Maedica最新文献

{"title":"Fibromas and Infertility. What is the Role of Myomectomy in the Improvement of Fertility?","authors":"Konstantinos Nikolettos, Sonia Kotanidou, Panagiotis Tsikouras, Christos Damaskos, Nikolaos Garmpis, Emmanouil Kontomanolis, Aggeliki Gerede, Nikos Nikolettos, Aggelos Daniilidis","doi":"10.26574/maedica.2024.19.4.829","DOIUrl":"10.26574/maedica.2024.19.4.829","url":null,"abstract":"<p><strong>Introduction: </strong>Uterine fibroids, also known as myomas, are benign tumors that develop from the smooth muscle cells of the uterus. Fibroids are estimated to occur predominantly in 20% to 40% of women of reproductive age, in whom they can cause symptoms like pressure, discomfort and excessive hemorrhage.</p><p><strong>Evidence acquisition: </strong>Precise assessment of fibroid size, number and location is crucial for selecting the appropriate treatment for the patient. Treatment options include medical management, interventional radiology and surgery, depending on the patient's symptoms and fertility desires.</p><p><strong>Evidence synthesis: </strong>Gynecologists must create personalized plans based on fibroid characteristics and their potential impact on fertility. Hysteroscopic myomectomy has been shown to improve pregnancy rates in certain cases. However, myomectomy is not always recommended for asymptomatic women with fibroids that do not distort the uterine cavity. It may be considered when pelvic anatomy is significantly affected, because it hinders procedures like oocyte retrieval. The relationship between specific number, size and position of myomas (excluding submucosal myomas or intramural myomas that distort the endometrial cavity) with the outcomes of pregnancy has not been verified.</p><p><strong>Conclusion: </strong>Considering the lack of current randomized controlled trials (RCTs) investigating the effects of myomectomy, it is advisable to conduct future multicenter prospective studies.</p>","PeriodicalId":74094,"journal":{"name":"Maedica","volume":"19 4","pages":"829-835"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11834833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143461025","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":"The Effect of Low-Level 980-810 nm Diode Laser on Postoperative Pain of Crown Lengthening Surgery.","authors":"Leila Golpasandhagh, Ali Yazdanpanah, Azarnoosh Ariankia, Navid Dorestan","doi":"10.26574/maedica.2024.19.4.736","DOIUrl":"10.26574/maedica.2024.19.4.736","url":null,"abstract":"<p><strong>Introduction: </strong>Low-level laser therapy is utilized to manage postoperative pain after periodontal surgery. This study investigated the impact of low-level diode lasers at 980 and 810 nm on postoperative pain following surgical crown lengthening procedures.</p><p><strong>Method: </strong>This single-blind clinical trial and split-mouth study was conducted on 20 patients who needed bilateral crown lengthening in maxillary premolar teeth. Among samples, one side of the maxilla was randomly chosen for laser treatment and the other one for the control group. As soon as the operation was completed, the dual laser was simultaneously irradiated with 980 and 810 nm wavelengths in the test group's treatment area. Pain intensity was evaluated based on the number of analgesic capsules consumed by patients and through a visual analog scale. The data were analyzed using SPSS software version 26 through repeated measures ANOVA, paired t-test and Wilcoxon (P<0.05).</p><p><strong>Results: </strong>On days one (p=0.002), two (p=0.003) and four (p=0.033), the mean pain intensity measured by VAS was significantly lower for patients following the crown lengthening surgery in the laser group compared to controls. The mean number of analgesics consumed by patients was significantly lower in the low-level laser group than the control group on days 1 (p=0.003), 2 (p=0.042) and 4 (p=0.033). Finally, pain intensity and the number of analgesics consumed by patients significantly decreased in both the control and laser groups from day 1 to day 7 (p<0.001).</p><p><strong>Conclusion: </strong>Simultaneous irradiation of low-level diode 980 and 810 nm lasers led to a notable decrease in pain intensity and number of analgesics used after crown lengthening respective surgery.