Focus: Sex and Gender Health: Patient Preference for Physician Gender in the Emergency Department

Despite historical gender bias against female physicians, few studies have investigated patients’ physician gender preference in the emergency department (ED) setting. We sought to determine if there is an association between ED patient demographics and physician gender preference. We surveyed patients presenting to an ED to determine association between patient demographics and patient physician gender preference for five ED situations: 1) ‘routine’ visit, 2) emergency visit, 3) ‘sensitive’ medical visit, 4) minor surgical/‘procedural’ visit, and 5) ‘bad news’ delivery. A total of 200 ED patients were surveyed. The majority of ED patients reported no physician gender preference for ‘routine’ visits (89.5 percent), ‘emergent’ visits (89 percent), ‘sensitive’ medical visits (59 percent), ‘procedural’ visits (89 percent) or when receiving ‘bad news’ (82 percent). In the setting of ‘routine’ visits and ‘sensitive’ medical visits, there was a propensity for same-sex physician preference.     

Publication trends in zoo biology: A brief analysis of the first 15 years

Zoo Biology has completed 15 years as a professional journal dedicated to exsitu wildlife research. To assess the journal's representation of zoo and aquarium research, we examined some aspects of its publication record, based on analyses of 395 research articles. The taxonomic representation of Zoo Biology is heavily skewed toward research articles on mammals (73%), with articles on birds, reptiles, and invertebrates contributing only 10%, 7%, and 7%, respectively. Behavior and reproduction (sensu latu) are the predominating disciplinary themes of research, with heavy reliance on non-invasive endocrine methodology using RIA and EIA. The relatively small number of articles dealing with demography and genetics is surprising when one considers the eminent role such analyses have played in Species Survival Plans. Most contributions are multi-authored and arise from U.S. institutions, with collaborative ventures between zoos and universities accounting for 26% of all articles. The academic community, however, contributed nearly one third of Zoo Biology's articles as non-collaborative contributions. University and aquarium affiliations are known to exist, but the products of such cooperation are not appearing in the pages of Zoo Biology. We conclude the taxonomic trends reflect a shortage of research-oriented staff in the zoo and aquarium profession, and a tendency for a significant number of zoo biologists to publish in taxon-oriented journals. Zoo Biol 16:3–8, 1997. © 1997 Wiley-Liss, Inc.     

Population‐based Study of Trends,Costs, and Complications of Weight Loss Surgeries from 1990 to 2002

Objective: To describe the trends, costs, and complications associated with weight loss surgery (WLS). Research Methods and Procedures: Wisconsin inpatient hospital discharge data from 1990 to 2003 were used for analysis. A WLS case was defined as anyone with a WLS‐related procedure code and a primary diagnosis of morbid obesity. Charges were inflation‐adjusted to 2001 constant dollars; complications were defined on the basis of readmission, extended length of stay, repeat surgical procedures, or death. Results: The number of WLSs increased from 269 in 1990 to 1992 to 1884 in 2000 to 2002 (rate ratio = 4.6). Increases in WLSs were greatest among those 50 to 59 years of age (rate ratio = 6.4), women (rate ratio = 6.8), and blacks (rate ratio = 20.0). Between the two periods, inflation‐adjusted WLS charges increased 12‐fold, and the inflation‐adjusted charge per procedure doubled, despite a decreased length of stay. For 2000 to 2002, 23.3% of WLS patients had either an extended length of stay or readmission within 30 days, 7.4% required a repeat surgical procedure, and 0.7% died. Discussion: In Wisconsin, the rate and costs of WLSs have increased dramatically, and the incidence of postoperative complications was high. The epidemic of obesity in the United States makes it imperative to better assess the cost‐effectiveness of WLS and to improve its safety.     

