Femme

女性
  • 文章类型: Journal Article
    本文为医疗保健专业人员提供了关于强制控制的研究概述,理解家庭暴力的一个最重要的概念,主要针对妇女和儿童。它旨在促进跨学科对话,并将进步融入专业实践和(心理)教育。为此,我们提出了强制控制的概念演变和肇事者的行为模式,他们对受害者和专业人士的风险,它们对成人和儿童受害者的权利和生物心理社会健康的破坏性影响,以及技术带来的挑战,特别是生成人工智能。
    This article provides healthcare professionals with an overview of research on coercive control, a paramount concept for understanding domestic violence, primarily targeting women and children. It aims to foster interdisciplinary dialogue and integrate advances into professional practices and (psycho)education. To this end, we present the conceptual evolution of coercive control and the perpetrators\' behavioral patterns, their risks for victims and professionals, their devastating impact on the rights and biopsychosocial health of adult and child victims, and the challenges posed by technology, particularly generative artificial intelligence.
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  • 文章类型: Journal Article
    目的:尽管男性患膀胱癌的风险更高,女性的预后似乎较差,诊断时的晚期。我们使用法国部门癌症登记处的数据对肌肉浸润性膀胱癌(MIBC)进行了一项基于人群的回顾性研究,以根据性别比较总体和特定生存数据。
    方法:我们纳入了2017年1月1日至2019年12月12日期间居住在赫罗特科并诊断为MIBC的所有患者。对所有感兴趣的变量进行单变量和多变量分析。
    结果:我们包括124名女性和432名男性。根据性别,诊断时的年龄或阶段没有显着差异。鳞状细胞癌在女性中更为常见(p<0.001)。男性膀胱切除术比女性更频繁(50.7%vs35.4%)(p=0.0039)。通过多变量分析,膀胱切除术治疗的独立因素是性别(p=0.004),年龄(p<0.001)和阶段(p<0.001)。47%的妇女没有接受治疗或姑息治疗。女性总死亡率为79%,男性为63.2%(p<0.001)。女性的中位特异性生存期为10.8个月,男性为32.7个月(p<0.0001)。通过多变量分析,死亡的独立危险因素是女性(p=0.047),cT4分期(p=0.005)和无膀胱切除术(p<0.001)。
    结论:我们的研究表明,女性接受膀胱切除术的频率较低,预后比男性差。造成这种性别差异的原因是多方面的。
    OBJECTIVE: Although men have a higher risk of developing a bladder cancer, women appear to have a poorer prognosis and a more advanced stage at diagnosis. We performed a retrospective population-based study on muscle invasive bladder cancer (MIBC) using data from a cancer registry in a French department to compare overall and specific survival data according to sex.
    METHODS: We included all patients living in the department of Hérault and diagnosed with MIBC between January 1, 2017 and December 12, 2019. Univariable and multivariable analyses were performed on all variables of interest.
    RESULTS: We included 124 women and 432 men. There was no significant difference in age or stage at diagnosis according to sex. Squamous cell carcinomas were more common in women (p<0.001). Cystectomy was more frequent in men than in women (50.7% vs 35.4%) (p=0.0039). By multivariable analysis, the independent factors for being treated by cystectomy were sex (p=0.004), age (p<0.001) and stage (p<0.001). Forty-seven percent of women received no treatment or palliative treatment. Overall mortality was 79% in women and 63.2% in men (p<0.001). The median specific survival was 10.8 months in women and 32.7 months in men (p<0.0001). By multivariable analysis, the independent risk factors for mortality were female sex (p=0.047), cT4 stage (p=0.005) and absence of cystectomy (p<0.001).
    CONCLUSIONS: Our study shows that women are less often treated with cystectomy and have worse prognosis than men. The reasons for this gender difference are multifactorial.
