Abstract Introduction: The vaginal flora consists in different microorganisms that promote a balanced interaction between the vaginal microbiome, hormonal status, products of microbial metabolism, and the host’s immune response. The instability of the vaginal ecosystem can lead to vulvovaginitis, which is a reason for frequent consultation in primary health care, as bacterial vaginosis, vaginal candidiasis, and trichomoniasis, are responsible for most diagnoses. There are other pathologies with similar presentations but less frequent. However, these are not considered to result in wrong diagnoses and treatments, such as cytolytic vaginosis. Case description: A 20-year-old woman complained of abundant vaginal discharge, use of daily sanitary pads, itching, and odor change within one month of evolution. The physical examination highlights the redness of the external lips and vaginal introitus, as abundant, non-adherent, non-airy, and odorless mucous discharge. Cervicovaginal cytology was performed on a slide that showed inflammation and was negative for intraepithelial lesions or malignancies. A culture of vaginal exudate was requested, which showed abundant epithelial cells and numerous Doderlein bacilli. Considering the presented case, the most likely diagnosis of cytolytic vaginosis was assumed. Recommendations were given, sitz baths with sodium bicarbonate were prescribed, and the patient remained asymptomatic. Comment: In the case of a patient with symptoms of vaginal discharge and itching, the first diagnostic hypothesis should consider the prevalence of the most frequent vulvovaginal infections. However, the culture of the exudate allowed us to exclude the presence of bacteria, fungi, and parasites. The patient’s symptoms and physical examination findings are characteristic of cytolytic vaginosis. The culture of the exudate confirmed the suspicion, and the appropriate diagnosis and treatment were performed. This case is intended to alert clinicians to the existence of this pathology that can often go unnoticed, compromising women’s health.

Resumo Introdução: A flora vaginal é constituída por diferentes microorganismos que promovem uma interação equilibrada entre o microbioma vaginal, estado hormonal, produtos do metabolismo microbiano e resposta imune do hospedeiro. A instabilidade do ecossistema vaginal pode levar a vulvovaginites, que são um motivo de consulta frequente nos cuidados de saúde primários, sendo a vaginose bacteriana, candidíase vaginal e tricomoníase responsáveis pela maioria dos diagnósticos. Existem outras patologias com apresentações semelhantes que, por serem menos frequentes, não são ponderadas e resultam em diagnósticos e tratamentos errados como a vaginose citolítica. Descrição do caso: Mulher de 20 anos de idade, com queixas de corrimento vaginal abundante, necessidade de uso de penso diário, prurido e alteração de odor com um mês de evolução. Ao exame objetivo destaca-se a ruborização dos lábios externos e introito vaginal, corrimento mucoso abundante, não aderente, não arejado e sem cheiro. É efetuada citologia cervico-vaginal em lâmina, que apresentava inflamação e foi negativa para lesão intraepitelial ou malignidade. Foi pedida cultura de exsudado vaginal, que apresentava abundantes células epiteliais e numerosos bacilos de Doderlein. Tendo em conta o quadro apresentado foi assumido como diagnóstico mais provável vaginose citolítica. Foram dadas recomendações e prescritos banhos de assento com bicarbonato de sódio, tendo a utente ficado assintomática. Comentário: Perante uma doente com sintomas de corrimento vaginal e prurido, a primeira hipótese diagnóstica deverá considerar a prevalência das infeções vulvovaginais mais frequentes. Contudo, a cultura do exsudado permitiu excluir a presença de bactérias, fungos e parasitas. A sintomatologia apresentada pela doente e os achados do exame físico são característicos da vaginose citolítica. A cultura do exsudado corroborou a suspeita, sendo feito o diagnóstico e o tratamento adequados. Com este caso pretende-se alertar os clínicos para a existência desta patologia, que pode muitas vezes passar despercebida, comprometendo a saúde da mulher.

Abstract. The objective of the article is to analyze some scientific research training experiences of indigenous women from Oaxaca, an entity in southern Mexico, as well as understand the methodological and epistemic complexity involved in the scientific training of indigenous women in a context of inequalities. The experiences of the participating indigenous women are collected within a research project that was developed in the period 2020-2023, with financing from the Sectoral Development and Research Fund of the National Women's Institute and the National Council of Humanities, Science and Technology. The analysis of some training experiences in scientific research, as well as the methodological journeys and epistemic challenges detailed in the following sections, are framed in the confinement situation caused by the COVID-19 pandemic. Among the results obtained, we can see the ways in which the pandemic generated new aspects of the concurrent inequalities experienced by indigenous Oaxacan women, but also the ways in which this situation motivated a different experience of inquiry to rethink the meanings and ways of doing research. The agency capacity of the women themselves was strengthened to overcome their adverse circumstances due to ethnic and gender status, and the social impact in their community environments with other women.

Resumen. El objetivo del artículo es analizar experiencias formativas en investigación científica de mujeres indígenas de Oaxaca, entidad del sur de México, para comprender la complejidad metodológica y epistémica que implica su formación en un contexto situado de desigualdades concurrentes. Se retoman experiencias de mujeres indígenas participantes en un proyecto desarrollado en 2020-2023 con financiamiento del Fondo Sectorial de Desarrollo e Investigación del Instituto Nacional de las Mujeres y del Consejo Nacional de Humanidades, Ciencia y Tecnología. El análisis de algunas experiencias formativas en investigación científica de mujeres indígenas, así como las rutas metodológicas y los desafíos epistémicos trazados, se enmarcan en el confinamiento provocado por la pandemia del COVID-19. En los resultados se observan las formas en que la pandemia generó nuevas aristas de las desigualdades concurrentes que viven las mujeres indígenas oaxaqueñas, pero también la manera en que esta conyuntura motivó una experiencia distinta de indagación para repensar los sentidos y los modos de hacer investigación científica al fortalecer la capacidad de agencia de las propias mujeres para remontar sus circunstancias adversas por condición étnica y de género, y la incidencia social en sus entornos comunitarios con otras mujeres.

