Sheng nu cites studies that show that women are now breaking the tradition of "mandatory marriage" to have fewer children or marry later on in life. Other typologically similar terms that are still used in the modern lexicon of other countries and cultures show the concept has existed in some cases as far back as the 16th century. The term spinster was used to describe unmarried or single women of a marriageable age. It wasn't until 2004 when the Civil Partnership Act replaced the word spinster with "single" in the relationship history section of marriage certificates in the UK. Subsequently, at the
Bachelor of Medicine, Bachelor of Surgery European Education, Audiovisual and Culture Executive Agency on Higher Education: Syria. The five universities in Uganda that have medical schools that teach undergraduate courses, namely Makerere University, Mbarara University, Gulu University, Kampala International University and Busitema University, all award the "MBChB" degree, after five years of study. While first degrees in medicine typically meet the expectations of the descriptor for higher education qualification at "level 7 (the UK master's degree)", these degrees usually retain, for historical reasons, "Bachelor of Medicine, Bachelor of Surgery" and are abbreviated to MBChB or MBBS. Varied abbreviations are used for these degrees in these areas: