An Evaluation of Sexual Functions and Marital Adjustment in Female Patients with Fibromyalgia Syndrome

Objective:The purpose of this study was to investigate sexual functions and marital adjustment which are neglected issue in married female patients diagnosed with Fibromyalgia syndrome (FMS) and to reveal the factors affecting these.Materials and Methods:Sexually active, 47 married females who diagnosed with FMS and 50 healthy volunteers in a similar age group were included in the study. Beck anxiety inventory, beck depression inventory, female sexual function index (FSFI) and dyadic adjustment scale (DAS) evaluations were also performed for both groups. In the patient group, the severity of pain was evaluated by the visual analogue scale and functional impairment due to the disease was assessed by the fibromyalgia impact questionnaire (FIQ).Results:No significant difference was determined between the two groups in terms of socio-demographic features. FSFI and DAS total scores were significantly lower in the patient group compared to the controls (p<0.001, p=0.028, respectively). Low DAS scores were determined in patients with low FSFI scores (p=0.003, r=+0.043). Neither FSFI nor DAS scores have exhibited correlation with duration of disease and FIQ scores. Depression was correlated with both FSFI and DAS (p<0.001, r=-0.569; p<0.001, r=-0.546, respectively).Conclusion:In this study, sexual functions and marital adjustment were adversely affected in patients with FMS. This effect was found closely related to depression. However, there was no relationship determined between duration of the disease, the severity of pain and the functional impact

Kırmızı Dev Kolu Yıldızlarından İtibaren Güneş Civarındaki Yaş-Metal Bolluğu İlişkisi

Bu çalışmada kırmızı dev kolu (KDK) yıldızlarının tayfsal ve astrometrik verileri kullanılarak Güneş civarındaki evrimleşmiş yıldızlar için yaş-metal bolluğu ilişkisi araştırılmıştır. Tayfsal veriler SDSS DR14’ün APOGEE-2 kataloğundan, astrometrik veriler Gaia DR2’den sağlanmıştır. KDK yıldızlarının seçiminde, yıldızların etkin sıcaklıkları (Teff) ve yüzey çekim ivmeleri (log g) için, sırasıyla, 3550 ≤ Teff (K) ≤ 5600 ve 0.5 ≤ log g (cm/sn2 ) ≤ 3.5 aralıkları dikkate alınmıştır. Diğer sınırlandırmalar rölatif paralaks hatalarına (σπ/π ≤ 0.1) ve toplam uzay hızı hatalarına (Serr ≤ 9.2 km/sn) uygulanmıştır ve yıldız sayısı 62928 olmuştur. Analizlerde KDK yıldız örneğinin, Galaksi merkezine uzaklıkları (Rgc), α ile Fe bollukları ve Galaktik düzleme uzaklıkları (z) esas alınarak, yaş-metal bolluğu ilişkisi araştırılmıştır. İnce ve kalın disk KDK yıldızları için yaşla beraber metal bolluğunda belirgin bir değişimin olduğu görülmüştür

Prevalence and factors associated with frailty in older hospitalized patients Prevalencia y factores asociados a la fragilidad en pacientes mayores hospitalizados

© 2022Objectives: This study aimed to determine the prevalence and factors associated with frailty in older hospitalized patients. Methods: The point-prevalence study was completed on 263 patients aged 65 and over hospitalized in internal medicine and surgical clinics at a tertiary hospital in Türkiye. Data were collected between July 19th and July 22nd, 2021. A comprehensive geriatric assessment was performed on the participants. The Edmonton Frailty Scale (EFS) and FRAIL scale were used for frailty assessment. Results: The mean age of the individuals was 72.40 ± 6.42, 51.7% were female, and 63.9% were hospitalized in internal medicine and surgical units. The prevalence of frailty was 57.4% according to the FRAIL scale and 46.8% according to EFS. Factors affecting frailty were gender (OR 3.36, 95% CI 1.48-7.64), comorbidity (OR 1.29, 95% CI 1.01-1.64), polypharmacy (OR 0.33, 95% CI 0.13-0.80), history of falling in the last year (OR 3.54, 95% CI 1.34-9.35), incontinence (OR 5.93, 95% CI 2.47-14.27), and functional dependency (ADL, OR 0.65, 95% CI 0.46-0.92; IADL, OR 0.59, 95% CI 0.46-0.76). This model correctly predicted the participants’ frailty at 70.5%. Conclusions: The importance of frailty, which affects one out of every two hospitalized older persons, to the health care system should not be overlooked. Considering the increasing trend of the aging person population, national and global plans should be made to prevent and manage frailty

An Evaluation of Provoked Vulvodynia, Pelvic Floor Muscles and Sexual Functions in Female Patients with Fibromyalgia Syndrome

Objective: The aim of our study is to investigate the genital origin of pain, particularly provoked vulvodynia (PVD) in female patients with Fibromyalgia syndrome (FMS), to reveal the relationship between PVD and pelvic floor muscle functions and to evaluate patients’ sexual functions. Materials and Methods: Twenty four female patients who were diagnosed with FMS and who had not yet been treated, sexually active and 24 control cases were included to study. Severity of dyspareunia and dysmenorrhea was evaluated with a visual analogue scale, PVD was assessed using the cotton swab exam of vulva and sexual functions were evaluated with using the Female Sexual Function Index (FSFI). Additionally, pelvic floor muscles were graded using Brink scoring. Results: The severity means of menstrual term pain and dyspareunia severity were significantly higher in the patients than the control group (p=0.003, p=0.006). Significant differences were observed between the patient and control group in terms of vulvar pain in cotton swab exam and total Brink scores (both p<0.001). FSFI score was lower in the patient group than in the control group (p=0.001). A powerful correlation in the negative direction was determined between the result of cotton swab exam and Brink score (p<0.001, r=-0.575). Conclusion: The result of our study showed that dysmenorrhea, dyspareunia and PVD were significantly high in the FMS patients than in the control group. Pelvic floor muscle functions were affected in the FMS patients, and PVD was closely associated with the pelvic floor muscle functions