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Women’s empowerment and food consumption:Evidence from female-headed households in Tanzania 被引量:1
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作者 Mosses Lufuke Xu Tian 《Journal of Integrative Agriculture》 SCIE CAS CSCD 2024年第2期457-467,共11页
Despite the growing recognition of women’s increasing role in the household and corresponding empowerment programs in sub-Saharan Africa,intensive research on the relationship between women’s influence and household... Despite the growing recognition of women’s increasing role in the household and corresponding empowerment programs in sub-Saharan Africa,intensive research on the relationship between women’s influence and household food consumption is minimal.Using the most recent(2017-2018)national household survey data from Tanzania,this study examined the influence of women’s empowerment on household food consumption.First,we compared the monthly consumption of eight food categories between female-headed households(FHHs)and male-headed households(MHHs)using both descriptive statistics and the propensity score matching(PSM)method.Furthermore,we adopted the two-stage Linear Expenditure System and Almost Ideal Demand System model(LES-AIDS)to estimate income and price elasticities for the two household types.The results show that FHHs consume bread and cereals,fish,oils and fats,vegetables,and confectionery(sugar,jam,honey,chocolate,etc.)more than MHHs.Moreover,FHHs have a significantly higher income elasticity of demand for all food groups than MHHs.They are also more price elastic than MHHs in meat,fish,oils,fats,sugar,jam,honey,chocolate,etc. 展开更多
关键词 womens empowerment food consumption income elasticity price elasticity
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The Three Principles of Institutional Safeguards for Women's Participation in Legislation in China
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作者 刘睿 JIANG Yu(Translated) 《The Journal of Human Rights》 2024年第2期325-346,共22页
The participation of women in legislation is an important aspect and means of safeguarding women’s rights.Feminist theory,based on criticism of both the“citizenship identity theory as rights”and the“citizenship id... The participation of women in legislation is an important aspect and means of safeguarding women’s rights.Feminist theory,based on criticism of both the“citizenship identity theory as rights”and the“citizenship identity theory as responsibilities,”proposes the“citizenship identity theory as subjectivity.”Observing the current practice of women’s participation in legislation in China,two institutional safeguard principles can be summarized:the“minimum proportion”and the“influence evaluation.”However,each of these principles has its inherent limitations.Therefore,it is necessary to supplement them with the principle of“subjective participation”in a reflective manner.This principle requires women to participate substantively in the legislative process as subjects,express women’s needs and demands,input women’s perspectives and experiences,and reconstruct the distribution of rights and responsibilities in the existing legislation.The three principles complement each other and work together to comprehensively constitute the institutional structure of women’s participation in legislation,thereby promoting the reproduction of corresponding action structures. 展开更多
关键词 citizenship identity theory FEMINIsM womens rights participation in legislation sUBJECTIVITY
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Writing the Silenced Female Body, Scrutinizing the Grand Narrative of Colonization and Decolonization: The Body in Zoë Wicomb’s David’s Story
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作者 SHI Ju-hong LUO Wen-jie 《Journal of Literature and Art Studies》 2024年第7期576-583,共8页
David’s Story by Zoë Wicomb addresses the complexities of representing female suffering and the limitations of traditional historical narratives in capturing the experiences of marginalized bodies.It challenges ... David’s Story by Zoë Wicomb addresses the complexities of representing female suffering and the limitations of traditional historical narratives in capturing the experiences of marginalized bodies.It challenges the grand narratives of national history by emphasizing the indispensable role of women’s experiences.Through characters like Dulcie and Rachael,Wicomb portrays the female body as a site of resistance and resilience,highlighting the need for more nuanced and inclusive ways of documenting history.Underscoring the inexpressibility of trauma and the limitations of language and representation,the novel self-reflexively acknowledges its own aporia of completing the narrative,embodying the ongoing struggle to capture the full breadth of human experience. 展开更多
关键词 David’s story silenced female body caution against grand narrative
