scholarly journals Female genital mutilation/cutting in sudan and subsequent pelvic floor dysfunction

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Özer Birge ◽  
Aliye Nigar Serin ◽  
Mehmet Sait Bakır
Keyword(s):  
Female Genital Mutilation ◽  
Pelvic Floor Dysfunction ◽  
Reference Category ◽  
Genital Mutilation ◽  
Group 2 ◽  
Type 3 ◽  
Female Genital ◽  
Group 1

Abstract Background We aimed to evaluate the socio-demographic characteristics of women with female genital mutilation/cutting (FGM/C) and the results of FGM/C due to pelvic floor dysfunction. Results The prevalence of FGM/C was 87.2% in Sudan and Type 3 (50.4%) was the most prevalent, followed by Type 2 (35%) and Type 1 (8.5%). In the multinominal logistic regression analysis performed to show the effect of FGM/C on pelvic organ prolapse (POP), it was observed that FGM/C frequency in POP group 2 was statistically similar when POP group 1 was taken as reference category. In the evaluation for symptomatic POP (POP group 3), risk of developing POP in patients without FGM/C was significantly lower than patients with type 3 FGM/C with a rate of 82.9% (OR(odds ratio): 0.171 (p: 0.002), (Confidence Interval (CI) %95; 0.058–0.511). Risk of developing POP rate in patients with type 1 FGM/C was 75% (OR:0.250 (p: 0.005), CI %95; 0.094–0.666) and in patients with type 2 FGM/C was 78.4% (OR:0.216 (p: 0.0001), CI%95; 0.115–0.406). In the multinominal logistic regression analysis including other variables affecting POP, when group 1 was taken as the reference category, it was found that the possibility of developing mild POP (group 2) decreased in FGM/C type 1 and 2 compared to FGM/C type 3 but it was not statistically significant. However, the evaluation for the symptomatic POP group showed up a significantly lower risk of developing POP in patients with type 2 FGM/C compared to patients with type 3 FGM/C, with a rate of 58.4%. (OR:0.419 (p: 0.016), CI%95; 0.206–0.851) (Table 3). In addition, older age was found to be significant risk factor for increasing symptomatic POP (p: 0.003). Conclusions Type 2 and 3 FGM/C continues to be an important health problem in terms of complications that may develop in advanced ages as well as many short-term complications as a result of mechanical or physiological deterioration of the female genital anatomy.

scholarly journals Female Genital Mutilation/Cutting in Sudan and Subsequent Pelvic Floor Dysfunction.

2021 ◽  
Author(s):  
Özer Birge ◽  
Aliye Nigar Serin ◽  
Mehmet Sait Bakır
Keyword(s):  
Female Genital Mutilation ◽  
Pelvic Floor Dysfunction ◽  
Reference Category ◽  
Genital Mutilation ◽  
Group 2 ◽  
Type 3 ◽  
Female Genital ◽  
Group 1

