Premenstrual syndrome and life quality in Turkish health science students

Işik H. | Ergöl Ş. | Aynioğlu Ö. | Şahbaz A. | Kuzu A. | Uzun M.

Article | 2016 | Turkish Journal of Medical Sciences46 ( 3 ) , pp.695 - 701

Background/aim: The purpose of the present study was to investigate the incidence of PMS, risk factors affecting PMS symptoms, and life quality in health science students. Materials and methods: A total of 608 volunteer female students studying at the health campus of a state university in Turkey were included in the study. The participants were asked to fill out questionnaires on sociodemographic data, PMS symptoms, and SF-36 life quality tests. Results: The overall frequency of PMS among participants was 84.5%. The average PMS and general health SF scores were 118.34 ± 37.3 and 20.03 ± 3.72, respectively. Students who had irregula . . .r breakfast, drank ?2 cups of coffee/day, and consumed alcohol or fast food had higher PMS scores. Irregular menstruation and family history increased PMS scores and decreased life quality (P < 0.05). The life quality of the students significantly decreased as the severity of PMS increased (P < 0.001). Conclusion: Low body mass index, family history, irregular menstruation, bad eating habits such as fast food consumption and irregular breakfasts, and coffee and alcohol consumption increased PMS risk significantly. In order to improve their life quality, students should be informed about the symptoms, risk factors, and management options of PMS. © TÜBİTAK Daha fazlası Daha az

What are the probable predictors of urinary incontinence during pregnancy?

Demircan N. | Özmen Ü. | Köktürk F. | Küçük H. | Ata S. | Harma M. | Arikan I.I.

Article | 2016 | PeerJ2016 ( 7 ) , pp.695 - 701

Objectives. The frequency, predisposing factors and impact of urinary incontinence (UI) on quality of life (QoL) during pregnancy were investigated. Materials and Method. A preliminary cross-sectional survey was studied among pregnant women between January and July of 2014. A total of 132 pregnant women were recruited using a questionnaire form for sociodemographic features, the Turkish version of the International Consultation on Incontinence-Short Form (ICIQ-SF), for the characteristics of UI and Wagner's Quality of Life scale to assess impact on QoL. p < 0.05 was set significant. Results. Urinary incontinence was present in 56 . . . out of 132 pregnant women (42.4%, UI-present group): mean age, 26:7±5.4y (p=0.780); median height, 160 cm (min- max: 153-176, p=0.037); median BMI, 28.7 kg/m2(min-max: 22.4-50.0, p=0.881); urine leakage occurred per week once (n=18, 32.1%), twice or thrice (n=8, 14.3%); per day few times (n=14, 25%), once (n=5, 8.9%) and always (n=8, 14.3%) with mainly a small amount of urine leakage (n=33, 58.9%) or a moderate (n=4, 7.1%). There were statistically significant relationships between QoL scores and frequency of UI (p = 0.002) or amount of leakage (p = 0.002). Impact on QoL scores ranged from mild (n = 33, 58.9%), moderate (n = 4, 7.1%) to severe (n = 4, 7.1%) levels in daily life. UI impacted the daily life activities of women by making them less likely to undertake activities outside their homes (23.2%), by affecting their working performance and friendships (8.9%), their daily home activities (7.1%), their general health status (12.5%), their sexual relations (12.5%), by making them more nervous or anxious (10.7%) and by the need to wear pads or protectors (25%). ANOVA,Tukey, and Tamhane tests as the minimal important difference model yielded significant relevance between statistical analyses and clinical outcomes by using standard deviations (p = 0.001, 0.001 and 0.005 respectively). The following features favored the occurence of UI: Age (OR = 0.845, 95% CI [0.268-2.669]), being a housewife (OR = 1.800, 95% CI [0.850-3.810]), anemia (OR=0.939, 95% CI [0.464-1.901]), parity (OR=0.519, 95% CI [0.325-0.829]), miscarriage (OR=1.219, 95% CI [0.588-2.825]) and living in rural areas (OR=1:800, 95% CI [0.887-3.653]). Height (p=0;037), educational status (0.016), miscarriage (0.002), parity (0.006) and place of living (0.020) were significant factors. Conclusions. Many pregnant women are suffering from UI, which warrants a significant public health consideration in the region. Age, height, being a housewife or graduation level higher than primary school, living in rural, parity, miscarriage, and anemia were the factors in favor of the onset of UI. The authors plan a health promotion program in the region according to the results in order to provide information to health caregivers, especially family physicians, and to educate women about the predictors of UI and pelvic floor exercises for primary prevention and secondary relief of UI during and after pregnancy and provide some hygienic supplies to the poor in this aspect. © 2016 Demircan et al Daha fazlası Daha az

Evaluation of social anxiety, self-esteem, life quality in adolescents with acne vulgaris

Unal D. | Emiroğlu N. | Cengiz F.P.

Article | 2018 | International Journal of Adolescent Medicine and Health30 ( 2 ) , pp.695 - 701

Background: Acne vulgaris is a visible skin disease commonly seen in adolescence. As it affects the appearance, it is likely to bring stress to the adolescent's life regarding sensitivity about their appearance. Objective: The aim of the study was to investigate the social anxiety level, acne-specific life quality, and self-esteem among adolescents with acne vulgaris. In addition, we evaluated the relationship between these parameters, clinical severity, and sociodemographic data. Methods: One hundred and two adolescents with acne vulgaris, aged 12-17 years without any psychiatric or medical comorbidity were recruited. The control g . . .roup consisted of 83 adolescents in the same age range, who had neither psychiatric disease nor acne. Sociodemographic form (SDF), Capa Social Phobia Scale for Children and Adolescents (CSPSCA), and Rosenberg Self-esteem Scale (RSES) were applied to both groups. Additionally, the severity of acne was determined with Global Acne Grading System (GAGS), and life quality of the patients was evaluated with Acne Quality of Life Scale (AQOL). Results: There was no significant difference in social anxiety levels and self-esteem between the study and control groups. Life quality impairment and high social anxiety levels, as well as low self-esteem, were found to be associated regardless of the clinical severity. Conclusion: Clinicians should be aware of the psychiatric comorbidities when treating adolescents with acne vulgaris. Especially, low self-esteem and life quality impairment should warn clinicians to predict high social anxiety levels in adolescent acne patients. © 2018 Walter de Gruyter GmbH. All rights reserved Daha fazlası Daha az

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