Gender-specific differences in haemostatic parameters and their influence on blood loss in bimaxillary surgery

Objective The objectives of this prospective cohort study were to establish gender-related differences in blood loss and haemostatic profiles associated with bimaxillary surgery. In addition, we aimed to identify if any gender differences could be established which might help predict blood loss volume. Materials and methods Fifty-four patients (22 males; 32 females) undergoing bimaxillary surgery for skeletal dentofacial deformities were eligible for inclusion. Blood samples were taken 1 day preoperatively and 48 h postoperatively for detailed gender-specific coagulation analysis incorporating global coagulation assays (endogenous thrombin potential) and specific coagulation parameters. Blood loss was measured at two different time points: (1) the end of surgery, visible intraoperative blood loss (IOB) using ‘subtraction method’; and (2) 48 h postoperatively perioperative bleeding volume (CBL-48 h) using ‘haemoglobin-balance method’ and Nadler’s formula. Correlation and regression analyses were performed to identify relevant parameters affecting the amount of blood loss. Results Significant differences in IOB and CBL-48 h were observed (p < 0.001). Men had higher IOB versus women, lacking statistical significance (p = 0.056). In contrast, men had significantly higher CLB-48 h (p = 0.019). Reduced CBL-48 h was shown to be most closely associated with the level of Antithrombin-III being decreased in females. Conclusions Male gender is associated with higher IOB and CBL-48 compared with females. Gender does not affect IOB regarding haemostatic profile but does correlate strongly with procedure length. Conversely, CBL-48 is closely associated with gender-specific imbalances in the anticoagulant system. Clinical relevance Knowledge of gender-related differences will help clinicians establish predictive factors regarding excessive blood loss in orthognathic surgery and identify at-risk patients.

Adherence to a Mediterranean Diet Is Associated with Lower Depressive Symptoms among U.S. Adults

Depression is a leading cause of disability, yet current prevention and treatment approaches have only had modest effects. It is important to better understand the role of dietary patterns on depressive symptoms, which may help prevent depression or complement current treatments. This study examined whether adherence to a Mediterranean diet (Med Diet), determined by the Alternate Med Diet score (aMED), was associated with depressive symptoms in a representative sample of U.S. adults. The aMED score (range 0–9) was calculated from a 24-h diet recall with gender-specific quartiles (Q) estimated. The Patient Health Questionnaire-9 (PHQ-9) was used to define depressive symptoms, which was dichotomized as no to mild (0–9) versus moderate to severe symptoms (10–27). Logistic regression was used to investigate the association between quartiles of aMED and depressive symptoms when controlling for sociodemographics, total calories, and the time of year of diet recall; 7.9% of the sample had moderate to severe depressive symptoms. Compared to individuals with the lowest aMED (Q1), individuals in Q3 and Q4 had 40% and 45% lower odds of moderate to severe depressive symptoms (odds ratio [OR] = 0.60, 95% confidence interval [CI]: 0.50, 0.74; OR = 0.55, 95% CI: 0.36, 0.84, respectively). This study provides modest support of Med Diet’s role in supporting positive mental health.

Gender-specific responses to multifaceted factors associated with disordered eating among adolescents of 7th to 9th grade

Background The prevalence of disordered eating is increasing among adolescents in Asia. The prevalence and predictors of disordered eating in boys have often gone unrecognized. This study examined gender-specific responses to multifaceted factors associated with disordered eating, including personal, behavioral, family, and school-related characteristics. Methods After excluding responses with incomplete information, a sample of 729 adolescents (48.97% boys) between the ages of 13 and 16 were surveyed through convenience sampling from 37 classrooms in three junior high schools in New Taipei City of Taiwan were analyzed. The Eating Attitudes Test-26 questionnaire was used to identify disordered eating. Results No difference in the prevalence of disordered eating between the genders was found. Adolescent girls exhibit a preoccupation with fatness and a desire to be thinner, whereas boys are more likely to engage in extreme dieting behaviors such as vomiting, keeping the stomach empty, and avoiding sweets. Girls engaging in disordered eating reported relatively high levels of interpersonal stress involving family member weight-teasing, low peer acceptance, and high peer pressure to control weight. High intensity of regular exercise was found in girls with disordered eating. The perception of body weight is a more critical factor of engaging in disordered eating for boys than girls. Adolescents with immigrant parents were associated with disordered eating among both genders. Conclusions Changing gender-specific weight-related norms in schools and families is essential to reduce the prevalence of disordered eating, particularly among girls. Future studies using representative samples to confirm this study’s findings are warranted.