Abstract Background: We aimed to evaluate the socio-demographic characteristics of women with female genital mutilation/cutting (FGM/C) and the results of FGM/C due to pelvic floor dysfunction.Results: The prevalence of FGM/C was 87,2% in Sudan and Type 3 (50.4%) was the most prevalent. Type 3 (50.4%) was the most prevalent, followed by Type 2 (35%) and Type 1 (8.5%). In the multinominal logistic regression analysis performed for the effect of FGM/C alone on pelvic organ prolapse, it was observed that FGM/C in group 2 was not statistically different when the reference category was taken as group 1. In the evaluation for symptomatic POP (group 3), compared to type 3 FGM/C, there was a significantly less risk of developing POP in patients without FGM/C at a rate of 82.9% (OR(odds ratio): 0,171 (p:0,002), (Confidence Interval (CI) %95; 0,058-0,511), in patients with type 1 FGM/C at a rate of 75% (OR:0,250 (p:0,005), CI %95; 0,094-0,666) and in patients with type 2 FGM / C at a rate of 78.4% (OR:0,216 (p:0,0001), CI%95; 0,115-0,406). In the multinominal logistic regression analysis performed by including other variables affecting POP when group 1 was taken as the reference category, we found that the possibility of developing mild POP (group 2) decreased in FGM/C type 1 and 2 compared to FGM/C type 3 but it was not statistically significant. However, the evaluation for symptomatic POP showed up a significantly lower risk of developing POP in patients with type 2 FGM/C at a rate of 58.4%, compared to type 3 FGM/C (OR:0,416 (p:0,016), CI%95; 0,205-0,847). In addition, older age and being unemployed were found to be significant risk factors for increasing symptomatic POP (p:0,004, p:0,045; respectively).Conclusions: Female genital mutilation/cutting (FGM/C) defined by the World Health Organization and consists of all procedures that involving partial or total removal of the external female genitalia or another injury to the female genital organs whether for cultural or other non-medical reasons. Especially type 2 and 3 FGM/C continues to be an important health problem in terms of complications that may develop in advanced ages as well as many short-term complications as a result of mechanical or physiological deterioration of the female genital anatomy.

scholarly journals Estimating Utility value for Female Genital Mutilation

2020 ◽  
Author(s):  
Cyrus Alinia ◽  
Bakhtiar Piroozi ◽  
Fariba Jahanbin ◽  
Hossein Safari ◽  
Amjad Mohamadi-Bolbanabad ◽  
...  
Keyword(s):  
Female Genital Mutilation ◽  
Health Utility ◽  
Utility Value ◽  
Genital Mutilation ◽  
Lower Health ◽  
The Mean ◽  
Socio Demographic Factors ◽  
Female Genital

Abstract Background: Female genital mutilation/cutting (FGM/C) is a clear violation of women's rights and can have adverse and irreversible health effects as well. Worldwide, more than 200 million women and girls have undergone FGM/C. Utility value of FGM/C has not been estimated yet, so we designed this study to extract the health utility value of FGM/C for the first time in the world.Methods: In a cross-sectional study in Iran, 125 girls and women who underwent FGM/C procedure were examined by the trained midwives in order to determine its type. In addition, a questionnaire was completed for identifying the socio-demographic factors and extracting the health utility of these individuals. Health utility was measured using Time Trade-off method and also to determine the effects of the socio-demographic factors on the health utility a two-limit censored regression model was applied.Results: The mean and median of the health utility of women with FGM/C were 0.971 (SE: 0.003) and 0.968 (IQR: 1-0.95), respectively. Number of non-traders was 58 (46.4%) who reported perfect health utility. However, the mean of health utility among traders was 0.946 (SE: 0.002). Only type 1 (Clitoridectomy) and type 2 (Excision) FGM/C were seen in this study. Women with Type 1 FGM/C had significantly lower health utility value (Mean: 0.968, Median: 0.957) than their type 2 counterparts (Mean: 0.987, Median: 1.00). Moreover, women in the age group of 31-45 years (Mean: 0.962, Median: 0.956), single (Mean: 0.950, Median: 0.954), divorced (Mean: 0.951, Median: 0.950), employed (Mean: 0.959, Median: 0.956), and with supplementary insurance (Mean: 0.962, Median: 0.950) had significantly lower health utility than their counterparts.Conclusion: FGM/C affects physical and psychological well-being of these individuals, resulting in a lack of personal and marital satisfaction, which ultimately leads to a 3% reduction in their health related quality of life. Therefore, preventing from this practice is very important and should be considered by health system policy makers more than before.

scholarly journals Estimating Utility value for Female Genital Mutilation

2020 ◽  
Author(s):  
Cyrus Alinia ◽  
Bakhtiar Piroozi ◽  
Fariba Jahanbin ◽  
Hossein Safari ◽  
Amjad Mohamadi-Bolbanabad ◽  
...  
Keyword(s):  
Female Genital Mutilation ◽  
Health Utility ◽  
Utility Value ◽  
Genital Mutilation ◽  
Lower Health ◽  
The Mean ◽  
Socio Demographic Factors ◽  
Female Genital

