scholarly journals PREVALENCE OF ERECTILE DYSFUNCTION IN UROLOGY CONSULTATION: A PROSPECTIVE STUDY

2021 ◽  
Vol 9 (03) ◽  
pp. 713-718
Author(s):  
Mohamed Oubihi ◽  
Souleimane Soussi ◽  
Yacine Karmouch ◽  
Abderrezak Benazzouz ◽  
Fouad Hajji ◽  
...  

Introduction:Erectile dysfunction is defined by the inability to obtain or maintain an erection sufficient to allow a satisfactory sexual relationship, according to the 2nd International Conference on Sexual Dysfunctions of 2004. This constitutes an attack on virility, and is a source of significant psychological suffering for the individual as well as for his partner. Erectile dysfunction is also a multifactorial disease, related to the overall physical and psychological health of the patient. Materials And Methods: The survey was conducted during three months in the military hospital of Avicenne in Marrakesh. It involved all patients consulting in Urology aged over 18 years regardless of the reason of consultation. Data was collected through a questionnaire by direct interview. The evaluation of ED was based on the definition of the 2nd International Conference of Sexual Dysfunction of 2004. Results: The analysis included 482 patients. The average age of patients was 51 ± 11 years. The main reason for consultation was a prostate problem (45.2%). ED was indicated as reason for consultation by 5.1% of patients. The overall prevalence of ED was 46%. 35.2% already discussed it with a doctor. ED was significantly correlated with age, benign prostatic hyperplasia, cardiovascular risk factors, prostate and pelvic surgery (P<0.001). 29.7% of ED patients used PDE5 inhibitors, 54% found it to be effective. Conclusion: This survey confirms the high prevalence of ED and its important underreporting. Physicians are encouraged to ask patients about ED, especially since there are now simple and effective therapies.

Author(s):  
Svitlana Kalishchuk

The paper raises the issue of exacerbation of psychological problems caused by the political and economic environment, which creates a general social tension and becomes a background that exacerbates the existential problems of the individual. That's why author emphasizes on a particular need for the development of therapeutic direction and a detailed and well-grounded development of therapeutic concepts. It creates ways of an effective solve of current problems of psychological health and well-being of the person. The article explained the conceptual provisions of the establishment, operation and therapeutic work with the symptom. The main characteristics, structure and overall symptom phenomenological expanse from the standpoint of the existential approach of the theory of system solutions and system modeling. Psychological functions of a symptom are considered. Issues of operationalization of a symptom and definition of conceptual provisions of its formation are solved . Basic rules of interpretation of a symptom and interpretation of the concept are described in terms of several approaches. The conceptual provisions of symptom formation that allow to include it in psycho-corrective methods are considered in detail. The methods of the existential-systemic technological approach for providing psychological assistance to the client are analyzed and empirically tested, providing dynamic changes in the content of the "picture of the world" of clients in the cognitive and ontological plans. According to the empirical study, psychosomatic, emotional and behavioral symptoms were presented. It has been shown that symptoms with different specificities have unchanging constituents and functions. It also has been shown that applying an existential approach helps the symptomatic client to produce a new, better reality that will take into account the actual needs and aspirations of the subject. Thus, the main task, which is directed and work with the symptom – is the person's approach to himself/herself, greater sensitivity to his own real existential aspirations.


Author(s):  
S. R. Tsyrendorzhjyev

The notion of "military danger, military threats, military and non-military measures to Parry, and other definitions from the policy of the State to ensure the military security of the now widely used in journalism, conceptual, other documents and research. The attentive reader it is not difficult to notice the ambiguity in the interpretation of these concepts. This makes it difficult to not only the perception of the relevant topics for ensuring military security publications, but also the development of the theory and practice of ensuring the defence and security of the State. The author's view on the essence of the reasoning logic of non-military measures to counter military threats, as the ultimate goal of the article is the following.First the task of analyzing the concept of "national security", "object of national security" and understand the functions of the State, society and the individual to ensure national security. Decomposition of an object of national security, which is "national property" (the content of the concepts described in the article) has made it possible to substantiate the basis for classification of national security threats and with better understanding of the nature, variety, Genesis. This provided a rationale for the role and the place of the tasks ensuring military security in the common task of ensuring national security, the correlation of military and non-military threats.The final phase of the research, the results of which are set out in the article is devoted to analysis of military threats, which made it possible to identify their main structural elements: source, media, military-political and strategic nature, install the main factors defining the content of these elements and their interaction. Based on these results, the proposed definition of the essence of non-military measures for counteracting of military threats, as well as guidelines for developing these measures.


