Monday, June 24, 2024

It’s ‘that time of the month’ where we push for period-positive workplaces


Is Pakistan ready to prioritise workplace equity or will it continue to uphold outdated taboos?

Maryam Ali Abbasi 
Published June 24, 2024 
DAWN


We often import concepts into our social construct and culture, which can either be a hit or a miss depending on what forms the basis of the import — a profound societal need or simply falling bait to wokeness and/or the bandwagon effect.

A recent import into Pakistan, and one that I invite you to evaluate, is menstrual leaves. Unsurprisingly, Pakistani women seem to be polarised on the issue. And no, you don’t have to identify as a feminist to support or negate the idea — you simply need to be someone who lives through the reality of it every month.

Women make up hardly a quarter of the workforce in this country, and if we’re truly a smart nation (yes, we’re looking at you, Mr Prime Minister), we must empower them to join the workforce and rise to leadership roles, both in and out of the boardroom.
Redefine ‘red days’

From monthly menstrual cycles to menopause and neonatal care after childbirth, women’s reproductive health is a central pillar of their quality of life, impacting every aspect of their daily routines, especially at the workplace. Yet, conversations about menstruation remain cloaked in euphemisms, as society often stigmatises these natural processes with connotations of weakness and embarrassment.

The world has had a lot of catching up to do. It wasn’t until 1985 that the word “period” was first used in an advertisement, and only in 2017 did menstrual blood get represented by a red liquid instead of blue.


Menstruation isn’t a disease; it is one of the most distinct attributes of female physiology. However, conditions linked to menstruating women like endometriosis, PCOS, hyperplasia, fibroids, cysts and polyps can make the monthly cycle extremely painful and disruptive to sundry day-to-day tasks.

Corporate workplaces, government offices, and state-owned enterprises need to be mindful of the culture surrounding female reproductive health. Many silent sufferers show up at work regardless of a painful and intense menstrual cycle and then ever so effortlessly maintain a facade of efficiency and productivity throughout the day.

It is this toxic expectation of ‘keeping it together’ that must be censured at the workplace and a policy shift as well as initiatives to create awareness by the government must be launched. It is time to disrupt the silence and shame surrounding periods.
Progress, regress and the global debate

Statutory period leave can trace its origin to Russia and the Bolshevik regime where women in factories were offered reprieve during their periods with a two to three-day leave. However, Russia has not maintained its historical practice and no statutory period leave is currently offered.

In February 2023, Spain became the first European country to legislate paid menstrual leave for all female workers, allowing women to request three paid days off per month. Japan, South Korea, Indonesia, Zambia and Taiwan have offered statutory menstrual leave for many years.

In addition to menstruation, many women also undergo menopause which is a transformative time and one that mandates an official menopause leave. To quote a few examples globally, Microsoft, NBA and Abercrombie & Fitch offer menopause benefits. To add to the mix, miscarriage leave is also part of company policies in some countries.

However, if we take a peek towards our cricketing nemesis neighbour, the matter regarding a statutory period leave reached the Indian Supreme Court in the form of a public interest litigation that was dismissed on the grounds of being a policy issue better suited to the Ministry of Women and Child Development.

But even more interesting were the observations by the Indian apex court which hinted towards the global argument adopted against statutory menstrual leave being a possible ‘disincentive’ while hiring women. The observations appear to be one of the main arguments that opposers of period leave throw their weight behind — that allowing women some extra days off per month would discourage employers from hiring them and put them at a disadvantage.

It is therefore crucial to distinguish between statutory period leave and general acceptance of menstrual leave in the workplace. We must first arrive at unanimously accepting and recognising the biological reality — only then will the impact flow.
From whispered conversations to open dialogue

In Pakistan, we’re at a stage where we need to normalise conversations around menstruation before we begin to advocate for a statutory period leave. But in the meantime, the interregnum corporate and government workplaces should include some form of menstrual leave in their policies.

How does one introduce the concept of a menstrual leave albeit non-statutory in a country where periods are spoken about in whispered tones?

Currently, PepsiCo Pakistan offers two paid leaves every month and Shan Foods offers one-day work-from-home — both being coalition members of the Male Champions of Change Pakistan.

