Group Of Women Research Articles

Optimalisasi Inovasi Produk Makanan Berbahan Dasar Jamur sebagai Upaya Penguatan Wanita Tani Jamur melalui Pelatihan dan Pendampingan

Genting Village, Semarang, has great potential for mushroom cultivation thanks to geographical and climatic conditions that favour healthy mushroom growth. Although farm women have been actively involved in mushroom cultivation in this village, they often face obstacles in terms of access to resources, knowledge, and marketing of mushroom-based processed food products. To overcome this problem, we, UKM Hizbul Wathan, in the PPK Ormawa 2023 grant activity, propose training and mentoring in the manufacture and marketing of mushroom-based food in Genting Village. The method we use is SWOT analysis, used to identify strengths, weaknesses, threats, and development strategies in overcoming the problems of the mushroom farmer women's group in Genting Village. Strengths include favourable geographical conditions for mushroom cultivation, participation of women farmers, and unique local wisdom. Meanwhile, the main weaknesses are limited access to resources and knowledge. Opportunities in diversification of mushroom-based food products and increasing consumer awareness about healthy food should be utilised. Threats include market competition and climate change. The discussion focuses on strategies for developing training programmes to improve farm women's knowledge and skills, effective marketing efforts, and partnership opportunities with external parties. The results of this study show that mentoring and training in mushroom-based food processing can create new economic opportunities, increase the income of farm women, and support sustainable development in Genting Village.

Kreatifitas Patchwork Perca Batik Dayak Sebagai Upaya Menumbuhkan Jiwa Entrepreneurship Komunitas Perempuan Gereja Gloria Kuala Kapuas

Selat Barat Village is one of the residential areas that has many women's community groups that are active in social and religious activities, one of which is the SPPer Gloria Church Group. This group is one of the largest Christian social religious activity drivers in this area which involves many productive-age housewives between 30-46 years old who are educated on average high school who have a lot of free time. The existence of this creative craft industry can be a solution in efforts to foster an entrepreneurial spirit and improve the economy of the area. The potential of the Dayak batik patchwork home industry as a creative and innovative craft product can be a solution in increasing the income level and welfare of the community in Selat Barat Village by producing products with minimal capital and high selling power in the Kuala Kapuas City area. In addition, there has never been this art craft in the Central Kalimantan Province in particular. Therefore, it is necessary to provide training activities to make creative patchwork products. These creative patchwork activities include: (1) preparation, namely preparing training modules, basic knowledge of patchwork art trials; (2) implementation of training: making patterns, printing patterns onto fabric, cutting and joining, sewing or joining; (3) evaluation. The results of the training are making innovative interior design craft products including tablecloths, chair cushion covers, flower pot coasters, doormats and wallets.

The impact of high-intensity arm crank exercise on reaction time in wheelchair fencers: gender differences and mechanical predictors

To achieve high performance, wheelchair fencing (WF) athletes are required to exhibit good physiological and timing indicators. The main aims of this study were to assess the relationship between the results of the repeated sprint ability (RSA) test and reaction time (RT) in WF, and to evaluate changes in RT after repeated high-intensity sprints in the group of an international-level WF athletes. This experimental study involved 18 athletes (aged 34.6 ± 7.70) from the Paralympic WF team. To establish the impact of fatigue on psychomotor capacity, the participants undergo a series of tests. At the beginning of the study, first reaction time (RT1) was measured. Afterwards, the RSA test was performed using the arm crank ergometer to evaluate the participants’ repeated sprint ability. Immediately after RSA, the second reaction time (RT2) was measured. Statistical analysis revealed moderate correlations between the RT2 and total work, decrease of work (DW), highest peak power, mean peak power, and highest peak power/kg, but these correlations were not statistically significant (p > 0.05). All fencers achieved a significantly shorter average RT2 (p < 0.005) after the RSA test (0.383 ± 0.035 s) than before the test (0.391 ± 0.038 s). Additionally, RT2 was significantly shorter than RT1 in the women's group (p < 0.001). Moreover, males had significantly greater values of repeated sprint ability parameters: highest work, total work, decrease of work and highest peak power (p < 0.05) than females. To conclude, repeated high-intensity arm crank exercise has a positive impact on simple postexercise cognitive tasks in WF fencers, especially in women, and leads to a decrease in RT. The RSA parameters can be predictors of changes in RT in men and women wheelchair fencers.