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  • 文章类型: English Abstract
    像行为成瘾一样,药物滥用是一种复杂的疾病,受心理影响,临床和社会环境决定因素。导致成瘾的过程对男性和女性都很常见,但是使用模式,风险行为及其影响不同。妇女获得护理的机会经常被延迟,因为她们经常受到污名化,暴力,以及经济或家庭限制。护理必须更好地适应他们的具体需求。
    Like behavioral addictions, substance misuse is a complex disorder, influenced by psychological, clinical and socio-environmental determinants. The processes that lead to addiction are common to both men and women, but patterns of use, risk behaviors and their repercussions differ. Women\'s access to care is often delayed because they are regularly subjected to stigmatization, violence, and economic or family constraints. Care must be better adapted to their specific needs.
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  • 文章类型: English Abstract
    在法国,和其他国家一样,越来越多的妇女受到酗酒的影响。需要在及早发现和管理他们对酒精的生理和心理依赖方面取得进展,以及他们的精神病理学合并症。
    In France, as in other countries, more and more women are affected by alcoholism. Progress needs to be made in the early detection and management of their physical and psychological dependence on alcohol, as well as their psychopathological comorbidities.
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  • 文章类型: English Abstract
    女性很难寻求酒精相关问题的帮助。羞耻和内疚往往存在,这就是为什么照顾者必须成功地建立一种信任的氛围,以便事情可以说,以便最好地评估消费的影响并找到替代品。治疗通常是多学科的。护士的角色至关重要,不仅是为了识别药物的使用,而且还提供了各种参与者之间的联系。
    Women have difficulty seeking help for alcohol-related problems. Shame and guilt are often present, which is why the caregiver must succeed in establishing a climate of trust so that things can be said, in order to best assess the impact of consumption and find alternatives. Treatment is often multidisciplinary. The nurse\'s role is essential, not only to identify drug use, but also to provide a link between the various players involved.
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  • 文章类型: English Abstract
    在与男性相同的消费水平下,特定的脆弱性通常会使妇女更容易患上更严重的疾病(心血管疾病和肝病,癌症,大脑和认知损伤,睡眠障碍,事故风险,等。).这一令人担忧的事实仍然鲜为人知。需要采取特殊的预防措施,例如专门为妇女开展的运动,低风险饮酒的具体指南,系统地早期发现女性饮酒风险,并在出现饮酒问题时进行简短干预。
    At the same level of consumption as men, specific vulnerabilities often expose women to the more rapid onset of more serious illnesses (cardiovascular and liver diseases, cancers, brain and cognitive damage, sleep disorders, risk of accidents, etc.). This worrying fact is still little known by the general population. Special prevention measures are needed, such as dedicated campaigns for women, specific guidelines for lower-risk drinking, systematic early detection of risky drinking among women, and brief intervention in the event of problem drinking.
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  • 文章类型: English Abstract
    存在于所有社会圈子中,对健康有明显影响,酒精是仅次于烟草的可避免死亡的第二大原因。像男人一样,女性可能会受到酒精滥用的影响,甚至上瘾。由于女性有机体更容易受到酒精的有害影响,妇女在身心健康方面尤其面临风险和并发症。
    Present in all social circles with proven effects on health, alcohol is the second leading cause of avoidable death after tobacco. Like men, women can be affected by alcohol misuse, or even addiction. As the female organism is more vulnerable to the deleterious effects of alcohol, women are particularly exposed in terms of risks and complications for their physical and mental health.
