{"title":"Menstrual Hygiene: A Salubrious Approach to Curb Gynecological Problems","authors":"G. Rawat","doi":"10.23880/whsj-16000147","DOIUrl":"https://doi.org/10.23880/whsj-16000147","url":null,"abstract":"Background: Reproductive tract infections (RTIs) are associated with poor menstrual hygiene management (MHM) practices and it lead to gynecological problems. We aimed to determine which factors are responsible poor menstrual hygiene practices and were associated with common infections of the lower reproductive tract. Importance: Proper management of menstrual hygiene is taken for granted in many countries, including India and mainly in the rural population as inadequate menstrual hygiene is a major problem for females which adversely affects the health and development of females. Objective: The aim of this article is to know the various factors responsible for poor menstrual hygiene which is giving rise to various infections in females and list various type of infection which is occurring due to bad menstrual practices. Conclusion: They are various factors affecting menstrual hygiene management includes lack of knowledge and awareness, ignorance and embracement; teasing by peer’s poor familial support, lack of cultural acceptance of alternative menstrual products; limited resources to purchase pads, inadequate water and sanitation facilities. People should be able to define what is meant by “adequate menstrual hygiene management,” identify the challenges to adequate menstrual hygiene management, and describe some of the intervention strategies that have been proposed to improve menstrual hygiene management for females. The results of our review add to growing number of studies which demonstrate a strong and consistent association between poor menstrual hygiene practices and higher prevalence of lower RTIs and gynecological cancers.","PeriodicalId":396251,"journal":{"name":"Women's Health Science Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130961383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Maternal Related Factors Associated with Compliance to Iron and Folic Supplementation among Pregnant Mothers in Machakos County","authors":"Matata S Musyoki","doi":"10.23880/whsj-16000136","DOIUrl":"https://doi.org/10.23880/whsj-16000136","url":null,"abstract":"Iron is one of the essential nutrients that is responsible for synthesis of hemoglobin and whose demand increases during pregnancy. Iron and folate supplements are administered during pregnancy in order to cater for the increased demand during pregnancy to help supply the elements to both the fetus and the pregnant mother. According to the KDHS, 2014, in Kenya, the biggest challenge has been compliance to the supplements by the pregnant women, with only 14% of all pregnant women complying with the recommended schedule. This study therefore aims to examine the barriers that influence compliance to prenatal iron/folate supplementation among pregnant women in Machakos County. A facility based cross-sectional study was carried out in three sub-county hospitals within Machakos County. The facilities were randomly selected from seven sub-county hospitals. The study sampled a total of 204 pregnant women aged 18-49 years through systematic random sampling. Compliance to iron/folate was measured through Morisky medication compliance scale questionnaire. Data was collected through a structured questionnaire. Then organized and coded in to a computer software SPSS, version 24, for analysis. Logistic regression was done to assess possible associations and the strength of association was measured using odds ratio, with 95% confidence interval. Data was presented in forms of bar charts and tables. Three focus group discussions with health unit managers and administrators were done. The data from the focused group discussions was organized and emerging themes reported. Consent was sought before actual data collection.Results: Majority of the respondents were between 21 years and 40 years, with a few above the age of 40 years. Expectedly 84% were married and 76% had secondary level of education. More than half of the mothers were casual workers and 69% of them received family support during pregnancy. Among the socio-demographic factors of the respondents, family support and level of education of the mother were significantly associated with adherence to iron and folate supplements. Compliance to the supplements was improved when the supplements were given in combined form. Provision of health education in pregnancy especially counseling on nutritional value of supplementing iron stores in the body and how to manage side effects of iron and folate supplements were significantly associated with compliance to iron and folate supplements. Past experience of the mothers’ especially previous history of anemia, current haemoglobin level and bad obstetric history of the mother were found to increase compliance to the supplements. The study recommends the government of Kenya, through the County governments to develop policies on procurement and distribution of combined iron and folate supplement. This will promote availability of the drugs and improve compliance to the supplements.","PeriodicalId":396251,"journal":{"name":"Women's Health Science Journal","volume":"149 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121795614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Mansour, Mohammed Tawfiq, E. El-Shorbgy, A. Khalefa, S. Hadhoud