Women’s Role in Local Development: Enhancing Gender Equality in Wan Yai District, Mukdahan Province, Thailand

Purpose: This research was conducted using a qualitative method. The objectives were: 1) to study women’s roles in local development; 2) to analyze the supporting and hindrance factors that affect the roles of women in the local area; and 3) to suggest pathways for the roles of women in local development to reduce gender inequality in Thai society. Method: The collective data came from in-depth interviews with provincial and district developers. Women's empowerment working groups conducted focus groups in four districts: Wan-Yai, Cha-Note, Bang-Sai Noi, and Pong-Kam Dong-Moo. Furthermore, the researcher focused on the women villagers to analyze the factors that influence women's empowerment in the local area and make recommendations to the local administration's women's development strategic plan. Results: Women's role in the Wan Yai district is significant. Women also participate in many aspects of the local community. Regarding politics, some women are interested in applying for local elections, and others work as public health volunteers. In economic terms, many women are essential to generating income and development in the area. Most women in the district are members of the Women's Empowerment Fund, a low-interest source promoting job creation and building careers. Research Implication: Regarding culture, women's groups participated in local traditions, such as the Twelve Annual Festivals of Isan People and the Christmas Celebration. Strong women's organizations and women's participation at all levels supported women's empowerment. However, the obstructing factors to women's development were competition from locals with similar careers and the emigration of the working-age population and younger generations. Originality/Value: In summary, the recommendations for the relevant organizations are the network and women's empowerment organizations, NGOs, and educational institutions to integrate abstractly, investigate, and evaluate continually towards the provincial strategic plan.

The strength of Muhammadiyah's existence in the modern era: Pillars of empowerment and community strengthening

A study regarding the role of Muhammadiyah in the pillars of community empowerment and strengthening needs to be carried out, considering that this organization is the largest organization in Indonesia. This article aimed to analyze the strength of Muhammadiyah's existence which focuses on the pillars of empowerment and strengthening of society. This paper was prepared using library research methods. Data were analyzed using qualitative descriptive analysis. Data visualization, especially regarding references and keywords that frequently appear, is assisted with VOSviewer. The results show that Muhammadiyah is an Islamic organization that has a clear and real role in empowering and strengthening of society. Muhammadiyah has a central role in the field of philanthropy, in fact this has become Muhammadiyah's identity. Al-Ma'un became the ideological-theological foundation of Muhammadiyah's struggle. The advocacy movement through community empowerment has changed the face of Muhammadiyah to become more populist. Community empowerment is carried out through action programs that directly touch on the real problems of poor and marginalized communities represented by farmers, fishermen, livestock breeders, workers, urban poor communities and people with disabilities. Women's groups who have been marginalized and tend to be subordinated have also become targets of empowerment work carried out by Muhammadiyah, especially through its wing organization, namely Aisyiyah.

Community-Based Health Education Led by Women's Groups Significantly Improved Maternal Health Service Utilization in Southern Ethiopia: A Cluster Randomized Controlled Trial.

This study aimed to evaluate the effect of health education intervention (HEI) on maternal health service utilization (MHSU) in southern Ethiopia. From 10 January to 1 August 2023, a community-based, two-arm, parallel-group cluster randomized controlled trial (cRCT) was conducted among pregnant mothers in the Northern Zone of Sidama National Regional State, Ethiopia. We utilized multilevel mixed-effects modified Poisson regression with robust variance to control for the effects of clustering and potential confounders. The level of significance was adjusted for multiple comparisons. The overall utilization of at least one antenatal care (ANC) visit was 90.2% in the treatment group and 59.5% in the comparator group (χ2 = 89.22, p < 0.001). Health facility delivery (HFD) utilization was considerably different between the treatment group (74.3%) and the comparator group (50.8%) (χ2 = 70.50, p < 0.001). HEI significantly increased ANC utilization (adjusted risk ratio [ARR]: 1.32; 99% CI: 1.12-1.56) and HFD utilization (ARR: 1.24; 99% CI: 1.06-1.46). The utilization of at least one postnatal care (PNC) service was 65.4% in the treatment group and 52.1% in the comparator group (χ2 = 19.51, p = 0.01). However, after controlling for the effects of confounders and clustering, the impact of HEI on PNC utilization was insignificant between the two groups (ARR: 1.15; 99% CI: 0.89-1.48). A community-based HEI significantly increased ANC and HFD utilization but did not increase PNC utilization. Expanding the HEI with certain modifications will have a superior effect on improving MHSU. NCT05865873.

