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(—THIS SIDEBAR DOES NOT PRINT—) DESIGN GUIDE This PowerPoint 2007 template produces a 42”x72” presentation poster. You can use it to create your research poster and save valuable time placing titles, subtitles, text, and graphics. We provide a series of online answer your poster production questions. To view our template tutorials, go online to PosterPresentations.com and click on HELP DESK. When you are ready to print your poster, go online to PosterPresentations.com Need assistance? Call us at 1.510.649.3001 QUICK START Zoom in and out As you work on your poster zoom in and out to the level that is more comfortable to you. Go to VIEW > ZOOM. Title, Authors, and Affiliations Start designing your poster by adding the title, the names of the authors, and the affiliated institutions. You can type or paste text into the provided boxes. The template will automatically adjust the size of your text to fit the title box. You can manually override this feature and change the size of your text. TIP: The font size of your title should be bigger than your name(s) and institution name(s). Adding Logos / Seals Most often, logos are added on each side of the title. You can insert a logo by dragging and dropping it from your desktop, copy and paste or by going to INSERT > PICTURES. Logos taken from web sites are likely to be low quality when printed. Zoom it at 100% to see what the logo will look like on the final poster and make any necessary adjustments. TIP: See if your company’s logo is available on our free poster templates page. Photographs / Graphics You can add images by dragging and dropping from your desktop, copy and paste, or by going to INSERT > PICTURES. Resize images proportionally by holding down the SHIFT key and dragging one of the corner handles. For a professional-looking poster, do not distort your images by enlarging them disproportionally. Image Quality Check Zoom in and look at your images at 100% magnification. If they look good they will print well. ORIGINAL DISTORTED Corner handles Good printing quality Bad printing quality QUICK START (cont.) How to change the template color theme You can easily change the color theme of your poster by going to the DESIGN menu, click on COLORS, and choose the color theme of your choice. You can also create your own color theme. You can also manually change the color of your background by going to VIEW > SLIDE MASTER. After you finish working on the master be sure to go to VIEW > NORMAL to continue working on your poster. How to add Text The template comes with a number of pre- formatted placeholders for headers and text blocks. You can add more blocks by copying and pasting the existing ones or by adding a text box from the HOME menu. Text size Adjust the size of your text based on how much content you have to present. The default template text offers a good starting point. Follow the conference requirements. How to add Tables To add a table from scratch go to the INSERT menu and click on TABLE. A drop-down box will help you select rows and columns. You can also copy and a paste a table from Word or another PowerPoint document. A pasted table may need to be re-formatted by RIGHT- CLICK > FORMAT SHAPE, TEXT BOX, Margins. Graphs / Charts You can simply copy and paste charts and graphs from Excel or Word. Some reformatting may be required depending on how the original document has been created. How to change the column configuration RIGHT-CLICK on the poster background and select LAYOUT to see the column options available for this template. The poster columns can also be customized on the Master. VIEW > MASTER. How to remove the info bars If you are working in PowerPoint for Windows and have finished your poster, save as PDF and the bars will not be included. You can also delete them by going to VIEW > MASTER. On the Mac adjust the Page- Setup to match the Page-Setup in PowerPoint before you create a PDF. You can also delete them from the Slide Master. Save your work Save your template as a PowerPoint document. For printing, save as PowerPoint or “Print-quality” PDF. Student discounts are available on our Facebook page. Go to PosterPresentations.com and click on the FB icon. ©2015 PosterPresentations.com 2117 Fourth Street, Unit C Berkeley CA 94710 posterpresenter@gmail.com RESEARCH POSTER PRESENTATION DESIGN © 2015 www.PosterPresentations.com Menopause is associated with several physiological and psychological symptoms and sexual function could be easily affected by these changes. Besides, prevalence of sexual dysfunction among women rises from 25% to 63%, to 68% to 86.5% in menopausal women. Menopause symptoms such as vasomotor symptoms are mainly resulted from the decline of estrogen, which could adversely affect sexual function. Also, menopause may also raise sexual dysfunction as a result of ageing or a perception of losing physical attractiveness. Sexual function is an interaction between the mind and the body, modulated by psychological, interpersonal, cultural, environmental, and biological factors. Marital relationships are significantly influenced by sexual relations, which, if not satisfactory, lead to feelings of failure, frustration, and lack of security. Introduction