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Natural disasters are frequent occurrences worldwide and can influence fertility preferences. This study aimed to assess the impact of disaster preparedness training on the disaster readiness levels of women of reproductive age and their fertility and childbearing attitudes.
Methods
The study employed a classic experimental design with a pre-test and post-test control group. The sample consisted of women of reproductive age in Turkey, determined through the G-Power 3.1.9.7 program, with intervention (n = 88) and control (n = 88) groups totaling 176 participants. Data were collected using a “Preliminary Evaluation Form,” “Descriptive Information Form,” “Disaster Preparedness Scale (DPS),” and “Attitudes Toward Fertility and Childbearing Scale (AFCS).”
Results
In the intervention group, the post-test scores significantly increased for the DPS and the AFCS sub-scale on the importance of fertility for the future (P<0.05).
Conclusions
The study found that disaster preparedness training provided to women of reproductive age improved their disaster readiness levels. Following the training, the women’s knowledge about physical protection during disasters, assistance in disasters, and disaster warnings and systems also increased. Additionally, the training enhanced the positive attitudes of these women toward childbearing.
This chapter charts the processes by which deceptive sex came to be regarded as potentially constituting rape. Through tracing these developments, the chapter shows how doctrinal features of the law, such as the way consent and deception are thought to be related and the modes of deception punished by law, were important to this process. Yet the chapter also argues that to fully appreciate how and why the changes occurred, it is necessary to pay attention to the array of interests the law has sought to protect and how these have shaped the range of topics of deception that might ground a charge of rape. This argument leads to the conclusion that, in the context of deceptive sex, deception has not been considered wrongful because it invalidates or precludes consent, as is commonly thought; rather, deception has invalidated or precluded consent because it has sometimes been considered wrongful. The chapter ends by introducing some reasons why this insight is important to ongoing debates regarding the criminalisation of deceptive sex.
This chapter summarises the overarching narrative of this book and argues that as was as being intrinsically valuable it can inform contemporary debates about using law to regulate the practices of inducing intimacy. The discussion is organised around three sets of issues: the public and private dimensions of sex and intimate relationships, including the interests protected by law, the form of response (i.e., state or non-state), and the variety of legal response (i.e., public or private); the structure of legal responses, the meaning of consent and its relation to deception, targeted modes of deception, culpability matters, the requirement for a causal link between deception and ‘outcome’, and the temporalities of the legal wrong; and the substance of deceptions, including the dynamics governing the range of topics about which transparency has been expected. Drawing the discussion together, the chapter concludes by offering a new framework for constructing legal responses to deceptively induced intimacy, which builds on the core insight and these responses have historically been predicated on temporally sensitive associations between self-construction and intimacy.
This paper examines how the number of siblings that parents have affects their fertility decisions in China. The population control policies in China affected individuals unequally across birth cohorts and regions. The exogenous variation in fertility is used to identify the effect of the number of siblings on the number of children for the next generation. The results show that a couple tends to have 0.034–0.068 more children (2.3–4.6% of the average number of children) and is 2.4–6.8 percentage points more likely to violate the One-Child Policy (9.3–27.1% of the violation rate) if the husband and the wife have one more sibling each. Moreover, the effect on fertility is stronger for couples in lower-income provinces where the fertility rate is higher and in rural areas where the One-Child Policy was enforced less strictly. Finally, I show that the ideal family size of the husband and wife is an important channel through which the number of siblings affects fertility. I also find that the effect of people's number of siblings has a larger effect on their ideal number of children than on their actual number of children, suggesting that they are constrained from achieving their fertility ideals.
