Sexual dysfunctions in injectable drug users in Tunisia

2017 ◽  
Vol 41 (S1) ◽  
pp. s865-s865
Author(s):  
J. Jihene ◽  
M. olfa ◽  
Z. Haifa

IntroductionThe drug addiction in the buprenorphin with high dosage (BHD) by injectable way, represents a real plague in Tunisia, consequently, we are confronted with diverse complications including the sexual dysfunctions.ObjectivesIdentify and determine prevalence of the sexual dysfunctions among this population.MethodsIt is a transverse, descriptive study. We looked for sexual dysfunctions by using the international index of the erectile function (IIEF 15), among a population of 52 male users of BHD by injectable way.ResultsThe average score in the IIEF-15 was 36.65 with a standard deviation of 20.87, a negative correlation with duration and the quantity of consumption was noted.The average erectile function (EF) was 15.63 ± 9.26, which corresponds to a mild to moderate erectile dysfunction, whereas 31% had a severe dysfunction.The average score of the orgasmic function (OF) was 6.35 ± 3.52.The average score of the sexual desire (SD) was 4.27 ± 2.90.The average score of the satisfaction with sexual intercourses (IS) was 5.77 ± 4.54, an alteration was noted in 96% of the cases, which was correlated with the severity of the consumption.The average score of the global satisfaction (OS) was altered at 92% of the subjects.The majority of the subjects brought back the chronology of their disorders in after the consumption of BHD. No patient consulted in sexology.ConclusionIt is thus important to educate stakeholders, on the frequency of sexual dysfunctions and the importance of their screening to improve the management of this problem.Disclosure of interestThe authors have not supplied their declaration of competing interest.

2019 ◽  
Vol 2 (1) ◽  
pp. 33
Author(s):  
Isnaeni Wahab

This study was aimed to know the teaching method of the teacher, and to know the active learning of students in the classroom. The research method used in this research was a descriptive study. The population of this research was the sixth grade of SD Kartika XX-I Makassar with the sample consist of 26 students. Data collection is taken by giving the test. The students were asked to rearrange the picture in groups. The results found that the method used by teachers is PAKEM method. The result of the average score is 75.05 with a standard deviation of 16.2. It is known that the range of values of 80-100 are 7 people (26.9%) with excellent category, 66-79 ranges of 6 (23.1%) with good category, the range of values 56-65 is 3 (11, 5%) with moderate category, 40-55 value ranges were 6 persons (23.1%) with the category of less, 30-39 score range was 4 persons (15,4%) with failed category. It can be concluded that student activeness in class is good.


2014 ◽  
Vol 2 (2) ◽  
Author(s):  
Marshella Bongkriwan ◽  
Benny Wantouw ◽  
Lusiana Satiawati

Abstract: Erectile dysfunction is a problem experienced by many men in the world. Spermatogenesis in the tubules seminiferi influenced by various factors for example, hormonal factors, inhibiting the function of epididymis, radiation and temperature. Spermatogenesis will be disrupted in the event of an increase in testicular temperature a few degrees of normal testicular temperature, that is 35ºC. The same effect can be found in daily activities when there is an increase in the heat of the environment such as a restaurant chef. This study is a descriptive study conducted in November 2013 to January 2014 with a sample size of 66 respondents. Interpretation of the 66 samples, obtained chef with normal erectile function by 7 people (10.6%), mild dysfunction none, mild-moderate dysfunction as many as 40 people (60.6%), moderate dysfunction 19 people (28.8%), and no severe dysfunction. The conclution of this study found that the chef job can cause erectile dysfunction, prevalence of erectile dysfunction in a chef that 89.4% with mild-moderate and the longer the men exposed to high temperatures can cause persistent erectile dysfunction. Keywords: chef jobs, erectile dysfunction.     Abstrak: Disfungsi ereksi merupakan masalah yang dialami oleh banyak pria di dunia.  Proses spermatogenesis didalam tubuli seminiferi dipengaruhi oleh berbagai faktor antara lain, faktor hormonal, penghambatan fungsi epididimis, radiasi dan faktor suhu. Spermatogenesis akan terganggu atau terhambat apabila terjadi peningkatan suhu testis beberapa derajat saja dari temperatur normal testis, yaitu 35ºC. Dampak yang sama dapat ditemukan pada rutinitas dan aktivitas sehari-hari ketika terjadi peningkatan panas dari lingkungan seperti koki restoran. Tujuan dari penelitian ini adalah untuk mengetahui apakah dapat terjadi disfungsi ereksi pada koki dan pengaruh pekerjaan koki terhadap terjadinya disfungsi ereksi. Penelitian ini adalah penelitian deskriptif yang dilakukan pada bulan November 2013 sampai Januari 2014 dengan besar sampel sebanyak 66 responden. Interpretasi dari 66 sampel, didapatkan koki dengan fungsi ereksi normal sebanyak 7 orang (10.6%), disfungsi ringan tidak ada, disfungsi ringan-sedang sebanyak 40 orang (60.6%), disfungsi sedang 19 orang (28.8%), dan disfungsi berat tidak ada. Kesimpulan dari penelitian ini didapatkan bahwa pekerjaan koki memiliki pengaruh terhadap disfungsi ereksi, prevalensi disfungsi ereksi pada koki yaitu 89.4% dengan derajat ringan-sedang hingga sedang dan semakin lama pria terpapar suhu tinggi terus-menerus dapat menyebabkan disfungsi ereksi. Kata kumci: pekerjaan koki, disfungsi ereksi.


