Proportion Of Women Research Articles

Divestitures and the proportion of women on firms’ boards: The effect of shareholders and visibility

This study examines whether and when divestitures impact the gender composition of the divesting firm's board. Building on agency theory and the potentially different interests of shareholders and board members, we argue that the proportion of female directors decreases when firms divest, especially with an increase in ownership by the largest shareholder, who may experience self-interested decision-making and attributional bias. In contrast, the proportion of women on a board may increase for highly visible firms as a result of public scrutiny and legitimacy-enhancing efforts. Using data on 465 divesting and non-divesting US-based firms matched with board information over the 2000–2019 period, we find a negative relationship between divestitures and firms' female board representation. Our results also suggest that divestitures impact boards' gender composition with outcomes that depend on firms' ownership structure and external visibility.

Academic Engagement of Women as Orthopaedic Surgeons at the Annual Meetings of the Japanese Orthopaedic Association From 2012 to 2022.

Higher gender diversity correlates with higher patient satisfaction, higher-quality medical education, increased research productivity, and higher revenues. Although the field of Japanese orthopaedic surgery includes the lowest proportion ofwomen and lags in gender diversity, reports on the current gender diversity status in academic activities are scarce. We investigated changes in women's participation in academic activities at the Japanese Orthopaedic Association (JOA) annual meetings over the past 11 years. Data on the percentage of women in the JOA membership during 2012-2022 were analyzed to ascertain the proportion of women as first authors of oral and poster presentations, abstract reviewers, invited lecturers, seminar lecturers, general abstract oral chairpersons, symposium chairpersons, and speakers. Regarding the ratio of women among the JOA members during 2012-2022, we relied on data provided by the JOA. Data related to other categories were collected from the abstract book presented at the JOA Annual Meetings between 2012 and 2022. We analyzed the time trend for women's proportions using the Cochran-Armitage trend test. A p-value < 0.05 was considered statistically significant. During 2012-2022, the percentage of female members (4.9-6.7%), poster first authors (2.7-4.3%), abstract reviewers (0-1.5%), general abstract oral chairpersons (0-2.3%), symposium chairpersons (0-3.6%), and symposium speakers (1.6-6.8%) had increased significantly (p < 0.05). Oral first authors (2.2-4.1%), invited lecturers (0-6.8%), or seminar lecturers (0%-6.7%) showed no trend. Women engaged in academic activities at all annual association meetings did not exceed the women's proportion among the association members. Although the proportion of women members of the JOA has gradually increased and more women are involved in its annual meetings, the proportion of female presenters, invited speakers, symposiasts, and chairpersons of oral and poster presentations is generally lower than that of women as JOA members. Members should be asked to raise awareness, including more active education of women as physicians in educational institutions and the creation of positive actions to select women as physicians for more important roles (chairpersons, educational speakers, and symposiasts) in the organization of annual meetings.

#17 : Clinical Efficacy of IVIG Depending on the Peripheral Blood NK Cell Proportions in Women with Recurrent Pregnancy Loss

Backgrounds and Aims: Etiology of repeat pregnancy loss (RPL) is complex, approximately 50% of cases of RPL had been classified as unexplained. Nowadays, elevated peripheral blood NK cell proportions are supposed to be related to RPL, and IVIG could down-regulate the NK cell levels. However, the efficacy of IVIG in RPL women is still under debates. The aims of this study were to evaluate the clinical outcomes of IVIG in RPL women with elevated peripheral blood NK cell proportions (PbNK), and to analyze the efficacy depending on the levels of PbNK. Methods: In this retrospective study, 916 women suffered two more miscarriages were evaluated from Jan. 2002 to Aug. 2022. After excluding the genetic, anatomic, endocrinologic causes and antiphospholipid antibody syndrome, 383 unexplained RPL women with elevated PbNK were enrolled. IVIG were treated 400 mg/kg in every three weeks, started right after a positive pregnancy test. Clinical pregnancy outcomes and miscarriage were evaluated. Results: Mean age of enrolled women was 35.24±4.31 years old, mean parity was 0.15±0.36 and mean number of miscarriages was 2.79±1.46 (min 2–max 14). Mean PbNK was 17.74±5.82 (12.0–45.3%). During the IVIG infusion, no serious side effects were found. Among 238 pregnant women, 48 women suffered miscarriage unfortunately. Excluding the termination cases related with chromosomal abnormality and congenital anomalies, live birth rate was 80.9%. In 4 subgroups (NK&lt;15%, 15–20%, 20–25%, &lt;25%), the live birth rates tended to decrease as the PbNK increased, statistically insignificant (84.0%, 82.1%, 72.5%, 65.0%). Mean gestational weeks (GW), preterm birth rates under 37th GW and preterm birth rates under 34th GW were similar in each group. Conclusion: IVIG treatment in RPL women with elevated peripheral blood NK cell proportions could be beneficial without serious side effects. Even in higher elevated level of NK cell proportion, it could be effective as well.