Guided by concepts from life history (LH) theory, a large human research literature has tested the hypothesis that exposures to extrinsic mortality (EM) promote the development of faster LH strategies (e.g., earlier/faster reproduction, higher offspring number). A competing model proposes that, because EM in the past was intimately linked to energetic constraints, such exposures specifically led to the development of slower LH strategies. We empirically address this debate by examining (1) LH variation among small-scale societies under different environmental conditions; (2) country-, regional- and community-level correlations between ecological conditions, mortality, maturational timing, and fertility; (3) individual-level correlations between this same set of factors; and (4) natural experiments leveraging the impact of externally-caused changes in mortality on LH traits. Partially supporting each model, we found that harsh conditions encompassing energetic stress and ambient cues to EM (external cues received through sensory systems) have countervailing effects on the development of LH strategies, both delaying pubertal maturation and promoting an accelerated pace of reproduction and higher offspring number. We conclude that, although energetics are fundamental to many developmental processes, providing a first tier of environmental influence, this first tier alone cannot explain these countervailing effects. An important second tier of environmental influence is afforded by ambient cues to EM. We advance a 2-tiered model that delineates this second tier and its central role in regulating development of LH strategies. Consideration of the first and second tier together is necessary to account for the observed countervailing shifts toward both slower and faster LH traits.
Edited by
Laurie J. Mckenzie, University of Texas MD Anderson Cancer Center, Houston,Denise R. Nebgen, University of Texas MD Anderson Cancer Center, Houston
Thyroid cancer is one of the most prevalent endocrine malignancies worldwide, with increasing incidence rates over the past few decades. Thyroid cancer has a higher prevalence in women, and therefore, careful consideration of gynecologic factors is crucial aspect of its management and care. We discuss the epidemiology, risk factors, and management strategies for common types of thyroid cancer generally and particularly in women. Comprehensive care that integrates oncological and gynecologic management is crucial to optimize outcomes for women with thyroid cancer. Further research is needed to better understand the interplay between thyroid cancer and gynecologic health, and to develop tailored approaches to address the specific needs of this patient population.
Molybdenum (Mo) is an essential micronutrient for plants. However, Mo status in Sri Lankan paddy fields as affected by climate and soil is not known. This study was conducted to (i) determine the distribution of exchangeable Mo concentration, and (ii) examine the interactive effects of the agro-climatic zone (ACZ), soil order, water source, and their interactions in determining exchangeable Mo concentration in lowland paddy fields of Sri Lanka. A total of 3,719 soil samples representing six ACZs, six soil orders, and three water sources were collected using a stratified random sampling approach. Exchangeable Mo concentration was determined after extracting in 0.01 M CaCl2 solution and detected using inductively coupled plasma-mass spectrometry. Soil Mo concentration varied in the range of 0.01 to 245 µg kg−1 with a mean of 25.9 µg kg−1. Samples collected from the Wet zone, particularly Wet zone Low country, had higher Mo concentrations than those reported in other ACZs. Among the soil orders tested, Histosols had a higher Mo concentration while that in other soil orders was similar. Rainfed paddy fields had more Mo than supplementary irrigated paddy fields. Spatial maps were generated to visualise the geographical variation in soil Mo concentration. Due to the presence of a spatial heterogeneity of exchangeable Mo concentration, it is important to implement ACZ, soil, and water source-based strategies to improve Mo status in Sri Lankan paddy fields.
This chapter discusses social concepts, notions and assumptions that prevailed in the ancient Near East concerning human sexuality. Its introduction supplies chronological, geographical, and cultural definitions to explicate what is meant by the term ‘ancient Near East’, and expands on the sources of information used in the chapter, their contributions and limitations. The introduction also elaborates on the categories and aspects of human sexuality discussed in the chapter. Subsequently, the chapter is organized thematically. Each theme focuses on a specific category of sexuality, which is discussed according to the pertinent sources of information available to us, including legal, literary, cultic, and others. The categories surveyed in the chapter are: Sex and Reproduction, Sex and the Body, Gender Norms and Inequality, Sex and Marriage, Sex and Slavery, Sex and Politics, Sex and Religious and Cultic Practices, and Sex and Criminal Law. The chapter demonstrates how different textual genres reflect the role of sexuality in ancient Near Eastern societies: official law regulated sexual behaviour, literary texts echoed social norms, and cultic texts related to a variety of matters that involved human sexuality. The chapter highlights topics such as male privilege and gender inequality, social hierarchy, and cultural differentiation.
