Predictive factors for loneliness in female high school students; an unvariate and multivariate logistic regression analysis

Background and aims: Loneliness typically includes anxious feelings. It is particularly relevant to adolescence period. It has effect on physical and mental health. The present study aimed to identify the predictive factors of loneliness among high schools female students. Methods: A cross –sectional survey was carried out among high schools female students in Ilam during the academic year 2014-15. Sampling was done by multistage method. The student's consent to participation in the study obtained by full filled the questionnaires. Data were collected by demographic and University of California, Los Angeles questionnaire. Questionnaires with incomplete information were excluded. The Cronbach’s alpha coefficient was measured as an index of internal identicalness of the questionnaire to verify its reliability. Results: A total 400 female high school students were studied. Overall, 62.8 of students put into non- loneliness group and 37.3 of all have loneliness. The univariate logistic regression analysis demonstrates that education field, father’s education and father’s occupation were different between the groups (P < 0.05). The risk of loneliness was higher in students with a mathematical sciences education field in comparison to general education field (OR= 1.75). In multivariate logistic regression analysis the education field, father’s education and father’s occupation were considered as independent predictive variables for female students’ loneliness. The AUROC criterion was applied to compute both the sensibility and the specificity of the manikin. The overall percent of correct classification of the model is 64. Conclusion: Identify the causes of students loneliness can prevent complications and provide appropriate solutions

The global trend of infertility: an original review and meta-analysis

Background and aims: Infertility is one of the most important conditions in reproductive system and there is no reliable estimates for global prevalence of infertility. Therefore, knowing the prevalence of infertility is important and can be effective in decision making. Methods: We systematically reviewed all published papers in Medline database and Scopus (1988–2010). Univariate and multivariate approaches were applied to assess the causes of heterogeneity among the selected studies. Meta-regression was used to examine the relationship between the prevalence of infertility and the year of study. Data manipulation and statistical analyses were performed using Stata 11.1. Results: The study population was not similar in all papers. Studies evaluated the prevalence of infertility in the general population, the total female population, women and couples. Some studies defined infertility as failure to conceive within 12 months of regular sexual life without contraception methods while other studies defined it as failure to conceive within 24 months of regular sexual life without contraception methods. Overall, 52 studies met our inclusion criteria and the pooled worldwide of infertility was obtained about 10. The correlation between prevalence of secondary infertility and year of study was significant (P=0.039). Conclusions: Approximately 10 of the world's population suffers from infertility. Due to the negative impact of infertility on couples in various aspects of life, and the need for treatment and support programs, accurate estimate of infertility is essential worldwide

Prevalence of internet addiction among university students in Ilam: a cross-sectional study

Background and aims: Internet addiction is one of the problems emerged with the development of technology. Considering the potential negative effects of internet addiction on health, the present study aimed to determine the prevalence of internet addiction in university students in Ilam, west of Iran, in 2014. Methods:In this cross– sectional study, 1066 university students in both public and private sectors were assessed in 2014. The samples were selected by multi-stage random sampling method. Data were collected by a two-part questionnaire: the personal characteristics and Internet Addiction Test (IAT)-20. This 20-itemed questionnaire measures internet addiction in mild, moderate and severe levels. Each answer is scored based on a Likert scale from 1 to 5. The higher score represents a greater level of addiction. The total score between 20 and 49 represented mild, 50-79 showed moderate and 80-100 was severe addiction. Results:Overall, 466 (43.7) of students were placed in the Internet addiction group. Generally, 39.6 of students had mild and 4.1 had moderate addiction. No case of sever Internet addiction was seen. Prevalence of internet addiction in the medical students was higher compared to nonmedical students (P< 0.0001). Conclusion:Based on the results, internet addiction should be considered as a serious problem in adolescents and young adults. So, it is necessary that proper use of internet to be educated to adolescents and young adults to prevent the risk of internet addiction

Investigating on relationship between birth weight and prevalence and severity of pelvic organ prolapse

Introduction: Pelvic organ prolapse is a common disorder among women. More than half of the women, who have given birth, may experience it during their life. The aim of this study was to investigate the relationship between birth weight and prevalence and severity of pelvic organ prolapse. Methods: In a cross-sectional study, 365 of women who referred to Health centers in Darre shahr city of Ilam were randomly entered to this study.The data were collected by using questionnaire, recording examination, interview, and observation. Examinations were performed based on Pelvic Organ Prolapse Quantification (POPQ).The statistical analysis was performed by SPSS software Version 14 and Chi-square test. Descriptive statistics tests were used to determine the frequencies and Means. P value less than 0.05 was considered significant. Results: Of all 365 participated women, 19.2 without prolapse and 80.8 had different degrees of prolapsed. The most types of prolapse included grade two (56.8) and anterior wall (72.3). According to Mann-Whitney test, there was a significant relation between pelvic organ prolapses and maximum birth weight of newborns (P= 0. 011). Conclusion: Pelvic organ prolapsed was common and had relation with birth weight of neonates. © 2016 - Journal Management System