Women Representation on Editorial Boards in Latin America Journals: Promoting Gender Equity in Academic Surgery, Anesthesia, and Obstetrics.

Inequitable representation in journal editorial boards may impact women's career progression across surgical, anesthesia, and obstetric (SAO) specialties. However, data from Latin America are lacking. We evaluated women's representation on editorial boards of Latin America SAO journals in 2021. We conducted a cross-sectional analysis, retrieving journals through Scimago Journal and Country Rank 2020. Journals were included if active, focused on SAO topics, and publicly provided information on editorial board staff. Editorial board member names and positions were extracted from journals' websites. Members were classified into senior (e.g., editor-in-chief), academic (e.g., reviewer), and non-academic roles (e.g., administrative office). Women's representation was predicted from first names using Genderize.io. The number of women SAO physicians per country was obtained from articles and governmental reports. We included 19 of 25 identified journals and analyzed 1,318 names. Three anesthesiology, seven obstetric, and nine surgical journals represented five Latin American countries. Women held 17% (224/1,318) of board positions [p < 0.0001; 95% CI(0.14, 0.19)]. Women held fewer academic roles (14.3%, 155/1,084) compared to senior [28.9%, 64/221 (p < 0.001)] and non-academic roles [38.4%, 5/13 (p = 0.042)]. Surgical journals had fewer women (7.7%, 58/752) compared to anesthesia [25.5%, 52/204 (p = 0.006)] and obstetrics [31.5%, 114/362 (p < 0.001)]. Women's proportion on editorial boards increased according to the number of women SAO physicians per country (p < 0.001). Our study assessed the composition of editorial boards from Latin America SAO journals and demonstrated that women remain underrepresented. Our findings highlight the need for regional strategies to advance women's careers across SAO specialties.

Employers’ stereotypes and taste-based discrimination

Studies founded on Becker's theory of employers’ taste-based discrimination show that discrimination arises not from “taste” but from “prejudice,” “belief,” and “stereotype.” However whether the “employer” is the source of discrimination remains unanswered. Thus, survey research using employers as a sample is indispensable to address this issue. In this study, we use a unique data set that employers can identify to analyze whether their gender stereotypes are the source of gender discrimination. The analysis showed that employers' strong stereotypes reduced women's proportion in companies. Furthermore, when the employer is a woman, her stereotype strongly influences women's proportion.

Proportion of Women and Reporting of Outcomes by Sex in Clinical Trials for Alzheimer Disease

