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ABSTRACT Aging and face sagging have many causes, and various techniques are used for treatment, including noninvasive procedures, such as focused ultrasound, which uses the principle of collagen regeneration by coagulative necrosis of the dermis layers using radiofrequency, but this procedure has complications. We reported a case of a 54-year-old female patient who complained of poor visual acuity in her right eye three days after a focused ultrasound facial aesthetic procedure, with the best visual acuity of 20/60. Biomicroscopy of the right eye revealed an acute cataract with three points of fibrosis extending from the posterior to the anterior capsule. The patient underwent phacoemulsification surgery with visual rehabilitation and improved vision of 20/20. We hypothesized that the occurrence of acute cataract was related to the inappropriate use of focused ultrasound.
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ABSTRACT Langerhans cell histiocytosis comprises a heterogeneous range of clinical manifestations secondary to clonal proliferation of histiocytes, characterized by the accumulation of these cells in various organs and tissues. The ophthalmological component commonly involved is the orbit. Herein, we report a rare case of Langerhans cell histiocytosis with eyelid involvement, which resulted in severe ocular surface complications, which subsequently significantly impacted the patient's quality of life. This case report highlights the fact that despite being rare, Langerhans cell histiocytosis should be included in the differential diagnosis of eyelid lesions. Furthermore, a multidisciplinary approach with a systemic overview is crucial for managing the ocular complications.
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Resumen Antecedentes: La participación de las mujeres en el fútbol se ha incrementado exponencialmente en los últimos años, por lo que integrar antecedentes basados en la evidencia en esta población, permite una mejor compresión y análisis del desempeño deportivo de atletas femeninas. Objetivo: Determinar el nivel de asociación entre los indicadores de composición corporal y el rendimiento en test 30-15 IFT en futbolistas mujeres de primera división. Métodos: Participaron 29 jugadoras profesionales de un equipo de primera división de Chile. Se evaluó el test 30-15, se analizó la velocidad final alcanzada (VIFT) y se estimó el consumo máximo de oxígeno (VO2máx). La composición corporal (CC) fue estimada a través de antropometría y se analizó la talla, masa corporal, índice de masa corporal (IMC), masa adiposa absoluta (MA) y relativa (PMA), masa muscular absoluta (MM) y relativa (PMM) y sumatoria de 6 pliegues (S6P). Para analizar el nivel de asociación, se utilizó el coeficiente de correlación de Pearson (r) con un alfa de 0.05. Resultados: Se encontraron correlaciones negativas débiles entre MA con VIFT (r = -0.384 y p = 0.04) y VO2máx (r = -0.375 y p = 0.45); correlaciones negativas moderadas entre S6P con VIFT (r = -0.476 y p = 0.009) y VO2máx (r=0.454 y p=0.013); correlaciones negativas moderadas entre IMC con VIFT (r = 0.401 y p = 0.031) y VO2máx (r = -0.379 y p = 0.043). No se hallaron correlaciones entre MM y PMM con VIFT o VO2máx. Conclusión: Es posible concluir que el rendimiento en el 30-15IFT presenta asociación con la composición corporal, específicamente con la MA, S6P e IMC en las jugadoras evaluadas.
Abstract Background: The participation of women in football has increased exponentially in recent years, so integrating evidence-based background in this population allows a better understanding and analysis of the sporting performance of female athletes. Objective: Determine the level of association between body composition indicators and performance in the 30-15 IFT test in first division female football players. Methods: 29 professional female players from a first division team in Chile participated. The 30-15 test was evaluated, the final velocity achieved (VIFT) was analyzed, and the maximum oxygen consumption (VO2máx) was estimated. Body composition (CC) was estimated through anthropometry and height, body mass, body mass index (BMI), absolute (AM) and relative (RM) adipose mass, absolute (MM) and relative (RMM) muscle mass, and 6-fold sum (S6P) were analyzed. Pearson's correlation coefficient (r) with an alpha of 0.05 was used to analyze the level of association. Results: Weak negative correlations were found between MA with VIFT (r = -0.384 and p = 0.04) and VO2máx (r = -0.375 and p = 0.45); moderate negative correlations between S6P with VIFT (r = -0.476 and p = 0.009) and VO2máx (r = 0.454 and p = 0.013); moderate negative correlations between BMI with VIFT (r = 0.401 and p = 0.031) and VO2máx (r = -0.379 and p = 0.043). No correlations were found between MM and PMM with VIFT or VO2máx. Conclusion: It is possible to conclude that performance in the 30-15IFT is associated with body composition, specifically with MA, S6P, and BMI in players evaluated.
