ABSTRACT
Adolescents with polycystic ovary syndrome concern about weight gain, menstrual irregularities, acne and hirsutism. The aim of this study was to determine the frequency of facial and trunkal lesions of acne in 14- to 18-year-old high school students with polycystic ovary syndrome in Shiraz in 2009. In this cross-sectional study, 3189 14- to 18-year-old female students were enrolled. Using questionnaires, data on personal information, clinical features and laboratory findings of hyperandrogenism and results of ultrasound examination were collected. Severity of acne was classified as mild, moderate and severe, based on the type and number of the lesions. Chi-squared and independent t tests were used for comparing proportions and means, respectively. The prevalence of severe acne was 5%. Mean total testosterone in individuals with severe acne was higher in comparison with those without acne. Severity of facial and trunkal acne were associated with polycystic ovaries [P<0.05]. Mean level of luteinizing hormone [LH] was higher in those without acne than in those with severe acne [P >0.05]. Associations between severity of facial and trunkal acne lesions and polycystic ovaries were observed. Considering the undesirbale effects of acne on quality of life, hormonal screening and ultrasound examination in girls with moderate acne is recommended
ABSTRACT
In spite of the vast improvement in the area of mental health care delivery in this country, very little attention has been given to the mental health registry. Considering the absence of an appropriate national mental health registry system in Iran. The purpose of the present study was to formulate a preliminary model for Mental Health registry in Iran. In this comparative research the national mental health registry system of the United Kingdom, Malaysia and Iran were analytically reviewed. The data were collected via library sources, websites, and consultation with specialists in and out of the country. The recommendations were provided for mental health registry system in Iran taking the cultural, economical and geographical status of the country under consideration. A six-axis model for a national registry was proposed. The study revealed that in order to optimize the present registry system of Iran, it is necessary to review the goals, structure, data elements, information gathering techniques, registration criteria, present classification of national registration of mental health on the proposed model. The lack of a national mental health registry system in Iran has faced this country with serious problems of control and prevention of the mental health diseases, conducting epidemiological research, developing of policies and strategies for controlling the costs of mental research can serve as basis for resolving most of the mental health problems stated in above