Assessment of Safety of Vaginal Repair of Pelvic Organ Prolapse in Elderly at Birat Medical College Teaching Hospital, Nepal

Background: Pelvic organ prolapse in elder women causes sufficient morbidity and decreased quality of life. Despite age related comorbidities and decreased physiological capabilities, elder women with pelvic organ prolapse may be benefitted by surgical repair via vaginal route.The purpose of this study is to evaluate the safety of vaginal repair of pelvic organ prolapse in women of age 60 years or older. Materials and Methods: This hospital based analytical study was carried out in Birat Medical College Teaching Hospital from September 2020 to September 2021. Fifty-four patients aged 60 years or older with third and fourth degree pelvic organ prolapse were recruited for the study. Necessary information was obtained by self-structured questionnaire and entered into Microsoft Excel. Data was analyzed by SPSS version 22. Results: Fifty-four women with third or fourth degree prolapse with cystocele and rectocele underwent vaginal hysterectomy with anterior colporrhaphy with posterior colpoperineorrhaphy. No organ injury occurred during operation. There was no mortality or severe intraoperative or postoperative complications. Conclusion: Vaginal hysterectomy with pelvic floor repair for pelvic organ prolapse in women of 60 years or older is safe.

Say my name

This essay is a call out and a roll call of Black women scholars – Black Feminists, Critical Race Theorists, Intersectionality Theorists and co-conspirators – doing the work of the elder women and ancestors whose shoulders we stand on. I frame the research on African American Women’s Language around Hull, Bell-Scott and Smith’s (1982) seminal book All the Women Are White, All the Blacks Are Men, But Some of Us Are Brave to shout out not only how language and linguistics researchers got it twisted and need to reckon with truth and say my (language’s) name: African American Women’s Language. And put some respeck on it while you’re at it.

A Study of the Effect of Number of Births on the Disability Status of China's Elderly Women

Purpose Under the background of aging population, the disability of the elderly is more serious, and childbirth affects the health status of elder women. The aim of this paper was to examine the relationship between the number of births and the risk of maternal disability in later life. Methods Based on data from the Chinese Longitudinal Healthy Longevity Survey (CLHLS) in 2018, 4,686 elder women were selected as study population. The logistic regression analysis was conducted to estimate the effect of number of children and other fertility behaviours on the risk of disability and to test whether there were urban-rural differences and gender differences. Results A high number of births significantly reduced the risk of disability among elder women. For each additional birth, the odds ratio of maternal disability in later life decreased by 4.3%, especially elder women with fewer than five births. Heterogeneity analysis found that this effect was present in the urban areas, and that an increase in the number of births increased the probability of disability for both fathers and rural mothers, but this result was not significant. Further examination showed that later age at last birth and longer childbearing period both significantly reduced the probability of disability. Conclusions This paper found an association between early fertility behaviour and the risk of disability in later life. We need to promote urbanisation and to have children within the right limits, not too many, and improve relevant supporting measures to ensure the health of female elderly in later year.

Social Care for the Elder Disabled Women in Urban China: The Roles of Community

Background This article concentrates on analyzing the community care for urban disabled elderly women. With the emergence of aging society in China and the empty nest Chinese families, the number of the elderly who can't take care of themselves is increasing. With the miniaturization of family size and the weakening of family pension function, the traditional family pension in China is facing great challenges. On the one hand, a growing number of disabled elderly women are in urgent need of care, they have many difficulties in daily life, including poor health status, losing spouses and living alone, cannot support themselves economically, lack of spiritual life, and mostly relying on their children to take care of them. On the other hand, the family's function of providing for the aged is weakened, and the traditional way of care is impacted by the changes of modern society. Methods Based on a qualitative study in Beijing, this article examines the demand for care from the disabled elder women and the current supply of community care for the disabled elder women. Results After analyzing the demand for care from elder disabled women and current community care, this study puts forward the existing problems and the reasons behind the community care for the disabled elder women. This article discusses that community care system for disabled elderly women in urban areas should focuses on four aspects: life care, medical care, spiritual consolation and emergency assistance. Conclusions The urban disabled elder women living care service system should be constructed. It mainly provides daily life care for the disabled elder women, and the main body of the service is home-based elderly care service centre, community day care centre, and the elderly's family members or some volunteers. A protection mechanism should be improved to support elder disabled women from three aspects: protection system, fund guarantee and services from health and social cafe staff.

