Gynaecology and genitourinary medicine

2018 ◽  
Author(s):  
Kevin Hayes
Keyword(s):  
Quality Of Life ◽  
Sexual Health ◽  
Teenage Pregnancy ◽  
Full Spectrum ◽  
Sexually Transmitted ◽  
Immunodeficiency Virus ◽  
The Government ◽  
The Uk ◽  
Improve Access

Gynaecological practices are changing constantly, with more emphasis on management in primary care, conservative, rather than surgical, management of conditions, and an increase in sub-specialization such as gynaecological oncology and urogynaecology. This chapter reflects these changes and covers the commonest areas in this interesting field. Sexual health is a specialty in its own right. The number of cases of sexually transmitted infections are rising in the UK, despite efforts to raise awareness of safe sex, so knowledge of their presentations is important. The UK also has the highest rate of teenage pregnancy in Europe, and the Government has set targets to improve access to contraceptive advice for women. In recent years, astounding advances have been made in the treatment of human immunodeficiency virus (HIV) infection, and people with HIV can now expect to have a much better quality of life. Although this chapter primarily focuses on diseases affecting women, we have included questions on the sexual health of men to represent the full spectrum of sexual health practice.

Two cases of Klinefelter's syndrome diagnosed at a sexually transmitted infection clinic

2007 ◽  
Vol 18 (7) ◽  
pp. 495-496
Author(s):  
Mary Dennehy ◽  
Graham A Roberts
Keyword(s):  
Quality Of Life ◽  
Early Diagnosis ◽  
Sexual Health ◽  
Sexually Transmitted Infection ◽  
Klinefelter’S Syndrome ◽  
Klinefelter's Syndrome ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Infection Clinic

Klinefelter's syndrome is an important genetic cause of infertility in males. Two cases are described, which were picked up at the sexually transmitted infection (STI) clinic because of the finding of unusually small testes. Physicians at STI clinics are uniquely placed to detect this condition as they examine the genitalia of thousands of healthy young men each year as part of a sexual health check up. Benefit of early diagnosis and treatment includes improved quality of life and avoidance of serious complications.

Sexual health: An overview of contraceptive methods for young people

2019 ◽  
Vol 14 (6) ◽  
pp. 271-276
Author(s):  
Deborah Louise Duncan
Keyword(s):  
Sexual Health ◽  
Teenage Pregnancy ◽  
Emergency Contraception ◽  
School Nurses ◽  
Sexual Health Education ◽  
Contraceptive Methods ◽  
Sexually Transmitted ◽  
Younger Women ◽  
The Uk ◽  
Insufficient Knowledge

Rates of teenage pregnancy and sexually diseases in the UK are high compared to other Western European countries ( Avery and Lazdane, 2008 ). School nurses are key contributors to sexual health education in the UK in younger women due to their access to the school-age population ( Wainwright et al, 2000 ). Research has suggested, however, that although their general knowledge of the topic was adequate, school nurses have insufficient knowledge to effectively teach about some topics such as sexually transmitted infections or emergency contraception (EC) ( Westwood and Mullan, 2007 ). School nurses can play an important role in providing EC to adolescents by streamline accessibility and distribution of EC, while maintaining adolescent privacy ( Lindberg, 2003 ). Certainly, they can have a subtantial role in promoting sexual health services.

When to Suspect Dementia?

2012 ◽  
Vol 5 (10) ◽  
pp. 620-624
Author(s):  
Frances Cundill
Keyword(s):  
Quality Of Life ◽  
Primary Care ◽  
Early Recognition ◽  
The Past ◽  
Specialist Services ◽  
Diagnosis Of Dementia ◽  
The Government ◽  
The Uk

Approximately 800 000 people have dementia in the UK and this number is expected to double over the next 30 years. Only 40% of those with dementia receive a formal diagnosis but if dementia is diagnosed early enough, there are lots of things that can be done to help people overcome the problems and to improve their quality of life. The Government has recognised this, and in the past 3 years it has produced a National Dementia Strategy and Prime Minister's Challenge on Dementia with an emphasis on early recognition and diagnosis of dementia. This article aims to highlight when to suspect dementia in primary care and what assessments should be carried out before referral to specialist services.

scholarly journals The impact of genital warts: loss of quality of life and cost of treatment in eight sexual health clinics in the UK

2011 ◽  
Vol 87 (6) ◽  
pp. 458-463 ◽  
Author(s):  
S. C. Woodhall ◽  
M. Jit ◽  
K. Soldan ◽  
G. Kinghorn ◽  
R. Gilson ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Sexual Health ◽  
Genital Warts ◽  
Cost Of Treatment ◽  
Health Clinics ◽  
Sexual Health Clinics ◽  
The Uk ◽  
The Impact

465: Impact of Post-Prostatectomy Urethral Strictures on Urinary and Sexual Health Related Quality of Life

2006 ◽  
Vol 175 (4S) ◽  
pp. 150-151
Author(s):  
Jeffrey S. Montgomery ◽  
Bishoy A. Gayed ◽  
Brent K. Hollenbeck ◽  
Stephanie Daignault ◽  
Martin G. Sanda ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Sexual Health ◽  
Health Related Quality ◽  
Urethral Strictures ◽  
Related Quality ◽  
Health Related

scholarly journals The impact of symptoms on quality of life before and after diagnosis of coeliac disease: the results from a Polish population survey and comparison with the results from the United Kingdom