{"title":"Modulation of Serum Vaspin Level by Diet Regimen in Obese Diabetic Female Patients","authors":"S. Mansour, Mohammed Tawfiq, E. El-Shorbgy, A. Khalefa, S. Hadhoud","doi":"10.23880/whsj-16000126","DOIUrl":"https://doi.org/10.23880/whsj-16000126","url":null,"abstract":"Background: High serum vaspin concentrations and increased vaspin mRNA expression in human adipose tissue were associated with obesity, insulin resistance, and type II diabetes. However, the mechanisms how vaspin secretion may be linked to deterioration of glucose metabolism and insulin sensitivity are not understood. Objectives: The aim of this work is to explore the effect of dietary regimen for 6 months on serum vaspin levels in obese diabetic and non-diabetic female patients. Patients and Methods: The study was carried out in Zagazig University Hospital and Obesity management and research unit. The sample size was 40 obese female patients. All participants were screened to determine the eligibility for participation in the study according to specific inclusion and exclusion criteria. Control groups didn't follow any diet plan while mediterrnean diet group followed mediterrnean diet for 6 months. The following parameters were assessed at the beginning and after 6months: body mass index (BMI), waist circumference (WC), Homeostatic model assessment (HOMA), Atherogenic index (AI), creatinine clearance and circulating levels of vaspin, vitamin D, Low density lipoprotein (LDL), High density lipoprotein (HDL), Triglyecrides (TG), Total cholesterol (TC), glucose, insulin, ALT, AST, Superoxide dismutase (SOD) and Malondialdehyde (MDA). Results: Mediterrnean diet life style for 6 months resulted in a significant decrease in BMI, WC, HOMA, AI, vaspin, LDL, TG, TC, glucose, insulin and MDA with a significant increase in HDL, SOD and vitamin D. Conclusion: Elevated serum vaspin and low VitD levels are encountered in obesity. So, vaspin may be used as a novel biomarker for obesity, insulin resistance and Type II DM management.","PeriodicalId":396251,"journal":{"name":"Women's Health Science Journal","volume":"138 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115095017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Breast Cancer in Young Patients: Same or Different Entity?","authors":"Paola Iturralde-Rosas Priego","doi":"10.23880/whsj-16000133","DOIUrl":"https://doi.org/10.23880/whsj-16000133","url":null,"abstract":"Overview Breast cancer is the most common pathology in women of reproductive age; approximately 7% of breast carcinomas are diagnosed in women less than 40 years of age, corresponding to more than 40% of all malignant diseases diagnosed in this group. Genetic factors play a fundamental role in the genesis of the breast cancer in young patients. However, it is not easy to analyze them because their clinical usefulness is limited and there are multiple factors that must be considered. We conducted a retrospective study in which we included female patients of ages 40 years old or less, diagnosed with breast cancer at a private medical center during the period of January 2010 to July 2014. The protocol of the study included a complete clinical study, radiological reports as mammography and/or ultrasound image, histopathological and immunohistochemistry reports. The study included 46 patients with an average age of presentation of 37.1 years, a standard deviation (SD) of ±3.02 years and a median of 38 years. There were also different percentages for the various variables such as tumor characteristics, risk factors, and treatment provided. Young patients with breast cancer should be treated and evaluated individually by a multidisciplinary staff, as this pathological entity shows specific characteristics that makes this group of patients difficult to treat and warrants special considerations.","PeriodicalId":396251,"journal":{"name":"Women's Health Science Journal","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116829269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Gender Bias in Psychoanalysis – An Alternative Thinking","authors":"Patricia Mafra de Amorim","doi":"10.23880/whsj-16000165","DOIUrl":"https://doi.org/10.23880/whsj-16000165","url":null,"abstract":"Under the risk of being surpassed by newer methods or being accused of using unsubstantiated techniques, it seems urgent to rethink some psychoanalytic central concepts that have not aged well. Considering that, this paper – part