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Effectiveness of menstruation hygiene skills training for adolescents with autism

World Journal of Psychiatry 2023年第11期13卷 958-966页

作者： Meltem Kaydırak Büşra Yılmaz Merve Azak Çiğdem Bilge Department of Women Health and Gynecologic Nursing Istanbul University-CerrahpaşaFlorence Nightingale Faculty of NursingIstanbul 34381Türkiye Department of Pediatric Nursing Istanbul University-CerrahpaşaFlorence Nightingale Faculty of NursingIstanbul 34381Türkiye Department of Obstetrics and Women's Health Nursing Muğla SıtkıKoçman UniversityFaculty of Health SciencesMuğla 48000Türkiye

BACKGROUND Adolescents with autism spectrum disorder(ASD)may encounter many difficulties with their menstrual cycles.Potential challenges that adolescents with ASD may face include understanding physical changes,coping with symptoms,emotional sensitivity,communication,personal care,and hygiene.AIM To evaluate the effect of menstrual hygiene skills training given to adolescents with ASD on their menstrual hygiene skills.METHODS The study was conducted with 15 adolescents diagnosed with ASD by the single group pre-test and post-test model in three special education centers in Türkiye.Data were collected with the Adolescent and Parent Information Form and the Adolescent-Specific Menstrual Hygiene Skill Registration Form.RESULTS While the mean age of adolescents was 16.06±0.88 years,the mean age of individuals responsible for adolescent care was 43.66±5.56 years.While 60.0%of the adolescents noticed the onset of bleeding before training,this rate was 93.3%after training.The Adolescent-Specific Menstrual Hygiene Skill Registration Form showed a statistically significant increase in the application steps after the training.The difference between the menstrual hygiene skill scores of adolescents CONCLUSION The menstrual hygiene skills training given to adolescents with ASD was beneficial in increasing their menstrual hygiene skills.These individuals must take responsibility during menstruation and independently manage their continuous care activities.

关键词： Autism Adolescent menstruation Hygiene Training

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Relation of supplementary feeding to resumptions of menstruation and ovulation in lactating postpartum women

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Chinese Medical Journal 2007年第10期120卷 868-870页

作者： LI Wei QIU Yi Department of Health Statistics Fourth Military Medical University Xi＇an 710032 China Key Laboratory for Improving Birth Outcome Technique Shandong Institute for Family Planning Jinan 250002 China

Background Resumption of menstrual cycles is one of the indicators for restoration of reproductive capability in postpartum women. However, menstruation does not necessarily mean that ovulation has taken place. The aim of this study was to investigate the relation of supplementary feeding to return of menstruation and ovulation after delivery. Methods A questionnaire was used to obtain data from 101 breasffeeding mothers. The following elements were analyzed： age, education level, breasffeeding practice, time of return of menstruation, contraceptive practice, and starting time of supplementary feeding during the lactation at intervals of 6 weeks to 18 months after delivery. The ovulation was continuously monitored by ultrasonography and basal body temperature （BBT） measurement. Results By ultrasonography, 53 of the 101 women （52.5%） had the first ovulation （follicle 〉1.8 cm in diameter） within 154 days after delivery on average, among whom 11 （10.9%, 11/101） had restoration of ovulation within 4 months and 42 （41.6%, 42/101） had it after 4 months. In women with follicles 〉1.8 cm in diameter （n=53）, the menstruation resumed （138±84） days after delivery, and the supplementary feeding was started at （4.0±1.1） months, which were significantly earlier than those in the women with follicular diameter 〈1.7 cm （n=48; （293±88） days, （5.1±1.3） months; t=9.003, P〈0.01 and t=4.566, P〈0.01）. In the women with follicles 〉1.8 cm in diameter, 30 had return of menstruation before the end of ultrasonographic monitoring, while only 8 in the women with follicular diameter 〈1.7 cm had menstrual resumption at the same time （χ^2=16.91, P〈0.01）. The starting time of supplementary feeding was positively correlated with the time of the restoration of menstruation （n=100, r=0.4764, P〈0.01） and first ovulation after delivery （n=53, r=0.5554, P〈0.01）. In this series, no woman had pregnancy within 18 months postpartum. Conclusion Supplementary feeding can affect the restoration of menstrual cycles and ovulation in lactating postpartum w

关键词： postpartum period menstruation ovulation

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Association between gastro-intestinal symptoms and menstruation in patients with ileal pouches

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Gastroenterology Report 2014年第3期2卷 207-214页

作者： Shishira Bharadwaj Xian-rui Wu Matthew D.Barber Elaine Queener Lesley Graff Bo Shen Departments of Gastroenterology/Hepatology Cleveland Clinic FoundationClevelandOhioUSA Colorectal surgery Cleveland Clinic FoundationClevelandOhioUSA 3Obstetrics and Gynecology the Cleveland Clinic FoundationClevelandOhioUSA Department of Clinical Health Psychology University of ManitobaWinnipegManitobaCanada

Background and aims:Gastro-intestinal(GI)symptoms are often experienced by healthy women during menstruation.An increased frequency of GI symptoms during menses has also been reported in women with irritable bowel syndrome or inflammatory bowel disease(IBD);however,IBD patients with restorative proctocolectomy and ileal pouch-anal anastomoses(IPAA)have not been studied.We aimed to examine the association between GI symptoms before and during menses in patients with IPAA,and to assess factors for exacerbation of GI symptoms in those patients.Methods:Adult women recorded in the Pouchitis Registry were invited to participate in a mailed survey.Participants reported on GI symptoms 1–5 days prior to-(pre-menses)and during the days of their menses in recent months.Demographic and clinical variables were obtained through the survey and chart review.Results:One hundred and twenty-eight(21.3%)out of 600 women with IPAA responded to the survey questionnaire.Fortythree(33.5%)were excluded for reasons including post-menopausal(n=25),hysterectomy(n=14)and use of contraceptives(n=4).Abdominal pain(P=0.001),diarrhea(P=0.021),and urgency(P=0.031)were more commonly reported during menses than pre-menses by the participants.Only a history of painful menses was significantly associated with increased GI symptoms during menses for patients with ileal pouch(odds ratio=5.67;95%confidence interval:1.41–22.88;P=0.015).Conclusion:GI symptoms such as abdominal pain,diarrhea,and urgency are commonly associated with menses in patients with ileo-anal pouch.Painful menses may be associated with worsening of GI symptoms.

关键词： inflammatory bowel disease ileal pouch-anal anastomosis menstruation symptomatology restorative proctocolectomy

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An infrared thermographic analysis of the sensitization acupoints of women with primary dysmenorrhea

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Journal of Traditional Chinese Medicine 2022年第5期42卷 825-832页

作者： FAN Xisheng DU Xiaoyi PAN Lijia SONG Xiaodan LIU Jun ZHANG Juncha CHEN Hao GAO Yayu ZHANG Mingjian SHI Xuliang SHE Yanfen Graduate School Hebei University of Chinese MedicineShijiazhuang 050091China Depeartment of TCM Pediatric Shijiazhuang Maternity and Child Healthcare HospitalShijiazhuang 050051China Department of Experimental Acupuncture School of Acupuncture-Moxibustion and TuinaHebei University of Chinese MedicineShijiazhuang 050200China Department of Rehabilitation School of Acupuncture-Moxibustion and TuinaHebei University of Chinese MedicineShijiazhuang 050200China Department of Basic Teaching and Research of Acupuncture School of Acupuncture-Moxibustion and TuinaHebei University of Chinese MedicineShijiazhuang 050200China Hebei International Joint Research Center for Dominant Diseases in Chinese Medicine and Acupuncture

OBJECTIVE:To explore the sensitization acupoints of women with primary dysmenorrhea(PD)by comparing infrared radiation temperatures between acupoints and non-acupoints.METHODS:We tested 10 acupoints of every woman with PD and healthy subjects on premenstrual,menstrual,and postmenstrual days using an infrared imaging device.The primary outcome was the absolute value of body surface temperature difference(AVTD)between the left and right sides of the same testing point.RESULTS:A total of 58 PD patients and 57 healthy volunteers completed the test from May 2016 to May 2017.Compared with the healthy group,we observed a significant reduction and increase in the AVTD in Taichong(LR3)and Sanyinjiao(SP6),respectively,during menstrual days in the PD group(P=0.01;P=0.04);while during postmenstrual days,all AVTDs of Shuiquan(KI5),Diji(SP8),and Xuehai(SP10)were diminished in the PD group(P=0.01;P=0.03;P=0.01,respectively).No significant differences in AVTD were detected at any other points or testing times.CONCLUSIONS:Compared with the healthy group,the AVTDs of Taichong(LR3),Sanyinjiao(SP6),Shuiquan(KI5),Diji(SP8),and Xuehai(SP10)at menstruationrelevant points of PD patients were sensitized,providing a reference for the selection of acupoints in the treatment of PD.