2017 ◽  
Vol 11 (6) ◽  
pp. 1739-1744 ◽  
Author(s):  
Gabriela Dostálová ◽  
Zuzana Hlubocká ◽  
Kristýna Bayerová ◽  
Jan Bělohlávek ◽  
Aleš Linhart ◽  
...  

Erectile dysfunction significantly affects quality of life in young men. Authors have evaluated erectile function in men with coronary artery disease (CAD) and the relationship between the degree of erectile dysfunction (ED) and the age of their first acute myocardial infarction (AMI). The incidence of erectile dysfunction in three groups of patients of AMI survivors was investigated: AMI survivors younger than 45 years, AMI survivors older than 65 years, and normal male population aged between 30 and 60 years. Erectile function was assessed by the International Index of Erectile Function (IIEF-5) questionnaire. In post-AMI male patients younger than 45 years ( n = 76), mild ED occurred in 26% and severe in 7%. In the older AMI group, mild ED occurred in 52% and severe in 38%. In the control group age matched to younger survivors, 96% denied ED and only one control patient had a score of 20 on the IIEF-5. A paradoxical result was observed in patients using beta blockers (BB), who had better scores than the group without BB. Statin treatment had a positive influence on the score in questionnaires. Those on statins had an average score of 21.0 ± 4.9 vs. without statin 17.7 ± 5.7, p = .03. The current findings identified that the prevalence of ED is relatively high in young patients with CAD and is related to treatment of the CAD. The overall increase in ED presence suggests that the background of their coronary event is not due to destabilization of single focused atheroma but may reflect a generalized atherosclerotic process.


2004 ◽  
Vol 171 (4S) ◽  
pp. 373-373
Author(s):  
Trinity J. Bivalacqua ◽  
Mustafa F. Usta ◽  
Hunter C. Champion ◽  
Weiwen Deng ◽  
Philip J. Kadowitz ◽  
...  

Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 1503-P ◽  
Author(s):  
MUKULESH GUPTA ◽  
KUMAR PRAFULL CHANDRA ◽  
ARUNKUMAR PANDE ◽  
RAJIV AWASTHI ◽  
AJOY TEWARI ◽  
...  

2007 ◽  
Vol 30 (4) ◽  
pp. 67
Author(s):  
M. Alameddine ◽  
K. Imrie ◽  
S. Akers ◽  
S. Verma

We developed and administered two questionnaires to assess the interview experience of both interviewers and applicants during postgraduate medical selection interviews. Using a 5 point likert scale, the questionnaires assessed three areas (1) ability to show/assess communication, interpersonal and problem solving skills; (2) ability to know the other side well and (3) level of comfort with the interview. Interviewers and applicants were asked to provide a global rating for the interview. The questionnaires were administered to both candidates and applicants from 6 departments in 18 in-person and 12 video interviews. 30 applicant and 87 interviewer survey forms were collected and analyzed. T-tests were used to compare the means of the two groups and significance levels were analyzed. Both interviewers and applicants had a higher average global satisfaction for video interviews compared to in person interviews. No difference was indicated in the ability of interviewers to assess the applicants’ skills between the two types of interviews. For both interviewers and applicants, video interviews, compared to in person interview, had a lower average score for connecting personally & establishing rapport and for satisfaction with administrative arrangements. Video interviewed applicants had a 50% probability of getting accepted in a program compared to 22% of in person interviewed candidates. We conclude that video interviews appear to be a valuable alternative to in-person interviews, with some sacrifice in personal connection and rapport. Video interviews result in significant time and cost savings for international applicants and have potential implications for the CaRMS process as well. Sackett KM, Campbell-Heider N, Blyth JB. The evolution and evaluation of videoconferencing technology for graduate nursing education. Comput Inform Nurs. 2004 (Mar-Apr); 22(2):101-6. Shepherd L, Goldstein D, Whitford H, Thewes B, Brummell V, Hicks M. The utility of videoconferencing to provide innovative delivery of psychological treatment for rural cancer patients: results of a pilot study. J Pain Symptom Manage 2006 (Nov); 32(5):453-61. Arena J, Dennis N, Devineni T, Maclean R, Meador K. A pilot study of feasibility and efficacy of telemedicine-delivered psychophysiological treatment for vascular headache. Telemed J E Health 2004 (Winter); 10(4):449-54.