Abstract Background: Female genital mutilation/cutting (FGM/C) is a clear violation of women's rights and can have adverse and irreversible health effects as well. Worldwide, more than 200 million women and girls have undergone FGM/C. Utility value of FGM/C has not been estimated yet, so we designed this study to extract the health utility value of FGM/C for the first time in the world. Methods: In a cross-sectional study in Iran, 125 girls and women who underwent FGM/C procedure were examined by the trained midwives in order to determine its type. In addition, a questionnaire was completed for identifying the socio -demographic factors and extracting the health utility of these individuals . Health utility was measured using Time Trade-off method and also to determine the effects of the socio -demographic factors on the health utility a two-limit censored regression model was applied. Findings : The mean and median of the health utility of women with FGM/C were 0.971 (SE: 0.003) and 0.968 (IQR: 1-0.95), respectively . Number of non-traders was 58 (46.4%) who reported perfect health utility. However, the mean of health utility among traders was 0.946 (SE: 0.002). Only type 1 (Clitoridectomy) and type 2 (Excision) FGM/C were seen in this study. Women with Type 1 FGM/C had significantly lower health utility value (Mean: 0.968, Median: 0.957) than their type 2 counterparts (Mean: 0.987, Median: 1.00). Moreover, women in the age group of 31-45 years (Mean: 0.962, Median: 0.956), single (Mean: 0.950, Median: 0.954), divorced (Mean: 0.951, Median: 0.950), employed (Mean: 0.959, Median: 0.956), and with supplementary insurance (Mean: 0.962, Median: 0.950) had significantly lower health utility than their counterparts . Conclusion: FGM/C affects physical and psychological well-being of these individuals, resulting in a lack of personal and marital satisfaction, which ultimately leads to a 3% reduction in their health related quality of life. Therefore, preventing from this practice is very important and should be considered by health system policy makers more than before .

scholarly journals Estimating Utility value for Female Genital Mutilation

2020 ◽  
Author(s):  
Cyrus Alinia ◽  
Bakhtiar Piroozi ◽  
Fariba Jahanbin ◽  
Hossein Safari ◽  
Amjad Mohamadi-Bolbanabad ◽  
...  
Keyword(s):  
Female Genital Mutilation ◽  
Health Utility ◽  
Utility Value ◽  
Genital Mutilation ◽  
Lower Health ◽  
The Mean ◽  
Socio Demographic Factors ◽  
Female Genital

Abstract Background: Female genital mutilation/cutting (FGM/C) is a clear violation of women's rights and can have adverse and irreversible health effects as well. Worldwide, more than 200 million women and girls have undergone FGM/C. Utility value of FGM/C has not been estimated yet, so we designed this study to extract the health utility value of FGM/C for the first time in the world. Methods: In a cross-sectional study in Iran, 125 girls and women who underwent FGM/C procedure were examined by the trained midwives in order to determine its type. In addition, a questionnaire was completed for identifying the socio -demographic factors and extracting the health utility of these individuals . Health utility was measured using Time Trade-off method and also to determine the effects of the socio -demographic factors on the health utility a two-limit censored regression model was applied. Findings : The mean and median of the health utility of women with FGM/C were 0.971 (SE: 0.003) and 0.968 (IQR: 1-0.95), respectively . Number of non-traders was 58 (46.4%) who reported perfect health utility. However, the mean of health utility among traders was 0.946 (SE: 0.002). Only type 1 (Clitoridectomy) and type 2 (Excision) FGM/C were seen in this study. Women with Type 1 FGM/C had significantly lower health utility value (Mean: 0.968, Median: 0.957) than their type 2 counterparts (Mean: 0.987, Median: 1.00). Moreover, women in the age group of 31-45 years (Mean: 0.962, Median: 0.956), single (Mean: 0.950, Median: 0.954), divorced (Mean: 0.951, Median: 0.950), employed (Mean: 0.959, Median: 0.956), and with supplementary insurance (Mean: 0.962, Median: 0.950) had significantly lower health utility than their counterparts . Conclusion: FGM/C affects physical and psychological well-being of these individuals, resulting in a lack of personal and marital satisfaction, which ultimately leads to a 3% reduction in their health related quality of life. Therefore, preventing from this practice is very important and should be considered by health system policy makers more than before .