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Animals exhibit sociability behaviors and spatial use patterns that are important for species survival. Bats are animals that exhibit complex patterns of aggregation of individuals, which can vary according to sex and age. Aggregation can be explained by active or passive mechanisms. In this behavioural note, we report a group of female Artibeus lituratus in the reproductive stage that exhibits aggregation behavior supporting the active mechanism hypothesis. The females returned to the same roost, for two reproductive season, maintaining the aggregation with the same individuals with which the social bonds were already established.
Os animais exibem comportamentos de sociabilidade e padrões de uso espacial que são importantes para a sobrevivência das espécies. Os morcegos são animais que apresentam padrões complexos de agregação de indivíduos, que podem variar de acordo com o sexo e a idade. A agregação pode ser explicada por mecanismos ativos ou passivos. Nesta nota comportamental, relatamos um grupo de fêmeas de Artibeus lituratus em fase reprodutiva que exibe comportamento de agregação apoiando a hipótese do mecanismo ativo. As fêmeas retornaram ao mesmo poleiro, por duas estações reprodutivas, mantendo a agregação com os mesmos indivíduos com os quais os laços sociais já foram estabelecidos.
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AnimalsABSTRACT
Turner syndrome has various presentations such as short stature, webbed neck, amenorrhea, cubitus valgus, renal anomalies, cardiac defects, etc. Still, the concurrent psychiatric concerns with Turner syndrome are not well-established in the literature. Although most patients with Turner syndrome do not have any mental disorder, a significant proportion of patients with Turner mosaic develop schizophrenia and affective disorders. Very few sporadic cases have been reported in the literature that support the association of the Turner mosaic with schizophrenia and affective disorders worldwide. In this case report we will be discussing an 18-year-old who was identified as the 45X0 / 46Xi (Xq) Turner Mosaic by karyotyping. During her follow-up visits, she was diagnosed with a schizophreniform disorder. Individuals who have both these comorbid conditions are infrequent in this case. A multidisciplinary approach to management consisting of antipsychotics, supportive psychotherapy, and endocrine replacement therapy was initiated for our patient and she responded well on follow-up visits. Our case report adds a potential clue that emphasizes the association of Turner mosaic with the development of schizophrenia. It highlights the importance of early diagnosis of the syndrome and understanding its association with schizophreniform disorder, which should warrant the clinician's early psychotherapy specified toward the psychological as well as the emotional aspects which might play a major role in preventing severe psychiatric complications in these patients. A literature review on this topic is also presented.
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Background: The economic status of women is now accepted as an indicator of a society’s development in Bangladesh. Women workers like the majority in the informal sector have been exposed to rigorous work, discipline, fixed working hours, specific production norms etc. The aim of the study was to perform cross-sectional study was conducted to assess nutritional status of female garment workers in Chattogram, Bangladesh. Methods: The study was conducted with the help of a semi-structured questionnaire to collect data from the respondents by face-to-face interview. Informed written consent was obtained from the respondents. A checklist containing height and weight (measured using measuring tape and digital weight machine respectively) of the respondents included in the questionnaire. Results: According to the study, gastrointestinal problem was reported by 49.7% and the rest reported problem were respiratory problem (35.3%), skin problem (27.3%), urinary problem (18%), eye problem (15%). Age, marital status, number of children, family member, monthly income, job section, working hours and overtime were significantly associated with various types of health problem. Respondents were categorized into underweight (?18.5 kg/m2), normal (18.6-24.9 kg/m2) and overweight and above (?25.0 kg/m2) using BMI. Prevalence of underweight, normal and overweight and above were 3.3%, 61.3% and 35.3% respectively. Conclusions: Female worker’s age, marital status, number of children, monthly income, job duration, job section and overtime showed significant association with their nutritional status (BMI). Findings of this study may play an important role to develop a policy and in commercial sector of our country to reduce health problem of the female garment workers for better productive and healthy lifestyle.
