scholarly journals Correlation of the Severity of Physical and Psychological Symptoms and Severity of Insomnia in Postmenopausal Women

2021 ◽  
Vol 25 (1) ◽  
Author(s):  
Maryam Masoudi ◽  
Hamzeh Ahmadian ◽  
Maryam Akbari ◽  
Nasrin Jalilian
Keyword(s):  
Postmenopausal Women ◽  
Rating Scale ◽  
Sleep Problems ◽  
Psychological Symptoms ◽  
Pearson Correlation ◽  
Social Characteristics ◽  
Cross Sectional ◽  
Significant Difference ◽  
The Mean ◽  
Insomnia Severity

Background: Menopause is associated with physical and psychological as well as sleep problems that cause disruption in quality of life in women. Objectives: The question of whether the severity of physical and psychological symptoms correlated with the severity of insomnia in postmenopausal women is investigated in this study. Methods: This cross-sectional study was performed on 214 postmenopausal women referred to health centers in Kermanshah city between May 2019 and May 2020. Data collection tools included demographic and social characteristics questionnaires, Menopausal Rating Scale (MRS) and Insomnia Severity Index (ISI). Data were analyzed using ANOVA and Pearson correlation test using SPSS software. Results: The mean total score of insomnia severity was 14.3 ± 5. Also, according to the severity of insomnia, 22 women had no insomnia, but 88 and 87 women had mild and moderate insomnia and 17 women had severe insomnia, respectively. Comparing the mean scores of 11 MRS items in different insomnia severities showed a significant difference in the rate of symptoms, so that in the physical domain, hot flashes and sleep problems, and in the psychological domain, depression items, irritability, anxiety, poor memory and lack of concentration were higher in the sever insomnia, but none of the items of the genitourinary domain were associated with the severity of insomnia. Conclusions: Our study showed that in postmenopausal women, the rate of physical and psychological symptoms increases with higher severity of insomnia. Insomnia should be considered as a disorder that requires special attention and treatment in postmenopausal women.

scholarly journals Assessment of prevalence of vasomotor menopausal symptoms using a modified menopause rating scale(MRS) in Peri and postmenopausal women

2021 ◽  
Vol 12 (1) ◽  
pp. 136-140
Author(s):  
Aariya Srinivasan ◽  
Archana kumari
Keyword(s):  
Postmenopausal Women ◽  
Rating Scale ◽  
Psychological Symptoms ◽  
Premenopausal Women ◽  
Menopausal Symptoms ◽  
Hot Flushes ◽  
Cross Sectional ◽  
Sleeping Problems ◽  
The Mean ◽  
Menopause Rating Scale

Menopausal symptoms can often be distressing and affect the normal activities of women in their middle age. This can significantly reduce their quality of life. This study was done to assess the prevalence of vasomotor menopausal symptoms using a modified menopause rating scale (MRS) in Peri and postmenopausal women. A cross-sectional observational study was done on 100 middle-aged women (40-65 yrs) during the period January-June 2020 using the modified menopause rating scale (MRS). The mean age of the respondents in the study was 52.71 yrs. The mean age at menopause is 56 yrs. The commonly found symptoms were joint and muscular discomfort (80%), physical and mental exhaustion (65%) and sleeping problems (50%) appears to be the most commonly experienced symptoms by these women. The other symptoms are hot flushes and night sweats (46%), irritability (40%), dryness of vagina (38%), anxiety (36%), depressive mood (34%), sexual problems(30%), heart discomfort (16%) bladder problems (14%). This study showed that the typical vasomotor symptoms of menopause like sweating and hot flushes were comparatively lower than that of somatic symptoms like joint and muscular discomfort, mental and physical exhaustion in general. At the same time, postmenopausal women experienced more of urogenital symptoms, while Peri and premenopausal women experienced somatic and psychological symptoms.

scholarly journals Evaluation of Dentists' Practice in Obtaining and Recording Medical and Pharmacological History of Patients in Yazd City in 2020

2022 ◽  
Author(s):  
Samira Hajimaghsoodi ◽  
Ozra Mohiti ◽  
Shadi Paknejad
Keyword(s):  
Patient Care ◽  
Clinical Experience ◽  
Pearson Correlation ◽  
Legal Responsibility ◽  
P Value ◽  
Cross Sectional ◽  
Significant Difference ◽  
History Of ◽  
The Mean ◽  
Yazd City