Feasibility, acceptability and equity of a mobile intervention for Upscaling Participatory Action and Videos for Agriculture and Nutrition (m-UPAVAN) in rural Odisha, India.

Addressing undernutrition requires strategies that remove barriers to health for all. We adapted an intervention from the 'UPAVAN' trial to a mobile intervention (m-UPAVAN) during the COVID-19 pandemic in rural Odisha, India. In UPAVAN, women's groups viewed and discussed participatory videos on nutrition-specific and nutrition-sensitive agricultural (NSA) topics. In m-UPAVAN, weekly videos and audios on the same topics were disseminated via WhatsApp and an interactive voice response system. We assessed feasibility, acceptability, and equity of m-UPAVAN using a convergent parallel mixed-methods design. m-UPAVAN ran from Mar-Sept 2021 in 133 UPAVAN villages. In Feb-Mar 2021, we invited 1000 mothers of children aged 0-23 months to participate in a sociodemographic phone survey. Of those, we randomly sampled 200 mothers each month for five months for phone surveys to monitor progress against targets. Feasibility targets were met if >70% received videos/audios and >50% watched/listened at least once. Acceptability targets were met if >75% of those watching/listening liked the videos/audios and <20% opted out of the intervention. We investigated mothers' experiences of the intervention, including preferences for m-UPAVAN versus UPAVAN, using in-person, semi-structured interviews (n = 38). Of the 810 mothers we reached, 666 provided monitoring data at least once. Among these mothers, feasibility and acceptability targets were achieved. m-UPAVAN engaged whole families, which facilitated family-level discussions around promoted practices. Women valued the ability to access m-UPAVAN content on demand. This advantage did not apply to many mothers with limited phone access. Mothers highlighted that the UPAVAN interventions' in-person participatory approaches and longer videos were more conducive to learning and inclusive, and that mobile approaches provide important complementarity. We conclude that mobile NSA interventions are feasible and acceptable, can engage families, and reinforce learning. However, in-person participatory approaches remain essential for improving equity of NSA interventions. Investments are needed in developing and testing hybrid NSA interventions.

Sosialisasi dan Pendampingan Anti Narkoba Karang Taruna di Dusun Clebung Bawah, Soronalan, Sawangan, Magelang

Clebung Bawah Hamlet is one of the developing areas, there are community organizations such as PKK RT, women's farmer group (KWT), posyandu cadres, youth organization (Karang Taruna), and TPQ children's association. However, there is one educational activity that has not been held in this hamlet, namely outreach about the dangers of drugs, and juvenile delinquency. Apart from that, it is also necessary to reactivate positive community activities, such as village cleaning. To overcome this problem, the methods used through PPMT activities are education through outreach about the dangers of drugs and juvenile delinquency, revitalization of the village cleaning, and greening. The result of PPMT activities is that before the activity, PPMT implementers approach residents by participating in routine community activities such as community service and reciting the Koran. The next activity is to conduct outreach with anti-drug and juvenile delinquency material from a health and legal perspective. The implementation of socialization went smoothly and well. The youth receive material from “Program Pengabdian Masyarakat Terpadu (PPMT)” implementers well. Socialization is one form of activity that can be carried out to educate residents about the dangers of drugs and juvenile delinquency. The next activity is the revitalization of village cleaning activities, which are carried out alongside reforestation and the provision of rubbish bins. Village cleaning and greening activities are positive activities that can be used as alternative activities for teenagers while preserving noble culture and protecting the environment.

Maternal and neonatal outcomes associated with multiple repeat cesarean deliveries: A registry-based study from Qatar.