Women represent two-thirds of patients with Alzheimer disease (AD), and sex differences might affect results of randomized clinical trials (RCTs). However, little information exists on differences in sex as reported in RCTs for AD. To assess the ratio of females to males and the reporting of sex-stratified data in large pharmaceutical RCTs for AD. A search for pharmaceutical RCTs for AD was conducted on September 4, 2019, using ClinicalTrials.gov with the key word Alzheimer disease, and articles related to those trials were identified using the PubMed, Scopus, and Google Scholar databases. Searches were conducted between September 4 and October 31, 2019, and between April 15 and May 31, 2020. Controlled RCTs that had more than 100 participants and tested the efficacy of drugs or herbal extracts were included. Of 1047 RCTs identified, 409 were published and therefore screened. A total of 77 articles were included in the final analysis, including 56 primary articles on AD, 13 secondary articles on AD, and 8 articles on mild cognitive impairment. The location and date of publication; number, sex, and age of patients enrolled; disease severity; experimental or approved status of the drug; and whether the study included a sex-stratified analysis in the protocol, methods, or results were extracted by 1 reviewer for each article, and the meta-analysis followed the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) reporting guideline. Data were analyzed using a mixed-effects model. The mean proportion of women enrolled in the trials and the associations between prespecified variables were analyzed. The proportion of articles that included sex-stratified results and the temporal trends in the reporting of these results were also studied. In this review of 56 RCTs for AD involving 39 575 participants, 23 348 women (59.0%) were included. The mean (SD) proportion of women in RCTs of approved drugs was 67.3% (6.9%), and in RCTs of experimental drugs was 57.9% (5.9%). The proportion of women in RCTs of experimental drugs was significantly lower than the proportion of women in the general population with AD in the US (62.1%; difference, -4.56% [95% CI, -6.29% to -2.87%]; P < .001) and Europe (68.2%; difference, -10.67% [95% CI, -12.39% to -8.97%]; P < .001). Trials of approved drugs had a higher probability of including women than trials of experimental drugs (odds ratio [OR], 1.26; 95% CI, 1.05-1.52; P = .02). Both the severity of AD at baseline and the trial location were associated with the probability of women being enrolled in trials (severity: OR, 0.98; 95% CI, 0.97-1.00; P = .02; location in Europe: OR, 1.26; 95% CI, 1.05-1.52; P = .01; location in North America: OR, 0.81; 95% CI, 0.71-0.93; P = .002). Only 7 articles (12.5%) reported sex-stratified results, with an increasing temporal trend (R, 0.30; 95% CI, 0.05-0.59; P = .03). In this systematic review and meta-analysis, the proportion of women in RCTs for AD, although higher than the proportion of men, was significantly lower than that in the general population. Only a small proportion of trials reported sex-stratified results. These findings support strategies to improve diversity in enrollment and data reporting in RCTs for AD.

Gender Diversity in Research and Innovation Projects: The Proportion of Women in the Context of Higher Education

Europe has gradually consolidated its integration of the gender dimension in the field of research and innovation. Institutional structures have shown that the development of gender diversity policies have improved the conditions of equality between women and men. However, the representation of women in the workforce is still an everyday and universal concern. This article analyses the position of women in academic research. For this purpose, the evolution of the participation of women in research and innovation projects in the context of higher education is observed, taking the University of the Basque Country, Spain, as a case study. In order to evaluate the situation of women in research and innovation projects, the authors analyse a database with 75,864 records of projects collected between 2007 and 2018. The analysis confirms that a more balanced participation has been achieved between women and men in research and innovation teams and in project management structures. However, it also shows that gender diversity should continue to be a priority, in addition to its integration in science and technology financing programmes. Knowing this reality can be useful to promote the intensive development of public policies and to contribute towards the effort to improve the statistics of women’s participation in science.

First medical contact place determines prognosis in a regional STEMI network. Is time the most important factor?

Abstract Funding Acknowledgements Type of funding sources: None. OnBehalf Codi IAM investigators Background Long revascularization times have been associated with worse prognosis in PCI-treated STEMI patients. Thus, efforts have been focused in optimizing revascularization times. In Catalonia, the different first medical contact (FMC) points with the regional STEMI network CODI IAM have been associated with different degrees of delay in reperfusion. Purpose we aim to determine if our regional STEMI network achieves better mortality rates in the fastest circuits than in slower ones by optimizing revascularization times. Methods since CODI IAM network was launched in June 2009, a prospective registry of all attended cases is conducted. We included in the study all patients with final STEMI diagnosis treated with primary PCI from January 2010 to December 2016. Patients were divided in 4 different groups regarding FMC point: primary care center (PCC), community hospital (CH), PCI-hospital (PCI-H), emergency medical services (EMS)). Clinical data, reperfusion times and 30-day and 1-year mortality were analyzed. Results a total of 14,483 patients (PCC 19%, CH 35,7%, PCI-H 12,5%; EMS 32,7%) were included in the analysis. Women proportion was higher in hospital-attended cases (p &amp;lt; 0,001), and so was diabetes (p &amp;lt; 0,001). Previous history of MI, PCI and CABG were more frequent in both EMS and PCI-H groups (p &amp;lt; 0,001). Killip-Kimball Classes III-IV were more frequent in PCI-H and EMS groups (EMS 12,5%, PCI-H 10,4%, CH 7%, PCC 4,6%; p &amp;lt; 0,001). All complications (intubation, ventricular fibrillation, ventricular tachycardia, atrial fibrillation, AV block) in first medical assistance were more frequent in EMS group (p &amp;lt; 0,001). Median time from ECG to reperfusion was shorter in the PCI-H group (74 min (IQR 56-110), p &amp;lt; 0,001) but the shortest median ischaemic time was achieved by EMS group (155 min (IQR 120-215), p &amp;lt; 0,001). Global 30-day and 1-year mortality were 5,8% and 9,4% respectively, significantly higher in PCI-H and EMS groups than in CH and PCC groups (30-day m. CH 4,9%, PCC 3,3%, PCI-H 7%, EMS 7,8%), p &amp;lt; 0,001). After Cox regression adjusted analysis including sex, age, diabetes, anterior STEMI, Killip-Kimball Class and primary VF, 30-day and 1-year mortality remained higher in PCI-H and EMS groups compared to CH group, both without adjusting by time (HR 1,31 (1,01-1,69), p = 0,04 for PCI-H 30-day mortality; HR 1,25 (1,03-1,51), p = 0,025 for EMS 30-day mortality), and after adjusting by time ECG-reperfusion &amp;gt;120 min (HR 1,56 (1,20-2,03), p = 0,001 for PCI-H 30-day mortality and HR 1,48 (1,21-1,82), p &amp;lt; 0,001 for EMS 30-day mortality). Conclusions considering that reperfusion time intervals favour EMS and PCI-H groups, crude between-groups mortality differences might be justified by a selection bias rather than by the pathway itself. Despite this probable selection bias, the STEMI network achieves a reduction of these differences by shortening reperfusion times in EMS and PCI-H groups. Abstract Figure. 1-year mortality curves