So, this study aimed to determine the relationship between various symptoms of menopause on different dimensions of sexual function which seems it is not well understood and requires further investigation. Objectives This is a cross-sectional study conducted on 405 menopausal Iranian women who were selected using a stratified, multi-stage cluster sampling method. Tools for data collection were a demographics and reproductive data questionnaire, the translated version of the Female Sexual Function Index (FSFI), and the Menopause Rating Scale (MRS). The data was analyzed by SPSS18. Methods The mean total FSFI score was 24.11. Female sexual dysfunction (FSD) was observed in 61.0% of the participants (FSFI<26.5). The mean total score of MRS was 12.45; and 29.1% of the subjects reported severe menopausal symptoms (MRS ≥17). There was a negative correlation between the MRS scores (total scores and scores in all domains) and the FSFI total scores (P<0.001). The logistic regression analysis showed that, with every unit increase in the total score of MRS, the chance of sexual dysfunction is increased by 9.5%. Results Conclusions Menopause symptoms could have a great impact on the sexual function of menopausal women. Urogenital domain of MRS was the most powerful predictive factor. It seems estrogen deficiency during menopause causes vaginal atrophy, which is associated with vaginal dryness, dyspareunia, decreasing libido, post coital bleeding, vaginal irritability and vaginal discharge. Therefore, alleviating menopausal symptoms needs to be part of the effort to address women’s sexu al disorders. References 1. Diagnostic and Statistical Manual of Mental Disorders [database on the Internet]. Am Psych Association. 2002. Available from: http://www.psychiatry.org/practice/dsm.http://www.psychiatry.org/practice/dsm 2.Addis IB, Van Den Eeden SK, Wassel-Fyr CL, et al. Sexual activity and function in middle-aged and older women. Obstetrics and gynecology. 2006;107(4):755-64. 3.Rahman SA, Zainudin SR, Mun VL. Assessment of menopausal symptoms using modified menopause Rating Scale (MRS) among middle age women in Kuching, Sarawak, Malaysia. Asia Pacific family medicine. 2010;9(1):5 4.Charandaby MAS, Rezai N, Hakimi S, et al. Sexual function in postmenopausal women and its predictive factors: a community based study in Ilam 2011. Iranian Journal of Obstetrics Gynecology and Infertility 2012;15(23):1-9. 5.Sayakhot P, Vincent A, Teede H. Cross-cultural study: experience, understanding of menopause, and related therapies in Australian and Laotian women. Menopause. 2012;19(12):1300-8. 6..Lin TB. Sexuality and the menopause. In: Geneva Foundation for Medical Education and Research. First Consensus Meeting on Menopause in the East Asian Region Division of Obstetrics and Gynecology; KK women’s and children’s Hospital, Singapore2013. Masoumeh Simbar 1,3, Soheila Nazarpour 2, Fahimeh Ramezani Tehrani 3 1. Department of Midwifery and Reproductive Health, Shahid Beheshti University of Medical Sciences. 2. Department of Midwifery, Islamic Azad University Chalus Branch, Chalus, Iran. 3. Reproductive Endocrinology Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences,Tehran, Iran The Relationship between Menopausal Symptoms and Sexual Function Table 2. Female Sexual Function Index (FSFI) of the menopausal women (n=405) RangeMain scoresFSFI SDMean 1.2-6.00.933.80Desire 0-5.41.102.85Arousal 0-6.01.384.39Lubrication 0-6.01.334.13Orgasm 0-6.01.224.54Satisfaction 0-6.02.644.39Pain 1.2-34.86.0424.11Total score Table 3. The severity of menopausal symptoms assessed by the Menopause Rating Scale (MRS) questionnaire RangeMain scoresFSFI SDMean 0-13.02.814.44Somatic 0-14.03.454.90Psychological 0-12.02.463.10Urogenital 0-34.07.2012.45Total score Table 4. The correlation between Female Sexual Function Index (FSFI) and the Menopause Rating Scale (MRS) Total scoreDependent variable: FSFI (six domains and total scores). The severity of menopausal symptoms 0PainSatisfactionOrgasmLubricationArousalDesire rrrrrrr -0.191 *** -0.199 *** -0.074-0.156 ** -0.163 ** -0.127 * -0.176 *** Somatic -0.229 *** -0.151 ** -0.078-0.227 *** -0.231 *** -0.185 ** -0.232 *** Psychological -0.390 *** -0.304 *** -0.189 *** -0.383 *** -0.387 * -0.267 *** -0.315 *** Urogenital -0.318 *** -0.254 *** -0.131 ** -0.301 *** -0.307 *** -0.230 *** -0.287 *** Total score *p<.05. **p<.01. ***p<.001. Test: Pearson correlation coefficient. Table 5. Multiple linear regression of Menopause Rating Scale (MRS) as a predictive factor of Female Sexual Function Index (FSFI) BFSFI Domains -0.033***Desire -0.022**Arousal -0.052***Lubrication -0.046***Orgasm -0.009Satisfaction -0.053***Pain -0.224***Total score *p<.05. **p<.01. ***p<.001 Table 1. The characteristics of the study population Mean ± SD/n(%) Variables 52.8±3.7Age (years) 19.8±14.4Duration of Menopause (months) 51.2±3.5Age at menopause (years) 32.6±6.4Duration of marriage (years) 29.5±5.5BMI (Kg / m 2) 4.1±2.0 Parity 1.1±0.8 Frequency weekly of intercourse 324 (80.0)HousewifeOccupation 81(20.0)Employed 257 (63.5)IlliterateEducation 112 (27.7)Under diploma 36 (8.9)diploma & higher Shahid Beheshti University of Medical Sciences, Tehran, Iran
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