</p>","PeriodicalId":74094,"journal":{"name":"Maedica","volume":"19 4","pages":"736-741"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11834854/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460962","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":"Management of Severe Atrophy with a Customised Subperiosteal Implant in the Posterior Mandible.","authors":"Luminita Nedelcu, Ioan Sirbu, Valentin Daniel Sirbu, Andreea Mihaela Custura, Adelin Radu, Vladimir Nastasie","doi":"10.26574/maedica.2024.19.4.861","DOIUrl":"10.26574/maedica.2024.19.4.861","url":null,"abstract":"<p><p>Clinical trials and follow-ups have provided ample documentation of the adaptability and predictability of endosseous implants (1). Patient general health state, bone availability and long osseointegration durations could have been limitations to the use of this implants. Subperiosteal implants with proper design can work effectively for many years and are a good substitute for endosseous implants, according to research findings (2). With the use of digital technology, clinicians can design the implant based on the patient's cone beam computed tomography (CBCT) scan well in advance of surgery, addressing the drawbacks of analogue subperiosteal implants, which included the possibility of implant misfit due to impression material contraction and more significant trauma to the patient requiring two surgical interventions rather than one. This case study discusses the design characteristics of 3D printed superiosteal implants, the step-by-step procedure and their unique features based on recent research conducted in Romania with AB Dental International (3).</p>","PeriodicalId":74094,"journal":{"name":"Maedica","volume":"19 4","pages":"861-868"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11834837/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143461121","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":"Stress Coping Strategies of Pregnant Women during COVID-19 Pandemic: a Literature Review.","authors":"Ruxandra-Gabriela Cigaran, Gheorghe Peltecu, Laura-Mihaela Mustata, Radu Botezatu","doi":"10.26574/maedica.2024.19.4.848","DOIUrl":"10.26574/maedica.2024.19.4.848","url":null,"abstract":"<p><strong>Background: </strong>It is widely recognized that the COVID-19 pandemic has adversely affected the psychological well-being of pregnant and postpartum women. Consequently, it is of the utmost importance to identify effective strategies that can mitigate the negative emotional experiences of pregnant women during any pandemic period.</p><p><strong>Aim: </strong>This review seeks to identify the most effective approaches to managing stress among pregnant women during the COVID-19 pandemic and emphasizes the significance of providing support to pregnant women throughout this period.</p><p><strong>Methods: </strong>A comprehensive literature review was conducted, and studies that met the inclusion criteria were analysed. The primary criterion was that the studies examined strategies employed by pregnant women to cope with stress during the COVID-19 pandemic.</p><p><strong>Results: </strong>A total of 16 studies were included in the analysis. Adaptive coping strategies were found to be more effective in ameliorating the impact of the pandemic on mental health compared to dysfunctional coping strategies. While pregnant women generally exhibited maladaptive coping behaviours, psychological support and promoting beneficial coping strategies were the most frequently described methods for improving their mental health during the pandemic and preventing adverse outcomes of pregnancy. Additionally, avoiding misinformation and seeking social and family support were considered essential components of effective support.</p><p><strong>Conclusion: </strong>It is crucial to prioritize psychological, emotional and mental health support for pregnant women during the pandemic.</p>","PeriodicalId":74094,"journal":{"name":"Maedica","volume":"19 4","pages":"848-855"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11834830/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460895","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":"Advantage of Amnion Dressing (Biological Dressing) + Silver Sulfadiazine Cream <i>vs.</i> Standard Silver Sulfadiazine Cream Dressings in Acute Deep Second-Degree and Third-Degree Burn Wounds: a Single Center Experience.","authors":"Nasrin Khodadad, Seyed Saheb Hoseininejad, Ali Nazeri","doi":"10.26574/maedica.2024.19.4.756","DOIUrl":"10.26574/maedica.2024.19.4.756","url":null,"abstract":"<p><strong>Introduction: </strong>This study compared the benefits of amnion dressing (biological dressing) + silver sulfadiazine cream with standard silver sulfadiazine cream dressings in treating deep second- and third-degree acute burn wounds.