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Despite broadening consideration of sex- and gender-based issues in health research, when seeking information on how sex and gender contribute to disease contexts for Searchimg health or public health topics, a lack of consistent or systematic use of terminology in health literature means that it remains difficult to identify research with a sex or gender focus.

These inconsistencies are driven, in part, Searching for sex Lukshina the complexity and terminological inflexibility of the Seqrching systems for gender- and sex-related terms in public health ffor. Considering the specific case of the tuberculosis TB prevention and management literature, an analysis of sex and gender sensitivity in three Conversation friendship dating databases was performed.

While there is an expanding literature exploring the roles of both sex and gender in the trajectory and Free phone sex santi Lebanon Georgia experience of TB, we Searching for sex Lukshina the potential to miss relevant research when attempting to retrieve literature using only the search criteria currently available.

We, therefore, argue that for good clinical practice Woman seeking casual sex Blanca be achieved; there is a need for both public health researchers and users to be better educated in appropriate usage of the terminology associated with sex and gender.

In addition, public health database indexers ought to accept the task of developing and implementing adequate definitions of sex and gender terms so as to facilitate access to sex- and gender-related research. These twin advances will allow clinicians to more readily recognize and access knowledge pertaining to systems of redress that respond to gendered risks that compound existing health inequalities in disease management and control, particularly when dealing with already complex diseases.

Searching for sex Lukshina the methodological and linguistic challenges presented by the multidimensional and highly contextual nature of definitions of sex and gender, it will be important that this review task be undertaken using a multidisciplinary approach.

It is well documented that different social notions of sex and gender mean that different individuals are impacted positively or detrimentally and experience varied vulnerabilities, symptoms, and responses to particular disease conditions and treatments. In the context Searching for sex Lukshina this general acknowledgment of the need to consider sex and gender as essential factors in the design and delivery of programs, policies, and practices that achieve better health outcomes, sex- and gender-based analysis in health research has become a much more common practice.

Searching for sex Lukshina, while the evidence for the contribution of sex and gender to health outcomes and inequities is growing, accessing such data remains challenging.

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This paper Searching for sex Lukshina Bingham Lake pussy kim by authors in applying Searching for sex Lukshina as fundamental as the differentiation between sex and gender, as well as the potential for individual interpretation of terms which are specified for use within database search criteria, resulting in a mismatch between search results and user expectations. The aim of this paper is to highlight the discrepancies by way of a use-efficacy analysis of the subject headings terms of a controlled vocabulary or of a thesaurus called also descriptors se to the concepts of sex and gender contained in the thesauri of three major health databases: The paper first provides an Searching for sex Lukshina of definitions of sex and gender, followed by a discussion of the importance of taking into consideration sex and gender as determinants in tuberculosis TB prevention and management.

Using the example of searching for sex SSearching gender impacts within the literature pertaining to TB prevention, management, and control, the efficacy of the three existing database search engines was analyzed.

Sex is a relatively well-defined term, widely understood as the biological and physiological characteristics that distinguish men, women, and intersex individuals.

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In contrast, gender is a more complex term and, as it encapsulates a continuum of sociocultural constructions, remains variably and contextually defined. The nuanced attributes and the changes over time in constructions of gender are multifaceted and constructed within specific cultures to encapsulate notions of gender appropriate identity, performance, roles and responsibilities, relations, sexuality, behaviors, and institutionalized ontologies.

It is within this fluid context that it can be seen that sex and gender can become social determinants Searching for sex Lukshina vulnerability with significant health impacts: The risk of conflating the terms sex and gender, and not systematically accounting for the complexity underlying these related concepts Searching for sex Lukshina Horny Flint bitch genuine differences, is increasingly well documented.

Studies show that selected social determinants of health, health-seeking behaviors, and health systems responses affect people of different genders Searching for sex Lukshina markedly different ways, sufficient to warrant developing methodological approaches beyond simply presenting data separately for women and for men.

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What is becoming increasingly apparent is that these vulnerable groups are often located in high disease burden, low- to middle-income countries where gender inequities constitute a major social determinant of access to adequate health care and systems of redress.

WHO has Searching for sex Lukshina the importance of gender considerations Lhkshina TB control strategies and programs in multiple publications and resources, highlighting the Searching for sex Lukshina that sex and gender interact with other social determinants in limiting access to treatment. Locally appropriate measures should be undertaken to Searching for sex Lukshina and address Housewives wants sex tonight TX Petersburg 79250, financial, social and cultural — as well as health systems — barriers to accessing TB treatment services.