Risk factors of pelvic organ prolapse in Iranian women: a cross-sectional study

Background and aims: Pelvic organ prolapse (POP) is a common condition which affects on a large proportion of women. The objective of this study was to determine the risk factors of POP in Iranian women. Methods: This cross-sectional study was carried out to examine the role of demographic, anthropometric and clinical characteristics in POP disease in a sample of 365 females in Ilam, Iran. Examinations were performed according to Pelvic Organ Prolapse Quantification (POPQ) technique in dorsal lithotomic position. Then, the sample divided into two groups as with and without prolapse. Then, unilabiate and multivariate analyses were performed. Results: Totally, 365 women participated in this study. The prevalence of POP was 80.8. Univariate logistic regression analysis showed a significant differences between groups with and without POP based on age, maximum birth weight, BMI, pregnancy, delivery mode, delivery operative and delivery position. But after multivariate analysis, the most significant factors identified as risk factors for POP were age (OR= 1.12, 95 CI= 1.02-1.23, P= 0.02), normal vaginal delivery (NVD; OR= 6.18, 95 CI= 1.43-26.75, P= 0.01) and episiotomy (OR= 30, 95 CI= 5.69-158.11, P= 0.000). Conclusion: Findings of the study showed that several risk factors could collaborate in creating of POP. However; body mass index and number of pregnancies are modifiable factors. So, maternal care providers should educate women for maintaining the ideal weight and decreasing the number of pregnancy in order to prevent POP

Which therapies will provide the best results in IBS

Irritable Bowel Syndrome (IBS) is a chronic abdominal pain with the change of defecation. The present study aimed to compare the effects of standard medical treatment plus stress management treatment and standard medical treatment alone in IBS symptoms and quality of life. An experimental study has been carried out among participants with Rome-III diagnostic criteria. Participants randomly assigned into two groups. The case group received the standard medical treatment plus stress management treatment, n= 15, while, the control group received the standard medical treatment alone, n= 15. The training programs were contain 8 domains of relaxation, cognation reproduce, contrast skills training, express trains and problem solving, anger management training and social supports. Data were collected using demographic, ROME III, Bowel Syndrome Symptom Severity Score and Quality of Life- IBS. Overall, 30 male participants were evaluated. The age range of participants was 25-55 years. The stress management training could decrease the ROME-II scores. Also the stress management training has a significant effect on quality of life and the HSE. Therefore, it is necessary that IBS suffering referred to psychologists for psychotherapy while they are under medical treatment

Epidemiological aspects of suicide lead to death in Iranian population during 2004-2008; A retrospective study

Suicide is raised in many countries around the world as one of the major problems in medical and social advocacy. The increasing incidence of suicide in the community is sensible and irreparable damage to the body of a society's human resources. Therefore the present study aimed to explore the epidemiological aspects of suicide leads to death in Iranian population during 2004-2008. In a retrospective study a census sampling method was used. All records formed of suicide death in Ilam province during 2004 to 2008 in the Office of the State Coroner were evaluated. Data was collected by a checklist including age, gender, marital status, educational level, occupation, number of families, suicide instrument location of attempted to suicide, place of death and season. SPSS software Package 14 was used to analyze the data of this project. Mean± SD, median and percentages were used to describe the data. The average percentage of suicide lead to death in Ilam province was 18.7 per 100.000 person's .Women and men have a suicide rate roughly equal (50.8 and 49.2). There was a significant relationship between month (P= 0.02), season (P= 0.03), the number of families (P= 0.001) and percentage of suicide lead to death. Self-burning was the most common method used by suicide lead to death. This study showed that suicide remains a serious problem and an increase occurred in suicide in Ilam province in comparison with previous years

Marshall syndrome in children referred to specialist clinic of Imam Khomeini Hospital of Ilam, Iran, 2012