Trends in the use of a small coastal lagoon by waterbirds: Muni Lagoon (Ghana)

This paper presents data from a twelve-year (1986–98) monitoring of waterbird populations at Muni Lagoon, and discusses the ornithological importance of the lagoon and trends in the use of the site by waterbirds. The small brackish lagoon forms part of the Muni-Pomadze Ramsar site situated on the Ghana coast. A total of 48 species of waterbirds were recorded at the site comprising of 29 species of waders, eight species of terns, two species of gulls, seven species of herons and egrets, one species each of duck and cormorant. The most abundant waterbirds species recorded on the site were the Curlew Sandpiper, Ringed Plover, Greenshank, Black-winged Stilt, Common Tern, Black Tern, Royal Tern and the Sandwich Tern. Three species of waders, Black-winged Stilt, Pratincole and Little Tern were observed to breed at the site. The highest numbers of waterbirds occurred on the site in the period September to March. The site remains an internationally important wetland site by virtue of supporting internationally important numbers of four species of terns: Royal Tern, Sandwich Tern, Common Tern and Black Tern. The value of Muni lies more in its use as a feeding/staging site for migrating waders that spend the non-breeding season in Ghana or pass through to winter further south, and as a roosting site for terns which feed mainly at sea. The use of the site by waterbirds has increased by some 400% between 1986 and 1998. This is attributed to improved prey availability resulting from the opening of the lagoon into the sea during the 1994 floods, and reduced disturbance of feeding and roosting birds. This would imply that the value of the site as waterbird habitat could improve considerably with appropriate habitat management interventions and continued protection.     

Brief communication: Gender and sex: Vive la difference

The distinction prevalent in the social sciences between the terms sex and gender is a useful one and ought to be preserved. Sex refers to the anatomical or chromosomal categories of male and female. Gender refers to socially constructed roles that are related to sex distinctions. Use of these terms as synonyms is becoming increasingly frequent in physical anthropology, especially among bioarchaeologists and primatologists. A failure to make the distinction between gender and sex is analytically incapacitating in a field such as physical anthropology, whose strength lies in the integration of biological and cultural information. Am J Phys Anthropol 106:255–259, 1998. © 1998 Wiley-Liss, Inc.     

Children's Dreams and Nightmares: Emerging Trends in Research.

New manifest content analysis research on children's dreams and nightmares provides insights into how dreaming reveals developmental changes over time. Five culturally diverse research studies were conducted with varied methods for dream collection that included laboratory-collected dreams, as well as written journals, audiotaped dreams, and retrospectively recalled dreams. As children grow older, they are more able to recall dreams, dream narratives increase in length, and dreams are characterized by decreasing levels of passive victimization and have more elaborate character interactions. Age and gender differences in recall, interactions, and gender of dream characters indicate that dream research is a fertile area for studying child development and the changing function of dreams over time. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Gender differences in adult congenital heart disease

Objective. To assess gender differences in morbidity, mortality and patient management among adults born with a heart defect. Methods and results. The database of the European Heart Survey on adult congenital heart disease was explored. This contains data on 4110 patients with one of eight congenital heart defects followed retrospectively for a median of 5.1 years. The existence of gender differences was assessed by considering mortality and a few ‘overall’ measures of morbidity. Adjusting for type of defect and age, it was found that cumulative mortality was greater in the male population (hazard ratio 1.63 (95% CI 1.12 to 2.38); p=0.011)). A significantly greater proportion of females had functional limitations (NYHA functional class >1; 37% vs. 29% of men; p=0.003). However, males were more likely to be on chronic medication during follow-up (59% vs. 55% of women; p=0.001), and males underwent diagnostic procedures more frequently (1.58/patient-year vs. 1.48/patient-year for women; p<0.02). There was no significant difference in the proportions of patients who underwent at least one intervention during follow-up, and rates of outpatient (re-)visits were not different between the sexes. Conclusion. This exploratory assessment of a large international database found evidence that gender differences exist in morbidity and mortality among adult patients with congenital heart disease, as well as in medical management. Future studies in adult congenital heart disease should always take into account the effects of gender. (Neth Heart J 2009; 17:414–7.)     