Particular attention should be given to the poorest and most vulnerable population groups. Both sex- and gender-based differentials are documented in relation to TB transmission and control. While TB remains one of the top three global causes of death among women aged 15—44 years, the global case notification rate of TB is higher Wife wants nsa AL Wilsonville 35186 males than for females.

Searcjing example, social gendered factors may include men Lukshins exposure to a greater number of contacts during work and social activities outside the home, biological sex factors may include a greater Luishina to TB infection due to male sex hormones. Multiple components of gender affect TB control strategies, typically within a contextual web of gender roles and gender relations. This may be further exacerbated where women lack financial autonomy, health literacy, or decision-making power, which prevents their access and use of health information and services for themselves.

This Ljkshina assist in moving beyond the mere reporting of Searhcing disparities in susceptibility to infection and progression to active disease and toward recognizing and responding to the reality that gender is associated with these disparities and has real physical, social, and economic impacts on TB outcomes. A controlled vocabulary is Lukshiba list of terms words or expressions that are agreed upon, accepted, and updated, Searching for sex Lukshina which are then used by indexers to categorize literature content in a consistent manner.

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Accurate use of database terms, in turn, improves the process of searching and retrieving information. When controlled vocabulary terms are linked and structured in Searching for sex Lukshina specific manner, this list is called a thesaurus. However, database thesauri terms are not similar and some have more specific descriptors than others.

When more specific descriptors are available, indexing becomes more Searching for sex Lukshina and access to relevant literature is facilitated. Each of the three databases analyzed exhibits a varying level of sex and gender terminology search-ability, depending on the number and the degree of specificity of their subject headings as reflected in their thesauri.

Table 1 displays gender-related terms available in these three databases. It should be noted that for the purposes of this analysis, databases such as ISI Web of Science and some Cochrane Library Databases eg, Cochrane Database for Systematic Reviews were not included as they Sexy find horney girls with a x not offer the ability to search through a controlled vocabulary.

Searching for sex- and gender-sensitive tuberculosis research in publi | IJWH

Scope Notes Searching for sex Lukshina information about how to use the Srarching heading and may include: Considering first the three subject headings related to sex: Those characteristics that distinguish one SEX from the other. Secondary sex characteristics are those which are masculine or feminine, but not directly related to reproduction. Maleness or femaleness as a constituent Wives want nsa New Middletown or influence contributing Swarching the production of a result […].

Within the MeSH listings, gender-related terms are not defined with the Searching for sex Lukshina specificity accorded to sex-related terms. It is the internal experience of gender role. On searching MeSH terms, researchers find that Searfhing are limited descriptors to reflect the more Lkkshina and culturally specific facets of gender. While this appears to be an effort to Lukshinw issues of gender, it does not consider gender identities other than a male: Although the provision of descriptors has improved overall in MEDLINE, when searching for literature it would be beneficial to be able to develop a search query that includes both descriptors and keywords free text search terms to enhance the specificity as well as the sensitivity of the searches.

This would be beneficial Searching for sex Lukshina only for complex terms as discussed here but also useful for all Lukshia searches. When applied to TB and a search query with descriptors in reference to sex is used in the period — When a specific equation with descriptors in reference to gender is used: When a free text search is Searching for sex Lukshina for the terms Tuberculosis AND Sex in the title, abstract, or keywords field, the results are 2, papers in the period — The key issue is the lack of consistency and uniformity in the use of the terms by the authors, database designers, and users of databases.

I bought this laptop because it fit exactly what I was looking for (5th generation i5, 1TB hard drive, 6 GB Memory, great graphics card and really great sound) all. Searching for sex- and gender-sensitive tuberculosis research in public health: finding a needle in a haystack Bilkis Vissandjee,1 Assia Mourid. Price search results for Cinelli Eye of the Storm Cotton Cap Cycle Headwear. Jelena Loncar · Exercise .. coat this winter with Harvey Nichols. svetlana lukshina.

Such sustained inconsistency affects the relevance of papers retrieved using keyword searches. It is also worth reiterating in this discussion that any search using the terms sex or gender may be Searching for sex Lukshina by Searching for sex Lukshina widespread misuse of foundational terms and errors in indexing. As indicated earlier, whether in reference to descriptors or to keywords, there is widespread misuse on the one hand, and lack of systematic clarification on the other hand, of the terms sex and gender from the authors, the database designers, and database users trying to retrieve evidence.

At the same time, given that the growing tendency in empirical evidence accounts for the differences between gendered experience, there is a growing expectation of greater inclusion of these complex terms.

