scholarly journals P002 POST-PARTUM ABDOMINAL WALL INSUFFICIENCY SYNDROME. LESSON LEARNED FROM THE SINGLE SURGEON'S EXPERIENCE BASED ON 200 CASES

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Maciej Smietanski ◽  
Irmina Śmietańska

Abstract Aim Post-partum abdominal wall insufficiency with rectus diastasis is present in over 30% of women after pregnancy. Little is known about how PPAWI affects the social, sexual life and self-esteem of patients. This study was designed to evaluate the safety of onlay mesh combined with abdominoplasty and its impact on the well-being of the patients. Material and Methods Two hundred patients with PPAWI underwent surgery with onlay mesh and abdominoplasty. The safety of the procedure was assessed by postoperative complications, time of hospitalization and time of drainage. Before the operation and 6 months later, a questionnaire asking about the patient’s sexual and social life and the presence of back pain was completed. The cosmetic effect was assessed separately. Results The onlay procedure with abdominoplasty was found to be safe and fast. The mean operation time was 82 min, and the drainage time was 2.1 days. In this group <2% postoperative complications were noted. There were no recurrences within the 6 month.p. Significant improvements in social and sexual life and the level of self-esteem were noted. Back pain was relieved or minimalized in all patients. The cosmetic effect was insufficient for 2 patients (1%). Conclusions PPAWI can be treated safely with onlay mesh and abdominoplasty. The patients’ symptoms were strongly correlated with the morphological status of the front abdominal wall and improved after the procedure. The authors are the first to propose PPAWI syndrome as a complex disorder with a disease classification, which can help patients with their choice of proper surgical intervention.

2011 ◽  
Vol 26 (S2) ◽  
pp. 1438-1438 ◽  
Author(s):  
A.J. Marques ◽  
T. Santos ◽  
C. Queiros

IntroductionSexuality is an important dimension of life. To promote the well-being and quality of life of people with Schizophrenia, they must experience their sexuality in healthy ways. However, the lack of studies about this topic makes difficult to develop interventions in this area.AimsUnderstand the knowledge, beliefs and attitudes related with sexuality of schizophrenic individuals.MethodsData were collected using a questionnaire intentionally prepared for this study, with questions related to biologic, emotional and social dimensions of sexuality, evaluating: knowledge, beliefs and attitudes about sexuality; sexual activity; emotional intimacy, friendship and social life. The sample was composed by 35 individuals with Schizophrenia: 83% male and 17% female; mean age 41 years.ResultsThe data revealed that 86% of the sample is single and only 6% have an affective relationship. They have difficulties to have friends, to have a satisfactory social life, and only 20% have a job. Despite the correct knowledge about sexuality, they reveal difficulties in fulfilling emotional or intimate relationships, they feel lonely and unsatisfied about their sexual life. They also feel negative effects of anti-psychotic drugs, often neglected by health professionals, views as non-preoccupied with the quality of the sexual life of the patients.ConclusionsThe sample valorized being asked about their sexuality, revealing that this topic is forgot by the professionals. It seems necessary to develop interventions regarding the sexuality of those individuals. Our future research is to ameliorate the questionnaire, preparing it to be useful when professionals discuss sexuality with schizophrenic individuals.


2019 ◽  
Vol 36 (1) ◽  
Author(s):  
Jeremias L. Convocar ◽  
Myrna L. Pios

Creating a safe and supportive learning environment for all students regardless of their sexual orientations is especially important. This descriptive study determined the extent of sexual orientations, level of self-esteem and problems of 664 randomly selected senior college students of a certain state university in the Philippines. The online Epstein Sexual Orientation Inventory (Epstein, McKinney, Fox, & Garcia, 2012), Rosenberg (1989) Self-esteem scale, and Mooney (in Tian & Heppner, 2018) Problem Check Lists were employed in the study. The findings revealed that of 664 college students, 56 % were “straight,” 38 % were “bisexual,” 6 % were “homosexual”; of 300 males, 57 % were “straights”, 33% were “bisexuals”, and 9% were “gays”; of 364 females, 55% were straights, 42% were “bisexuals”, and 4% were “lesbians”. They had “high” self-esteem regardless of their sexual orientations; male-bisexuals had significantly better self-esteem than male-gays. Generally, they need concentration in studying academics and enough rest, worried about how to get a job after graduation and economic condition of their parents, personal financial needs, social leadership qualities, and spiritual assurance. However, gays and lesbians need more freedom and most obsessed with emotional and sexual life. Thus, higher education institutions should provide to all students a wholesome and supportive learning environment responsive to students’ individual needs and well-being regardless of sexual orientations.


