scholarly journals Sexual rehabilitation after myocardial infarction and coronary bypass surgery: Why do we not perform our job?

2010 ◽  
Vol 67 (7) ◽  
pp. 579-587 ◽  
Author(s):  
Aleksandar Djurovic ◽  
Dragan Maric ◽  
Zorica Brdareski ◽  
Ljubica Konstantinovic ◽  
Saso Rafajlovski ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Medical Staff ◽  
Bypass Surgery ◽  
Sexual Life ◽  
Exact Test ◽  
Staff Members ◽  
Sexual Rehabilitation ◽  
Inner Sense ◽  
Significant Difference

Background/Aim. There is a perception that in patients with heart diseases in Serbia sexual rehabilitation does not exist. Why do we not perform our job? A kind of resistance to sexual rehabilitation is common for heart disease patients. Prejudices regarding patients' sexuality, fear and limited knowledge are not rare among the members of medical staff. The aim of this study was to assess knowledge on sexual rehabilitation, inner sense during conversation on sexual rehabilitation and quality of sexual life in patients with myocardial infarction (MI) and bypass surgery (BPS). Also, we wanted to assess an opinion of the medical staff members about that. Methods. We performed a prospective nonrandomized clinical study, which involved 40 participants: ten patients, six partners and twenty four medical staff members. All participants were tested by the self-created questionnaires. The main issues of observation were: knowledge about sexual rehabilitation, quality of sexual life and inner sense during conversation on sexual rehabilitation. The data were analyzed by the Shapiro-Wilk test, Kolmogorov Smirnov test, Mann Whitney Exact test and Fishers Exact test. Statistical significance was set up to p < 0.05. Results. There was a statistically significant difference among the participants regarding an attitude when sexual activity should be resumed after MI or BPS. The members of medical staff had a significantly different opinion about the most important team members responsible for sexual rehabilitation performance. There was a statistically significant difference (p = 0.01) in quality of patient's sexual life after MI or BPS (score: 14.2 ? 5.5) in relation to conditions before them (score: 21.3 ? 3.1). The members of medical staff had significantly (p = 0.05) worse inner sense (score: 3.8 ? 0.7) during and after fulfilling the questionnaires than the patients (score: 4.6 ? 0.5). Conclusion. Ignorance and prejudices are reasons why we do not perform our job.

scholarly journals Detection of Myocardial Infarction Using ECG and Multi-Scale Feature Concatenate

Sensors ◽  
2021 ◽  
Vol 21 (5) ◽  
pp. 1906
Author(s):  
Jia-Zheng Jian ◽  
Tzong-Rong Ger ◽  
Han-Hua Lai ◽  
Chi-Ming Ku ◽  
Chiung-An Chen ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Network Structure ◽  
Class Imbalance ◽  
Class Imbalance Problem ◽  
Multi Scale ◽  
Imbalance Problem ◽  
Average Accuracy ◽  
Significant Difference ◽  
Electrocardiogram Ecg

Diverse computer-aided diagnosis systems based on convolutional neural networks were applied to automate the detection of myocardial infarction (MI) found in electrocardiogram (ECG) for early diagnosis and prevention. However, issues, particularly overfitting and underfitting, were not being taken into account. In other words, it is unclear whether the network structure is too simple or complex. Toward this end, the proposed models were developed by starting with the simplest structure: a multi-lead features-concatenate narrow network (N-Net) in which only two convolutional layers were included in each lead branch. Additionally, multi-scale features-concatenate networks (MSN-Net) were also implemented where larger features were being extracted through pooling the signals. The best structure was obtained via tuning both the number of filters in the convolutional layers and the number of inputting signal scales. As a result, the N-Net reached a 95.76% accuracy in the MI detection task, whereas the MSN-Net reached an accuracy of 61.82% in the MI locating task. Both networks give a higher average accuracy and a significant difference of p < 0.001 evaluated by the U test compared with the state-of-the-art. The models are also smaller in size thus are suitable to fit in wearable devices for offline monitoring. In conclusion, testing throughout the simple and complex network structure is indispensable. However, the way of dealing with the class imbalance problem and the quality of the extracted features are yet to be discussed.

