[Coercive control: Health, victims' rights and the ethics of care]. / Contrôle coercitif : santé, droits des victimes et éthique de soin.

This article provides healthcare professionals with an overview of research on coercive control, a paramount concept for understanding domestic violence, primarily targeting women and children. It aims to foster interdisciplinary dialogue and integrate advances into professional practices and (psycho)education. To this end, we present the conceptual evolution of coercive control and the perpetrators' behavioral patterns, their risks for victims and professionals, their devastating impact on the rights and biopsychosocial health of adult and child victims, and the challenges posed by technology, particularly generative artificial intelligence.

[Psychotraumatic consequences of coercive control]. / Conséquences psychotraumatiques du contrôle coercitif.

Coercive control is a process of violence in which one person acts in such a way as to subject the other to persistent controlling behavior. In the majority of cases, these are men, and the targets are their spouses and children. The psychotraumatic consequences are innumerable, and need to be understood before they can be identified and treated. The repercussions of coercive control are numerous, whether somatic, psychological, familial, social, professional or academic. This article describes the psychotraumatic consequences for both the victim and the children.

Sex differences in muscle-invasive bladder cancers: a study of a French regional population.

OBJECTIVES: Although men have a higher risk of developing a bladder cancer, women appear to have a poorer prognosis and a more advanced stage at diagnosis. We performed a retrospective population-based study on muscle invasive bladder cancer (MIBC) using data from a cancer registry in a French department to compare overall and specific survival data according to sex. MATERIAL AND METHODS: We included all patients living in the department of Hérault and diagnosed with MIBC between January 1, 2017 and December 12, 2019. Univariable and multivariable analyses were performed on all variables of interest. RESULTS: We included 124 women and 432 men. There was no significant difference in age or stage at diagnosis according to sex. Squamous cell carcinomas were more common in women (p<0.001). Cystectomy was more frequent in men than in women (50.7% vs 35.4%) (p=0.0039). By multivariable analysis, the independent factors for being treated by cystectomy were sex (p=0.004), age (p<0.001) and stage (p<0.001). Forty-seven percent of women received no treatment or palliative treatment. Overall mortality was 79% in women and 63.2% in men (p<0.001). The median specific survival was 10.8 months in women and 32.7 months in men (p<0.0001). By multivariable analysis, the independent risk factors for mortality were female sex (p=0.047), cT4 stage (p=0.005) and absence of cystectomy (p<0.001). CONCLUSIONS: Our study shows that women are less often treated with cystectomy and have worse prognosis than men. The reasons for this gender difference are multifactorial.

[Climate and environmental crisis impacts on women's health: What specificities? What can be done?] / Impacts de la crise environnementale et climatique sur la santé de la femme : quelles spécificités ? Que peut-on faire ?

OBJECTIVE: Pollution is one of the world's largest risk factors for disease and premature death. In Europe, it is responsible for approximately 20% of mortality. Chemicals exposure can occur by inhalation, ingestion or skin contact and begins in utero. Pollutants can be divided into three categories: endocrine disruptors (pesticides, PFAS, plastics, dioxins, etc.), heavy metals (cadmium, mercury and lead…) and nanomaterials. Climate change and air pollution are other main health threats. METHODS: Literature review using PubMed and ResearchGate databases and institutional websites. RESULTS: Endocrine disruptors are identified as significant risk factors for the reproductive health with negative documented impacts following prenatal or adult exposure. Climate change and air pollution can cause gender-based health disparities. Numerous scientific arguments show that chemical pollution and climate change disproportionately impact women, both on a social and biological level. Populations in precarious situations among which women are over-represented suffer the most severe social consequences including in France. There are several gender-specific domestic or occupational exposures to pollutants, most often to the disadvantage of women compared to men. Finally, although very few gendered data exist in environmental health, there are sexual-based physiological vulnerabilities concerning the metabolism of pollutants and the capacity to adapt to heat. CONCLUSION: Facing this threat of gender inequity in sexual and reproductive health and rights' width, women's health professionals have a major role to play in initiating new ways to assess and reduce the environmental health burden in women.

[Vulnerability factors and care specific to women and addictions]. / Des facteurs de vulnérabilité et des soins spécifiques aux femmes face aux addictions.

Like behavioral addictions, substance misuse is a complex disorder, influenced by psychological, clinical and socio-environmental determinants. The processes that lead to addiction are common to both men and women, but patterns of use, risk behaviors and their repercussions differ. Women's access to care is often delayed because they are regularly subjected to stigmatization, violence, and economic or family constraints. Care must be better adapted to their specific needs.

