Robot-assisted radical cystectomy with neobladder diversion in females:Safety profile and functional outcomes

Objective: Radical cystectomy(RC)is a standard treatment for localized muscle invasive bladder cancer and high-risk or very high-risk non-muscle invasive bladder cancer not responding to adequate endovesical therapy.In women,traditionally RC is performed with hystero-adnexectomy and resection of the anterior vaginal wall,often resulting in sexual disorders.Vaginal-sparing techniques have been developed to improve functional outcomes.The present study explores the safety and the functional outcome of vaginal-sparing techniques.Methods: We retrospectively analyzed all consecutive female patients undergoing robot-assisted RC(RARC)with neobladder diversion between October 2017 and February 2022.The indications for vaginal-sparing RC were absence of tumor on bladder neck or urethra and no sign of infiltration of posterior bladder wall at the preoperative MRI.Functional results were evaluated with the aid of five questions out of the Bladder Cancer Index questionnaire.Complications were reported according to the Clavien–Dindo classification and cancer control was evaluated by recurrence-free and cancer-specific survival.Results: A total of 22 female patients underwent RARC with neobladder diversion.Neoadjuvant chemotherapy was given in 17(77%)cases.Clavien–Dindo grades III–IV complications occurred in four(18%)cases.After a mean follow-up of 29(interquartile range 16–44)months,six(27.3%)patients developed distant metastases,and one(4.5%)woman loco-regional relapse.Sexual-sparing surgery was performed in 19(86%)patients,and in the others the anterior vaginal wall was resected,but neobladder was still performed.During daytime,no patients reported total incontinence and 73%(11/15)reported total continence or only occasional leaks.Sexual results showed that seven of 15(47%)women regained sexual activity after surgery,with a quality reported as“good”or“very good”in 40%of all 19 cases.Conclusion: RARC in female with anterior vaginal wall preservation is feasible.The approach showed a good safety profile,with satisfying results on continence and sexual activity.Sexual-sparing approaches should be carried out after correct patient selection.

Notes on Females of Two Species of the Genus Lispe Latreille (Diptera: Muscidae) from China

Females of Lispe hebeiensis Ma et Tian, 1993 and Lispe neimongola Tian et Ma, 2000 are firstly reported. Specimens are deposited in the Institute of Entomology, Shenyang Normal University.

Newly Reported Females of Two Species of the Genus Ecpyrrhorrhoe Hübner(Lepidoptera:Crambidae:Pyraustinae) from China

The females of Ecpyrrhorrhoe biaculeiformis Zhang, Li et Wang, 2004 and E. ruidispinalis Zhang, Li et Wang, 2004 are reported for the first thne. Drawings of the genitalia are provided.

Involvement of GnRH and Gonadotropin Genes in Oocyte Development of Blue Gourami Females (<i>Trichogaster trichopterus</i>)

The goal of this study was to gain a fundamental understanding of RnRH 1 and 3, as well as FSH and LH action, in ovarian follicles during oocyte growth by examining changes in ovarian gene transcription in blue gourami females (Trichogaster trichopterus). The levels of target ovarian mRNAs were determined by quantitative real-time PCR. GnRH1 mRNA levels were higher in oocytes at the previtellogenic stage compared to the vitellogenic and follicular oocytes maturation (FOM) stages. No significant differences in GnRH3 mRNA levels were detected among oocytes during the different stages of development. βLH and βFSH mRNA levels were lower in oocytes at the vitellogenic stage compared to the previtellogenic stage. The high transcription of GnRH 1 and 3 in the brain and of FSH and LH in the pituitary of blue gourami as was found in previous studies in our laboratory, compared to mRNA levels changed in ovary during oogenesis, supporting the hypothesis that differences exist between the function of endocrine and autocrine/paracrine of these hormones.

