scholarly journals Beliefs, knowledge and the impact of COVID19 on menopause therapies in Spanish women: COMEM-treatment study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Laura Baquedano ◽  
◽  
Andrea Espiau ◽  
María Fasero ◽  
Silvia Ortega ◽  
...  
Keyword(s):  
Menopausal Status ◽  
Hot Flashes ◽  
Sampling Procedure ◽  
Adherence To Treatment ◽  
Cross Sectional ◽  
Lack Of Information ◽  
Spanish Women ◽  
Secondary Objective ◽  
The Impact ◽  
Menopause Hormone Therapy

Abstract Objective To study what women think about menopause treatments and assess their knowledge about them. To analyze adherence to treatment during COVID-19 confinement as a secondary objective. Methods A multi-center cross-sectional observational study was conducted using a survey of 2500 women between January and June 2019. This was administered following a non-probability sampling procedure including women between 35 and 75 years. An extension study was conducted during the coronavirus pandemic, between March and June 2020. Results The responses of 2355 surveyed women were analyzed. Of this sample, 42% knew about menopause hormone therapy (MHT). The most frequently identified indication was the treatment of hot flashes (65.6%). The MHT risks most frequently perceived were weight gain (24.2%) and breast cancer (21.7%); the main reason for rejecting MHT was a lack of information (96.1%). Comparative analyses were conducted according to age, menopausal status, type of menopause, place of residence, type of health care and level of education. During the coronavirus confinement period, 85 women using MHT were located, of which 84.7% continued it. Conclusions Women hold certain false beliefs about menopause, and their knowledge of the available treatments is somewhat limited. Adherence to MHT during the COVID-19 confinement in Spain has been high.

scholarly journals Beliefs, Knowledge and the Impact of COVID-19 on Menopause Therapies in Spanish Women: Comem-treatment Study

2020 ◽  
Author(s):  
Laura Baquedano ◽  
Andrea Espiau ◽  
Maria Fasero ◽  
Silvia Ortega ◽  
Isabel Ramirez ◽  
...  
Keyword(s):  
Menopausal Status ◽  
Hot Flashes ◽  
Sampling Procedure ◽  
Adherence To Treatment ◽  
Cross Sectional ◽  
Lack Of Information ◽  
Spanish Women ◽  
Secondary Objective ◽  
The Impact ◽  
Menopause Hormone Therapy

Abstract ObjectiveTo study what women think about menopause treatments and assess their knowledge about them. To analyze adherence to treatment during COVID-19 confinement as a secondary objective.MethodsA multi-center cross-sectional observational study was conducted using a survey of 2500 women between January and June 2019. This was administered following a non-probability sampling procedure including women between 35 and 75 years. An extension study was conducted during the coronavirus pandemic, between March and June 2020. ResultsThe responses of 2355 surveyed women were analyzed. Of this sample, 42% knew about menopause hormone therapy (MHT). The most frequently identified indication was the treatment of hot flashes (65.6%). The MHT risks most frequently perceived were weight gain (24.2%) and breast cancer (21.7%); the main reason for rejecting MHT was a lack of information (96.1%). Comparative analyses were conducted according to age, menopausal status, type of menopause, place of residence, type of health care and level of education. During the coronavirus confinement period, 85 women using MHT were located, of which 84.7% continued it. ConclusionsWomen hold certain false beliefs about menopause, and their knowledge of the available treatments is somewhat limited. Adherence to MHT during the COVID-19 confinement in Spain has been high.

Self perceived oro-facial behaviour and malocclusion among young adults in Hyderabad city

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Dasari Tejaswini ◽  
Suhas Kulkarni ◽  
Dolar Doshi ◽  
Adepu Srilatha
Keyword(s):  
Gender Differences ◽  
Young Adults ◽  
Health Knowledge ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Sampling Procedure ◽  
Cross Sectional ◽  
Significant Difference ◽  
The Face ◽  
The Impact

