Do peripartum and postmenopausal women with primary liver cancer have a worse prognosis? A nationwide cohort in Taiwan

BACKGROUND While primary liver cancer(PLC)is one of the most common cancers around the world,few large-scale population-based studies have been reported that evaluated the clinical survival outcomes among peripartum and postmenopausal women with PLC.AIM To investigate whether peripartum and postmenopausal women with PLC have lower overall survival rates compared with women who were not peripartum and postmenopausal.METHODS The Taiwan National Health Insurance claims data from 2000 to 2012 was used for this propensity-score-matched study.A cohort of 40 peripartum women with PLC and a reference cohort of 160 women without peripartum were enrolled.In the women with PLC with/without menopause study,a study cohort of 10752 menopausal females with PLC and a comparison cohort of 2688 women without menopause were enrolled.RESULTS Patients with peripartum PLC had a non-significant risk of death compared with the non-peripartum cohort[adjusted hazard ratios(aHR)=1.40,95%confidence intervals(CI):0.89-2.20,P=0.149].The survival rate at different follow-up durations between peripartum PLC patients and those in the non-peripartum cohort showed a non-significant difference.Patients who were diagnosed with PLC younger than 50 years old(without menopause)had a significant lower risk of death compared with patients diagnosed with PLC at or older than 50 years(postmenopausal)(aHR=0.64,95%CI:0.61-0.68,P<0.001).The survival rate of women<50 years with PLC was significantly higher than older women with PLC when followed for 0.5(72.44%vs 64.16%),1(60.57%vs 51.66%),3(42.92%vs 31.28%),and 5 year(s)(37.02%vs 21.83%),respectively(P<0.001).CONCLUSION Peripartum females with PLC have no difference in survival rates compared with those patients without peripartum.Menopausal females with PLC have worse survival rates compared with those patients without menopause.

Jewish Women Activity in the Lithuanian Women＇s Movement in the First Half of the 20th Century

Jewish women activity in the Lithuanian women＇s movement has never been investigated. This article provides a brief overview of the most important aspects of their activities in restoring the State of Lithuania and actively joining its activities in the inter-war period. In the end of 1919, the Women＇s Circle to Aid the Solders was established, and Jewish women were active in its activities. The participants of the women＇s circles were awarded the medals of the 10th anniversary of the Lithuanian Independence for their activities. The women established and actively worked in the Lithuanian Women Committee to Protect the Homeland as a response to the call-back of the Chief Defence Committee. After the Independence fights, during the period of the democratic Lithuanian state （1920-1926）, the Jewish women actively took part in the self-governing institutions. Especially active were the Jewish socialist labourists and Jewish laboursits＇ groups. This activity diminished during the period of the authoritarian regime （1926-1940）.

Ruijin Women In the Period of the Red Army (Ⅱ)

IN the 1930s, the first red political power was set up in southern China. Women in the area cut their hair short and unbound their feet. But its significance was more than that—women had broken the feudal yokes restraining their hearts. They were able to get married by their own will and stand arm-in-arm beside men. To allow the Red Army to move fast and fight against

On Women Writers and the Women Literature in the New Period

Avital new force in China’s literature circle is the group of women writers who have come into prominence during the "new period," the years since 1978 when China entered a period of reform. These women writers brought their talents of creation into play and have made remarkable achievements. There are five generations of fine women writers. The first generation includes Bing Xin, a founding member of the New Cultural Movement, around the time of the May 4th Movement

Women's Studies Enters New Period

Moving Into a Decision-Making Period Redefining gender relationships in terms of scientific research, and scientifically determining the influence women have on social decision-making forces is a new subject in women’s studies since the 1980s in China. Channels enabling women to participate in decision-making processes have grown significantly. Women’s studies organizations and specialists in the field directly participate in government decision-making processes. The promulgation

Chinese Women's Newspapers and Periodicals Thrive

OF nearly 8,000 newspapers and periodicals in China, women’s newspapers and periodicals, a new force suddenly coming to the fore, have attracted the attention of many. Today, with more and more fierce competition among newspapers and magazines, women’s newspapers and magazines have found favor with readers for their lively, friendly, and practical formats. Currently, 47 newspapers and magazines are sponsored and openly published by the All-China Women’s Federation and women’s federations at various levels. Circulation is among the largest of all cultural comprehensive periodicals all over the country.