Temperature Effect on the Life History of Three Types of Brachionus calyciflorus Females

The effect of temperature on the life history characteristics of amictic females (AF), unfertilized mictic females (UMF) and fertilized mictic females (FMF) in Brachionus calyciflorus was studied with replicated individual cultures at 20℃,25℃ and 30℃, and with algae Scenedesmus obliquus for their food. There were highly significant effects of both temperature and female type, independently and interactively, on the duration of juvenile and post-reproduction periods, and the number of eggs produced by the rotifer per life cycle. Among all the temperature-female type combinations, all the juvenile periods of FMF, and the post-reproduction periods of UMF and FMF at 20℃, were the longest, and the number of eggs produced by an UMF at 30℃ was the highest. There were highly significant effects of both temperature and female type on the duration of the reproduction period, but no clear correlation was observed between temperature and female type. The reproduction period of AF was longer than that of UMF and FMF. Only temperature influenced significantly the mean life-span of the three types of females. The duration of juvenile, reproduction and post-reproduction periods as well as the life-span of the three types of females were all reduced very significantly with rise of temperature, but the rates of reduction varied with female type. Among the three types of females, the number of eggs produced per life cycle by an UMF was the highest, and that of a FMF was the lowest. A significant relationship between the number of eggs produced per life cycle and temperature was observed only in the UMF.

Effect of past and present lifestyle habits and nutrition on calcaneal quantitative osteo-sono index in pre- and post-menopausal females

This study is examined the effect of past and present lifestyle habits and nutrition on the os-teo-sono assessment index (OSI) in pre- and post-menopausal females. The subjects were 200 premenopausal females (38.8±10.3years) and 156 postmenopausal females (59.2±5.9 ye- ars). BMD (Body mineral density) was estimated by right-calcaneal OSI using an ultrasonic transmission method with an AOS-100 device (ALOKA). The number of postmenopau- sal fe-males in the close examination and guidance required groups (80 cases: 51.3 %) (OSI < 2.428) was significantly higher than that of premeno-pausal females (44 cases: 22.0 %) (χ2=33.105: P<0.000). In premenopausal females, the proportion of subjects that had not taken vitamin D in the past (in junior high school and high school) was significantly higher in the close examination- guidance required group (OSI < 2.428) than in the normal group (OSI ≧ 2.428). However, in postmenopausal females, there was no signifi-cant difference in past and present lifestyle habits and nutrition between the close exami-nation-guidance required group and the normal group. In premenopausal females, it was deter-mined that the intake of vitamin D during pu-berty increased the absorption of calcium sig-nificantly.

Epidemiological Pattern of Breast Diseases among Females in the South-Western Region, Saudi Arabia

Background: Breast diseases cover several conditions. The majority of breast diseases are noncancerous. Some of these lesions are clinically unremarkable, which needed minimal intervention. However, some symptoms may be of clinical value and attract the attention of both the patient and the attending physician, especially when they become persistent. The study aimed to assess the prevalence, pattern, types, and clinical profile of breast diseases among females in the South-western region, during the period from 2018-2020. Methods: A retrospective record-based descriptive approach was used through reviewing medical records of all cases with breast disease attended King Khalid Hospital during the period from January 2018 to January 2020. Data extracted throng pre-structured questionnaire. Results: The study included 211 cases whose ages ranged from 18 to 58 years old with a mean age of 28.9 ± 12.8 years. Breast mass was the most recorded complaint (95.1%) followed with breast pain (32%), skin changes. Benign findings based on the final pathology report were recorded for more than two thirds of the cases, with the most common finding were fibroadenoma. Excisional biopsy and modified radical mastectomy were the most reported surgical interventions. Conclusions: In conclusion, the study revealed that the majority of the cases had benign breast disease (BBD), where fibroadenoma was the most frequent.

How Does the Cortactin Gene Expression Affect Breast Cancer among Iranian Females?

