scholarly journals Cardiovascular Risk Associated With Gender Affirming Hormone Therapy in Transgender Population

2021 ◽  
Vol 12 ◽  
Author(s):  
Gloria Aranda ◽  
Irene Halperin ◽  
Esther Gomez-Gil ◽  
Felicia A. Hanzu ◽  
Núria Seguí ◽  
...  
Keyword(s):  
Hormone Therapy ◽  
Well Being ◽  
Current Data ◽  
Surrogate Markers ◽  
Men And Women ◽  
Secondary Sexual Characteristics ◽  
Full Development ◽  
Sexual Characteristics ◽  
The Impact

Transgender men and women represent about 0.6 -1.1%% of the general population. Gender affirming hormone therapy (GAHT) helps ameliorate gender dysphoria and promote well-being. However, these treatments’ cardiovascular (CV) effects are difficult to evaluate due to the limited number of extensive longitudinal studies focused on CV outcomes in this population. Furthermore, these studies are mainly observational and difficult to interpret due to a variety of hormone regimens and observation periods, together with possible bias by confounding factors (comorbidities, estrogen types, smoking, alcohol abuse, HIV infection). In addition, the introduction of GAHT at increasingly earlier ages, even before the full development of the secondary sexual characteristics, could lead to long-term changes in CV risk compared to current data.This review examines the impact of GAHT in the transgender population on CV outcomes and surrogate markers of CV health. Furthermore, we review available data on changes in DNA methylation or RNA transcription induced by GAHT that may translate into changes in metabolic parameters that could increase CV risk.

Mandatory Reporting and Adolescent Sexual Assault

2021 ◽  
pp. 152483802110302
Author(s):  
Caroline Bailey ◽  
Jessica Shaw ◽  
Abril Harris
Keyword(s):  
Sexual Assault ◽  
Sexual Violence ◽  
Key Words ◽  
Scoping Review ◽  
Well Being ◽  
Mandatory Reporting ◽  
Age Group ◽  
Long Term Consequences ◽  
The Impact

Adolescents experience alarmingly high rates of sexual violence, higher than any other age-group. This is concerning as sexual violence can have detrimental effects on teens’ personal and relational well-being, causing long-term consequences for the survivor. Still, adolescents are hesitant to report the assault or seek out services and resources. When an adolescent survivor does seek out services, they may interact with a provider who is a mandatory reporter. This scoping review sought to synthesize the current U.S.-based research on the role, challenges, and impact of mandatory reporting (MR) in the context of adolescent sexual assault. Database searches using key words related to MR, sexual assault, and adolescence identified 29 peer-reviewed articles. However, none of these articles reported on empirical investigations of the phenomenon of interest and instead consisted of case studies, commentaries, and position papers. The scoping review was expanded to provide a lay of the land of what we know about the intersection of adolescent sexual assault and MR. Results of the review indicate that though implemented broadly, MR policies vary between individuals, organizations, and states and have historically been challenging to implement due to this variation, conflicts with other laws, tension between these policies and providers’ values, and other factors. Based on the available literature, the impact of MR in the context of adolescent sexual assault is unknown. There is a critical need for research and evaluation on the implementation and impact of MR policies, especially in the context of adolescents and sexual violence.

scholarly journals When Machines Take the Beans: Ex-Ante Socioeconomic Impact Evaluation of Mechanized Harvesting of Mungbean in Bangladesh and Myanmar

Agronomy ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. 925
Author(s):  
Lutz Depenbusch ◽  
Cathy Rozel Farnworth ◽  
Pepijn Schreinemachers ◽  
Thuzar Myint ◽  
Md Monjurul Islam ◽  
...  
Keyword(s):  
Well Being ◽  
Careful Consideration ◽  
Women Farmers ◽  
Men And Women ◽  
Farm Work ◽  
Weather Shocks ◽  
Budget Analysis ◽  
Ex Ante ◽  
The 1960S ◽  
The Impact