RESUMO O objetivo deste trabalho foi analisar a literatura sobre o crescimento demográfico e a atuação política dos evangélicos, especialmente no âmbito do Congresso Nacional, em particular, com relação à política de saúde das mulheres e dos Direitos Sexuais e Reprodutivos (DSR). Trata-se de uma revisão narrativa da produção científica nacional registrada no portal de periódicos da Coordenação de Aperfeiçoamento do Pessoal de Nível Superior (Capes), no período 2016-2021, usando os descritores “evangélico”, “agenda neoconservadora” e “saúde das mulheres”. Foram selecionados 80 artigos que tratam da relação entre o crescimento do número de igrejas evangélicas e de fiéis vinculados a essas organizações religiosas no Brasil. Do conjunto do artigos analisados, 42,5% analisam a agenda defendida pelos setores religiosos do campo conservador, incluindo um conjunto de temas, tais como política, sexualidade e reprodução, ‘ideologia de gênero’, direitos humanos da população LGBTQIA+, DSR, aborto, educação sexual nas escolas, casamento entre pessoas do mesmo sexo, estatuto da família, estatuto do nascituro, violência sexual, frentes em defesa da vida e da família, religiões de matriz africana, racismo religioso e intolerância religiosa. Assim, enfatiza-se a importância desse tema nas pesquisas em saúde coletiva, principalmente na área de política, planejamento e gestão em saúde. evangélicos Nacional particular DSR. DSR . (DSR) Tratase Trata se Capes, Capes , (Capes) 20162021, 20162021 2016 2021, 2021 2016-2021 evangélico, evangélico “evangélico” neoconservadora mulheres. mulheres” 8 Brasil analisados 425 42 5 42,5 conservador temas reprodução ideologia gênero, gênero gênero’ LGBTQIA LGBTQIA+ aborto escolas sexo família nascituro africana religiosa Assim enfatizase enfatiza coletiva (DSR (Capes 2016202 201 202 2016-202 “evangélico 4 42, 201620 20 2016-20 20162 2 2016-2 2016-

ABSTRACT The aim of this study was to analyze the literature on the demographic growth and political action of evangelicals, especially in the context of the National Congress, in particular, with regard to women’s health policy and Sexual and Reproductive Rights (DSR). This is a narrative review of the national scientific production registered in the journal portal of the Coordination for the Improvement of Higher Education Personnel (CAPES), in the period 2016-2022, using the descriptors “evangelical”, “neoconservative agenda” and “women’s health”. We selected 80 articles that deal with the relationship between the growth of the number of evangelical churches and faithful linked to these churches in Brazil. Of the articles analyzed, 42.5% examine the agenda defended by religious sectors of the conservative field, including a set of themes, such as politics, sexuality and reproduction, ‘gender ideology’, human rights of the LGBTQIA+ population, DSR, abortion, sex education in schools, same-sex marriage, family status, status of the unborn child, sexual violence, fronts in defense of life and family, religions of African origin, religious racism and religious intolerance. Thus, the importance of this theme in public health research is emphasized, especially in the area of health policy, planning and management. evangelicals Congress particular womens women s DSR. DSR . (DSR) CAPES, CAPES , (CAPES) 20162022, 20162022 2016 2022, 2022 2016-2022 evangelical, “evangelical” neoconservative health. health” 8 Brazil analyzed 425 42 5 42.5 field themes politics reproduction gender ideology, ideology ideology’ LGBTQIA population abortion schools samesex same marriage child violence origin intolerance Thus emphasized management (DSR (CAPES 2016202 201 202 2016-202 “evangelical 4 42. 201620 20 2016-20 20162 2 2016-2 2016-

ABSTRACT The aim of this study was to analyze the literature on the demographic growth and political action of evangelicals, especially in the context of the National Congress, in particular, with regard to women’s health policy and Sexual and Reproductive Rights (DSR). This is a narrative review of the national scientific production registered in the journal portal of the Coordination for the Improvement of Higher Education Personnel (CAPES), in the period 2016-2022, using the descriptors “evangelical”, “neoconservative agenda” and “women’s health”. We selected 80 articles that deal with the relationship between the growth of the number of evangelical churches and faithful linked to these churches in Brazil. Of the articles analyzed, 42.5% examine the agenda defended by religious sectors of the conservative field, including a set of themes, such as politics, sexuality and reproduction, ‘gender ideology’, human rights of the LGBTQIA+ population, DSR, abortion, sex education in schools, same-sex marriage, family status, status of the unborn child, sexual violence, fronts in defense of life and family, religions of African origin, religious racism and religious intolerance. Thus, the importance of this theme in public health research is emphasized, especially in the area of health policy, planning and management.

RESUMO O objetivo deste trabalho foi analisar a literatura sobre o crescimento demográfico e a atuação política dos evangélicos, especialmente no âmbito do Congresso Nacional, em particular, com relação à política de saúde das mulheres e dos Direitos Sexuais e Reprodutivos (DSR). Trata-se de uma revisão narrativa da produção científica nacional registrada no portal de periódicos da Coordenação de Aperfeiçoamento do Pessoal de Nível Superior (Capes), no período 2016-2021, usando os descritores “evangélico”, “agenda neoconservadora” e “saúde das mulheres”. Foram selecionados 80 artigos que tratam da relação entre o crescimento do número de igrejas evangélicas e de fiéis vinculados a essas organizações religiosas no Brasil. Do conjunto do artigos analisados, 42,5% analisam a agenda defendida pelos setores religiosos do campo conservador, incluindo um conjunto de temas, tais como política, sexualidade e reprodução, ‘ideologia de gênero’, direitos humanos da população LGBTQIA+, DSR, aborto, educação sexual nas escolas, casamento entre pessoas do mesmo sexo, estatuto da família, estatuto do nascituro, violência sexual, frentes em defesa da vida e da família, religiões de matriz africana, racismo religioso e intolerância religiosa. Assim, enfatiza-se a importância desse tema nas pesquisas em saúde coletiva, principalmente na área de política, planejamento e gestão em saúde.

Resumen: La aproximación teórico-práctica revela los aspectos que impiden el desarrollo productivo de las mujeres en Colombia, las relaciones de poder entre el género y la corrupción, y cómo estas ocasionan el fenómeno de pobreza multidimensional que alimenta la problemática nini. En este estudio se utilizó la metodología cualitativa descriptiva para el análisis documental de 85 documentos que detallan las características, tendencias y afectaciones al progreso integral de las mujeres, que promueven su condición de desocupación. Los hallazgos confirman que corrupción y género son las principales causas del fenómeno nini. Como conclusiones se ofrecen datos para la ampliación del estudio a partir del análisis de categorías como pobreza multidimensional, género y corrupción persistente en nuestro país. Clasificación JEL: D63; D73; I32; J16; J18.

