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Cody P. Sexual and reproductive health screening and counseling in adolescent and young adult transplant recipients. Pediatr Transplant 2024; 28:e14741. [PMID: 38566317 DOI: 10.1111/petr.14741] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/19/2024] [Revised: 02/27/2024] [Accepted: 03/01/2024] [Indexed: 04/04/2024]
Abstract
Adolescents and young adults with and without chronic illnesses partake in risk-taking behavior. Clinicians in transplant clinics should be aware of the prevalence of risk-taking behavior in their adolescent and young adult solid organ transplant patients in order to provide complete care. Creating an environment where teens and young adults feel comfortable discussing risky behavior is important and includes creating a privacy policy and increasing comfort of the healthcare provider in asking sensitive questions. This review is intended to help the providers in the transplant clinic screen for and counsel about risk-taking behaviors with their adolescent and young adult patients, specifically around sexual and reproductive health.
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Affiliation(s)
- Paula Cody
- University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA
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Dixon S, Ranger TA, Burchardt J, Patone M, Snelling AJ, Vincent K, Hippisley-Cox J. Exploring the interface between adolescent dysmenorrhoea and endometriosis: a protocol for a cohort and nested case-control study within the QResearch Database. BMJ Open 2023; 13:e069984. [PMID: 36787972 PMCID: PMC9930556 DOI: 10.1136/bmjopen-2022-069984] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/16/2023] Open
Abstract
INTRODUCTION Dysmenorrhoea affects up to 70%-91% of adolescents who menstruate, with approximately one-third experiencing severe symptoms with impacts on education, work and leisure. Dysmenorrhoea can occur without identifiable pathology, but can indicate underlying conditions, including congenital genital tract anomalies or endometriosis. There is a need for evidence about the management and incidence of dysmenorrhoea in primary care, the impact of treatments in adolescence on long-term outcomes and when to consider the possibility of endometriosis in adolescence. METHODS AND ANALYSIS This study aims to improve the evidence base for adolescents presenting to primary care with dysmenorrhoea. It comprises three interlinked studies. Using the QResearch Database, the study population includes all female at birth participants aged 10-19 years any time between 1 January 2000 and 30 June 2021. We will undertake (1) a descriptive study documenting the prevalence of coded dysmenorrhoea in primary care, stratified by demographic variables, reported using descriptive statistics; (2) a prospective open cohort study following an index cohort of all adolescents recorded as attending primary care with dysmenorrhoea and a comparator cohort of five times as many who have not, to determine the HR for a diagnosis of endometriosis, adenomyosis, ongoing menstrual pain or subfertility (considered singly and in combination) anytime during the study period; and (3) a nested case-control study for adolescents diagnosed with endometriosis, using conditional logistic regression, to determine the OR for symptom(s) preceding this diagnosis. ETHICS AND DISSEMINATION The project has been independently peer reviewed and received ethics approval from the QResearch Scientific Board (reference OX46 under REC 18/EM/0400).In addition to publication in peer-reviewed academic journals, we will use the combined findings to generate a resource and infographic to support shared decision-making about dysmenorrhoea in community health settings. Additionally, the findings will be used to inform a subsequent qualitative study, exploring adolescents' experiences of menstrual pain.
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Affiliation(s)
- Sharon Dixon
- Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK
| | - Tom A Ranger
- Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK
| | - Judith Burchardt
- Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK
| | - Martina Patone
- Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK
| | - Andrew Jhl Snelling
- Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK
| | - Katy Vincent
- Nuffield Department of Women's and Reproductive Health, Oxford University, Oxford, UK
| | - Julia Hippisley-Cox
- Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK
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Unnisa H, Annam P, Gubba NC, Begum A, Thatikonda K. Assessment of quality of life and effect of non-pharmacological management in dysmenorrhea. Ann Med Surg (Lond) 2022; 81:104407. [PMID: 36147090 PMCID: PMC9486665 DOI: 10.1016/j.amsu.2022.104407] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2022] [Revised: 08/08/2022] [Accepted: 08/12/2022] [Indexed: 10/31/2022] Open
Abstract
Background Materials & methods Results Conclusion This study outlines the effect of dysmenorrhea by assessing factors contributing to discomfort and pain during menstruation. It also adds to the literature by proving that dysmenorrhea affects the quality of life. It indicates that non-pharmacological measures are both safe and effective in treating dysmenorrhea. It reflects the need for more research and the application of alternate approaches for alleviating menstrual pain. This research also aided in educating young generations on the myths and truths surrounding menstruation and its management.