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Background: Premenstrual syndrome (PMS) is a set of distressing physical and psychological symptoms occurring cyclically during the luteal phase of each menstrual cycle that begin a few days before menstruation and resolves within a few days of the onset of menstruation. This study focuses on finding the prevalence of premenstrual symptoms among university students and also to assess the socio-demographic, dietary and lifestyle factors associated with premenstrual symptoms.Methods: An institutional based cross-sectional study was conducted were participants were asked to fill a premenstrual syndrome scale (PMSS) questionnaire based on which they were categorised as 憄ositive PMS� or 憂egative PMS�. Any coping mechanism applied were also reported.Results: A total of 202 participants were part of the study of which 137 (67.8%) of them had premenstrual symptoms and of which 49 (79%) of them had a familial history of PMS. Menstrual related factors like familial history of PMS, perceived menstrual pain intensity, quantity of menstrual bleed, Duration of symptoms in the premenstrual periods were found to be significantly associated with PMS. Mood swings, abdominal cramps and generalised aches and pains were predominant symptoms reported by the students. Taking rest, sleeping and listening to music were the commonly applied coping mechanisms to relieve the symptoms.Conclusions: The prevalence of PMS is on the higher side i.e. 68.3% compared to many studies around the world. The health seeking behaviour knowledge about PMS seems to be quite low among the students and thereby indicates the need to provide awareness and give emphasis on the management of premenstrual symptoms both pharmacologically (if required) and non-pharmacologically.
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Background: The purpose of this study was to assess factors associated with human immunodeficiency virus (HIV) pre-exposure prophylaxis uptake and retention among sex workers in Nakuru town, Kenya. The theory of planned behavior and the acquired immunodeficiency syndrome (AIDS) risk reduction model served as the study's theoretical framework. Methods: A cross-sectional research design was adopted for this study. The study targeted all the sex workers in Nakuru town who were 18 years old and above. A random sampling technique was used to get the hotspots where the sex workers were to be found. Snow balling sampling technique was then adopted to identify and recruit the study participants. Using primary sources. The quantitative data was obtained from the respondents using a questionnaire. Quantitative data was analyzed using descriptive and inferential statistics (regression analysis). The findings presented in table and graphical formats. Results: The analysis using multiple linear regression indicated that there was a collective significant effect between the awareness, health system factors, socio economic individual factors and use of pre-exposure prophylaxis (PrEP) among sex workers. A further analysis showed that, put together, the four predictor variables explained 35.7% of variation on PrEP uptake and retention. Conclusions: The study concluded that while use and none use PrEP can be explained by the four factors evaluated in this study, there are a lot of other factors that influence utilization of PrEP.
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Background: Menstruation, a key physiological change in females of reproductive age, necessitates providing young girls with crucial information on menarche to better prepare them. Methods: This study assessed the knowledge and experience of menarche among secondary school female students in Nnewi, Anambra State, Nigeria, utilizing a descriptive cross-sectional survey method. Conducted from August to September 2023, the study involved 420 participants and employed multistage sampling for selection. Results: The findings revealed a paradoxical decrease in the mean age of menarche to 12.02 +/- 1.15 years, with most girls experiencing menarche at age 13. Notably, 91.4% of participants had substantial knowledge of menarche, primarily acquired from mothers. Although 86.9% recognized menarche as a normal puberty change, experiences varied: 45.5% felt normal, 39.3% were afraid, and 12.9% felt ashamed during their menarche. Conclusions: The study concludes that despite high awareness levels, poor menarche experiences prevail due to inadequate preparation. It recommends enhanced awareness campaigns in schools, spearheaded by NGOs and health workers, to educate and prepare young girls for menarche effectively.
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Introdução: A hipertrofia de pequenos lábios combinada com capuz clitoriano redundante é uma queixa comum entre mulheres que procuram cirurgia plástica genital cosmética por queixas funcionais, psicológicas e estéticas. O objetivo deste estudo foi descrever a técnica boomerang, um tratamento cirúrgico da hipertrofia labial que se estende a todo o capuz clitoriano. Método: Foi conduzido um estudo retrospectivo, de caráter analítico, para avaliar os prontuários médicos de 48 pacientes consecutivas submetidas a cirurgia estética genital feminina entre julho de 2017 e julho de 2021. Todos os procedimentos cirúrgicos foram realizados pela mesma cirurgiã. A técnica utilizada nas pacientes consistiu na ressecção longitudinal dos excessos de pequenos lábios vaginais associado à ressecção de capô clitoriano em forma de boomerang e à clitoropexia. Resultados: A idade média das pacientes submetidas a cirurgia foi de 36,25 anos (intervalo 18-59 anos), entre as quais 94,44% apresentaram queixas estéticas associadas ou não a queixas funcionais, e 5,56% apresentaram somente queixas funcionais. Duas pacientes apresentaram hematomas nos grandes lábios no pós-operatório imediato, e uma paciente teve deiscência de sutura nos pequenos lábios. Conclusão: A técnica boomerang é reprodutível e proporciona benefícios estéticos e/ou funcionais na genitália feminina.