Abstract: The theoretical-practical approach reveals the factors hindering women's productivity in Colombia, the power dynamics between gender and corruption, and how these contribute to multidimensional poverty, which exacerbates the NEET problem. The study employed a descriptive qualitative methodology to analyze 85 documents that detail the characteristics, trends, and effects on the integral progress of women, which promote their unemployment status. The findings confirm that corruption and gender are the main causes of the NEET phenomenon. In conclusion, the data supports the expansion of the study to include analysis of categories such as multidimensional poverty, gender, and persistent corruption in our country.

ABSTRACT Laura Rodriguez Dulanto has been highlighted for her status as the first woman to graduate in Medicine in Peru. Her high intellectual qualities have been noted from various perspectives, as well as her effort and tenacity to overcome the difficulties of pursuing university studies, particularly in scientific disciplines, then reserved exclusively for men. It has been pointed out, however, that due to the limitations imposed on women at the time, she had a diminished professional activity and little scientific production, which has not been reviewed by existing historiography. This article analyzes his scientific production, especially a clinical study developed in a women's hospital in Lima, Peru, showing his ideas about science and medicine and identifying a clear, modern and innovative thought, not exempt from social sensitivity, in addition. to show herself as a keen and thorough observer of clinical-surgical problems.

RESUMEN Laura Rodriguez Dulanto ha sido destacada por su calidad de primera mujer graduada en Medicina en el Perú, se ha señalado desde diversas perspectivas sus elevadas cualidades intelectuales, así como el esfuerzo y tesón para vencer las dificultades para seguir estudios universitarios, en particular en disciplinas científicas, entonces reservadas exclusivamente a varones. Se ha señalado sin embargo que por las limitaciones impuestas a las mujeres en la época tuvo una disminuida actividad profesional, y una escasa producción científica, lo cual no ha sido revisado por la historiografía existente. En el presente artículo se analiza, su producción científica especialmente el estudio “empleo de ictiol en la inflamación pélvica” mostrando sus ideas sobre la ciencia y la medicina e identificando un pensamiento claro, moderno e innovador, no exento de sensibilidad social, además de mostrarse como una aguda y minuciosa observadora de problemas clínico-quirúrgicos.

SUMMARY OBJECTIVE: The aim of this study was to determine the state of aging anxiety in middle-aged women. METHODS: The study was collected from women between the ages of 40 and 59 years by an online survey method. While collecting the data of the participants, the women's personal characteristics diagnostic form and the Aging Anxiety Scale for Middle-Aged Women were used. The data were analyzed with the SPSS 26 statistical software. RESULTS: The aging anxiety of the women was found to be moderate (53.05±16.26). A significant correlation was found between women's menopausal status, household income, education level, and total score of aging anxiety (p<0.05). CONCLUSION: In addition to working outside the home, women are also burdened with duties inside the home. To improve their quality of life, women need to share many of the tasks imposed on them with other family members. To reduce the anxiety experienced by women during the climacteric period, it is recommended to provide psychosocial support to women and consider this issue in health policies. Healthcare professionals, especially nurses, have important duties to reduce anxiety and stress, which constitute the basis of many chronic diseases. It is recommended that nurses, who are health ambassadors, direct women with anxiety to psychological support services through screenings they will conduct for women during this period. OBJECTIVE middleaged middle aged METHODS 4 5 method participants womens s MiddleAged Middle Aged used 2 software RESULTS 53.05±16.26. 53051626 53.05±16.26 . 53 05 16 (53.05±16.26) status income level p<0.05. p005 p p<0.05 0 (p<0.05) CONCLUSION home life members period policies professionals nurses stress diseases ambassadors 5305162 53.05±16.2 1 (53.05±16.26 p00 p<0.0 (p<0.05 530516 53.05±16. (53.05±16.2 p0 p<0. (p<0.0 53051 53.05±16 (53.05±16. p<0 (p<0. 5305 53.05±1 (53.05±16 p< (p<0 530 53.05± (53.05±1 (p< 53.05 (53.05± (p 53.0 (53.05 53. (53.0 (53. (53 (5 (

Objetivo: avaliar a carga de trabalho da enfermagem e seus fatores relacionados na assistência às mulheres hospitalizadas com cânceres ginecológicos e mamários, segundo o Nursing Activities Scores , adaptado a pacientes oncológicos. Método: estudo epidemiológico de corte transversal. Participaram mulheres com câncer ginecológico e/ou mamário, maiores de 18 anos, hospitalizadas por período mínimo de 24 horas. Coletados, do prontuário, dados sociodemográficos, clínicos, Karnofsky Performance Status e carga de trabalho, segundo Nursing Activities Score adaptado. Os fatores relacionados à carga de trabalho foram analisados por regressão linear múltipla. Resultados: pontuação média do Nursing Activities Scores foi 29,3%, denotando sete horas de assistência diária por paciente. Os fatores relacionados à carga de trabalho diferiram conforme diagnóstico de câncer de mama ou ginecológico (β= - 0,01; p<0,001), tratamento clínico ou cirúrgico (β= - 0,03; p<0,001) e capacidade funcional na admissão (β= 0,07; p<0,001), pelo Karnofsky Performance Status . Conclusão: evidenciou-se maior carga de trabalho para atendimento de mulheres com câncer ginecológico sob tratamento clínico e com menor capacidade funcional na admissão. Os achados revelam direcionamentos para otimização de recursos, melhorias em processos e fluxos de trabalho, a fim de promover ambiente laboral favorável e assistência de qualidade. Objetivo mamários oncológicos Método transversal eou mamário 1 anos 2 Coletados prontuário sociodemográficos clínicos múltipla Resultados 293 29 3 29,3% paciente β= β (β 0,01 001 0 01 p<0,001, p0001 p p<0,001 0,03 003 03 0,07 007 07 Conclusão evidenciouse evidenciou se recursos qualidade 29,3 0,0 00 p000 p<0,00 29, 0, p00 p<0,0 p0 p<0, p<0 p<

