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"h the publication of The Harvard Guide to Women's Health, women now have access to the combined expertise of physicians from three of the world's most prestigious medical institutions: Harvard Medical School, Massachusetts General Hospital, and Brigham and Women's Hospital. This definitive guide is the one resource women can trust when looking for answers to their health questions. The Harvard Guide to Women's Health features: over 300 A-to-Z entries that answer - in plain English - the questions women most frequently ask their doctors; the practical experience of physicians who have cared for thousands of women at leading medical centers; authoritative medical knowledge from pioneers in the emerging field of women's primary care, and the critical guidance women need to navigate today's changing health care system; hard-to-find information about how common diseases and their treatments are different for women than for men, including heart disease, diabetes, autoimmune disorders, and depression; incomparable coverage of the frequently overlooked emotional and social issues that are inseparable from women's physical health, such as domestic abuse, anorexia and bulimia, occupational hazards, and rape; balanced perspectives on controversies sometimes distorted in the popular media, such as estrogen replacement therapy, breast reconstruction, alcohol use, ideal body weight, and posttraumatic stress disorder; the special implications of conditions and therapies for pregnant or breastfeeding women, and advice on the health concerns of postmenopausal and elderly women; tips on how to record and describe symptoms, and how to ask the right questions about different treatment options; and over 250 illustrations and over 400 resources for further information, including the latest hotlines, newsletters, and online services."

"h the publication of The Harvard Guide to Women's Health, women now have access to the combined expertise of physicians from three of the world's most prestigious medical institutions: Harvard Medical School, Massachusetts General Hospital, and Brigham and Women's Hospital. This definitive guide is the one resource women can trust when looking for answers to their health questions. The Harvard Guide to Women's Health features: over 300 A-to-Z entries that answer - in plain English - the questions women most frequently ask their doctors; the practical experience of physicians who have cared for thousands of women at leading medical centers; authoritative medical knowledge from pioneers in the emerging field of women's primary care, and the critical guidance women need to navigate today's changing health care system; hard-to-find information about how common diseases and their treatments are different for women than for men, including heart disease, diabetes, autoimmune disorders, and depression; incomparable coverage of the frequently overlooked emotional and social issues that are inseparable from women's physical health, such as domestic abuse, anorexia and bulimia, occupational hazards, and rape; balanced perspectives on controversies sometimes distorted in the popular media, such as estrogen replacement therapy, breast reconstruction, alcohol use, ideal body weight, and posttraumatic stress disorder; the special implications of conditions and therapies for pregnant or breastfeeding women, and advice on the health concerns of postmenopausal and elderly women; tips on how to record and describe symptoms, and how to ask the right questions about different treatment options; and over 250 illustrations and over 400 resources for further information, including the latest hotlines, newsletters, and online services."