Gender context of personalism in bioethics

Personalism is one of the philosophical perspectives which hold that the reality in person and the human person has the highest intrinsic value. This paper makes reference to Louis Janssens' eight criteria in adequate consideration of the human person but further argues that there is need to consider people as situated agents especially within gender relational perspectives. The paper identifies gender as an important social construction that shapes the consideration of the human persons within socio-spatial spheres. The main crux of the paper is that there is a gender context of personalism and this has profound implications for bioethical agendas. Gender is part of the human condition, especially when we philosophically or sociologically engage the notion of equity and equality within the social system, because social realities in the relational perspective are not impartial, impersonal and equal. Gender does not determine morality but it plays a role in morality and expectations from moral agents. Women have been categorised as a sociological group because their integrity, freedom/autonomy and dignity (which are basic concerns of bioethics) are capable of being threatened. A gender perspective provides important incentives for moral theory which searches for possible conceptual imbalances or blind spots in ethical reflections. The paper refers to Sen's faces of gender inequality and expands on the notion that natality inequality is one of the fundamental levels of gender inequality, which in turn is the primary starting agenda in bioethics. The paper avers that the recognition of the fundamental importance of gender to the organization of social reality and the development of personal identities have important practical implications for bioethics.     

从文献情报分析看iFlora 的发展趋势

在网络化、信息化逐渐改变人们学习、认知和生活的背景下,本文检索并分析了与iFlora研究相关的DNA条形码、生物多样性信息库、基因测序技术、移动鉴定设备等研究论文和情报,取得下列结果：（1） 植物DNA条形码的研究对象以及研究领域在不断延伸和扩展,但寻找高分辨率的DNA条码和组合片段仍是研究热点,相关的植物分类学、系统发育与演化、生态学、植物多样性等研究也在快速发展;（2） 生物多样性信息数据库建设爆发式增长,为iFlora的知识积累和扩展奠定了基础;（3） 第三代DNA测序技术的发展,快速测序设备的小型化将成为可能;（4） 物种认知和识别的初级移动设备已经出现;（5） 信息技术与植物科学等研究的结合,促进跨领域的研究合作和产品开发。本文讨论了iFlora研究计划,表明其是未来植物多样性研究的发展趋势。     

Gender,Race, and Obesity‐Related Quality of Life at Extreme Levels of Obesity

Objective: Research investigating obesity‐related quality of life (QOL) has shown that at increasing levels of overweight, individuals report more impaired QOL. Further, some research has indicated that white women suffer more impairment than men and African Americans. The current study sought to expand the existing literature by investigating an extreme subsample of the obese population. It was expected that participants in the current study would report more impaired obesity‐related QOL than in previous research conducted with less obese individuals. It was also hypothesized that race and gender groups would differ in obesity‐related QOL and that the relationship between degree of overweight and QOL would not be consistent across race and gender groups. Research Methods and Procedures: Impact of Weight on Quality of Life Questionnaire‐Lite Version data were collected from 512 individuals seeking gastric bypass surgery (mean BMI = 53.3) Results: Results confirmed the study hypotheses. In general, white women reported the most QOL impairment, despite having significantly lower BMI than other race/gender groups. Compared with previous studies, the observed relationships between BMI and QOL were somewhat attenuated. Discussion: Various domains of QOL may be differentially affected by degree of obesity; these relationships are not homogeneous throughout the obese population.     