AbstractBackgroundAesthetic alterations in the face can be self-perceived and can affect quality of life in young adults.ObjectiveTo assess the impact of malocclusion on self- perceived oro-facial behaviour among young adults.MethodsA Cross sectional study was conducted among 638 young adults (aged 18–21 years) of Hyderabad city. One college from each of the five zones of the Hyderabad city (five colleges) were selected by simple random sampling procedure. A 21-item Oro-facial investment scale (OFIS) questionnaire assessing self-perceived oral health knowledge, attitude, practice and Dental Aesthetic Index (DAI) assessing the severity of malocclusion was used. Data were analysed with standard statistical software (SPSS, Statistical package for the social sciences, version 20.0). p < 0.05 was considered statistically significant.ResultsMales had higher mean scores for knowledge (2.90 ± 0.49) than females (2.73 ± 0.82) and was statistically significant (p = 0.002*). No statistically significant gender differences were found in relation to attitude and practice. Analysis of variance (ANOVA) showed that there was a significant difference in all the three scores (knowledge, attitude, practice) with respect to age, with significantly high score for knowledge and practice among 18 year old subjects (p = 0.0001*; p = 0.0003* respectively) and attitude among 21 year old subjects (p = 0.0049*). No statistically significant age, gender differences were found in relation to DAI scores. Upon correlation, DAI significantly and positively correlated with knowledge (p = 0.03*) and attitude (p = 0.0001*).ConclusionThis study has shown significant impact of malocclusion on the self-perceived oro-facial behaviour.

Influence of the menopausal transition on polysomnographic sleep characteristics: A longitudinal analysis

SLEEP ◽  
2021 ◽  
Author(s):  
Karen A Matthews ◽  
Laize Lee ◽  
Howard M Kravitz ◽  
Hadine Joffe ◽  
Genevieve Neal-Perry ◽  
...  
Keyword(s):  
Sleep Duration ◽  
Menopausal Status ◽  
Hot Flashes ◽  
Sleep Onset ◽  
Menopausal Transition ◽  
Apnea Hypopnea Index ◽  
Cross Sectional ◽  
Sleep Study ◽  
Beta Power ◽  
Eeg Power

Abstract Study Objectives To evaluate how change in menopausal status related to spectral analysis and polysomnographic measures of sleep characteristics. Methods The Study of Women’s Health Across the Nation (SWAN) Ancillary Sleep Study evaluated sleep characteristics of 159 women who were initially pre- or early perimenopausal and repeated the assessment about 3 ½ years later when 38 were pre- or early perimenopausal, 31 late perimenopausal, and 90 postmenopausal. Participants underwent in-home ambulatory polysomnography for 2 to 3 nights. Average EEG power in the delta and beta frequency bands was calculated during NREM and REM sleep, and sleep duration, wake after sleep onset (WASO), and apnea hypopnea index (AHI) were based on visually-scored sleep. Results The women who transitioned to postmenopause had increased beta NREM EEG power at the second assessment, compared to women who remained pre-or early premenopausal; no other sleep measures varied by change in menopausal status. In multivariate models the associations remained; statistical controls for self-reported hot flashes did not explain findings. In secondary analysis, NREM beta power at the second assessment was greater among women who transitioned into the postmenopause after adjustments for initial NREM beta power. Conclusions Sleep duration and WASO did not vary by menopause transition group across assessments. Consistent with prior cross-sectional analysis, elevated beta EEG power in NREM sleep was apparent among women who transitioned to postmenopause, suggesting that independent of self-reported hot flashes, the menopausal transition is associated with physiological hyperarousal during sleep.

scholarly journals Impact of COVID-19 Pandemic on Mental Health of University Students in Pakistan

2020 ◽  
Author(s):  
Hafiz Muhammad Asif ◽  
Hafiz Abdul Sattar
Keyword(s):  
Public Health ◽  
Mental Health ◽  
University Students ◽  
Urban Areas ◽  
Family Income ◽  
Sampling Procedure ◽  
Mental Wellbeing ◽  
Snowball Sampling ◽  
Cross Sectional ◽  
The Impact

Purpose: A novel coronavirus, SARS-CoV-2 was identified as the cause of COVID-19 eventually led to the declaration of Public health emergency of international concern and a pandemic by WHO due to its exponential global spread. Present study was conducted to investigate the impact of second wave of pandemic on mental wellbeing and social behaviors among university students of Pakistan during this crucial period of COVID-19 infection. Methods: A cross-sectional analytical study was designed to evaluate the psychosocial impact during the current COVID-19 outbreak among the students of The Islamia University of Bahawalpur, Pakistan. Snowball sampling or chain referral sampling procedure was adopted to recruit the participants in the study. Verbal informed consent was taken from all participants before recruitment in the study irrespective of their gender, age and socioeconomic status. Results: Mental health of university students during COVID-19 epidemic was affected to a varying degree revealing that 26.66% were recorded to have mild, 27.15% moderate and 17.04% suffering from severe anxiety out of total 1029 students. Students who were residing in urban areas with parents and having a steady family income were negatively associated and found protective factors against anxiety. However, having a relative or an acquaintance infected with COVID-19 was an independent risk factor for experienced anxiety. Positively associated factors with the level of anxiety symptoms included economic stressors, effects on daily-life, and academic delays whereas social support was negatively correlated with anxiety in COVID-19 related stressors. Conclusion: Public health emergencies and such pandemic are exerting serious psychological impacts on university students. It is recommended that the higher authorities should plan better policies to reduce this impact for the provision of high quality and timely crisis-oriented psychological services to university students.