</p><p><strong>Methods: </strong>This prospective clinical trial was conducted on 50 patients with deep second- and third-degree burns who were admitted to Taleghani Hospital in Ahvaz, Iran. Participants were divided into two groups: the first one comprised subjects who received silver-amnion biological dressing (silver sulfadiazine 1%) and the second group consisted of patients treated with standard silver sulfadiazine cream dressings.</p><p><strong>Results: </strong>In the amnion-silver group, the average time required for graft readiness was eight days, compared to 11 days in the standard dressing group, which indicated a 27% reduction in recovery time. The treatment costs in the amnion-silver group were 20.8 Euro compared to 26.3 Euro for the standard dressing group, reflecting a 21% cost reduction. Narcotic consumption in the amnion-silver group was zero, but the average narcotic use in the standard dressing group was 50 mg of pethidine, revealing a 100% reduction. Based on the visual analog scale (VAS), the mean pain intensity was 4 in the amnion-silver group and 5.5 in the standard dressing group. Patient satisfaction was 85% in the amnion-silver group versus 60% in the standard dressing group. No infections were reported in the amnion-silver group, while three cases were observed in the standard dressing group.</p><p><strong>Conclusion: </strong>The results of the present study indicate that amnion-silver dressing can be an effective and economical treatment option for wound healing. In the amnion-silver group versus standard group, a considerable reduction in recovery time was observed, which was also reflecting a cost reduction. Furthermore, the mean pain intensity was lower in the amnion-silver group than the standard dressing group. Patient satisfaction was higher in the amnion-silver group.</p>","PeriodicalId":74094,"journal":{"name":"Maedica","volume":"19 4","pages":"756-762"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11834838/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143461008","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":"An Evaluation of Cognitive Abilities in Vestibular Disorders.","authors":"Umesh Madhusudhan, Neemu Hage, M Kalpana, G Vidya, Archana Gaur, Vidya Singaravelu, Ananad Pyati, Ashok John Nitin, Madhuri Taranikanti, Parag Patil","doi":"10.26574/maedica.2024.19.3.543","DOIUrl":"10.26574/maedica.2024.19.3.543","url":null,"abstract":"<p><strong>Background: </strong>Research evidence suggests the role of the vestibular system in cognitive functions like visuospatial memory, objective memory, spatial navigation, etc. Vestibular cortices send projection to the hippocampus and to the medial entorhinal cortex (MEC); the latter houses place cells, grid cells, and head direction cells, which play a major role in the formation of a cognitive map based on inputs from the vestibular apparatus. So, the present study aimed to assess cognitive functions in vestibular disorder patients.</p><p><strong>Materials and methods: </strong>All patients with vestibular disorders were included after bedside tests like the Dix Hallpike test, head impulse test, Romberg test on foam with eyes closed/the clinical test of sensory interaction and balance (CTSIB) and timed up and go test. After that, a dizziness handicap inventory (DHI) was used to assess the severity of the vestibular dysfunction. Patients with diagnosed neurological disorders were excluded from the study. Cognitive function assessment was done using the trail making test (TMT) and the digit symbol substitution test (DSST). The assessment results were correlated with the severity of the vestibular dysfunction using Pearson correlation.</p><p><strong>Results and discussions: </strong>Out of a total of 40 patients, 26 (62.5%) were males and 14 (37.5%) females. The results of TMT part A and part B were 86.14±11.00 and 247.07±39.0, respectively, in mild handicap score patients, and 102.7±10.69 and 290.0±10.35 in moderate handicap score patients, which was significantly (p<0.05) higher when compared to mild handicap patients. Even DSST scores in moderately handicapped subjects were significantly (p<0.05) lower than those with a mild handicap.</p><p><strong>Conclusion: </strong>Patients with vestibular dysfunction have significant cognitive decline, and cognition is decreasing with the severity of the vestibular dysfunction.