关键词： dysmenorrhea menstruation infrared thermal imaging acupoint sensitization specific acupoints

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Menstrual and Reproductive Characteristics of Patients with Primary Sjogren’s Syndrome:A 7-year Single-center Retrospective Study

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Current Medical Science 2023年第1期43卷 139-145页

作者： Ying-zi ZHU Ji-xin ZHONG Ling-li DONG Department of Rheumatology and Immunology Tongji HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhan430030China

Objective Primary Sjogren’s syndrome(pSS)is a systemic autoimmune disease that mainly affects the exocrine gland,especially in women.Currently,the results of studies on the menstruation or fertility of pSS patients remain controversial.This study aimed to examine the menstrual and reproductive characteristics of pSS patients.Methods Clinical data of 449 pSS patients who were admitted to Tongji Hospital in Hubei,China,from January 2015 to November 2021 were obtained and their menstrual and reproductive information analyzed.In addition,the clinical features of pSS patients with premenopausal or postmenopausal onset were compared.Results The spontaneous abortion rate of pSS patients was not higher than the reported rate of the general population and that the age of menarche,menstrual cycle,and menstrual period of pSS patients did not significantly differ from those reported in the general population;however,early menopause seemed to be more common in pSS patients.Skin involvement(27.96%vs.15.00%,P=0.005)and hyperglobulinemia(10.64%vs.4.16%,P=0.033)were more common in patients with premenopausal pSS onset,but patients with postmenopausal onset had a significantly greater incidence of interstitial lung disease(32.50%vs.17.02%,P=0.0004).Also,erythropenia(47.00%vs.31.25%,P=0.002),hypoalbuminemia(19.49%vs.8.22%,P=0.0009),and prevalence of high hypersensitive C-reactive protein levels(21.67%vs.10.94%,P=0.005)were more common in pSS patients with postmenopausal onset.Notably,the rate of abnormal pregnancy was significantly greater in patients with premenopausal onset(9.72%vs.2.50%,P=0.011).Conclusion Patients with pSS onset before or after menopause may have different risks in pulmonary involvement and laboratory manifestations.

关键词： primary Sjogren's syndrome menstruation fertility clinical features

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The experiences of menstrual symptom changes among international students studying in China during the acculturation period: A phenomenology study

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International Journal of Nursing Sciences 2023年第2期10卷 221-229页

作者： Asem Alkhatib Weizi Wu Hoda Alshikh Ahmad Ratee Pakwan Suwal Zhao Ni Xianhong Li Xiangya School of Nursing Central South UniversityChangshaHunanChina Faculty of Nursing Hama UniversityHamaSyria School of Nursing University of ConnecticutStorrsConnecticutUSA Xiangya School of Public Health Central South UniversityChangshaHunanChina National Academy of Medical Science Bir Hospital(NAMS)MahaboudhaKathmanduNepal School of Nursing Yale UniversityNew HavenCTUSA Yale Institute for Global Health Yale UniversityNew HavenCTUSA

Objectives menstruation is a normal physiological phenomenon among female which could be influenced by the process of acculturation.Few studies have explored the experience of menstrual symptom changes among international female students studying in China.Therefore,this paper aims to summarize international female students’experiences of menstrual symptom changes when they were studying in China and interpret these changes through considering the influence of acculturation on their social and academic lives.Methods We used a descriptive phenomenology approach.Structured in-depth face-to-face interviews were conducted between May and November 2019 among ten international female students studying in one Province located in south central China.Participants were those who reported having experienced menstrual symptom changes during the acculturation period,which was defined as the first six months of living in China.All interviews were audio-recorded,transcribed verbatim,and analyzed using NVivo 11.0 with the guidance of Colaizzi's seven-step method.Results The international female students’experiences of menstrual symptom changes were summarized and grouped into five main categories and 13 subcategories.The main categories include:1)demonstration of menstrual symptom changes,2)challenges of maintaining menstrual function in the new setting,3)coping styles to take care of menstrual health,4)consequences of the menstrual symptom changes,and 5)culture-based attitude toward menstruation.Conclusions International female students reported experiences of menstrual symptom changes,including somatic and psychological symptoms during the acculturation period.Culture barriers,academic stress,and sleep patterns are common factors influencing their menstrual symptom changes.More culturally-tailored interventions should be explored to improve the menstrual health of international female students in China.

