RESUMO
Objective [s]: Sexual dysfunction [SD] in patients with multiple sclerosis [MS] is common, but often overlooked. The purpose of this study was to determine prevalence of sexual dysfunction and its predisposing factors in women with multiple sclerosis
Method: This was a cross sectional study. Participants were recruited from two MS clinics in Tehran. Sexual function and disability status were quantified by the Female Sexual Function Index-FSFI and Expanded Disability Status Scale [EDSS] respectively. Clinical characteristics and the extent of physical disability were examined by a neurologist. Data were analyzed by univariate and multivariate logistic regression
Results: In all 226 MS patients were studied. The mean age of participants was 35.77 years [SD = 8.07]. Sexual dysfunction were diagnosed in 125[55/3%] of participants. The most common sexual problem in women was arousal dysfunction [44/2%] and the lowest frequency of the dysfunction was sexual pain [12/8%]. Results obtained from multiple logistic regression analysis showed that MS patients with sexual dysfunction had lower educational status [Odds ratio=1.95 CI 95%= 1.957-0.998], insufficiency low [Odds ratio=3.94 CI 95%= 1.614-90619], more than 3 children [Odds ratio=4.659 CI 95%= 1.517-14.314] and Secondary Progressive MS-[SPMS] [Odds ratio=3.034 CI 95%= 1.447-6.362]
Conclusion: Awareness of sexual problems and related factors for the management and treatment of women with MS is necessary. It is suggested that sexual rehabilitation programs compiled as part of the comprehensive care of patients with MS
RESUMO
In this study, we aimed to assess the association between air pollution and cerebrovascular complications in Tehran, one of the most air-polluted cities in the world, among different subgroups of patients with stroke in 2004. In this ecologic study, we calculated the daily average levels of different air pollutants including CO, NOX, SO2, O3, and PM10 and also humidity and temperature on the day of stroke and 48 hours prior to stroke in 1 491 patients admitted with the diagnosis of stroke in eight referral hospitals in different areas of Tehran. Then, we evaluated the association between the rate of stroke admissions and the level of the selected pollutants, humidity, and temperature on the day of stroke and 48 hours prior to stroke among different subgroups of patients. There was no significant association between the sameday level of the pollutants and the rate of stroke admissions, but an association was seen for their level 48 hours before stroke. These associations differed among different subgroups of age, sex, history of underlying diseases, and type of stroke. Same-day temperature had a reverse association in patients with hemorrhagic stroke and in patients without a history of heart disease or previous stroke. A direct significant association was seen for humidity level 48 hours before stroke in patients with a history of heart disease. It is inferred that air pollution has a direct association with the incidence of stroke and these association differs among different subgroups of patients. The results of this study are not time-dependant and can be generalized to different times and regions. Moreover, these results may be useful for environmental health policy makers