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A Historical Review of the Development of Women’s Higher Education in China (1908-2020): Stages, Explanations, and Trends
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作者 TIAN Fen ZHENG Yaqian Ray Taheri 《Sociology Study》 2024年第1期39-53,共15页
The development of women’s higher education in China can be divided into four stages:emergence(1908-1948);foundation(1949-1976);accelerating development(1977-2008);and the qualitative leap(2009-2020).This work consid... The development of women’s higher education in China can be divided into four stages:emergence(1908-1948);foundation(1949-1976);accelerating development(1977-2008);and the qualitative leap(2009-2020).This work considers the principal institutional mechanisms that contributed to this development.First,flexibly planned parenthood gradually promoted gender equality and openness in society facilitated by systematic“awards,grants,and loans”initiatives to support women’s higher education economically.Second,compulsory education ensured that left-out and migrant children had access to higher education.Third,effective connectivity across different education types bridged education gaps between those with different levels of education.Fourth,China made great efforts to invite and integrate international experiences that promoted the development of women’s higher education.Looking beyond these achievements,we also discuss the future trends of women’s higher education in China. 展开更多
关键词 Chinese higher education womens higher education educational equity development process
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Influence of cultural factors on choice of childbirth place among women in Oyigbo Local Government Area,Rivers State,Nigeria
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作者 Ngozi Afulenu OBIKA-NDIRI Chizoma Millicent NDIKOM +1 位作者 Ogochukwu Immaculate OBIKA Omineokuma Tubonemi ASEMINASO 《Journal of Integrative Nursing》 2023年第1期37-42,共6页
Objectives:This study aims to ascertain if cultural factors influence the childbirth place choice of women in Oyigbo.Materials and Methods:The study used a cross‑sectional study design using a self‑structured question... Objectives:This study aims to ascertain if cultural factors influence the childbirth place choice of women in Oyigbo.Materials and Methods:The study used a cross‑sectional study design using a self‑structured questionnaire as the instrument to collect data from 384 volunteers through simple random sampling,and these data were analyzed using frequency and percentage for descriptive statistics while Chi‑square was used for inferential statistics at 0.05 level of significance.Results:The influence of cultural factors such as family traditions(χ^(2)=12.56,P=0.006),beliefs(χ^(2)=70.66,P=0.000),lack of confidence in health facilities(χ^(2)=367.83,P=0.000),and the presence of male skilled birth attendants(χ^(2)=50.85,P=0.000)were statistically significant to the choice of childbirth place,while patriarchal system(χ^(2)=2.99,P=0.393)was not statistically significant to the choices of childbirth places of women in Oyigbo.Religion had a statistically significant influence on childbirth place(χ^(2)=125.46,P=0.000).Conclusion:This study shows that religious and cultural factors have a significant influence on the childbirth place choices of women in Oyigbo Local Government Area of Rivers State. 展开更多
关键词 BIRTHPLACE CHILDBIRTH cultural factors maternal mortality Oyigbo womens health
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The Dilemma of Women’s Voices in the Post-Epidemic Era:Misconceptions of Feminism on Digital Media Platforms-The Example of Sina Weibo
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作者 LIU Yuewen 《Psychology Research》 2023年第2期88-103,共16页
Weibo,one of China’s largest digital media platforms,has become a major platform for women’s voices to fight for equality.However,misconceptions of feminism on Weibo have become obstacles to women’s voices,for whic... Weibo,one of China’s largest digital media platforms,has become a major platform for women’s voices to fight for equality.However,misconceptions of feminism on Weibo have become obstacles to women’s voices,for which the platforms did not post women’s views prominently.From the perspective of women themselves,this paper adopted a questionnaire to study the misunderstanding of feminism and its impact on women’s expression on Weibo. 展开更多
关键词 FEMINIsM womens voices digital media platforms the post-epidemic era
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Identifying the Cultural Shifts and Societal Changes That Facilitated the Rise in Box Office Performance of Chinese Women’s Cinema in the 21st Century
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作者 CUI Yuekun 《Psychology Research》 2023年第12期577-599,共23页
