scholarly journals FEMALE SEXUAL DYSFUNCTION. UNSPOKEN TRUTH? HYDERABAD SINDH BASED STUDY

2019 ◽  
Vol 4 (1) ◽  
pp. 19
Author(s):  
Dr. Imran Ali Shaikh ◽  
Dr .Naila Masood ◽  
Dr. Khalida Shaikh
Keyword(s):  
Sexual Dysfunction ◽  
Female Sexual Dysfunction ◽  
Treatment Plan ◽  
Young Female ◽  
Sexual Cycle ◽  
P Value ◽  
Cross Sectional ◽  
Sexual Response Cycle ◽  
The Mean ◽  
Convenience Sampling

Background: Sexual cycle is complex and have so many phases. There are desires that initiates sex , which  occur with or without stimulus. Sexual dysfunction is a problem that occurs during the sexual response cycle that inhibits person from sexual satisfaction .It is difficult to estimate the prevalence of sexual dysfunction in women because of religious grounds, natural shyness, illiteracy, and unawareness of sexual education.Objective: To determine female sexual dysfunction in non-diabetic young female of Hyderabad, and to enhance awareness of this taboo problem in women.Material and methods: This cross-sectional   questionnaire based study includes 276 married non diabetic females, enrolled   by non-probability convenience sampling from OPD of private clinics of sadder Hyderabad. Study was conducted in l accordance with the guidelines for Declaration of Helsinki and data was collected after obtaining participants consents. All women were interviewed according to questionnaire designed in local aspects by modifying female sexual scale which contained 19 different questions, most of them having score from 1 to 5 or -1 to -5. This scale has been modified in local languages in Urdu and Sindhi. All data was entered and analyzed using statistical package for social sciences version 22.0.Results: The mean age was 23±9.5 years, mean BMI  was 24±5.5, mean duration of marriage was5.6±4.3 years, (24%) didn’t  conceived after 2 years of marriage.(55%) had 2 or more  children, Contraceptives user were 24±5.6 Pain  was experienced during coitus  by (15%), decreased desire in (20%),decreased secretion during foreplay in (15%) lack of orgasm in (30%) and arousal failure in (10% )and only (10%) had mixed disorder.(30%) had orgasm failure score of 25 and p value adjusted with age 0.03, arousal failure was in 10% but score was very low -10, p value was0.04.Conclusion: Awareness and decreasing shyness barriers of sexuality are increasing among the women.  Women are seeking a sexual solution, which is the first step toward proper treatment plan.

Knowledge, Attitude and Practice of General Dentists and Dental Students of Isfahan University about the Principles of Biopsy

2021 ◽  
Author(s):  
Forouz Keshani ◽  
Seyed Mohammad Razavi ◽  
Negar Jalalpour
Keyword(s):  
Treatment Plan ◽  
Pearson Correlation ◽  
Dental Students ◽  
P Value ◽  
Cross Sectional ◽  
Significance Level ◽  
Attitude And Practice ◽  
The Mean ◽  
General Dentists ◽  
Knowledge Attitude And Practice

Introduction: Biopsy is the most accurate way to make a definitive diagnosis, based on which the prognosis and treatment plan can be determined. This study aimed to evaluate the knowledge, attitude, and practice of general dentists and dental students about the principles of biopsy. Materials & Methods: This descriptive-analytical and cross-sectional study conducted on 188 general dentists and 93 senior dental students of Isfahan University of Medical Sciences using a questionnaire. Then data were analyzed using Pearson correlation coefficient, T-test) in all tests, the significance level is considered 0.05). Results: The mean score of dentists’ knowledge was 4.62 ± 1.42 and, the mean score of students’ knowledge was 4.96 ± 1.77 out of 8 points. The knowledge of dentists who had participated in retraining courses was higher than that of dentists who had not attended any biopsy retraining and was statistically significant (p value > 0.001).The mean score of dentists’ attitude (39.6 ± 4.06) was higher than the students’ (37.05 ± 3.06). Conclusion: Level of knowledge and attitude of dentists and students about the principles of biopsy was moderate. Their performance was also poor and most of the dentists expressed a lack of necessary skills for not doing a biopsy. This study shows the need for educational programs related to the principles of biopsy, in the form of retraining courses and more emphasis on the student curriculum.