Objective: to evaluate the Nursing workload and its related factors in the assistance provided to hospitalized women with gynecological and breast cancers, according to the Nursing Activities Scores adapted for cancer patients. Method: a cross-sectional and epidemiological study. The participants were women with gynecological and/or breast cancer, over 18 years of age, and hospitalized for a minimum period of 24 hours. The following was collected from the medical records: sociodemographic and clinical data, Karnofsky Performance Status and workload, according to the adapted Nursing Activities Score. The factors related to workload were analyzed by means of multiple linear regression. Results: the mean Nursing Activities Scores was 29.3%, denoting seven hours of daily care per patient. The factors related to workload differed according to the breast or gynecological cancer diagnosis (β=-0.01; p<0.001), clinical or surgical treatment (β=-0.03; p<0.001) and functional capacity at admission (β=0.07; p<0.001), as per the Karnofsky Performance Status. Conclusion: there was greater workload for the care of women with gynecological cancer undergoing clinical treatment and with lower functional capacity at admission. The findings reveal directions for optimization of resources and improvements in work processes and flows, in order to promote a favorable work environment and good quality assistance. Objective cancers patients Method crosssectional cross sectional study andor 1 age 2 records data Score regression Results 293 29 3 29.3% patient β=0.01 β001 β β= 0.01 0 01 (β=-0.01 p<0.001, p0001 p p<0.001 , 001 β=0.03 β003 0.03 03 (β=-0.03 β=0.07 β007 07 (β=0.07 Conclusion flows 29.3 β=0.0 β00 0.0 (β=-0.0 p000 p<0.00 00 003 (β=0.0 29. β=0. β0 0. (β=-0. p00 p<0.0 (β=0. β=0 (β=-0 p0 p<0. (β=0 (β=- p<0 (β= p< (β

Objetivo: evaluar la carga de trabajo de enfermería y los factores relacionados con la atención de mujeres hospitalizadas con cáncer ginecológico y de mama, según el Nursing Activities Scores adaptado para pacientes oncológicos. Método: estudio epidemiológico y transversal. Participaron mujeres con cáncer ginecológico y/o de mama, mayores de 18 años, hospitalizadas por un período mínimo de 24 horas. De las historias clínicas se recolectaron datos sociodemográficos y clínicos, Karnofsky Performance Status y carga de trabajo, según el Nursing Activity Score adaptado. Los factores relacionados con la carga de trabajo se analizaron mediante regresión lineal múltiple. Resultados: el puntaje promedio del Nursing Activity Scores fue del 29,3%, lo que indica que se brindan siete horas diarias de atención por paciente. Los factores relacionados con la carga de trabajo difirieron según diagnóstico de cáncer de mama o ginecológico (β=-0,01; p<0,001), tratamiento clínico o quirúrgico (β=-0,03; p<0,001) y capacidad funcional al momento del ingreso (β=0,07; p< 0,001), conforme a la escala Karnofsky Performance Status . Conclusión: hubo una mayor carga de trabajo en la atención a mujeres con cáncer ginecológico en tratamiento clínico y con menor capacidad funcional al momento del ingreso. Los hallazgos revelan información útil para optimizar recursos, mejorar procesos y flujos de trabajo, con el fin de promover un ambiente de trabajo favorable y una atención de calidad. Objetivo oncológicos Método transversal yo 1 años 2 clínicos múltiple Resultados 293 29 3 29,3% paciente β=0,01 β001 β β= 0,01 0 01 (β=-0,01 p<0,001, p0001 p p<0,001 , 001 β=0,03 β003 0,03 03 (β=-0,03 β=0,07 β007 07 (β=0,07 0,001, 0001 0,001 0,001) Conclusión recursos calidad 29,3 β=0,0 β00 0,0 (β=-0,0 p000 p<0,00 00 003 (β=0,0 000 0,00 29, β=0, β0 0, (β=-0, p00 p<0,0 (β=0, β=0 (β=-0 p0 p<0, (β=0 (β=- p<0 (β= (β

SUMMARY OBJECTIVE: The coronavirus disease 2019 pandemic that has emerged recently has significantly affected and continues to affect our lives. The Severe Acute Respiratory Syndrome Coronavirus 2 virus has significant effects on women’s health due to gender-related physiological differences. The aim of this study was to compare the menstrual cycle status of young women according to their status of having had coronavirus disease 2019. METHODS: This descriptive cross-sectional study was conducted with 220 young women aged between 18 and 25 years who received at least one dose of coronavirus disease 2019 vaccine. The study data were collected as a survey on the online platform. RESULTS: The descriptive characteristics of young women who had had and had not had coronavirus disease 2019 were distributed homogeneously between the groups (p>0.05). Furthermore, there was no statistical difference in terms of menstrual cycle patterns (p>0.05). The mean scores from the Premenstrual Syndrome Scale and its subscales and the mean scores from the COVID Stress Scale and its subscales were similar in both groups, and no statistically significant difference was identified (p>0.05). CONCLUSION: Although menstrual cycle irregularities due to coronavirus disease 2019 have been reported, these effects are usually observed during the pandemic. A decrease in stress and anxiety with the end of the pandemic may explain the return of the menstrual cycle to normal. OBJECTIVE 201 lives womens s genderrelated gender related differences METHODS crosssectional cross sectional 22 1 vaccine platform RESULTS p>0.05. p005 p p>0.05 . 0 05 (p>0.05) Furthermore CONCLUSION reported normal 20 p00 p>0.0 (p>0.05 p0 p>0. (p>0.0 p>0 (p>0. p> (p>0 (p> (p

Abstract: This article explores the social and cultural dynamics reflected by the decline, revival and variation of the diversified marriage system, considering the context of changes in the social legal environment and social structure of the Qinghai Tibet Plateau, with polygamy as a typical example. The research focuses on the women’s role in it and anticipates the future development of polygamy on the Qinghai Tibet Plateau. The investigation and application of this paper are a re-interpretation of prior studies on gender power and women’s position. From a cross-cultural standpoint, the prevalence and persistence of polyandry refutes the mechanical interpretation of women’s universal subservient role. The emphasis on women’s roles and position in polyandry families seeks to confirm the complexities of gender power and women’s standing in society. Both theoretical concept invention and research path exploration are targeted at moving further into the investigation of similar challenges. The focus and exploration of the female group in polyandry in this article have supplemented prior studies on the women’s status and identified difficulties that need to be addressed. Abstract decline system Plateau example womens women s reinterpretation re crosscultural cross standpoint society challenges addressed