Author(s):  
Irham Arif Rahman ◽  
Nur Rasyid ◽  
Ponco Birowo ◽  
Widi Atmoko

AbstractErectile dysfunction (ED) is a major global health burden commonly observed in patients with end-stage renal disease (ESRD). Although renal transplantation improves the problem in some patients, it persists in ≈20–50% of recipients. Studies regarding the effects of kidney transplantation on ED present contradictory findings. We performed a systematic review to summarise the effects of kidney transplantation on ED. A systematic literature search was performed across PubMed, Cochrane, and Scopus databases in April 2020. We included all prospective studies that investigated the pre and posttransplant international index of erectile function (IIEF-5) scores in recipients with ED. Data search in PubMed and Google Scholar produced 1326 articles; eight were systematically reviewed with a total of 448 subjects. Meta-analysis of IIEF-5 scores showed significant improvements between pre and post transplantation. Our findings confirm that renal transplantation improves erectile function. Furthermore, transplantation also increases testosterone level. However, the evidence is limited because of the small number of studies. Further studies are required to investigate the effects of renal transplantation on erectile function.


2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
T.D Wang ◽  
W.J Lee ◽  
H.J Chang ◽  
Y.K Chang ◽  
W.J Chen

Abstract Background Obstructive pelvic arterial lesions are present in ∼70% of patients aged >50 years and having erectile dysfunction. The internal pudendal artery, with an average diameter of 2.5 mm, is the segment where ∼40% of pelvic obstructive lesions are located. Our prior experience showed a 40–50% binary restenosis rate for drug-eluting stents in internal pudendal artery. In this PERFECT-ABSORB study, we would like to assess the feasibility and safety of the bioresorbable everolimus-eluting vascular scaffolds (BVS), facilitated by intravascular optical coherence tomography (OCT), in patients with erectile dysfunction and concomitant internal pudendal artery stenoses. Methods This prospective, unblinded, single-arm, single-center study was a first-in-man proof-of-concept study. Patients with erectile dysfunction and obstructive pelvic arterial lesions (unilateral diameter stenosis ≥70% or bilateral stenoses ≥50%) in the internal pudendal arteries with reference vessel diameter ≥2.5 mm and ≤4.0 mm and a target-lesion length ≤30 mm in the pelvic computed tomographic (CT) angiography were recruited. All subjects underwent pelvic CT angiography, penile Doppler ultrasonography, and invasive pelvic angiography with OCT at baseline and 8 months after intervention. The primary endpoint is CT angiographic binary restenosis (≥50% lumen diameter stenosis) at 8 months. The secondary endpoints include sustained clinical success in erectile function (International Index for Erectile Function-5 [IIEF-5] score ≥22 or change in IIEF-5 ≥4 and without a later decline by ≥4) at 12 months. Results Eighteen patients were enrolled (mean age, 61.8±5.6 years; range, 52–71 years). The IIEF-5 score at baseline was 7.3±3.6, with a median duration of erectile dysfunction of 3 years. A total of 31 BVSs were implanted: seven patients were treated with one BVS, 9 patients with 2 BVSs, and 2 patients with 3 BVSs. All implanted BVSs were of 2.5 mm in diameter. Among the 17 patients undergoing 8-month follow-up pelvic CT angiography and invasive angiography (one not done due to colon cancer diagnosed later), binary CT angiographic restenosis developed in 7 (37%) of 19 lesions and 7 (41%) of 17 patients. After excluding those with lesions >30 mm (per-protocol analysis), binary CT angiographic restenosis developed in 5 (31%) of 16 lesions and 5 (36%) of 14 patients. Binary restenosis assessed by invasive angiography and OCT was the same as assessed by pelvic CT angiography. Among the 17 patients, 9 (53%) achieved sustained clinical success in erectile function 12 months following the procedure. All of them did not develop binary restenosis. Conclusions We for the first time demonstrated that BVS+OCT strategy for internal pudendal artery stenosis was safe and able to achieve 30% restenosis rate in lesions ≤30 mm in length. Compared to our prior experience, BVS+OCT strategy was associated with a numerically lower restenosis rate. Funding Acknowledgement Type of funding source: None


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