scholarly journals The Joint Work of Gynecologist and Psychologist in the Treatment of Sexual Pain Disorders and Vulvar Vestibulitis and the Use of Visnadina

2016 ◽  
Vol 9 (1) ◽  
pp. 161-162
Author(s):  
V. Basile ◽  
◽  
M. G. Iannace ◽  
A. Quartuccio ◽  
◽  
...  

Objective: Actually, sexual pain disorders could be interpreted in a much broader sense to include also non-coital sex disorders (for example clitoris pain or vulvar vestibulis pain during petting). The Vulvar Vestibulitis (VV) sums up the complexity of interacting values in the genesis of pain. The VV is a clinical disorder characterized by three symptoms for excellence: 1) Acute vestibule pain at any attempt of penetration; 2) Tenderness caused by pressure in the vaginal vestibule: if we consider the entrance to the vaginal orifice as a clock face, the pain is at its greatest in the 5 and 7 areas; 3) Erythema of various degrees in the vaginal vestibule. Design and Method: Vulvar vestibulitis as a multi system disorder involves the mucosa of the vaginal vestibule and can become home to an intense inflammatory response; it also involves the immune system with the proliferation of painful nerve endings, the nervous system, the muscular and vascular system. Symptoms associated with VV can be of a urinary nature, with an urgent need to urinate after intercourse, or chronic cystitis or the onset of pain with the same characteristics as dyspareunia during a gynecological examination and so on. Results: In an outpatients setting which differs from the usual psychological/gynecological one, the presence of two specialists, that is a psychologist and a gynecologist at the gynecological examination may help. During the checkup when the speculum is inserted into the vagina to get a direct observation of the structure of the vagina, any lesions caused by chronic inflammation of the vaginal vestibule can be highlighted. The psychologist on the other side of the bed keeping direct eye contact with the patient can help her to manage the anxiety or pain linked to the moment of finger penetration or with the use of diagnostic instruments, as well as breathing management through autogenic training which will lower any anxiety-related situations. Eye contact can also keep the patient anchored to the real situation and keep her in touch with reality which can easily be distorted in a panic situation. Conclusions: In these conditions the gynecologist can carry out his examination, with penetration for example giving the patient a direct experience of it which in turn can act as a positive feedback for future experience. The use of Visnadina (Refeel Spray) is particularly useful for patients who suffer generally from painful sex and sexual arousal disorders. Refeel Spray was the product used as the reference sample in these cases.

2021 ◽  
pp. 014544552110540
Author(s):  
Hide Okuno ◽  
Taylor Rezeppa ◽  
Tabitha Raskin ◽  
Andres De Los Reyes

Socially anxious adolescents often endure anxiety-provoking situations using safety behaviors: strategies for minimizing in-the-moment distress (e.g., avoiding eye contact, rehearsing statements before entering a conversation). Studies linking safety behaviors to impaired functioning have largely focused on adults. In a sample of one hundred thirty-four 14 to 15 year-old adolescents, we tested whether levels of safety behaviors among socially anxious adolescents relate to multiple domains of impaired functioning. Adolescents, parents, and research personnel completed survey measures of safety behaviors and social anxiety, adolescents and parents reported about adolescents’ evaluative fears and psychosocial impairments, and adolescents participated in a set of tasks designed to simulate social interactions with same-age, unfamiliar peers. Relative to other adolescents in the sample, adolescents high on both safety behaviors and social anxiety displayed greater psychosocial impairments, evaluative fears, and observed social skills deficits within social interactions. These findings have important implications for assessing and treating adolescent social anxiety.


2014 ◽  
Vol 4 (2) ◽  
pp. 34-42
Author(s):  
Pranab Chatterjee ◽  
Anjan Kumar Das ◽  
Carmel Martin ◽  
Asok Basu ◽  
Rakesh Biswas

The motivation for this paper is based on the assumption that certain patient and health professional users' experiences can serve as a mirror or a model, whether positive or negative, for other patients and health professional users/learners. This narrative presents a patient's experience of his complicated and ad hoc journey through the diagnoses and treatment of his vascular system disorder. It then tries to connect this with health professional opinions and other patient experiences toward the collective goal of ‘getting a proper diagnosis and management of vascular disease.' Interspersed are professional narratives in the form of clinical evidence and expert comments towards clinical problem solving around vascular system disorders. User-driven health care implies shared decision making based upon collaborative partnerships between patients and health professionals. This narrative indicates that power imbalances in knowledge, particularly when the patient is ill and vulnerable, can lead to inappropriate and even harmful treatments, when profit appears to be the main driver of the medical industrial complex.


2020 ◽  
Vol 65 (1) ◽  
pp. 254-260
Author(s):  
G.M. Bobizoda ◽  
◽  
T. Zh. Shakenova ◽  
N. Zh. Shakenova ◽  
◽  
...  

The article deals with the formation of functional literacy of students through the technology of project activities in biology lessons.Project activity is one of the most effective educational technologies of a modern school.It is a purposeful, independent activity of students under the guidance of a teacher.The teacher creates a positive emotional mood of all students during the work on the project and organizes equal partner confidential communication.The essence of this technology is to stimulate children's interest in certain problems involving the possession of a certain amount of knowledge and through project activities to show the practical application of the knowledge obtained. This project is designed for individual work, pair work, group work, which students perform for a certain period of time.At the same time,the role of the teacher changes - from a simple translator ofknowledge, it becomes a real organizer of joint work with students, contributing to the transition to real cooperation in the course of knowledge acquisition. The project activity is based on the development of students ' cognitive skills, the ability to independently construct their knowledge, navigate the information space, and develop critical and creative thinking.This technology allows students to acquire knowledge in the process of their own educational and cognitive activities.Project activity is one of the most effective means of forming key competencies of students at the moment.


Author(s):  
Mirenkov Valerii

Introduction. The article considers a variant of a straight finite fracture modeled by a mathematical cut in the elastic plane. Aim. The new model proposed differs from the existing models by the damage zone bounded by the elastic material at the fracture tip up to the moment of the fracture growth. The process of fracturing is essentially nonlinear. Methodology. The model is based on the full-scale tension experiments with a reference sample of rocks enclosing a fracture and having the characteristic stress points, namely, proportionality limit, elasticity limit, plasticity domain and the domain in the vicinity of destructive stresses. Results. The problem with fracture is considered as an experiment to determine deformation with growing pressure in the fracture. The problem has no correct analytical solution. The problem on hydrofracture 20 "Izvestiya vysshikh uchebnykh zavedenii. Gornyi zhurnal". No. 4. 2020 ISSN 0536-1028 assumes the presence of the initial stress field in rock mass, which is essentially used in formulation of boundary conditions. Conclusions. All such problems belong to the class of Cauchy’s problems with an infinitely distant point in the computational domain. This article proposes the correct formulation of the fracture theory problem in the static, kinematic and dynamic framework.


1907 ◽  
Vol s2-51 (204) ◽  
pp. 557-606
Author(s):  
E. W. MACBRIDE

The principal points which have been brought out in this paper may be summarised as follows : (1) The early development of Ophiothrix fragilis varies with the condition of the egg at the moment of fertilisation, and the development of the unripe egg resembles in certain features that of Ophiura brevis. (2) The cœlom originates as a single vesicle from the apex of the archenteron, and this appears to be true for all classes of Echinoderms. (3) The segmentation of the cœlom proceeds along the same lines as those already elucidated for Asteroidea and Echinoidea, viz. into three somites on each side, but the middle somite on the right side is not shifted dorsally as it is in Asteroidea and Echinoidea. This somite occasionally assumes a five-lobed form, proving beyond doubt that it is a right antimere of the water-vascular system. (4) The left hydrocœle is budded from the anterior division of the left cœlom, not from the posterior division as Bury supposed (5), and its persistent connection with the left anterior cœlom constitutes the stone-caual; this opens into the hydrocœle between lobes 1 and 2, as in Asteroidea, not between lobes 4 and 5 as Bury asserted. (5) The metamorphosis is initiated by a preponderant growth of the organs of the left side, which affects the larval arms and the sides of the œsophagus, aud which not only carries the hydrocœle round the œsophagus but also the madreporic pore and the left anterior cœlom, so that these come to be near the right hydrocœle. (6) The perihæmal system of canals originates as a series of five hollow evaginations, the cavities being small and the walls thick. The first Originates from the left anterior cœlom, the other four from the left posterior cœlom. From their walls originate the motor ganglion cells and in all probability the ventral inter-vertebral muscles. (7) The left posterior cœlom gives rise to a dorsal and a ventral horn, which eventually meet, causing it to assume a ring-shape. From it five evaginations give rise to the arm rudiments and the first of these comes to overlie hydrocœle lobe No. 2. (8) A peri-oral cœlom closely surrounding the adult œsophagus originates from the left posterior cœlom. (9) A series of epineural ridges, the tops of which grow out so as to form arch-like folds, are formed inter-radially alternating with the primary tentacles. By the union of adjacent arches the basal portions of the tentacles are covered, exactly as occurs in. the Echinoid larva. (10) The adult œsophagus is formed from the left inner portion of the larval one: its covering is made of the adoral ciliated baud, chiefly of the left half thereof, which grows pari passu with the left hydrocœle. The outer part of the larval œsophagus opens out in consequence of the shrinkage of the forehead to form an atrium into which the primary hydrocœle lobes project. (11) The larval intestine slowly diminishes in size and degenerates, this process being accompanied by a vacuolisation of its cells. The larval stomach becomes pushed over to the right--a process which leads to the same result as the moving of the larval mouth to the left in Holothuroidea, or the formation of the adult mouth on the left in Asteroidea and Echinoidea. (12) The primitive germ-cells originate from the left posterior cœlom covering the stone-canal. In conclusion, I have to express my thanks, first to the University of Cambridge and to the British Association, who granted me the use of their tables at Plymouth; next to Dr. E. J. Allen, Director of the Marine Biological Laboratory at Plymouth, who in the most whole-hearted and generous manner placed the resources of the laboratory at my disposal; then to my friend and colleague, Mr. J. Simpson, B.Sc., Demonstrator of Zoology in McGill University, to whoso skill I owe a large proportion of the drawings which illustrate this paper; and lastly to my wife, who also assisted with the more complicated drawings, with the text-figures, and with the general revision of the text.