scholarly journals Female Sexual Dysfunction in a Third Level Health Facility, Southern Nigeria

2021 ◽  
pp. 75-82
Author(s):  
Oranu Emmanuel Okwudili ◽  
Owolabi Ayodeji Oluwaseun
Keyword(s):  
Risk Factors ◽  
Sexual Dysfunction ◽  
Female Sexual Dysfunction ◽  
Reproductive Age ◽  
Female Genital Cutting ◽  
P Value ◽  
General Observation ◽  
Cross Sectional ◽  
Port Harcourt ◽  
The University

Background: Observation during our gynaecology consultations does not tend to agree with reviews in literature suggesting high prevalence of sexual dysfunction. With this background, we decided to subject this general observation to scientific scrutiny to determine the proportion of our patients that actually have sexual dysfunction; and thepredisposing risk factors. Objective: To determine the prevalence and risk factors associated with sexual dysfunction in females attending the gynaecology clinic of the University of Port Harcourt Teaching Hospital (UPTH), Port Harcourt. Methods: This was a prospective cross-sectional questionnaire based study of 72 females of reproductive age group attending the outpatient gynaecological unit of UPTH. They were interviewed using the Female Sexual Dysfunction Index (FSFI). A total FSFI score of less than 26.5 was indicative of sexual dysfunction. The data were collated and entered into SPSS version23 statistical software which was also used for analysis. A p-value of < 0.05 was considered significant. Results: The prevalence of sexual dysfunction in females was 61.1% using the FSFI of less than 26.50. The most common type of sexual dysfunction among the respondents was desire disorders (66.7%) followed by disorders of orgasm (62.5%), lubrication (56.9%), arousal (43.1%) and pain (40.3%). Advanced age, higher education, parity and female genital cutting were found to be associated with sexual dysfunction. Conclusion: The findings in this study showed that a significant number of women in our centre are affected with sexual dysfunction.

scholarly journals 10 Year Interval Study for Prevalence and Risk Factors of Female Sexual Dysfunction in Korea: Korean Internet Sexuality Survey (Kiss) 2014

2016 ◽  
Vol 9 (1) ◽  
pp. 155-155
Author(s):  
H. Son ◽  
◽  
J. Park ◽  
S. Cho ◽  
M. Cho ◽  
...  
Keyword(s):  
Risk Factors ◽  
Sexual Dysfunction ◽  
Female Sexual Dysfunction ◽  
P Value ◽  
Number Of Sexual Partners ◽  
Bladder Symptom ◽  
The Mean ◽  
E Mail ◽  
Overactive Bladder Symptom Score ◽  
Pain Domain

Objective: We conveyed 10 year interval survey, named Korean Internet Sexuality Survey (KISS) 2014 to investigate the prevalence and the risk factors of Female Sexual Dysfunction (FSD) in Korea. Design and Method: The Internet-based survey was performed in 20-59 year old women via e-mail and they were asked to answer the questionnaire only if they were sexually active, having sex more than once per month during the last 6 months, following the same method of our previous study in 2004. Results: In total, 516 responses were analyzed. The mean age of the subjects was 38.1±10.3. We defined FSD as FSFI total score under 25.0 and the prevalence of FSD was 46.7%. The prevalence of FSD in each age group increased with age: 23.7% in 20s, 45.4% in 30s, 51.4% in 40s and 72% in 50s. The prevalence of FSD in 20s decreased significantly from 44.3% in 2004 to 23.7% in 2014 (p-value=0.000). All six domains of FSD increased with age. Especially, lubrication and pain domain dysfunctions were highly prevalent in 50s. The risk factors for FSD were analyzed as constipation, Beck Depression Inventory (BDI) and Overactive Bladder Symptom Score (OABSS). Women with older age at first intercourse, increasing number of sexual partners and use of contraceptive pill had lower risk to have FSD. Conclusions: FSD was still highly prevalent in Korea and it increased with age. Compared to the previous study, prevalence of FSD in 20s significantly decreased. Further periodic study is necessary to widen the scope of understanding FSD.