Gender and livestock in African production systems: An introduction

Since the 1970s, the study of gender relations and labor and resource use in different production systems has become an important subject of inquiry. While there has been recent interest in gender and livestock issues in pastoral societies, most of the work on gender and agriculture to date has focused primarily upon the role of women in crop production, to the virtual exclusion of the contributions women, children, and the elderly make to the livestock component of the farming system. The topic of gender (broadly defined to include age and sex criteria) and livestock management was addressed at a session at the 1992 Annual Meetings of the American Anthropological Association entitled, Gender and Livestock in African Production Systems, the contributions to which form the basis of the present volume. Topics presented in the papers include: a conceptual framework for investigation of gender and livestock production and disease control, responsibility for productive tasks, livestock ownership and rights to livestock products, and impacts of and responses to change. Nearly all papers in the volume argue explicitly or implicitly for the need to include gender considerations in the planning of livestock development programs, thereby rendering the collection of interest to both scientits and policymakers.     

Trends in Australian wetland rehabilitation

This paper summarizes trends in Australian wetland rehabilitation on the basis of responses to a questionnaire from sixty-nine rehabilitation projects and a literature review. Project sizes ranged from 0.4 to 110,000 ha. Costs ranged from A$6 to 70,000 ha^–1 yr^–1, with most projects costing less than A$1,000 ha^–1 yr^–1 and with larger projects generally costing less per area than smaller projects. The oldest project began in 1963, but most projects began between 1990 and 1996. The most commonly cited dominant plant genera in rehabilitation projects were Eucalyptus, Melaleuca, Muehlenbeckia, Juncus, Avicennia, and Typha. Filling and draining and altered hydrology were the most commonly cited impacts that led to a need for rehabilitation, while excavation and planting were the most commonly cited rehabilitation methods. About 65% of projects undertake rehabilitation methods that address the causes of impacts. Habitat improvement was the most commonly stated objective in wetland rehabilitation. Of the projects that supported monitoring programs, fewer than 25% appeared to monitor variables that were closely linked to project goals. Thirty-six projects reported involvement in research other than monitoring, with vegetation research most frequently cited. Most projects encouraged some level of community involvement. Wetland rehabilitation in Australia could benefit from a centralized register of projects and a library of rehabilitation literature, including government and in-house reports.     

Focus: Health Equity: Gender Issues in Obstructive Sleep Apnea

Obstructive sleep apnea has historically been considered a male disease. Although most studies have shown male predominance, obstructive sleep apnea is highly prevalent in women, increasing with age and varying with physiologic status among other factors. Obstructive sleep apnea is associated with significant symptoms and health consequences in women yet remains underdiagnosed in women in part due to differences in presenting symptoms, differences in polysomnographic findings, and/or sociocultural factors. This review will discuss the epidemiology, pathophysiology, clinical presentation, diagnostic findings, and treatment of obstructive sleep apnea, focusing on sex and gender differences.     

Trends in Waist Circumference among U.S. Adults

Objective: Waist circumference has been proposed as a measure of obesity or as an adjunct to other anthropometric measures to determine obesity. Our objective was to examine temporal trends in waist circumference among adults in the U.S. Research Methods and Procedures: We used data from 15, 454 participants ≥20 years old in National Health and Nutrition Examination Survey (NHANES) III (1988 to 1994) and 4024 participants ≥20 years old from National Health and Nutrition Examination Survey 1999 to 2000. Results: The unadjusted waist circumference increased from 95.3 (age‐adjusted, 96.0 cm) to 98.6 (age‐adjusted, 98.9 cm) cm among men and from 88.7 (age‐adjusted 88.9 cm) to 92.2 (age‐adjusted 92.1 cm) cm among women. The percentiles from the two surveys suggest that much of the waist circumference distribution has shifted. Statistically significant increases occurred among all age groups and racial or ethnic groups except men 30 to 59 years old, women 40 to 59 and ≥70 years old, and women who were Mexican American or of “other” race or ethnicity. Discussion: These results demonstrate the rapid increase in obesity, especially abdominal obesity, among U.S. adults. Unless measures are taken to slow the increase in or reverse the course of the obesity epidemic, the burden of obesity‐associated morbidity and mortality in the U.S. can be expected to increase substantially in future years.     