"Latar Belakang: Peningkatan prevalensi diabetes melitus tipe 2 dan obesitas sentral di Indonesia merupakan tantangan besar bagi kesehatan masyarakat, terutama bagi wanita. Lingkar pinggang dan glukosa darah puasa adalah indikator kunci kesehatan metabolik. Studi ini memeriksa hubungan antara Planetary Health Diet Index (PHDI) dan indikator-indikator tersebut di antara wanita Minang dan Sunda di Indonesia.Metode: Data dari studi cross-sectional "Diets, Metabolic Profiles, and Gut Microbiota Among Indonesian Women in Minang and Sundanese-ethnic Communities" digunakan. Asupan makanan dinilai menggunakan kuesioner frekuensi makanan semi-kuantitatif (FFQ), dan PHDI dihitung serta divalidasi. Pengukuran antropometrik termasuk BMI, lingkar pinggang, dan kadar glukosa darah puasa dicatat, dengan kadar glukosa diukur menggunakan metode kolorimetri glukosa oksidase. Usia, aktivitas fisik, etnis, dan area tempat tinggal dievaluasi melalui kuesioner. Analisis regresi linier disesuaikan dengan faktor pengganggu: usia, BMI, etnis, dan area tempat tinggal untuk lingkar pinggang; dan usia, BMI, serta lingkar pinggang untuk glukosa darah puasa.Hasil: Tidak ada hubungan signifikan antara PHDI dengan lingkar pinggang maupun kadar glukosa darah puasa. Setelah disesuaikan dengan faktor pengganggu, umbi-umbian dan kentang (β adjusted = 0,288, p = 0,014) serta produk susu (β adjusted = 0,755, p = 0,022) secara signifikan berkorelasi positif dengan lingkar pinggang. Asupan buah secara signifikan berkorelasi positif dengan kadar glukosa darah puasa (β adjusted = 0,973, p = 0,046).Kesimpulan: Studi ini menunjukkan bahwa meskipun PHDI secara keseluruhan tidak menunjukkan hubungan signifikan dengan lingkar pinggang atau kadar glukosa darah puasa, komponen diet spesifik seperti umbi-umbian dan kentang, serta produk susu berhubungan dengan lingkar pinggang yang lebih besar. Selain itu, asupan buah yang lebih tinggi berhubungan dengan peningkatan kadar glukosa darah puasa. Temuan ini menekankan perlunya intervensi diet pada komponen makanan spesifik dalam PHDI untuk meningkatkan kesehatan metabolik yang lebih baik pada wanita Indonesia.

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Background: The rising prevalence of type 2 diabetes mellitus and central obesity in Indonesia presents major public health challenges, especially for women. Waist circumference and fasting blood glucose are key indicators of metabolic health. This study examines the link between the Planetary Health Diet Index (PHDI) and these indicators among Minang and Sundanese women in Indonesia.

Methods: Data from the cross-sectional study "Diets, Metabolic Profiles, and Gut Microbiota Among Indonesian Women in Minang and Sundanese-ethnic Communities" were used. Dietary intake was assessed using a semi-quantitative food frequency questionnaire (FFQ), and the PHDI was calculated and validated. BMI, waist circumference, and fasting blood glucose levels were recorded, with glucose levels measured using a glucose oxidase colorimetric method. Age, physical activity, ethnicity, and living area were evaluated through questionnaires. Linear regression analysis was adjusted for confounders: age, BMI, ethnicity, and living area for waist circumference, and age, BMI, and waist circumference for fasting blood glucose.

Results: There is no significant association between PHDI with either waist circumference and fasting blood glucose levels. After adjusting for confounders, tubers and potatoes (adjusted β = 0.288, p = 0.014) and dairy (adjusted β = 0.755, p = 0.022) were significantly positively correlated with waist circumference. Fruit intake was significantly positively correlated with fasting blood glucose levels (adjusted β = 0.973, p = 0.046).

Conclusions: The study highlights that while the overall PHDI did not show a significant association with waist circumference or fasting blood glucose levels, specific dietary components such as tubers and potatoes, and dairy were linked to larger waist circumference. Additionally, higher fruit intake was associated with increased fasting blood glucose levels. These findings emphasize the need for targeted dietary interventions focusing on specific food components within the PHDI to improve metabolic health outcomes among Indonesian women."

