Developing world in the context of "Advanced maternal age"

Urbanization (or urbanisation in British English) is the population shift from rural to urban areas, the corresponding decrease in the proportion of people living in rural areas, and the ways in which societies adapt to this change. It can also mean population growth in urban areas instead of rural ones. It is predominantly the process by which towns and cities are formed and become larger as more people begin to live and work in central areas.

Although the two concepts are sometimes used interchangeably, urbanization should be distinguished from urban growth. Urbanization refers to the proportion of the total national population living in areas classified as urban, whereas urban growth strictly refers to the absolute number of people living in those areas. It is predicted that by 2050, about 64% of the developing world and 86% of the developed world will be urbanized. This is predicted to generate artificial scarcities of land, lack of drinking water, playgrounds and other essential resources for most urban dwellers. The predicted urban population growth is equivalent to approximately 3 billion urbanites by 2050, much of which will occur in Africa and Asia. Notably, the United Nations has also recently projected that nearly all global population growth from 2017 to 2030 will take place in cities, with about 1.1 billion new urbanites over the next 10 years. In the long term, urbanization is expected to significantly impact the quality of life in negative ways.

Nomadic pastoralism, also known as nomadic herding, is a form of pastoralism in which livestock are herded in order to seek for fresh pastures on which to graze. True nomads follow an irregular pattern of movement, in contrast with transhumance, where seasonal pastures are fixed. However, this distinction is often not observed and the term 'nomad' used for both—and in historical cases the regularity of movements is often unknown in any case. The herded livestock include cattle, water buffalo, yaks, llamas, sheep, goats, reindeer, horses, donkeys or camels, or mixtures of species. Nomadic pastoralism is commonly practiced in regions with little arable land, typically in the developing world, especially in the steppe lands north of the agricultural zone of Eurasia. Pastoralists often trade with sedentary agrarians, exchanging meat for grains; however, they have been known to raid.

Of the estimated 30–40 million nomadic pastoralists worldwide, most are found in central Asia and the Sahel region of North and West Africa, such as Fulani, Tuaregs, and Toubou, with some also in the Middle East, such as traditionally Bedouins, and in other parts of Africa, such as Nigeria and Somalia. Increasing numbers of stock may lead to overgrazing of the area and desertification if lands are not allowed to fully recover between one grazing period and the next. Increased enclosure and fencing of land has reduced the amount of land for this practice.

A rag-and-bone man or ragpicker (UK English) or ragman, old-clothesman, junkman, or junk dealer (US English), also called a bone-grubber, bone-picker, chiffonnier, rag-gatherer, rag-picker, bag board, or totter, collects unwanted household items and sells them to merchants. Scraps of cloth and paper could be turned into cardboard, while broken glass could be melted down and reused, and even dead cats and dogs could be skinned to make clothes. Traditionally, this was a task performed on foot, with the scavenged materials (which included rags, bones, and various metals to be scrapped) kept in a small bag slung over the shoulder. Some rag-and-bone men used a cart, sometimes pulled by a horse or pony.

In the 19th century, rag-and-bone men typically lived in extreme poverty, surviving on the proceeds of what they collected each day. Conditions for rag-and-bone men in general improved following the Second World War, but the trade declined during the latter half of the 20th century. In the 21st century, rag-and-bone-style collection continues, partly as the result of the soaring price of scrap metal, particularly in the developing world.

Menstruation (also known as a period, among other colloquial terms) is the regular discharge of blood and mucosal tissue from the inner lining of the uterus through the vagina. The menstrual cycle is characterized by the rise and fall of hormones. Menstruation is triggered by falling progesterone levels, and is a sign that pregnancy has not occurred. Feminine hygiene products are used in order to maintain hygiene during menses.

The first period, a point in time known as menarche, usually begins during puberty, between the ages of 11 and 13. However, menstruation starting as young as eight years would still be considered normal. The average age of the first period is generally later in the developing world, and earlier in the developed world. The typical length of time between the first day of one period and the first day of the next is 21 to 45 days in young women; in adults, the range is between 21 and 35 days with the average often cited as 28 days. In the largest study of menstrual app data, the mean menstrual cycle length was determined to be 29.3 days. Bleeding typically lasts two to seven days. Periods stop during pregnancy and typically do not resume during the initial months of breastfeeding. Lochia occurs after childbirth. Menstruation, and with it the possibility of pregnancy, ceases after menopause, which usually occurs between 45 and 55 years of age.

A packhorse, pack horse, or sumpter is a horse, mule, donkey, or pony used to carry goods on its back, usually in sidebags or panniers. Typically packhorses are used to cross difficult terrain, where the absence of roads prevents the use of wheeled vehicles. Use of packhorses dates back to the Neolithic period. Today, westernized nations primarily use packhorses for recreational pursuits, but they are still an important part of everyday transportation of goods throughout much of the developing world and have some military uses in rugged regions.

Esophageal cancer (American English) or oesophageal cancer (British English) is cancer arising from the esophagus—the food pipe that runs between the throat and the stomach. Symptoms often include difficulty in swallowing and weight loss. Other symptoms may include pain when swallowing, a hoarse voice, enlarged lymph nodes ("glands") around the collarbone, a dry cough, and possibly coughing up or vomiting blood.

The two main sub-types of the disease are esophageal squamous-cell carcinoma (often abbreviated to ESCC), which is more common in the developing world, and esophageal adenocarcinoma (EAC), which is more common in the developed world. A number of less common types also occur. Squamous-cell carcinoma arises from the epithelial cells that line the esophagus. Adenocarcinoma arises from glandular cells present in the lower third of the esophagus, often where they have already transformed to intestinal cell type (a condition known as Barrett's esophagus).

Chlamydia, or more specifically a chlamydia infection, is a sexually transmitted infection caused by the bacterium Chlamydia trachomatis. Most people who are infected have no symptoms. When symptoms do appear, they may occur only several weeks after infection; the incubation period between exposure and being able to infect others is thought to be on the order of two to six weeks. Symptoms in women may include vaginal discharge or burning with urination. Symptoms in men may include discharge from the penis, burning with urination, or pain and swelling of one or both testicles. The infection can spread to the upper genital tract in women, causing pelvic inflammatory disease, which may result in future infertility or ectopic pregnancy.

Chlamydia infections can occur in other areas besides the genitals, including the anus, eyes, throat, and lymph nodes. Repeated chlamydia infections of the eyes that go without treatment can result in trachoma, a common cause of blindness in the developing world.