With the gradual improvement of Chinese women’s status in the 21st century,gender studies and gender relations have become one of the hottest topics in Chinese society,which consequently prompted Chinese Women’s Cin... With the gradual improvement of Chinese women’s status in the 21st century,gender studies and gender relations have become one of the hottest topics in Chinese society,which consequently prompted Chinese Women’s Cinema to attract the attention of larger audiences.With regard to the box office performance of Chinese Women’s Cinema,there seems to be a gap in research in finding an association between women’s status and the relevant films’box office performance.The purpose of this research is to outline the underlying reasons for the changes in gender roles and gender representation in the Chinese film industry over the past few decades in order to better understand this expansive social change in the 21st century.This study provides a comprehensive analysis through the use of questionnaires to better understand society’s attitude towards gender representation within the film industry.The questionnaire findings indicate that there is a direct correlation between people’s awareness of women’s changing status and gender equality and their acceptance of materials produced by Chinese Women’s Cinema.At the some time,it highlights that the Chinese government’s support and initiatives for gender equality have had a significant impact on the general popularity of Chinese Women’s Cinema.The significance of this research is to effectively popularize Chinese Women’s Cinema culture and the box office growth by understanding the social attitude towards gender representation in the Chinese film industry and to provide relevant information about the development direction and trend of Chinese Women’s Cinema.Furthermore,this research aims to provide foundational support for gender equality and help to understand the underlying factors that society needs to promote gender equality. 展开更多
关键词 Chinese womens Cinema Film Box Office Gender Equality social Change Cultural shifts
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Do Chinese Women Face Subtle Discrimination in Job Hiring?
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作者 Shelly Y.Wu 《Psychology Research》 2023年第12期609-613,共5页
Gender discrimination has long been the problem that exists in the entire world,including China.However,as more and more people are focusing on the general gender discrimination,the group recognized an extension of su... Gender discrimination has long been the problem that exists in the entire world,including China.However,as more and more people are focusing on the general gender discrimination,the group recognized an extension of such discrimination-pregnancy discrimination in job hiring(the discrimination that women who are pregnant or have the inclination to pregnancy receive in hiring).The possible subtle pregnancy discrimination may be one of the main causes that lead to the declining fertility rate in China.The group decided to conduct an experiment to determine whether women are receiving more subtle discrimination in job hiring due to their identity as mother than men with children,men without children,and women without children.Using the form of questionary and resumes,the team found that Chinese women are indeed enduring subtle discrimination in work hiring.The experiment highlights the importance to promote further equality among women.However,there are some confounding variables,like the level of patient of the HR who reads the resume,affecting the ultimate result of the study.Keywords:gender discrimination,women’s career,Chinese job market,pregnancy discrimination,fertility rate in China. 展开更多
关键词 gender discrimination womens career Chinese job market pregnancy discrimination fertility rate in China
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Mechanisms and Associated Factors of Nocturia in Women Attending Two Urogynecology Clinics: A Cross-Sectional Study
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作者 Ingrid Antunes da Silva José Rodrigo de Moraes +1 位作者 Renato Augusto Moreira de Sá Carlos Augusto Faria 《Open Journal of Obstetrics and Gynecology》 2023年第9期1547-1568,共22页
Introduction: Nocturia has a multifactorial etiology, and its diagnostic approach involves, in addition to medical history and physical examination, the use of a bladder diary to define the pathophysiological mechanis... Introduction: Nocturia has a multifactorial etiology, and its diagnostic approach involves, in addition to medical history and physical examination, the use of a bladder diary to define the pathophysiological mechanisms present in each case. Methods: This study investigated the prevalence of nocturia, its mechanisms, and associated factors in women with lower urinary tract symptoms attending two urogynecology clinics in the state of Rio de Janeiro, Brazil. Anamnesis, physical examination, and a 24-hour bladder diary were conducted. Two definitions of nocturia