scholarly journals Evaluation of life's quality of women in climacteric in the city of Floriano, Piauí

2016 ◽  
Vol 29 (2) ◽  
pp. 219-228 ◽  
Author(s):  
Daianne Vieira Menezes ◽  
Maria Evangelina de Oliveira
Keyword(s):  
Menopausal Status ◽  
Hot Flashes ◽  
Reproductive Period ◽  
Climacteric Symptoms ◽  
Cross Sectional ◽  
Skin Changes ◽  
Kupperman Index ◽  
Significant Impairment ◽  
The City

Abstract Introduction: The climacteric is the transition phase that is between the end of the reproductive and non-reproductive period of the woman's life, and that can be extended up to 65 years of age. Menopause is considered the mark of this phase and is characterized as an event, and not as a period. Objectives: To evaluate the life's quality of women in climacteric, in the city of Floriano - PI, by using the Women's Health Questionnaire (WHQ). With the specific objectives it was sought to identify the socio-demographic profile and menopausal status, highlight the most frequent symptoms at this phase and verify the intensity of climacteric symptoms in women through the Blatt-Kupperman Index (BKI). Methodology: It is a descriptive, cross-sectional and quantitative study. For the selection of the participating subjects, it was made a systematically count in every three domiciles in Nova Sambaíba neighborhood, in the city of Floriano, PI. The sample consisted of 184 women. Results: In the verification of the intensity of climacteric symptoms, given by Blatt-Kupperman Index (BKI), the symptomatology was considered light for 109 women (59.24%) and the most common symptoms were nervousness (73.9%), skin changes (66.8 %), anxiety (60.9%), hot flashes (57.6%), thinning and loss of hair (49.5%) and hypertension (26.1%). The most affected domain of the WHQ was the sexual function, with an average of 1.9, and the domains of menstrual problems and depressed mood, considered lighter (3.3). Conclusion: According to the applied methodology, it is concluded that the obtained data didn't show significant impairment of quality of life of these women because of climacteric.

scholarly journals Breast Cancer Patients’ Experience and Wishes Regarding Communication on Sexual Health - The BEROSE Study

2021 ◽  
Author(s):  
Marion Aupomerol ◽  
Dan Chaltiel ◽  
Patricia Pautier ◽  
Delphine Wehrer ◽  
Lucie Veron ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Sexual Health ◽  
Health Care Providers ◽  
Cancer Center ◽  
Care Providers ◽  
Breast Cancer Patients ◽  
Cross Sectional ◽  
Lack Of Information ◽  
Treatment Administration ◽  
The Impact

Abstract Purpose: Although sexual health (SH) is a major concern for many patients with breast cancer (BC), only few of them receive adequate information on this topic throughout their care. BEROSE is a single-center pilot cross-sectional observational study, which aimed at evaluating communication on SH between women with BC and their health-care providers.Methods: From June 12th to July 31th, 2020, a survey was distributed to patients consulting at Breast Cancer Unit of Gustave Roussy Cancer Center. The primary endpoint was the rate of women reporting to have received information on SH from health professionals throughout active treatment administration or BC follow-up.Results: Of 348 surveys collected, 318 were completely filled and included in the analysis. Sixty-one percent of women were older than 50 years and 65% had a localized BC. The majority (63%) was receiving hormone-therapy (37%) or chemotherapy (26%). Overall, 65% reported that they had not received any information about SH throughout their care, while 69% felt it would have been important to discuss sexual issues. Most of women expected professionals to bring up the topic, preferably oncologists or gynecologists, during face-to-face consultations. Concerning satisfaction on SH, 83% reported of being satisfied or very satisfied before BC diagnosis, and only 30% at the time of our survey. Conclusion: Most of women treated or followed-up for BC feel that they lack of information regarding SH-related issues. The impact of BC diagnosis and treatment on SH should be discussed with all women from the first visit and then regularly readdressed.