</p>","PeriodicalId":74094,"journal":{"name":"Maedica","volume":"19 3","pages":"543-550"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11565146/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649868","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":"Association of Adipokines and CIMT in Metabolic Syndrome in Western Uttar Pradesh Population: a Cross-Sectional Study.","authors":"Ravi Pratap Singh, Kalpana Chauhan, Alok Tripathi, Rekha Choudhary","doi":"10.26574/maedica.2024.19.3.494","DOIUrl":"10.26574/maedica.2024.19.3.494","url":null,"abstract":"<p><strong>Background: </strong>A cluster of metabolic indicators responsible to elevate the risk of high blood sugar, heart diseases along with stroke is called metabolic syndrome (MetS). Adipokines play critical roles in the formation and progression of these clusters of diseases. Adiponectin enhances fatty acid oxidation, prevents foam cell formation and improves lipid metabolism. In contrast, plasminogen activator inhibitor-1 (PAI-1) possesses pro-atherogenic properties. Carotid intima-media thickness (CIMT) is directly associated with an increased risk of myocardial infarction and stroke. Complete information about the association related to adipokines and CIMT in MetS of Indian population is lacking.</p><p><strong>Objective: </strong>To evaluate the association of adipokine levels and PAI-1 with CIMT in MetS patients, including its components.</p><p><strong>Materials and methods: </strong>We performed a cross-sectional study and IDF criteria were used for the screening of MetS. A total of 164 subjects with MetS (88 males and 76 females) and 100 controls (54 males and 46 females) were enrolled. Serum levels of adiponectin and PAI-1 were measured using ELISA. A CIMT measurement of carotid arteries was also done. The relationship between various parameters was assessed by the Pearson correlation coefficient test.</p><p><strong>Results: </strong>The levels of adiponectin were lower (p < 0.001), while those of PAI-1 and CIMT were higher (p < 0.001) when we compared patients with controls. When the number of metabolic abnormalities increased, the levels of adiponectin decreased and those of PAI-1 increased. There was a strong negative association between PAI-1 levels and those of adiponectin (p <0.001).</p><p><strong>Conclusion: </strong>Our findings indicate that elevated PAI-1 levels are associated with a higher probability of having MetS and negatively impact MetS-related components.</p>","PeriodicalId":74094,"journal":{"name":"Maedica","volume":"19 3","pages":"494-501"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11565138/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649873","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":"Comprehensive Analysis of COVID-19 Symptomatology among Healthcare Workers: Insights from a Tertiary Hospital.","authors":"B H Shrikrishna, Vijay Bidkar, Sandeep Dabhekar, Prathipati Kirankumar, Gadwal Deepa","doi":"10.26574/maedica.2024.19.3.600","DOIUrl":"10.26574/maedica.2024.19.3.600","url":null,"abstract":"<p><p>This paper presents a thorough examination of COVID-19 symptomatology among healthcare workers from All India Institute of Medical Sciences (AIIMS), Nagpur, India. Through meticulous analysis spanning from May 2020 to October 2020, we enrolled 73 healthcare workers engaged in COVID-19 screening, care and testing. Our study aimed to elucidate the spectrum of symptoms, adherence to protective measures and implications for early detection and intervention. Key findings revealed a diverse range of symptoms, including body ache, fatigue, headache, sore throat, fever, cough and loss of taste, among others. Notably, 21% of all positive cases were asymptomatic, underscoring the variability in clinical presentation. Adherence to personal protective measures varied across work areas, highlighting the importance of stringent compliance. Our discussion emphasizes the significance of early identification and tailored monitoring systems for mitigating transmission risks and ensuring healthcare worker safety. Additionally, addressing the mental health needs of healthcare workers is crucial for comprehensive pandemic management. Overall, this study contributes essential insights into COVID-19 symptomatology among healthcare workers, offering valuable guidance for infection control and prevention strategies in the pandemic.