Introduction: Dental profession has an ethical and legal responsibility in patient care. A properly maintained patient record is a very important aspect of this patient care. The aim of this study was to evaluate dentists' practice in obtaining and recording the medical and pharmacological history of patients in Yazd City in 2020. Methods: In this descriptive cross-sectional study, 197 dentists working in Yazd City were selected during the study and their practice in obtaining and recording medical history was evaluated using a valid questionnaire. Data were analyzed by SPSS23 statistical software t-test and Pearson correlation coefficient. Results: Out of 197 dentists participating in this study, 93 (52.8%) were male and 104 (47.2%) were female. Their mean age was 39.37± 8.36 years and their mean clinical experience was 6.5± 9.25 years. The mean score of dentists' practice in obtaining and recording the medical and pharmacological history was 61.30±4.95 (range 45-72) out of 72 points. There was no statistically significant difference between the mean score of dentists' practice by gender, clinical experience, university of study and degree (P-value>0.05), but there was a statistically significant relationship between dentists' age and their practice score (P-value=0.040). Conclusion: Based on the results of the present study, the mean practice source of dentists in obtaining and recording the medical and pharmacological history of patients was good. The effect of gender, university of study and degree on dentists' practice was not significant. However, with increasing age and experience in dentistry, the practice score of dentists was lower.

Effects of Chronic Suppression or Oversuppression of Thyroid-Stimulating Hormone on Psychological Symptoms and Sleep Quality in Patients with Differentiated Thyroid Cancer

2021 ◽  
Vol 53 (10) ◽  
pp. 683-691
Author(s):  
Seher Çetinkaya Altuntaş ◽  
Çiçek Hocaoğlu
Keyword(s):  
Thyroid Cancer ◽  
Sleep Quality ◽  
Differentiated Thyroid Cancer ◽  
Sleep Problems ◽  
Psychological Symptoms ◽  
Thyroid Stimulating Hormone ◽  
Sensitivity Index ◽  
Significant Difference ◽  
The Mean ◽  
Tsh Levels

AbstractIn differentiated thyroid cancer (DTC), the standard treatment includes total thyroidectomy and lifetime levothyroxine (LT4) replacement. However, long-term exogenous LT4 has become controversial due to the adverse effects of oversuppression. The study included 191 patients (aged 18–76 years) with a prospective diagnosis of non-metastatic DTC and 79 healthy individuals. The patients with DTC were stratified into three groups according to their TSH levels: suppressed thyrotropin if TSH was below 0.1 μIU/ml, mildly suppressed thyrotropin if TSH was between 0.11 and 0.49 μIU/ml, and low-normal thyrotropin if THS was between 0.5 and 2 μIU/ml. The Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Anxiety Sensitivity Index (ASI), Short Symptom Inventory (SSI), and Pittsburgh Sleep Quality Index (PSQI) were administered to all participants. It was found that the BDI, BAI, SSI and PSQI scores were worse in patients with DTC (p=0.024, p=0.014, p=0.012, and p=0.001, respectively). According to theTSH levels, the mean ASI was found to be higher in the suppressed and mildly suppressed thyrotropin groups (19±14.4 vs. 10.6±11.1; 16.4±14.9 vs. 10.6±11.1, p=0.024, respectively), the mean SSI was found higher in the suppressed group (61.0±55.5 vs. 35.1±37.0, p=0.046), and the mean PSQI was higher in all three groups (7.94±3.97 vs. 5.35±4.13; 7.21±4.59 vs. 5.35±4.13; 7.13±4.62 vs. 5.35±4.13, p=0.006) when compared with the controls. No significant difference was found between the groups. A positive correlation was detected in the duration of LT4 use and BDI and SSI, and a weak, negative correlation was detected between TSH levels and ASI and PSQI. Based on our study, it was found that depression, anxiety disorders, and sleep problems were more prevalent in patients with DTC, being more prominent in the suppressed TSH group. These results were inversely correlated with TSH values and positively correlated with the duration of LT4 use. Unnecessary LT4 oversuppression should be avoided in patients with DTC.

scholarly journals Validation of the cultural adaptation of the Kujala score in Arabic

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Bassem I. Haddad ◽  
Mohammad Hamdan ◽  
Ula Isleem ◽  
Munther Ghassan Al-Saber ◽  
Fadi A. Al-Hadidi ◽  
...  
Keyword(s):  
Pearson Correlation ◽  
Intraclass Correlation ◽  
Calculated Data ◽  
Patellofemoral Pain ◽  
P Value ◽  
Multiple Choice Questions ◽  
Cross Sectional ◽  
Kujala Score ◽  
Significant Difference ◽  
The Mean