Cesarean delivery (CD) is associated with increased maternal and neonatal morbidity compared to vaginal delivery, particularly in cases classified as emergency procedures or when there are multiple CDs. This retrospective cohort study aims to examine the incidence of maternal and neonatal complications in women with multiple CDs. This study used data from a national perinatal database obtained from a single tertiary maternity care hospital. Women who delivered a singleton live birth after 24 weeks of gestation by CD were stratified into five groups based on the number of CDs, with the last group having five or more CDs. The women were divided into those with five or more CDs (Group 5) versus those with fewer than five (Groups 1 to 4). The maternal outcomes included intra-operative surgical complications, blood loss, and intensive care unit (ICU) admission. The neonatal outcomes included preterm birth, neonatal ICU (NICU) admission, respiratory distress syndrome (RDS), and perinatal death. Of the 6,316 women in the study, 2,608 (41.3%) had a primary CD. 30.3%, 17.5%, and 7.3% of the cohort had their second, third, and fourth CDs, respectively. Women undergoing the 5th CD and above formed the remaining 3.5% (227). Women in Group 5 had the highest risk of suffering a surgical complication (3.1%, p=0.015) and postpartum hemorrhage (7.5%, p=0.010). 24% of babies in Group 5 were born preterm (p<0.001). They also had a 3.5 times higher risk of having a surgical complication (RR=3.5, 95% CI 1.6-7.6, p=0.002), a 1.8 times higher risk of developing postpartum hemorrhage (RR=1.8, 95% CI 1.1-2.9, p=0.014), a 1.7 times higher risk of delivering between 32-37 weeks of gestation (RR=1.7, 95% CI 1.3-2.2, p<0.001), a higher risk of the baby getting admitted to NICU (RR=1.3, 95% CI 1.0-1.6, p=0.038), and developing RDS (RR=1.5, 95% CI 1.2-2.0, p=0.002) compared to Groups 1-4. The risks of neonatal outcomes such as NICU admission (RR 2.9, 95% CI 2.1-4.0) and RDS (RR 3.5, 95% CI 2.3-5.5) were much higher in elective CDs performed at term compared to preterm births (p<0.001 for both). Maternal morbidity significantly increases with the increasing number of CD. The increased risk of RDS and NICU admissions in the neonate with multiple CDs reflects lower gestational age and birthweight in these groups-consideration of preoperative steroids for lung maturation in these women to reduce neonatal morbidity warrants further discussion.

Assessment of Health &amp; Nutritional Status of a Small Group of Pregnant Women of District Hospital Ambikapur, Surguja, Chhattisgarh

Assessment of Health &amp; Nutritional Status of a Small Group of Pregnant Women of District Hospital Ambikapur, Surguja, Chhattisgarh

Influence of Local Elected Leaders’ Roles in Promoting Community Participatory Development: A Case Study of Kidegembye Ward in Njombe District Council, Tanzania

The study examined the influence of elected leaders' roles in promoting community participatory development. The study was undertaken at Kidegembye ward in Njombe district council. The study area was purposively selected because, in 2018, it ranked second nationally in terms of environmental sanitation and cleanliness. This resulted from collective community efforts to enhance cleanliness in the area. A total of 11 respondents were purposely selected for the study, including village leaders, women's groups dealing with handicrafts, and members of the school and health committee. A case study was applied to get insights regarding the influence of the elected leaders' roles in promoting community participatory development. Interview guide and observations were used to collect data. The findings revealed that elected leaders play some roles in influencing participatory development. The roles include community mobilization for construction infrastructures for education and health services at Kidegembye ward. However, no evidence was registered regarding the influence of leaders’ roles in supporting community initiatives related to economic activities. This raised a question on the prevalence of effective community participation. If effective community participation could be in place, projects beyond the push of the ministries would be enhanced. The study recommended that leaders play a part in social and economic activities. Likewise, the political party should establish mechanisms that can be used to assess the elected leaders' performance to improve their creativity in enhancing community participation for development.

