 0.855, p = 0.027*). Conclusion: The Majority of pregnant women sought ANC at 90.1% (n = 255). There’s a need for government to strengthen health promotion targeting women in rural communities. 展开更多
关键词 SOCIO-DEMOGRAPHICS LATE ANTENATAL Care SEEKING BEHAVIOR PREGNANT Women
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Nurses’ Role in Birth Preparedness and Complication Readiness among Pregnant Women in University of Calabar Teaching Hospital, Calabar 认领
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作者 Mary A. Mgbekem Alberta D. Nsemo +3 位作者 Charity F. Daufa Idang N. Ojong Ndukaku Nwakwue Priscila Andrew-Bassey 《健康(英文)》 2020年第2期71-85,共15页
Background: Birth preparedness and complication readiness (BPCR) promotes timely information and utilization of skilled health attendance/services to pregnant women to prevent complications due to 3 delays that lead t... Background: Birth preparedness and complication readiness (BPCR) promotes timely information and utilization of skilled health attendance/services to pregnant women to prevent complications due to 3 delays that lead to maternal deaths. Objective: To determine nurses’ role in birth preparedness and complication readiness among pregnant women in University of Calabar Teaching Hospital Calabar. Methods: This study adopted a survey research design. Simple random sampling technique was used to select a sample size of 80 participants working in antenatal clinic, antenatal ward, gynecological ward, labour ward, postnatal ward, and Family planning unit. Data were collected using self-administered structured questionnaires. Data were analyzed using frequency, percentage and Pearson Moment Product Correlation Coefficient statistical methods of data analysis. Results: Findings of the study revealed that 53 (66.3%) of the respondents acknowledged nurse/midwives responsibility for the health education of mothers on dangers of pregnancy while 42 (52.5%) strongly agreed that nurses/midwives carry out discussion on plan for delivery with mothers. The study hypothesized that there is no significant relationship between the role of nurse/midwives and the practice of BPCR among pregnant women. The correlational analysis result that there is no revealed (r-cal = 0.67, r-crit = 0.58, df = 79, P > 0.05) thus rejecting the hypothesis statement as r-calculated was greater than r-critical. This implies that the role of nurse/midwives have very strong positive relationship with the practice of BPCR among pregnant women. Conclusion: Positive pregnancy outcome depends on nurse/midwives independent and interdependent roles to prevent delays, emergencies, have access to skilled care. 展开更多
关键词 Nurses’ ROLE BIRTH PREPAREDNESS COMPLICATION READINESS PREGNANT Women
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Female Fertility Following Chemotherapy for Breast Cancer: A Descriptive Study of 265 Cases Treated in Yaounde 认领
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作者 Félix Essiben Ngowa Jean Dupont Kemfang +5 位作者 Aline Nganso Meka Juliette Esther Ngo Um Etienne Atenguena Samuel Ojong Paul Ndom Emile Telesphore Mboudou 《妇产科期刊(英文)》 2020年第1期166-178,共13页
Context: In Cameroon, breast cancer (BC) is usually diagnosed late in the disease course. About a third of women affected are aged less than 40 years. Chemotherapy (CT) could alter ovarian function and thereby comprom... Context: In Cameroon, breast cancer (BC) is usually diagnosed late in the disease course. About a third of women affected are aged less than 40 years. Chemotherapy (CT) could alter ovarian function and thereby compromise future fertility in these women. We therefore described the fertility of women following CT for BC in women treated at the Yaounde General Hospital (YGH). Methods: It was a retrospective, descriptive, cross-sectional study conducted over 8 months, from January to August 2017. We used the files of patients managed for BC from January 2011 to December 2015 in the medical oncology unit of the YGH. Results: We included 265 patients for the study following at least one year of CT. The mean age at the onset of CT was 35.9 ± 6.9 years. Most of the patients had fewer than 2 deliveries (68.3%). Intraductal carcinoma was the most frequent histological lesion (90.6%) and most often diagnosed in advanced stages (73.5%). As per CT, the FAC protocol was the most used (44.5%). The menstrual cycles of the patients were more regular prior to the onset of chemotherapy (89.4% vs. 58.9%), while the mean period of resumption of menstrual activity following cessation of chemotherapy was 6.3 ± 2.0 months. Chemotherapy-related amenorrhoea was observed in 29.1% of patients after 12 months of treatment. More than half of these women (51.3%) complained of a drop in libido and 6.4% achieved pregnancy within 13 months following cessation of chemotherapy. Conclusion: Following chemotherapy for BC, menstrual cycle disorders are more frequent and this can affect the patients’ reproductive potential. Fertility consultations should be integrated into the management plan of such patients. 展开更多