This chapter discusses the teachings of the rabbinic sages in Late Antiquity who worked in fundamental ways with the biblical traditions transmitted to and by them. The Hebrew Bible, whose precise shape was still under discussion in the first century CE, provided the rabbinic sages with ancient normative and legal traditions that they reinterpreted and expanded. The large archive of rabbinic traditions provides us with a tremendous wealth of representations of sexual practices, desires, and discourses, often in tension with each other, that reverberate throughout Jewish history. It further provides a framework and language for contemporary Jewish discourses of sexuality, including newly emerging identities, individual and communal, specifically for Jewish LGBTQ+ people. Three topics out of many possible have been selected for this chapter: obligations of marriage, reproduction, and same-sex and queer sexualities. They represent three topics of perennial debate in Jewish traditions around the world. For each, rabbinic texts and especially the Talmud have played a pre-eminent role in shaping the debates over the centuries.
Maternal intermittent fasting (MIF) can have significant effects on several tissue and organ systems of the body, but there is a lack of research on the effects on the reproductive system. So, the aim of our study was to analyze the effects of MIF on fertility. B6C3F1Crl (C57BL/6N × C3H/HeN) male and female mice were selected for the first part of the experiments and were analyzed for body weight and fat weight after administration of the MIF intervention, followed by analysis of sperm counts and activation and embryo numbers. Subsequently, two strains of mice, C57BL/6NCrl and BALB/cJRj, were selected and administered MIF to observe the presence or absence of vaginal plugs for the purposes of mating success, sperm and oocyte quality, pregnancy outcome, fertility status and in vitro fertilization (IVF). Our results showed a significant reduction in body weight and fat content in mice receiving MIF intervention in B6C3F1Crl mice. Comparing the reproduction of the two strains of mice. However, the number of litters was increased in all MIF interventions in C57BL/6NCrl, but not statistically significant. In BALB/cJRj, there was a significant increase in the number of pregnant females as well as litter size in the MIF treatment group, as well as vaginal plugs, and IVF. There was also an increase in sperm activation and embryo number and the MIF intervention significantly increased sperm count and activation. Our results suggest that MIF interventions may be beneficial for reproduction in mice.
Semen sexing is among one of the most remarkable inventions of the past few decades in the field of reproductive biotechnology. The urge to produce offspring of a desired sex has remained since traditional times. Researchers have tried many methods for accurate semen sexing, but only the flow cytometry method has proved to be effective for commercial utilization. However, there were always concerns about the effects of sexed semen, especially on fertility and the rate of genetic gain. Some concerns were genuine because of factors such as low semen dosage in sexed semen straws and damage to sperm during the sorting process. Various researchers have conducted numerous studies to find out the effect of sexed semen on fertility and, in this article, we reflect on their findings. Initially, there were comparatively much lower conception rates (∼70% of conventional semen) but, with refinement in technology, this gap is bridging and the use of sexed semen will increase over time. Concerning genetic gain with use of sexed semen, a positive effect on rate of genetic progress with the use of sexed semen has been observed based on various simulation studies, although there has been a mild increase in inbreeding.
This paper examines the impact of female education on fertility outcomes by using the Universal Primary Education (UPE) program in Malawi as a natural experiment. The finding indicates that the UPE policy improves rural women's educational attainment by 0.42 years and an additional year of female education decreases women's number of children ever born and the number of living children by 0.39 and 0.34, respectively. An analysis of potential mechanisms suggests that the decreased fertility rates are likely driven by the reduction in women's fertility preferences, the postponement of marriage, and the delay of motherhood. Contrarily, the study finds no evidence that increased female education affects women's labor force participation and the use of modern contraception.