Introduction: Breast cancer is the most common cancer in the Iranian female population, and the incidence of the disease is rising. Early detection in association with staging or grading the tumor is the most effective method to increase survival rates. Studies have revealed that cortactin overexpression may play a role in the final stages of tumor progression and affects invasion and cellular motility. The aim of this study is to evaluate cortactin gene expression among Iranian female patients with breast cancer. Materials and Methods: Samples belonging to 70 breast cancer patients were randomly selected from the Imam Khomeini tumor bank. Normal and tumor tissues were prepared and stored at -80°C. Cortactin gene expression was evaluated by real-time PCR. Finally the data, along with demographic and clinical parameters, were analyzed using Prism 5.0 software, followed by t-test and ANOVA analysis. Results: Cortactin gene expression among tumor tissues increased 95.71% in comparison with normal tissues. A significant correlation between cortactin gene expression and lymph nodes’ involvement (P = 0.0077) and tumor stage (P = 0.0030) was observed. However, tumor grade (P = 0.8598), tumor size (P = 0.3058), and patient’s age (P = 0.4135) had no significant correlation with the gene’s expression level. Discussion: This study demonstrated that the cortactin gene’s overexpression in breast cancer may enhance lymph nodes’ involvement. This study also found that the gene’s expression was raised significantly in progressed stages of the cancer. Therefore, cortactin gene overexpression is an important factor indicating breast cells’ invasion. Conclusion: The cortactin gene’s expression level can be considered an accurate indicator for female breast cancer and also an appropriate biomarker for this cancer in clinical evaluations.

The Reflection of Modern Females' Prominent Qualities in Jane Eyre

Nowadays the modern females get out of home, fighting with males to display their wonderful life and demonstrate the wonderful characters, so we will ask the question what qualities do the modern females belong? By analyzing the novel Jane Eyre, it is easy to see the qualities of heroine such as independence, desiring of knowledge, exploring true love and emphasizing on spirit world and so on. This paper explains that it is important for modern females to build up their excellent qualities in order to deal with a lot of barriers in their future way.

Knowledge and Attitude towards Cervical Cancer Screening among Females Attending out Patient Department in Health Centre IIIs in Oyam District

Cervical cancer is a serious health concern in Uganda. Early screening and detection certainly improves chances of survival and treatment outcome. Sound knowledge and positive attitudes highly influence acceptability and uptake of screening methods. This descriptive cross-sectional study determines knowledge and attitudes towards Cervical Cancer screening amongst female out-patients aged 15 - 49 years, attending Health Centre IIIs in Oyam District, Northern Uganda. A systematically obtained sample of 445 respondents was interviewed using semi-structured questionnaires and focused group discussions. Quantitative data was analyzed using SPSS 16.0. Directed content analysis of themes of transcribed qualitative data was conducted manually. Of the 445 respondents, only 62.7% (n = 279) had heard of cervical cancer amongst which only 35.1% (n = 85) had been screened;13.7% (n = 34) did not know what screening was;3.7% (n = 9) were not sure and 5.8% (n = 14) knew it as removal of the cervix. Only 39.1% (n = 174) believed that cervical cancer can be prevented. There is still limited knowledge and lots of misconceptions about cervical cancer screening in the communities, which requires massive sensitization of the population at risk to change negative attitudes and maximize acceptability to screening methods.

The common pentanucleotide polymorphism of the 3’-untranslated region of the leptin receptor gene is associated with obesity in Saudi females

Obesity is due to the combined effects of genes, environment, lifestyle, and the interactions of these factors. Leptin receptor (LEPR) gene has been intensively evaluated in the search of variants that could be related to obesity. The results of most of these studies have been controversial. We investigated the effects of leptin receptor gene 3’-untranslated region (3’-UTR) polymorphism on phenotype, metabolic parameters and anthropometric measurements of obese Saudi females. 122 healthy women aged 19 to 36 years. The subjects were divided into 3 groups according to their body mass index BMI;lean (BMI 18 - 24), overweight (BMI 25 - 29) and obese (BMI ≥ 30). There were 13 homozygotes and 34 heterozygotes for the 3’-UTR insertion allele amongst all 122 women. The results of this study show that the allele frequency of the insertion allele (I) of 3’UTR was significantly higher in overweight (35.3) and obese females (32.2) compared to the frequency in lean females (15.6). The insertion allele was associated with increased BMI in obese groups. The results obtained from this study indicated that in the obese subjects most variable values increased in I/I homozygote but the significant high value recorded among BMI (40.9 ± 7.11 kg/m2, P = 0.042). Our findings indicated that, the obesity in Saudi females is influenced by alteration in the leptin receptor gene 3’-UTR polymorphism.