Impact of corporate governance on financial performance: The case of listed warehouse transportation firms in emerging economy

Corporate governance structures are expected to help a firm have better financial performance through giving proper decision-making (Shivani, Jain, &amp; Yadav, 2017). In recent years, along with the completing process of the business environment, the corporate governance framework in Vietnam has also been gradually built and implemented. However, corporate governance in Vietnam still has some limitations. This study is conducted to investigate the impact level of corporate governance on the financial performance of warehouse transportation firms listed on the Hanoi Stock Exchange (HNX) of Vietnam. We employ both qualitative and quantitative methods for processing data collected from twenty-two listed firms. The results reveal that determinant of corporate governance including the nationality of the board (NB), board composition (BC) has a negative relationship with financial performance; the remaining determinants, such as board size (BS), professional qualifications of the board (BE), the proportion of women (PW), the average age of the board (AA), general director concurrently of the board chairman (PO), do not influence financial performance. However, this impact level changes when we put some controlled variables in the model. In addition, the controlled variable of enterprise continuous uptime (COT) also has a negative impact on financial performance. Based on the findings, some recommendations are proposed relating to corporate governance for enhancing the financial performance of listed warehouse transportation firms in Vietnam

Proportion of women on the editorial committees of dental journals in the world

Objective: Despite the increase in the female contribution to careers in the health sector, Dentistry hasshown slow progress towards gender equality. The objective of this study was to quantify the proportion ofwomen in the editorial committees of dental journals in the world. Material and Methods: Dental journalspublished in the world were compiled, which met inclusion criteria: dental journals indexed to Scopus intheir 2020 edition, access to the composition of the editorial committee. Non-current journals, without accessto their website, journals not classified in a quartile, and journals with publishers outside their country oforigin, were excluded. The selection of journals was carried out from January 11 to 19, 2021. The analysisvariables were the composition of the editorial committee, dental specialty according to the SJR categoryand the title of the journal, quartile of the journal, and country of origin of the editorial headquarters.Results: One hundred eighty nine journals were identified. Women represented 22.91% for the position ofdirector or editor-in-chief. With respect to associate editors and members of the editorial board, 24.76%and 22.91% were women, respectively. Likewise, greater female participation was observed in Q2 and Q1journals and in thematic areas of Geriatric Dentistry, Dental Education, Dental Public Health, and BasicSciences. Conclusion: The findings demonstrate the low proportion of women on the editorial boards ofdental journals in the world.KEYWORDSGender; Women; Dentistry; Editor; Editorial board; Research.