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Affiliation(s)
- Michelle M. Gagnon
- Department of Psychology, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
| | - Randa Elgendy
- Department of Psychology, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
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Canzi EF, Lopes BR, Robeldo T, Borra R, Da Silva MFGF, Oliveira RV, Maia BHNS, Cass QB. Prostaglandins E 2 and F 2α levels in human menstrual fluid by online Solid Phase Extraction coupled to Liquid Chromatography tandem Mass Spectrometry (SPE-LC-MS/MS). J Chromatogr B Analyt Technol Biomed Life Sci 2019; 1109:60-66. [PMID: 30731263 DOI: 10.1016/j.jchromb.2019.01.025] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2018] [Revised: 12/04/2018] [Accepted: 01/26/2019] [Indexed: 01/01/2023]
Abstract
This paper reports an online SPE-LC-MS/MS method for the simultaneous quantification of prostaglandins (PGE2 and PGF2α) in menstrual fluid samples. To meet this goal human peripheral serum was used as surrogate matrix. The analytes were trapped on an OASIS HLB cartridge for 3 min, for sample cleanup and enrichment, and then transferred during only 42 s to an HSS T3 C18 analytical column, for separation and analysis. Prostaglandins (PGs) were detected by selected reaction monitoring in negative ion mode, PGE2 (m/z 351 → 315) and PGF2α (m/z 353 → 193) using isotope-labeled internal standard (PGE2-d4, m/z 355 → 319). The concentration linear range was of 10.34-1.034 ng mL-1 and the lower limit of quantification (LLOQ) was 10.34 ng mL-1 for both PGs. Validation parameters were successfully assessed according to the European Medicines Agency guideline (EMA), also comprising the FDA normative. The method showed no matrix effect and process efficiency around 100%, in addition to only 15 min of analysis time with lower solvent consumption. The method application was carried out using two menstrual fluid sample groups: control (n = 15) and treatment group (n = 7; samples from women that used Tahiti lemon juice). The PGF2α levels were found to be higher in treated group than in control group (p ≤ 0.05), denoting an effect of the intake of Tahiti lemon juice on the menstrual inflammatory process. The on-line method herein reported could be useful for the analysis of PGs from large research studies.
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Affiliation(s)
- Edione F Canzi
- Departamento de Química, Universidade Federal do Paraná (UFPR), Centro Politécnico, Jardim das Américas, Curitiba, PR 81531-990, Brazil; Departamento de Química, Universidade Federal de São Carlos, Rodovia Washington Luís, km 235, SP-310, São Carlos, SP 13565-905, Brazil
| | - Bianca Rebelo Lopes
- Departamento de Química, Universidade Federal de São Carlos, Rodovia Washington Luís, km 235, SP-310, São Carlos, SP 13565-905, Brazil
| | - Thaiane Robeldo
- Departamento de Genética e Evolução, Universidade Federal de São Carlos, Rodovia Washington Luís, km 235, SP-310, São Carlos, SP 13565-905, Brazil
| | - Ricardo Borra
- Departamento de Genética e Evolução, Universidade Federal de São Carlos, Rodovia Washington Luís, km 235, SP-310, São Carlos, SP 13565-905, Brazil
| | - Maria Fatima G F Da Silva
- Departamento de Química, Universidade Federal de São Carlos, Rodovia Washington Luís, km 235, SP-310, São Carlos, SP 13565-905, Brazil
| | - Regina V Oliveira
- Departamento de Química, Universidade Federal de São Carlos, Rodovia Washington Luís, km 235, SP-310, São Carlos, SP 13565-905, Brazil
| | - Beatriz Helena N S Maia
- Departamento de Química, Universidade Federal do Paraná (UFPR), Centro Politécnico, Jardim das Américas, Curitiba, PR 81531-990, Brazil
| | - Quezia B Cass
- Departamento de Química, Universidade Federal de São Carlos, Rodovia Washington Luís, km 235, SP-310, São Carlos, SP 13565-905, Brazil.
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Dysmenorrhea Characteristics of Female Students of Health School and Affecting Factors and Their Knowledge and Use of Complementary and Alternative Medicine Methods. Holist Nurs Pract 2016; 29:194-204. [PMID: 26086463 DOI: 10.1097/hnp.0000000000000091] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
The purpose of this study was to examine the menstruation and dysmenorrhea characteristics and the factors affecting dysmenorrhea of health school students, and the knowledge and use of the methods of complementary and alternative medicine (CAM) on the part of those students with dysmenorrhea. This is a descriptive study. A descriptive analysis was made by calculating the number, percentage, mean, Pearson χ, and logistic regression analysis. A total of 488 female students participated in the research and 87.7% (n = 428) of all students experienced dysmenorrhea. It was detected that a family history of dysmenorrhea and regular menstrual cycles of the students were dysmenorrhea-affecting factors (P < .05). Seven of 10 students with dysmenorrhea used CAM methods. Heat application of CAM methods for dysmenorrhea management was the most commonly used and also known by the students. The students who experienced severe pain used analgesics (P < .05) and CAM methods (P < .05).