of a larger theoretical investigation on psychoanalysis conception of femininity – will try to offer another perspective to explain female sexuality in its own terms. This shift is helpful not only to understand women’s sexuality, but it also opens a path to the comprehension of diverse sexualities that aren’t part of the usual standard psychoanalysis works with. So, to rethink femininity in metapsychological terms we went back to the psychoanalytical myth of origins suggested by the Hungarian psychoanalyst Sándor Ferenczi to understand if there were misconceptions – conscious or unconsciously made - that led to the narrowing in psychoanalysis ability to describe sexualities that are not heterosexual and masculine. To demonstrate that we departed from some clinical material to discuss the revealing concepts Ferenczi left us, the context in which they were developed and how they can be alternatives to some rigid phallocentric interpretations historically transmitted inside psychoanalysis. These considerations help us understand contemporary conflicts that emerge from the clash of a patriarchal society, based on consumerism and technological development that begins to face its limits. The intrapsychic and interpersonal conflicts of a given time tend to take on cultural dimensions and express them in singular ways.","PeriodicalId":396251,"journal":{"name":"Women's Health Science Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129403078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Melatonin Should be Urgently Considered as a Cheap and Efficient COVID-19 Therapeutic","authors":"J. Tesarik","doi":"10.23880/whsj-16000160","DOIUrl":"https://doi.org/10.23880/whsj-16000160","url":null,"abstract":"","PeriodicalId":396251,"journal":{"name":"Women's Health Science Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128920494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Assessment of Knowledge, Attitude and Practice (KAP) on Prevention of Malaria at Gode Lalo Kebele (010), Anchar Woreda, West Haraarge Zone, Oromia, Ethiopia: A Community Based Descriptive Cross-Sectional Study Methods","authors":"Masresha Leta serbesa","doi":"10.23880/whsj-16000135","DOIUrl":"https://doi.org/10.23880/whsj-16000135","url":null,"abstract":"Introduction: Malaria is a major public health problem in worldwide and causes high morbidity and mortality, despite global efforts to eradicate the disease. While the disease is easily preventable, curable and treatable, it remains a big health threat to many communities all over the world; most especially in Sub-Saharan Africa. Malaria affects about 5% the world’s population. It is the leading cause of death in children under 5 years in sub Saharan Africa still among the ten top leading causes of morbidity and mortality. Thus, one child dies of malaria in Africa every 30 seconds, which translates into a tragic 3000 children each day. Approximately 57.3 million (68%) of the 84.3 million population of Ethiopia live in areas at risk of malaria. According to the FMOH, malaria was the leading cause of outpatient visits and health facility admissions in 2010/2011, accounting for 15% of reported outpatient visits and nearly 15% of admissions. Objective: The main objective of this study was to assess the level of knowledge, attitude and practices of Gode lalo Kebele (010) community towards malaria prevention and control in Anchar Woreda. Methods: A community based descriptive Cross-sectional study was conducted in Gode lalo Kebele (010) Anchar Woreda, from February-June 2018. A systemic random sampling technique was used to select 271 samples from general populations. A structured questionnaire was used as a tool for data collection and data was collected by volunteer health extension workers and finally data was processed and analyzed manually/Electronically compilation. Results: Most of the respondents demonstrated some understanding of malaria, its transmission and prevention methods, and the attitude of large majority of the respondents towards malaria prevention methods was positive, but majority of the respondents practiced them occasionally and there was association between some demographic Characteristics and communities’ practice of malaria prevention methods. Lack of accessibility and knowledge about where about of methods, their expensiveness makes their practicality beyond individual effort and demanded community effort. Conclusions and Recommendations: The study community had good knowledge on both malaria and its control interventions and have positive attitude towards malaria prevention methods. And most of them practiced malaria prevention methods occasionally, therefore it is recommended that Health sector officials should; increase accessibility, provide them at affordable price, increase community awareness about their availability, Study results also indicated that there was association between some demographic characteristics and communities