Analysis of cost burden of obstetric care among human immune-deficiency virus (HIV) positive women in Enugu metropolis, South-East Nigeria

The cost of obstetric care could hinder the capacity of human immune-deficiency virus (HIV) positive women to receive adequate care during pregnancy and delivery. This study was aimed at determining the relationship between antenatal/delivery care cost and delivery place choice among HIV positive women in Enugu metropolis. This was a cross-sectional study of 232 post-partum HIV-positive women who came for 6-weeks post-natal visit. Data were analysed using SPSS version 20. The ethical clearance number obtained at UNTH on 18/11/2015 was NHREC/05/01/2008BFWA00002458-1RB00002323. The average obstetric care cost among the respondents was N55,405.67 (US$346.28). The delivery cost (p-value-0.043) had positive relationship with delivery place choice. The women's proportion delivered by skilled birth attendants (SBA) was 93.1%. In conclusion, obstetric care cost among HIV positive women in Enugu was high. The high obstetric care cost influenced the delivery place of one-third of them. The choice of ill-equipped health facilities may result in higher risk of HIV transmission. IMPACT STATEMENT What is already known on this subject? The high HIV/AIDs burden in Nigeria could be attributed to poverty, ignorance, corruption and poor implementation of policies targeted at halting the spread of the infection. The cost of obstetric care could hinder the capacity of HIV positive women to receive adequate care during pregnancy and delivery. What do the results of this study add? The cost of antenatal care (p-value = .02) and delivery (p-value = .001) had a significant positive relationship with the choice of place of delivery by the respondents. The proportion of the women delivered by SBA was 93.1%. Approximately 31.9% of the women delivered at the health facilities different from where they had antenatal care. What are the implications of these findings for clinical practice and/or further research? This implies that the obstetric care cost among HIV positive women in Enugu metropolis was catastrophic. Though 93.1% of the respondents were delivered by SBA, the high cost of obstetric care influenced the delivery of one-third of them at centres different from where they had antenatal care. This may lead to women delivering in poorly equipped health facilities, which, in turn, may result in a higher risk of mother-to-child HIV transmission.

Proportions of Women in STEM Leadership in the Academy in the USA

A considerable body of research exists on women in leadership and likewise, on women in STEM (science, technology, engineering, mathematics) fields. However, the intersection of the two is terra incognita: women in leadership in STEM. At the most fundamental level, we do not even have a solid idea of how many women hold leadership positions in STEM. This study determined the proportion of women in leadership positions in several academic STEM areas via a sampling of institutions across the United States. In every area studied, women held fewer leadership positions than the proportion of female PhDs in those fields. The proportion of women in non-STEM specific top academic leadership roles was also examined to see what proportion of those individuals leading academic institutions might have background in a STEM discipline and how that compares to men in the same positions.

Influence of Various Modes of Delivery on Mother-infant Bonding: A Prospective Observational Study

Background: Mother-infant bonding has tremendous implications for the child's future development. The difficulties that some mothers have in establishing an emotional bond with their newborns often referred to as impaired bonding or bonding failure are an essential focus in the postpartum period. Therefore, it is important to identify predictive factors for bonding failure and to intervene at an early stage for the better mental health care of mothers as well as infant. Objective: To determine the effect of various modes of delivery on the mother-infant bonding. Methods: Prospective observational study performed on low-risk singleton pregnancy who delivered at term. Mother-to-Infant Bonding Scale (MIBS; Taylor et al., 2005), a validated self-report test was used to measure mother's feelings towards her baby within three days of delivery and at the end of six weeks postpartum period. Total score ranges from 0 to 24. A total MIBS score of ≥ 2 is established as cut-off indicating “poor bonding”. MIBS score of 0 and 1 is considered as “good bonding”. The mean bonding score among the 3 groups was compared. Results: Elective cesarean delivery group had 112 participants, 115 were Emergency cesarean group and 107 were vaginal delivery group. Immediately after the delivery (MIBS 1), the proportion of women with poor bonding among Emergency cesarean group was 34.8% when compared to proportion of women with poor bonding among Elective cesarean (11.6%) and Vaginal delivery (13%). This was statistically significant (p-value 0.01). When we followed up these mothers at 6 weeks post-partum checkup, the MIBS scoring (MIBS-2) consistently improved among the three groups. However, proportion of women with poor bonding still remained high at 16.5% among the Emergency cesarean group. Conclusion: Mode of delivery has a significant impact on MIBS. In this study, unplanned cesarean delivery was associated with a high incidence of poor mother to infant bonding. Poor bonding was commoner in this group even at 6 weeks post-partum, compared to those undergoing a successful vaginal delivery and a planned elective cesarean delivery.

