ABSTRACT
Introduction: Women's quality of life following menopause is influenced not only by physical and psychosocial factors, but also by menopause-related concerns, their feelings and attitude and adjustment to menopause. The aim of the present study was to assess women's experiences after menopause and its related factors
Materials and Methods: This descriptive study was conducted in 2016 on 350 menopausal women referred to 12 health centers affiliated to Tabriz University of Medical Sciences. Subjects were recruited using a two-stage sampling method, and data were collected through interview using two questionnaires, including a demographic questionnaire and a valid and reliable questionnaire, the "assessment of women's experiences in after menopause". Data was analyzed using Pearson and spearman correlation coefficient, one way ANOVA and multiple linear regression statistical methods
Results: Assessment of women's experiences in after menopause revealed a total score of 34.9+/-16.9 percent [Mean+/-SD]. Scores for the domains of women's experiences in menopause were 42.8+/-19.3% for physical complications, 34.8+/-26.4% for negative attitudes, 34.1+/-27.5% negative feelings, 32.7+/-19.6% for concerns, 33.2+/-28.2% for adjustment, and 29.5+/-24.3% for psychological complications. Duration of menopause was the only predicting factor for total score of women's experiences in menopause, i.e., with addition of one year to duration of menopause, the total score decreased by 1 point
Conclusion: Duration of menopause was the only predicting factor for the total score of women's experiences. Future policies and programs for improving quality of life of women after menopause should concentrate on decreasing menopause related physical complications, negative attitudes and feelings, concerns and psychological complications
ABSTRACT
More than 36% of the total population of Iran consists of young people aged 15 to 25 yr. Recent studies show that this age group has the highest rate of serious health problems. Youth participatory studies on youth health priority have shown that mental health is one of the most important priorities in youth health. Aim to assessing the mental health needs of youth we conducted a peer group based multidisciplinary study. To conduct a multi disciplinary approach through involving youth for finding their mental health needs and their suggestion for solving them, we designed a qualitative approach based on grounded theory. To data collection, we used a semi-structured guide questionnaire. Sixteen focus group discussions were conducted by trained peers with youth aged 15-25 years. According to FGDs results, most of youth health needs concern with their interpersonal communications skills particularly with their parents'; they had some problems with their parental expectations meet; life skills; self-expression and problem solving process. They were extremely interested in participatory approach in which they involved in assessment and determination of their health problems also in designing health programs. Success of program shows empowering the community through capacity building and notice to peer group-based interventions to critical enhancing in various aspects of youth health is the most effective method to needs assessment and community mobilization for better health
Subject(s)
Humans , Male , Female , Adolescent , Residence Characteristics , Health , Mental Health , Surveys and Questionnaires , Peer GroupABSTRACT
Klebsiella pneumoniae is one of the most important and prevalent bacterium isolated from clinical cases especially from hospitalized patients. Recent studies have focused on multiple drug resistant Kpneumoniae strains. In this survey, drug resistance in clinical isolates was studied with special reference to extended spectrum b-lactamase. A total of 303 Kpneumoniae strains isolated from hospitalized patients were initially surveyed for drug resistance by disc diffusion method. The resistance of the isolated strains to different antibiotics was determined by E-test. b-lactamase production was tested with nitrocephin discs and extended spectrum b-lactamase assays were performed with double disc synergy tests. From the total of 303 Kpneumoniae isolates tested, 62, [20.4%], showed multi drug resistance, [MDR]. All of these MDR strains were positive for nitrocephin test, indicating b-lactamase production. Double disc synergy tests results showed production of extended spectrum b-lactamase in all MDR isolates. Detection of 20.4% MDR strains, especially extended spectrum b-lactamase, from K. pneumoniae isolated from hospitalized patients, emphasizes the potential dangers of the widespread usage of extended spectrum cephalosporins. It also necessitates conduction of a wider study to determine the nationwide incidence of K. pneumoniae
Subject(s)
Humans , Drug Resistance, Microbial , beta-Lactamases , Drug Resistance, Multiple , Inpatients , Microbial Sensitivity TestsABSTRACT
Background: over one billion Muslims fast worldwide during the month of Ramadan. Many of Moslem's women continue to using oral contraceptive pill [OCP] to prevent menstrual bleeding because of Ramadan and it's fasting. The object of this study was to investigate whether continues using OCP has any effect on cerebrovascular accident in women fasting in Ramadan
Materials and Methods: this observational case-control study was based on quota sampling of 41 patients with CVA and 123 control patients who refer to Baghyatallah Hospital because of other disease. Both of them using OCP
Results: 73.2% of patients have hemorrhagic cerebrovascular accident. All of patient belong to less than 30 years old use OCP and 58.9% of patients belong to 35-45 years age group use OCP and 50% of patient of over 45 years old group use OCP too. Age mean of patient was more than control group [p=0.015]. In patient group there is more percent of OCP user that continue pill to prevent menstrual bleeding.[p-0.000, OR=45.2]
Conclusion: continuous using of OCP for prevention of menstrual bleeding makes increase in risk of CVA