A randomized trial of the effect of peer education on the sexual quality of life in patients with myocardial infarction

2020 ◽  
Vol 17 (3) ◽  
Author(s):  
Ali Abbasi ◽  
Hossein Ebrahimi ◽  
Hossein Bagheri ◽  
Mohammad Hasan Basirinezhad ◽  
Seyedmohammad Mirhosseini ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Myocardial Infarction ◽  
Health Care Professionals ◽  
Peer Education ◽  
Intervention Group ◽  
Control Group ◽  
Controlled Clinical Trial ◽  
Sexual Quality Of Life ◽  
Significant Difference

AbstractBackgroundOne of the factors associated with readmission is inappropriate sexual activity after myocardial infarction (MI). This study aimed to assess the effect of peer education on the sexual quality of life (SQOL) in patients with MI.MethodsIn this randomized controlled clinical trial, 70 patients with MI meeting the inclusion criteria were assigned to experimental or control groups using block randomization. Peer education for the intervention group was provided on the third day after MI. Education sessions lasted from 90 to 120 minutes. Data were collected using demographic, sexual quality of life-female (SQOL-F), and sexual quality of life-male (SQOL-M) questionnaires during the fourth week after MI.ResultsThere was no significant difference between the two groups before the intervention in terms of demographic and SQOL. The mean of SQOL in the peer education group was significantly higher than the control group at the 4-week follow-up.ConclusionsAccording to the results, using peer education is recommended for the sexual health care professionals.

scholarly journals Age as the Risk Factor that Affected the Increased Degree of Uterine Prolapse

2018 ◽  
Vol 1 (1) ◽  
pp. 20
Author(s):  
Shervil Kagayaita Sayko ◽  
Eighty Mardiyan Kurniawati ◽  
Pudji Lestari
Keyword(s):  
Elderly Women ◽  
Uterine Prolapse ◽  
Fisher Exact Test ◽  
Test Statistic ◽  
Cross Sectional ◽  
Significance Level ◽  
Exact Test ◽  
Significant Difference ◽  
The Relationship

Introduction: Uterine prolapse is a gynecological problem that women often experience with a prevalence of 50% and is predicted that the next 30 years will increase by 45% as life expectancy increases. Increased degrees of uterine prolapse have an impact on the deterioration of women's quality of life. The uterine prolapse is influenced by several mutually supportive factors. The purpose of this study was to analyze the relationship between these factors to the degree of uterine prolapse.Methods: This research is an observational analytic research with cross sectional approach. The number of samples were 65 patients with uterine prolapse at Policlinic Gynecology RSUD Dr. Soetomo Surabaya from 2015-2017. Sampling was done by consecutive sampling. To find out the significant level, the collected data will be tested with Fisher Exact Test statistic at significance level α = 0,05.Results: The result showed that there was significant difference between degree of uterine prolapse with age factor (p = 0,016) and obesity (p = 0,041). As for the parity factor (p = 0.508) there was no significant difference between the parity factor and the degree of uterine prolapse.Discussion: Age is a major factor affecting the degree of uterine prolapse, weakening of pelvic floor tissue and muscle in elderly women is the main cause. While on the obesity factor, there is no data to support that obesity is related to the degree of uterine prolapse because the trend indicates that the majority of patients are not obese. In contrast the parity factor, although according to the statistical test there is no difference to the degree of uterine prolapse, the trend shows that parity leads to increased incidence of uterine prolapse itself.Conclusion: Age is a factor that affects the degree of uterine prolapse.

scholarly journals Quality of Life in a mixed ethnic population after myocardial infarction

2017 ◽  
Vol 5 (3) ◽  
pp. 295 ◽  
Author(s):  
Rosemary A. Webster ◽  
David R. Thompson ◽  
Derek Larkin ◽  
Richard A. Mayou ◽  
Colin R. Martin
Keyword(s):  
Quality Of Life ◽  
Myocardial Infarction ◽  
South Asian ◽  
Anxiety And Depression ◽  
White People ◽  
Ethnic Population ◽  
Sf 36 ◽  
Significant Difference ◽  
Asian People

Background: Although South Asian people are a significant ethnic group at increased risk of coronary heart disease and high mortality rates and experience greater delays with respect to diagnosis, referral and treatment, comparatively little is known about their quality of life during recovery from a myocardial infarction. Objectives: We sought to determine and compare the impact of ethnicity on quality of life after myocardial infarction (MI) in a mixed ethnic population (South Asian and white people) in the UK.Methods: A 2x2 mixed-group design with repeated measures on the second factor. The independent variables were ethnic group (white/South Asian) and time since MI (2 weeks/3 months). The dependent variables were the subscale scores on the Short-Form 36-item health survey (SF-36) and the Hospital Anxiety and Depression Scale (HADS).Results: At 2 weeks, significant differences were observed between groups on 5 of the 8 SF-36 subscale domain scores, with the white group reporting higher quality of life. Significant improvement in reported quality of life occurred in both groups over time on all domains of the SF-36, except bodily pain. There was a significantly greater improvement in favour of the white group for the role-physical domain. There was no significant difference between groups in terms of anxiety or depression at 2 weeks. Both groups showed a significant reduction in anxiety and depression by 3 months, but the degree of reduction was not significantly different between them. At 3 months, there was no significant difference between groups in terms of anxiety scores, but the South Asian group scored significantly higher on the depression scale.Conclusions: South Asian people have significantly poorer quality of life than white people after MI. While both groups showed improvement over time, South Asian people reported significantly less improvement in physical role function and were more depressed at 3 months. Identifying the factors accounting for such differences is important to develop models of care for delivering the most effective and culturally-sensitive interventions to this group.