Brief Overview and Experience of Visual Evoked Potential of First 67 cases at Referral Neuroscience Hospital in Bangladesh

2020 ◽  
Vol 6 (2) ◽  
pp. 74-77
Author(s):  
Mohammad Enayet Hussain ◽  
Bithi Debnath ◽  
AFM Al Masum Khan ◽  
Md Ferdous Mian ◽  
Md Nahidul Islam ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Optic Neuritis ◽  
Clinical Diagnosis ◽  
Optic Neuropathy ◽  
Cross Sectional Study ◽  
P Value ◽  
Pattern Reversal ◽  
Cross Sectional ◽  
The Mean ◽  
Visual Evoked

Background: The visual evoked potentials (VEP) is a valuable tool to document occult lesions of the central visual channels especially within the optic nerve. Objectives: The purpose of the present study was to observe the findings of first few cases of VEP done in the neurophysiology department of the National Institute of Neurosciences (NINS), Dhaka, Bangladesh. Methodology: This cross-sectional study was conducted in the Department of Neurophysiology at the National Institute of Neurosciences and Hospital, Dhaka, Bangladesh from September 2017 to March 2020. All patients referred to the Neurophysiology Department of NINS for VEP were included. Pattern reversal VEPs were done using standard protocol set by International Federation of Clinical Neurophysiology (IFCN). Results: The mean age of the study population was 30.70 (±12.11) years (6-68 years) with 31 (46.3%) male and 36 (53.7%) female patients. The mean duration of illness was 8.71 (±1.78) months (3 days- 120 months). Most common presenting symptom was blurring of vision (37.3%) and dimness of vision (32.8%). Patterned VEP revealed mixed type (both demyelinating and axonal) of abnormality in most cases [29(43.35)]. The most common clinical diagnosis was multiple sclerosis (29.85%) and optic neuropathy (26.87%). In the clinically suspected cases of multiple sclerosis, optic neuropathy and optic neuritis most of the cases of VEP were abnormal and the p value is 0.04 in optic neuropathy and optic neuritis. Conclusion: The commonest presentation of the patients in this series were blurring of vision and dimness of vision. The most common clinical diagnosis for which VEP was asked for, was optic neuritis and multiple sclerosis. Most abnormalities were of mixed pattern (demyelinating and axonal). Journal of National Institute of Neurosciences Bangladesh, 2020;6(2): 74-77

scholarly journals POS0548 OPTIMAL ASSESSMENT OF THE RHEUMATOID ARTHRITIS ANKLE AND HINDFOOT: A COMPARATIVE STUDY BETWEEN CLINICAL EXAMINATION AND ULTRASONOGRAPHY

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 508.2-509
Author(s):  
K. Maatallah ◽  
H. Boussaa ◽  
H. Riahi ◽  
H. Ferjani ◽  
M. Habechi ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Clinical Examination ◽  
Demographic Data ◽  
Power Doppler ◽  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional ◽  
Therapeutic Decisions ◽  
The Mean ◽  
Foot Disease

