[Impact of primary dysmenorrhea on the academic performance of university students]. / Impacto de la dismenorrea primaria en el rendimiento académico de estudiantes universitarios.

OBJECTIVE: Primary dysmenorrhea has a high prevalence among the student population. The objective of this study was to determine the prevalence of dysmenorrhea, its severity and its impact on academic performance in Mexican university students. METHODS: Cross-sectional study. An anonymous multiple-choice questionnaire was applied in class hours in the classrooms. The visual pain scale (VAS) was used for the measurement of pain. A descriptive and inferential analysis of the variables studied was carried out using the program SPSS® IBM. RESULTS: A total of 2154 (n=2154) students were surveyed. The average age of the women was 20.4 ±1.9years. The general prevalence of dysmenorrhea was 78.9%, with psychology students having the highest value (83.7%). The VAS mean pain score was of 64.0. The severity of menstrual pain in students was reported as mild in 9.0%, and moderate-severe in 91.0%. The VAS mean pain scores and intensity of pain of gerontology students were significantly higher than those reported by dentistry and medicine students (P<.05). Limitation of daily activities was reported in 90.4% of women, with medical students reporting the highest percentage (93.3%). Women reported school absenteeism in 37.0%, with medical students presenting the highest percentage (41.4%). The severity of menstrual pain as a risk factor (independent variable) positively influenced various dependent variables involved in students' academic performance (P<.05), including: stop doing their activities due to pain in 1 to 6 menstruations a year, minor concentration, absenteeism, low school performance, and lower grades during dysmenorrhea. CONCLUSION: A high prevalence of dysmenorrhea was observed and it is concluded that the severity of the symptomatology significantly interferes with the academic performance of the participants.

Impacto de la dismenorrea primaria en el rendimiento académico de estudiantes universitarios / Impact of primary dysmenorrhea on the academic performance of university students

Objetivo: La dismenorrea primaria tiene una alta prevalencia entre la población estudiantil. El objetivo de este estudio fue determinar la prevalencia de la dismenorrea, su gravedad y su impacto en el rendimiento académico en estudiantes universitarias mejicanas. Métodos: Estudio transversal. Se aplicó un cuestionario anónimo de opción múltiple durante las horas lectivas de clase. La escala visual del dolor (EVA) fue usada para la medición del dolor. Se realizó un análisis descriptivo e inferencial de las variables a estudio mediante el programa SPSS® IBM. Resultados: Se encuestó a un total de 2.154 estudiantes, con una edad media de 20,4 ±1,9años. La prevalencia general de dismenorrea fue del 78,9%, encontrándose la mayor prevalencia en las estudiantes de psicología (83,7%). La puntuación media de dolor de la escala EVA fue de 64,0. Se encontró que la gravedad del dolor menstrual en las estudiantes fue leve en el 9,0% y moderada-severa en el 91,0%. Las puntuaciones medias de dolor de la EVA y la intensidad del dolor de los estudiantes de gerontología fueron significativamente más altas que las reportadas por las estudiantes de odontología y medicina (p<0,05). La limitación de las actividades diarias se informó en el 90,4% de las mujeres y las estudiantes de medicina fueron el porcentaje más alto (93,3%). Las mujeres informaron absentismo escolar en el 37,0%, siendo las estudiantes de medicina las que presentaron el porcentaje más alto (41,4%). La severidad del dolor menstrual como factor de riesgo (variable independiente) influyó positivamente en varias variables dependientes involucradas en el rendimiento académico de las estudiantes (p<0,05), incluyendo: dejar de hacer sus actividades (30min a 6h) debido al dolor en 1 a 6 menstruaciones al año, concentración menor, absentismo, rendimiento escolar bajo y calificaciones más bajas durante la dismenorrea.(AU)

Objective: Primary dysmenorrhea has a high prevalence among the student population. The objective of this study was to determine the prevalence of dysmenorrhea, its severity and its impact on academic performance in Mexican university students. Methods: Cross-sectional study. An anonymous multiple-choice questionnaire was applied in class hours in the classrooms. The visual pain scale (VAS) was used for the measurement of pain. A descriptive and inferential analysis of the variables studied was carried out using the program SPSS® IBM. Results: A total of 2154 (n=2154) students were surveyed. The average age of the women was 20.4 ±1.9years. The general prevalence of dysmenorrhea was 78.9%, with psychology students having the highest value (83.7%). The VAS mean pain score was of 64.0. The severity of menstrual pain in students was reported as mild in 9.0%, and moderate-severe in 91.0%. The VAS mean pain scores and intensity of pain of gerontology students were significantly higher than those reported by dentistry and medicine students (P<.05). Limitation of daily activities was reported in 90.4% of women, with medical students reporting the highest percentage (93.3%). Women reported school absenteeism in 37.0%, with medical students presenting the highest percentage (41.4%). The severity of menstrual pain as a risk factor (independent variable) positively influenced various dependent variables involved in students’ academic performance (P<.05), including: stop doing their activities due to pain in 1 to 6 menstruations a year, minor concentration, absenteeism, low school performance, and lower grades during dysmenorrhea. Conclusion: A high prevalence of dysmenorrhea was observed and it is concluded that the severity of the symptomatology significantly interferes with the academic performance of the participants.(AU)

Management of Procedural Pain in Children.

In recent years, there has been increased interest in the study of pain in children and its treatment. It is known that when facing diagnostic and therapeutic procedures similar to those performed on adults, children either do not receive specific pain treatment or receive it on a significantly lower scale. However, recent research suggests a change in attitude and an improvement in the current treatment of children's pain. Although current knowledge demonstrates the falsity of many preconceived ideas about pain and its management, our results suggest that attitudinal change towards childhood pain remains slow and that real improvement in the training and practical application of the pediatrician who has to treat childhood pain is urgently needed. In this context, this manuscript has prepared standards and guidelines to improve pain management practices in a large number of national and international professional settings.