The Work Performance of Married Female Employees during Covid-19 Pandemic

The research aims to determine the effect of learning organizations on married female permanent employees' performance at restaurants in Jakarta and Bali by mediating job satisfaction and organizational commitment. The phenomenon that occurs is that married female employees at restaurants tend to work less optimally and are reluctant to participate in development training programs since the Covid-19 pandemic in early 2020. This quantitative research was conducted with purposive random sampling on 73 married female employee respondents. The measuring instrument is a questionnaire with five-Likert scales—data processing using CB-SEM with Smart PLS program. The results showed a significant influence of learning organizations on female staff performance through the mediation of job satisfaction and organizational commitment. The research contribution is expected to provide input to the management at restaurants in managing the performance of married female employees.

THE EMOTIONAL LABOR AND BURNOUT IN MARRIED FEMALE DOCTORS OF PAKISTAN: THE MODERATING ROLE OF WORK-FAMILY CONFLICT

The current study aimed to investigate the moderating role of work-family conflict between emotional labor (surface acting) and burnout (emotional exhaustion) in married female doctors. A cross-sectional study was carried out on 200 married female doctors working in public and private hospitals. Data was collected using the three reliable and valid scales. Findings revealed that work-family conflict is the significant moderator. The results indicated that at the low level of work-family conflict, the association of surface acting and emotional exhaustion was not significant (B = .02, SE = .17, p > .05) whereas at a moderate level of work-family conflict (B = .46, SE = .12, p < .01) the association between the surface acting and emotional exhaustion is significant. When the level of work-family conflict is high then the association of surface acting and emotional exhaustion is highly significant (B = .91, SE = .19, p = >.001).The findings are discussed in light of existing literature.

JESSNER LYMPHOCYTIC INFILTRATE POST COVID VACCINATION

Jessner-Kanof lymphocytic inltrate is a rare benign chronic T cell inltrative disease characterized by multiple tumid erythematous papules,plaques and nodules predominantly on sun exposed sites like face, neck and upper back. Etiology of Jessner lymphocytic inltrate is unknown but autoimmunity, Borrelia burgdorferi infection may have a possible role. There is a case report of Jessner lymphocytic inltrate after third dose of bee venom immunotherapy in hymenoptera venom anaphylaxis. Here,we report a case of 27 year married female who presented with multiple erythematous plaques and few nodules on face ,neck and upper back after 2 days of second dose of covishield vaccine. Clinical and histopathological correlation conrmed the diagnosis of Jessner-Kanof lymphocytic inltrate. Skin biopsy revealed dense perivascular and periadnexal lymphocytic inltrates in the dermis. Dermatological manifestations with covid vaccines are few in clinical volunteers but have been increasing since mass vaccination has started. A few side effects like urticaria , erythema and edema at injection site, pityriasis rosea, covid toes, systemic lupus erythematosus,rheumatoid arthritis have been reported after covid vaccination.

A case of moderate depression with somatic symptoms and incidental finding of retrocerebellar arachnoid cyst

Arachnoid cysts are benign space-occupying brain lesions that contain cerebrospinal fluid which is mostly congenital in origin. Cases are mostly detected incidentally on neuro-imaging and neuropsychiatric manifestations are less common and under-recognized. Arachnoid cyst sometimes may be associated with seizure, headache, cranial nerve deficits, hydrocephalus, etc. A 23-year-old married female from rural India presented with headache, insomnia, low mood, lethargy, persisting for the past 6 months without any obvious stress factors. She also informed that she had few episodes of unresponsiveness without any features such as tongue biting, confusion, injury, or involuntary micturition and defecation. Her EEG report was within normal limit and MRI report confirmed the presence of Retro-cerebellar Arachnoid cyst in and around midline. Detail neurological and ophthalmological examination was done and findings were within normal limits. She was treated with Amitriptyline, Pregabalin, and Paracetamol. Psychotherapy was initiated for adequate management of her depressive symptoms and responded well. It can be emphasized that patients who are reporting with symptoms such as headache a detail evaluation should be done to find out organic etiology. Depressive and cognitive symptoms and its association with arachnoid cyst may depend upon the location of the lesion and further research is required to establish its causal relationship.

RAKTAPITTA - A CASE STUDY

Background: Raktapitta a disease mentioned in Charaka Samhita, in both Nidana and Chikitsa Sthana immedi- ately after describing a very important disease Jwara. This clearly indicates the seriousness of the disease same as that of Jwara. When Jwara is not treated well, the Agni gets vitiated (Teja Mahabhoota), “Jwara Santapat Rak- tapitta Mudiryate" is responsible for this disease. As its nomenclature states, a disease caused by the vitiation of Rakta and Pitta (Ashray – Ashraye Bhava)1. The disease shows its features via two pathways mainly, Urdhva Evam Adhoga Marga, Ubhaya (both ways) can also be seen2. As per Sushruta Samhita, this Roga is described after discussing Pandu roga (having common Nidana)3. Aim: The aim of the present study was to evaluate the efficacy of Ayurvedic management in the acute Raktapitta. Materials and Methods: Here, Shaman Aushadha is selected for the management of Raktapitta, in 33 years old married female patient for 3 1⁄2 months. Results: The patient started feeling improvement in the symptoms from the 18th day and by the end of 45 days she reported a marked reduction in her symptoms. She recovered completely after 3 months of continuous intervention. Conclusion: Shamana Aushsdha showed good results in managing the Raktapitta. Keywords: Raktapitta, Jwara, Ashray-Ashraye bhava,