关键词 CHEMOTHERAPY FERTILITY WOMEN of CHILDBEARING Age BREAST Cancer Yaounde
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Assessing Malnutrition in Pregnant Women Using the Dietary Diversity Score and the Mid-Upper Arm Circumference: A Cross-Sectional Study, Zambia 认领
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作者 Sebean Mayimbo Clara Maphosa Haruzivishe +4 位作者 Concepta Kwaleyela Bwembya Phoebe Ellen Chirwa Patrick Kaonga Catherine Ngoma 《食品与营养科学(英文)》 2020年第7期712-725,共14页
The dietary diversity score (DDS) and the mid-upper arm circumference (MUAC) can be used to assess nutritional status. The <span style="font-family:Verdana;"><span style="font-family:Verdana;&q... The dietary diversity score (DDS) and the mid-upper arm circumference (MUAC) can be used to assess nutritional status. The <span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">DDS</span></span></span><span><span><span style="font-family:'Minion Pro Capt','serif';"><span style="font-family:Verdana;"> is a qualitative measure of food consumption reflecting an individual’s access to different food items and therefore a proxy indicator of the nutritional status. The aim of the study was to assess whether the dietary diversity score and MUAC can be used to assess the nutritional status of pregnant women attending antenatal. A cross-sectional survey was conducted at Chilenje level I Hospital in a township located in Lusaka city, Lusaka province. The study employed quantitative methods to collect and analyse data on the dietary patterns of individuals in the previous 24 hours before the survey. Health facilities were ran</span><span style="font-family:Verdana;">domly selected and systematic sampling was used to select a sample of 299 pregnant women. An interview schedule was used to collect data. Median an</span><span style="font-family:Verdana;">d interquartile range were used to compare demographic data. Spearman’s Correlation for two continuous variables was used to establish associations between DDS and the MUAC. The median age was 27 years. About 44% of the women were in the lowest dietary diversity category, indicating inadequate nutrient intake, 31% in the medium category and 24% in </span><span style="font-family:Verdana;">the high intake. Dietary diversity score was negatively correlated with mid</span></span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">-</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">uppe</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style= 展开更多
关键词 Dietary Diversity Score MALNUTRITION Mid-Upper Arm Circumference Pregnant Women ANTENATAL
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Wrist circumference: A new marker for insulin resistance in African women with polycystic ovary syndrome 认领
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作者 Chantal Anifa Amisi Massimo Ciccozzi Paolo Pozzilli 《世界糖尿病杂志:英文版(电子版)》 2020年第2期42-51,共10页
BACKGROUND Insulin resistance(IR)is the main complication found in 35%-80%of women with polycystic ovary syndrome(PCOS).However,there is no definite consensus regarding which marker to use for its assessment in PCOS w... BACKGROUND Insulin resistance(IR)is the main complication found in 35%-80%of women with polycystic ovary syndrome(PCOS).However,there is no definite consensus regarding which marker to use for its assessment in PCOS women.Research has shown that hyperinsulinemia is correlated with increased bone mass.Given that most women with PCOS are insulin resistant,which is independent from body fat and characterized by hyperinsulinemia,it could be hypothesized that there would be an increased bone mass in the patient as a result.Subsequently,increased bone mass could be measured using the wrist circumference method.AIM To assess the wrist circumference as an easy-to-detect marker of IR in Congolese women with PCOS.METHODS Seventy-two Congolese women with PCOS and seventy-one controls from the same ethnic group,were enrolled in the study(mean age 24.33±5.36 years).Fasting biochemical parameters,and the Homeostasis Model Assessment of insulin resistance(HOMA-IR)and body composition were evaluated.The nondominant wrist circumference was measured manually,as was the waist circumference(WC),hip circumference,height and weight.Calculated measures included evaluation of body mass index(BMI),Waist-to-Height(WHtR)and Waist-to-hip ratio(WHR).In addition,body composition was assessed by Bioelectrical Impedance Analysis using a body fat analyzer.RESULTS The non-dominant wrist circumference was more closely correlated with HOMAIR(r=0.346;P=0.003)and was the best anthropometrical marker correlated with IR(P=0.011)compared with other anthropometrical markers in women with PCOS:Dominant Wrist Circumference(r=0.315;P=0.007),Waist Circumference(WC)(r=0.259;P=0.028),BMI(r=0.285;P=0.016),WHR(r=0.216;P=0,068)and WHtR(r=0.263;P=0.027).The diagnostic accuracy of the non-dominant wrist circumference for the presence or absence of IR using Receiver-operating characteristic(ROC)curve analysis showed that the area under the ROC curve was 0.72.A cutoff value for the non-dominant wrist circumference of 16.3 cm was found to be the best predictor of IR 展开更多