Edited by
Jeremy Koster, Max Planck Institute for Evolutionary Anthropology, Leipzig,Brooke Scelza, University of California, Los Angeles,Mary K. Shenk, Pennsylvania State University
At its core, human behavioral ecology is a demographic science. Its central currency – fitness – is defined by demographic parameters, as are many outcomes of interest to behavioral ecologists. This chapter introduces the basic parameters that define the field of demography, emphasizing their utility both for testing hypotheses of interest to behavioral ecologists and for describing the ecological contexts that situate behaviors. The chapter is structured along the lines of many demography textbooks, describing fertility, mortality, and migration – the three key parameters used to understand population structure and change. We describe how these parameters relate to evolutionary fitness and how each may be used as predictors or outcomes in hypothesis testing in behavioral ecology. Given the importance of using demographic outcomes to test human behavioral ecological theory, the chapter concludes that human behavioral ecologists strongly benefit from familiarity with demographic methods, data sources, and literature. Familiarity with demography can also produce insights that contribute to novel, or more nuanced, theory.
Familial twinning and fertility traits were investigated in Nigerian mothers of dizygotic (DZ) twins (MoDZT; N = 972) and controls (N = 525) who responded to our person-to-person interview, which included questions on pregnancy history and family history of DZ twinning. Controls were defined as women who are not twins themselves and do not have twins in their first-degree relatives. Over 95% of the participants were Yoruba. We found that Nigerian MoDZT had an average of 4.0 (±2.6) pairs of twins among their relatives, and of these, the prevalence of DZ twins was significantly higher than that of monozygotic (MZ) twins (45.9% vs. 25.8%). Controls had an average of 0.5 (±0.4) pairs, and over 95% of the controls had no twins in their relatives. These results suggest genetic influences on DZ twinning in Nigerians. MoDZT were significantly younger in their mean age at first child, and had higher parity than controls, suggesting increased fertility in MoDZT. As compared to mothers with a single set of twins, mothers (N = 130) with multiple sets had significantly more twins among their relatives (5.4 pairs vs. 3.7 pairs) and had their first twins at a younger age (28.4 vs. 30.7 years), indicating that mothers with multiple sets of twins might have higher genetic propensity for twinning associated with earlier age at twin pregnancy. Our findings argue for genomewide association studies for DZ twinning in Nigerians, and may help to develop intervention strategies to overcome infertility/subfertility problems.
Every year, more than 600,000 persons with cervixes end up with cervical cancer. Without treatment, these people will die. And yet, treatment for cervical cancer remains is scarce enough in lower-income countries to typically make a cervical cancer diagnosis a terminal one. Women who can’t afford to travel for their treatment are left to die painful, lonely deaths, stigmatized, and with next-to-no palliative care. In higher-income countries, surgery, radiation, chemotherapy, as well as immunotherapy can prolong or even save lives. But these treatments can be arduous and even torturous, with life-altering consequences, such as loss of fertility and physical disfigurement, along with chronic or debilitating health conditions and radical lifestyle changes. In affluent regions, treatment is often seen as a last-ditch option, while marginalized women around the globe consider it a luxury. Cervical cancer prevention is the most cost-effective, sustainable, and humane approach toward eliminating the disease. But until treatment can be offered equitably alongside prevention, thousands more will suffer and die.
Demographic transitions are defining events for human societies, marking shifts from natural mortality and fertility rates to the low rates seen in industrialised populations. These transitions can affect trait evolution through altering the direction and strength of selection when variance in fertility and mortality decline. One key feature of human evolution is the evolution of extended post-reproductive life through indirect fitness benefits from grandmothering. Although studies in pre- and post-transition societies have documented beneficial grandmother presence, it remains unknown whether these associations changed before, during, or after the transition. Here, we use genealogical data from eighteenth- to twientieth-century Finland to show grandmother-associated changes of two measures of evolutionary fitness (grandchild survival and birth rate) over the transition. We find that grandmothers had greater opportunity to help as the transition progressed, but their effect on grandchild survival declined alongside general mortality rates, implying that selection on lifespan from grandmothering declined too. Whilst grandmother presence was still associated with reduced birth intervals and hence more grandchildren born post-transition, the nature of this relationship changed greatly. This suggests that although potential for intergenerational interactions increased over the demographic transition, the (hypothesised) evolutionary importance of these interactions declined, which reduced selection for extended post-reproductive lifespan.