Introduction: Hypertrophy of the labia minora combined with a redundant clitoral hood is a common complaint among women seeking aesthetic genital cosmetic surgery for functional, psychological, and aesthetic complaints. The objective of this study was to describe the boomerang technique, a surgical treatment for labial hypertrophy that extends to the entire clitoral hood. Method: A retrospective, analytical study was conducted to evaluate the medical records of forty-eight consecutive patients who underwent female genital cosmetic surgery between July 2017 and July 2021. The same surgeon performed all surgical procedures. The technique used in the patients consisted of longitudinal resection of excess small vaginal lips associated with resection of the boomerang-shaped clitoral hood associated with clitoroplasty. Results: The average age of patients undergoing surgery was 36.25 years (range 18-59 years), among whom 94.44% had aesthetic complaints associated or not with functional complaints, and 5.56% had only functional complaints. Two patients had bruises on the labia majora in the immediate postoperative period, and one patient had suture dehiscence on the labia minora. Conclusion: The boomerang technique is reproducible and provides aesthetic and/or functional benefits to the female genitalia.
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SUMMARY: The purpose of this study was to compare the effects of different training programs based on small-sided games (SSG) and high-intensity interval training (HIIT) on the body composition of female handball players. A total of 45 female handball players (age: 16.13±0.89 years; training experience: 6.18±1.33 years) were assigned to three groups: game group (GG; N = 15), running group (RG; N = 15), and control group (CON; N = 15). The training programs lasted eight weeks, with two training sessions per week. The GG performed three vs. three small-sided games on a 20 m x 20 m court; the RG performed 15 s HIIT running followed by 15 s of active recovery; the CON group maintained regular handball training. Regardless of the group assignment, all participants were measured for each of the following variables: Body height, body mass, fat-free mass, fat mass, muscle mass, intracellular water, and extracellular water. The results demonstrate significant differences (p0.01) in muscle mass. The GG showed significant (p<0.001) greater improvement in these body composition variables than RG and CON. Body composition variables improved with GG, moving from 2.04 % in fat mass to 1.3 % in extracellular water. In the RG, results show significant improvements (p<0.001) only in intra- and extracellular water. The CON shows improvements in fat-free mass, muscle mass, intracellular water, and extracellular water. To conclude, eight weeks of SSG in handball provide better changes in body composition compared to HIIT 15 s - 15 s and handball training alone.
El propósito de este estudio fue comparar los efectos de diferentes programas de entrenamiento basados en juegos reducidos (SSG) y entrenamiento interválico de alta intensidad (HIIT) sobre la composición corporal de jugadoras de balonmano. Un total de 45 jugadoras de balonmano (edad: 16,13 ± 0,89 años; experiencia de entrenamiento: 6,18 ± 1,33 años) fueron asignadas a tres grupos: grupo de juego (GG; N = 15), grupo de carrera (RG; N = 15) y grupo de control (CON; N = 15). Los programas de formación duraron ocho semanas, con dos sesiones de formación por semana. El GG realizó partidos reducidos de tres contra tres en una cancha de 20 x 20 m; el RG realizó 15 s de carrera HIIT seguidos de 15 s de recuperación activa; El grupo CON mantuvo un entrenamiento regular de balonmano. Independientemente de la asignación de grupo, a todos los participantes se les midió cada una de las siguientes variables: altura corporal, masa corporal, masa libre de grasa, masa grasa, masa muscular, agua intracelular y agua extracelular. Los resultados demuestran diferencias significativas (p0,01) en la masa muscular. El GG mostró una mejora significativa (p<0,001) mayor en estas variables de composición corporal que RG y CON. Las variables de composición corporal mejoraron con GG, pasando de un 2,04 % en masa grasa a un 1,3 % en agua extracelular. En el RG, los resultados mostraron mejoras significativas (p<0,001) sólo en el agua intra y extracelular. El CON indicó mejoras en la masa magra, la masa muscular, el agua intracelular y el agua extracelular. En conclusión, ocho semanas de SSG en balonmano proporcionan mejores cambios en la composición corporal en comparación con el HIIT de 15 s - 15 s y el entrenamiento de balonmano solo.