Abstract Background Patellofemoral pain is a common condition. The Kujala score is a well-established scoring system to assess anterior knee pain and has been translated into many languages including Arabic. The purpose of this cross-sectional study is to culturally adapt the Arabic version of the Kujala score and determine its validity. Methods The Kujala score is composed of 13 multiple-choice questions. We modified two questions in the score; running and squatting, and were replaced with questions related to walking on different terrain and prostration, each with the same number of answer choices as the original questions so as not to affect the final score. These modifications were written in Arabic by the same group who translated and validated the original score into Arabic. The original and modified Kujala scores was printed and given to patients complaining of patellofemoral pain to be filled during their visit to the orthopedic outpatient clinics. Final scores for the original and modified questionnaires were calculated. Data was analyzed using SPSS statistics version 21.0 measuring Cronbach’s alpha, intraclass correlation coefficient, and Pearson correlation. Results Ninety-four patients were included in the study, 28 (29.8%) men and 66 (70.2%) women. The mean age for the included patients was 43.67 (± 14.46) years. The mean score for the modified initial questionnaire was 63.91 (± 16.32), and the mean score for the modified re-test questionnaire was 66.52 (± 17.50). There was a statistically significant difference between the mean scores (p = 0.041), with a mean difference of 1.97 (95% CI 0.08 to 3.856). We found a significant strong correlation between the score before and after changing the questions with a p value of < 0.001. Conclusions The culturally modified Arabic Kujala questionnaire is shown to be a valid, well-designed tool and an appropriate method of measuring patellofemoral pain.

scholarly journals The relationship of religious attitude with self-control andself-discrepancy in students

2019 ◽  
Vol 21 (3) ◽  
pp. 144-148
Author(s):  
Masoud Nikfarjam ◽  
Elham-Sadat Salehi ◽  
Ali Ahmadi
Keyword(s):  
Pearson Correlation ◽  
Self Control ◽  
Cross Sectional ◽  
Mean Values ◽  
Religious Attitude ◽  
Significant Difference ◽  
The Mean ◽  
Self Discrepancy ◽  
Relationship Of ◽  
The Relationship

Background and Aim: Spiritual attitude is one of the factors affecting mental health of students. The purpose of this study was to determine the relationship of religious attitudes with self-control and self-discrepancy (S-D) in students of Shahrekord University of Medical Sciences (SKUMS) in 2017. Methods: In this cross-sectional study, 328 students of the SKUMS were studied. The participants completed Tangney Self-control Survey, Higgins Self-discrepancy Questionnaire, a religious attitude questionnaire, and a checklist of demographic information. For data analysis, in addition to descriptive statistics, independent t-test, Pearson correlation coefficient, and one-way ANOVA were used. Stata software was used to analyze the data. Results: The mean values of religious attitude, self-control, and self-discrepancy were higher in women in comparison with men (P< 0.05). There was a significant difference between self-control religious beliefs, actual-self minus actual-self (S-D2), and self-discrepancy in terms of total monthly income of all family members (P< 0.05). Academic discipline was significantly associated with religious attitude, ideal-self minus actual-self (S-D1), S-D2, and S-D (P< 0.05), but self-control difference was not significant (P= 0.84). There was a linear relationship, significant correlation of religious attitude with the mean values of self-control, required self, actual-self, idea-self, self-discrepancy, and S-D1 and S-D2 (P< 0.05). Conclusion: According to the results of this study, religious attitude was associated with self-control, self-discrepancy, and their dimensions.

scholarly journals Assessment of health-promoting lifestyle profile and its relation with well-being of medical students: A cross sectional.