were considered: one or more nighttime voids and two or more nighttime voids. Mann-Whitney and Chi-square tests were used, with p-value ≤ 0.05 considered significant. Results: A total of 133 participants were included. The majority were aged 60 years or older (61.4%) and had three or more comorbidities (66.7%), with systemic arterial hypertension being the most prevalent (59.1%). Of the total participants, 54 (41.4%) completed the bladder diary. Among those with one or more nighttime voids (70.7%), the prevalence of nocturnal polyuria was 69.1%, reduced nocturnal bladder capacity was 17.3%, and global polyuria was 12.9%. Among participants with two or more nighttime voids (56.4%), the prevalences were respectively 68.2%, 19.1%, and 13.6%. Among the mechanisms, associations were found only with global polyuria, namely: use of insulin, body mass index and tobacco consumption. An association was also found between recurrent urinary tract infection and global polyuria in participants with two or more nighttime voids. Conclusions: The prevalence of nocturia was higher than that reported in general population studies and specialized services for lower urinary tract symptoms. Nocturnal polyuria was the most prevalent mechanism. Associations were observed between the use of insulin, body mass index, tobacco consumption, and recurrent urinary tract infection with global polyuria. No associations were found between any clinical or demographic variables and nocturnal polyuria or reduced nocturnal bladder capacity. 展开更多
关键词 NOCTURIA POLYURIA Lower Urinary Tract symptoms womens Health
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Mapping the Child’s Grey Interior:Authenticity of Plague Narrative in The Great Plague
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作者 SHI Long 《Journal of Literature and Art Studies》 2023年第4期272-275,共4页
The Great Plague:The Diary of Alice Paynton,London 1665-1666 adopts the realistic painting style and direct writing to the painful experience,describes the situation of the Great Plague in London truly from the perspe... The Great Plague:The Diary of Alice Paynton,London 1665-1666 adopts the realistic painting style and direct writing to the painful experience,describes the situation of the Great Plague in London truly from the perspective of children,and breaks people’s cognitive expectation of children’s literature,the construction of children’s Gray inner world is completed behind the true description of the Great Plague in London with the true brushwork,which presents a different world of childlike innocence.Despite the importance of epidemics writing in literature,the child’s diary perspective of them is one of the least developed of Plague Narrative.Only when authenticity and the child’s grey interior are integrated will we reveal a true picture of society as it was. 展开更多
关键词 The Great Plague The Diary of Alice Paynton AUTHENTICITY plague narrative the child’s grey interior
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Analyzing the Influences on Women’s Upbringing and Their Educational Significance Using the Case of Estella,the Heroine of Great Expectations
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作者 Xiaoyi Yang 《Journal of Contemporary Educational Research》 2023年第11期173-178,共6页
This paper explores the influences on women’s upbringing and their educational significance by using the character Estella from Great Expectations as a case study.Through analyzing the impact of social environment,fa... This paper explores the influences on women’s upbringing and their educational significance by using the character Estella from Great Expectations as a case study.Through analyzing the impact of social environment,family education,and self-awakening,this article aims to promote gender equality and the construction of a feminist cognitive community.It delves into the class divisions of 19th-century England,the manipulative family education imposed on Estella by Miss Havisham,and Estella’s journey towards self-consciousness after her foster mother’s death.The study highlights the challenges faced by women in societal constraints,family expectations,and the importance of self-discovery in overcoming these limitations. 展开更多
关键词 womens upbringing social environment Family education self-awakening
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The Rise of China’s Women’s Basketball Team:An Exploration of Gender Equality in Professional Basketball
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作者 Naiyuan Fan 《Journal of Contemporary Educational Research》 2023年第11期11-16,共6页