2019 ◽  
Author(s):  
Sofia Artemi ◽  
Panteleimon Vassiliu ◽  
Nikolaos Arkadopoulos ◽  
Maria - Eleni Smyrnioti ◽  
Pavlos Sarafis ◽  
...  

Abstract Objective: Erectile dysfunction can be caused iatrogenically, due to pelvic surgery. The purpose of this study was to evaluate sexual function at various times after pelvic surgery in male patients and to investigate the non-modifiable risk factors associated with the presence and intensity of sexuality in these patients. Results: The mean age of the participants was 66.16 ± 13.07 years old. Regarding comorbidity, 47.2% reported various cardiovascular problems, 20.8% hypertension, 9.4% diabetes mellitus and 5.7% depression. A history of colectomy was present in 36.8%, 18.9% had undergone sigmoidectomy, and 33% inguinal hernia repair. The percentage of severe erectile function increased from 38.7% before surgery to 48.1% (25% increase) after surgery, at the end of the follow-up period (p <0.05). In the multivariate analysis model, age emerged as an independent predictor of erectile function ( p <0.001). Age was the most important determinant of the IIEF score, which was aggravated by 25% from the first to the last assessment of patients.


2010 ◽  
Vol 53 ◽  
pp. 45-62
Author(s):  
Modestas Grigaliūnas

Straipsnyje pilietinis pasipriešinimas aptariamas kontrpropagandos požiūriu, siekiant pagrįsti šio individualaus nesutikimo su galios struktūrų primetamomis situacijomis deinstitucionalizavimo prielaidas. Teigiama, kad kontrpropaganda gali būti laikomi ir individualūs pasipriešinimo veiksmai, komunikaciniu požiūriu išreikšti viešojoje erdvėje. Pristatomi šiuolaikinės kontrpropagandos sampratos virsmai, o pilietinis pasipriešinimas išskiriamas ir empiriniais pavyzdžiais iliustruojamas kaip metodas, galintis atspindėti ir individualios deinstitucionalizuotos kontrpropagandos procesus, ir valstybinę militaristinę gynybą.Pagrindiniai žodžiai: kontrpropaganda, pilietinis pasipriešinimas, informacinės kovos, šalies gynyba, bendruomenių aktyvumas.Civil Resistence and Assumptions of the Deinstitutionalization of CounterpropagandaModestas Grigaliūnas SummaryCivil resistance is analyzed under the outlook of counterpropaganda by seeking to base the assumptions of its deinstitutionalization. Counterpropaganda may be defined by the individual activities of resistance, which are communicated in the public space. The changes of the definition of contemporary counterpropaganda are presented, and civil resistance is illustrated by the empirical examples as the method that may help understand both the processes of individual’s deinstitutionalized counterpropaganda and the military defence of the state.Key words: counterpropaganda, civil resistance, informational fights, country defence, activity of the communities 18px;"> 


Author(s):  
Marcia Guedes Vieira

The International Labour Organization estimates that there are 12.5 million children and adolescents under the age of fifteen currently working in Latin America and the Caribbean. Of these, 9.6 million (77%) perform tasks that pose a risk to their physical and psychological health. This article presents a brief comparative analysis of child labor in Brazil and Uruguay in order to discuss the challenges of confronting this phenomenon in two very different countries that have embraced divergent strategies to deal with similar problems. To do this, the article presents an overview of the incidence of child labor in Brazil and Uruguay and seeks to demonstrate how far the category of labor is from a universal definition in the academic world, which is also repeated in the debate on the definition of child labor. It is possible to identify different moments of the debate in Latin America regarding the concept of child labor. Some approaches have been more contextualized than others, but all remain controversial and are sometimes considered incomplete. It will also consider the changes in the world of labor and how they interfere in this phenomenon. Despite advances in the fight against child labor overall, Brazil is starting to stagnate in its efforts to reduce the number of child and adolescent workers, and its challenge is to find new political solutions to address this problem. Uruguay still needs to place the issue more centrally on the nation’s political and social agenda in order to guarantee consistent research on the problem that can guide its policy responses.


Author(s):  
Patrick Morse ◽  
Kate Sweeny

The present chapter reviews the psychological literature on medical situations, their properties, and their associations with a variety of physical and psychological health outcomes. It offers a definition of medical situations and suggests a framework to organize the literature before providing a review of research on health outcomes associated with different medical situation categories (e.g., waiting for a doctor, receiving treatment), as well as their physical cues (e.g., hospital room with a view of nature, ambient sounds) and psychological characteristics (e.g., doctor-patient communication, information availability). The chapter concludes with a discussion of the implications of past studies and suggestions for further research on medical situations.