The dilemma that seems to be polarising women on a legislated period leave is the purported ancillary label it may attach — further deepening gender discrimination at the workplace.

Employers must tread carefully between the delicate balance of ensuring inclusivity and workplace equity. Male employees might feel at a disadvantage and may oppose the idea of a designated menstrual leave. Similarly, menstrual leave may also be misused to simply take days off from work or where employers may weaponise it to highlight the weaknesses of female employees.

Given these very valid and realistic reservations, it is important to ensure that employers get innovative and come up with workable models that do not compromise output at work but also provide adequate support to women.

A hybrid leave with work-from-home options, a two-day wellness leave or transferable leaves should be accompanied with conditions that ensure authenticity in claims is maintained. Ensuring transparency in the process of claiming the said leave will in turn strengthen the confidence of all those who have apprehensions regarding it.

Article 34 of the Constitution of Pakistan states that steps must be taken to ensure the full participation of women in national life and this fundamental right can be exercised and realised only when the biological reality of women is accepted. Recognising female reproductive rights is non-negotiable and lies at the core of the issue. If Pakistan wants to encourage more women in leadership roles and the workforce, it must strive for workplace equity and flexibility.

If this country has any ambitions of achieving SDG 3.7 (Sustainable Development Goals) indicator by 2030 — aimed at women’s reproductive health and includes ensuring universal access to sexual and reproductive healthcare services — it must launch initiatives and campaigns centred around raising awareness of female reproductive health.

The issue runs deeper here as conversations surrounding menstruation are either limited, uncomfortable or avoided altogether. Owing to this cultural constraint, many women will shy away from claiming their leave because many of the times when they intend on doing so, they may have to report to a line manager/senior who is not necessarily a woman.
Navigating through the conundrum

The answer simply lies in creating awareness, debunking, and unpacking stigmas around menstruatution. These concerted efforts will have to come from both the government and the private sector and they can’t be half-baked or mere photo ops. Company policies aimed at an additional ‘wellness leave’ that is not a sick leave must be introduced to foster inclusivity, diversity and flexibility at the workplace.

We must envision a Pakistan where every woman feels supported, and where her health needs are recognised and respected. Imagine the boost in morale, productivity, and innovation when women can work without compromising their well-being. By confronting these taboos head-on, we pave the way for a prosperous society — one where we no longer have to see women pretend to fast in the month of Ramazan or suffer through a painful period with a smile.

The question isn’t whether we can afford to implement menstrual leave; it’s whether we can afford not to.



The author is a litigation lawyer. She tweets @Maryalabb
PAKISTAN

Fierce heat

Published June 24, 2024 
DAWB



CLIMATE change is unfolding as predicted by experts: savage heat, melting glaciers, extreme rainfall, drought, forest fires and floods are playing out in quick succession. In the month of June, in the northern hemisphere, cities on four continents are baking in menacing temperatures — a warning that record-breaking hot spells “could surpass last summer as the warmest in 2,000 years”. The record heat has taken possibly thousands of lives in Europe and Asia; according to reports, 200 homeless people have perished in Delhi, and out of the over 1,000 pilgrims who died of heat during Haj, several were Pakistanis. These tragedies highlight the detrimental costs of global warming. It is time for urgent measures and to recognise that consumption-oriented human habits have spawned a monster that is now stalking the globe.

Extreme weather exposes vulnerable groups — women, children, the elderly, poor and rural people — to dire health hazards, from cardiovascular and respiratory disorders to miscarriages and fatal heat strokes. Hence, federal and provincial authorities in Pakistan need to set up cooling zones across the country with ample water and electricity at all times. Moreover, protecting and increasing green cover, which facilitates sustainable development, lowers temperatures and lessens the urban heat island effect, is critical. Furthermore, in conjunction with heat awareness campaigns, the government, NGOs, and well-heeled communities should join hands to make food supplies, potable water and shelter facilities available to the outdoor labour force. In order to cope, citizens should be able to spot signs of heat-induced ailments. For any meaningful relief from climate consequences, our vision and actions have to match global methods, including mindful urban planning, using renewable energy and cooling techniques, such as insulation, reflective paints and non-heat trapping building materials. Heatwaves are becoming more frequent; only timely precautions and public knowledge can counter their impact.