This article explores the rise of the Chinese women’s basketball team in professional basketball and its relationship to gender equality issues.In view of the gender differences in salary,market value,social status,a... This article explores the rise of the Chinese women’s basketball team in professional basketball and its relationship to gender equality issues.In view of the gender differences in salary,market value,social status,and other aspects,the article proposes a series of strategies to promote the realization of gender equality for female basketball players in professional basketball.This article points out that the rise of the Chinese women’s basketball team will lead the process of gender equality and lay the foundation for a more equitable and inclusive future.To achieve this goal,this article highlights the importance of improving the competitive level of female athletes,improving basic education,promoting basketball culture,and promoting gender equality. 展开更多
关键词 Chinese womens basketball Professional basketball Gender equality sALARY Market value social status Competitive level Female athletes
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Effectiveness of the Combination of Solution-Focused Therapy and Narrative Therapy in Marital Adjustment among Incompatible Iranian Women
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作者 Azadeh Shirashiani Ebrahim Namani 《Open Journal of Psychiatry》 2017年第2期79-89,共11页
The present study aims to examine the effectiveness of the combination of solution-focused therapy and narrative therapy in marital adjustment of incompatible women. This research is a pretest-posttest quasi-experimen... The present study aims to examine the effectiveness of the combination of solution-focused therapy and narrative therapy in marital adjustment of incompatible women. This research is a pretest-posttest quasi-experimental study design with a nonequivalent control group. The statistical population comprises all the incompatible women who referred to the counseling clinics of Neyshabour in May 2016 (1500 admission per month). The research sample consists of 24 incompatible women who were selected through Randomand available sampling method. For data collection, Marital Adjustment Scale by Spinner was applied. The data were analyzed using the analysis of covariance test and with the aid of SPSS-22 software. The findings demonstrated that the combination of solution-focused therapy and narrative therapy is significantly effective in marital adjustment of incompatible women (P < 0.05). Thus, it can be stated that the combination of solution-focused therapy and narrative therapy can help to promote adjustment among incompatible women. 展开更多
关键词 sOLUTION-FOCUsED THERAPY narrative THERAPY MARITAL Adjustment INCOMPATIBLE women
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A Systematic Literature Review of the Impact of Climate Change on Menopause: Altering the Age, Severity of Symptoms and Long-Term Effects
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作者 Vaidehi Chauhan Sameena Rahman 《Open Journal of Obstetrics and Gynecology》 2024年第7期1018-1026,共9页
Objective: This systematic review investigates the impact of climate change on menopause, focusing on the correlation between geographical location—considering altitude, temperature, humidity, and annual temperature ... Objective: This systematic review investigates the impact of climate change on menopause, focusing on the correlation between geographical location—considering altitude, temperature, humidity, and annual temperature range—and women’s menopausal experiences. This study aims to interpret how these environmental factors influence the age of onset, severity of symptoms such as hot flushes and night sweats, and other long-term effects of menopause. Understanding these relationships addresses a significant gap in current knowledge and could guide future public health strategies. Methods: Through a comprehensive analysis of three cross-continental studies involving 1500 postmenopausal women from Spain, South American countries (Ecuador, Panama, Chile), various climates in Türkiye (Black Sea, Mediterranean, Continental), and the United Arab Emirates (UAE), this review evaluates diverse environmental impacts. Studies were selected based on their methodological rigor, geographical diversity, and focus on the unique and personal experiences of menopause. Data was collected via questionnaires and routine medical checkups, analyzing demographic, lifestyle, mood, symptom severity, and onset age variables. Results: Preliminary analysis indicates that 52.5% of participants from Spanish-speaking countries and the UAE reported vasomotor symptoms, with those in higher temperatures and lower altitudes experiencing exacerbated symptoms. Notably, Mediterranean climates were associated with an earlier menopause onset. Seasonal changes had minimal impact across all regions, suggesting lifestyle and other environmental factors play a more significant role. Conclusions: The findings highlight a clear link between climate-related geographical factors and the menopausal experience. Women in warmer, lower-altitude regions suffer more severe symptoms, while those in Mediterranean climates face earlier onset. The absence of significant seasonal variations across the studies underscores the predominance of lifestyle and environmental factors over purely climatic conditions. These insights pave the way for targeted interventions and support the need for further public health research into the complex interactions between climate change and menopause. 展开更多