2021 ◽  
Vol 28 (06) ◽  
pp. 921-927
Author(s):  
Subhan Ullah ◽  
Mubarak Ali Anjum ◽  
Khalid Parvez ◽  
Uzma Sagheer ◽  
Ghulam Abbas Sheikh ◽  
...  
Keyword(s):  
Medical Students ◽  
Pearson Correlation ◽  
Well Being ◽  
P Value ◽  
Cross Sectional ◽  
Study Results ◽  
Significant Difference ◽  
Health Promoting ◽  
The Mean ◽  
Health Promoting Lifestyle

Objectives: The aim of our study was to determine the importance and assessment of a health-promoting lifestyle and its possible association with well-being of medical students. Study Design: Cross Sectional Study. Setting: Aziz Fatima Medical and Dental College Faisalabad. Period: June to July 2020. Material & Methods: The English version of Health-Promoting Lifestyle Profile, and WHO-5 Well-Being Index were used in our study. Results: The research was conducted with 205 medical students. From which 102(49.8%) belongs from 4-year class and 103(50.2%) from 5-year class. Based on the table, the mean age of the total participants was 22.45(±1.03) years. Among the participants, the mean score of a health-promoting lifestyle was 133.36 ±18.90, which is interpreted as moderate. Lifestyle mean score is greater in 5th-year class as compare to 4th-year class but no significant difference was found because p value is greater than 0.05 there was a significant relationship between well-being and health-promoting lifestyle. Age and gender, were associated with students lifestyles. Independent t test is used to compare the mean difference in gender and MBBS class. Chi square test is used to find the significant association between well-being categories with gender and MBBS class. Pearson correlation coefficient method is used to measure the correlation between well being and healthy lifestyles. Conclusion: A health-promoting lifestyle of students in this study was moderate and they did not have an acceptable level of physical activity. The medical students’ curriculums need to be improved to enhance health promoting lifestyles.

scholarly journals Sexual Function and Associated Factors in Postmenopausal Women

2021 ◽  
Vol 43 (07) ◽  
pp. 522-529
Author(s):  
Socorro Rejany Sales Silva Trento ◽  
Alberto Madeiro ◽  
Andréa Cronemberger Rufino
Keyword(s):  
Sexual Dysfunction ◽  
Sexual Function ◽  
Postmenopausal Women ◽  
Associated Factors ◽  
Rating Scale ◽  
Sleep Problems ◽  
Cross Sectional Study ◽  
Climacteric Symptoms ◽  
Public Health Services ◽  
Cross Sectional

Abstract Objective To assess the sexual function and associated factors in postmenopausal women. Methods This a descriptive, cross-sectional study with 380 women aged 40 to 65 years, users of public health services in 2019. Questionnaires were applied on demographic characteristics, on climacteric symptoms (menopause rating scale) and on sexual function (sexual quotient, female version). Bivariate and multiple analyses by logistic regression were performed, with adjusted odds ratios (ORad) and 95% confidence intervals (95%CIs). Results More than half (243/64%) of the participating women were at risk of sexual dysfunction, with lower scores in the domains of sexual desire and interest, comfort, orgasm, and satisfaction. Women with a partner (ORad 2.07; 95%CI 1.03–4.17) and those who reported sleep problems (ORad 2.72; 95%CI 1.77–4.19), depressed mood (ORad 2.03; 95%CI 1.32–3.10), sexual complaints (ORad 8.16; 95%CI 5.06–13.15), and vaginal dryness (ORad 3.44; 95%CI 2.22–5.32) showed greater chance of sexual dysfunction. Conclusion There was a high prevalence of sexual dysfunction, with the influence of conjugality and climacteric symptoms on sexual function.

scholarly journals Comparison of Bladder Dysfunction and Urinary Symptoms Between Multiple Sclerosis and Neuromyelitis Optica Spectrum Disorder

2019 ◽  
Vol 5 (3) ◽  
pp. 105-110
Author(s):  
Farid Nasr Esfahani ◽  
◽  
Navid Manouchehri ◽  
Nasim Nehzat ◽  
Omid Mirmosayyeb ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Neuromyelitis Optica ◽  
Pearson Correlation ◽  
Cross Sectional Study ◽  
Urinary Symptoms ◽  
Cross Sectional ◽  
Urogenital Distress Inventory ◽  
Significant Difference ◽  
The Mean ◽  
Demyelinating Disorders