An empirical examination of the effects of land tenure on housing values in Kampala, Uganda

2015 ◽  
Vol 8 (3) ◽  
pp. 359-374 ◽  
Author(s):  
Richard Irumba
Keyword(s):  
Land Tenure ◽  
Housing Prices ◽  
Hedonic Model ◽  
Housing Values ◽  
Cross Sectional ◽  
Empirical Examination ◽  
Content Type ◽  
Transaction Prices ◽  
Lack Of Information ◽  
The Impact

Purpose – The purpose of this paper is to investigate the impact of land tenure on housing values in metropolitan Kampala. Design/methodology/approach – A hedonic model is used to test the relationship between housing prices, land tenure and housing attributes using a cross-sectional dataset of transaction prices for 590 newly built houses sold in 2011. Findings – Public leaseholds in Kampala offer a premium of 23 per cent in housing values compared to freeholds. This could be due to a lack of formal systems for the assessment of leasehold premium and ground rent charges, an arrangement which can offer utility to the lesse at the expense of lessor, thereby making leaseholds popular on the market, or the developers’ lack of information on the benefits of freehold causing them to value leaseholds higher than freeholds. Similarly, private mailo tenure offers a 12 per cent premium in housing values compared to freeholds. There is no significant impact of Kabaka’s mailo tenure on housing values. When compared to private mailo, public leaseholds offer an 11 per cent premium in housing values. Practical implications – There is a need to advance leasehold as the urban land tenure for Uganda, disentangle multiple-layers of ownership on mailo land and roll out the land fund to enhance growth of the housing market in Kampala. Originality/value – This paper is the first of its kind to empirically examine the impact of mailo land tenure on housing values. Findings provide useful insights for investors and policymakers in the housing sector in Uganda.

scholarly journals Steroid reference intervals in women: influence of menopause, age and metabolism

2021 ◽  
Vol 184 (3) ◽  
pp. 399-411
Author(s):  
Marco Mezzullo ◽  
Alessandra Gambineri ◽  
Guido Di Dalmazi ◽  
Alessia Fazzini ◽  
Matteo Magagnoli ◽  
...  
Keyword(s):  
Waist Circumference ◽  
Menopausal Status ◽  
Hdl Cholesterol ◽  
Reference Intervals ◽  
Reproductive Age ◽  
Metabolic Parameters ◽  
Cross Sectional ◽  
The Impact ◽  
Lower Limits ◽  
Drug Free

Objective To investigate the impact of age, obesity and metabolic parameters on 13 circulating steroids in reproductive and menopausal age. To define reference intervals (RIs). Design Cross-sectional. Methods Three hundred and twenty five drug-free, healthy and eumenorrheic women were selected from the general population. Independent relationships of LC-MS/MS-determined steroid levels with age, BMI and metabolic parameters were estimated. Reference sub-cohorts were defined for calculating upper and lower limits in reproductive age, menstrual phases and menopause, and these were compared with limits in dysmetabolic sub-cohorts. Results Lower androgens, pro-androgens and estrogens, but higher cortisol and metabolites were found in menopausal compared to reproductive age women. Androgens and precursors decreased during reproductive age (P < 0.001–P = 0.002) but not after menopause. 17OH-progesterone decreased with BMI (P = 0.006) and glucocorticoids with waist circumference (P < 0.001P = 0.002) in reproductive age, but increased with triglycerides (P=0.011P=0.038) after menopause. Inverse associations of dihydrotestosterone with BMI (P=0.004) and HDL-cholesterol (P=0.010), estrone with total cholesterol (P=0.033) and estradiol with triglycerides (P=0.011) were found in reproductive age. After menopause, estrone increased with waist circumference (P<0.001) and decreased with insulin resistance (P=0.012). Ovarian steroid RIs were estimated in menstrual phases and menopause. Age- and reproductive status-specific RIs were generated for androgens, precursors and corticosteroids. Lower limits for reproductive age cortisol (P=0.020) and menopausal 11-deoxycortisol (P=0.003) in dysmetabolic sub-cohorts were reduced and increased, respectively, compared to reference limits. Conclusions Obesity and dysmetabolism differently influence circulating steroids in reproductive and menopausal status. Age, menstrual and menopausal status-specific RIs were provided by LC-MS/MS for a broad steroid panel.

scholarly journals THU0509 IMPACT OF PEDIATRIC RHEUMATIC DISEASES ON MEXICAN CAREGIVERS.