The Effects of Gender Signals and Performance in Online Product Reviews

This work quantifies the effects of signaling gender through gender specific user names, on the success of reviews written on the popular amazon.com shopping platform. Highly rated reviews play an important role in e-commerce since they are prominently displayed next to products. Differences in reviews, perceived—consciously or unconsciously—with respect to gender signals, can lead to crucial biases in determining what content and perspectives are represented among top reviews. To investigate this, we extract signals of author gender from user names to select reviews where the author’s likely gender can be inferred. Using reviews authored by these gender-signaling authors, we train a deep learning classifier to quantify the gendered writing style (i.e., gendered performance) of reviews written by authors who do not send clear gender signals via their user name. We contrast the effects of gender signaling and performance on the review helpfulness ratings using matching experiments. This is aimed at understanding if an advantage is to be gained by (not) signaling one’s gender when posting reviews. While we find no general trend that gendered signals or performances influence overall review success, we find strong context-specific effects. For example, reviews in product categories such as Electronics or Computers are perceived as less helpful when authors signal that they are likely woman, but are received as more helpful in categories such as Beauty or Clothing. In addition to these interesting findings, we believe this general chain of tools could be deployed across various social media platforms.

Gender-Specific Determinants of eHealth Literacy: Results from an Adolescent Internet Behavior Survey in Taiwan

Adolescents’ Internet health information usage has rarely been investigated. Adolescents seek all kinds of information from the Internet, including health information, which affects their Health Literacy that eHealth Literacy (eHL). This study is a retrospective observational study, we have total of 500 questionnaires were distributed, 87% of which were recovered, and we explored the channels that adolescents use to search for health information, their ability to identify false information, and factors affecting the type and content of health information queried. Adolescents believe that the Internet is a good means to seek health information because of its instant accessibility, frequent updating, convenience, and lack of time limits. More boys use the Internet to seek health information than girls in junior high schools (p = 0.009). The Internet is an important source of health information for adolescents but contains extensive misinformation that adolescents cannot identify. Additionally, adolescent boys and girls are interested in different health issues. Therefore, the government should implement measures to minimize misinformation on the Internet and create a healthy, educational online environment to promote Adolescents’ eHealth Literacy (eHL).

Women Decision-Making and Responsibility-Taking of Criminal Lifestyle: The Israeli Case

This study aims to investigate patterns of decision-making and responsibility-taking as opposed to the compulsion process selection of a criminal lifestyle among women in prison. A life story approach and semi-structured interviews sampling 30 Israeli women in prison during their first imprisonment were used. Using a mixed-method, results revealed that most of the participants claimed full or partial self-responsibility for having engaged in a criminal lifestyle or for the offense of which they had been convicted. This figure was consistent when the participants were divided by age of first offense or a history of abuse. The results support the need for an integrated approach explaining women’s criminal paths, including gender-specific as well as gender-neutral factors. The conclusion is that responsibility-taking for a criminal act should be one of the factors in intervention programs for women with delinquent behavior, regardless of whether there is a history of victimization or not.

Make Space, Take Space

This chapter focuses on the impact of a culturally relevant course centering the experiences of Black women attending a Historically White Institution (HWI). This chapter will provide an overview of the course creation, implementation, and positive implications of a gender-specific course steeped in the African Diaspora. Using Black feminist thought, the authors examine how Black female students experience community, self-discovery, and academic success. The chapter highlights student voices and discusses the lasting impact of the case design on the students and collegiate community. In addition, the co-creators share the impact of the course on their own well-being and its larger impact on the collegiate campus.