Resumen: Este artículo explora los cambios en el entorno legal cambiante y la estructura social de la sociedad de la meseta Qinghai - Tíbet, la dinámica social y cultural reflejada en el declive, renacimiento y mutación de la poligamia, enfatiza el papel de la mujer en ella y espera con interés el desarrollo futuro de la poligamia en la meseta Qinghai - Tíbet. La exploración y práctica de este artículo es una nueva conceptualización de estudios anteriores sobre el poder de género y la Condición Jurídica y Social de la mujer. La existencia y continuación de la poligamia refuta la comprensión mecánica de la subordinación general de las mujeres desde una perspectiva intercultural, y las características dinámicas, sistemáticas y simbólicas de los roles y estatus de las mujeres en el matrimonio poligámico en la meseta Qinghai - Tíbet verifican la predicción de la tendencia de la investigación sobre el estatus de las mujeres. La preocupación por el papel y la posición de las mujeres en las familias polígamas intenta confirmar la complejidad del poder de género y la posición de las mujeres en la sociedad. Tanto la innovación del pensamiento teórico como la exploración del camino de investigación son para ir más allá en la exploración de problemas similares. Aunque es imposible agotar todos los problemas posibles, la atención y exploración de los grupos de mujeres en el sistema de matrimonio polígamo en este artículo enriquece la visión de los estudios anteriores sobre la Condición Jurídica y Social de la mujer, pero también plantea cuestiones por explorar. Resumen declive intercultural dinámicas similares posibles explorar

SUMMARY OBJECTIVE: It was recently discovered that the microbiota has a significant impact on pregnancy, gynecological, and neonatal health. However, studies indicate that people struggle to understand topics, such as microbiota, microbiome, probiotics, and prebiotics, or comprehend them inaccurately or incompletely. Understanding the human microbiota and probiotics that can regulate the microbiota helps women develop daily habits for both healthy nutrition and health protection. The aim of this study was to assess the microbiota awareness levels of women who are planning pregnancy. METHODS: A cross-sectional descriptive study was carried out on 417 women who were planning pregnancy. Face-to-face interviews and questionnaires were used to collect research data. A microbiota awareness scale was used as a data collection tool. RESULTS: The study found a statistically significant difference in the subdimension scores related to microbiota awareness, general information, product knowledge, chronic disease, and probiotic and prebiotic knowledge based on the educational status of the participants. The study concluded that the participants had a confusion about microbiota awareness, general information, product information, chronic disease, and probiotic and prebiotic subdimensions. Furthermore, it was found that the participants had only a partial understanding of the relationship between microbiota and diseases. CONCLUSION: It is recommended that training programs focusing on the relationship between microbiota and health in women, such as "microbiota and its importance in women's health" and "microbiota and disease relationship," be organized and women would be encouraged to participate in these training programs. OBJECTIVE pregnancy gynecological However topics microbiome prebiotics incompletely protection METHODS crosssectional cross sectional 41 Facetoface Face face tool RESULTS information subdimensions Furthermore diseases CONCLUSION womens s relationship, 4

Resumo: Como uma pérola brilhante na cultura tradicional chinesa, Mulan está profundamente enraizada no coração das pessoas com sua imagem única de heroína feminina. Este trabalho busca retratar a experiência lendária da luta heroica de Hua Mulan, no exército, no lugar de seu pai, e integrar os elementos centrais de família, honra, lealdade, dentre outros, no contexto da cultura oriental, de modo que a história tenha profunda herança cultural. O artigo mostra, em primeiro lugar, o complexo cultural oriental que está claramente refletido em Mulan. As cenas, figurinos, etiqueta e outros detalhes do filme refletem o charme único da China antiga, apresentando ao público um mundo artístico repleto de estética oriental. Além disso, através da personagem Mulan, o filme mostra o alto valor da família, da honra e da lealdade na cultura oriental. Em segundo lugar, explicita que o papel de Mulan incorpora plenamente os valores femininos, no filme. Ela não apenas se juntou corajosamente ao exército, por causa de seu pai, mas também obteve repetidas conquistas no campo de batalha, quebrando as algemas dos estereótipos de gênero. Essa subversão dos papéis tradicionais de gênero destaca o importante estatuto e valor das mulheres, na sociedade, desempenhando um papel na promoção do despertar da consciência feminina, na cultura oriental. Finalmente, o artigo analisa a influência de Mulan na consciência feminina, concluindo que esta desempenha um papel vital na formação e herança da consciência feminina, na cultura oriental. A imagem heroica de Mulan inspira as futuras gerações de mulheres a enfrentarem as dificuldades com coragem e a buscar a autoestima. Ao mesmo tempo, as ações de Mulan, para além das restrições dos papéis sociais tradicionais, também fornecem um modelo para as mulheres concretizarem a independência e a autonomia individuais. Resumo chinesa feminina exército pai família cenas figurinos antiga disso femininos batalha sociedade Finalmente autoestima tempo individuais

Abstract: As a shining pearl in Chinese traditional culture, Mulan is deeply rooted in the people’s hearts with its unique female hero image. This work not only depicts the legendary experience of Hua Mulan’s heroic fighting in the army instead of her father, but also cleverly integrates the family’s core elements and the ones of honor, loyalty and so on under the background of Eastern culture, so that the story has profound cultural heritage. First of all, the Oriental cultural complex is clearly reflected in Mulan. The scenes, costumes, etiquette and other details in the film all reflect the ancient Cinha’s unique charm, presenting the audience with an art world full of Oriental aesthetics. In addition, through Mulan’s character, the film shows the family’s high value and the one of honor and loyalty in Eastern culture. Secondly, Mulan’s role fully embodies female values in the film. He not only bravely joined the army for his father, but also made repeated achievements on the battlefield, breaking the shackles of gender stereotypes. This subversion of traditional gender roles highlights the women’s important status and value in society, and plays a role in promoting the awakening of female consciousness in Eastern culture. Finally, it analyzes Mulan’s influence on female consciousness and finds that it plays a vital role in shaping and inheriting female consciousness in Oriental culture. Mulan’s heroic image inspires women’s future generations to face difficulties bravely and pursue self-worth. At the same time, Mulan’s actions beyond the restrictions of traditional social roles also provide a model for women to realize individual independence and autonomy. Abstract culture peoples people s Mulans father familys family heritage scenes costumes Cinhas Cinha charm aesthetics addition character Secondly battlefield stereotypes womens society Finally selfworth. selfworth self worth. worth self-worth time autonomy