[Knowledge, attitudes and practices in oral health of breastfeeding women]. / Connaissances, attitudes et pratiques en santé orale des femmes allaitantes.

The benefits of breastfeeding on the health of infants and mothers are no longer in doubt. On the other hand, the advantages in terms of maxillofacial development and the risks of prolonged breastfeeding on oral health are much less discussed. An exploratory qualitative study, carried out within the pediatric dentistry functional unit of the dental care service of the Lille University Hospital Center in 2022, aimed to analyze the knowledge, attitudes and practices in oral health of breastfeeding women. This article will discuss the gaps in prevention as well as the obstacles and levers to improving care.

A participação da mulher na difusão da psicanálise no Brasil no período de 1930 a 1950 / Female participation in psychoanalysis dissemination from 1930 to 1950 in Brazil / La participación de las mujeres en la difusión del psicoanálisis en Brasil de 1930 a 1950 / La participation des femmes dans la diffusion de la psychanalyse au Brésil de 1930 à 1950

Partindo da premissa de que, nos primeiros anos de difusão da psicanálise no Brasil, a participação feminina teve importante destaque tanto na introdução quanto na expansão das ideias freudianas no país, este estudo se propõe a delinear o papel de protagonismo assumido pelas mulheres junto ao movimento psicanalítico brasileiro. Para dar visibilidade a esse pioneirismo, o estudo foi organizado em três momentos. Inicialmente, serão apresentadas considerações gerais sobre o contexto da participação da mulher na sociedade brasileira durante a primeira metade do século XX e os primeiros movimentos de emancipação feminina. Na sequência, será abordado o modo como a psicanálise, entendida neste período histórico como movimento inovador e disruptivo, proporcionou espaço fecundo de interlocução para se pensar a expansão das conquistas das mulheres na esfera pública e social. Por fim, essas hipóteses serão articuladas por meio do esboço biográfico de duas destacadas pioneiras da psicanálise no Brasil: Virgínia Leone Bicudo e Marialzira Perestrello

Based on the assumption that women played a major role during the first years of psychoanalysis dissemination in Brazil both in introducing and expanding Freudian ideas in the country, this study outlines women's participation in the Brazilian psychoanalytic movement. To give visibility to this pioneering spirit, we divided the text in three moments. First, we contextualize women's participation in Brazilian society during the first half of the 20th century and the first emancipatory movements. We then discuss how psychoanalysis, understood as an innovative and disruptive movement, provided a fertile space of interlocution for exploring the expansion of women's participation in the public and social sphere. Finally, we articulate these hypotheses by means of the biographical outline of two outstanding pioneers of psychoanalysis in Brazil: Virgínia Bicudo and Marialzira Perestrello

Partiendo de la premisa de que, en los primeros años de difusión del psicoanálisis en Brasil, la participación femenina tuvo un importante papel tanto en la introducción como en la expansión de las ideas freudianas en el país, este estudio pretende esbozar el protagonismo de las mujeres en el movimiento psicoanalítico brasileño. Para dar visibilidad a este pionero, el estudio se organizó en tres momentos. Inicialmente, se presentarán consideraciones generales sobre el contexto de la participación de las mujeres en la sociedad brasileña durante la primera mitad del siglo XX y los primeros movimientos por la emancipación de la mujer. A continuación, se abordará el modo en que el psicoanálisis proporcionó un espacio fértil de interlocución para pensar la expansión de las conquistas femeninas en la esfera pública y social. Finalmente, estas hipótesis se articularán a través de la semblanza de dos destacadas pioneras del psicoanálisis en Brasil: Virgínia Leone Bicudo y Marialzira Perestrello

Fondé sur l'hypothèse que les femmes ont joué un rôle majeure dans les premières années de diffusion de la psychanalyse au Brésil dans l'introduction et l'expansion des idées freudiennes dans le pays, cette étude souligne leur participation prépondérant dans le mouvement psychanalytique brésilien. Pour donner de la visibilité à cet esprit pionnier, on a organisé l'étude en trois moments. Tout d'abord on contextualise la participation des femmes à la société brésilienne pendant la première moitié du XXe siècle et les premiers mouvements émancipatoires. Ensuite, on aborde la manière dont la psychanalyse, comprise comme un mouvement novateur et perturbateur, a fourni un espace d'interlocution fertile pour réfléchir à l'expansion des conquêtes des femmes dans la sphère publique et sociale. Enfin, ont articulera ces hypothèses par le biais de l'esquisse biographique de deux remarquables pionniers de la psychanalyse au Brésil: Virgínia Bicudo et Marialzira Perestrello

[Women and alcohol: From risky use to addiction, the issues at stake]. / Les femmes et l'alcool : de l'usage à risque à l'addiction, les enjeux.

