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Chronic pelvic pain syndrome (CPPS) is one of the common diseases in urology, gynecology, and gastroenterology. CPPS is a multifactorial disorder where pain may originate in any of the urogynecology, gastrointestinal, pelvic musculoskeletal, or nervous systems. The aim of this article is to sensitize general observation for all integrative medicine practitioner to analyze data for a best interdisciplinary approaches-oriented results for health orientation. Indeed, CPPS could be severe enough to limit functioning, unrelated to menstrual cycle, pregnancy, local trauma, or pelvic operations. This syndrome is one of the diseases shared by urology and gynecology. Its frequency is between 3% and 10%, and it is more frequent among women. The costs of treating CPPS were estimated at about $880 million annually. About 15% of women reported loss of workdays and 45% reported decreased work efficiency. This review aims at presenting an interdisciplinary overview on CPPS patients focusing on links between irritable bowel syndrome, painful bladder syndrome and infertility, to illustrate the relevance of integrative medicine. We propose an integrative approach to treating the diverse symptoms of irritable bowel syndrome (IBS) by combining the benefits of and need for pharmacotherapy with known complementary and alternative medicine (CAM) therapies to provide IBS patients with the best treatment outcome achievable.
Complementary; Alternative; Integrative; Therapies; Interventions; Nutrition; Antioxidants; Herbs; Supplements; Biofeedback; Phytotherapy osteopathy; Acupuncture.
brief research report
We conducted a research on a simple diagnosis of edema. We aimed to develop a safe and inexpensive method using ultrasound. Because B-mode imaging systems are expensive and specialized, we focused on the ultrasound propagation time waveform information.
Experiments were conducted using a custom-made ultrasonic transducer. Measurements were performed on individuals with and without edema, and the results are discussed in this paper based on propagation time waveform information and frequency analysis.
Based on the results, we found three indices with a high possibility of understanding the state of edema. The first index was edema thickness, the second was the standard deviation of edema thickness, and the third was the shape of the frequency spectrum of the ultrasound propagation time waveform. The results indicated that the presence of edema can be easily and quickly determined by determining the thickness of the edema at the measurement point near the ankle (measurement point D) on the front surface of the lower limbs and performing frequency analyses.
Edema; Quantitative diagnosis of edema; Ultrasound; Ultrasound propagation time waveform information.
Equitable access to safe abortion is part of the corpus of human rights. Providing women with access to safe abortion means protection and realization of one of their fundamental human rights. However, around the world, even nowadays, women face not only legal obstacles, but as well stigmatization and conviction against fulfillment of the right to abortion. In North Macedonia there a multiple type of barriers and large inequalities related to the accessibility and availability of reproductive healthcare
services. Women with low socio-economic status are mostly affected. The need for contraception has not been met and reproductive healthcare services are unevenly distributed across the country.
Laws; Abortion; Safe; Women’s sexual and reproductive rights; Healthcare services.
Surrogacy has existed since ancient times. Depending on the way of creating an embryo, two types of surrogacy differ, traditional and gestational. When it comes to monetary compensation, two types of surrogacy exist, altruistic and commercialized. A lot of questions come to light such as: Is the altruistic surrogacy a humane gesture for all contracted parties? What if the mother changes her mind? Do the babies born of surrogacy mothers have rights? In North Macedonia, surrogacy was introduced for
the first time in 2014 in the amended Law on Biomedicine and Assisted Fertilization. It was a novelty having in mind that in the Law of 2008 the surrogacy as a practice was outlawed. The amended law applies the term gestational mother and provides a
liberal stance, but many provisions are unclear.
Laws; Gestational carrier; Commercialization; Altruism; Child rights; Health consequences.
Sexually transmitted infections (STIs) and unwanted pregnancies affect adolescent females annually. This study’s objective was to determine factors leading to disproportionate risk of STIs and unplanned pregnancies utilizing a survey to compare a presumed high-risk urban female population with an age-matched expected low-risk urban female population.
Adolescent women ages 18-24 were surveyed during 2017 utilizing a qualtrics survey. The survey was given at a local urban university and participating students received research credit. The survey was also given at an urban Emergency Department (ED) using an iPad to participants during their visit. The main outcomes measured were STI and unplanned pregnancy rates.
The ED cohort had higher rates of chlamydia (52% vs 5%), gonorrhea (20% vs 0%), trichomoniasis (30% vs 2%), pregnancy (60% vs 2%), and perceived themselves to be a higher-risk for pregnancy (3.4 vs 1.9) than the University cohort. They were younger the first time they had vaginal sex (15.6 vs 16.3-years), though median age of first oral sex was similar between groups. The ED cohort
was older (21.4-years-old vs 19.1-years-old) and more likely to be non-white (64% vs 6%). There were no differences between the cohorts in regard to educational background and sexual orientation. After adjustments were made, the University cohort was more likely to use condoms and had a lower rate of lifetime partners.
Young, urban females use condoms and birth control less frequently and have more male partners than an age-matched university population.
Young; Urban; Females; STI; Sexual behavior.
Aims and Objectives
To determine the trend and pattern of sexual violence and victim blaming in Nigeria, which is associated with a range of health consequences, to publish the trend and proffer solutions on how to stem the tide.
Questionnaires were administered to individuals physically by hand as well as electronically via online social media groups.
In this study carried out between July 2019 and August 2020, the opinion of 251 respondents comprising 153 males (61%) and 98 females (39%) between ages 23 and 60 years, were sought concerning who to blame in a sexual violence event: 150 (60%) comprising 120 males (45%) and 30 females (15%) blamed the victim: 80 (31%) comprising 26 males (10%) and 54 females (21%)
blamed the perpetrators, while 21 (9%) comprising 7 males (3%) and 14 females (6%) were indifferent.
Victim blaming is prevalent in Nigeria and this has been one of the major factors that make sexual violence the fastest growing crime in this most populated Sub-Saharan African Country.
Sexual violence; Victim blaming; Nigeria.
Professor of Obstetrics and GynecologyProgram Director, Reproductive Endocrinology & InfertilityWright State UniversityBoonshoft School of Medicine128 E. Apple Street, Suite 3811 Dayton, OH 45409, USA
ProfessorDepartment of Womens HealthGraduate school of human nursingThe university of Shiga Prefecture522-8533, Japan