Published in Dawn, June 24th, 2024

 

French model shows better access to methadone in US could save lives



OHSU author conducting research in France sees opportunity to relieve opioid epidemic gripping the U.S.



OREGON HEALTH & SCIENCE UNIVERSITY





In France, the majority of people with an opioid use disorder — 87% — receives access to medication designed to treat it. In the United States, where more than 100,000 people are dying annually from drug overdoses, less than 20% of people with opioid use disorder receive methadone or buprenorphine.

A new study published in the International Journal of Drug Policy highlights differences between the two countries — and a prime opportunity for the U.S. to better address an opioid epidemic that continues to ravage American families and communities.

“Americans are dying at persistently unacceptable, unthinkable rates,” said lead author Honora Englander, M.D., an addiction medicine expert at Oregon Health & Science University. “This doesn’t need to be political; this is science. Methadone is a life-saving medication that is inaccessible to most people who need it in the U.S. because of current regulations. Policymakers can change that.”

Overdose rates are 32 times lower per capita in France than in the U.S., she noted.

Englander, professor of medicine (general internal medicine) in the OHSU School of Medicine, is spending a year conducting addiction and public health research at le Centre Hospitalier Vinatier in Lyon as a Fulbright Scholar. She said she is most surprised by the ease at which people with addiction can access care, compared with the firmly regulated landscape she’s accustomed to in the U.S.

Methadone is one of three medicines approved by the Food and Drug Administration to treat opioid dependence, along with buprenorphine and naltrexone. Methadone is a full agonist, meaning it fully acts on the same targets in the brain as prescription opioids or heroin. Buprenorphine is a partial agonist, and naltrexone is an opioid antagonist. Methadone and buprenorphine inhibit opioid withdrawal symptoms, while naltrexone blocks the euphoric effect of opioids. All three are readily available in France for treatment of opioid use disorder.

The new study in particular highlights vastly different rates of adoption of methadone, which is tightly regulated in the U.S. and primarily dispensed only through federally licensed opioid treatment programs.

“In France, methadone can be started in specialty addiction centers and hospitals, with handoff to primary care clinicians,” the authors write. “It can be dispensed and stored like other opioids from community pharmacies.”

Englander, who directs an in-hospital addiction intervention program at OHSU known as Project IMPACT, said she is eager to advocate for policies in the U.S. and Oregon to reduce deaths and change methadone care systems so that people can access it.

“The French system is far from perfect,” she said, “but it’s just night and day what a system like this would mean for the patients I care for in Oregon.”

 

Complex network modeling for energy and carbon emission systems: Current status and prospects



TSINGHUA UNIVERSITY PRESS





In the face of the dual challenges of climate change and energy security, conducting in-depth research on energy and carbon emission (E&C) systems has become crucial for nations to address environmental issues and promote sustainable development. The system of E&C is highly interconnected and intricate, encompassing various levels and domains, exhibiting significant spatial and temporal variations. Consequently, analyzing the complex and intricate relationships within this system poses significant challenges. Fortunately, complex network theory (CNT) offers a promising approach to a deeper understanding of the inherent mechanisms and evolutionary patterns of E&C systems.

 

A team led by Mei Sun from Jiangsu University in Zhenjiang, China, recently provided a comprehensive overview of the application of complex network models within energy and carbon emission (E&C) systems. This work aims to advance research in this field. Network modeling of E&C systems involves modeling and analyzing each participant and their interrelationships. This approach offers valuable insights into the structure, operation, and internal mechanisms of these systems. These insights enhance our understanding and facilitate the development of effective strategies for addressing environmental and energy challenges.

 

The team published their review in Energy and Climate Management on June 18, 2024.