CORR Insights®: Does the Proportion of Women in Orthopaedic Leadership Roles Reflect the Gender Composition of Specialty Societies?

CORR Insights®: Does the Proportion of Women in Orthopaedic Leadership Roles Reflect the Gender Composition of Specialty Societies?

Does the Proportion of Women in Orthopaedic Leadership Roles Reflect the Gender Composition of Specialty Societies?

Increasing the number of women in surgical subspecialties has been challenging, especially in orthopaedics, in which the percentage of women has remained relatively the same for the past several decades. Certain subspecialties, such as pediatric orthopaedics, have a greater proportion of women than other orthopaedic subspecialties do. Women in leadership roles in a specialty society (for example, on the board of directors) may serve as role models and help attract women to our specialty, leading to increased diversity. As the proportion of women in a specialty society increases, the leadership (board of directors) of the society might reflect the gender composition of that society's membership. It is not known whether gender diversity in orthopaedic societies is reflected in their leadership. QUESTION/PURPOSES: (1) Does the percentage of women members in a specialty society correlate with the percentage of women on its board of directors? (2) Does having a junior position on an orthopaedics subspecialty society's board of directors correlate with an increased percentage of women on its board of directors? We queried the executive directors of each of the 23 societies of the Board of Specialty Societies of the American Academy of Orthopaedic Surgeons to obtain the number and percentage of women members in each society, the number of women on each society's board of directors, the criteria for becoming a board member, and the presence or absence of junior board members. All 23 societies responded. We supplemented the data by reviewing these societies' bylaws. Society bylaws were studied to determine if the presence of a junior board member affected the percentage of women on its board of directors. We correlated the percentage of women in each society with the percentage of women on that society's board of directors and compared this across the studied societies. We found a strong correlation between the percentage of women in a society and the percentage of women on the society's board of directors (r = .2333; p = .0495). The subspecialty society with the highest percentage of women (26%), the Pediatric Orthopaedic Society of North America, did not have the highest percentage of women on its board of directors (three of 20 members were women, 15%). The subspecialty society with the highest percentage of women on its board of directors, the Orthopaedic Research Society (seven of 16 members, 44%), did not have the highest percentage of women (25%). There was no correlation between presence of a junior board member and increased percentage of women in an orthopaedic society, nor was there a correlation between the presence of a junior board member and percentage of women on the board of directors in a society. There is a correlation between the number of women members in an orthopaedic specialty society and the number of women on its board of directors. The correlation is not explained by the presence of a junior member position, which may be inspiring to younger women. Although a correlation exists, we could not predictably match societies with the highest percentage of women members to those with the highest percentage of women on their boards of directors, and vice versa. This study reveals the current percentage of women in orthopaedic specialty societies and the percentage of women in leadership positions. This is the first step towards diversity of gender in orthopaedics. Level III, prognostic study.

Trends in Proportion of Women as Authors of Medical Journal Articles, 2008-2018

This study reviews all articles from 9 specialty and 4 cross-specialty medical journals across a 10-year period to assess trends in authorship, first authorship, and last authorship among women.

Still ‘few, slow and low’? On the female dimension of technology, labour markets and economic activity: Evidence for the period of 1990-2017

The known in empirical economics question ‘Why so Few? Why so Slow? Why so Low?’ refers here to the persistently small number of women involved in innovative activities, the slowness of change in the inequalities between women and men in these fields, and women’s continuing lower rank in business and academic positions. In developing countries, women`s labour and entrepreneurial activity remains an ‘untapped resource’ for economic growth. In recent years, the rising proportion of women participating in the labour market has drawn the attention of many scholars. This positive change towards mobilising previously unused human resources is perceived as one of the positive externalities enhanced by the seemingly boundless flow of information and communication technology. This research examines, from a macroperspective, the association between economic deployment of ICT, women`s labour market participation, and economic growth in 64 developing countries between 1990 and 2017. We rely on the macrodata extracted from the World Bank Development Indicators (2018), the World Bank Enterprise Survey, the World Development Reports and the World Telecommunication/ICT Indicators Database (2018). Our methodological framework, in addition to standard descriptive statistics, combines time trends, graphical non-parametric analysis and panel vector-autoregressive models.