Background:Foot disease is a common problem in rheumatoid arthritis (RA). Therapeutic decisions are often based on clinical examination (CE) alone, which can be adversely affected by factors such as deformity, obesity, and peripheral edema. Ultrasonography (US) has previously been shown to be more sensitive than CE for detecting synovitis and tenosynovitis in RA forefeet, but few data exist for the hindfoot and ankle.Objectives:The aim of this study was to compare CE and US for the detection of hindfoot and ankle synovitis and tenosynovitis in patients with established RA.Methods:We conducted a cross-sectional study including patients with RA (ACR/EULAR 2010). Demographic data and disease parameters were collected. CE was performed by a rheumatologist for the presence or absence of tenderness, swelling, and mobility restriction of both ankles. The following tendons were examined for tenosynovitis: tibialis anterior (TA) and posterior (TP), fibularis longus (FL), and brevis (FB) (assessed together). In a second time, US examination of the tibiotalar, talonavicular, and subtalar joints and the same tendons as CE was performed by a blinded radiologist experienced in musculoskeletal imaging using a Philips HD11 device with a high-frequency linear transducer. The presence or absence of synovitis and tenosynovitis was recorded, and the composite synovitis score (power doppler / grayscale ultrasound (PDUS)) was measured for each joint. The US score of each patient was defined by the sum of the composite scores of the joints studied (0-30). A p-value <0.05 was considered significant.Results:Sixty-two feet were examined in 31 RA patients (25 women and six men) with a mean age of 54.8±10.8 years old [32-70]. The mean disease duration was 8.5±7.2 years [1-37]. Rheumatoid Factor (RF) and Anti-Citrullinated Peptides Antibodies (ACPA) were positive in 61.3% and 83.8% of cases. The mean DAS28 ESR was 3.8±1.5 [0.6-7].Clinical examination of ankles revealed tenderness in 57.4% of cases, swelling in 38.8% of cases, and restriction in the range of motion in 11.1% of cases. TA tenosynovitis was noted in 14.8% of cases, TP tenosynovitis in 22.2% of cases, and FL and FB tenosynovitis in 31.5% of cases.US showed tibiotalar synovitis in 59.3% of cases, talonavicular synovitis in 64.8% of cases, and subtalar synovitis in 46.3% of cases. TA tenosynovitis was noted in 5.6% of cases, TP tenosynovitis in 22.2% of cases, and FB and FL tenosynovitis in 25% and 11.1% of cases respectively.An association was found between clinical tenderness and US synovitis of the tibiotalar joint (p=0.013) and the talonavicular joint (p=0.027). No association was noted between clinical swelling and US synovitis in these joints.No association was noted between clinical and US tenosynovitis of TA (p=0.279), TP (p=0.436), FB (p=0.495) and FL (p=0.315).Conclusion:Clinical examination of RA ankles may be challenging and needs to be coupled with US, which is more sensitive and accurate in the detection of synovitis and tenosynovitis.Disclosure of Interests:None declared

Satisfaction and Adherence to Biological Treatment in Patients with Rheumatic Diseases

2021 ◽  
Vol 18 ◽  
Author(s):  
Marwa Hammad ◽  
Huny Bakry
Keyword(s):  
Rheumatic Diseases ◽  
Biological Treatment ◽  
Formal Education ◽  
Biological Therapy ◽  
Cross Sectional Study ◽  
P Value ◽  
Inflammatory Rheumatic Diseases ◽  
Cross Sectional ◽  
New Era ◽  
The Mean

Background: Autoimmune inflammatory rheumatic diseases have long been treated by conventional disease-modifying anti-rheumatic drugs. Biological therapy is a new era in the treatment of rheumatic diseases, but satisfaction and adherence to it is still not well tested. Aim: To assess the satisfaction and adherence to biological treatment among patients with autoimmune inflammatory rheumatic diseases. Methods: A cross sectional study was conducted among 56 patients suffering from inflammatory rheumatic diseases using Morisky 8 questionnaire and Treatment Satisfaction Questionnaire for Medication (TSQM) over a period of one month Results: About 76.8% of the patients had medium adherence and the underlying cause of missing doses was the unavailability of the drugs. The mean satisfaction with biological treatment was 62.7±6.9. Patients who did not receive formal education had significantly higher satisfaction with the biological treatment than others 64.94±5.01 at a P value 0.04 (<0.05). Conclusion: Patients with inflammatory rheumatic diseases in our study showed medium adherence and satisfaction. Authorities in the medical field are providing great help to these patients in need of biological therapy, but ensuring the availability of all doses of the biological treatment regimen is still necessary. Patient, family and nurse education programs are also necessary to maximize adherence and satisfaction.