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Humans , Male , Adolescent , Body Composition , Exercise , Athletes , High-Intensity Interval TrainingABSTRACT
Resumen Introducción: las enfermedades del corazón son la primera causa de muerte en el mundo tanto en el hombre como en la mujer. La presentación de la cardiopatía isquémica varía dependiendo de múltiples factores, entre ellos el género. Materiales y método: estudio observacional, transversal con componente analítico de todos los pacientes ingresados con síndrome coronario agudo en el Hospital Docente Clínico-Quirúrgico Comandante Manuel Fajardo, entre enero del 2016 y diciembre del 2020. Resultados: el género femenino presentó una mediana de edad de 73 (RIC: 62-80), significativamente superior a la del género masculino, con mayor prevalencia de hipertensión arterial y diabetes mellitus (n = 353 y n = 143, respectivamente; p < 0.01). Se identificaron la edad, el valor de la creatinina y el síndrome coronario agudo con elevación del ST como factores desencadenantes de complicaciones cardíacas (RR: 1.01; IC 95%: 1.00-1.07; p = 0.03; RR: 1.01; IC 95%: 1.00-1.02; p = 0.01; y RR: 2.77; IC 95%: 1.31-5.87; p = 0.02, respectivamente). Conclusiones: las mujeres con síndrome coronario agudo presentaron una edad superior a la de los hombres, con mayor prevalencia de hipertensión arterial y diabetes mellitus, mientras las variables predictoras de complicaciones cardiovasculares intrahospitalarias identificadas fueron la edad, el valor de creatinina sérica y el síndrome coronario agudo con elevación del ST.
Abstract Introduction: heart disease is the leading cause of death in the world for both men and women. The presentation of ischemic heart disease varies depending on multiple factors, including gender. Materials and method: observational, cross-sectional study with an analytical component of all patients admitted with ACS at the Comandante Manuel Fajardo Clinical-Surgical Teaching Hospital, between January 2016 and December 2020. Results: female patients had a median age of 73 (IQR: 62-80) significantly higher than the male gender; with a higher prevalence of arterial hypertension and diabetes mellitus (n = 353 and n = 143 respectively and p < 0.01). Age, creatinine value, and STEACS were identified as triggering factors for cardiac complications (RR: 1.01; 95% CI: 1.00-1.07; p = 0.03; RR: 1.01; 95% CI: 1.00-1.02; p = 0.01; and RR: 2.77; 95% CI: 1.31-5.87; p = 0.02 respectively). Conclusions: women with ACS were older than men, with a higher prevalence of arterial hypertension and diabetes mellitus, while the predictive variables of intrahospital cardiovascular complications identified were age, serum creatinine value, and ACS with ST elevation.
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Sexual health is an important aspect of human life and to maintain a healthy and happy sexual life a positive integration of physical, social as well and psychological domains is very important. Any alteration in any of these domains can lead to sexual dysfunction which can significantly affect the quality of life of a couple. Many couples live with the problem and suffer silently due to shyness, stigmas, and social norms related to the issue. Many times even the treating medical professionals also do not screen for the sexual issues due to inadequate knowledge and training related to sexual dysfunction further increasing the burden of the disorder which remain undiagnosed. Sexual dysfunction can affect both men and women. Since the sexual cycle is complex in women both diagnosing and treating the female sexual dysfunction can often be challenging. Routine screening, meticulous workup and multidisciplinary approach is usually required to diagnose and mange sexual disorders.