scholarly journals Importance of food plants in the prevention and treatment of diabetes in Cameroon

2019 ◽  
Vol 2 (2) ◽  
pp. 11
Author(s):  
Nole Tsabang ◽  
Lionel W. ◽  
Clément G. Yedjou ◽  
Paul B. Tchounwou
Keyword(s):  
Herbal Medicines ◽  
Food Plants ◽  
Diabetic Patients ◽  
Self Medication ◽  
Prevention And Treatment ◽  
Onset Of Diabetes ◽  
Group 2 ◽  
Group 1

Background: Diabetes is a metabolic pathology that affects the human body’s capacity to produce and use insulin. Type 1 (insulin-dependent) diabetes accounts for 5-10 % of diabetic patients. In Type 2 diabetes the insulin produced by the pancreatic islets is not properly used by cells leading to insulin resistance. Gestational diabetes sometimes occurs in pregnant women and affects about 18 % of all pregnancies. Diabetes is one of the most important multifactorial, metabolic and chronic diseases, with fatal complications. According to the International Diabetes Federation’s estimations in 2015, 415 million people had diabetes. By 2040 this will increase to 642 million. Although many ethnopharmacological surveys have been carried out in several parts of the world, no ethnomedical and ethnopharmacological surveys have been done to identify plants used for the prevention and treatment of diabetes.Objective: This study aimed to collect and document information on food plants’ remedies consumed for preventing and treating diabetes in Cameroon.Methods: Ethnomedical and ethnopharmacological thorough preparation was conducted nearby 1131 interviewers from 58 tribes, in a random distribution. Diabetic patients recorded among the 1,131 people who signed the informed consent and allowed us to evaluate the effectiveness of 10 food plants that they usually used in self-medication. They were divided into two groups: Group 1 was comprised of 42 diabetic patients who regularly consume certain food plants, and Group 2 included 58 patients who were town dwellers and did not regularly eat the identified food plants. Results: It was discovered that the times of onset of diabetes in patients were about 70 years and 45 years in Group 1 and Group 2, respectively. Hence, it was demonstrated that the onset of diabetes was linked to consumption of food plants which contributed to the prevention and/or the delay in its clinical manifestations.Conclusion: The results of this study provide a scientific basis for the use of herbal medicines in the management of diabetes. However further investigations and/or clinical trials involving a large number of both type 1 and type 2 diabetics are needed to confirm the therapeutic action of many food plants against diabetes.Keywords: Cameroon, food plants, diabetes, prevention and treatment

scholarly journals The Effect of Two Types of High-Intensity Interval Training on Serum Value of GH and IGF-1 in Overweight Nurses

2020 ◽  
Vol 11 (4) ◽  
Author(s):  
Sahar Avazpour ◽  
Jamal Fazell Kalkhoran ◽  
Karamat Avazpour ◽  
Fatemeh Mohseni
Keyword(s):  
High Intensity ◽  
Interval Training ◽  
Control Group ◽  
High Intensity Interval Training ◽  
Significant Difference ◽  
Group 2 ◽  
High Intensity Interval ◽  
Group 1