关键词： Acculturation Female International students Life change events menstruation

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COMBINED TREATMENT OF HEBETIC SCANTY menstruation WITH ACUPUNCTURE AND DRUGS

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World Journal of Acupuncture-Moxibustion 1999年第4期9卷 17-20页

作者：赵文洁于瑾

According to a random distribution table, 60 cases of scanty menstruation patients were evenly divided into 3 groups: A) estrin (n = 20), B) acupuncture (n = 20), and C) acupuncture +estrin (n = 20) for comparing their therapeutic effect. Results showed that after treatment, 5 cases in estrin group, 12 cases in acupuncture group and 14 cases in acupuncture + estrin group respectively had an ovulation response. Statistical analysis displayed significant differences between acupuncture group or acupuncture + estrin group and estrin group. (P < 0.05, P <0.05 ); and between acupuneture and acupuncture + estrin groups in the estradiol level of the early phase of follicles in patients with ovulation and without ovulation (P < 0. 05, P < 0.01 ). The fact indicates a close interrelation between acupuncture-induced ovulatory effect and the estradiol level of the patient’s body.

关键词： Scanty menstruation Acupuncture therapy Combined use of acupuncture and drug Adolescence

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Prevalence of Dysmenorrhea among Female Adolescents in Dubai: A Cross-Sectional Study

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Open Journal of Obstetrics and Gynecology 2022年第8期12卷 686-705页

作者： Amal Al Mulla Ghassan Lotfi Amar Hassan Khamis OBSGYN and Reproductive Medicine Mediclinic Parkveiw Hospital Dubai United Arab Emirates Clinical in Mohammed Bin Rashid University of Medicine and Health Science Dubai United Arab Emirates OBGYN Department Dubai United Arab Emirates Hamdan Bin Mohammed College of Dental Medicine Mohammed Bin Rashid University of Medicine and Health Sciences Dubai United Arab Emirates

Objective: This study aimed to investigate the prevalence of dysmenorrhea among adolescents in Dubai, and its effect on their academic and athletic performance. Methods: This was a cross-sectional study conducted in ten randomly selected private and government high schools in Dubai, United Arab Emirates. Using both the English and Arabic translated version of the Women’s Health Symptom Survey Questionnaire World, data was collected from 456 female students of grades 7 - 12, aged 11 - 19 years. Results: Dysmenorrhea was a crucial problem reported by 432 (94.7%) of the participants. Of the total number, 208 (45%) participants reported experiencing severe pain during menstruation and 152 (33.4%) students reported being absent from school during every menstrual cycle. Nonsteroidal anti-inflammatory drugs (NSAIDs) were used by 147 (32.3%) students, and majority reported no or little improvement. The percentage of students who experienced menstrual pain with micturition or defecation was 43.1% and 46.7%, respectively. None of the participants reported the use of hormonal agents. Conclusion: The unexpected high number of female adolescents who reported symptoms of primary dysmenorrhea necessitating treatment, as well as subsequent school absenteeism, calls for implementation of a screening questionnaire for early detection of persistent primary dysmenorrhea. Moving from surgical to clinical diagnosis of endometriosis can contribute greatly to improving the quality of life and reproductivity of female adolescents with severe dysmenorrhea.

关键词： Adolescence Dysmenorrhea Endometriosis menstruation Dubai UAE

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Exploratory systematic review and meta-analysis on period poverty

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World Journal of Meta-Analysis 2023年第5期11卷 196-217页

作者： Gayathri Delanerolle Xiao-Jie Yang Heitor Cavalini Om P Kurmi Camilla Mørk Røstvik Ashish Shetty LuckySaraswat Julie Taylor Sana Sajid Shanaya Rathod Jian-Qing Shi Peter Phiri Department of Research&Innovation Southern Health NHS Foundation TrustSouthampton SO303JBUnited Kingdom Nuffield Department of Medicine University of OxfordOxford OX37JXUnited Kingdom School of Statistics and Mathematics Yunnan University of Finance and EconomicsKunming 650221Yunnan ProvinceChina University College London London WC1E 6BTUnited Kingdom Centre for Intelligent Healthcare Institute of Health and WellbeingCoventry UniversityCoventry CV15LBUnited Kingdom Centre for Contemporary Art University of St AndrewsScotland KY169AJUnited Kingdom Pain Management Centre University College London Hospitals NHS Foundation TrustLondon W1T 4AJUnited Kingdom Aberdeen Centre for Women’s Health University of AberdeenAberdeen AB243FXUnited Kingdom School of Nursing University of BirminghamBirmingham B152TTUnited Kingdom Statistics and Data Science Southern University of Science and TechnologyShenzhen 518055Guangdong ProvinceChina School of Psychology Faculty of Environmental and Life SciencesUniversity of SouthamptonSouthampton SO171BJUnited Kingdom