Abstract PS02-03: Is de-escalation of treatment by omission of radiotherapy associated with fear of cancer recurrence and health-related quality of life in women with early breast cancer? An exploratory study

Abstract Background: There is growing interest in treatment optimization in early breast cancer (EBC). PROSPECT (ANZ-1002) provided compelling evidence that a combination of pre-operative MRI and pathological features could identify a substantial group of patients with localised EBC in whom radiotherapy (RT) could be safely omitted. The patient experience of de-escalation or its association with health-related quality of life (HRQoL) and fear of cancer recurrence (FCR), was not examined in PROSPECT but is a key consideration of treatment decision-making. We conducted a retrospective, mixed methods, cross-sectional study to explore this association. Methods: Psychometrically validated measures including the Fear of Cancer Recurrence Inventory Short-Form, Depression Anxiety Stress Scale, Breast Cancer Treatment Outcomes Scale, EORTC QLQ-C30 and its breast-specific module, the BR23, and the Decision Regret Scale were completed by three groups of women with early EBC: Women in the PROSPECT clinical trial who underwent pre-surgical MRI and omitted RT (A), women who underwent pre-surgical MRI and received RT (B); and women who received usual care (no MRI, received RT; C). Between group differences were analysed with ANOVA or equivalent non-parametric tests. A subset from each group participated in a semi-structured interview. These data (n=44) were analysed with directed content analysis. Results: Data from 400 women were analysed. Median age was 65 years, and median time since diagnosis was 4.4 years. There were no group differences in neuroticism, mental health, age, medical comorbidities, parity, or time since diagnosis. Significantly lower FCR was observed in Group A (n=125) than in Group B (n=102; p=.002) or Group C (n=173; p=.001), and when participants were categorized by RT status (omitted RT vs received RT; p&amp;lt; .001). The proportion of women with normal FCR was significantly (p &amp;lt; .05) larger in Group A (62%) than in Group B (35%) or Group C (40%). There were no differences between groups on depression and anxiety. Women in Group A had fewer breast symptoms than in Group B (p=.003) and Group C (p= &amp;lt; .001), fewer arm symptoms than in Group B (p=.004) and Group C (p=.011), and better body image than Group C (p=.041). Compared to Groups B and C, Group A performed better on cosmetic (both p&amp;lt; .001), functional (A vs C: p=.011) and breast-specific pain measures (both p&amp;lt; .001). Pre-operative MRI and omission of RT were highly acceptable and decision regret was low. A secondary analysis was conducted to eliminate any potential impact of disease severity on the analysis. All cases (n=126) with any positive nodes, a Grade 3 tumour and tumour size &amp;gt;20mm were removed. The remaining sample comprised 274 women. The results were similar to the primary analysis. Qualitative analysis showed that women who omitted RT viewed this as appropriate treatment, not undertreatment. Women considered RT toxic but endured it as a necessity, if prescribed. Few women experienced ongoing negative effects from RT but there was a tendency to minimize RT treatment burden. Women managed their FCR by having trust in their treatment and faith in the medical advice they received. Conclusions: In the setting of the PROSPECT trial, treatment de-escalation via omitting RT was associated with less FCR, better HRQoL and functional and cosmetic outcomes and was highly acceptable. Clinicians should consider the potential for preserved HRQoL associated with omission of RT in treatment decision-making. Positive perceptions about tailored care, lower treatment burden, and trust in clinicians appear to be protective against FCR. Future studies should include prospective collection of FCR and HRQoL measures. Citation Format: Bruce Mann, Michelle Sinclair, Phyllis Butow, Janemary Hughes, Allan Park, Leslie Gilham, Allison Rose, Lesley Stafford. Is de-escalation of treatment by omission of radiotherapy associated with fear of cancer recurrence and health-related quality of life in women with early breast cancer? An exploratory study [abstract]. In: Proceedings of the 2023 San Antonio Breast Cancer Symposium; 2023 Dec 5-9; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2024;84(9 Suppl):Abstract nr PS02-03.