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  • 文章类型: Journal Article
    背景:目前的文献强调了确定咳嗽期间保持节制的最佳教育技术的困难。
    目的:描述针对咳嗽引起的尿失禁(UI)女性咳嗽期间中立姿势的教育干预效果。
    方法:这项干预性研究设计包括咳嗽诱发UI的女性。我们记录了PFMs表面肌电图(sEMG)峰值活动,并在干预后6周评估症状和生活质量(QoL)。实验情况的影响是使用线性混合模型估计的,咳嗽期间的sEMG测量值根据每种情况进行索引,并调整为静止值,并使用了适度分析。
    结果:18名参与者被纳入。测量情况(对照与实验)对咳嗽期间的sEMG峰值活动没有统计学上的显着影响:平均效应[95%CI]3.42[-1.28;7.66]。干预后六周,参与者报告泌尿症状显著减少(P=0.0246),QoL显著改善(P=0.00776).这在与努力活动有关的方面也特别明显(P=0.00162)。
    结论:这项研究表明,简短的教育干预侧重于咳嗽期间的中立姿势,如果没有PFM的自愿预收缩,对咳嗽引起的UI女性的PFMs的sEMG峰值活性没有临床显着影响。然而,这种干预可导致6周时泌尿系症状和QoL的显著改善.这些改善似乎与咳嗽期间记录的肌电图PFM峰值活性无关。因此,我们的初步结果为未来的研究铺平了道路。
    方法:NP4。
    BACKGROUND: Current literature highlights the difficulty in identifying an optimal educational technique for maintaining continence during cough.
    OBJECTIVE: To characterize the effects of an educational intervention focusing on neutral posture during cough in women with cough-induced urinary incontinence (UI).
    METHODS: This interventional study design included women with cough-induced UI. We recorded PFMs surface electromyographic (sEMG) peak activity, and assessed symptoms and quality of life (QoL) 6 weeks after the intervention. The effect of the experimental situation was estimated using a linear mixed model, sEMG measurements during coughing were indexed to each situation and adjusted to the resting value at, and a moderation analysis was used.
    RESULTS: Eighteen participants were included. The measurement situations (control versus experimental) did not have a statistically significant impact on sEMG peak activity during coughing: mean effect [95% CI] 3.42 [-1.28; 7.66]. Six weeks post-intervention, participants reported statistically significant decrease in urinary symptoms (P=0.0246) and significant improvement in QoL (P=0.00776). This was also particularly marked on the dimension related to effort activities (P=0.00162).
    CONCLUSIONS: This study suggests that a brief educational intervention focusing on neutral posture during cough, without voluntary pre-contraction of the PFMs, has no clinically significant influence on sEMG peak activity of the PFMs in women with cough-induced UI. However, this intervention can lead to a significant improvement in urinary symptoms and QoL at 6 weeks. These improvements seem to be independent of electromyographic PFMs peak activity recorded during cough. As such, our preliminary results pave the way for future research.
    METHODS: NP4.
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  • 文章类型: English Abstract
    Precisious(social,健康,专业,金融,能源,等。)对女性的影响大于男性。这对他们获得医疗保健产生了影响。提高对性别不平等的认识,并动员行为者与之作斗争,让人们看到对抗女性不稳定增加的杠杆。
    Precariousness (social, health, professional, financial, energy, etc.) affects women more than men. This has consequences for their access to healthcare. Raising awareness of gender inequalities and mobilizing actors to fight against them, make visible the levers to fight against the increase of women\'s precariousness.
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  • 文章类型: English Abstract
    即使我们现在目睹了泌尿外科行业的女性化,两性之间仍然存在显着差异。女性在历史上以男性为主的服务中的角色仍然存在很大差异,这取决于固有的性别偏见。尽量减少泌尿科性别差距的干预措施不应构成有利于少数群体的积极歧视形式,相反,应采取积极行动消除阻碍妇女接受或晋升的障碍。认识到造成性别差异的因素仍然是在泌尿外科等仍然由男性主导的领域改善公平的关键一步。
    There are still significant disparities between the sexes even if we are now witnessing a feminization of the urological profession. Women\'s roles in historically male-dominated services still vary widely based on inherent gender biases. Interventions to minimize the gender gap in urology should not constitute a form of positive discrimination in favor of minorities but on the contrary a form of positive action to eliminate the obstacles present that block the acceptance of women or their promotion. Recognizing the factors responsible for gender disparities remains a key step towards improving equity in still male-dominated fields such as urology.
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