Effective reduction of primary dysmenorrheal symptoms through concurrent use of n-3 fatty acids and Rosa damascena extract (RDE)

Background: Primary dysmenorrhea (PD) is characterized by painful cramps of lower abdomen without abnormal pelvic pathology. PD begins some hours before or simultaneously with the onset of menstrual bleeding. Objectives: The purpose of this study was to investigate the effects of separate and concurrent supplementation of fish oils (FO) containing n-3 fatty acids and Rosa Damascena extract (RDE) on PD symptoms. Methods: In this double blind clinical trial in 2015, through convenience sampling, 105 university students with primary menstrual pain in most recent years, without abnormal pathology, and with moderate/severe dysmenorrheal symptoms according to visual analogue scale (VAS) were randomly assigned into one of four groups: 1. FO 1000 mg/day (n=26), 2. RDE 1000 mg/day (n=27), 3. FO and RDE concurrently, with the same dose (n=27), and 4. Control group (n=25). All measurements were performed three times, at the beginning, 30th day, and 60th day. Symptoms including nausea, vomiting, diarrhea, bloating, cramp, low back pain, headache, fatigue, anxiety, sweat, weakness, dizziness, drowsiness, and feeling cold were measured by VAS. Results: After 2-month treatment, supplementation with RDE significantly reduced severity of bloating (p<0.001) and sweat (p<0.001), but FO supplementation had no significant effect on PD symptoms. The concurrent use of FO and RDE significantly decreased severity of diarrhea (p=0.038), weakness (p<0.001), dizziness (p=0.003), and feeling cold (p=0.049). Conclusion: Our results suggest that the concurrent supplementation of omega-3 fatty acids and RDE could be more effective than their separate use in decreasing PD symptoms; however, larger trials are warranted to confirm these preliminary findings

Irrational parenthood cognitions and health-related quality of life among infertile women

Zahra Fardiazar,1 Louiz Amanati,2 Saber Azami31Women&amp;rsquo;s Reproductive Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran; 2Faculty of Medicine, Hacttepe University, Ankara, Turkey; 3Injury Epidemiology and Prevention Research Center, Tabriz University of Medical Sciences, Tabriz, IranBackground: The aim of this study was to assess health-related quality of life, irrational parenthood cognitions, and their interrelationship among a group of Iranian women referred to an infertility center in Tehran, the capital of Iran.Materials and methods: Women who visited the infertility center in Imam Khomeini University Hospital in Tehran participated in this cross-sectional study. Each participant filled out a two-part questionnaire. The first part included background questions, and the second part included inventories developed to assess quality of life and irrational parenthood cognition among infertile subjects.Results: The mean age of the participants was 27.8 years (standard deviation, 5.1). Mean standardized quality of life score was 59.4 out of a maximum of 100 (95% confidence interval, 56&amp;ndash;62.8). No statistically significant linear correlation was found between quality of life and age, length of marriage, or the time under treatment. There was a weak reverse correlation between length of the time attempting to become pregnant and quality of life (r = -0.25; P &amp;lt; 0.01). There was a strong reverse correlation between irrational parenthood cognitions and quality of life (r = -0.64; P &amp;lt; 0.00). Multivariate regression analysis found several variables to be independent predictors of quality of life score. These included having higher levels of irrational parenthood cognitions, being under high social pressure imposed by relatives, and having spent a long time attempting to become pregnant.Conclusion: Knowing about the predictors of low quality of life (including high-level irrational parenthood cognitions, social pressure from relatives, and spending a long time attempting to become pregnant) is assumed to help physicians in identifying the infertile women who are at higher risk of developing a poor health over their infertility experience.Keywords: infertility, assisted reproductive technology (ART), quality of life, irrational parenthood cognitions, Ira

852-856 Evaluation of the appropriateness of hospital stay in gynecological wards in Tabriz Teaching Hospitals

ABSTRACT Objective: The increasing demand for health care services together with the increasing cost of providing them supports the need for a reconsideration of the existing structures. This study evaluated the appropriateness of hospital stay in gynecological wards. Methodology: This is a descriptive-analytic study which was conducted in 2006-2007 by using modified appropriateness evaluation protocol. Results: The average duration of hospital stay for 402 patients was 55.18±45.03 hours. The length of hospital stay was inappropriate in 61.2%.The main reasons for unnecessary stay before surgery included: no prior outpatient preparation of patients for operation, inadequate diagnostic procedures and the problems resulting from urgent admission (OR=2.91, CI=1. 53-5.28, OR=1.56, CI=1.10-2.99 and OR=1.01, CI=0.08-2.58 respectively).The most important factors for inappropriate stay after surgery included: patient&apos;s home-hospital distance and delayed physician&apos;s order for discharge (OR=4.18, CI=2.57-13.20 and OR=2.06, CI=1.02-4.43). Conclusions: Inappropriate hospital stay was 61.2%, and it could be decreased to 28.10% by using appropriate approaches