Background: Growth hormone and insulin-like growth factor 1 are anabolic hormones that play a vital role in the growth of various physical organs. Exercise is one of the stimuli that affect GH and IGF-1 secretion. Objectives: This study aimed to compare the effect of two types of high-intensity interval training (HIIT) on plasma levels of GH and IGF-l in overweight nurses. Methods: In this study, 27 nurses were voluntarily selected and randomly assigned to three groups (9 participants for each group): 1. HIIT (type 1), including eight seconds of spring running and 12 seconds of active recovery, 2. HIIT (type 2), including a 40-meter shuttle run with maximum speed, 3. control. HIIT (type 1) was performed for four weeks, three sessions per week, each session 6 - 9 min with more than 90% HRmax. HIIT (type 2) was applied for four weeks, three sessions per week, with more than 90% HRmax. The control group did not participate in any training protocol. The serum value of GH and IGF-1 were compared in three groups. The data were analyzed by the dependent t-test and ANOVA. One-way analysis of variance (ANOVA) was used to analyze the intergroup data at P ⟨ 0.05. Results: The results showed that HIIT (type 1) and (type 2) significantly increased plasma GH (P = 0.032 in group 2 and P = 0.010 in group 1) and IGF-l (P = 0.004 in group 2 and P = 10.013 in group 1) levels in nurses. The results showed a significant difference in the variables (GH and IGF-l) among HIIT (type 1), HIIT (type 2), and control groups. Conclusions: It can be concluded that four weeks of adverse intermittent exercises are effective in increasing the concentration of GH and IGF-1 serum and decreased percentage body fat in young nurses with overweight, and proportional to the intensity of the exercise protocol response rate is different.

scholarly journals A detailed analysis of patients included in the Summary Hospital-level Mortality Indicator (SHMI) for myocardial infarction (MI)—all is not what it seems?

2020 ◽  
Vol 9 (2) ◽  
pp. e000836
Author(s):  
Vinoda Sharma ◽  
Saqib Chowdhary ◽  
Fairoz Abdul ◽  
Vladimír Džavík ◽  
Chetan Varma
Keyword(s):  
Myocardial Infarction ◽  
Mortality Risk ◽  
Conservative Management ◽  
Hospital Level ◽  
Expected Number ◽  
Group 3 ◽  
Group 2 ◽  
Group 1

BackgroundThe Summary Hospital-level Mortality Indicator (SHMI) for Myocardial Infarction (MI) is the ratio of the observed to the expected number of deaths due to MI. We aimed to assess (1) the accuracy of MI as a diagnosis in the SHMI for MI and (2) the healthcare received by patients with type 1 MI included in the SHMI for MI.MethodsRetrospective review of patients included in SHMI for MI from April 2017 to March 2018. The diagnosis of MI was divided into type 1, type 2 and non-MI. For patients with type 1 MI who underwent intervention, we applied the prognostic Toronto Risk Score (TRS) and classified into group 0: score <13 (mortality risk 0%–4%, lowest risk), group 1: score 13–16 (mortality risk 6%–19.6%), group 2: score 17–19 (mortality risk 27.4%–47.6%) and group 3: score ≥20 (mortality risk 58%–92%). For patients with type 1 MI who underwent conservative management, we reviewed appropriateness of conservative management.ResultsSHMI for MI was 96 (41/42.83) falling to 65.4 with the inclusion of only type 1 MI (28 patients, 28/42.83). About 41.5% (n=17) underwent intervention of whom three were in the lowest risk TRS (group 0) and all received appropriate healthcare. Conservative management was appropriate for the 26.8% (n=11) treated medically, the most common reason was severe cognitive dysfunction.ConclusionsWe have demonstrated that SHMI for MI can be inaccurate due to the inclusion of type 2 MI or non-MI. Grouping patients into intervention versus conservative management helps in assessment of healthcare.