Utilization of modern contraceptive methods and its determinants among youth in Myanmar: Analysis of Myanmar Demographic and Health Survey (2015-2016)

Reproductive health service is crucial for youth to reduce maternal and child mortality. However, many young women face unintended pregnancies and pregnancy-related complications due to insufficient knowledge of contraceptive methods and low contraceptive utilization. This study aims to assess the modern contraceptive prevalence rates among youth and identify factors influencing modern contraceptive utilization among youth. We used Myanmar Demographic and Health Survey (2015–2016) data. This study included 1,423 men and 3,677 women aged 15–24 years from all states and regions of Myanmar. We used multivariable binary logistic regression analysis and reported the results using adjusted Odds Ratios (AOR) with 95% Confidence Intervals (CI). Data analysis was done by STATA software (version 15.1). Ever-married youth used mainly injectable contraception, followed by oral contraceptive pills. Never-married male youth mainly used oral contraceptive pills; however, almost all never-married female youth did not use contraception. The modern contraceptive prevalence rates were 14.9% among total youth, 10% among males, 16.8% among females, 1.5% among never-married males, 44.7% among ever-married males, and 54% among ever-married female youth. The knowledge on modern contraceptive methods favored the utilization. Sexually active youth utilized more contraception than sexually inactive youth. We also found geographical variation and low utilization among rural youth. The desire for more children was also a significant predictor of contraceptive utilization among married youth. The utilization of modern contraception was low among Myanmar youth. Reproductive health program needs to be emphasized on the youth population especially in the area with low utilization to have equitable access to quality reproductive health services. Moreover, the revitalization of Youth Information Corner and youth-friendly reproductive health education programs should be implemented to increase reproductive health knowledge and prevent unsafe sex, unintended pregnancies, and abortions which might help in reducing maternal and child mortality. We warranted conducting mixed method studies to explore the barriers and challenges of contraceptive utilization and male involvement in the choice of contraception among youth.

Sexual dysfunction in married female patients on antidepressants: A Cross Sectional Observational study from Patna medical college and hospital

Background: Clinicians and patients now have a broad variety of antidepressants to choose from, due to an ever-growing pharmacopoeia. However, one of the most significant considerations preventing antidepressant use is their side effects, one of which is sexual dysfunction. This issue has a negative impact on the patient’s quality of life which can contribute to clinical non-adherence in long-term therapies. Aims and Objectives: The objective of this research was to look into the characteristics of sexual dysfunction in married female antidepressant patients and patterns of sexual dysfunctions in female patients receiving antidepressants. Materials and Methods: It was Cross-sectional observational study. The study was conducted in the department of Psychiatry, Patna Medical College and Hospital at Patna.The Departmental Research Committee accepted the report, and 50 patients were enrolled after receiving written informed consent. Purposive sampling was used to pick the sample for the analysis, which had a cross-sectional study. The women contacted were in the outpatient psychiatric care of the department of Psychiatry and had been diagnosed with depressive disorder during the study period June 2018 to February 2019. Results: Seventy percent of patients were taking selective serotonin reuptake inhibitors (SSRIs), 20 % were taking tricyclic antidepressants (TCAs), and 10 % were taking other medications such as mirtazapine or desvenlafexine. Within six months, 44 % of patients were on therapy, and 22.0 % had been on treatment for more than two years. Patients taking Escitalopram (80 %) have less sexual activity than those taking Sertraline (66.7 %) or Fluoxetine (77.8 %), Patients observed a change in sexual activity in 58 percent of cases, a decrease in sexual desire in 70 % of cases (p=0.0009*), a slight decrease in 14 percent of cases, and a slight decrease in only 8 % of cases (p=0.0009). 18 % of patients reported a delay in orgasm, with 66 percent reporting a major delay, 8 % reporting a moderate delay, and 8 % reporting a slight delay (p=0.0001). Conclusion: Our findings indicate that sexual dysfunction is common in married female patients taking antidepressants, and that antidepressants affect both aspects of sexual functioning.

STUDY OF UTTARBASTI IN PCOS (POLY CYSTIC OVARY SYNDROME) WITH SPECIAL REFERENCE TO ŚATĀVHĀDI TAIL.

