MENSTRUAL PROBLEMS AMONG ADOLESCENT GIRLS (10-19YEARS) IN THE PRIMARY CARE SETTING

Background: Menstrual problems are common among adolescent girls which can affect their daily routine and quality of life. Early detection and intervention for the menstrual problems can improve future reproductive health. Aims: To nd the prevalence and type of menstrual disorders, premenstrual syndrome and premenstrual dysphoric disorder among adolescents in the primary care setting. This was a community based cross sectional survey done covering Materials and methods: the whole of Thiruvananthapuram district, Kerala..Anganwadis were the primary data collecting units, selected by systematic random sampling. Data was collected using pretested structured questionnaire and validated premenstrual symptoms screening tool. Mean, standard deviation and simple percentage were used. Chi square test was used for nding associations and signicance level. P value <0.05 was taken as signicant. The most common reported Results: problems during menstruation were dysmenorrhoea (73.6%), moderate to severe premenstrual syndrome (13.5%), oligomenorrhoea (12.5%), menorrhagia (8.4%) and premenstrual dysphoric disorder (6.2%).The prevalence of menstrual problems increased as the age increased Conclusions: Majority of adolescents suffer from one or other menstrual problem which can affect their academic and social life. It can also affect their future reproductive health. So school health programs should give emphasis on adolescent menstrual health for a healthy future generation.

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Empowering Transmasculine Youth by Enhancing Reproductive Health Counseling in the Primary Care Setting

Journal of Adolescent Health ◽

10.1016/j.jadohealth.2020.03.012 ◽

2020 ◽

Vol 66 (6) ◽

pp. 653-655 ◽

Cited By ~ 4

Author(s):

Frances Grimstad ◽

Elizabeth Boskey

Keyword(s):

Primary Care ◽

Reproductive Health ◽

Care Setting ◽

Primary Care Setting ◽

Health Counseling

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Development and Evaluation of a Mobile Decision Support System for Hypertension Management in the Primary Care Setting in Brazil: Mixed-Methods Field Study on Usability, Feasibility, and Utility (Preprint)

10.2196/preprints.9869 ◽

2018 ◽

Author(s):

Daniel Vitório Silveira ◽

Milena Soriano Marcolino ◽

Elaine Leandro Machado ◽

Camila Gonçalves Ferreira ◽

Maria Beatriz Moreira Alkmim ◽

...

Keyword(s):

Primary Care ◽

Decision Support ◽

Cardiovascular Risk ◽

Care Setting ◽

Primary Care Setting ◽

Middle Income Country ◽

Income Country ◽

Daily Routine ◽

Evidence Based ◽

Middle Income

BACKGROUND Despite being an important cardiovascular risk factor, hypertension has low control levels worldwide. Computerized clinical decision support systems (CDSSs) might be effective in reducing blood pressure with a potential impact in reducing cardiovascular risk. OBJECTIVE The goal of the research was to evaluate the feasibility, usability, and utility of a CDSS, TeleHAS (tele–hipertensão arterial sistêmica, or arterial hypertension system), in the care of patients with hypertension in the context of a primary care setting in a middle-income country. METHODS The TeleHAS app consists of a platform integrating clinical and laboratory data on a particular patient, from which it performs cardiovascular risk calculation and provides evidence-based recommendations derived from Brazilian and international guidelines for the management of hypertension and cardiovascular risk. Ten family physicians from different primary care units in the city of Montes Claros, Brazil, were randomly selected to use the CDSS for the care of hypertensive patients for 6 months. After 3 and 6 months, the feasibility, usability, and utility of the CDSS in the routine care of the health team was evaluated through a standardized questionnaire and semistructured interviews. RESULTS Throughout the study, clinicians registered 535 patients with hypertension, at an average of 1.24 consultations per patient. Women accounted for 80% (8/10) of participant doctors, median age was 31.5 years (interquartile range 27 to 59 years). As for feasibility, 100% of medical users claimed it was possible to use the app in the primary care setting, and for 80% (8/10) of them it was easy to incorporate its use into the daily routine and home visits. Nevertheless, 70% (7/10) of physicians claimed that the time taken to fill out the CDSS causes significant delays in service. Clinicians evaluated TeleHAS as good (8/10, 80% of users), with easy completion and friendly interface (10/10, 100%) and the potential to improve patients’ treatment (10/10, 100%). A total of 90% (9/10) of physicians had access to new knowledge about cardiovascular risk and hypertension through the app recommendations and found it useful to promote prevention and optimize treatment. CONCLUSIONS In this study, a CDSS developed to assist the management of patients with hypertension was feasible in the context of a primary health care setting in a middle-income country, with good user satisfaction and the potential to improve adherence to evidence-based practices.

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