Abstract 269: Increasing Accuracy of Non-ST Elevation Myocardial Infarction Diagnosis Through Use of an Educational App Based on the Universal Definition of Myocardial Infarction

2020 ◽  
Vol 13 (Suppl_1) ◽  
Author(s):  
Ryan Mallory ◽  
Richard Kovacs
Keyword(s):  
Myocardial Infarction ◽  
Intervention Group ◽  
Hospital Staff ◽  
Poor Quality ◽  
Control Group ◽  
Exact Test ◽  
Objective Evidence ◽  
Significant Difference ◽  
St Elevation ◽  
Universal Definition

Background: There is a misconception among medicine trainees that an elevated troponin alone indicates a myocardial infarction (MI) even in the absence of ECG changes, imaging abnormalities, and/or typical symptoms. Misdiagnosis of non-ST elevation MI (NSTEMI) can lead to potentially harmful treatment, unneeded testing, and poor quality metrics. We tested the hypothesis that an educational app provided to trainees would increase accuracy of NSTEMI diagnoses. Methods: The app was designed using criteria for NSTEMI from the Third UDMI as well as revisions anticipated in the Fourth UDMI. An algorithm was designed to improve diagnostic accuracy of AMI by UDMI. The app was tested from 12/2017 to 08/2018. Accuracy of NSTEMI diagnosis was evaluated 4 months before and then 4 months after app implementation. 431 patient charts were reviewed. MI type was assigned based on the UDMI and assessed for accuracy. Unclear cases were adjudicated by an expert cardiologist. Results: 207 patients were in the intervention group and 224 were in the control group. Comparison revealed increased specificity of 33.6% (80.9% vs 47.3%) and increased positive predictive value of 19.7% (33.3% vs 13.6%) for NSTEMI diagnosis. Fisher’s exact test revealed a statistically significant difference for each change (p<0.0001). Conclusion: Our app improved diagnostic specificity of NSTEMI by a statistically and clinically significant 33.6%. This was largely due to a substantial decrease in false positive diagnoses of patients with elevated biomarkers but no objective evidence of ischemia. This increased specificity saved patients and the hospital many unnecessary tests and procedures which likely led to improved quality of care and reduced cost. This app is a valuable tool that should be expanded to all hospital staff.

Perceptions of the working alliance among medical staff and cancer patients

2015 ◽  
Vol 14 (3) ◽  
pp. 199-203 ◽  
Author(s):  
Gil Bar-Sela ◽  
Inbal Mitnik ◽  
Doron Lulav-Grinwald
Keyword(s):  
Cancer Patients ◽  
Working Alliance ◽  
Advanced Cancer ◽  
Medical Staff ◽  
Medical Setting ◽  
Advanced Cancer Patients ◽  
Staff Members ◽  
Working Alliance Inventory ◽  
Significant Difference ◽  
Staff Interactions

ABSTRACTObjective:A working alliance (WA) is considered an essential factor in therapeutic relationships, relating to the mutual and interactive aspects of the relationship. In the medical setting, a WA has been found to be related to various positive outcomes; however, it has previously been investigated solely from the patient's perspective. The aim of the current study was to measure the concept from both sides of the patient–medical staff interaction.Method:Physicians, nurses, and advanced cancer patients completed the Working Alliance Inventory–Short Revised.Results:Some 32 physicians, 39 nurses, and 52 advanced cancer patients completed the study. Senior staff members rated the WA higher than trainees, both among physicians and nurses. Physicians and nurses rated the “bonds” subscale highest, while patients rated “goals” at the highest level. In addition, a significant difference was demonstrated between physicians and patients, with patients rating the WA higher.Conclusions:These preliminary findings demonstrate different perspectives among advanced cancer patients and medical staff interactions. Future studies should investigate the interactive aspects of the WA concept in the medical setting.Significance of results:Awareness of the working alliance in patient–staff interactions may improve the quality of treatment given to patients confronting cancer.

scholarly journals THE SLEEP QUALITY DIFFERENCES IN ADULTS WHO PARTICIPATE THE AIKIDO MARTIAL ARTS WITH ADULTS WHO NO PARTICIPATE THE AIKIDO MARTIAL ARTS IN BALI