HUBUNGAN MOTIVASI KERJA DENGAN PERILAKU CARING PERAWAT DI RUANGAN INTERNIS RUMAH SAKIT SANTA ELISABETH MEDAN TAHUN 2015

2016 ◽  
Vol 1 (1) ◽  
pp. 13-20
Author(s):  
Gabriel Naibaho
Keyword(s):  
Range Of Motion ◽  
Correlation Coefficient ◽  
Work Motivation ◽  
P Value ◽  
Cross Sectional ◽  
Caring Behaviors ◽  
Descriptive Research ◽  
Caring Behavior ◽  
High Motivation ◽  
Convenience Sampling

High motivation in a person will encourage them to act properly so that it will affect the productivity of work, conversely, if the nurses are not guided by a strong desire and motivation to work it will have an impact on work satisfaction of the nurses and it reflects a low caring behavior that make the nurses become lazy and in doing their activities of serving and taking care of the patients. Goal:The purpose of this study to analyze the effects of exercise range of motion The objective of this study is to investigate the correlation between work motivation with nurses’ caring behaviors in internist room of Santa Elisabeth Hospital Medan. Methods:This study uses a correlative descriptive research design with cross sectional approach. The technique of sampling was performed by using non-probability technique with convenience sampling, with 51 respondents using questionnaire sheets of work motivation 20 statements and 42 statement of the nurses’ caring behavior. Result:The result of the study shows that work motivation category good is as many as 44 (86.3%) nurses, and category good enough is 7 (13.7%) nurses. The nurses’ caring behavior with good category is 16 (31.4%) nurses, good enough is 35 (68.6%) nurses. Conclusion:Based on spearman’s rho test P value = 0.001 and correlation coefficient = 0.603 it can be concluded that research hypothesis (Ha) is accepted that is there is correlation between work motivation with nurses’ caring beahvior in internis room of Elisabeth Hospital Medan. It is suggested to nurses to improve the knowledge, attitudes and skills especially when carrying out their role as executor of professional nursing actions.

scholarly journals Tooth Loss and Its Association With Frequency of Pregnancy: A Cross-Sectional Study Among Yemeni Women

2021 ◽  
Author(s):  
Anas Shamala ◽  
Ebtesam Al-Maimooni ◽  
Salsbeel Al-Matari ◽  
Ryhana Hiyat ◽  
Mohammed Al-wesabi ◽  
...  
Keyword(s):  
Oral Hygiene ◽  
Tooth Loss ◽  
Cross Sectional Study ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Khat Chewing ◽  
Number Of Children ◽  
Hygiene Practices ◽  
The Mean

Abstract Backgrounds: The present study sought to assess tooth loss and oral hygiene practices among a sample of Yemeni women in association with giving births (parity).Subjects and Methods: This cross-sectional study included a sample of 644 Yemeni women. They were interviewed to gather socio-demographic (age, education, number of children) and behavioral data (oral hygiene practices, khat chewing and smoking). Additionally, they were examined clinically to assess number of tooth loss. Data were analyzed using SPSS with a P-value < 0.05 was considered statistically significant. Results: The participating women aged between 16 and 51 years. Only one fifth of the sample reported brushing their teeth regularly (i.e, at least once a day), and around 36.8% reported using dental aids occasionally. Additionally, 52% and 21% of the sample reported they were khat chewers and smokers, respectively. The mean number of tooth loss was 4.7. The mean number of children was 4.15, with approximately 54% of the participating women had more than 3 children. The results of the logistic regression revealed a significant association between number of children and tooth loss. Conclusion: Yemeni women had poor oral hygiene practices and high prevalence of tooth loss increased proportionally with the increased number of children. This emphasizes the importance of an effective oral hygiene motivation and health education among female patients during pregnancy periods.

scholarly journals Cross-sectional study to compare the biochemical parameters in low normal versus high normal plasma glucose levels in euglycemic individuals