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Objetivo: Identificar as estratégias de prevenção às Infecções Sexualmente Transmissíveis/HIV/Aids conhecidas por mulheres que fazem sexo com mulheres. Métodos: Pesquisa de campo com abordagem qualitativa exploratória. Para a coleta de dados, optou-se pela técnica de amostragem não probabilística bola de neve, realizada por meio de entrevistas online, conduzidas no período de novembro de 2022 a abril de 2023. Todos os momentos foram registrados e, em seguida, transcritos integralmente para análise. A perspectiva da interseccionalidade e vulnerabilidade guiaram a análise, focalizando as estratégias de prevenção e a atuação dos profissionais de saúde no atendimento às MSM. Resultados: Participaram da pesquisa 22 mulheres, jovens, em sua maioria naturais da Bahia, brancas, sem religião, com ensino superior e renda familiar entre 2 e 4 salários-mínimos. Os achados demonstraram que as estratégias de prevenção das IST/ HIV/Aids são conhecidas pelas mulheres, no entanto são pouco usuais, considerando que o aprendizado sobre elas se deu a partir das escolas, família e amigos e eles discorrem sobre as práticas heterossexuais, não sendo pertinente as adaptações para o sexo entre mulheres com vulvas. Conclusão: As estratégias de prevenção às IST/HIV/Aids são então caracterizadas como adaptações, sobretudo pela escassez de estudos que asseguram a sua efetividade. (AU)
Objective: To identify prevention strategies for Sexually Transmitted Infections (STI)/HIV/AIDS known to women who have sexy with women (WSW). Methods: A qualitative exploratory field study was conducted. Data collection utilized a snowball non-probabilistic sampling technique, with online interviews conducted from November 2022 to April 2023. All interactions were recorded and subsequently transcribed verbatim for analysis. The perspectives of intersectionality and vulnerability guided the analysis, focusing on prevention strategies and the role of healthcare professionals in serving WSW. Results: The study included 22 participants, predominantly young women from Bahia, of white ethnicity, without religious affiliation, with a college education, and a family income ranging from 2 to 4 minimum wages. Findings indicated that while women were aware of prevention strategies for STI/HIV/AIDS, they were infrequently utilized. Knowledge about these strategies primarily came from schools, family, and friends, which predominantly discussed heterosexual practices, with little relevance to adaptations for vulva-to-vulva sexual activity. Conclusion: Prevention strategies for STI/HIV/AIDS among WSW are thus characterized as adaptations, particularly due to the scarcity of studies ensuring their effectiveness. (AU)
Objetivo: Identificar las estrategias de prevención de Infecciones de Transmisión Sexual (ITS)/VIH/SIDA conocidas por las mujeres que tienen relaciones sexuales con mujeres (MSM). Métodos: Se realizó una investigación de campo con enfoque cualitativo exploratorio. Para la recolección de datos, se optó por la técnica de muestreo no probabilístico de bola de nieve, llevada a cabo a través de entrevistas en línea, realizadas desde noviembre de 2022 hasta abril de 2023. Todos los momentos fueron registrados y posteriormente transcritos íntegramente para su análisis. Las perspectivas de interseccionalidad y vulnerabilidad guiaron el análisis, centrándose en las estrategias de prevención y la actuación de los profesionales de la salud en la atención a las MSM. Resultados: Participaron en la investigación 22 mujeres, en su mayoría jóvenes, nativas de Bahía, blancas, sin afiliación religiosa, con educación superior y un ingreso familiar entre 2 y 4 salarios mínimos. Los hallazgos demostraron que las estrategias de prevención de ITS/VIH/SIDA son conocidas por las mujeres, sin embargo, son poco comunes, considerando que el aprendizaje sobre ellas proviene de la escuela, la familia y los amigos, quienes hablan sobre prácticas heterosexuales, sin que sean pertinentes las adaptaciones para el sexo entre mujeres con vulvas. Conclusion: Las estrategias de prevención de ITS/VIH/SIDA se caracterizan así como adaptaciones, principalmente debido a la escasez de estudios que garanticen su efectividad. (AU)
Subject(s)
Homosexuality, Female , Sexually Transmitted Diseases , Health Knowledge, Attitudes, Practice , Nursing , Knowledge , Sexual HealthABSTRACT
Introduction: To prevent vaginal stenosis, the use of a vaginal dilator is recommended. Objective: To analyze sociodemographic data, gynecological conditions and the use of vaginal dilator after pelvic brachytherapy. Materials and Methods: Cross-sectional, retrospective study, period 2016-2020, collected between October/2020 and February /2021, from records of women with gynecological cancer treated with brachytherapy at the Centro de Pesquisa Oncológicas (Brazil). The variables included sociodemographic data and gynecological conditions in following the treatment. In the analysis, descriptive statistics, chi-squaretest, Fisher's exact test and Mann-Whitney test were applied. Results: 519 patients records were included in the investigation; the analyzes showed significant associations between the topography and staging (p<0.001), education (p=0.004) and age (p<0.001); the comparison between the distribution of the ionizing radiation dose showed a difference with the continued sexual relationship category (p=0.006); the comparison between the proportions of continued sexual relationship and using a vaginal dilator was significant (p<0.001); 49.10% (131) adhered to the use of vaginal dilator; 24.50% (127) are not sexually active and do not adhere to the use of the dilator. Discussion: It is evident that social and gynecological conditions interfere with the presence of vaginal stenosis and the use of a vaginal dilator after pelvic brachytherapy. Conclusions: The adherence found in the use of dilator affirms the contributions and the need for health education by nurses and physicaltherapists during and following the treatment.