关键词 WRIST CIRCUMFERENCE INSULIN RESISTANCE Polycystic ovary syndrome Congolese WOMEN Sub-Saharan African WOMEN MARKER of INSULIN RESISTANCE Homeostasis Model Assessment of INSULIN RESISTANCE Easy-to-detect MARKER
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Self-Medication of Senegalese Women through Social Networks 认领
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作者 Niang Khadim Jean A. D. Tine +4 位作者 Mboup Fatima Zahra Bassoum Omar Fatoumata B. Diongue Amadou I. Diallo Faye Adama 《健康(英文)》 2020年第4期396-406,共11页
Self-medication is a form of self-care which has evolved considerably with the development of digital technology. It particularly challenges public health actors given the risks to which it may be exposed if it is not... Self-medication is a form of self-care which has evolved considerably with the development of digital technology. It particularly challenges public health actors given the risks to which it may be exposed if it is not properly supervised. The aim of this work was to study the knowledge, attitudes and practices of Senegalese women on self-medication through social networks. A transversal descriptive study was conducted from June 10 to 30, 2019. It concerned all Senegalese women registered in at least one of the following women’s Facebook groups: Femme chic, Femme leader, Ladies club or Entre yaays. A study information sheet was posted on the wall of these different groups, and enabled consenting women to find a questionnaire deployed online directly through a link. Consenting women were able to complete the data collection tool directly online. The proportions were compared by setting the alpha risk at 5%. A total of 508 women were surveyed. The results thus showed a high prevalence (68.9%) of self-medication. A proportion of 46.3% of those self-medicated used Facebook or the Internet as a source of information to find the drugs to use. The advice received from these groups related to hygiene and dietary measures (96.1%), consultation with health personnel (54.6%), consultation with a traditional healer (50.4%) and taking medication (41.8%). The health problems most treated with these self-medications were headaches ((84.6%) and painful periods (45.1%). Simple analgesics (84.6%) and vitamins (66.9%) were the most recommended drugs, but it was also found antibiotics (40.0%), centrally acting analgesics (20.0%), anti-diabetics (6.9%) and antihypertensive (5.4%). Oral tablets (92.3%) remained the most widely used dosage forms, but eye drops (5.4%) and injectables (5.4%) were also found. Although searching for information on Facebook/internet, women obtained the drugs from pharmacies (72.4%) or the family medicine box (19%). Regarding self-medication on Facebook, its easy accessibility (67.8%) was the main motivatio 展开更多
关键词 Automedication Women’s HEALTH Internet SOCIAL NETWORKS Senegal
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The Pattern of Women’s Reliance on Family Planning Providers in Egypt 认领
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作者 Hassan H. M. Zaky 《生殖科学(英文)》 2020年第1期82-95,共14页
Understanding choice of family planning provider is fundamental for policy makers and program managers as they seek ways to both improve the coverage and increase the sustainability and efficiency of family planning s... Understanding choice of family planning provider is fundamental for policy makers and program managers as they seek ways to both improve the coverage and increase the sustainability and efficiency of family planning services for Egypt to achieve its population objectives. This study focuses first on providing a descriptive profile of the patterns of reliance on sources of family planning services during the early 2000s. Binomial logit models are then estimated to obtain a more in depth understanding of the determinants of the choice of family planning providers in Egypt using the 2000 Egypt Demographic and Health Survey. The study offers insights into a number of aspects of family planning service provision about which there has been less previous investigation. There are marked differences in the extent to which Egyptian women rely on public or private providers for family planning services depending on the type of method they are seeking. Among the more important findings is the consistency women display in the choice of provider among women reporting multiple segments of use. With regard to the determinants of the choice of provider for family planning services, perhaps the most interesting finding is that household wealth was not a significant determinant of the choice of provider. This may reflect that private sources met the demand for family planning services of significant proportions of women in rural areas and among those in the low income groups. 展开更多