关键词 MENOPAUsE Climate Change womens Health PERIMENOPAUsE
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Narration as Therapy in Natsume Sōseki's I Am a Cat
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作者 安藤文人 《外语教育研究》 2014年第4期70-76,共7页
Natsume Sōseki(1867-1916) suffered from cyclic mental depressions through his life, and it was when he was in the state of the most terrible one that he started his career as a writer by writing I Am a Cat(1905-1906)... Natsume Sōseki(1867-1916) suffered from cyclic mental depressions through his life, and it was when he was in the state of the most terrible one that he started his career as a writer by writing I Am a Cat(1905-1906). There are some evidence by his wife and friends that Sōseki's condition of disease dramatically improved during its serialization on a magazine, and the writer himself admited humorously in the preface of other work that it was his depression and mania that enabled him to produce I Am a Cat and other early works. This paper aims at describing the process how his act of narrating had therapeutic effects on his state of mind focusing on the construction of complicitous relationship between an implied author and readers in the work by the unique functions of the first-‘person' narrator: A Cat. Among others, I will consider the influence of Laurence Sterne's Tristram Shandy(1759-1767), which Sōseki introduced to Japan for the first time, by discussing the frequent use of metalepsis that the two works have in common. 展开更多
关键词 Natsume sōseki I Am a Cat Laurence sterne METALEPsIs narratIVE
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The Black Protests in Poland: An Example of an Anti-pastoral Revolution
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作者 Szymon Wróbel 《Philosophy Study》 2024年第2期53-62,共10页
Michel Foucault in Security, Territory, Population: Lectures at the Collège de France, 1977-1978 argues, that there has never been such a thing as an anti-pastoral revolution in Western societies. Yes, we have ha... Michel Foucault in Security, Territory, Population: Lectures at the Collège de France, 1977-1978 argues, that there has never been such a thing as an anti-pastoral revolution in Western societies. Yes, we have had revolutions against the disciplinary apparatus and legal devices of power (schools, hospitals, prisons) and we have had examples of revolutions against the economic foundations of social inequality, but there has never been a genuine revolution against pastoral power as a power relating to the conduct of individuals (but also entire social groups) and their disposition to “voluntary submission” to the will of external authorities. In my paper, I would like to reflect on this thesis, and taking it quite seriously, to look for examples of such revolutions. One of them is a women’s strike in Poland during the power of the conservative government of “Law and Justice”. Mainly referring to the texts of Silvia Federici and Paul Preciado, I will want to reflect on contemporary practices of reclaiming the body in contemporary capitalism. I will defend the thesis that regaining control over sexuality and reproduction means changing the material conditions of life and modern reproductive technologies. 展开更多
关键词 black protest morning-after pill primitive accumulation procreation refusal resistance voluntary submission womens reproductive strike
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ADVANCES OF EXPERIMENTAL RESEARCH ON ACUPUNCTURE AND MOXIBUSTION FOR TREATMENT OF WOMEN'S CLIMACTERIC SYNDROME 被引量:1
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作者 陈贵珍 许云祥 《World Journal of Acupuncture-Moxibustion》 2007年第4期33-39,共7页
To introduce the advances of experimental research on acupuncture and moxibustion for treatment of Women's Climacteric Syndrome.The recent years experimental research literature of acupuncture and moxibustion for tre... To introduce the advances of experimental research on acupuncture and moxibustion for treatment of Women's Climacteric Syndrome.The recent years experimental research literature of acupuncture and moxibustion for treatment of Women's Climacteric Syndrome were reviewed.The research literatures on acupuncture treatment were major,focusing on the field of acupuncture and moxibustion regulating hypothalamic-pituitary-gonad axis and nerval-endocritic-immune net.Acupuncture and moxibustion could regulate the endocrine environment of menopausal women.Taking advantage of combination biomedicine with multi-sciences,to improve the acupuncture and moxibustion curative effct and probe the mechanism of menopausal pathology and acupuncture and moxibustion function to Women's Climacteric Syndrome,is the research direction afterward. 展开更多