Ruijin Women in the Period of the Red Army (Ⅰ)

IN the 1930’s, the power of the Communist Party of China was first born in southern China. Women cut their hair short and unbound their feet. Women gained freedom of choice in marriage and fought side by side with men. Fighting for Respect The first red political power of China’s Soviet Republic was born in the boundary region of Jiangxi and Fujian provinces in November of 1931. Covering 35 counties with a population of

CHINESE LADY'S DAILY WEAR IN LATE QING DYNASTY AND EARLY REPUBLIC PERIOD

The goal of this research is to describe and analyze women’s wear in the late Qing Dynasty andearly Republic Period(late 19th c.—early 20th c.),with an emphasis on the daily informal orsemi-formal wear,though some formal or ceremonial costumes such as wedding dress will also beincluded.This study will use Chinese costumes and textiles from many museums to fill in theblanks left by previous research and to give a more detailed and accurate description.It will alsouse historical documents to find the original names of these items and to illustrate a general conceptof their usage on different occasions.The different categories of women’s wear will be described in the following order:①robes orcoats;②jackets;③waistcoats or vests;④skirts;⑤pants and leggings;⑥shoes and socks;⑦headdresses;and⑧others.Of every category,the textiles,decoration,cut,form,style,colourand motif will be discussed.The way in which these items were combined will also be discussed.The comparison between women’s wear and men’s wear,women’s and children’s informal andformal dress will be given.Here are some tentative conclusions.First,the Manchu and Han style coexisted and mixedwith each other and were worn by both Manchu and Han women.Second,the basic silhouettesand cuts were relatively stable and conventional,while the decorations and details(openings,fasten-ings,pleats,vents,collars and hemlines)were different.The former represented accepted socialstandards while the latter could be a matter of personal taste.Third,women’s wear in that periodwere highly stylized,miscellaneous,elaborate,detailed,multicolored and multi-thematic.

Behind ＂Burning＂： Women Writers＇ Self-Censorship and Self-Promotion

This article examines the phenomenon of women writers burning their own manuscripts, which took place during the Ming-Qing period. By analyzing women＇s poems and biographies of women, this study explores the reasons and implications behind ＂burning.＂ The self-censorship embodied by ＂burning＂ was geared towards protecting female virtue or enabling women writers to express their intense personal emotions while promoting an ideal public self-image. For example, due to their gender and class-consciousness, upper-class women tended to portray themselves as virtuous ladies, whereas, in contrast, courtesan writers were fascinated with the power of love. However, the act of burning manuscripts could both lead to partial loss of an author＇s works and imbue her writing with the tantalizing aura of an unfulfilled promise, thereby immortalizing the manuscripts that had almost been turned to ashes and publicizing the work of the formerly obscure author. In this sense, the ＂burning＂ is transformed into a literary conceit which promotes women＇s writings instead of destroying them. This article demonstrates the dual functions of manuscript burning by Ming-Qing women： self-censorship and self-promotion.

＂A Perfect Heroine in Foreign Travel.＂ Female Mobile Identities and Southern Italy in the 19th Century Non-feminist Periodical Press

This essay focuses on the interaction between the publication of female travel writing about the South of Italy in non-feminist 19th century British periodicals, and the circulation of a transgressive model of femininity centred on the concepts of mobility, vitality and visibility. The choice of Southern Italy, an anti-tourist destination that since the era of the Grand Tour had been considered dangerous for men, let alone for women, magnifies female heroic attitudes and contaminates female conventional domestic purity enhancing the concept of an unfixed female identity. The publication of a travelogue, a mostly non-fictional genre, on an innovative and reactive medium, was a manifest act of transgression with respect to fixed social order, which gave visibility and credibility to a different model of femininity, an anti-Angel icon. A new form of narration displays adventurous women able to cross the private sphere and to write/publish authentic accounts of their transitional experience in a public, male-dominated sphere.

早产产妇产后早期母婴关系影响因素分析及应对策略

目的:探究早产产妇产后早期母婴关系影响因素并提出应对策略。方法:选择2022年8月-2023年7月于本院分娩的170例早产产妇为研究对象,产后42 d来院复查时以一般资料调查问卷、中文版母婴依恋量表(CMAI)、中文版产后疲乏量表(PFS)、中文版育儿信心量表(KPCS)、小婴儿气质问卷(EITQ)进行调查,采用多元线性回归模型分析早产产妇产后早期母婴关系的影响因素。结果:共发放170份调查问卷,有效回收158份,有效回收率为92.9%;CMAI评分73.48±10.62分、PFS评分22.56±3.28分、KPCS评分35.61±4.12分;Pearson相关分析显示,PFS评分与CMAI评分呈负相关、与CMAI评分呈正相关(均P<0.001);单因素分析显示,不同年龄、家庭月收入、分娩方式、产次、早产儿气质类型、喂养方式及住院期间是否存在母婴分离的早产产妇产后早期CMAI评分有差异,多因素分析显示,年龄<35岁、初产、住院期间母婴分离、早产儿气质类型为困难型、喂养方式为人工喂养、产后疲乏度高、育儿信心低均是早产产妇产后早期母婴关系的独立影响因素(均P<0.05)。结论:本次调查的早产产妇产后早期母婴依恋水平中等,临床应针对相关影响因素采取干预措施,以促进良好母婴关系的建立与维持。