Agricultural mechanization has spread across much of Asia since the 1960s. It has increased agricultural productivity and reduced arduous farm work. However, differing impacts for smallholders and hired laborers, and for men and women, require careful consideration. This study analyzed, ex-ante, the likely social and economic tradeoffs of mechanizing the mungbean harvest in Bangladesh and Myanmar. We used a mixed methods approach combining survey data from 852 farm households with in-depth interviews in four villages. Partial budget analysis shows that mechanical harvesting of mungbean is not yet profitable for most farms. There is nevertheless an incentive to mechanize as the associated timeliness of the harvest reduces the risk of harvest losses from weather shocks. Men and women farmers expect time savings and reduced drudgery. The results confirm that hired workers depend on manual harvesting for income and status in both countries. Most hired workers are landless married women with limited access to other sources of income. In the short term, farmers are likely to combine manual harvests and a final mechanized harvest of the indeterminate crop. This could mediate the impact on hired workers. However, in the long term, it will be necessary to facilitate income-generating opportunities for women in landless rural families to maintain their well-being and income.

scholarly journals Netflix and Chill? What Sex Differences Can Tell Us About Mate Preferences in (Hypothetical) Booty-Call Relationships

2018 ◽  
Vol 16 (4) ◽  
pp. 147470491881213 ◽  
Author(s):  
Evita March ◽  
George Van Doorn ◽  
Rachel Grieve
Keyword(s):  
Sex Differences ◽  
Physical Attractiveness ◽  
Mate Preferences ◽  
Online Questionnaire ◽  
Emotional Involvement ◽  
Men And Women ◽  
Sexual Characteristics ◽  
Short And Long Term ◽  
Women’S Preferences

The booty-call relationship is defined by both sexual characteristics and emotional involvement. In the current study, men’s and women’s preferences for a booty-call mate were explored. Men and women were predicted to exhibit different mate preferences depending on whether they considered a booty-call relationship a short- or long-term relationship. Participants ( N = 559, 74% women) completed an anonymous online questionnaire, designing their ideal booty-call mate using the mate dollars paradigm. Both sexes considered the physical attractiveness and kindness of a booty-call mate a necessity, expressing both short- and long-term mate preferences. The current study highlights the need to explore mate preferences outside the dichotomy of short- and long-term relationships, providing evidence of a compromise relationship.

scholarly journals Coronavirus Pandemic: Coping with the Psychological Outcomes, Mental Changes, and the “New Normal” During and After COVID-19

2020 ◽  
pp. 07-19
Author(s):  
Hiba Takieddine ◽  
Samaa AL Tabbah
Keyword(s):  
Healthcare Providers ◽  
Well Being ◽  
World Health ◽  
Vulnerable Groups ◽  
Public Health Response ◽  
New Normal ◽  
The World ◽  
Health Organization ◽  
The Impact

Coronavirus disease 2019 (COVID-19) is a highly infectious disease that has rapidly swept across the world, inducing a considerable degree of fear, worry and concern in the population at large and among certain groups in particular, such as older adults, healthcare providers and people with underlying health conditions. Authorities around the world tried to prevent the virus spread by imposing social distancing measures, quarantining citizens and isolating infected persons. Apart from its physical impact, COVID-19 pandemic has brought numerous changes to people’s lives. It changed daily routines, caused worldwide economic crisis, increased unemployment, and placed people under emotional and financial pressures. It affected people psychologically and mentally especially in terms of emotions and cognition. During the acute crisis, everyone to varying degrees experienced fear of infection, somatic concerns, worries about the pandemic’s consequences, loneliness, depression, stress, as well as increased alcohol and drug use. As part of its public health response, the World Health Organization (WHO) has worked with partners to develop a set of new guidelines and messages that can be used to prevent, manage, and support mental and psychological well-being in different vulnerable target groups during the outbreak. Whether people like it or not, the psychological sequela of this pandemic will emerge and persist for months and years to come leading to long-term consequences. New lifestyles and “New Normals” will surely emerge. The main purpose of this review is to summarize the impact of coronavirus pandemic on the psychological and mental health of people around the world especially vulnerable groups. It also presents the relevant intervention actions and recommendations to cope efficiently and effectively with the psychological short-term and long-term outcomes, mental changes, and the “New Normal” during and after COVID-19. Keywords: COVID-19; Coronavirus, Psychological; Mental; New Normal

scholarly journals Colonial Values and Asylum Care in Brazil: Reclaiming the Streets Through Carnival in Rio de Janeiro