1878 ◽  
Vol 26 (179-184) ◽  
pp. 314-321

In a communication published in the ‘Transactions of the Royal Society ’(1860, p. 579) I gave the results of analyses showing that what had previously been looked upon, under Bernard’s glycogenic theory, as the natural condition of the blood in relation to sugar was a fallacious representation due to a post mortem change being allowed to exert its influence. It had hitherto been asserted that the blood of the right side the heart was in a notably different condition as regards the amount of sugar it contained from that of the arterial system, an error which I discovered arose from the non-observance of certain precautions in the mode of obtaining the blood for examination from the respective parts of the vascular system. Whilst the arterial blood had been collected during life, it was customary to collect that from the right side of the heart, without any special haste, after the destruction of the life of the animal. During the period thus allowed to elapse between the moment of death and the collection of the blood, an alteration occurs from the post mortem production of sugar in the liver, which causes the blood to assume an extent of saccharine impregnation which does not naturally belong to it during life, and which had faded to be recognized in its true light. I gave analyses which show that what was formerly taken as representing he natural condition of the blood of the right side of the heart furnished from .50 to .94 per cent., or, as it is more convenient to state it, 5.0 to 9.4 per 1000 of sugar, the blood from the carotid artery of the same animals, collected during life, having contained what I described as a trace of sugar. Other analyses, three in number, were given, representing the true condition of the blood belonging to the right side of the heart during life, and the results indicated from .47 to .73 per 1000 as the amount of sugar. Bernard has recently published some communications entitled “Critiques expérimentales sur la glycémaie,” in the Comptes Rendus de I’Académie des Sciences de Paris. His statements are founded upon a method of analysis which is not only strikingly devoid of precision as a quantitative analytical process, but in itself of a nature calculated to give rise to a fallacious result.


The distribution of the bronchial arteries (the vasa nutritia of Reisseissen) within the lung has been investigated by many anatomists but, beyond our knowledge that they are nutritional vessels to the bronchial tree (Reisseissen and Sömmering, 1808; Reisseissen, 1808, 1822 ; Luschka, 1863; Königstein, 1903), little is known of their significance for the maintenance of the normal functions of the lungs. At the moment their chief interest lies in the number of reports describing the changes in the bronchial blood vessels resulting from interference with the pulmonary vascular system and from lesions in the lungs. Two years ago Professor E. B. Verney and one of us (I. de B. D.) were conducting experiments in this laboratory which involved the separation of the pulmonary from the systemic circulation in the dog, the two systems being perfused by separate pumps. In one experiment it appeared that blood was being transferred from the aorta to the left auricle through the bronchial vascular system. It became desirable, therefore, to inquire into the conditions which govern the bronchial blood supply. At an early stage in this inquiry it was evident that, owing to the variations in the origin of the bronchial arteries, a study of the gross and minute anatomy of the bronchial vascular system in each perfusion experiment would be necessary if anything approaching a correct interpretation of our results was to be expected. As a preliminary investigation to our perfusion experiments, we have examined the bronchial vascular system in a number of animals and the results form the subject of this paper. In it are also incorporated the anatomical findings on the perfused lungs used for physiological investigations. We have concentrated our efforts on two main issues: the first, the arrangement of the bronchial arteries and veins with a view to setting up apparatus for perfusion of the bronchial arteries and the collection of the blood from the bronchial veins ; the second, an enquiry into possible arterial and venous communications between the bronchial and pulmonary vascular systems. It is clear that if arterial anastomotic channels exist between the two systems it will not be possible to separate completely the arterial blood of each.