围生期抑郁信息化管理方案的构建与应用

目的 构建围生期抑郁信息化管理方案并应用于临床,降低孕产妇围生期抑郁的发生。方法 将375例孕产妇按照入院时间分为对照组185例与干预组190例。对照组实施常规干预;干预组汇总围生期抑郁管理的最佳证据,构建围生期抑郁管理方案,开发围生期抑郁信息化管理系统对孕产妇进行干预。干预前后比较两组抑郁评分、抑郁管理知信行评分及分娩结局。结果 对照组157例、干预组155例完成研究。干预组抑郁评分显著低于对照组,抑郁管理知识及行为评分显著高于对照组(均P<0.05),干预组自然分娩及纯母乳喂养率显著高于对照组(均P<0.05)。结论 围生期抑郁信息化管理方案的应用可有效改善孕产妇围生期抑郁水平,从而改善分娩结局。

从延安时期妇女干部教育经验中汲取新时代妇女教育发展的智慧和力量

历史是最丰富的营养剂、最生动的教科书。我党在延安时期重视妇女地位作用,把发展妇女教育作为妇女解放的根本途径;服务党的中心任务,坚持坚定正确的政治方向;注重马列主义理论教育,崇尚理论联系实际的学风;因地制宜、分类施教,突出思想政治工作的针对性和有效性;发扬自力更生艰苦奋斗的精神,坚持苦干实干、永久奋斗。这些妇女教育的办学经验和优良传统,对于新时代新征程高等院校特别是女子院校落实立德树人根本任务,加强女大学生思想政治引领,培养堪当民族复兴大任的时代新人和巾帼英才,具有重要的启示作用和现实意义。

中西医结合围产保健对孕产妇围产期并发症的影响

目的:分析中西医结合围产保健对孕产妇围产期并发症的影响。方法:选择2021年4月—2023年4月滕州市中心人民医院收治的高龄孕产妇96例作为研究对象,基于单盲分组方式分为参照组与观察组,各48例。参照组对孕产妇施以常规围产保健,观察组在常规围产保健基础上给予孕产妇中西医结合围产保健。比较两组孕产妇的分娩方式、喂养情况、并发症发生率、产后恢复指标及心理状态评分。结果:观察组自然分娩率高于参照组,母乳喂养率高于参照组,差异有统计学意义(P<0.05)。观察组并发症总发生率低于参照组,差异有统计学意义(P<0.05)。观察组首次进食时间、初乳分泌时间以及子宫复旧时间均早于参照组,差异有统计学意义(P<0.05)。干预前,两组心理状态评分比较,差异无统计学意义(P>0.05);干预后,观察组焦虑自评量表、抑郁自评量表评分低于参照组,差异有统计学意义(P<0.05)。结论:高龄孕产妇在围产期应用中西医结合保健方式,可以降低孕产妇并发症发生率与剖宫产率,促进其机体恢复,缓解其不良情绪,有助于提升孕产妇母乳喂养率,值得临床推广。

四川经济欠发达地区围产期抑郁症状检出率及影响因素

目的:调查四川经济欠发达地区围产期女性不同时期抑郁症状发生情况及影响因素。方法:选取2022年10月—2023年9月于自贡市和南充市4所医疗机构建卡产检或住院的孕产妇。收集患者人口学及临床资料,利用爱丁堡产后抑郁量表(EPDS)进行抑郁筛查,采用Logistic回归分析围产期5个时期[妊娠早期(<14周)、妊娠中期(14~27+6周)、妊娠晚期(≥28周)、产后1周和产后6周]抑郁症状发生的影响因素。结果:共纳入3 696例孕产妇,围产期5个时期抑郁症状检出率波动在26.39%~35.38%。Logistic回归分析显示,不同围产期抑郁症状的危险因素有所不同,妊娠早期为非计划妊娠、有家族精神病史、妊娠前1年持续2周情绪低落及末次月经期间情绪低落或紧张;妊娠中期为有家族精神病史、现居农村、妊娠前1年持续2周及末次月经期间情绪低落或紧张;妊娠晚期为有家族高血压、糖尿病、肿瘤史、妊娠前1年持续2周情绪低落或紧张及末次月经期间情绪紧张;产后1周为有家族精神病、高血压、糖尿病、肿瘤史、妊娠前1年持续2周情绪低落及末次月经期间情绪紧张;产后6周为初产妇、现居农村、有家族精神病史和妊娠前1年持续2周情绪紧张。结论:南充及自贡地区围产期抑郁症状检出率整体处于较高水平,建议围产保健者从妊娠早期启动抑郁筛查,重点关注不同时期存在危险因素的孕产妇,必要时重复筛查,对围产期抑郁症(perinatal depression,PND)隐患人群给予及时的心理访谈和专科治疗,减少母婴不良事件的发生。