Resumo Objetivo: Este texto é um ensaio que discute o conceito de empreendedorismo feminino a partir da ressignificação posta pela ideia de relações de gênero, em que estas são consideradas como relações assimétricas de poder, abarcando a violência como o resultado desta condição. Nosso argumento se constrói particularmente pela perspectiva de três autores: no pensamento da historiadora Joan Scott, do filósofo Michel Foucault e da filósofa Hannah Arendt. Tese: Suas propostas teóricas nos permitem reconstruir as visões sobre a mulher enquanto uma construção histórica baseada nas relações de poder e controle, e pelo exercício da violência como principal mecanismo de dominação do patriarcado sobre o feminino. Relevância/Originalidade: É assim que argumentamos que o Empreendedorismo Feminino se manifesta em um contexto de violência, já que expressa as diferentes formas de violência contra a mulher enquanto evento socialmente constituído, destacando-se o fato de que, na cultura do capitalismo, empreender é uma atividade de poder e, justamente por isso, costuma ser negada à presença feminina. Contribuição social/gerencial: Em adição, a violência é uma reação à mulher empreendedora e funciona como um recurso não legítimo utilizado pelo agressor para manter o status quo do patriarcado, baseado em uma visão assimétrica de poder e de submissão da mulher ao homem. Por conseguinte, a violência se amplia quanto mais as mulheres se equiparam aos homens nos espaços de poder, sofrendo maior ataque a partir de diferentes formas de violência. Classificação JEL: L26, B54, J71 Objetivo gênero condição autores Scott Arendt Tese controle Relevância/Originalidade RelevânciaOriginalidade Relevância Originalidade constituído destacandose destacando capitalismo isso feminina social/gerencial socialgerencial social gerencial adição homem conseguinte JEL L26 L B54 B J J7 L2 B5

Abstract Objective: to understand the emotional resilience from the entrepreneurship education perspective and from the experience of arts entrepreneurship education. Methodology/approach: Qualitative, inductive and narrative methods. Use of different sources of information (documents, direct observation, videos and semi-structured interviews) and narrative analysis. Main results: Conceptual elaboration of four emotionally challenging educational contexts and five educational practices for the development of emotional resilience. Theoretical/methodological contributions: We propose new reflections on the contexts and practices in the context of entrepreneurial education, as well as specific reflections on the field of entrepreneurial education in the arts, thus stimulating a more current, sophisticated and comprehensive entrepreneurial education, in which the ability to be emotionally resilient becomes a priority. Relevance/originality: Despite the importance of emotional resilience for entrepreneurship, the topic was underestimated by research on entrepreneurial education. Social contributions: By stimulating the conceptual refinement of entrepreneurial education based on the concept of emotional resilience, we contribute to the advancement of research on entrepreneurship, to the practice of artistic entrepreneurship and to the development of the creative economy. JEL classification: L26, B54, J71 Objective Methodology/approach Methodologyapproach Methodology approach Qualitative methods documents, documents (documents observation semistructured semi structured interviews analysis results Theoreticalmethodological Theoretical methodological contributions current priority Relevance/originality Relevanceoriginality Relevance originality economy classification L26 L B54 B J J7 L2 B5

RESUMEN Objetivo. Calcular la fracción atribuible poblacional a nivel nacional y regional y el número de casos de anemia que podrían prevenirse para tres factores de riesgo nutricional (deficiencia de hierro, folato eritrocitario y vitamina B12) en las mujeres en edad reproductiva en Belice. Metodología. Se llevó a cabo una encuesta probabilística nacional sobre características de los hogares y micronutrientes en la que se recopiló información sociodemográfica y de salud de 937 mujeres beliceñas no embarazadas de entre 15 y 49 años. Se extrajeron muestras de sangre para determinar los niveles de hemoglobina, ferritina, alfa–1–glucoproteína, folato eritrocitario y vitamina B12. En todos los análisis se emplearon ponderaciones muestrales y variables calculadas para tener en cuenta que se trataba de una encuesta con una muestra compleja. Se estimaron mediante regresión logística las razones de riesgos de prevalencia ajustados, que posteriormente se utilizaron para calcular la fracción atribuible poblacional con respecto a la anemia a nivel nacional y regional. Resultados. La prevalencia global de la anemia (hemoglobina <12 g/dl) fue del 21,2% (IC del 95%: 18,7–25,3). La prevalencia de la anemia fue significativamente mayor en las mujeres con ferropenia (59,5%, IC del 95%: 48,7–69,5) que en las que no tenían ferropenia (15,2%, IC del 95%: 12,2, 18,3); razón de riesgos de prevalencia ajustados = 3.9, IC del 95%; 2,9–5,1). Las tres deficiencias nutricionales examinadas explicaban al 34,6% (IC del 95%: 22,1–47,1) de los casos de anemia. Se estima que si pudieran eliminarse todas estas deficiencias nutricionales, se prevendrían unos 5953 (IC del 95%: 3807–8114) casos de anemia. Conclusiones. Los resultados de este estudio sugieren que los casos de anemia en las mujeres en edad reproductiva de Belice podrían reducirse en un tercio si se pudieran eliminar tres factores de riesgo nutricionales modificables (deficiencias de hierro, folato eritrocitario y vitamina B12). Una posible estrategia para mejorar el estado nutricional y reducir la carga de la anemia en este grupo poblacional es en el enriquecimiento de los alimentos con suplementos.