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Aziato L, Dedey F, Clegg-Lamptey JNA. Dysmenorrhea Management and Coping among Students in Ghana: A Qualitative Exploration. J Pediatr Adolesc Gynecol 2015; 28:163-9. [PMID: 25823719 DOI: 10.1016/j.jpag.2014.07.002] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/08/2014] [Revised: 05/29/2014] [Accepted: 07/11/2014] [Indexed: 10/25/2022]
Abstract
STUDY OBJECTIVE The study sought to gain an in-depth understanding of primary dysmenorrhea management and coping strategies for dysmenorrhea among adolescents and young adults who were in school. DESIGN The study adopted a qualitative exploratory approach using a descriptive phenomenology to explore the phenomenon of interest. SETTING The study was conducted in two educational institutions in Accra, Ghana: a Senior High School (SHS) and a University. PARTICIPANTS AND DATA COLLECTION Sixteen participants were purposively recruited (8 SHS and 8 University students) through snowball sampling. Individual interviews were conducted in English, audio-taped, transcribed and analysed using content analysis procedures. Informed consent was obtained from all participants and rigor was ensured through prolonged engagement and member checking. RESULTS Participants employed both pharmacologic (orthodox and herbal) and nonpharmacologic approaches such as warm compress, exercise, and water and diet therapy for their dysmenorrhea. Students' dysmenorrhea was managed at the school clinic and the hospital. Health professionals demonstrated negative attitudes towards dysmenorrhea management. Students coped with dysmenorrhea by planning activities before the onset of pain, receiving social and spiritual support, and developing a mind-set to bear pain. CONCLUSIONS Individualized approaches should be employed to enhance dysmenorrhea management. Health professionals should be educated on dysmenorrhea to improve their attitude and skills for dysmenorrhea management.
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Affiliation(s)
- Lydia Aziato
- Department of Adult Health, School of Nursing, University of Ghana, Accra, Ghana.
| | - Florence Dedey
- Department of Surgery, University of Ghana Medical School, Accra, Ghana
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Aziato L, Dedey F, Clegg-Lamptey JNA. The experience of dysmenorrhoea among Ghanaian senior high and university students: pain characteristics and effects. Reprod Health 2014; 11:58. [PMID: 25064081 PMCID: PMC4113597 DOI: 10.1186/1742-4755-11-58] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2014] [Accepted: 07/15/2014] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Dysmenorrhoea is a common problem of women at the reproductive age and may have negative effect on the education of females at various stages on the educational ladder. CONTEXT AND PURPOSE This study sought to gain an in-depth understanding of the experience of dysmenorrhoea and its effect on female students in a secondary and a tertiary institution in Accra, Ghana. METHODS The study employed a descriptive phenomenology design and was conducted at a University and a Senior High School (SHS) in Accra. Purposive and snowball sampling techniques were used to recruit participants and data was saturated with 16 participants. Concurrent analysis was done by applying the processes of content analysis and the NVivo software was used to manage the data. RESULTS It was realized that dysmenorrhoea is associated with symptoms such as diarrhoea, headache and vomiting. Pain may start one week to the day of menstruation and the severity differed across the days of menstruation. The effect of dysmenorrhoea included activity intolerance, altered emotion and interaction, altered sleep pattern, absenteeism and inattentiveness, wishes and regrets, and misconceptions. CONCLUSIONS It was concluded that severe dysmenorrhoea has a debilitating effect on female students and is associated with misconceptions that could result in drastic action with fatal consequences. Thus, there is the need to enhance education on dysmenorrhoea, and an aggressive step should be taken to effectively manage dysmenorrhoea.
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Affiliation(s)
- Lydia Aziato
- Department of Adult Health, School of Nursing, University of Ghana, P.O. Box LG 43, Legon, Accra, Ghana
| | - Florence Dedey
- Department of Surgery, University of Ghana Medical School, Accra, Ghana
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Zhou W, Su SL, Duan JA, Guo JM, Qian DW, Shang EX, Zhang J. Characterization of the active constituents in Shixiao San using bioactivity evaluation followed by UPLC-QTOF and Markerlynx analysis. Molecules 2010; 15:6217-30. [PMID: 20877218 PMCID: PMC6257704 DOI: 10.3390/molecules15096217] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2010] [Revised: 08/16/2010] [Accepted: 08/19/2010] [Indexed: 01/22/2023] Open
Abstract
Shixiao San is a famous Traditional Chinese Medicine (TCM) formula that has been used for a long time for the treatment of gynecological diseases. In this paper, the active constituents in Shixiao San were characterized by using bioactivity evaluation followed by UPLC-QTOF and Markerlynx analysis. The analgesic activities of two extracts of Shixiao San were evaluated using the hot-plate test, acetic acid-induced writhing and dysmenorrhea mice model. The results showed that the analgesic activity of Shixiao San vinegary extract (boiling vinegar) was superior to the aqueous extract. UPLC-QTOF and Markerlynx analytic results showed that the process of boiling in vinegar may improve the dissolution of Shixiao San flavanoids, and these flavanoids may contribute to the observed analgesic activity. This work demonstrated that UPLC/QTOFMS and Markerlynx could serve as new methods for fast generation and automated analysis of information-rich data from Chinese herbal medicines.
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Affiliation(s)
| | - Shu-Lan Su
- Authors to whom correspondence should be addressed; E-Mails: (S.-L.S.); (J.A.D.); Tel.: + 86 25 85811116; Fax: + 86 25 85811916
| | - Jin-Ao Duan
- Authors to whom correspondence should be addressed; E-Mails: (S.-L.S.); (J.A.D.); Tel.: + 86 25 85811116; Fax: + 86 25 85811916
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