Pre-Descemet’s endothelial keratoplasty: a simple, Descemet’s membrane scoring technique for successful graft preparation

2021 ◽  
pp. bjophthalmol-2020-317613
Author(s):  
Nicolas Cesario Pereira ◽  
Adriana dos Santos Forseto ◽  
Rafaela Cesario Pereira Maluf ◽  
Harminder Singh Dua
Keyword(s):  
Standard Technique ◽  
Tissue Preparation ◽  
Endothelial Keratoplasty ◽  
Donor Tissue ◽  
Descemet's Membrane ◽  
Descemet’S Membrane ◽  
Group 2 ◽  
Group 1

PurposePre-Descemet’s endothelial keratoplasty (PDEK) donor tissue preparation involves the intrastromal injection of air to create a type 1 big bubble (BB) and avoidance of the creation of a type 2 BB. The purpose of this study was to design and test a technique to consistently creates a type 1 BB without risk of creating a type 2 BB.MethodsA prospective matched study with 64 human donor sclerocorneal discs, which were not suitable for corneal transplantation, was conducted. The corneas were divided into two groups, of which 32 were subjected to the standard technique of preparing the PDEK donor tissue (group 1, control) and 32 new technique, where in the donor Descemet’s membrane was scored with a Sinskey hook. Frequency of occurrence of different types of BB was compared and statistically analysed.ResultsWith the standard technique (group 1), type 1 BB occurred in 53.1%, type 2 BB in 34.4% and mixed BB in 12.5% of samples. With the scoring technique (group 2), a type 1 BB occurred in 100% of the samples. No type 2 or mixed BB occurred in any case in group 2. The difference in creation of a type 1BB between the two groups was statistically significant (p=0.00).ConclusionThe scoring technique is a simple, inexpensive and reproducible option to consistently achieve a type 1 BB to prepare PDEK graft tissue. The next step would be to study the clinical outcomes of PDEK performed with tissue obtained by the scoring technique.

scholarly journals Transarticular invasion of primary bone tumors abutting the sacroiliac joint: an MRI study in 128 patients

2020 ◽  
Author(s):  
Lei Ding ◽  
Junqiang Yin ◽  
Fangling Zhang ◽  
Yongqian Wang ◽  
Changye Zou ◽  
...  
Keyword(s):  
Sacroiliac Joint ◽  
Bone Tumors ◽  
Primary Bone Tumors ◽  
Tumor Group ◽  
Primary Bone ◽  
Group 3 ◽  
Group 2 ◽  
Type 3 ◽  
Group 1

Abstract Background: To investigate magnetic resonance imaging (MRI) manifestation of transarticular invasion of primary bone tumors abutting the sacroiliac joint.Methods: We conducted a retrospective analysis of MRI data in 128 patients with primary bone tumors abutting the sacroiliac joint from January 2004 to December 2015. The diagnoses were confirmed by surgical findings and pathological examination. The tumors of 87 patients located in the ilium and 41 patients in the sacrum. Tumors were divided into high-grade malignant tumor group (Group 1), low-grade (Group 2) malignant tumor group and intermediate tumor group (Group 3). Transarticular invasion routes included 3 types: across ligament (Type 1), across articular cartilage (Type 2) and across periarticular tissue (Type 3).Results: Transarticular invasion were observed in 33 patients (25.8%): Group 1 (22 patients) included 15 patients (51.7%) with conventional osteosarcoma and 7 patients (43.8%) with Ewing's sarcoma; Group 2 (5 patients) included 4 patients (11.4%) with central chondrosarcoma and 1 patient (7.7%) with chordoma; Group 3 (6 patients) included 4 patients (20.0%) with giant cell tumor of bone, 1 patient (16.7%) with chondroblastoma and 1 patient (11.1%) with aneurysmal bone cyst. The difference of transarticular invasion incidence was not statistically significant between primary iliac and sacral tumors (P > 0.05). The differences were statistically significant between group 2 and group 1, group 3 and group 1, respectively (P < 0.01). Significant differences were observed among different invasion types (P < 0.01): type 1(31 times), type 2 (15 times) and type 3 (5 times).Conclusions: MRI is sensitive and useful to evaluate transarticular invasion of primary bone tumors abutting the sacroiliac joint.

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