Gender,Violence and HIV: Women's Survival in the Streets

In this article I propose that genderinequality promotes – directly or indirectly –vulnerability to HIV as a consequence of amultidimensional violence (structural, symbolicand physical) experienced by injection drugusing (IDU) women in The Mission District (SanFrancisco). Given the female subordinated positionstipulated by the street ideology, I analyzehow drug dependence afforded by precariousstrategies of subsistence places IDU womenunder multiple dangers and threats. In thissetting, unequal gender relations are part of acomplex system of transactions in the streeteconomy and a way to reduce or increase theeveryday violence. Facing multiple dangers andrisks, some women adopt a subordinatedposition, some try to negotiate the conditionsof the exchanges and the others resist theexploitation. Finally, everyday violence under conditions ofgender inequality and scarcity of resourcesimposes a logic defined by the challenge ofsurvival under the threat of immediate dangers,which transform HIV into a secondary risk.     

Publication Patterns in Dream Research: Trends in the Medical and Psychological Literatures

The annual rate of journal publications is a pertinent index of a scientific field's prosperity. In the present study, annual publication rates were calculated for the field of dream research using both medical (Index Medicus, MEDLINE) and psychological (PsychINFO) reference databases. A composite profile from the medical database spanning 111 years revealed very similar changes in publishing levels following the release of Freud's (1958/1900) The Interpretation of Dreams and the publication in Science ofAserinsky and Kleitman's (1953) article on dreaming and rapid, jerky eye movements. In both cases, the peak year occurred about 15 years after release of the work, and the peak was followed by a precipitous 3-year drop and then a slow and yet variable decline. In the more recent case, the peak level (reached in 1969) dropped (during 1970-1972) by about half and has continued a slow decline to the present day. As is the case with basic sleep research, this level of activity does not keep pace with either (1) global growth in scientific publishing or (2) growth in related sleep disciplines, particularly, sleep disorders and chronobiology. The psychological database confirms many features of the medical database profile—but is advanced by 1 year, i.e., a publishing peak in 1968, a drop from 1969-1971, and a slow decline until 1980. In this case, however, 1981 marks the beginning of a period of renewed growth that has endured to the present. This divergence between the two publishing profiles may reflect the field's shift from psychophysiological to cognitive and dream analytic approaches since the early 1980s.     

Gender differences in dreams: Applications to dream work with male clients.

Differences between the dreams of men and women have been a topic of interest and research in the field of dream science. This article focuses on three such gender differences in dreaming, namely, dream recall frequency, sex of dream character and dream aggression. For each gender difference, a review of literature is presented, along with a discussion of possible causes for the difference between genders. In addition, suggestions are made for applications to clinical practice with a focus on gender-specific dream work strategies for work with male clients. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Reading books about dream interpretation: Gender differences.

The vast variety of books on dreamwork and dream interpretation suggests that a considerable percentage of the general population is interested in reading these books. Empirical research in this area is relatively scarce. The present representative survey (N = 2,019) indicated that about 8% of the general population have read about dream interpretation in order to learn more about their dreams, with women reading about dream interpretation more often than men. This gender difference was not explained by differences in dream recall frequency. In addition, single people as well as people with high nightmare frequencies read about dreams more often. Future research should focus on the possible benefits of reading about dream interpretation. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Gender Victims and Cultural Borders: The Globalization of Prostitution in Italy

In this article I will try to analyse the transformation regarding the italian regulation of prostitution on the grounds of another issue, that is the building up of cultural borders for the definition of “national” and “european” gender identities. The creation of cultural borders allows to outline the differentiation traits between social groups, while escaping plurality and internal contradictions which on the other hand could only show continuity and vicinity traits. In my point of view, the italian current debate on prostitution is a discoursive process that produces a “western” pattern of relation between men and women, while referring internal tensions and contradictions to other cultures. The following analysis will use data and information coming from national official statistics on immigration, estimates on prostitutions and findings from national researchers on prostitution carried out by the research group called “Migration & Prostitutions” based at the Department of Sociology of the Padua University.