2018 ◽  
Vol 12 (3) ◽  
pp. 316-332 ◽  
Author(s):  
Ralph Appleby ◽  
Paul Davis ◽  
Louise Davis ◽  
Henrik Gustafsson

Perceptions of teammates and training load have been shown to influence athletes’ physical and psychological health; however, limited research has investigated these factors in relation to burnout. Athletes (N = 140) from a variety of competitive team sports, ranging in level from regional to professional, completed questionnaires measuring individual burnout, perceptions of teammates’ burnout, and training hours per week on two occasions separated by three months. After controlling for burnout at time one, training hours were associated with athletes’ burnout and perceptions of teammates’ burnout at time two. Multilevel modeling indicated actual team burnout (i.e., the average burnout score of the individual athletes in a team) and perceived team burnout were associated with individual’s own burnout. The findings highlight that burnout is dynamic and relates to physiological stressors associated with training and psychological perceptions of teammates’ burnout. Future research directions exploring potential social influences on athlete burnout are presented.


2019 ◽  
Author(s):  
Sofia Artemi ◽  
Panteleimon Vassiliu ◽  
Nikolaos Arkadopoulos ◽  
Maria - Eleni Smyrnioti ◽  
Pavlos Sarafis ◽  
...  

Abstract Objective: A pelvic surgery can cause erectile dysfunction. The purpose of this study was to evaluate erectile function at various times after pelvic surgery in male patients; to search the non-modifiable risk factors associated with the presence and intensity of sexuality in these patients. This prospective study used the erectile dysfunction IIEF scale. Results: The study population comprised of 106 male patients who had undergone minor pelvic surgery at least 9 months before and during the 2010–2016 period in the 4th Surgical Clinic. A control group of healthy males (N=106) who underwent no pelvic surgery matched for age was also used for reference values. The main age of the participants was 66.16 ±13.07 years old. A history of colectomy was present in 36.8%, 18.9% had undergone sigmoidectomy, and 33% inguinal hernia repair. The percentage of severe erectile function increased from 38.7% before surgery to 48.1% (25% increase) after surgery, at the end of the follow-up period (p<0.05). In the multivariate analysis model, age emerged as an independent predictor of erectile function (p<0.001). Age was the most important determinant of the IIEF score, which was aggravated by 25% from the first to the last assessment of patients.


2019 ◽  
Author(s):  
Sofia Artemi ◽  
Panteleimon Vassiliu ◽  
Nikolaos Arkadopoulos ◽  
Maria - Eleni Smyrnioti ◽  
Pavlos Sarafis ◽  
...  

Abstract Objective: A pelvic surgery can cause erectile dysfunction. The purpose of this study was to evaluate erectile function at various times after pelvic surgery in male patients; to search the non-modifiable risk factors associated with the presence and intensity of sexuality in these patients. This prospective study used the erectile dysfunction IIEF scale. Results: The study population comprised of 106 male patients who had undergone minor pelvic surgery at least 9 months before and during the 2010–2016 period in the 4th Surgical Clinic. A control group of healthy males (N=106) who underwent no pelvic surgery matched for age was also used for reference values. The main age of the participants was 66.16 ±13.07 years old. A history of colectomy was present in 36.8%, 18.9% had undergone sigmoidectomy, and 33% inguinal hernia repair. The percentage of severe erectile function increased from 38.7% before surgery to 48.1% (25% increase) after surgery, at the end of the follow-up period (p<0.05). In the multivariate analysis model, age emerged as an independent predictor of erectile function (p<0.001). Age was the most important determinant of the IIEF score, which was aggravated by 25% from the first to the last assessment of patients.


2021 ◽  
Vol 74 (suppl 3) ◽  
Author(s):  
Victoria Grassi Bonamigo ◽  
Deborah Ribeiro Carvalho ◽  
Marcia Regina Cubas

ABSTRACT Objective: to analyze the concept of domestic violence based on its use in health sciences, humanities, and exact sciences according to Rodgers’ evolutionary model. Methods: this is a concept analysis based on Rodgers’ evolutionary conceptual model. Ninety-six articles were included in Portuguese, English, Spanish, and French, which had a definition of domestic violence, having identified the antecedents, attributes and consequences and produced a model case. Results: twenty-two attributes, ten antecedents and eight consequences were identified. Final considerations: from antecedents, attributes and consequences, it was possible to identify the connection between domestic violence and gender issues, especially patriarchal, being seen in a normalized way by society and causing consequences to the victims’ physical and psychological health.


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