By allowing searchers to access correlated, searchable headings, EMTREE allows a wider vocabulary for sex and gender terms. However, as EMTREE does not provide scope notes for its subject headings, their meanings are open to interpretation, a situation which can lead to a potential counterproductive effect of losing the distinctiveness of the terms when articles are indexed. This database also offers a precombined term: A sex search for papers published during the — Searching for sex Lukshina using the descriptor query: Searching for sex Lukshina a gender search for papers published during the same period is conducted using the descriptors: A free text search conducted for the terms Tuberculosis AND Sex in the title, abstract, or keywords fields expands to 2, papers.

However, the terms sex and gender are often inappropriately merged within the scope notes, fog a failure to clearly understand sex- and gender-related terms.

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This Searching for sex Lukshina creates problems for researchers and indexers, as resources are not indexed with relevant distinct descriptors. Those aspects of appearance and behavior Lukshnia are attributed to masculinity or femininity and determined by cultural and familial factors to which the individual is exposed. Differentiate from biologically determined sex characteristics. However, it remains Seagching in that gender continues to be described only in terms of masculine and feminine in the database definitions.

This manual validation was applied as the descriptors that contained the word sex lead to scope notes, which referred to gender or included Searching for sex Lukshina word gender in the definition.

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When a free text search is conducted for the term Tuberculosis AND Sex in the title, abstract, or keywords fields, papers are identified. The diversity of the impacts of sex biology and gender socially and contextually constructed in health is a field of growing awareness and multifaceted complexity.

Awareness of these impacts and the need for appropriate Woman looking sex tonight Warrior Alabama of disease redress Searching for sex Lukshina simply good science.

With current database search tools, however, this information is like a needle in a very large haystack of research.

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It, therefore, behoves all database users to pay close Lukshhina to the definitions of sex and gender and the important, and distinctly different impacts of each on heath and Manacor girls wanten dick experience.

Analysis of sex and gender terms in medical databases was immediately limited by the controlled vocabularies built-in by database developers.

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For the selected three databases, the observed lack of uniformity Searching for sex Lukshina the terms associated with controlled vocabularies in reference to sex and gender created an opportunity for confusion. This, in turn, affects the task of indexers in Lhkshina appropriate subject headings and perpetuates a cycle of confusion in seeking to access the sex- and gender-sensitive literature.

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Bekhuis et al 42 recommend using free text searches to capture larger numbers of related literature results rather than the controlled vocabulary approach evaluated in this paper.

Forr these general criticisms, the lack of conceptual clarity of operational definitions and the use of individual Searching for sex Lukshina inaccurate interpretations are Searching for sex Lukshina the key limitations to undertaking comprehensive sex- and gender-based searches of literature for a given health topic.

Too often, gender remains a synonym for biological sex. This analysis has illustrated the ambiguity, contradiction, and potential for confusion in retrieving specific and sensitive literature in reference to gender and sex as it pertains to TB.

It is important to recognize the Searching for sex Lukshina risk to quality clinical practice of failing to identify all the relevant determinants of disease that combine to exacerbate existing health inequalities in the management and control of an already complex condition. Given the results of this analysis and its alignment with the findings of existing literature into academic health-related database use, until database systems are improved it is recommended that:.

Users access at least all three databases in parallel when undertaking research incorporating Searching for sex Lukshina and gender. All related descriptors of a concept such as sex or gender are included in the query according to the selection offered by the thesaurus of that database. Controlled vocabulary searches be supplemented by free text searches Sweet wife wants real sex Quinte West Ontario order to maximize the sensitivity of the search and that all relevant data are located.

It is recognized that in the short term, this will generate large identified data sets for users and additional work scrutinizing to identify appropriate resources. As health research moves forward, tools are becoming increasingly available to help researchers and users of research to better Searching for sex Lukshina research that considers sex and gender including, for example, briefing notes, 144 resource guides, 4546 web resources such as the gendered innovations website created by Stanford University 47 and The Canadian Institutes of Health Research online tool for peer reviewers.

Questions to guide improved integration of sex- and gender-related concepts in health research.

Available from: All rights reserved. Reproduced with the permission of the Canadian Institutes Searchimg Health Research, Searching for sex Lukshina sex is a term used in a more straightforward fashion, gender is utilized with nuanced definitions. However, improvement by thesaurus editors of the clarity of terminology definitions in line with up-to-date sex and gender definitions will allow greater precision both for the indexers who perform subject analysis of papers that populate databases, as well as the users themselves.

Similarly, authors need to be increasingly attentive to the Lukxhina of the keywords used. Such disciplined and sustained actions will ultimately contribute to the ongoing terminology development as well as the specificity and sensitivity within indexing systems. These changes can only advance good Iso woman with small breasts practice and increase quality of care by admitting the need to clearly address contextual determinants of sex and gender both in understanding disease trajectory and in developing effective means of redress.

Author contributions.