According to the PHS, the term "significant financial interest" includes royalty income paid to an investigator except if that income is from the investigator's current employing institution.
In the given case, Adeline is probably to get scared and shocked regarding menarche as the culture of her time did not assist in educating young women about menarche.
Menarche refers to the initiation of the menstrual cycle, or first menstrual bleeding, in females. From both the medical and social point of view, it is usually regarded as the principal incident of female puberty, as it indicates the probability of fertility.
ATP is used in cellular activity in living organisms as a source of energy.