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Emilia Majsiak ◽  
Magdalena Choina ◽  
Dominik Golicki ◽  
Alastair M. Gray ◽  
Bożena Cukrowska
Keyword(s):  
Quality Of Life ◽  
United Kingdom ◽  
Coeliac Disease ◽  
Gluten Free Diet ◽  
Gluten Free ◽  
The United Kingdom ◽  
Before And After ◽  
The Mean ◽  
The Uk

Abstract Background Coeliac disease (CD) is characterised by diverse clinical symptoms, which may cause diagnostic problems and reduce the patients’ quality of life. A study conducted in the United Kingdom (UK) revealed that the mean time between the onset of coeliac symptoms and being diagnosed was above 13 years. This study aimed to analyse the diagnostic process of CD in Poland and evaluate the quality of life of patients before and after CD diagnosis. In addition, results were compared to the results of the original study conducted in the UK. Methods The study included 2500 members of the Polish Coeliac Society. The patients were asked to complete a questionnaire containing questions on socio-demographic factors, clinical aspects and quality of life, using the EQ-5D questionnaire. Questionnaires received from 796 respondents were included in the final analysis. Results The most common symptoms reported by respondents were bloating (75%), abdominal pain (72%), chronic fatigue (63%) and anaemia (58%). Anaemia was the most persistent symptom, with mean duration prior to CD diagnosis of 9.2 years, whereas diarrhoea was observed for the shortest period (4.7 years). The mean duration of any symptom before CD diagnosis was 7.3 years, compared to 13.2 years in the UK. CD diagnosis and the introduction of a gluten-free diet substantially improved the quality of life in each of the five EQ-5D-5L health dimensions: pain and discomfort, anxiety and depression, usual activities, self-care and mobility (p < 0.001), the EQ-Index by 0.149 (SD 0.23) and the EQ-VAS by 30.4 (SD 28.3) points. Conclusions Duration of symptoms prior to the diagnosis of CD in Poland, although shorter than in the UK, was long with an average of 7.3 years from first CD symptoms. Faster CD diagnosis after the onset of symptoms in Polish respondents may be related to a higher percentage of children in the Polish sample. Introduction of a gluten-free diet improves coeliac patients’ quality of life. These results suggest that doctors should be made more aware of CD and its symptoms across all age groups.

scholarly journals Valuing health-related quality of life among the Indian population: a protocol for the Development of an EQ-5D Value set for India using an Extended design (DEVINE) Study

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e039517
Author(s):  
Gaurav Jyani ◽  
Shankar Prinja ◽  
Sitanshu Sekhar Kar ◽  
Mayur Trivedi ◽  
Binod Patro ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Added Value ◽  
Computer Assisted ◽  
Health Related Quality ◽  
Health States ◽  
Value Set ◽  
Related Quality ◽  
Health Related ◽  
The Government

IntroductionQuality-adjusted life year (QALY) has been recommended by the government as preferred outcome measure for Health Technology Assessment (HTA) in India. As country-specific health-related quality of life tariff values are essential for accurate measurement of QALYs, the government of India has commissioned the present study. The aim of this paper is to describe the methods for the Development of an EQ-5D Value set for India using an Extended design (DEVINE) Study. Additionally, this study aspires to establish if the design of 10-time trade-off (TTO) blocks is enough to generate valid value sets.Methods and analysisA cross-sectional survey using the EuroQol Group’s Valuation Technology (EQ-VT) will be undertaken in a sample of 2700 respondents selected from six different states of India using a multistage stratified random sampling technique. The participants will be interviewed using computer-assisted personal interviewing technique. The TTO valuation will be done using 10 composite TTO (c-TTO) tasks and 7 discrete choice experiment (DCE) tasks. Hybrid modelling approach using both c-TTO and DCE data to estimate the potential value set will be applied. Values of all 3125 health states will be predicted using both the conventional EQ-VT design of 10 blocks of 10 TTO tasks, and an extended design of 18 blocks of 10 TTO tasks. The potential added value of the eight additional blocks in overall validity will be tested. The study will deliver value set for India and assess the adequacy of existing 10-blocks design to be able to correctly predict the values of all 3125 health states.Ethics and disseminationThe ethical approval has been obtained from Institutional Ethics Committee of PGIMER, Chandigarh, India. The anonymised EQ-5D-5L value set will be available for general use and in the HTAs commissioned by India’s central HTA Agency.

scholarly journals The burden of periodontal disease

Dental Update ◽  
2019 ◽  
Vol 46 (10) ◽  
pp. 907-913
Author(s):  
Kasim Butt ◽  
Razia Butt ◽  
Praveen Sharma
Keyword(s):  
Quality Of Life ◽  
Periodontal Disease ◽  
Tooth Loss ◽  
Chronic Inflammatory Disease ◽  
Severe Form ◽  
Health Concern ◽  
Ageing Population ◽  
Obesity And Diabetes ◽  
The Uk

Periodontal disease is the most common chronic inflammatory disease seen in humans. It is a major public health concern, and in its severe form affects approximately 10.8% or 743 million people aged 15−99 worldwide. Trends such as the rise of smoking in developing countries, the obesity and diabetes epidemic, coupled with an ageing population with greater tooth retention, are all likely to increase the burden of periodontitis still further in the UK and worldwide. Consequences of periodontitis include hypermobility of teeth, tooth migration, drifting and eventual tooth loss. Tooth loss can directly affect the quality of life of a person in terms of reduced functional capacity, self-esteem and social relationships. CPD/Clinical Relevance: This article reports the prevalence of periodontal disease in the UK and worldwide, along with the consequences of periodontitis. The importance of timely diagnosis to avoid litigation is discussed, as is the importance of effective management of periodontitis in order to improve patients' oral health-related quality of life.

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