</p>","PeriodicalId":74094,"journal":{"name":"Maedica","volume":"19 3","pages":"600-606"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11565133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649883","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":"NF-kB p65 and NF-kB p50 of the Rel Family. A Comparison between Irritable Bowel Syndrome and Inflammatory Bowel Disease Patients.","authors":"Stamatis S Papadatos, Antigoni Mitselou, Evangeli Lampri, Anna Varouktsi, Vasileios Grammeniatis, Antonios Klaroudas, Konstantinos Katsanos, Vasiliki Galani","doi":"10.26574/maedica.2024.19.3.478","DOIUrl":"10.26574/maedica.2024.19.3.478","url":null,"abstract":"<p><strong>Background/aim: </strong>This study aims to explore the role of NF-kB p65/p50 expression in patients with inflammatory bowel disease (IBD), those with irritable bowel syndrome (IBS) and normal controls.</p><p><strong>Patients and methods: </strong>Twenty patients with IBS, 19 subjects with IBD and 18 normal controls, who underwent colonoscopy, provided us with biopsies from the terminal ileum, cecum and rectum. Patients with IBS were categorized according to bowel habits. Two polyclonal antibodies, alpha-p65 rabbit Ab and alpha-p50 rabbit Ab, were applied for immunohistochemical examination.</p><p><strong>Results: </strong>It was found that in patients with IBD, the expression of intensity and distribution of NF-kB p65/p50 were lower than in IBS patients and normal controls (p>0.05), but the NF-kB p65/p50 ratio was elevated (p>0.05). The NF-kB p65/p50 ratio was lower than in IBD patients and rather similar to normal controls. The distribution of NF-kB p65 as well as the distribution and intensity of NF-kB p50 expression were higher in IBS patients with predominant diarrhea, and the difference was statistically significant in the cecum epithelium. The NF-kB p65/p50 expression ratio was higher in IBS patients with predominant diarrhea, but statistical significance was documented only in cecum epithelium specimens.</p><p><strong>Conclusion: </strong>The NF-kB p65/p50 ratio offers more significant information than each subunit. The increased expression of NF-kB p50 in IBS patients compared to IBD subjects or controls seems to be an early event in the process of inflammation. The similar pattern of NF-kB p65/p50 expression in IBS patients with predominant diarrhea and IBD patients may suggest possible common pathogenetic pathways.</p>","PeriodicalId":74094,"journal":{"name":"Maedica","volume":"19 3","pages":"478-485"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11565151/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649565","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":"Psychoemotional and Financial Impact on Infertile Women in a Romanian Population.","authors":"Cristina Diana Popescu, Romina Marina Sima, Denisa Oana Balalau, Mihaela Amza, Delia Bogheanu, Liana Ples","doi":"10.26574/maedica.2024.19.3.536","DOIUrl":"10.26574/maedica.2024.19.3.536","url":null,"abstract":"<p><strong>Objectives: </strong>The diagnosis of infertility affects between 8-12% of couples of childbearing age worldwide. It is difficult to manage infertility, which often generates anxiety and depression.</p><p><strong>Material and methods: </strong>We conducted a study that included women of childbearing age who were unsuccessful in getting pregnant. Our research was based on a questionnaire distributed online via social media and it was carried out over a period of two months. The questionnaire comprised 35 questions and intended to highlight the psychological impact of infertility diagnosis on the female participants in the present study.</p><p><strong>Results: </strong>A total of 486 women with a diagnosis of infertility responded to the online questionnaire. Subjects had an average age between 31 and 40 years (58.4%) and most of them (80.2%) came from urban areas. It was found that 38.1% of patients experienced a very high level of stress generated by their infertility diagnosis and 54.7% stated that their greatest fear was that they would never get pregnant; 41.4% of these patients claimed that their quality of life was affected and 31.7% indicated a negative impact even on their couple life. Of all participants to the questionnaire, 96.6% stated that the costs of treatments or even assisted reproduction procedures were an additional stress and 73.7% believed that religion played an important moral role.</p><p><strong>Conclusions: </strong>The women who were enrolled in the current study recognized the negative impact of their infertility diagnosis on both themselves and their couple's lives. At the same time, they believed in Divine help and looked optimistically to the future in terms of achieving pregnancy.</p>","PeriodicalId":74094,"journal":{"name":"Maedica","volume":"19 3","pages":"536-542"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11565141/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649579","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}