practice of malaria prevention methods and further study is recommended to explore if there is causal relationship between demographic characteristics and communities practice of malaria prevention methods.","PeriodicalId":396251,"journal":{"name":"Women's Health Science Journal","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131333155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impact of MRI Defectography on Surgical Approach in Patients with Pelvic Floor Dysfunction","authors":"Ali Ahmed","doi":"10.23880/whsj-16000174","DOIUrl":"https://doi.org/10.23880/whsj-16000174","url":null,"abstract":"Background: Surgical treatment of pelvic floor dysfunctions carries frequent recurrences. The aim of the study was to evaluate the role dynamic MRI defecography in demonstrating the underlying anatomic and pathophysiologic background of pelvic floor disorders in these patients to guide surgical approach and minimize failure. Methods: Patients underwent perineal examination, conventional defecography, anorectal manometry, colonoscopy, and MRI defecography. The different pelvic floor morphologies were recorded. The type of treatment, whether conservative or surgical, was also recorded. Results: In total, 33 patients were included, with mean age 46.78 ± 10.51 years and the majority (69.7 %) of patients were female. 31 patients (93.9 %) with perineal descent, 21 patients (63.6 %) with rectoceles , 19 patients (57.57 %) with cystoceles, 4 patients (12.1 %) with enteroceles, 15 patients (45.4 %) with intussusceptions, 14 patients (42.2 %) with uterine prolapse and 12 patients with dyskinetic puborectalis muscle. The findings of dynamic MRI defecography were consistent with clinical results in 54.54 % with additional diagnostic parameters in 45.45 % of patients. Dynamic MRI findings changed treatment decision in 15 (45.5 %) patients with surgical treatment performed in 21 patients (63.6 %) and conservative treatment in 12 patients (36.3 %). Conclusion: Dynamic MRI defecography represents an essential diagnostic procedure in females and to a lesser extent in males, especially in terms of dynamic imaging of the pelvic floor organs during defecation. In addition to the clinical assessment, dynamic MRI defecography had clinical impact in pelvic floor dysfunction and interdisciplinary treatment decisions","PeriodicalId":396251,"journal":{"name":"Women's Health Science Journal","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116276600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Two Products to Prevent and Maintain Healthy Vagina","authors":"Talwar Gp","doi":"10.23880/whsj-16000117","DOIUrl":"https://doi.org/10.23880/whsj-16000117","url":null,"abstract":"A common problem that women face is to maintain healthy vagina. It is an extra-ordinary organ. While the normal pH of the body is 7.4, the pH of a healthy vagina is around 4.5. The acidic pH of the vagina in contrast to rest of the body is maintained by lactic acid secreted within vagina by the Probiotic Lactobacilli resident on the endometrium of the vagina. In case the Lactobacilli are diminished and/or are not making sufficient lactic acid, the pH of the vagina is increased and goes beyond 5, women get infected with a variety of aerobic and anaerobic micro-organisms. In this condition, named as Vaginosis, women have abnormal vaginal discharge accompanied at times by putrid smell. Antibiotics are employed by clinicians to treat Vaginosis. Better products need to be developed to cope with vaginosis, as well as prevent sexually transmitted infections.","PeriodicalId":396251,"journal":{"name":"Women's Health Science Journal","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122682524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Postmenopausal Osteoporosis Awareness & Management in Women-An Indian Perspective","authors":"Nupur Patil","doi":"10.23880/whsj-16000155","DOIUrl":"https://doi.org/10.23880/whsj-16000155","url":null,"abstract":"Postmenopausal osteoporosis affects millions of women each year jeopardising their healthcare and quality of life. Initial treatment is based on many factors including T-score, fracture risk assessment tool score, and risk factors for fractures. The most recent additions to treatment are aimed at those who are considered to be at higher fracture risk. The newest FDA-approved medications, abaloparatide and Romosozumab that work to increase bone formation in 18 and 12 months, respectively. Due to lack of awareness in Indian women and with the increase in life expectancy as proved by recent studies, it’s important to find out new medications and better lifestyle options for better management of Postmenopausal osteoporosis to help avoid fragility fractures and improve the quality of life of the Indian women.","PeriodicalId":396251,"journal":{"name":"Women's Health Science Journal","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122724117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}