2020 ◽  
pp. 155-161
Author(s):  
Julia Evangelista ◽  
William A. Fulford
Keyword(s):  
Local Community ◽  
Well Being ◽  
Colonial History ◽  
Self Confidence ◽  
History Of ◽  
The Impact ◽  
Mental Well Being ◽  
The City

AbstractThis chapter shows how carnival has been used to counter the impact of Brazil’s colonial history on its asylums and perceptions of madness. Colonisation of Brazil by Portugal in the nineteenth century led to a process of Europeanisation that was associated with dismissal of non-European customs and values as “mad” and sequestration of the poor from the streets into asylums. Bringing together the work of the two authors, the chapter describes through a case study how a carnival project, Loucura Suburbana (Suburban Madness), in which patients in both long- and short-term asylum care play leading roles, has enabled them to “reclaim the streets,” and re-establish their right to the city as valid producers of culture on their own terms. In the process, entrenched stigmas associated with having a history of mental illness in a local community are challenged, and sense of identity and self-confidence can be rebuilt, thus contributing to long-term improvements in mental well-being. Further illustrative materials are available including photographs and video clips.

Telling

Out in Time ◽  
2019 ◽  
pp. 67-90
Author(s):  
Perry N. Halkitis
Keyword(s):  
Gay Men ◽  
Life Events ◽  
Coming Out ◽  
Life Stories ◽  
Well Being ◽  
Critical Life Events ◽  
Short And Long Term ◽  
The Impact

Gay men experience the process of coming out to various groups of individuals, in myriad contexts, and throughout the course of their lives. For many gay men, telling one’s parents and families represents the most significant act of disclosure. Methods used for coming out to parents, circumstances by which the men came out, and reactions of their families in both the short and long term are explored. A variety of different approaches are evidenced in the life stories. The impact of these critical life events is considered in relation to the well-being and health of each of the men. Coming out to parents and family is challenging in every generation, but the circumstances related to coming out are influenced and shaped by both the sociopolitical contexts of the time and the crisis of each generation.

scholarly journals Breast Cancer during Pregnancy—Current Paradigms, Paths to Explore

Cancers ◽  
2019 ◽  
Vol 11 (11) ◽  
pp. 1669 ◽  
Author(s):  
Ayelet Alfasi ◽  
Irit Ben-Aharon
Keyword(s):  
Breast Cancer ◽  
Well Being ◽  
Developed Countries ◽  
Lymph Node Biopsy ◽  
Current Data ◽  
Long Term Effects ◽  
Long Term Outcomes ◽  
Risk Benefit Assessment ◽  
Long Term Follow Up

Breast cancer is the most common form of malignancy in pregnant women. The prevalence of pregnancy-associated breast cancer (PABC) is up to 0.04% of pregnancies and is expected to rise in developed countries. PABC represents a unique clinical scenario which requires a delicate balance of risks and benefits for both maternal and fetal well-being. Currently, there is paucity of data regarding the short- and long-term outcomes of in-utero exposure to anti-neoplastic agents. In general, when possible, treatment for PABC should follow the same guidelines as in non-pregnant patients. Surgery, including sentinel lymph node biopsy, is possible during all trimesters of pregnancy. Radiotherapy is contraindicated during pregnancy, although it might be considered in highly selected patients based on risk–benefit assessment. Evidence supports that administration of chemotherapy may be safe during the second and third trimesters, with cessation of treatment three weeks prior to expected delivery. Currently, hormonal therapy and anti-HER2 agents are contraindicated during pregnancy and should be postponed until after delivery. Prematurity is associated with worse neonatal and long-term outcomes, and thus should be avoided. While current data on the long-term effects of anti-neoplastic treatments are reassuring, grade of evidence is lacking, hence additional large prospective studies with long-term follow-up are essential to rule out any treatment-induced adverse effects.