2021 ◽  
Vol 62 (01) ◽  
pp. 124-127
Author(s):  
Melek Anday Rifat Tolunay ◽  

While vaginismus can occur in some women during the first sexual intercourse, and sometimes in women who have not had any problems during previous sexual intercourse, this diagnosis can occur over time, depending on a traumatic event or problem they are experiencing. Vaginismus is divided into primary and secondary according to the time of its formation. The following are the reasons for the formation of the secondary form: Problems between couples A traumatic birth experience Abortion Exposure to sexual assault Rough gynecological examination, etc. One of the points to note is that the diagnosis of vaginismus may include additional symptoms. These are: Apareunia, Dyspareunia and Vulvar Vestibulitis Syndrome (VVS, Vulvar Vestibulitis). Although the symptoms we have listed are very similar to vaginismus, they are completely different from each other. Key words: vaginismus, trauma, Attachment, types of vaginismus, couple relationships, Dyspareunia, Vulvar vestibulitis, Aparoni


2016 ◽  
Vol 70 (5-6) ◽  
pp. 185-204
Author(s):  
Sava Lazic ◽  
Tamas Petrovic ◽  
Dejan Bugarski ◽  
Milovan Jovicin ◽  
Budimir Plavsic ◽  
...  

Infectious bovine rhinotracheitis/infectious pustular vulvovaginitis (IBR/IPV) are diseases that affect cattle population of all breeds, categories and age. Both diseases, especially infectious bovine rhinotracheitis (IBR), poses severe health threat and causes major economic losses and is considered one of the ?most costly? disease in cattle industry. The causal agent of the disease is a virus and any detection of IBR/IPV specific antibodies in non-vaccinated cattle, either in blood or milk, indicates that animal is infected and represents the source of infection. Countries with developed and intensive cattle breeding have been developed and implemented their national eradication programs to control IBR/IPV in accordance with international regulations. In this article, we outlined the needs and program for the eradication of IBR/IPV in the Republic of Serbia. The eradication program for IBR/IPV is an extensive process that requires systematic strategy involving different phases and activities. The eradication process from the moment of implementation until obtaining IBR/IPV-free status can last over several years and requires joint work and considerable financial resources that will be compansated with the elimination of IBR/IPV from the herd. This article gives an overview of all stages and activities regarding eradication of the disease and certification and maintaining of IBR/IPV-free herd status.


Author(s):  
Stefan Ciornei ◽  
Dan Drugociu ◽  
Liliana Margareta Ciornei ◽  
Rosca Petru

Although artificial insemination can mean a slow and progressive improvement of animal genetics, in buffalo-cow its practical application is difficult the results are incomparably lower then cattle. The purpose of this article is to develop a new methodology, a well-known technique to make AI biotechnology more applicable to the buffalo, in order to improve the conception rate. The protocol we follow is to stimulate hormonal ovarian activity, inducing the dominant follicle, causing ovulation and scheduling the moment of sexed artificial insemination deep in the uterine horn only ipsilateral to the ovary that will ovulate. The experiment was performed on 40 primiparous buffaloes-cows in two groups for AI separated by two bulls whit 2 Millions female sperm straws. The groups was compiled after a thorough gynecological examination, and subsequently the OvSynch therapeutic protocol was started. The results were 82,5% buffaloes (33/40) had dominant follicle (DF) and inseminated, on hot/cold seasons the distribution was 75%vs90%. The conception rate was 63,6% (21/33), on hot/cold seasons 60%vs66,6%, and after calving 92.5% (20/21) female cattle were obtained. Thus, by implementing UcFTAI protocol, we state that the goal of increasing the genetic potential of CIB by becomes achievable and can be extended to a larger scale. Our Improved Protocol (UcFTAI) aims to reduce waste and maximize OvSynch hormone therapy.


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