ABSTRACT Objective. To estimate the national and regional population attributable fraction (PAF) and potential number of preventable anemia cases for three nutritional risk factors (iron, red blood cell folate [RBCF], and vitamin B12 deficiencies) among women of childbearing age in Belize. Methods. A national probability-based household and micronutrient survey capturing sociodemographic and health information was conducted among 937 nonpregnant Belizean women aged 15–49 years. Blood samples were collected to determine hemoglobin, ferritin, alpha-1-glycoprotein (AGP), RBCF, and vitamin B12 status. All analyses used sample weights and design variables to reflect a complex sample survey. Logistic regression was used to determine adjusted prevalence risk (aPR) ratios, which were then used to estimate national and regional PAF for anemia. Results. The overall prevalence of anemia (hemoglobin <12 g/dL) was 21.2% (95% CI [18.7, 25.3]). The prevalence of anemia was significantly greater among women with iron deficiency (59.5%, 95% CI [48.7, 69.5]) compared to women without iron deficiency (15.2%, 95% CI [12.2, 18.3]; aPR 3.9, 95% CI [2.9, 5.1]). The three nutritional deficiencies examined contributed to 34.6% (95% CI [22.1, 47.1]) of the anemia cases. If all these nutritional deficiencies could be eliminated, then an estimated 5 953 (95% CI [3 807, 8 114]) anemia cases could be prevented. Conclusions. This study suggests that among women of child-bearing age in Belize, anemia cases might be reduced by a third if three modifiable nutritional risk factors (iron, RBCF, and vitamin B12 deficiencies) could be eliminated. Fortification is one potential strategy to improve nutritional status and reduce the burden of anemia in this population.

RESUMO Objetivo. Estimar a fração atribuível populacional (FAP) nacional e regional e o potencial número de casos preveníveis de anemia para três fatores de risco nutricionais (deficiência de ferro, ácido fólico eritrocitário e vitamina B12) entre mulheres em idade fértil em Belize. Métodos. Realizou-se um inquérito probabilístico domiciliar nacional sobre micronutrientes, que coletou informações sociodemográficas e de saúde de 937 mulheres belizenhas não grávidas com idade entre 15 e 49 anos. Coletaram-se amostras de sangue para dosagem de hemoglobina, ferritina, alfa-1-glicoproteína (AGP), ácido fólico eritrocitário e vitamina B12. Todas as análises usaram variáveis de delineamento e ponderações amostrais para refletir um inquérito amostral complexo. Aplicou-se regressão logística para determinar razões ajustadas de risco de prevalência (RPa), que foram usadas para estimar a FAP nacional e regional para anemia. Resultados. A prevalência geral de anemia (hemoglobina <12 g/dL) foi de 21,2% (IC 95% [18,7–25,3]). A prevalência de anemia foi significativamente maior em mulheres com deficiência de ferro (59,5%, IC 95% [48,7–69,5]) que em mulheres sem deficiência de ferro (15,2%, IC 95% [12,2–18,3]); RPa 3,9, IC 95% [2,9–5,1]). As três deficiências nutricionais analisadas contribuíram para 34,6% (IC 95% [22,1–47,1]) dos casos de anemia. Caso se eliminassem todas essas deficiências nutricionais, seria possível evitar cerca de 5.953 (IC 95% [3.807–8.114]) casos de anemia. Conclusões. Este estudo sugere que, nas mulheres belizenhas em idade fértil, os casos de anemia poderiam ser reduzidos em um terço caso fosse possível eliminar três fatores de risco nutricionais modificáveis (deficiência de ferro, ácido fólico eritrocitário e vitamina B12). A fortificação é uma possível estratégia para melhorar o estado nutricional e reduzir a carga de anemia nessa população.

ABSTRACT: Lymph node status is considered an important clinical prognostic factor in canine mammary carcinomas and women’s breast neoplasms. However, occult isolated tumor cells (ITCs) can be missed during hematoxylin and eosin (HE) analyses. Immunohistochemistry (IHC) for cytokeratin can be used to detect carcinomatous occult ITCs in mammary drainage lymph nodes. However, brown pigments, such as hemosiderin and ceroid in lymph nodes, may hinder the search for occult metastases by IHC utilizing DAB (3,3′-diaminobenzidine) as the chromogen. The aim of this study was to identify ITCs in canine lymph nodes of cases in which it was not detectable by routine HE evaluation through IHC for cytokeratin (AE1/AE3) combined with histochemistry techniques, such as Perls’ Prussian blue and periodic acid-Schiff (PAS), to improve the detection of occult metastases when hemosiderin and ceroid were present in these lymph nodes. For this, 25 tubulopapillary mammary carcinomas with their respective submitted 29 regional lymph nodes, previously given as free of tumor cells by HE analyses, were selected. Mammary tumors were graduated, and vascular invasion was investigated in these tumors. The submitted lymph nodes were reevaluated in HE, looking for occult metastases. IHC for cytokeratin (AE1/AE3) was used to detect occult metastases in mammary lymph nodes. Subsequently, a combined technique of IHC with Perl’s Prussian blue (for hemosiderin) or PAS (for ceroid) was performed to optimize the detection of ITCs by IHC, distinguishing them from pigments. Occult metastases were classified by their microanatomical location in subcapsular, cortical and medullary. Hemosiderin and ceroid were searched in lymph nodes and quantified as low, moderate, or high. The amount of pigments with a percentage of ITCs was also compared. Isolated tumor cells were found in 24.1% (7/29) of mammary lymph nodes. These ITCs were located mainly in subcapsular sinuses (4/7; 57.1%), followed by cortical (2/7; 28.5%) and medullary sinuses (1/7; 14.3%). There were concomitant lymph nodes with ITCs in 33.4% (2/6) of cases with vascular invasion. Hemosiderin and ceroid were present in about 90% of the 29 lymph nodes analyzed. In 42.8% (3/7) of lymph nodes with ITCs, hemosiderin and/or ceroid were in the same location as ITCs. It was found that lymph nodes in which ITCs were detected also present high amounts of hemosiderin (3/7; 42.9%) and low amounts of ceroid (5/7; 71.4%). In this study, IHC for cytokeratin (AE1/AE3) was an efficient method to detect occult tumor cells. IHC combined with Perls’ Prussian blue or with PAS proved to be a helpful way to investigate the presence of occult metastases in the lymph nodes of mammary canine tumors. It allowed distinguishing hemosiderin and ceroid, respectively, from ITCs in the same slide of IHC (immunostained by DAB), favoring a more accurate analysis by pathologists, which can be useful for the oncological staging of these patients. ABSTRACT womens women s neoplasms However (ITCs (HE analyses (IHC 3,3′diaminobenzidine 33diaminobenzidine diaminobenzidine 3,3′ 3 (3,3′-diaminobenzidine chromogen AE1/AE3 AE1AE3 AEAE AE1 AE3 AE (AE1/AE3 techniques Perls acidSchiff acid Schiff PAS, , (PAS) 2 selected graduated Subsequently Perl moderate compared 241 24 1 24.1 7/29 729 7 (7/29 4/7 47 4 (4/7 57.1%, 571 57.1% 57 57.1%) 2/7 27 (2/7 28.5% 285 28 5 1/7 17 (1/7 14.3%. 143 14.3% . 14 14.3%) 334 33 33.4 2/6 26 6 (2/6 90 analyzed 428 42 8 42.8 3/7 37 (3/7 andor 42.9% 429 9 5/7 (5/7 71.4%. 714 71.4% 71 71.4%) respectively immunostained DAB, DAB) pathologists patients 3,3 AE1/AE AE1AE (AE1/AE (PAS 24. 7/2 72 (7/2 4/ (4/ 57.1 2/ (2/ 28.5 1/ (1/ 14.3 33. 42. 3/ (3/ 42.9 5/ (5/ 71.4 3, 7/ (7/ (4 57. (2 28. (1 14. (3 (5 71. (7 (