"Latar Belakang: Amenorea primer adalah kondisi di mana seorang perempuan belum mengalami haid pada usia 14 tahun, yang disertai dengan tidak tampaknya pertumbuhan serta perkembangan tanda-tanda seks sekunder, atau kondisi di mana seorang perempuan yang belum mengalami haid pada usia 16 tahun meski telah didapatkan pertumbuhan dan perkembangan yang normal dari tanda-tanda seks sekunder. Pada penderita Amenorea primer seringkali berakibat munculnya masalah kejiwaan seperti depresi, gangguan mood, sulit tidur, dan kegelisahan. Saat ini, belum terdapat program tatalaksana yang bersifat komperhensif untuk penderita amenorea primer yang melibatkan harapan dan perasaan penderita amenorea primer. Tujuan: Penelitian ini bertujuan untuk mengeksplorasi lebih dalam pengalaman penderita amenorea primer, memahami pandangan penderita amenorea primer terhadap keadaan yang dialaminya, memahami kebutuhan penderita amenorea primer dan memahami pandangan penderita amenorea primer terhadap tatalaksana yang saat ini dilakukan sehingga pendekatan tatalaksana terhadap penderita amenorea primer dapat optimal. Metode: Penelitian ini menggunakan pendekatan fenomenologi interpretatif, dengan wawancara mendalam, observasi langsung, dan catatan lapangan terhadap penderita amenorea primer di Poliklinik Departemen Ilmu Kebidanan dan Kandungan Rumah Sakit Umum Pusat Nasional Cipto Mangunkusumo pada bulan Mei 2018-Mei 2019. Hasil: Terdapat lima partisipan, usia bervariasi dari 21-28, dengan rerata 24 tahun. Tiga partisipan (60%) terdiagnosis dengan sindroma Turner, satu partisipan (20%) dengan DSD, dan satu partisipan (20%) dengan MRKH. Penderita amenorea primer cenderung merasakan perbedaan dengan perempuan lainnya, tidak menutup diri dengan lingkungan sekitar, tidak puas dengan perkembangan organ seks sekunder, mengalami masalah dengan partner, dan harapan terhadap pengobatan yang dilakukan, yaitu; ingin mendapatkan haid, terbebas dari obat, pertumbuhan organ seks yang normal, dan keinginan memiliki keturunan. Kesimpulan: Amenorea primer cenderung memiliki dampak negatif bagi penderitanya, terutama dalam segi kepercayaan diri. Penderita amenorea primer usia reproduktif cenderung tidak memiliki masalah dalam melakukan pekerjaan sehari-hari. Dengan mengetahui pandangan dan harapan penderita amenorea primer, tentunya tenaga medis dapat melakukan penatalaksanaan dengan pendekatan yang lebih komprehensif. Dibutuhkan tambahan variasi kasus atau sampel untruk dapat memenuhi aspek transferabilitas data.

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Background: Primary amenorrhea is a condition in which a woman has not experienced menstruation at the age of 14 years, accompanied by no apparent growth and development of secondary sex signs, or a condition in which a woman has not experienced menstruation at the age of 16 despite growth and development normal from secondary sex signs. Primary amenorrhea often results in psychiatric disorders such as depression, mood disorders, insomnia, and anxiety. To date, there is no comprehensive treatment program that involves the hope and feelings of those with primary amenorrhea Objective: This study aims to explore more in the experience of primary amenorrhoea sufferers, understand the views of primary amenorrhoea sufferers on their condition, understand the needs of primary amenorrhoea sufferers and understand the views of primary amenorrhoea sufferers on the current management so that the management approach for patients with primary amenorrhea can be optimal. Methods: This study uses an interpretative phenomenology approach, with in-depth interviews, direct observation, and field notes on primary amenorrhoea sufferers at the Polyclinic of the Department of Midwifery and Gynecology at the Cipto Mangunkusumo National Center General Hospital in MAy 2018-May 2019. Results: There were five participants, ages varied from 21-28, with a mean of 24 years. Three participants (60%) were diagnosed with Turner syndrome, one participant (20%) with DSD, and one participant (20%) with MRKH. Primary amenorrhoea sufferers tend to feel the difference with other women, were not satisfied with the development of secondary sex organs, experienced problems with their partners. Their hope for the treatment included wanting to have menstruation, be free from medical therapy, develop secondary sex organs, and desire to have children. Conclusions: Primary amenorrhea tends to have a negative impact on sufferers, especially in terms of self-confidence. Primary amenorrhea sufferers of reproductive age tend not to have problems in doing daily work. By knowing the views and expectations of primary amenorrhoea sufferers, of course medical personnel can carry out management with a more comprehensive approach. Additional variations of cases or samples are needed to meet the aspects of data transferability."