 

“In this review, we introduce the theoretical basis of complex network models. We then examine the progress of their application in the field of energy and carbon emissions. We explore the trends and hotspots in this field by employing keyword co-occurrence and literature co-citation analysis. Most importantly, we provide an example of renewable energy trade to illustrate the practical application of network modeling. This example demonstrates how network modeling can be used to analyze and understand the dynamics of renewable energy trade. Finally, we outline future research directions and challenges, focusing on index interpretation, multi-agent modeling, and integrating multiple methodologies.” said Mei Sun, senior author of the review paper and professor at the Institute of Carbon Neutrality Development, Jiangsu University, China.

 

As complex network theory continues to mature, its practical application in understanding and explaining various complex systems, including energy and carbon emissions, is growing. Complex network modeling provides a robust analytical and research framework for analyzing and forecasting energy and carbon prices, evaluating energy carbon footprints, and optimizing supply chain connections. “Despite the progress made, there are still several challenges to address in current research. One such challenge is the limited coupling of different types of energy networks, which is essential for constructing more reliable and efficient low-carbon energy transition systems. In addition, exploring network dynamics and time-varying characteristics in current research requires further enhancement to better adapt to the rapid changes in energy markets and policies.” Mei Sun said.

 

This work was partially supported by the National Natural Science Foundation of China (Grant nos. 72243005), Major programs of the National Social Science Foundation of China (Grant no. 22&ZD136), and Special Science for Carbon Peak and Carbon Neutralization of Jiangsu Province (Grant no. BE2022612).

 

International study indicates living kidney donation is safe in the longer-term




LAWSON HEALTH RESEARCH INSTITUTE






An international study led by researchers from Lawson Health Research Institute at London Health Sciences Centre (LHSC) and published in JAMA finds there is no difference in a number of health indicators in kidney donors when compared to individuals with similar levels of baseline good health seven years after donation.

The study included 1,042 living kidney donors and 396 non-donors at 17 transplant centres across Canada and Australia. Participants were recruited between 2004 and 2014 and followed for an average of seven years. Donors completed health questionnaires and basic health tests before kidney donation, three months after donation, and then annually until 2021.

“Donating a kidney has widely been considered safe in carefully selected candidates, acknowledging some inherent risks,” says Dr. Amit Garg, Scientist at Lawson and Nephrologist at LHSC. “While some smaller prior studies suggested a risk of high blood pressure, our team conducted a large international study that has found no difference in blood pressure nor long-term quality of life between living kidney donors and other healthy individuals.”

The study found very few differences between the two groups during study follow-up:

  • The rate of hypertension and change in average blood pressure was the same in both groups.
  • After an initial drop in donors’ eGFR (a blood test that measures kidney function), the rate of kidney function did not decline more in donors than non-donors. There was also no difference between groups in another measure of kidney health - the amount of protein in the urine. 
  • Aside from three months post-surgery, when physical health summary scores were significantly lower in donors, there were no differences between the two groups in subsequent health summaries, including self-reported physical function, mental function, anxiety or depression.

“This study is significant as its findings suggest that a kidney donation will not increase blood pressure in the first seven years after donation,” says Dr. Garg, who is also a Professor of Medicine, Epidemiology and Biostatistics at Western University’s Schulich School of Medicine & Dentistry. 

Bob McRae became a participant in the study after donating a kidney anonymously nearly 15 years ago through the national Living Donor Paired Exchange Registry

“I wanted to participate in the study to help contribute to evidence about the long-term safety of living kidney donation,” says McRae. "I hope the results will encourage more people to consider becoming a living kidney donor.”

The study also provides insights into how long it takes to recover from living kidney donation. While current pre-donation materials suggest donors return to full function four to six weeks after surgery, the study suggests that over 12 weeks might be a more accurate timeline for recovery.

The research team continues to analyze the study data to examine outcomes for non-standard donors, psychosocial impacts on anonymous donors, the presence of genetic kidney disease in donors, and more.

“We are starting to develop a clearer picture of whether donor risks are attributable to the surgery; hereditary factors since donors are more likely than non-donors to have a family history of kidney failure and hypertension; or are simply found due to more follow-up assessments in donors than non-donors,” says Dr. Garg. “This research will provide better evidence on living kidney donor outcomes to guide patient and provider decision-making. Guideline-recommended follow-up testing and care to maintain good long-term donor health remains essential.”