RESUMO: O status nodal é considerado um importante fator prognóstico clínico em cães com carcinomas mamários e em mulheres com neoplasmas mamários. No entanto, durante a análise histopatológica convencional (coloração de hematoxilina e eosina - HE), células neoplásicas podem permanecer ocultas no linfonodo. Imuno-histoquímica (IHQ) para citoqueratina pode ser utilizada para detectar células carcinomatosas isoladas ocultas em linfonodos de drenagem mamária. Entretanto, a presença de pigmentos marrons, como a hemossiderina e o ceroide em linfonodos, pode dificultar a procura por metástases ocultas durante a análise por IHQ utilizando o DAB (3,3′-diaminobenzidina) como cromógeno. O objetivo deste estudo foi identificar células tumorais isoladas (CTIs), não detectadas pela avaliação de rotina (HE), em linfonodos de cães, através de IHQ para citoqueratina (AE1/AE3) combinada com técnicas histoquímicas, como azul da Prússia e ácido periódico Schiff (PAS), para otimizar a detecção de metástases ocultas, quando os pigmentos hemossiderina e ceroide estavam presentes nos linfonodos. Para esta finalidade, 25 carcinomas mamários túbulo-papilares com seus respectivos 29 linfonodos regionais remetidos, previamente diagnosticados como livres de células neoplásicas pelo HE foram selecionados. Os tumores mamários foram graduados e a presença de invasão vascular foi investigada nestes tumores. Os linfonodos submetidos foram reavaliados histologicamente no HE, à procura de metástases ocultas. IHQ para citoqueratina (AE1/A3) foi utilizada para detectar metástases ocultas nos linfonodos mamários. Subsequentemente, técnicas combinadas de IHQ com azul da Prússia (para hemossiderina) ou PAS (para ceroide) foram realizadas para otimizar a detecção de CTIs através da IHQ, distinguindo-as dos pigmentos. As metástases ocultas foram classificadas pela sua região microanatômica nodal em subcapsular, cortical e medular. Hemossiderina e ceroide foram identificados no linfonodo e classificados de acordo com sua quantidade em baixa, moderada e alta. Também foram comparadas a quantidade de pigmentos com a porcentagem de CTIs. Foram encontradas CTIs em 24,1% (7/29) dos linfonodos mamários. Estas CTIs estavam localizadas principalmente em seios subcapsulares (4/7; 57,1%), seguido pela cortical (2/7; 28,5%) e seios medulares (1/7; 14,3%). Em 33,4% (2/6) dos casos com invasão vascular havia, concomitantemente, linfonodos de drenagem com CTIs. Hemossiderina e ceroide estavam presentes em cerca de 90% dos 29 linfonodos analisados. Em 42,8% (3/7) dos linfonodos com CTIs, hemossiderina e/ou ceroide estavam na mesma localização das CTIs. Os linfonodos que apresentaram CTIs também apresentavam grande quantidade de hemossiderina (3/7; 42,9%) e pequena quantidade de ceroide (5/7; 71,4%). Neste estudo, IHQ para citoqueratina (AE1/AE3) foi um método eficiente para detecção de células tumorais ocultas. A técnica combinada de IHQ com azul da Prússia ou com o ácido periódico de Schiff (PAS) mostrou ser uma maneira útil de investigar a presença de metástases ocultas em linfonodos de cães com tumores mamários caninos, distinguindo a hemossiderina e o ceroide, respectivamente, de CTIs na mesma lâmina de IHQ (imunomarcadas por DAB), favorecendo uma análise mais acurada pelos patologistas, o que pode ser útil no estadiamento oncológico destes pacientes. RESUMO entanto coloração , HE) Imunohistoquímica Imuno histoquímica (IHQ mamária Entretanto marrons 3,3′diaminobenzidina 33diaminobenzidina diaminobenzidina 3,3′ 3 (3,3′-diaminobenzidina cromógeno (CTIs) (HE) AE1/AE3 AE1AE3 AEAE AE1 AE3 AE (AE1/AE3 histoquímicas PAS, finalidade 2 túbulopapilares túbulo papilares remetidos selecionados AE1/A3 AE1A3 AEA A3 (AE1/A3 Subsequentemente distinguindoas as subcapsular medular baixa alta 241 24 1 24,1 7/29 729 7 (7/29 4/7 47 4 (4/7 57,1%, 571 57,1% 57 57,1%) 2/7 27 (2/7 28,5% 285 28 5 1/7 17 (1/7 14,3%. 143 14,3% . 14 14,3%) 334 33 33,4 2/6 26 6 (2/6 havia concomitantemente 90 analisados 428 42 8 42,8 3/7 37 (3/7 eou 42,9% 429 9 5/7 (5/7 71,4%. 714 71,4% 71 71,4%) (PAS caninos respectivamente imunomarcadas DAB, DAB) patologistas pacientes 3,3 (CTIs (HE AE1/AE AE1AE (AE1/AE AE1/A AE1A (AE1/A 24, 7/2 72 (7/2 4/ (4/ 57,1 2/ (2/ 28,5 1/ (1/ 14,3 33, 42, 3/ (3/ 42,9 5/ (5/ 71,4 3, 7/ (7/ (4 57, (2 28, (1 14, (3 (5 71, (7 (