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 493.2-493
Author(s):  
B. Fortuna ◽  
I. Peláez-Ballestas ◽  
F. García-Rodríguez ◽  
E. Faugier ◽  
S. Mendieta ◽  
...  
Keyword(s):  
Rheumatic Diseases ◽  
Lupus Erythematosus ◽  
Social Life ◽  
Family Relationship ◽  
Primary Caregivers ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Important Impact ◽  
Lack Of Information ◽  
The Impact

Background:Pediatric rheumatic diseases (PRD) have an important impact on different aspects of the patients’ and caregivers’ life, such as physical, emotional, economic, and social. Some studies have shown that parents of patients with PRD have important impact but there is a lack of information of this topic from Latinamerican countries.Objectives:The aim of this study is to describe and analyze the impact of juvenile idiopathic arthritis (JIA), juvenile systemic lupus erythematosus (JSLE), and juvenile dermatomyositis (JDM) on Mexican primary caregivers.Methods:This is a multicenter cross-sectional study conducted in third-level reference pediatric hospitals in Mexico from December 2018 to November 2019. We included primary caregivers of pediatric patients with JIA, JSLE, and JDM that were treated in participant centers.CAREGIVERS questionnaire, a validated multiassesment tool to measure the impact of PRD on caregivers, was applied to the participants. Collection of social, demographic, and clinical data was also performed and correlated with questionnaire results.Results:A total of 200 primary caregivers participates in the study (109 JIA, 28 JDM, and 63 JSLE), aged 38 (IQR 32 – 46), mostly women (84.5%), from 6 centers, representing 13/32 Mexican states (Figure). One third (78) had a remunerated job, 123 (61.5%) had a relationship, 77 (38.5%) reached high school or higher, and 131 (65.5%) spends more than one hour to get to the center. Patients cared aged 12 (IQR 9 – 16), mostly women (67%), 87 (43.5%) with active disease, 43 (21.5%) with any disability, 94% and 29% treated with DMARD and biologics, respectively.Feelings of worry and sadness predominant at diagnosis that decreased over time (42.5% and 28.5% vs 9.5% and 31.5%, respectively) and changed for peace (44%). Concerns about disabilities were more frequent on JIA group (34%), while pain and economic issues in JSLE (47% and 30%, respectively. Most of the caregivers feel anxiety about the future of their patients (148, 74%), regardless of the diagnosis. Participants reported that the way they spend the time, social life, and personal health worsened since diagnosis (49.5%, 32%, and 34.5%, respectively), especially in those with JSLE (60%, 39%, 46%). In 126 (63%) participants the economic situation worsened, 129 (64.5%) borrowed money (76% in JSLE, P = .03), 63 (31.5%) had problems to buy medications, and 48.5% have had problems at work. In 25 (12.5%), the family relationship was affected after diagnosis, however, the main supportive network reported were family members.Conclusion:This work described the main impacted areas in life of primary caregivers of patients with PRD, showing a perspective of the burden of the disease.References:[1]Cohen EM. Pediatr Rheumatol [Internet]. Pediatric Rheumatology; 2017;15(1):6.[2]Torres-Made.Pediatr Rheumatol18,3 (2020).Disclosure of Interests:None declared

scholarly journals effectiveness of buzz group disscussionon knowledge and attitudes about prannal sex in adolescents at vocational school of pencawan medan

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Serly Monika Br Sembiring
Keyword(s):  
Health Education ◽  
Sampling Technique ◽  
Premarital Sex ◽  
Chi Square ◽  
Cross Sectional ◽  
Lack Of Information ◽  
Significant Difference ◽  
Before And After ◽  
The Impact ◽  
Sex Attitudes

The results of the report from the Demographic and Health Survey, especially the Adolescent Reproductive Health (KRR) component (2012) were found in adolescents aged 15-19 years, the largest proportion of first dating times at the age of 15-17 years. About 33.3% of girls and 34.5% of boys aged 15-19 years started dating when they were not yet 15 years old. Various other factors cause students to engage in premarital sex, such as communication with family, lack of information about the impact of premarital sex. This research is analytic with approach design cross-sectional. The population in this study were adolescents with a sample of 50 respondents, the sampling technique was purposive sampling. Collecting data using a questionnaire which will be processed with the test chi-square, with p = 0.05. Adolescent knowledge showed that the value of p = 0.001 (p <0.05), meaning that there was a significant difference between the knowledge before and after being given health education about free sex. Attitudes, the value of p = 0.001 (p <0.05) was obtained, meaning that there was a significant difference between the knowledge before and after being given health education about free sex.

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