Unlocking the tea leaf's secret: decoding the amino acid blueprint of tea plant



NANJING AGRICULTURAL UNIVERSITY THE ACADEMY OF SCIENCE

A working model for N assimilation, AA synthesis, transport, and degradation/recycling in tea plants. 

IMAGE: 

A WORKING MODEL FOR N ASSIMILATION, AA SYNTHESIS, TRANSPORT, AND DEGRADATION/RECYCLING IN TEA PLANTS.

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CREDIT: HORTICULTURE RESEARCH




A recent study has unlocked the secrets of amino acid metabolism in tea plants, revealing the pivotal role of nitrogen assimilation in root tissues and the long-distance transport of key amino acids to leaves. This discovery offers a pathway to enhance tea's flavor and health benefits, providing a foundation for improving tea cultivation practices and potentially elevating the quality of tea beverages.

Amino acids are vital for plant growth and significantly influence tea flavor and health benefits. Tea plants, particularly Camellia sinensis, exhibit unique amino acid profiles that contribute to their distinctive taste and nutritional value. Despite the known importance of amino acids like theanine and glutamine (Gln), the detailed dynamics of their synthesis, transport, and degradation in tea plants remain unclear. Due to these challenges, there is a need to conduct in-depth research to understand the complex metabolic pathways and spatial distribution of amino acids within tea plants.

Researchers from Hunan Agricultural University, in a study (DOI: 10.1093/hr/uhae060) published on February 28, 2024, in Horticulture Research, dissected the spatial dynamics of amino acid biosynthesis, transport, and turnover in tea plants. The study provides a detailed analysis of the metabolic pathways and gene expressions that govern these processes. By understanding these mechanisms, the researchers aim to improve tea cultivation and enhance the quality of tea beverages.

The study revealed that nitrogen assimilation primarily occurs in the roots, where Gln, theanine, and arginine (Arg) are actively synthesized. These amino acids are then transported through the plant’s vascular system. Transcriptome analyses identified that genes involved in Arg synthesis are highly expressed in roots, while genes responsible for Arg transport and degradation are expressed in stems and young leaves. This indicates a sophisticated system of amino acid management within the plant. One key finding is the role of the CsGSIa gene, which is crucial for amino acid synthesis, transport, and recycling. Overexpression and knockdown experiments of CsGSIa in transgenic tea plants demonstrated its significant impact on Gln and theanine levels. The study also highlighted that Arg, Gln, glutamate (Glu), and theanine are the major amino acids transported through the xylem sap, facilitating long-distance nitrogen transport from roots to leaves.

Dr. Jian Zhao, the lead researcher, stated, "Our findings offer a detailed map of amino acid metabolism in tea plants, which is crucial for both basic science and applied agricultural practices. Understanding these metabolic pathways opens up new possibilities for breeding tea varieties with enhanced flavors and health benefits."

The study’s findings have significant implications for the tea industry. By elucidating the pathways of amino acid metabolism, this research paves the way for developing tea plants with higher levels of beneficial amino acids, enhancing both flavor and nutritional value. These insights can be applied in breeding programs and cultivation practices to produce superior tea varieties. Additionally, understanding these metabolic processes can help in developing strategies to improve nitrogen utilization efficiency, contributing to more sustainable and productive tea farming.

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References

DOI

10.1093/hr/uhae060

Original Source URL

https://doi.org/10.1093/hr/uhae060

Funding information

This work was supported by Natural Science Foundation of China (U23A20214), the funds from Hunan 'Three Top' Innovative Talents Project (2022RC1142).

About Horticulture Research

Horticulture Research is an open access journal of Nanjing Agricultural University and ranked number one in the Horticulture category of the Journal Citation Reports ™ from Clarivate, 2022. The journal is committed to publishing original research articles, reviews, perspectives, comments, correspondence articles and letters to the editor related to all major horticultural plants and disciplines, including biotechnology, breeding, cellular and molecular biology, evolution, genetics, inter-species interactions, physiology, and the origination and domestication of crops.