Active and passive smoking with breast cancer risk for Chinese females: a systematic review and meta-analysis

Previous studies suggested that smoking and passive smoking could increase the risk of breast cancer, but the results were inconsistent, especially for Chinese females. Thus, we systematically searched cohort and case-control studies investigating the associations of active and passive smoking with breast cancer risk among Chinese females in four English databases(PubMed, Embase, ScienceDirect, and Wiley) and three Chinese databases(CNKI, WanFang, and VIP). Fifty-one articles(3 cohort studies and 48 casecontrol studies) covering 17 provinces of China were finally included in this systematic review. Among Chinese females, there was significant association between passive smoking and this risk of breast cancer [odds ratio(OR): 1.62; 95% confidence interval(CI): 1.39–1.85; I2 = 75.8%, P < 0.001; n = 26] but no significant association between active smoking and the risk of breast cancer(OR: 1.04; 95% CI: 0.89–1.20; I2 = 13.9%, P = 0.248; n = 31). The OR of exposure to husband's smoking and to smoke in the workplace was 1.27(95% CI: 1.07–1.50) and 1.66(95% CI: 1.07–2.59), respectively. The OR of light and heavy passive smoking was 1.11 and 1.41, respectively, for women exposed to their husband's smoke(< 20 and ≥ 20 cigarettes per day), and 1.07 and 1.87, respectively, for those exposed to smoke in the workplace(< 300 and ≥ 300 min of exposure per day). These results imply that passive smoking is associated with an increased risk of breast cancer, and the risk seems to increase as the level of passive exposure to smoke increases among Chinese females. Women with passive exposure to smoke in the workplace have a higher risk of breast cancer than those exposed to their husband's smoking.

Comparison of aerobic conjunctival bacterial flora in pregnant, reproductive-aged and postmenopausal women

AIM: To evaluate the effect of hormonal status on aerobic conjunctival flora in women. METHODS: One hundred fifty-eight women [reproductive-aged (n=55), pregnant (n=51), and postmenopausal (n=52)] who admitted to outpatient clinic of Obstetrics and Gynecology Department of Denizli State Hospital were enrolled. Age, body-mass index (BMI), obstetric history, cigarette smoking, drug usage, presence of systemic disease, and intraocular pressure (IOP) were recorded for each patient. The samples were taken from the lower fornix with two culture swabs and directly incubated in culture containing 5% sheep blood, eosin-methylene blue and chocolate agar. The other swab specimen was Gram stained. All growths and microscopic results were analyzed. RESULTS: The coagulase-negative Staphylococcus was the predominant organism isolated in the conjunctival samples in both three groups. The aerobic microorganism growth rate for all isolated aerobic organisms revealed no significant change in the three groups (P>0.05). The conjunctival culture positivity rates were similar in the three groups (49% in reproductive-aged, 57% in pregnant and 58% in postmenopausal women) (P>0.05). Age, IOP, BMI, gravidity, parity, cigarette smoking, drug usage, and presence of systemic diseases did not have an effect on culture positivity in three groups. CONCLUSION: Results of this study showed that conjunctival aerobic flora and bacterial colonization did not differ between reproductive-aged, pregnant and postmenopausal women.

The Relationships among Perception of Body Image, a Desire for Thinness, and Dieting Behavior in Young Females in Japan

The aim of this study was to investigate the relationship among body image perceptions, a desire for thinness, and dieting behavior in young females in Japan. The subjects were 302 Japanese female university students (age 19.9 ± 1.4 years). An anonymous, self-administered questionnaire survey was conducted between July and August 2011. The questionnaire clarified the subjects’ physical status, perception about personal body shape, desired body shape, the time frame when they first thought about body shape dieting, exercise habits, and eating behaviors. The results revealed that many of the underweight or normal weight subjects perceived themselves as obese, and often the reasons for the perception of obesity were comparisons with others or with themselves in the past. The scores of EAT-26 in those who perceived themselves as obese were higher than the scores in those who did not. Those who perceived themselves as obese had a desire to become slim, were concerned about body shape at an early age, were concerned about dieting, had dieting experience, and were willing to increase daily exercise. These results indicated that incorrect perceptions about body shape have connection to a desire for thinness and dieting behavior.