Time Effects of Informal Caregiving on Cognitive Function and Well-Being: Evidence From ELSA

2020 ◽  
Author(s):  
Jing Yuan ◽  
Daniel Grühn
Keyword(s):  
Cognitive Function ◽  
Cumulative Effect ◽  
Well Being ◽  
Informal Caregiving ◽  
Cumulative Effects ◽  
Time Effects ◽  
Socioemotional Functioning ◽  
Lagged Effects ◽  
The Impact

Abstract Background and Objectives As informal caregiving becomes prevalent, its consequences for caregivers’ cognitive and socioemotional functioning gain more importance for society. There are inconsistent findings regarding the direction of the impact of caregiving—whether caregiving maintains or compromises functioning—and the impact of time—whether the effects accumulate or are stable. In this study, we elucidated 3 time effects of caregiving—concurrent, cumulative, and lagged effects—on cognitive and socioemotional functioning. Research Design and Methods We used data from Wave 1 (2002–2003) to Wave 8 (2016–2017) in the English Longitudinal Study of Ageing (ELSA) and latent growth curve models with the time-varying predictor to investigate 3 time effects of caregiving on cognitive function (memory and executive function) and well-being (life satisfaction and quality of life). Results Over and beyond age effects, current caregiving (concurrent effect) was related to worse well-being and better delayed recall. Little robust cumulative effect was found on cognition and well-being. In addition, there were significant and differential lagged effects of caregiving after controlling for concurrent and cumulative effects; that is, caregiving was related to worse well-being and better memory functioning 2–4 years later. Discussion and Implications The differential concurrent and lagged effects of caregiving on cognitive and socioemotional functioning suggest separate mechanisms for different domains of functioning. The nonsignificant cumulative effects but significant lagged effects imply that even one-time caregiving has long-term (2–4 years) consequences for the caregiver’s future functioning, and the mechanism of long-term caregiving effects may be more qualitative than quantitative.

scholarly journals THE OPIOID EPIDEMIC IN LONG-TERM CARE: A STAFF PERSPECTIVE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S709-S709
Author(s):  
Rachael Hemmert ◽  
Gabriella E Dull ◽  
Linda S Edelman
Keyword(s):  
Pain Management ◽  
Long Term Care ◽  
Adverse Drug Events ◽  
Well Being ◽  
Educational Needs ◽  
Opioid Use ◽  
Term Care ◽  
Opioid Prescription ◽  
The Impact

Abstract Opioid-based analgesic therapy is a common treatment for moderate to severe pain among long term care (LTC) residents. It has been estimated that 60% of LTC residents have an opioid prescription. Of these, 14% use opioids as part of a long term pain management strategy. LTC residents are particularly vulnerable to opioid misuse, exhibiting higher rates of adverse drug events. However, addressing pain, polypharmacological needs and resident well-being in the LTC setting is challenging. More research and education regarding opioid use in LTC is needed. The Utah Geriatric Education Consortium conducted interprofessional focus groups with LTC partners to 1) determine educational needs of staff regarding opioid use, and 2) gather qualitative data about the pain management experiences of staff when working with residents and families. Staff identified the following training needs: pain manifestation and assessment; certified nurse assistant education on opioid use; non-pharmacological options for pain management. Review of staff’s perception of the intersection of opioids, family and staff in a LTC setting revealed that 1) family is concerned about opioid use; 2) conversely, staff may not see opioid use as a problem; and 3) non-pharmacological options for pain management are often costly and unavailable to those in LTC. Identifying educational needs of LTC staff will help guide the development of educational materials and provide baseline data for future assessments of the impact of opioid education on long-term care patient outcomes.

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