WEBSITES IN VASCULAR HEALTH: A TOOL FOR WHOM? USER CHARACTERISTICS AND MOTIVATIONS

Objective: Limited data is available to describe the characteristics and motivations of users of health websites. Self-determination theory (Deci &amp; Ryan, 2000) proposed three categories of motivation: 1) autonomous motivation: engaging in a behavior because it is perceived to be consistent with intrinsic and meaningful goals, 2) controlled motivation: engaging in a behavior for reward, or trying to avoid feelings of guilt, and 3) amotivation: lack of autonomous and controlled motivation. The aim of this study is to profile users and described the motivations behind using a health website. Design and method: In this multicenter study, participants had to be 18 years and older, concerned by a vascular health condition, and skilled to use digital tools. They were approached by collaborating physicians (n=30) during routine consultations or through social networks. An anonymous, validated electronic questionnaire assessed socio-demographic variables, digital competence, and motivations for using a health website. Results: 137 participants, mean age of 65.25 (± 11.78 years, 52.5% female) were recruited. The most prevalent diagnoses among participants were hypertension (48.70%) and diabetes (31.40%). The group aged 64 and below self-evaluated with better digital competence (8.97 ± 2.76) compared to the 65-74 age group (7.5 ± 2.70) and the 75 years and older group (6.41 ± 3.25) (p &lt; 0.01). The difference between the women's and men's group did not reach statistical significance. Regarding motivation to consult a health website, the group aged 64 and below shows higher autonomous motivation (5.53± 0.16) than the 65-74 age group (5.33 ± 0.11) and the 75 years and older group (5.40 ± 0.38) (p &lt; 0.01). Autonomous motivation was higher in the women's group (5.48 ± 0.13) than in the men's group (5.39 ± 0.32) (p &lt; 0.05). Inversely, controlled motivation (2.94 ± 0.58) and amotivation (3.61 ± 0.33), was higher in men's group than in women's group (2.54 ± 0.55 and 3.30 ± 0.40) (p &lt; 0.001). Conclusions: Motivations to use a health website vary according to gender and age. This study may contribute to a more tailored to users and guide the development and dissemination of health websites.

SHARIA MICROFINANCE MODELS: A GRAMEEN BANK APPROACH FOR SUSTAINABLE CONSTRUCTION AND WELFARE ENHANCEMENT

This research aims to build a model for strengthening Sharia microfinance through an adapted Grameen Bank replica based on the pillars of leadership, collaboration, spirituality, and women's freedom. This research used a quantitative method to analyze a Grameen Bank replica or build a model for strengthening Sharia microfinance. It provides an early description of the model's independent and dependent variables using Path Investigation and Structural Equation Modeling (SEM). Data were gathered through participatory observation methods, interview techniques, and the distribution of SEM questionnaires to MFI managers and beneficiary customers. The findings indicate a link between the influence of the Grameen Bank-based Islamic Microfinance Institution system on partners in terms of leadership, cooperation, economy, community, and spirituality, as well as alternative strategies for strengthening Grameen Bank-based MFIs in improving the welfare of women's microbusiness groups. This research encourages more attention and implementation of Islamic microfinance models in an effort to improve social and economic welfare, especially among vulnerable groups such as women micro-entrepreneurs.

Sex-related differences in outcome of thoracic aortic surgery.

Sex-related dissimilarities' influence on outcomes following thoracic aortic surgery is poorly understood. Our aim is to examine sex-related disparities in patients undergoing thoracic aortic aneurysm (TAA). A total of 455 cases undergoing thoracic aortic aneurysm (TAA) surgery were consecutively enrolled between December 2009 and December 2015 in a Chinese hospital. Primary outcomes, including overall mortality and related risk factors, were evaluated. Cox regression is utilized to recognize the independent risk factor of these consequences. Females, compared to males, had greater indexed aortic diameters and higher aortic transvalvular pressure differences. For the location of aortic aneurysms, females had a higher rate of aortic arch involvement, while males had a higher rate of root involvement. Females underwent less frequent complex proximal aortic operations compared with males (29.5% versus 46.9%; p < 0.001). Women and men both had a lower rate of aortic transvalvular pressure difference and LV volume index 7 days after thoracic aortic surgery. The overall mortality for the women's groups (11%) was suggestively greater compared to 4.9% for the men's groups (p = 0.026). Renal failure and aortic arch involvement were the main risk factors associated with males' survival, while maximum indexed aortic diameter and cross-clamp time were the risk factors associated with females' survival. The outcome after TAA surgery was less favorable in women with significantly increased overall mortality. It highlights the need to focus on implementing personalized surgery strategies and gender-specific guidelines in treating female patients following TAA surgery.