PCOS means polycystic ovarian Syndrome PCOS affects 5% to 10% of women of reproductive age In Ayurvedic classics, cārya Kāśyapa mentioned PCOS in terms of 'Pupaghni Revatī. He narrated that woman who observes her fruitless menstruation in appropriate time, has corpulent and hairy cheeks, she is also (seized with) called as Pupaghni Revatī. The present clinical trial by trans cervical route by Śatāvhādi Tail based on the classical reference in Ashtang Samgraha The ingredients of Śatāvhādi Tail are viz, śatāvhā, Saŗśapa, Ajavāyan, Śigru,Hingu, Kustha, Mandanaphala, processed in Mustard oil. It has been given by Uttarbasti module. All the ingredients are mainly Katu Ras Usna Virya and Usna Tikshna Guna. The 30 married female recruited this clinical trial who received Śatāvhādi Tail 5-7 ml trancervical route at Bharati Vidyapeeth(D.U) College of Ayurved and Hospital, Katraj Dhanakawadi , Pune 43.The results assessed in terms of USG (Ovarian volume and no of follicles), LH:FSH Ratio and S.Testesterone and subjective parameter Sthula Lomash Ganda (Corupurulent hair on cheek) and Arthavkshaya. It showed effect on hormonal level {LH, FSH} but slight effect on serum

Time to first birth and its determinants among married female youths in Ethiopia, 2020: survival analysis based on EDHS 2016

Introduction The first birth is the most significant events in a woman's life that indicates the beginning of undertaking the intensive responsibilities of motherhood and childcare. Age at first birth has health, economic and social consequences and implications. But little has been known on the time to first birth and its determinants in Ethiopia. Therefore, this research is planned to address this issue. Objectives of the study To assess the time to first birth and its determinants among married female youths in Ethiopia, 2020. Methods The data was accessed freely through (https://www.dhsprogram.com). Survival analysis of time to first birth was done based on EDHS 2016 data among 2597 weighted study subjects. The data was extracted using STATA version 14.0. Kaplan Meier’s survival and Log rank test were used to compare survival experiences of respondents using categorical variables. Proportional hazard assumption was checked and was not violated. Cox proportional hazard model was applied, hazard ratio with 95% CI was computed and variables with p value < 0.05 in the multivariable analysis were taken as significant determinants. Results Overall median survival time was 18 years (IQR = 17–20). The significant determinants of time to first birth are place of residence (being rural (AHR = 1.49, 95% CI 1.13, 1.97),Religion (being Muslim [AHR = 1.57, 95% CI 1.22, 2.02),being protestant (AHR = 1.73, 95% CI 1.34, 2.24)], age at first sex [first sex < 15 years (AHR = 1.68, 95% CI 1.23, 2.29)] and first sex between 15 and 17 years (AHR = 1.54, 95% CI 1.29, 1.85), age at first marriage (marriage < 15 years (AHR = 6.52, 95% CI 4.91, 8.64), marriage between 15 and 17 (AHR = 2.63, 95% CI 2.20, 3.14), unmet need for family planning (AHR = 1.23, 95% CI 1.00, 1.52) Conclusion In this study, the median age at first birth was 18 years. This show, about 50% of study participants give birth for the first time before their 18th birth day. This age is the ideal age for schooling and to do other personal development activities. Therefore giving birth before 18 year will limit female youths from attending school and performing personal development activities in addition to health and demographic consequences of early child bearing.

Effect of Sleep Quality and Depression on Married Female Nurses’ Work–Family Conflict

Married female nurses experience work–family conflict (WFC) as they manage excessive work and various working-hour types while rearing children and tending household chores, and as a result, they continuously constantly deliberate over quitting their job or moving to a different workplace. Married nurses were found to have shorter sleep duration and sleep latency compared to single nurses, and high job stress not only hinders their family life but also causes sleep problems. Depression is a classic negative emotion experienced by married working women who must manage both work and family. This study aims to examine WFC in married female nurses and investigate its predictors, namely depression and sleep quality. A total of 229 married female nurses completed a Google questionnaire link consisting of the Work–Family Conflict Scale, Sleep-Quality Scale, and the Center for Epidemiologic Studies Depression Scale (CES-D). Data were analyzed by descriptive statistics, t-test, ANOVA, LSD post hoc test, Pearson’s correlation coefficients, and multiple regression using the SPSS/WIN 26.0 program. The average WFC score was 4.84 ± 1.12 (range 1–7); WFC showed a statistical difference according to a stage of the lifecycle (F = 7.12, p = 0.001) and perceived health (F = 12.01, p < 0.001). WFC was low among those in the non-parenthood stage of the lifecycle (β = −0.26, p < 0.001), those with good (β = −0.18, p = 0.011) or moderate perceived health (β = −0.15, p = 0.023), and those without turnover intention (β = −0.13, p = 0.016). On the other hand, WFC was high among those who were extremely dissatisfied with their job (β = 0.16, p = 0.008) and those who had a high level of depression (β = 0.22, p = 0.002); these variables explained 20.2% of WFC (F = 7.663, p < 0.001). Based on these results, subsequent studies should develop and implement coping programs that help reduce WFC and improve depression and sleep quality in married female nurses.