Present in all social circles with proven effects on health, alcohol is the second leading cause of avoidable death after tobacco. Like men, women can be affected by alcohol misuse, or even addiction. As the female organism is more vulnerable to the deleterious effects of alcohol, women are particularly exposed in terms of risks and complications for their physical and mental health.

[Women's vulnerability to alcohol and its impact on health]. / Vulnérabilité des femmes face à l'alcool et impacts sur la santé.

At the same level of consumption as men, specific vulnerabilities often expose women to the more rapid onset of more serious illnesses (cardiovascular and liver diseases, cancers, brain and cognitive damage, sleep disorders, risk of accidents, etc.). This worrying fact is still little known by the general population. Special prevention measures are needed, such as dedicated campaigns for women, specific guidelines for lower-risk drinking, systematic early detection of risky drinking among women, and brief intervention in the event of problem drinking.

[Women and alcohol, the addictologist's point of view and treatment]. / Les femmes et l'alcool, point de vue de l'addictologue et prise en charge.

Women have difficulty seeking help for alcohol-related problems. Shame and guilt are often present, which is why the caregiver must succeed in establishing a climate of trust so that things can be said, in order to best assess the impact of consumption and find alternatives. Treatment is often multidisciplinary. The nurse's role is essential, not only to identify drug use, but also to provide a link between the various players involved.

[The psychopathological dimension of female alcoholism]. / La dimension psychopathologique de l'alcoolisme féminin.

In France, as in other countries, more and more women are affected by alcoholism. Progress needs to be made in the early detection and management of their physical and psychological dependence on alcohol, as well as their psychopathological comorbidities.

[Alcohol and older women]. / Alcool et troisième âge chez la femme.

Frequently linked to social isolation (widowhood, estrangement from family and friends, etc.), alcoholism in elderly women is often invisible, with a high level of dependence. It potentiates the vulnerabilities and impact of aging. What approach to care and support can geriatric teams offer? What are the care objectives?

Neutral posture education during cough can reduce urine leakage in women with cough-related stress urinary incontinence.

BACKGROUND: Current literature highlights the difficulty in identifying an optimal educational technique for maintaining continence during cough. OBJECTIVE: To characterize the effects of an educational intervention focusing on neutral posture during cough in women with cough-induced urinary incontinence (UI). METHODS: This interventional study design included women with cough-induced UI. We recorded PFMs surface electromyographic (sEMG) peak activity, and assessed symptoms and quality of life (QoL) 6 weeks after the intervention. The effect of the experimental situation was estimated using a linear mixed model, sEMG measurements during coughing were indexed to each situation and adjusted to the resting value at, and a moderation analysis was used. RESULTS/FINDINGS: Eighteen participants were included. The measurement situations (control versus experimental) did not have a statistically significant impact on sEMG peak activity during coughing: mean effect [95% CI] 3.42 [-1.28; 7.66]. Six weeks post-intervention, participants reported statistically significant decrease in urinary symptoms (P=0.0246) and significant improvement in QoL (P=0.00776). This was also particularly marked on the dimension related to effort activities (P=0.00162). CONCLUSION: This study suggests that a brief educational intervention focusing on neutral posture during cough, without voluntary pre-contraction of the PFMs, has no clinically significant influence on sEMG peak activity of the PFMs in women with cough-induced UI. However, this intervention can lead to a significant improvement in urinary symptoms and QoL at 6 weeks. These improvements seem to be independent of electromyographic PFMs peak activity recorded during cough. As such, our preliminary results pave the way for future research. LEVEL OF EVIDENCE: NP4.

[Genital gender affirming surgery in trans women: Vulvo-vaginoplasty review]. / Chirurgie génitale d'affirmation de genre pour les femmes trans : revue des vulvo-vaginoplasties.