Evaluation of women's aging influence on sperm passage inside the fallopian tube using 3D dynamic mechanical modeling.

The fallopian tubes play an important role in human fertility by facilitating the spermatozoa passage to the oocyte as well as later actively facilitating the fertilized oocyte transportation to the uterus cavity. The fallopian tubes undergo changes involving biological, physical, and morphological processes due to women aging, which may impair fertility. Here, we have modelled fallopian tubes of women at different ages and evaluated the chances of normal and pathological sperm cells reaching the fertilization site, the ampulla. By utilizing a unique combination of simulative tools, we implemented dynamic three-dimensional (3D) detailed geometrical models of many normal and pathological sperm cells swimming together in 3D geometrical models of three fallopian tubes associated with different women's age groups. By tracking the sperm cell swim, we found that for all age groups, the number of normal sperm cells in the ampulla is the largest, compared with the pathological sperm cells. On the other hand, the number of normal sperm cells in the fertilization site decreases due to the morphological and mechanical changes that occur in the fallopian tube with age. Moreover, in older ages, the normal sperm cells swim with lower velocities and for shorter distances inside the ampulla toward the ovary. Thus, the changes that the human fallopian tube undergoes due to women's aging have a significant influence on the human sperm cell motility. Our model of sperm cell motility through the fallopian tube in relation to the woman's age morphological changes provides a new scope for the investigation and treatment of diseases and infertility cases associated with aging, as well as a potential personalized medicine tool for evaluating the chances of a natural fertilization per specific features of a man's sperm and a woman's reproductive system.

Peran Penyuluh pada Pengembangan Kelompok Wanita Tani (KWT) di Kecamatan Selupu Rejang

Research on the role of extension workers in the development of women's farmer groups (KWT) in Selupu Rejang District, Rejang Lebong Regency aims to analyze the role of extension workers in the development of Women Farmers Groups (KWT) in Selupu Rejang District. The research was conducted in January 2022 in Selupu Rejang District, Rejang Lebong Regency, Bengkulu Province. Determination of the location is done intentionally (purposive sampling) with the consideration that this location is the center of agriculture in the Rejang Lebong highlands which has many farmer groups, one of which is the Women Farmers Group (KWT). This study has two types of primary data that are processed and analyzed, namely quantitative data and qualitative data. Qualitative data from the questionnaires in this study were collected and the answers were studied which then coded the data to obtain quantitative data. The collected data was statistically processed using SPSS for Windows and Microsoft Excel. Checking the completeness and consistency of the answers on the questionnaire sheets, diaries, and audio recordings was carried out at the stage of studying the answers to the questionnaire. The Microsoft Excel program was used at the data coding stage where all quantitative data obtained from the complete and per variable questionnaire answers were entered into the Microsoft Excel program. The stages in analyzing the data are Validity Test, Reliability Test, Likert Scale Analysis and Hypothesis Testing. The role of extension workers is very important in the development of the Women Farmers Group (KWT). Judging from the three categories, namely the role of the instructor as a mentor with a score of 77% in the high category, it can be said to be growing because KWT has been able to innovate by creating new things in farming activities and can also think that farming activities are not only limited to planting but can also perform processing in order to increase the selling value of agricultural products.

Application of the integrated gateway model on child nutrition behaviors in Niger: An exploratory analysis.

To identify potential gateway factors and behaviors that are associated with infant and young child feeding (IYCF) practices in the Maradi and Zinder regions of Niger through application of the Integrated Gateway Model. We analyzed data from 2,727 married women of reproductive age including details on child feeding practices for their 2,551 children between the ages of 0 to 23 months. We assessed the association of three gateway behaviors (i.e., any antenatal care, facility delivery, and communication on nutrition practices) and gateway factors (i.e., behavioral determinants, exposure to information, decision-making agency, and woman's group participation) on four IYCF practices (i.e., early initiation of breastfeeding, exclusive breastfeeding, minimum meal frequency, and minimum dietary diversity) while controlling for age, parity, educational attainment, and household wealth. We found antenatal care was associated with exclusive breastfeeding of children 0-5 months [adjusted odds ratio (aOR): 1.17 (95% confidence interval (CI): 1.03-1.33)], and minimum meal frequency of children 6-23 months [aOR: 1.10 (95% CI: 1.03-1.17)], and facility delivery was associated with early initiation of breastfeeding among children 0-5 months [aOR: 2.08 (95% CI: 1.39-3.12)]. We found negative associations with exclusive breastfeeding and communication on nutrition practices with husbands, family/friends, and health workers. Exposure to nutrition messages through radio, women's groups participation, and with health workers was positively associated with minimum dietary diversity. Self-efficacy was positively associated with both early initiation of breastfeeding, exclusive breastfeeding among children 0-5 months and minimum dietary diversity among children 6-23 months. Women's agency was positively associated with early initiation of breastfeeding. The association of antenatal care and facility delivery with child nutrition outcomes suggest intervening before a woman becomes pregnant or early in her pregnancy could improve nutrition outcomes. Programs strengthening the continuum of care should identify gateway behaviors to maximize adoption of priority health behaviors.