Relationship of Food Craving Behavior with Body Mass Index and Body Composition in Reproductive Age Females

Objective: To estimate the relationship of Food Craving (FC) behavior with females’ Body Mass Index (BMI), and body-composition. Design, setting and participants: A cross-sectional study of 302 reproductive-age women from middle-socioeconomic class was conducted at the Health & Occupational-Environmental Laboratory. Variable Measures: A FC behavior questionnaire (FCQ) was designed and validated in 151 female subjects. This questionnaire evaluated five dimensions: FC-leisure, FC-psychological reactance, FC-depression, FC-anxiety/stress, and FC-anger. Dependent variables were Body Mass Index (BMI, kg/m2) and the body fat mass. Interventions: A second group of 151 women completed the FCQ. Anthropometrical variables were recorded using the International Society for the Advancement of Kinanthropometry procedure. Analysis: A multiple regression-analysis using STAT- ISTICS version 7 was performed to determine the relationship of FC behavior with anthropometrical variables described. Results: We demonstrated that 98.7% of women had FC behavior. Women with higher BMI had higher scores of FC-depressions (p = 0.02) and FC-anger (p = 0.007). Food craving behavior (p < 0.0008), and food psychological-reactance (p = 0.006), were positive predictors of BMI;food psychological reactance was also a positive predictor of upper and lower-body fat mass (p = 0.005) and (p = 0.008), respectively. Conclusion and Implications: The food craving behavior is a common problem in the female population. Food psychological reactance, in addition to another affective alteration that present the population of women are predictor variables for the increase in BMI and in body-fat mass. It is important that health professionals are aware of the affective states of their patients.

The Effect of Sensory Stimulation versus Motor Control Cueing of the Foot on Balance in Elderly Females: Single Group Pretest-Posttest Study

Study Design: A Quasi Experimental Single Group Pre-Test Post-Test. Objectives: The aim of this study was to determine the effects of sensory stimulation and motor control cueing of the foot on balance in females over the age of 65. Background: Balance deficits in the elderly population have shown to have detrimental consequences. Evidence suggests that sensory stimulation and motor control of the foot improve postural sway, however, studies have yet to compare the effects of both interventions on balance. Method and Measures: A total of 40 participants were contacted to complete the study with 32 participants meeting inclusion criteria for data collection and completing the research study. Two data collection days were utilized to perform pre and post-test outcome measures using the Functional Reach Test and Overall Sway Index (collected using the Biodex Medical System Inc., Biodex Biosway Portable Balance System). The interventions were 2-minute sensory stimulation to the sole of each foot on day one, and the “short foot” motor control cue on day two. Four related sample T-tests were conducted with the interventions as the dependent variable and the time of observation (pre and post) as the independent variable. Results: The results revealed sensory stimulation significantly improved balance as indicated by a decline in postural sway from pretest (5.92 ± 3.05) to posttest (5.00 ± 2.92) (p = 0.045) and a significant increase in Functional Reach from pretest (8.01 ± 2.55) to posttest (8.70 ± 2.66) (p Conclusion: Based on the results, researchers concluded that sensory stimulation is a viable intervention to utilize in order to improve balance in the elderly population. Further research to identify the appropriate prescription of sensory stimulation to maximize effects should be completed.

In Community Dwelling Females Age 65 or Older, Gait Speed Declines as Kinesthetic Awareness of the Lower Legs Decreases

Purpose: This study investigates the existence of a correlation between the gait speed and kinesthetic sense in lower legs and to conduct further analysis of kinesthetic sense in relation to the risk of fall among community dwelling females aged 65 years or older. Materials and Methods: A non-experimental correlational, descriptive, and cohort study included 38 community dwelling females (average age of 82.5 years). The kinesthetic ruler (K-Ruler) and kinesthetic test protocol were created and used to assess lower extremity kinesthetic awareness. The GaitRite System was used to assess gait speed. Each subject was categorized into four groups: “LL” (Low K-Score and low gait speed), “LH” (Low K-Score and high gait speed), “HL” (High K-Score and low gait speed), and “HH” (High K-Score and high gait speed) according to kinesthetic awareness and gait speed measured. Voluntary fall incidence reporting over the 6-month period was followed by the initial data collection. Results: Pearson product-moment correlation (2-tailed) showed that there is a statistically significant, positive moderate-to-strong correlation between K-score and gait speed (ICC = 0.692, p Discussion: Gait speed declines as kinesthetic awareness of lower extremity decreases in community dwelling 65 or older female subjects. Additionally, the combination of kinesthetic awareness and gait speed can be served as a predictor of fall risk. The K-ruler can be used to assess lower extremity kinesthetic awareness in older people as a feasible and standard test.