Emergency Surgery for Acute Type A Aortic Dissection in Octogenarians Without Patient Selection

Octogenarians are often declined an emergency operation for acute type A aortic dissection on grounds of high mortality rate and short life expectancy. Our policy is to accept all patients at any time and never to refuse an emergency operation, even for octogenarians. From April 2004 to September 2017, 319 patients underwent surgical repair for acute type A aortic dissection at our institution. We compared the clinical results between the 55 elderly patients (≥80 years old; older group) and the 264 nonelderly patients (≤79 years old; younger group). The primary end point was early mortality, and the secondary end point was long-term mortality. The older group had a higher proportion ofwomen (74.5% vs 46.6%), a lower body mass index (21.4 vs 23.8 kg/m2), and a lower proportion of smokers (20.0% vs 46.2%). In the two groups (older vs younger), postoperative stroke occurred in 12.7% versus 11.4% and hospital mortality in 10.2% versus 10.9%, with no significant statistical difference. In multivariate analysis, older age of 80 years or older was not a significant risk factor for hospital mortality. Among the hospital survivors, the actuarial survival rate at 8 years was 52.5% in the older group and 85.0% in the younger group (p= 0.005). Emergency surgical repair for type A aortic dissection in octogenarians without patient selection resulted in similar rates of mortality and morbidity as younger patients. Octogenarians should not be refused this life-saving emergency operation.

In Early Pregnancy, a High Proportion of Women with Type 2 Diabetes Have Lower Daily Carbohydrate Consumption than Recommended by the Institute of Medicine

Aim: Maternal glucose is the primary metabolic substrate for fetal growth and a diet low in carbohydrates is common among young women in the Western world. To secure sufficient carbohydrate consumption in pregnancy, the Institute of Medicine (IOM) recommends a minimum daily consumption of 175 grams of carbohydrates, corresponding to approximately 150 grams from the major carbohydrate sources. We aimed to explore the carbohydrate consumption in early pregnancy among women with type 2 diabetes and, for comparison, in women with type 1 diabetes. Methods: As part of routine care, all pregnant women with type 2 and type 1 diabetes have since 2013 been asked to hand in a 3-day dietary record focusing on carbohydrates at their first antenatal visit. In the present study, total daily self-reported carbohydrate consumption from major carbohydrate sources, presence of ketonuria, HbA1c, weight and daily physical activity were evaluated. Results: Dietary records were available from 96 women with type 2 diabetes vs. 1women with type 1 diabetes at median 71 (range 60-87) vs. 63 (56-76) gestational days (p=0.003) where HbA1c was 6.6 ±1.2% (49 ±13 mmol/mol) vs. 6.5 ±0.8% (48 ±8 mmol/mol) (P=0.8), respectively. Body weight was 90.8 (±22) vs. 75.5 (±15) kg (P&amp;lt;0.001), but average daily carbohydrate consumption was similar in the two groups (159 ±56 vs. 167 ±48 g, P=0.3), as was the level of physical activity (246 ±104 vs. 233 ±96 metabolic equivalent of task (MET)-hour/week, P=0.5). A high proportion of the women consumed fewer carbohydrates than recommended by the IOM (52% vs. 40%, P=0.08). There was a low prevalence of ketonuria (&amp;gt;4 mmol/L, equivalent to blood ketones of approx. 0.2 mmol/L) (2% vs. 1%, P=0.6). Conclusion: In early pregnancy, women with type 2 diabetes had similar carbohydrate consumption to women with type 1 diabetes, despite higher body weight. Lower carbohydrate consumption than recommended by the IOM was prevalent, and ketonuria was rare. Disclosure B. ásbjörnsdóttir: None. H. Ronneby: None. M. Vestgaard: None. L. Ringholm: None. D.M. Jensen: None. A. Raben: None. P. Damm: Advisory Panel; Self; Novo Nordisk A/S. Other Relationship; Self; Novo Nordisk A/S. E.R. Mathiesen: Speaker's Bureau; Self; Novo Nordisk A/S. Other Relationship; Self; Novo Nordisk A/S, Novo Nordisk Foundation, Novo Nordisk A/S.

A Comparative Study of the Level of Development of Achievement and the Level of Achievement of Women in Proportion to Men for the Challengers of Disability between Beijing and London in Weightlifting

A Comparative Study of the Level of Development of Achievement and the Level of Achievement of Women in Proportion to Men for the Challengers of Disability between Beijing and London in Weightlifting