INTRODUCTION: A trans woman is a woman who was assigned male at birth, and who has a female gender identity. The majority are requesting a gender affirming genital surgery by vulvo-vaginoplasty. The objective is to review this surgery based on its history, then by presenting the different surgical techniques and their success and complication rates. MATERIAL AND METHODS: A narrative review was performed, based on a bibliography search with keywords from 2000 to 2022 on Pubmed. RESULTS: Vulvo-vaginoplasty for trans women began in 1931, and the first case series date from 1969. The procedure includes excision of scrotal skin, orchiectomy, clitoroplasty, urethroplasty, labioplasty, recto-vesico-prostatic dissection and creation of a vaginal cavity (performed by penile skin inversion and graft, intestine, or peritoneum). Vulvo-vaginoplasty by penile skin inversion (VPPI) is today the reference surgical technique. It represents the vast majority of surgeries performed with the longest follow-up. The majority of trans women are satisfied with the procedure aesthetically (90%) and functionally (80%), with an active sexuality. Major complications are rare (< 5%), they correspond to fistulas or vaginal stenosis. CONCLUSION: VPPI is the gold standard technique with satisfactory overall results, but long-term follow-up is requested.

Mexicana and Chicanx Queer Kinship across Visual Art and Performance: Astrid Hadad and Ester Hernández.

This brief and personal essay discusses Ester Hernández's and Astrid Hadad's artistic relationship, which includes a beautiful friendship that spans time and space. In particular, and from an intimate vantage point, I read two of Hernández's images that feature Hadad, which the Mexican artist has displayed in her home in Mexico City, to ponder a larger question regarding contemporary cross-border feminist and genderqueer esthetics and relations. The queer kinship between these two artists, I humbly posit, extends to the fans that come out to support Hadad's shows when she performs in cities in the U.S. with large Latinx demographics, particularly in California.

[The feminization of precariousness, a growing feature]. / La féminisation de la précarité, une particularité grandissante.

Precariousness (social, health, professional, financial, energy, etc.) affects women more than men. This has consequences for their access to healthcare. Raising awareness of gender inequalities and mobilizing actors to fight against them, make visible the levers to fight against the increase of women's precariousness.

Mujeres hipnotizadoras, entre la femme fatale y la bruja en la ficción literaria de Arthur Conan Doyle / Hypnotizing women, between the femme fatale and the witch in Arthur Conan Doyle’s literary fiction

La historiografía sobre el mesmerismo y la hipnosis demuestra que hubo pocas mujeres que pusieran en práctica estos conocimientos. Así las cosas, la mujer que hipnotiza a un hombre se convierte en una revolucionaria, en un caso subversivo que da la vuelta no solo a una relación hipnótica clásica sino a una situación social e histórica de claro dominio patriarcal. En este trabajo analizo dos relatos de Arthur Conan Doyle (1859-1930) protagonizados por mujeres hipnotizadoras: John Barrington Cowles (1884) y El parásito (1894). En el caso de John Barrington Cowles la mujer hipnotizadora está basada en el estereotipo literario y fílmico de la femme fatale, que será muy usado en diferentes formatos narrativos durante todo el siglo XX llegando a la actualidad; por otra parte, en el caso de El parásito la mujer hipnotizadora está mucho más cerca del estereotipo literario y folclórico de la bruja. En este sentido, apunto el papel fundamental que el estereotipo de mujer hipnotizadora tiene para los recientes estudios culturales de género. (AU)

The historiography on mesmerism and hypnosis shows that there were few women who put this knowledge into practice. In this sense, it is significant that there are few images of a woman hypnotizing a man and no images of a woman hypnotizing another woman. Thus, the woman who hypnotizes a man becomes a revolutionary, a subversive case that turns around not only a classic hypnotic relationship but also a social and historical situation of clear patriarchal domination. In this paper, I analyze two stories by Arthur Conan Doyle (1859-1930) featuring female hypnotists: John Barrington Cowles (1884) and The Parasite (1894). In the case of John Barrington Cowles, the hypnotizing woman is based on the literary and filmic stereotype of the femme fatale, which will appear in many different narrative formats throughout the 20th century up to the present day. In the case of The Parasite, however, the hypnotizing woman is much closer to the literary and folkloric stereotype of the witch. In this sense, I point out the fundamental role that the stereotype of the hypnotizing woman has played in recent cultural gender studies. (AU)

[The female urologist in 2022, where are we?] / La femme urologue en 2022 : où en est-on ?

There are still significant disparities between the sexes even if we are now witnessing a feminization of the urological profession. Women's roles in historically male-dominated services still vary widely based on inherent gender biases. Interventions to minimize the gender gap in urology should not constitute a form of positive discrimination in favor of minorities but on the contrary a form of positive action to eliminate the obstacles present that block the acceptance of women or their promotion. Recognizing the factors responsible for gender disparities remains a key step towards improving equity in still male-dominated fields such as urology.