Subject(s)
Physical Therapy Department, Hospital , Brachytherapy , Constriction , Constriction, Pathologic , Genital Neoplasms, FemaleABSTRACT
Uno de los deportes que más versatilidad representa es el levantamiento de pesas, pues su práctica no solo se reduce al deporte competitivo, sino es una actividad física que desarrolla la capacidad de fuerza, en el resto de los deportes. Esto constituye una realidad que se concreta en el rendimiento deportivo, sin embargo, las féminas que lo practican no cuentan con un tratamiento ajustado a su género, por lo que el objetivo de este trabajo consistió en determinar qué nivel de conocimientos poseen los entrenadores de levantamiento de pesas en Santiago de Cuba, para distribuir las cargas en el equipo femenino de este deporte. Para lograr este propósito, se implementaron métodos del nivel empírico como la observación científica aplicada a las +sesiones de entrenamiento y la encuesta a los entrenadores que atienden a estas atletas. Como resultado del diagnóstico, se declaró que existe un significativo desconocimiento sobre cómo distribuir las cargas en estas pesistas y se carece de una metodología para incrementar este conocimiento y mejorar los resultados competitivos del género femenino, en esta categoría.
Um dos esportes mais versáteis é o levantamento de peso, pois sua prática não se limita apenas ao esporte competitivo, mas é uma atividade física que desenvolve a capacidade de força em outros esportes. Essa é uma realidade que se reflete no desempenho esportivo, no entanto, as mulheres que o praticam não têm um tratamento ajustado ao seu gênero, por isso o objetivo deste estudo foi determinar qual o nível de conhecimento que os treinadores de halterofilismo em Santiago de Cuba têm para distribuir as cargas na equipe feminina desse esporte. Para atingir esse objetivo, foram utilizados métodos empíricos, como a observação científica aplicada às sessões de treinamento e uma pesquisa com os técnicos que treinam essas atletas. Como resultado do diagnóstico, constatou-se que há uma significativa falta de conhecimento sobre como distribuir as cargas nessas levantadoras de peso e que falta uma metodologia para aumentar esse conhecimento e melhorar os resultados competitivos do gênero feminino nessa categoria.
One of the sports that represents the most versatility is weightlifting, since its practice is not only reduced to competitive sports, but is a physical activity that develops strength capacity in the rest of the sports. This constitutes a reality that is reflected in sports performance, however, the women who practice it do not have treatment adjusted to their gender, so the objective of this work was to determine what level of knowledge lifting coaches have of weights in Santiago de Cuba, to distribute the loads in the women's team of this sport. To achieve this purpose, empirical level methods were implemented such as scientific observation applied to training sessions and surveys of coaches who care for these athletes. As a result of the diagnosis, it was declared that there is a significant lack of knowledge about how to distribute the loads in these weightlifters and there is a lack of a methodology to increase this knowledge and improve the competitive results of the female gender, in this category.
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Background: Hypertension is one of the major non-communicable diseases (NCDs) and becoming a serious public health problem globally. The rising burden of hypertension in Nepal requires a community-based intervention that can be provided through female community healthcare volunteers (FCHVs). Our study aimed to assess knowledge and attitudes towards the prevention of hypertension among FCHVs of Bharatpur Metropolitan (BM). Methods: A community-based cross-sectional study was conducted and face-to-face interview was employed to recruit all the participants (n=207). Frequencies and percentages were used to describe the characteristics of the participants. An Independent t-test was used to determine the association between knowledge and attitude of hypertension with participants’ socio-demographical characteristics. All the tests were carried out at the statistically significant of p value <0.05. Results: The majority of participants (40.6%) belonged to the age group 40 to 49 years. Education (7.7±1.5, p=0.001), religion (7.5±1.7, p=0.017,) and family history of hypertension (7.8±1.7, p=0.018) were statistically significant with the knowledge of hypertension. Similarly, education (9.6±0.9, p=0.000), and self-history of hypertension (9.5±0.7, p=0.014) of participants were statistically significant with the attitude of hypertension. Conclusions: Despite having satisfactory knowledge and attitude on hypertension, some of the participants were unable to identify a systolic and diastolic range of blood pressure for hypertension, risk factors, and complications of hypertension. This study highlighted strengthening targeted orientation programs toward hypertension for the FCHVs to improve their knowledge and beliefs about hypertension.
