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Literature Review of Gender and Drugs in Eastern Mediterranean Region Indecus Medicus. Yomna Tarek Abo-shadi , Yomna Mohamed Abd el-Fatah Faculty of Pharmacy, Alexandria University, Egypt. Abstract.
Gender and Drugs in
Yomna Mohamed Abdel-Fatah
Faculty of Pharmacy,
Alexandria University, Egypt
Problem statement:In recent years, concerted efforts have been taken by international and regional health organizations to promote women’s health and emphasize gender-related issues. One of the important concerns is shortage of scientific studies on areas related to women's health. This study was carried out to review the research studies available in the database of Index Medicus for the WHO Eastern Mediterranean Region (IMEMR).
Objectives: To search the IMEMR on available studies on women and drugs, and encourage academic institutions to carry out scientific studies on important issues related to women and health.
Design: This study was carried out by searching the IMEMR using key words relevant to women and medicine. IMEMR provides free access to the prestigious health and biomedical sciences literature published in the eastern Mediterranean Region. It contains more than 107,500 citations of peer-reviewed health and biomedical literature published in 483 journals
from the region’s 19 countries.
Results:A search of the IMEMR database using the key words women and drugs and gender and drugs resulted in 144 and 40 research articles, respectively. The main topics covered by these articles are (1) ovarian induction and related issues emphasizing that clomifene citrate may be correlated to increasing the risk of ovarian cancer; (2) pregnancy disorders and drugs indicating that irrational use of drugs and herbs can decrease pregnancy outcomes; (3) labour-related issues providing suggestions to manage complications related to cesarean section and anaesthesia; and (4) hormonal replacement therapy studying the effect of this therapy on bone mineral density and on insulin resistance in diabetic postmenopausal women. There were fewer reports found on the important topics of self-medication, contraceptives, mental health of women, dysmenorrhea, breast diseases, suicide and self harm. When searching the database with key words related to women and different disease conditions, several articles were found related to women and cancer, women and infection, women and mental health, women and trauma and women and sexual health. A few reports were also found related to women and musculoskeletal problems, sensory impairment and psychosocial considerations of menopause.
Outcomes: A review report on research studies published in the Index Medicus concerning women and medicine in EMR countries.
Conclusion: IMEMR provides an important database for research studies on women health. The database search indicated that many topics are well studied while other important areas related to women and medicines need more attention and research by academic community in EMR.
Women and Medicines, Self medication, Herbal medicine, Antibiotics and Vitamins.
No. ofResearch articles
Women and Access to medicines, Access to Health services and
(59 articles) are mainly come from Pakistan (18 articles) ,Iran (16 articles) and Egypt (12 articles).
The findings in these articles indicate that low level of socio-economic status and awareness of women can lead to:
1) High risk of Maternal and fetal mortality and morbidity through:
2)Late cervical cancer screening prevention.
3) Breast cancer.
4) Menopausal sexual dysfunction.
5) Postmenopausal osteoporosis.
6) Dependence on voluntary organizations and small hospitals with limited specializations and low health care quality.
The results of the research articles on women and medicines showed that these studies covered the following disease conditions:
A. Ovulation Induction
B. Poly Cystic Ovary Syndrome (PCOs)
C. Post Partum Hemorrhage (PPH)
D. Cesarean Section (C/S)
1-WHO/IMEMR is a comprehensive database for the published research articles from various academic and research institutions in the region. The database is researchable and provides a good source of information on the scientific research activities .
2-The results of the search carried out in this study on topics related to women health and use of medicine indicated that the numbers of
published research articles are very few.
3-Certain topics are studied to a reasonable extent while other important topics are not sufficiently studied.
4-Examples of important areas that need more attention from the scientific community in the region are: