Journal of Mid-life Health最新文献

{"title":"Silent Intruders: A Case Report of Concurrent Atypical Endometrial Polyp with Cervical Intraepithelial Neoplasia.","authors":"Anusha Devalla, Aparna Jarathi, Immanuel Pradeep, Annapurna Srirambhatla, Subhrajyoti Roy","doi":"10.4103/jmh.jmh_188_24","DOIUrl":"https://doi.org/10.4103/jmh.jmh_188_24","url":null,"abstract":"<p><p>Postmenopausal bleeding is an alarming symptom that needs careful consideration. Endometrial polyps co-existing in the background of endometrial hyperplasia/endometrial cancer is well-established. However, it has been very sparsely reported in the background of atrophic endometrium. The authors report a unique case of concurrent atypical endometrial polyp with cervical intraepithelial neoplasia (CIN) in the background of an atrophic endometrium. A 53-year-old multiparous, postmenopausal lady of Asian ethnicity presented with recurrent episodes of bleeding per vaginum. She did not give any history of exogenous estrogen intake, diabetes, hypertension, or any other surgical risk factors for endometrial malignancy. Her body mass index was 23.9 kg/m². Magnetic Resonance Imaging revealed a large cervical fibroid, endometrial thickness 8 mm (mixed with blood clots), and focal adenomyosis. Outpatient endometrial sampling was unsatisfactory. She underwent a total hysterectomy with bilateral salpingo-oophorectomy. An incidental hidden diagnosis of concurrent atypical endometrial polyp with CIN underlying the cervical leiomyoma was made. This is the first of its kind to be reported so far. It is not known whether such an association could be due to cervical leiomyoma or <i>de novo</i>.</p>","PeriodicalId":37717,"journal":{"name":"Journal of Mid-life Health","volume":"16 1","pages":"110-112"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12052278/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Menopause-Specific Quality of Life among Rural Women: A Community-based Cross-sectional Study in Kerala, India.","authors":"V L Nissy, Gopika Gopinathan Bhaskaran, S S Lal, G K Mini","doi":"10.4103/jmh.jmh_171_24","DOIUrl":"https://doi.org/10.4103/jmh.jmh_171_24","url":null,"abstract":"<p><strong>Aim and objectives: </strong>The health of women in the menopausal age is often ignored by most healthcare programs in countries like India. The aim of this study is to estimate the prevalence and pattern of menopause-specific quality of life (MENQOL) and associated factors of rural women in Kerala, India.</p><p><strong>Materials and methods: </strong>A cross-sectional community-based study was conducted among menopausal women in the Thiruvananthapuram district of Kerala using a multistage random sampling method. We collected details of basic sociodemographic and reproductive problems using a pretested semi-structured questionnaire. MENQOL questionnaire was used to measure the quality of life.</p><p><strong>Results: </strong>We surveyed 250 women in the age group of 48-60 years. The average score of the overall quality of life was 12.4 ± 4.3. The mean MENQOL score was significantly poor for those with lower socioeconomic status (SES), those who had any morbidity, those who had bad perceived health status, and inactive women compared to their counterparts. The majority of women (92%) used self-care to alleviate their menopause symptoms. Women of lower SES, with any morbidity, poor perceived health status, and inactive, were more likely to report more symptoms in all domains (vasomotor, physical, and psychological). In addition, employed women reported more vasomotor and psychological symptoms compared to their counterparts.</p><p><strong>Conclusion: </strong>Menopausal symptoms are common in the population studied, and self-care is the main strategy for alleviating these symptoms. It is important to educate women about common menopause symptoms and the importance of receiving proper medical care.</p>","PeriodicalId":37717,"journal":{"name":"Journal of Mid-life Health","volume":"16 1","pages":"67-75"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12052282/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Malignant Perivascular Epithelioid Cell Tumor of Ovary: A Rare Case Report.","authors":"Anuradha Sharma, Reetika Sharma, Jyoti Bala, Monika Sharma","doi":"10.4103/jmh.jmh_157_24","DOIUrl":"https://doi.org/10.4103/jmh.jmh_157_24","url":null,"abstract":"<p><p>Perivascular epithelioid cell tumors (PEComas) have unique morphology comprised perivascular epitheloid cells and express both melanocytic and smooth muscle cell markers. Gynecological PEComas account for approximately 25% of all PEComas, and in most cases, the primary site of the tumor is the uterine body. Ovarian PEComa is exceptional. Here, we report a case of primary malignant PEComa of ovary in a 38 years female.</p>","PeriodicalId":37717,"journal":{"name":"Journal of Mid-life Health","volume":"16 1","pages":"107-109"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12052290/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144031303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidence of Hot Flashes among Peri- and Postmenopausal Women in India: A Clinico-demographic Analysis.","authors":"Mohandas Shobhana, Jyothi Ramesh Chandran, Neelam Aggarwal, Seema Sharma, Revty Jankiram, Anju Soni, Jyoti Jaiswal, Sudha Sharma, S Lakshmi, Sheela Mane, Meeta Singh, Sushma Verma, Ritu Jain","doi":"10.4103/jmh.jmh_47_24","DOIUrl":"https://doi.org/10.4103/jmh.jmh_47_24","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Vasomotor symptoms (VMS), such as hot flashes, commonly affect menopausal women aged 40-60 years and can impact the quality of life due to associated sleep disorders and mood changes. These symptoms influenced by various factors including hormonal changes, thermoregulation, and lifestyle exhibit variations in severity. Few studies indicated the prevalence and severity of hot flashes among Indian women and their correlation to body mass index (BMI), menstrual history, marital status, and employment status.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;The purpose of this study was to evaluate the clinicodemographic profile of women aged 40-60 years and correlate with the prevalence and severity of hot flashes.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Materials and methods: &lt;/strong&gt;This multicentric and observational study aimed to investigate VMS in women aged 40-60 years across India. The study included 1479 participants meeting the specific inclusion criteria and exclusion criteria. The primary outcomes focused on determining the prevalence of hot flashes in Indian women aged 40-60 years and studying their clinicodemographic profile. In addition, an integrated profile study aimed to correlate the prevalence of hot flashes with their severity. The secondary outcomes included examining the regional distribution of hot flashes in India and understanding its co-relationship with hysterectomy, religion, marital status, and employment status. Data collection utilized a structured questionnaire covering demographic details, menstrual history, and the classification of menopausal symptoms based on the Menopausal Rating Scale. The questionnaire facilitated the assessment of variables such as age, BMI, religion, and employment status. Statistical analyses were conducted to explore the associations between these variables and the incidence and severity of VMS.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;In this study, involving 1479 participants aged between 40 and 60 years, 37.6% (&lt;i&gt;n&lt;/i&gt; = 557) reported experiencing hot flashes with 24.7%, 10.8%, and 2.23% reporting severity of mild, moderate, and severe intensity, respectively. Concomitant symptoms such as night sweats, abdominal discomfort, sleep disturbances, and chest discomfort were experienced. Hysterectomy was significantly associated with the prevalence of hot flashes (&lt;i&gt;P&lt;/i&gt; &lt; 0.001). The baseline demographics reveal regional variations in symptom prevalence, with distinct patterns observed across different zones in India. While on the other hand, BMI, religion, education, and employment status did not exhibit significant associations with hot flashes.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;In conclusion, this study emphasizes the significant prevalence of hot flashes among Indian women, with regional variations and notable associations with menstrual history and hysterectomy. Other identified variables such as religion, employment status, BMI, and marital status did not correlate with the incidence of hot flashes","PeriodicalId":37717,"journal":{"name":"Journal of Mid-life Health","volume":"16 1","pages":"32-37"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12052281/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the Quality of Life among Menopausal Women in the Urban Field Practice Area of a Medical College in Guntur.","authors":"Muhseenah, Samson Sanjeeva Rao Nallapu","doi":"10.4103/jmh.jmh_156_24","DOIUrl":"https://doi.org/10.4103/jmh.jmh_156_24","url":null,"abstract":"<p><strong>Background: </strong>Coping with menopause is always a troublesome issue in every woman's life. Most women, at the time of permanent cessation of menstruation, experience various symptoms due to hormonal fluctuations which may affect their quality of life (QOL) leading to anxiety and concern. This study is set to study the QOL among menopausal women in an urban low socioeconomic area of Guntur city.</p><p><strong>Methodology: </strong>A descriptive cross-sectional study was conducted involving menopausal women between the ages of 40 and 60 years living in the urban field practice area of the Department of Community Medicine, NRI Medical College, using a predesigned semistructured schedule covering sociodemographic and QOL-related aspects.</p><p><strong>Results: </strong>The study included 400 menopausal women with mean age of 51.98 ± 6.40. Most of the women were from the lower socioeconomic stratum. Two hundred and thirty-six (59%) women attained menopause naturally, whereas 164 (41%) had induced menopause. The mean age of attainment of menopause was 40.03 ± 8.32. The mean score for the physical domain of the QOL was 32.05 ± 11.73 (limits 15-75), the psychological domain of the QOL was 33.11 ± 13.33 (limits 14-70), and the social and environmental domain was 17.52 ± 5.89 (limits 10-50). Age above 50 years, poor educational levels, lower socioeconomic status, longer duration since menopause, poor awareness of menopausal symptoms, and comorbidities were significantly associated with overall QOL.</p><p><strong>Conclusion: </strong>Women need sufficient knowledge and awareness about the symptoms of menopause. Menopausal women must be made aware that what they are going through is common to other women too and that medical help is available. The family and community must also be sufficiently sensitized to their healthcare needs.</p>","PeriodicalId":37717,"journal":{"name":"Journal of Mid-life Health","volume":"16 1","pages":"76-82"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12052275/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Comparison of Menopausal Women's Attitudes and Religious Orientations toward the Menopause.","authors":"Emine Kinik, Handan Ozcan","doi":"10.4103/jmh.jmh_26_24","DOIUrl":"https://doi.org/10.4103/jmh.jmh_26_24","url":null,"abstract":"<p><strong>Background: </strong>The study aims to compare menopausal women's attitudes and religious orientations toward menopause.</p><p><strong>Materials and methods: </strong>The population of this descriptive study consists of women in the menopausal period. The sample consists of 73 women determined using the G*Power program. To collect the data, a descriptive information form, the Religious Attitude Scale (RAS), and the Attitude for Menopause Scale were used. The statistical significance level was considered 0.05 in all analyses.</p><p><strong>Results: </strong>According to the results, the mean age of menopause was 48.18 ± 43.05, the mean score of attitudes for menopause was 63.98, the mean score of RAS was 60.93, and accordingly women's attitudes and religious orientations toward menopause were at a high level. 82.2% of the women received information about the menopause period, 52.8% perceived menopause as a normal period, and 46.6% experienced mixed feelings. 23.3% prayed to alleviate menopausal symptoms. In this study, no significant difference was determined between women's attitudes toward menopause and their religious orientations.</p><p><strong>Conclusion: </strong>Women's attitudes toward menopause and their religious orientation were found to be high in this study. Women's awareness of the period is high, and they prefer religious orientations to cope with symptoms.</p>","PeriodicalId":37717,"journal":{"name":"Journal of Mid-life Health","volume":"16 1","pages":"38-44"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12052277/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality of Life in Geriatric Populations within Long-term Care Facilities: Prospective Observational Study Addressing Contemporary Challenges and Enduring Barriers in Geriatric Support Systems.","authors":"Surya Kalamegam, Akshaya Damodaran, Pankaj B Shah","doi":"10.4103/jmh.jmh_209_24","DOIUrl":"https://doi.org/10.4103/jmh.jmh_209_24","url":null,"abstract":"<p><strong>Background: </strong>Quality of life (QOL) among elderly individuals in long-term care (LTC) facilities encompasses several dimensions, ranging from social interaction, health status, and support systems. With the aging of populations across the globe, the identification of factors that influence QOL among elderly residents in LTC facilities provides a key factor to enhance care delivery and better well-being.</p><p><strong>Objective: </strong>The study examines the QOL of elderly people in LTC facilities in Chennai, India, and identifies factors that affect their well-being in physical, psychological, as well as social arenas. Assessment could be beneficial in tailoring care.</p><p><strong>Methodology: </strong>A 2-year cross-sectional study among 302 elderly people with an age group of >60 years residing in selected LTC facilities in the city of Chennai was evaluated using a structured questionnaire eliciting sociodemographic characteristics and health status, for which QOL was determined on the World Health Organization QOL-BREF scale. The data were collected, and results of the study were analyzed through SPSS with the aid of descriptive and inferential statistics to establish significant influences on QOL.</p><p><strong>Results: </strong>Physical and psychological domains of QOL were notably low among residents experiencing health problems, social isolation, and lack of personalized care. Those with high QOL scores have received consistent social support and retained autonomy. The findings are consistent with earlier research stating that social engagement and enough hours of care are important for improvement in the QOL in LTC.</p><p><strong>Conclusion: </strong>The research also strengthens support systems, formal programs of organized social activities, and adequate personnel in LTC facilities, among other things, to enhance the QOL in the elderly. All these should be enhanced to provide a more supportive and fulfilling environment.</p>","PeriodicalId":37717,"journal":{"name":"Journal of Mid-life Health","volume":"16 1","pages":"83-90"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12052284/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144002108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do Not Get \"STUMPED\": Recognizing Necrosis Type is Crucial in Uterine Smooth Muscle Tumors.","authors":"Seetu Palo, Anusha Devalla","doi":"10.4103/jmh.jmh_211_24","DOIUrl":"https://doi.org/10.4103/jmh.jmh_211_24","url":null,"abstract":"","PeriodicalId":37717,"journal":{"name":"Journal of Mid-life Health","volume":"16 1","pages":"117-118"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12052291/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlation of Vitamin B12 Deficiency with Sensorimotor Deficits in Postmenopausal Women: A Cross-sectional, Observational Study.","authors":"Hema S Patil, Shantala Shripad Herlekar, Manipal Lakshmi Baiju","doi":"10.4103/jmh.jmh_103_24","DOIUrl":"https://doi.org/10.4103/jmh.jmh_103_24","url":null,"abstract":"<p><strong>Introduction: </strong>Postmenopausal women often face Vitamin B12 deficiency, a condition crucial for neurological health. Sensorimotor deficits, which affect sensory and motor functions, are common in this demographic and can lead to falls, reduced mobility, and decreased quality of life. This study aims to investigate the correlation between Vitamin B12 deficiency and sensorimotor deficits in postmenopausal women.</p><p><strong>Materials and methods: </strong>The study was conducted, focusing on postmenopausal women attending the outpatient department. This cross-sectional and observational study investigated sensorimotor deficits in 100 postmenopausal women meeting the inclusion criteria. Exclusions included histories of orthopedic surgeries, paralysis, thalassemia, diabetes, and uncontrolled hypertension. Blood samples were collected to assess Vitamin B12 levels sensorimotor assessments included pain evaluation with an algometer, crude touch, temperature sensation with a tuning fork and warm water, position sense with eyes closed, vibration sense with a tuning fork, discriminative sense tests, coordination assessments, and muscle evaluations for bulk, symmetry, tone, strength (graded by the Medical Research Council scale), and reflexes in both limbs.</p><p><strong>Results: </strong>Eighteen percent of postmenopausal women were found to have a deficiency in Vitamin B12, while 82% did not have a deficiency. Among patients with Vitamin B12 deficiency, the sensory deficit was present in 52.9% patients and the motor deficit was present in 33.3% patients. The association between them was found to be statistically significant. Among patients with Vitamin B12 deficiency, sensory and motor deficit was present in 32% of patients. The association between them was found to be statistically significant.</p><p><strong>Conclusion: </strong>In this study, we conclude that the association of sensory and motor deficits with Vitamin B12 deficiency was found to be statistically significant. The prevalence of Vitamin B12 deficiency in postmenopausal women is 18%.</p>","PeriodicalId":37717,"journal":{"name":"Journal of Mid-life Health","volume":"16 1","pages":"26-31"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12052276/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Overcoming Cultural Barriers to Men's Participation in Reproductive Health.","authors":"Saurabh RamBihariLal Shrivastava, Prateek Sudhakar Bobhate, Nancy Nair","doi":"10.4103/jmh.jmh_218_24","DOIUrl":"https://doi.org/10.4103/jmh.jmh_218_24","url":null,"abstract":"<p><p>The provision of quality assured reproductive care services can be of significant utility to individuals and the entire community by augmenting health outcomes. There is an immense need to encourage the participation of men in different reproductive health issues, as they share equal responsibility in various reproductive health decisions. Even though men's participation is crucial in reproductive health decisions, there have been multiple cultural barriers that have prevented them from fulfilling their roles. The lack of involvement of men in reproductive health and related decisions accounts for a major impact on the health of women, family dynamics, and public health outcomes at large. Acknowledging the impact of the cultural barriers, there is a definite need to implement public health measures to increase male participation. In conclusion, promoting men's participation in reproductive health decisions can significantly improve women's health and contribute toward creating healthier and equitable societies. This calls for the need to identify and effectively address the prevailing cultural barriers in society through the adoption of a comprehensive approach involving support from different stakeholders.</p>","PeriodicalId":37717,"journal":{"name":"Journal of Mid-life Health","volume":"16 1","pages":"113-116"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12052286/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144031306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}