Appendicular Muscle Mass, Thigh Intermuscular Fat Infiltration, and Risk of Fall in Postmenopausal Osteoporotic Elder Women

Background: The association between the quantity and composition of skeletal muscle and the decline in physical function in elderly is poorly understood. Therefore, the primary aim of this cross-over study was to investigate the association between thigh intermuscular adipose tissue (IMAT) infiltration, appendicular muscle mass, and risk of fall in postmenopausal osteoporotic elder women. Second, we examined the differences in muscle mass, IMAT, and risk of fall in the same sample of older subjects after being classified as sarcopenic or nonsarcopenic on the basis of the dual-energy X-ray absorptiometry (DXA)-based Appendicular Skeletal Muscle Mass Index (ASMMI). Methods: Twenty-nine subjects (age: 72.4 ± 6.8; BMI: 23.0 ± 3.3; and T-score: −2.7 ± 0.2) completed the following clinical evaluations: (1) whole-body DXA to assess the ASMMI; (2) magnetic resonance to determine the cross-sectional muscle area (CSA) and IMAT of thigh muscles, expressed both in absolute (IMATabs) and relative (IMATrel) values; and (3) risk of fall assessment through the OAK system (Khymeia, Noventa Padovana, Italy). The existence of a correlation between the risk of fall (OAK scores, an automated version of the Brief-BESTest) and the clinical parameters (ASMMI, CSA, IMATrel, and IMATabs) was tested by the Pearson’s correlation index while data homogeneity between sarcopenic and nonsarcopenic subjects was tested through unpaired Student t tests or with the Mann-Whitney rank test. Effect sizes (ES) were used to determine the magnitude of the effect for all significant outcomes. Results: Eleven subjects were classified as sarcopenic and 18 as nonsarcopenic based on their ASMMI (cutoff value: 5.5 kg/m2). A positive correlation between OAK and CSA was observed (r2 = 0.19; p = 0.033), whereas a negative correlation between OAK and IMATrel was detected (r2 = 0.27; p = 0.009). No correlations were observed between OAK and ASMMI and between ASMMI and IMATrel. Sarcopenic subjects showed significantly lower weight (p = 0.002; ES = 1.30, large), BMI (p = 0.0003; ES = 1.82, large), CSA (p = 0.010; ES = 1.17, moderate), and IMATabs (p = 0.022; ES = 1.63, large) than nonsarcopenic individuals, whereas OAK scores and IMATrel were similar between groups. Discussion/Conclusion: Increased IMAT and lower CSA in the thigh muscles are associated with higher risk of fall while ASMMI, a value of appendicular muscle mass, was not associated with physical performance in older adults.

EDU KRISZA (KRITERIA JAJANAN SEHAT BEBAS ZAT ADITIF) KULINER LOKAL KUE BANJAR

The characteristics of healthy snacks are containing healthy nutrition criteria, clean, and free from harmful additives, so it is safe to consume. Banjar cake is a sweet and crunchy cake made from glutinous rice flour with original flavors, chocolate and ginger. So, this community service entitled "Edu Krisza (criteria for healthy snacks free from additives), a typical Banjarese cake, culinary of Sumbernongko village". Some of the reasons why this Banjar cake has not become the main daily snack of the community are: 1) limited human resources, limited people who makes this Banjar cakes, because there is remain elder women only who can make Banjar cake in Nongko village, from 4 other villages; 2) Limited marketing including packaging factors and women who produce Banjar cake do not have ability in science and technology to promote; 3) limited consumers, which are only produced based on demands or certain events. These are the stages: 1) educational training on the criteria for healthy snacks free from additives; 2) Simulation of making Banjar cake; 3) Online marketing of Banjar cake through social media (Facebook, YouTube and Instagram).