Periodic fever syndrome is a self-inflammatory disease. Since the disease is benign and self-limiting, the present study aimed to achieve a model to detect and differentiate it from other infectious diseases .In this study all children residing in Ilam who were suspected of Marshall Syndrome were examined. We chose a sample comprising children referred to Imam Hospital clinic of Ilam in 2012. Inclusion criteria consisted of more than three periods of fever without a source of infection, fever periods shorter than 5 days and repeated at intervals of about one month. The collected data were analyzed using SPSS software 16. We used both of descriptive and inferential statistics, Kolmogrov smirnov, Chi-square. Significance level of P ≤ 0.05 was considered. The average of patients' age was 4.9 ± 1.8 months and their gender perception was 85.7 male and 14.3 female. In this study the average age of symptoms emergence was 48.33 ± 23.25 month. The average of fever periods in surveyed patients was 4.09 ± 0.88 days (minimum 3 days & maximum 5 days) and the intervals between fever periods was 40.23 ± 16.84 in average. The applied treatments in this study were Prednisolone and Ttonsillectomy. There was significant relationship between age and the symptoms (P<0.007). By having a true perception of Marshall Syndrome using diagnosis criteria, we could prevent uncontrolled prescription of antibiotics and their possible side effects, and it is a positive step towards reducing healthcare costs

The use of complementary and alternative medicine by 7427 Australian women with cyclic perimenstrual pain and discomfort: A cross-sectional study

© 2016 Fisher et al. Background: To assess the prevalence of cyclic perimenstrual pain and discomfort and to detail the pattern of complementary and alternative (CAM) use adopted by women for the treatment of these symptoms. Methods: Data from the 2012 national Australian Longitudinal Study of Women's Health (ALSWH) cross-sectional survey of 7427 women aged 34-39 years were analysed to estimate the prevalence of endometriosis, premenstrual syndrome (PMS), irregular or heavy periods and severe dysmenorrhoea and to examine the association between their symptoms and their visits to CAM practitioners as well as their use of CAM therapies and products in the previous 12 months. Results: The prevalence of endometriosis was 3.7 % and of the perimenstrual symptoms assessed, PMS was most prevalent at 41.2 % whilst irregular bleeding (22.2 %), heavy periods (29.8 %) and severe period pain (24.1 %) were reported at lower levels. Women with endometriosis were more likely than non-sufferers to have consulted with a massage therapist or acupuncturist and to have used vitamins/minerals, yoga/meditation or Chinese medicines (p < 0.05). PMS sufferers were more likely to consult with an osteopath, massage therapist, naturopath/herbalist or alternative health practitioner and to have used all forms of CAM therapies except Chinese medicines than women who had infrequent PMS (all p < 0.05). Women with irregular periods did not have different patterns of CAM use from non-sufferers and those with heavy periods did not favour any form of CAM but were less likely to visit a massage therapist or use yoga/meditation than non-sufferers (p < 0.05). For women with severe dysmenorrhoea there was no difference in their visits to CAM practitioners compared to non-sufferers but they were more likely to use aromatherapy oils (p < 0.05) and for more frequent dysmenorrhoea also herbal medicines, Chinese medicines and other alternative therapies compared to non-sufferers (all p < 0.05). Conclusions: There is a high prevalence of cyclic perimenstrual pain and discomfort amongst women in this age group. Women were using CAM differentially when they had specific symptoms of cyclic perimenstrual pain and discomfort. The use of CAM needs to be properly assessed to ensure their safe, effective use and to ascertain their significance as a treatment option enabling women with menstrual problems and their care providers to improve their quality of life

Effect of Infertility on Sexual Function: A Cross-Sectional Study

Introduction: Sexual dysfunction is an important psychological disorder that may increase in infertile couples. Aim: To evaluate the effect of infertility on sexual function in women attending in private and public institutions in Ilam during 2013. Materials and Methods: In a cross - sectional study evaluated the sexual function among 384 women attending in health care centers of Ilam western of Iran during 2013. Participants were divided in two groups, fertilities and infertilities women. Data was collected by trained research midwives using demographic and FSFI questionnaires. SPSS software Package 16 was used to analyse the data of this project. Differences were regarded statistically significant with an alpha error of 0.05. Results: The mean age was 29.29 +/- 6.7 years in fertile and 31.74 +/- 8.07 in infertile women. Significant difference was reported in mean age between fertile and infertile women (p=0.014). The Mean +/- SD of all demissions of female sexual function was difference between fertile and infertile women. Sexual function was lower in infertile women. Conclusion: All dimensions of sexual function were lower in infertile women in compared with fertile women. Further research should be done on this subject and ways to address such problems should be found