艾森曼格综合征并发重度肺动脉高压产妇的围产期全程管理

总结1例艾森曼格综合征并发重度肺动脉高压产妇围产期全程管理的护理体会。护理要点:针对产妇持续低氧血症、心功能不全和重度肺动脉高压等问题,采取目标血氧饱和度循序渐进氧疗支持护理,监测、评估胎儿宫内情况;围产期容量与压力平衡重点管理早期识别肺动脉高压危象征象、避免诱发因素;预防严重并发症;个性化出院健康指导。经过10d的治疗及护理,患者病情稳定出院,出院后随访3个月,母儿状况良好。

延安时期中国共产党妇女政策的变化与调整

延安初期,深具“妇女主义”倾向的妇女解放实践,在伸张广大妇女权益的同时,深刻改变了传统乡村的社会结构,拖曳旧有的家庭伦理和社会道德秩序陷入剧烈震荡之中,致使革命阶级内部出现裂隙。伴随着整风运动的开展,中国共产党妇女工作中的“妇女主义”倾向得以根本扭转。此外,基于对严峻的抗战形势和边区财政经济困难的考量,以及组织妇女参加生产活动的多重价值的认知,中国共产党适时调整策略,作别“妇女主义”的狭隘视角,转而探寻在发展生产的框架内实现妇女解放的路径。以“四三决定”颁布为标志,中国共产党妇女政策出现了明显转向,为新时代新征程做好妇女工作,促进妇女事业高质量发展提供了弥足珍贵的经验借鉴。

孕妇孕期膳食营养指导对孕妇营养补充及母婴影响的研究

孕期是胎儿生长发育的关键时期,胎儿机体器官及系统发育的主要营养依赖于母体的供给,孕期的营养状态可对子代产生近、远期影响,但孕期营养不良、营养过剩等情况仍时有发生,有必要通过相关调查了解孕期营养情况,针对性强化营养膳食指导,改善孕妇营养状态,为母婴健康做好保障。建立完善的孕妇孕期膳食营养指导体系迫在眉睫,需积极总结相关干预措施,并探明该膳食营养指导对孕妇营养补充及母婴的影响。文章通过相关文献的综述分析,汇总了孕期的营养膳食指导干预对策,结合孕期膳食营养干预,对孕妇营养补充效果进行了分析,并总结了营养膳食指导对母婴健康的影响。

地域分布及评定方法的差异对中国女性妊娠期抑郁检出率的影响

目的分析不同地域分布及评定方法对中国女性妊娠期抑郁检出率的影响。方法利用Meta分析方法,对中国女性妊娠期抑郁检出率进行系统描述,并阐明不同地域分布及评定方法对其产生的影响。结果最终纳入39篇文献,共102533名孕妇,检出妊娠期抑郁者24005例,检出率为22%(95%CI:18%~27%),妊娠早期和晚期的抑郁检出率分别为25%(95%CI:18%~33%)、20%(95%CI:15%~25%)。地域分布亚组分析发现:华东地区妊娠期抑郁的检出率相对较低,为18%(95%CI:13%~23%)。华南地区、西南地区、华北地区及其他地区妊娠期抑郁检出率分别为27%(95%CI:14%~41%)、21%(95%CI:14%~29%)、31%(95%CI:18%~44%)、22%(95%CI:12%~31%)。评定方法亚组分析发现:应用爱丁堡产后抑郁量表(EPDS)、抑郁筛查量表(PHQ-9)、抑郁自评量表(SDS)及其他量表进行妊娠期抑郁筛查的结果分别为24%(95%CI:20%~28%)、20%(95%CI:9%~31%)、39%(95%CI:23%~55%)、10%(95%CI:7%~12%)。结论中国女性妊娠早期抑郁的检出率较晚期高,华南、华北地区妊娠期抑郁检出率较高,不同的量表筛查出的妊娠期抑郁检出率亦有所不同。

基于女性主义视角下民国月份牌中西洋服饰研究

针对民国时期女性西洋服饰的种类、特征及配伍问题,文章基于女性视角,应用图像学、历史文献研究方法对民国月份牌广告中的西洋服饰进行分析,得到西洋服饰促进女装现代化及妇女思想解放的结论。研究表明:在西方思潮与女性主义的影响下,民国女性服装逐渐引入西洋服饰品类并出现在月份牌广告之中,女性服饰呈现出多样化、个性化与现代化的发展趋势。伴随着女性思想的进一步解放,月份牌中的洋装女郎通过西洋服饰及生活方式展现出她们追求男女平等、渴望独立自主的心理特征,完成了对近代女性主义的表达与强化。近代女性主义使得月份牌中新女性形象愈加清晰真实,同样月份牌广告也进一步促进了女性主义在中国的发展与传播。