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This is a case report of lower urinary tract symptoms secondary to a vaginal leiomioma “the female prostate”. A 45-year-old female patient with no significant personal history, sensation of a vaginal foreign body accompanied by lower urinary tract symptoms, on vaginal physical examination with a 7×7 cm deep tumor, increased consistency, not painful, without hemorrhage. Magnetic resonance imaging with hypointense T1 and T2 images, few linear hyperintense areas in T2, homogeneous postgadolinium enhancement 69×66×53 mm, solid tumor dependent on the vaginal vault. Tumor markers CA 19-9: 5.98 U/ml, CEA: 1.09 ng/ml and CA 125: 11.73 U/ml. Open surgery was performed in which a 8×6 cm tumor was found in the vaginal vault dependent on the posterior wall of the vagina. Histopathological report: conventional leiomyoma measuring 9×7.5 cm in long axes, without nuclear atypia. With resolution of symptoms in the lower urinary tract, with normal urinary frequency, without presence of urgency, without urinary incontinence or voiding symptoms. It is important to identify and diagnose lower urinary tract symptoms always, since they could be an initial manifestation of pelvic tumors in which the treatment approach should not be delayed.
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Background: Reproductive health is a major part of a woman’s life to ensure a healthy life for both mothers and their babies. However, most women do not have the proper knowledge and awareness of that subject. Objectives were to assess the awareness of reproductive health among Saudi female university students and to determine the factors associated with the level of awareness. Methods: A cross-sectional study conducted among 347 participants, using multi-stage stratified sampling. A structured self-administered questionnaire was used to assess the knowledge level of the five-major component of reproductive health. Results: The results revealed an average level of knowledge about reproductive health (49.4%) among the college students. There was a significant association between having children, mother’s working status, and father educational level, family income and participant reproductive health knowledge (p=0.02, 0.005 and 0.02) respectively. Although 77.1% of the participants had good knowledge of menstrual health and hygiene, they showed misconceptions. The knowledge about family planning, prenatal and antenatal were high 66.6% and 53.9%. The level of knowledge on sexually transmitted diseases was 58% high among students and only 40% have heard of HIV/AIDS but other diseases were less recognized. Conclusions: The knowledge of reproductive health is considered poor. Father’s education level and family income were associated with the level of a student’s knowledge. Educational session about RH is needed among students with focus on menstrual health and hygiene, antenatal care, family planning, breastfeeding, and sexually transmitted diseases.
ABSTRACT
Background: Those who recovered from the COVID-19, suffers various health-related as well as mental problems. To measure a person's disease impact, disability, and mental condition, health-related quality of life (HRQoL) is used. The aim of this study was to assess the state of health-related quality of life of women of reproductive age after recovery from COVID-19.Methods: This cross-sectional study was conducted in Department of Reproductive and Child Health, National Institutes of Public Health and Social Medicine in Mohakhali, Dhaka, Bangladesh, during the period from January to December 2020. Total 202 women of reproductive age who were recovered from COVID-19 were included in this study.Results: In this study, majority of the women (46%) were within 36-50 years and majority (20.8%) had bronchial asthma. Most of the respondents suffering from COVID-19 from 15 days to 3 months (43.6%). In a study, the average HRQOL score among respondents was 66.01 (±11.81), with physical well-being scoring highest (19.89±4.41) and functional well-being lowest (14.44 ±4.19). Age-wise, respondents aged 15-25 scored highest in various health domains. Statistical analysis revealed significant differences in Fact-G scores across age groups, with 15-25-year-olds scoring highest, indicating a notable age-related variation in health quality.Conclusions: Findings of the study shows that fifteen to twenty-five years’ age of women’s HRQOL was higher than other groups. Educated women have better HRQOL score. Physical wellbeing was higher than other domains and functional wellbeing was lower than other domains. Elderly women who had comorbidities had lower HRQOL score.