Background: Neuromyelitis optica (NMO) and multiple sclerosis (MS) are auto immune demyelinating disorders. Both MS and NMO patients suffer from urinary dysfunction. Objectives: Investigation of frequency and severity of urinary symptoms in two groups of MS and NMO patients. Materials & Methods: 56 MS patients and 20 NMO patients were enrolled in this cross sectional study conducted in Isfahan Kashani hospital from March 2018 to September 2018. Frequency and severity of urinary symptoms were assessed using the urogenital distress inventory (UDI-6) and international prostate symptom score (IPSS) questionnaire. Data were analyzed using independent t-test, Mann Whitney U test and Pearson correlation coefficient with the SPSS V. 18. Results: The Mean±SD of age was 40.2±11.45 and 34.1±9.09 in NMO and MS group respectively. There was a significant difference between MS and NMO patients regarding their overall IPSS score (9.8±7.9 and 14.6±11.3 respectively). The frequency of mild, moderate and severe urinary symptoms was 25%, 50 % and 25% among NMO patients and 48.2%, 35.7% and 16.1% among MS patients respectively. Based on UDI-6 questionnaire the most frequent symptoms in MS and NMO patients were frequency and urgency respectively and they are more frequent among NMO patients rather than MS patients. Conclusion: Our results showed a significant difference in frequency and severity of urinary symptoms between NMO and MS patients and NMO patients tend to experience more severe urinary symptoms.

scholarly journals Comparison of Capillary and Venous Glucose in Diabetic Patient in a Peripheral Hospital

2018 ◽  
Vol 1 (01) ◽  
pp. 1-4
Author(s):  
Bibek Rajbhandari ◽  
Tirtha Man Shrestha ◽  
Ramesh Aacharya
Keyword(s):  
Blood Glucose ◽  
Pearson Correlation ◽  
Venous Blood ◽  
Sampling Technique ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
Significant Difference ◽  
The Mean ◽  
Glucose Estimation ◽  
Venous Glucose

Introduction: This study was done to determine the mean difference and correlation between fasting capillary and venous glucose estimation. Methods: This was cross-sectional analytic study done in United Mission Hospital, Palpa, Tansen. Calculated sample size was 92, convenience sampling technique was used. During 5 month of duration in 92 diabetic patients, where fasting capillary and venous glucose were performed consecutively. Confounding was ruled out with matching approach, adjustment tests were also used like X2 Mantel -Haenszel and logistic regression. Reporting guideline of this observational study was done with the help of SROBE guidelines. Results: The mean venous blood glucose was 9.52% higher than the Mean capillary glucose. A strong correlation was observed between venous and capillary blood glucose, with Pearson correlation coefficient of 0.94. Conclusions: There is a significant difference in the blood glucose results analyzed on a bedside glucometer when the samples are taken from capillary or venous sources. Although good correlation is between venous and capillary derived samples, caution must be exercised in accepting the results as equivalent or using either as substitutes for a laboratory blood glucose result.

scholarly journals Quality of Services in Health Centers in Western Suburbs of Ahvaz by Examining the Gap Between Expectations and Perceptions

2021 ◽  
Author(s):  
Nastaran Rostami Borujeni ◽  
Saham Sarahi ◽  
Mohammad Hosein Haghighizadeh ◽  
Nayeb Fadaei Dehcheshmeh
Keyword(s):  
Pearson Correlation ◽  
Cross Sectional Study ◽  
Health Centers ◽  
Quality Of Services ◽  
Cross Sectional ◽  
Five Dimensions ◽  
Significant Difference ◽  
The Mean ◽  
The Relationship

Background: Due to the health sector’s serious mission in maintaining the health and care of the community, the quality of provided health services is of particular prominence. Objectives: This study aims to assess the quality of services in health centers in western suburbs of Ahvaz by examining the gap between expectations and perceptions. Methods: This was a cross-sectional study and conducted in 2018. The sample size included 291 people visiting health centers in western suburbs of Ahvaz. The data were collected through the SERVQUAL standard questionnaire for assessing the quality. This questionnaire assesses five dimensions of the quality of the provided services. These five dimensions include tangible factors, reliability, responsiveness, assurance, and empathy. Pearson correlation coefficient test was used to investigate the relationship between the variables. Independent t-test was used to compare the means. Data analysis was performed through SPSS version 22. Results: Overall, 89.55% of the subjects were female. In all the five dimensions of quality, there was a significant difference between the ideal status and the observed status (P < 0.001). The lowest gap was related to empathy (r = 0.25), and the highest gap was reported for tangible factors (r = -0.99). There was a significant positive correlation between each of the dimensions of expectations and the same dimension in the perceptions section (P < 0.001). Conclusions: Expectations in all the dimensions, except for empathy, were higher than perceptions, and health centers were far from ideal. Among these dimensions, expectations and perceptions in the area of reliability were higher than in other cases, and the mean scores were at a higher level. In the area of increasing the quality of care in health centers in suburbs of Ahvaz, some measures should be taken to promote the quality.

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