God and State Above All

Abstract This article explores how politically active Polish women starting in the late nineteenth century until the start of World War II viewed themselves and their duties vis-a-vis the Polish nation. It traces the women's movement in Poland from the first calls for women's right to work, to their eventual enfranchisement under a newly independent Polish state in 1918. Challenges to women's equality took many forms: men from both sides of the political spectrum viewed women's entry into the salaried workforce and the public sphere as largely undesirable and deployed a variety of arguments to reinforce traditional gender hierarchy. Yet many educated Polish women, even from conservative, Catholic perspectives, viewed their engagement in the public sphere as necessary work for the good of the Polish nation. This article uses letters, political pamphlets, and published works to explore how modern Polish women attempted to strike a balance between breaking and preserving traditional notions of gender in order to secure new rights for themselves in a volatile political atmosphere. While Polish women's groups differed on their vision of the ideal Polish state, they generally agreed that women's roles as mothers provided the moral legitimacy required to act in the public sphere. They successfully carved a space for themselves in the new Polish state of 1918 but remained marginalized in a separate and unequal status in the interwar period.

Study on the influence of syphilis on the outcome of frozen-thawed embryo transfer in infertility patients

ObjectiveIn this study, the effect of in vitro Fertilization-Embryo Transfer (IVF-ET) on the clinical outcome of patients with syphilis infertility during resuscitation cycle. MethodsA retrospective single-center method was adopted. This study included 4430 pairs of infertile patients who underwent syphilis detection. The influence of the syphilis freeze-thaw embryos transplantation outcome was studied in the patients with infertility by comparing the general clinical characteristics of patients (age, years of infertility, body mass index (BMI), basal follicle stimulating hormone (FSH), serum basal estradiol (Estradiol, E2), transplanted intimal thickness, the number of embryos transferred) and the clinical pregnancy (biochemical pregnancy rate, clinical pregnancy rate, implantation rate, live birth rate and abortion rate). ResultsFirstly, in the clinical outcome of one frozen-thawed embryos transfer, the live birth rate of the woman's syphilis-infected group was lower than that of the uninfected group (71.3 % vs. 50.0 %), while the abortion rate was higher than that of the uninfected group (7.8 % vs. 26.7 %), and there was a statistical difference (P < 0.05), and there was no statistical difference in other indicators between other groups (P > 0.05). Secondly, in the clinical outcome of two frozen-thawed embryos transfers, the biochemical pregnancy rate (61.3 % vs. 28.6 %) and clinical pregnancy rate (42.9 % vs. 14.3 %) of the group which was infected with syphilis alone were lower than those of the uninfected group (P < 0.05), and other indicators among the other groups showed no statistical difference (P > 0.05). Thirdly, in the clinical outcomes of frozen-thawed embryos transfer three times or more, there was no significant difference in the clinical indicators between the syphilis infertility patients and the non-infected infertility patients (P > 0.05). ConclusionWhen the syphilis infertility patients and the non-infected infertile patients underwent IVF-ET treatment for the first time, the live birth rate and abortion rate of the syphilis group were significantly different (P < 0.05). In the outcome of two transplants, the biochemical pregnancy rate and clinical Pregnancy rates were significantly reduced so patients with syphilis infertility who undergo IVF-ET should be informed about the risk of adverse clinical outcomes.