关键词 CHOICE of FAMILY PLANNING PROVIDERS Women’s Reliance Determinants EGYPT
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Socio-Demographic Profiles of Naive HIV Pregnant Women and Retention to the Prevention of Mother-to-Child Transmission (PMTCT) Interventions in the East Region of Cameroon 认领
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作者 Ottop F. Manyi Assob N. Jules Clement +1 位作者 Mbu R. Enow Ngowe N. Marcelin 《艾滋病(英文)》 2020年第1期36-45,共10页
Background: At enrolment into antenatal care, socio-demographic data of HIV infected pregnant women and lactating mothers are usually collected with little or no analysis done on them. This study was aimed to describe... Background: At enrolment into antenatal care, socio-demographic data of HIV infected pregnant women and lactating mothers are usually collected with little or no analysis done on them. This study was aimed to describe the socio-demographic profiles of naive to antiretroviral therapy (ART) HIV-infected pregnant women in the East region of Cameroon and to link this to retention in order to optimize the implementation of the prevention of mother-to-child transmission (PMTCT) interventions. Methods: A descriptive prospective study that lasted from February 2018 until February 2019 in three catchment health facilities in the East region for the recruitment and follow-up of participants who were consented HIV-infected pregnant women naive to ART. Socio-demographic, treatment compliance and adherence data were obtained by healthcare providers who were trained using a standard questionnaire that was conceived, tested and adapted for the study. Data were analyzed using Graph Prism (Graph pad 6.0, San Diego, USA). The Fisher exact and Chi-squared tests were used to establish the associations and independence between different variables at statistical significance level of p Results: A total of seventy (70) women were enrolled with age range varying between 15 and 40 years with a mean age of 26.5 ± 6.2 years. Loss-to-follow-up (LTFU) was observed among 17 women (24.29%). The Muslim religion, education below secondary level and the profession of housewife were significantly associated with LTFU at p = 0.01, p p = 0.0053, respectively. For participants who were retained until study endpoint, having secondary level of education or above and a profession other than housewife had a significant association (p = 0.0063), as well as being a Christian. Conclusion: Loss to follow-up in PMTCT program was associated with Muslim religion, primary level of education and the housewife occupation. 展开更多
关键词 PREGNANT Women Intervention Profile Education RELIGION
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An Assessment of Women Participation in Community-Based Natural Resource Conservation in Southeast Zimbabwe 认领
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作者 Clayton Mashapa Patience Zisadza-Gandiwa +3 位作者 Elias Libombo Patience Mhuriro-Mashapa Never Muboko Edson Gandiwa 《生态学期刊(英文)》 2020年第4期189-199,共11页
The study assessed women’s participation in the Communal Area Management Programme for Indigenous Resources (CAMPFIRE) activities in southeast Zimbabwe. The study collected data using an interview questionnaire admin... The study assessed women’s participation in the Communal Area Management Programme for Indigenous Resources (CAMPFIRE) activities in southeast Zimbabwe. The study collected data using an interview questionnaire administered to five CAMPFIRE committees in October 2014. There were relatively no differences in the selected attributes on CAMPFIRE committee composition across the five study communities i.e., 1) the number of people and their level of education, and 2) gender and age composition. There were more men (5 ± 0.11) than women (2 ± 0.02) in CAMPFIRE program committees across the five study communities. Men dominate leadership and decision making over CAMPFIRE in south-eastern Zimbabwe. Yet, it is the women who use most of the natural resources at household level, such as game meat, wild fruits and wild vegetables as relish, fuel wood as source of energy for cooking, and baskets woven from woodland products. It was concluded that despite all the benefits that a gender sensitive approach could bring to CAMPFIRE, women participation in CAMPFIRE programs in southeast Zimbabwe was still low as evidenced by their numbers in committees that make decisions for the program. There was need for deliberate action to ensure increased women participation in CAMPFIRE programs, especially at the decision-making level. A certain number of committee positions in CAMPFIRE should be reserved for women. 展开更多
关键词 CAMPFIRE EMPOWERMENT GENDER Natural Resource WOMEN Southern Africa
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