2021 ◽  
Vol 14 (3) ◽  
pp. 70-93
Author(s):  
Rosa Paola Figuerola-Escoto ◽  
David Luna ◽  
Miguel Angel Lezana-Fernández ◽  
Fernando Meneses-González

Introduction: Psychological well-being favors the functioning of personal and social life. Valid and reliable instruments are necessary for its evaluation that allow deciding and assessing the actions necessary to promote it. Objective. To evaluate the psychometric properties of the Scale of Psychological Well-being for Adults (BIEPS-A) in a Mexican sample. Methods: The BIEPS-A scale and the Rosenberg Self-Esteem Scale (RSES) were administered to 188 university students and 94 participants from the general population. Results: A parallel analysis detected a single factor in the BIEPS-A scale, structured by exploratory factor analysis (main components, oblique rotation) that retained 9 items and explained 54% of the variance. Internal consistency ranged from acceptable (Cronbach's α = .78) to high (ordinal alpha = .90). ROC curve analysis identified a cut-off point equivalent to the median (AUC = .72, p <.01) and another to the 75th percentile (AUC = .80, p <.01). The latter identified as a woman, between 18 and 25 years old with a low or slight level of self-esteem as predictors of a low level of psychological well-being. The BIEPS-A scale showed concurrent (r = .57) and predictive (β = .63) validity with the EAR. Discussion and conclusions: The BIEPS-A scale is a valid and reliable instrument to assess psychological well-being in the Mexican population. However, the differences with respect to its original structure indicate the need for a psychological well-being scale designed specifically for the Mexican population.


2021 ◽  
Vol 9 ◽  
Author(s):  
Mark A. Bellis ◽  
Catherine A. Sharp ◽  
Karen Hughes ◽  
Alisha R. Davies

Introduction: Population health concerns have been raised about negative impacts from overuse of digital technologies. We examine patterns of online activity predictive of Digital Overuse and Addictive Traits (DOAT). We explore associations between DOAT and mental well-being and analyse how both relate to self-reported changes in self-esteem, perceived isolation, and anxiety about health when individuals use the internet for health purposes.Methods: A cross-sectional nationally representative household survey of adults using stratified random sampling (compliance 75.4%, n = 1,252). DOAT was measured using self-reported questions adapted from a social media addiction scale (failure to cut down use, restlessness when not using, and impact on job/studies and home/social life in the last year), combined into a single DOAT score. Higher DOAT score was defined as &gt;1 standard deviation above population mean. The Short Warwick-Edinburgh Mental Well-being Scale was used to measure mental well-being. Analyses were limited to those with internet access (n = 1,003).Results: Negative impacts of digital technology use on work and home/social lives were reported by 7.4% of respondents. 21.2% had tried but failed to cut down use in the past year. Higher DOAT was associated with higher social media and internet use but also independently associated with greater risks of low mental well-being. Higher DOAT was associated with both improvement and worsening of self-esteem, perceived isolation and anxiety about health when using the internet for health reasons, with no change in these outcomes most likely in those with lower DOAT. Lower mental well-being was associated with a similar bi-directional impact on perceived isolation and was also associated with worsening self-esteem.Conclusions: Substantial proportions of individuals report negative impacts on home, social and working lives from digital technology use, with many trying but failing to cut down use. Individuals with higher DOAT may experience improvements or worsening in self-esteem and other measures of mental well-being when using the internet for health purposes. From a public health perspective, a greater understanding of risk factors for digital overuse, its impacts on well-being and how to reasonably limit use of technology are critical for a successful digital revolution.


