Background: Female genital mutilation/cutting (FGM/C) is a common sociocultural practice in many communities in Africa. Unfortunately, what females are forced to accept because they are helpless, in order to be an individual in social life and in the country they live in, is an important health issue that is not only harmful to the human body but also against human rights. Objectives: This study aimed to investigate the wishes, knowledge and attitude of Somali women regarding FMG/C. Methods: From 16 regions of Somalia, 356 women were randomly selected. A structured and interviewer-administered questionnaire was used to collect data. Results: Except for one, all women participating in the survey were circumcised. A significant proportion of women embraced the continuation of FGM/C (52%) and 54.2% of them were satisfied with being FMG/C. Their knowledge, attitude, and practices were shaped by their religion and traditions. However, the proportion of those who wanted to stop FGM/C was 91%. Conclusions: Further efforts and research from different countries, cultures, beliefs, organizations, and individuals focusing on knowledge, awareness, legalization, and the opinions of lay and religious individuals, particularly including women’s rights activists, and women with FGM/C, are needed to stop FGM/C, also known as female circumcision.
To the best of our knowledge, this study is the first to evaluate the effect of environmental factors on SG formation. Moreover, our study group is one of the largest in the published work. Environmental factors can affect the formation of striae gravidarum. Further studies with different ethnic groups are needed.
We determined the role of mean platelet volume (MPV) and platelet distribution width (PDW) in the prediction of placental abruption (PA) prior to caesarean section. Data obtained between January 2011 and July 2014 from patients (n = 33) with PA and healthy control subjects (n = 67) matched for age- and gestation-stage were analysed. Pre-operative and post-operative MPV and PDW were significantly different between the PA and control groups when cut-off values for MPV were set at 9.23; sensitivity at 87.8% and specificity at 46.2%; positive predictive value (PPV) at 48.3%; and negative predictive value (NPV) at 90.0%. When the cut-off value for PDW was set at 18.5, the sensitivity was 100% and specificity 71.6%, PPV 40.7% and NPV 59.3% for the prediction of PA. MPV and PDW levels were significantly higher in cases of PA. These results suggest that clinical evaluation of MPV and PDW displays reasonable sensitivity and specificity as a marker of PA, prompting the need for more research in this area of clinical study.
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