2020 ◽  
Vol 7 (6) ◽  
pp. 997
Author(s):  
Dharmendra Jhavar ◽  
Neha Kirti ◽  
Sumit Kumar Vishwakarma ◽  
Umesh Kumar Chandra ◽  
Vinod Verma
Keyword(s):  
Uric Acid ◽  
Total Cholesterol ◽  
General Medicine ◽  
Cross Sectional Study ◽  
Normal Group ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Mean ◽  
The Difference

Background: Since a long time ago, the experts have realized that determination of cut-off point for diagnosing diabetes will be revised over time with the lower blood glucose level as the more sensitive diagnosis for detecting the occurring complication and biochemical changes.Methods: This cross sectional study was carried out in the department of medicine, M.G.M. Medical College and M.Y. Hospital Indore from July, 2016 to August, 2017 in 200 individuals and patients having euglycemic status attending General Medicine OPD.Results: In the low and high normal group 2 (2.0%) and 8 (8.0%) were having abnormal total cholesterol (TC) level respectively. The mean total cholesterol in the low normal group was 117.16±26.94mg/dl and it was 154.74±28.38mg/dl in the high normal group. The difference was found to be statistically significant (p value 0.000). In the low and high normal group, 4 (4.0%) and 17 (17.0%) were having abnormal triglyceride (TG) levels respectively. The mean TG levels in the low and high normal group were 96.93±22.64mg/dl and 110.55±32.37mg/dl respectively. The difference was found to be statistically significant (p value 0.001). In the low and high normal group, 6 (6.0%) and 14 (14.0%) patient was having abnormal uric acid levels respectively. The mean uric acid levels in the low and high normal group was 4.88±1.10mg/dl and 5.31±1.31mg/dl respectively. The difference was found to be statistically significant (p value 0.013).Conclusions: Higher levels of Cholesterol and Triglycerides were found more commonly in high normal euglycemic group compared to low normal euglycemic group. Mean cholesterol and mean triglyceride levels were higher in high normal euglycemic group.

scholarly journals The pattern of central corneal thickness in patients attending a Tertiary Hospital in Dar-Es-Salaam

2021 ◽  
Vol 9 (2) ◽  
pp. 127-133
Author(s):  
Annamary Stanislaus ◽  
Ntsilane Susan Mosenene ◽  
Celina Mhina ◽  
John Stanslaus Kisimbi ◽  
Frederick Robert Burgess ◽  
...  
Keyword(s):  
Central Corneal Thickness ◽  
Corneal Thickness ◽  
Dar Es Salaam ◽  
Applanation Tonometry ◽  
P Value ◽  
Muhimbili National Hospital ◽  
National Hospital ◽  
Cross Sectional ◽  
Significant Difference ◽  
The Mean

Background: Central Corneal Thickness (CCT) is an indicator of corneal health status as well as being an essential tool in assessment and management of corneal diseases. It is an important factor in the diagnosis and management of glaucoma as it affects the measurement of intraocular pressure. However, the pattern of central corneal thickness in our population is not known. Our study aimed to describe the CCT measurements and their variation with age and sex among patients attending the eye clinic at Muhimbili National Hospital (MNH), in Dar es Salaam, Tanzania. Methodology: A hospital-based descriptive, cross-sectional study used convenient sampling to recruit adult patients aged 18 years and above, presenting to the MNH between August 2016 and January 2017.Visual acuity assessment, Goldman applanation tonometry and CCT assessment using an ultrasound pachymeter were performed. Patients with previous intraocular surgery were excluded. Results: A total of 398 patients (208 males and 190 females) were recruited. The mean CCT was 526.64±38.30 µm; being 523.99±38.20 µm for males and 529.7±38.3 µm for females. 226 (56.85%) had CCT of less than 520 µm.There was no statistically significant difference in CCT between gender. The proportion of patients with thinner CCT increased with increasing age from 25.8% in those < 30 years to 75% in those aged 71years and above. The mean CCT decreased with increasing age with P-value<0.001. Conclusion: The average CCT in patients attending Muhimbili National Hospital is 526.64 µm (SD 38.30) which is generally thin, inversely proportion to age and similar that of other Africans and African-Americans. This finding has implications for the management of glaucoma in this population.

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