A Report on the Breast Development of Healthy Females of the Right Age in Different Regions

Objective: To observe the state of breast development of the healthy females of the right age in different regions. Methods: We randomly chose 1540 of 18 - 25 years old unmarried or married healthy females of the right age from both Guangxi and Yunnan provinces separately for regular checkups. Also we took notes on these females’ height and chest circumference and other indexes. According to the perfect chest circumference of Chinese females in relation to height, namely this relational expression—Standard Circumference = Height × 0.53, we evaluated the basic state of breast development of females from the two areas and then presented related research conclusions. Results: After the statistical analyses on every index of 1540 cases of healthy females of the right age from the two areas each, we found that the breast development of healthy women of the right age in Yunnan is more perfect than that of Guangxi, and in comparison to every index, there is a remarkable difference, and that is, P females of the right age is different in different areas. Some breasts are especially big;some are a little bit smaller;some are proper and some are relatively flat;also some breasts are strong while some are pendulous. In a word, there are some differences. These differences exist not only inChinabut also in every part of the world. The female whose chest circumference tends to be more close to the perfect is more likely to be more confident and more active, and also her life is full of sensibility and charm.

Obesity in African-American Early to Middle-Aged Females: Prevention and Treatment through Education

The objective of this study was to develop an educational program for African-American females on diet and exercise in the treatment and prevention of obesity. African-American female participants aged 30-50 with a Body Mass Index (BMI) over 25 were recruited for inclusion in the study. A qualitative assessment was completed which observed the attitudes, personal beliefs, dietary and physical risk factors regarding weight loss before and after an educational intervention which focused specifically on the targeted population. Pre- and post-assessment questionnaires were utilized in this study. This design intended to measure whether the educational intervention affected real change among the participant’s lifestyle choices. Results revealed that most participants initially did not consider themselves to be overweight or obese and that after the education intervention, realized that they were overweight or obese. Many participants felt that their support systems were adequate. Initially, participants consumed fried foods and high calorie drinks. After the educational intervention, many preferred baked foods and decreased the intake of high calorie drinks. Emotions were also identified as a cause of overeating. Many participants found the educational sessions beneficial to their weight loss and fitness efforts. Challenges such as lack of adequate social support and emotions controlling eating patterns still exist in this population and need to be addressed. The creation of standardized protocols to directly address emotional needs at every medical visit would assist in identification of problems which could negatively affect lifestyle choices.

Breeding of XX Females( XX ♀),YY Physiological Females( YY♀),YY Super-males( YY♂ ) of Pure-line Yellow Catfish( Pelteobagrus fulvidraco Richardson)

Mature wild-type yellow catfish( Pelteobagrus fulvidraco Richardson) individuals with excellent traits have been screened from the Yangtze River as broodstock to establish the germplasm bank of pure-line yellow catfish by artificial gynogenesis technique and hormonal sex reversal method. Based on pure lines of yellow catfish,super-males and physiological females of yellow catfish were selected by GMT technique,hormonal sex reversal method and test-crossing to establish the germplasm bank of YY physiological females( YY♀). The propagation system of male yellow catfish( XY♂) was established based on the combination of super-males( YY♂) and pure-line female( XX♀) for large-scale production of pure-line yellow catfish males,which effectively overcome the disadvantages in the production of common fingerlings and male fingerlings using low-grade fish with slow growth and small size at the bottom of the fish grader as broodfish,such as progeny germplasm degeneration,loss of growth vigor and reduction of breeding benefits. The technical route of breeding pure-line YY physiological females( YY♀) and YY super-males( YY♂) laid the foundation for large-scale production of environmentally friendly yellow catfish males with pure germplasm and strong stress resistance,and provided an efficient,stable,healthy,environmentally friendly,energy-saving and income-increasing approach for sustainable development of yellow catfish breeding industry.