BACKGROUNDPeriod poverty is a global health and social issue that needs to be addressed.It has been reported that many females compromise their education,employment,and social commitments during their menstruation days due to a number of reasons,including lack of access to toilets or menstrual products.AIM To provide a comprehensive understanding on period poverty,including outcomes associated with menstruation.METHODS All observational and randomised clinical trials reporting menstruation challenges,menstrual poverty and menstrual products were included.Our search strategy included multiple electronic databases of PubMed,Web of Science,ScienceDirect,ProQuest and EMBASE.Studies published in a peer review journal in English between the 30th of April 1980 and the 30th of April 2022 were included.The Newcastle-Ottawa Scale was used to assess the risk of bias of the systematic included studies.Pooled odds ratios(ORs)together with 95%confidence intervals(CIs)are reported overall and for sub-groups.RESULTS A total of 80 studies were systematically selected,where 38 were included in the meta-analysis.Of the 38 studies,28 focused on children and young girls(i.e.,10-24 years old)and 10 included participants with a wider age range of 15-49 years.The prevalence of using disposable sanitary pads was 45%(95%CI:0.35-0.58).The prevalence of menstrual education pre-menarche was 68%(95%CI:0.56-0.82).The prevalence of good menstrual hygiene management(MHM)was 39%(95%CI:0.25-0.61).Women in rural areas(OR=0.30,95%CI:0.13-0.69)were 0.70 times less likely to have good MHM practices than those living in urban areas.CONCLUSION There was a lack of evidence,especially from low-and middle-income countries.Further research to better understand the scope and prevalence of period poverty should be considered.This will enable the development of improved policies to increase access to menstrual products and medical support where necessary.

关键词： Period poverty menstruation Mental health Menstrual education Menstrual hygiene

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Effects of the menstrual cycle and neuroticism on women's sadness emotion and physiological responses based on an emotion-inducing experiment

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Journal of Traditional Chinese Medical Sciences 2019年第2期6卷 138-146页

作者： Hao Wu Tianfang Wang Yu Wei Mengying Wu Yamei Huang Min Zheng Renlai Zhou Qingguo Wang Yan Zhao School of Traditional Chinese Medicine Beijing University of Chinese MedicineBeijing 100029China Huguosi Hospital of the Traditional Chinese Medicine Affiliated to the Beijing University of Chinese Medicine Beijing 100035China China National Center for Food Safety Risk Assessment Beijing 100022China School of Psychology Beijing Normal UniversityBeijing 100875China Department of Psychology School of Social and Behavioral SciencesNanjing UniversityNanjing 210023China

Objective:To investigate the diversity of experiences of sadness emotion and physiological responses among female college students with high neuroticism (HN) and low neuroticism (LN) during the late luteal phase (LLP) and early follicular phase (EFP).Methods:Forty-two participants were classified as the HN group and 41 as the LN group based on their neuroticism score (Eysenck Personality Questionnaire Short Scale for Chinese).Participants watched sadness-inducing experimental films during the LLP and EFP.Results:The HN group showed similar sadness intensities in both phases.The LN group showed higher sadness intensity in the LLP than the EFP.The LN group's sadness scale assessments were lower than the HN group in both phases.The blood volume pulse in the HN group fell in both the LLP and EFP (both P .05).Between-group comparisons showed heart rate was significantly lower in the HN group than the LN group during EFP (P =.009),but there were no statistically significant differences in subjective experience and physiological data during LLP.The HN group had stronger sadness feelings and greater sadness arousal than the LN group during EFP.There were significant associations between menstrual cycle-related changes in sadness ratings and changes in physiological outcomes.Conclusion:Women with HN have less fluctuation in sadness than those with LN during the menstrual cycle,but experience strong sadness feelings in the LLP.Women with HN show stronger physiological responses in the EFP than those with LN,and have the highest responses in the LLP.

关键词： Neuroticism menstruation Sadness Emotional responses

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