Author(s):  
Anne-Sofie Hiswåls ◽  
Anneli Marttila ◽  
Emelie Mälstam ◽  
Gloria Macassa

Introduction: Several studies have revealed an association between unemployment and ill health, and shown that unemployment can affect people differently. This study aimed to provide an understanding of the experiences of unemployment and perceptions of wellbeing among persons who involuntary lost their work during the recent economic recession in Gävle Municipality. Methods: Sixteen unemployed men and women aged 28-62 were interviewed face-to-face. A purposeful sampling strategy was used in order to suit the research question and to increase the variation among informants. The interview texts were analysed using thematic analysis. Results: Six different themes emerged from the accounts: The respondents perceived work as the basis for belonging, and loss of work affected their social life and consumption patterns due to changes in their financial situation. They also expressed feelings of isolation, loss of self-esteem, and feelings of hopelessness, which affected their physical well-being. Longer duration of unemployment increased the respondents’ negative emotions. The respondents reported activities, structure, and affiliation in other contexts as part of their coping strategy against poor mental health. Conclusions: After job loss, the respondents experienced feelings of loss of dignity and belonging as a human being. They also felt worry, insecurity, and stress due to their changed financial situation, which in turn led to isolation and loss of self-esteem. Social support and having other activities gave the respondents structure and meaning.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 893-893
Author(s):  
Daniela Catarino ◽  
Colin Adams

Abstract Research shows that self-esteem and well-being have strong correlations to cognitive abilities. People with high self-esteem, compared to those with a low self-esteem, tend to evaluate themselves as more favorable after both high and low performance. However, less research has been conducted on self confidence among the older population and how this can potentially negatively or positively influence the aging process. The purpose of the study was to see if there is an effect of age on cognitive function. The second aim was to see if there is an effect of cognitive function on self-esteem. The first hypothesis was that middle-aged adults would exhibit higher cognitive functioning than older adults. The second hypothesis was that those with lower cognition would exhibit lower self-esteem. A secondary analysis of data from the National Social Life, Health, and Aging Project (NSHAP) was performed on 60 randomly selected individuals from a total of 3,005 participants. A 2 x 2 chi square test revealed that the younger group (63%) compared to the older group (37%) were significantly more likely to exhibit perfect cognitive functions (versus not), χ² (1) = 4.27, p &lt; .05. A One-Way ANOVA revealed no significant main effect of cognitive function on self-esteem, F(1, 58) = 2.97, p = .09. This suggests that cognitive functions are more likely to decline as one ages but cognitive function alone might not strongly influence self-esteem. Future research should aim to understand under what conditions confidence influences cognitive function to promote healthy interventions for successful aging.


Author(s):  
Maria Di Nardo ◽  
Chiara Conti ◽  
Giulia Di Francesco ◽  
Giulia Nicolardi ◽  
Maria Teresa Guagnano ◽  
...  

Abstract Purpose It is well known that body mass index (BMI) affects how individuals perceive their well-being and that obese individuals tend to report poorer levels of subjective health status. The aim of this study was to compare subjects with and without FSD and to examine the direct and indirect impact of BMI on female sexual dysfunction (FSD) in overweight/obese and normal-weight women. Methods A cross-sectional study was conducted on 186 overweight/obese and 233 normal-weight women. FSD assessed with the Female Sexual Function Index (FSFI) was investigated in relation to body satisfaction assessed with the Body Uneasiness Test (BUT-A) and self-esteem assessed with the Rosenberg Self-Esteem scale (RSE). Results No difference in the prevalence of FSD was found between overweight/obese (44.4%) and normal-weight women (55.6%), even though significant between-group differences in body image were found. Structural Equation Modelling (SEM) showed that BMI contribute to FSD only through the mediating role of body dissatisfaction and self-esteem. Conclusions The present results support the notion that sexual functioning is not related directly to BMI in women but to a more complex interactions of body weight, satisfaction with one’s own body image, and levels of self-esteem. Clinicians should take into account that for women having a good sexual life seems not related to body weight but to the way their body weight is perceived within the context of self-image. Level of evidence Level III, case–control analytic study.


2004 ◽  
Vol 20 (4) ◽  
pp. 262-274 ◽  
Author(s):  
Manuel de Gracia Blanco ◽  
Josep Garre Olmo ◽  
María Marcó Arbonès ◽  
Pilar Monreal Bosch

Summary: Self-concept is a construct consisting of a group of specific self-perceptions that are hierarchically organized. Age-associated changes of self-concept are related to the individual's perception of the changes occurring throughout the aging process. The authors examined external validity and internal consistency of an instrument that has been developed to assess self-concept in older adults and examined self-concept's characteristics in two different contexts. Results confirm the multidimensionality of the scale and show a satisfactory external validity, indicating good discriminatory capacity. Findings support the hypothesis that older people who live in a nursing home have a poor self-esteem, self-concept, and psychological well-being and have a greater presence of depressive symptoms than people who live in their own home.


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