Calcium and vitamin D have well-established roles in maintaining calcium balance and bone health. Decades of research in human subjects and animals have revealed that calcium and vitamin D also have effects on many other organs including male reproductive organs. The presence of calcium-sensing receptor, vitamin D receptor, vitamin D activating and inactivating enzymes and calcium channels in the testes, male reproductive tract and human spermatozoa suggests that vitamin D and calcium may modify male reproductive function. Functional animal models have shown that vitamin D deficiency in male rodents leads to a decrease in successful mating and fewer pregnancies, often caused by impaired sperm motility and poor sperm morphology. Human studies have to a lesser extent validated these findings; however, newer studies suggest a positive effect of vitamin D supplementation on semen quality in cases with vitamin D deficiency, which highlights the need for initiatives to prevent vitamin D deficiency. Calcium channels in male reproductive organs and spermatozoa contribute to the regulation of sperm motility and capacitation, both essential for successful fertilisation, which supports a need to avoid calcium deficiency. Studies have demonstrated that vitamin D, as a regulator of calcium homoeostasis, influences calcium influx in the testis and spermatozoa. Emerging evidence suggests a potential link between vitamin D deficiency and male infertility, although further investigation is needed to establish a definitive causal relationship. Understanding the interplay between vitamin D, calcium and male reproductive health may open new avenues for improving fertility outcomes in men.
Female fertility is a complex trait with age-specific changes in spontaneous dizygotic (DZ) twinning and fertility. To elucidate factors regulating female fertility and infertility, we conducted a genome-wide association study (GWAS) on mothers of spontaneous DZ twins (MoDZT) versus controls (3273 cases, 24,009 controls). This is a follow-up study to the Australia/New Zealand (ANZ) component of that previously reported (Mbarek et al., 2016), with a sample size almost twice that of the entire discovery sample meta-analysed in the previous article (and five times the ANZ contribution to that), resulting from newly available additional genotyping and representing a significant increase in power. We compare analyses with and without male controls and show unequivocally that it is better to include male controls who have been screened for recent family history, than to use only female controls. Results from the SNP based GWAS identified four genomewide significant signals, including one novel region, ZFPM1 (Zinc Finger Protein, FOG Family Member 1), on chromosome 16. Previous signals near FSHB (Follicle Stimulating Hormone beta subunit) and SMAD3 (SMAD Family Member 3) were also replicated (Mbarek et al., 2016). We also ran the GWAS with a dominance model that identified a further locus ADRB2 on chr 5. These results have been contributed to the International Twinning Genetics Consortium for inclusion in the next GWAS meta-analysis (Mbarek et al., in press).
The examination of the human ejaculate constitutes a complicated branch of medical laboratory science. To understand the complexity of the human ejaculate knowledge about the physiology and pathology is facilitating. It is also essential to understand that the main value of ejaculate examination is the information that can be obtained on the functional capacity of the male reproductive organs. Still, the main focus has for a long time only been on the prognostic value for the outcome of the fertility of the couple. In this chapter the focus is on how the functional capacity of the male reproductive trace can reflect in the ejaculate examined in the laboratory. Important principles for reliable laboratory techniques for ejaculate volume, sperm concentration and sperm count, sperm motility, sperm vitality, and sperm morphology are described with requirements for reliability, assessment of uncertainties, need for staff training, internal quality control, and interlaboratory comparisons (external quality control).
Paternal age is increasing with time. Increasing evidence suggests that a man’s reproductive health changes with age. A man’s fertility may decline as he ages with evidence of an association with unassisted and assisted conception. In addition, there are risks to the pregnancy and child for older fathers. While the definition of advanced paternal age remains uncertain, the consequences of paternal age are becoming more quantifiable.