关键词 women's Climacteric syndrome/acup-mox ther Review Mechanism research
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Women's speech in variation studies
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作者 马继红 《Sino-US English Teaching》 2007年第5期59-61,共3页
It is demonstrated by sociolinguistic variation studies that women are more likely than men to use standard speech. This paper reviews the operational methods and analytical means of classic quantitative studies in th... It is demonstrated by sociolinguistic variation studies that women are more likely than men to use standard speech. This paper reviews the operational methods and analytical means of classic quantitative studies in this field, intending to provide guidance and enlightenment for relevant studies and verifications in the context of Chinese culture. 展开更多
关键词 women's speech standard form classic studies
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The Women Characters of the 1930s in the Chinese TV Serials
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作者 周时娥 张雯 《海外英语》 2011年第13期278-280,共3页
The women of the 1930s in the Chinese TV serials deduct inspiring stories.They play different roles in the big wealthy families such as mothers-in-law,daughters-in-law,and maidservants.There are unceasing conflicts be... The women of the 1930s in the Chinese TV serials deduct inspiring stories.They play different roles in the big wealthy families such as mothers-in-law,daughters-in-law,and maidservants.There are unceasing conflicts between these women,because of their struggle for men's love,wealth or social position.The theme of their stories is always about fertility,love,kindness and evil,with the ending being either comic or tragic.The stories of various kinds of women of the 1930s in the Chinese TV serials decorate and enrich the lives of many of us latecomers and their names are passed on from generation to generation. 展开更多
关键词 women CHARACTERs 1930s TV sERIALs
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Patterns of medication use for the treatment of menopausal symptoms before and after the women’s health initiative;implications for decision-making practices of women and women’s health professionals 被引量:2
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作者 Chioma Uzoigwe Smith Srini Rajagopalan +3 位作者 Shiva Sajjan Shuvayu Sankar Sen Wenchen Kenneth Wu Henry Hu 《Health》 2011年第7期416-422,共7页
Background: The Women’s Health Initiative (WHI) published findings in 2002 that changed the perception of the use of hormone replacement therapy (HRT) for the reduction of cardiovascular risks. Menopausal women using... Background: The Women’s Health Initiative (WHI) published findings in 2002 that changed the perception of the use of hormone replacement therapy (HRT) for the reduction of cardiovascular risks. Menopausal women using HRT for the relief of vasomotor symptoms were advised to use the lowest possible dose of HRT over the shortest possible duration. Objective: This study sought to examine patterns of HRT use for the treatment of menopausal symptoms before and after the WHI among women at least 40 years of age. Methods: A retrospective analysis was performed on a total of 1367 women in the pre-WHI group and 6467 women in the post-WHI group using the U.S. General Electric (GE) Centricity electronic medical record database. Menopause diagnosis was assessed using ICD-9 codes. Clinical characteristics and medication use were assessed for women with at least 3 years of enrollment (1 year baseline, 2 years follow-up). Results: The proportion of women in the post-WHI group that initiated HRT was significantly less than that of women in the pre-WHI group (31.3% vs. 56.9%, respectively;p < 0.001). Combination HRT use declined significantly (21.9% pre-WHI cohort vs. 7.2% post- WHI cohort, p < 0.001) among increases in non-HRT use, namely SSRIs (15.2% pre-WHI cohort v. 22.3% post-WHI cohort, p < 0.001) and tranquilizers (9.5% pre-WHI cohort v. 15.8% post-WHI cohort, p < 0.001). Conclusion: The results of the WHI 2002 publication made an impression on the perception of HRT’s role in the relief of menopausal symptoms. Decision-making on the part of women seeking treatment for vasomotor symptoms and women’s health professionals demonstrates that despite HRT precautions, women continue to exhibit a need for HRT use. This study’s findings suggest that women seeking treatment for menopausal symptom relief and women’s health professionals continue to work together to find the appropriate balance between therapy use and adherence to therapy use guidelines. 展开更多
关键词 womens HEALTH INITIATIVE (WHI) HORMONE Replacement Therapy (HRT) womens HEALTH MENOPAUsE
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