2018 ◽  
Vol 6 (3) ◽  
pp. 40
Author(s):  
Fitrotul Imaniyah ◽  
I Made Niko Winaya ◽  
I Wayan Sugiritama
Keyword(s):  
Physical Activity ◽  
Sleep Quality ◽  
Martial Arts ◽  
Fisher Exact Test ◽  
Quality Of Sleep ◽  
Cross Sectional ◽  
Exact Test ◽  
Significant Difference ◽  
Good Sleep

ABSTRACT   The addition of age and the variation of physical activity of each individual will increase the stress affecting the quality of sleep so that research done to determine the quality of sleep in adults who participateaikido martial arts with adults who noparticipateaikido martial arts as physical activity that can reduce stress level. The cross sectional analytic study with the sample was adults who fulfilled the inclusion and exclusion criteria of 86 people in each group. Samples filling out the Pittsburgh Sleep Quality Index (PSQI) questionnaire and the results were tested with a fisher exact test. The results showed a significant difference between sleep quality in two groups (p <0.05). With the percentage of result that is group A has good sleep quality 82 people (95,3%) and bad 4 people (4,7%), group B have good sleep quality 59 people (68,6%) and bad 27 people (31, 4%). So the conclusion is that groups of adults who participateaikido martial arts have better sleep quality than adults who no participate aikido martial arts.   Keywords: Adult, Stess, Sleep Quality, Aikido Martial Arts.

scholarly journals A Pilot Study on the Quality of Sexual Life of Patients Receiving Home Palliative Care in Poland

Sexes ◽  
2021 ◽  
Vol 2 (2) ◽  
pp. 174-182
Author(s):  
Marcin Janecki ◽  
Izabela Kaptacz ◽  
Zuzanna Janecka ◽  
Violetta Skrzypulec-Plinta
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Health Status ◽  
Medical Staff ◽  
Palliative Care Team ◽  
Care Team ◽  
Sexual Life ◽  
Advanced Stage ◽  
Sexual Concerns

Background: Quality of life, physical, psychic, and social functioning assessments in patients suffering from chronic, progressive, and incurable diseases are one of the most significant aims of the palliative care home teams. Sexuality and intimacy can be one of the most important elements of a person’s life, even at the end of it. Unfortunately, there is very little interest in this topic among medical staff of palliative care units. The objective of the study: The aim of this study was to assess the health status, the quality of life, the quality of sexual life, and the recognition and resolution of sexual problems by the palliative care team in adult patients in the advanced stage of terminal illness, who were receiving home palliative care. Research methods: The study involved 342 adult patients in the advanced stage of incurable, progressive disease, covered by home palliative care in 15 facilities in Poland. A generic EuroQoL 5-Dimension 3-Level health and quality of life assessment questionnaire and a questionnaire developed by the researchers, including questions about sexual problems, were used in this prospective study. Results: The presented results are the part of the more extensive study. The assessment of health status and quality of life of the study patients showed that the evaluation was the lowest for performing ordinary daily activities. The quality of sexual life after diagnosis in more than half of the study patients has worsened. Almost half of the respondents felt that the palliative care team did not recognize or address their sexual concerns. Patients indicated nurses and physicians as the members of the palliative care team most helpful in identifying and addressing sexual concerns. Conclusions: Members of the palliative care team should receive training in communication with patients concerning their sexual life, their needs and expectations and have knowledge about options for obtaining specialized sexological care. It is necessary to prepare and validate simple tools that will facilitate the initiation of appropriate communication between patients and members of the medical staff. It will be important to conduct more detailed and targeted research on sexuality and intimacy in the Polish palliative care patient population.

scholarly journals Relationship of frequency and severity of perimenopausal symptoms on the quality of sexual life of postmenopausal women living in urban and rural areas

2021 ◽  
Vol 14 (SUPPLEMENT 1) ◽  
pp. 1-7
Author(s):  
Grażyna Stadnicka
Keyword(s):  
Rural Women ◽  
Rural Areas ◽  
Rank Correlation ◽  
Urban Women ◽  
Sexual Life ◽  
Average Score ◽  
Spearman’S Rank Correlation ◽  
Significant Difference ◽  
Perimenopausal Symptoms

Background: The changes that occur in a woman’s body during the perimenopausal period may influence feelings of attractiveness and perception of status in an intimate relationship, which may play a role in overall sexual satisfaction. Aim of the study: The present study aimed to analyze the influence of selected perimenopausal symptoms on the perception of satisfaction with sexual life in urban and rural women. Material and methods: This study included 224 women from urban areas and 106 women from rural areas who were using general practice services. Inclusion criteria were women who had not menstruated for 2–5 years. The measures used were the Menopause Rating Scale (MRS) and the Sexual Quality of Life-Female questionnaire (SQoL-F). Spearman’s rank correlation coefficient was used to assess the relationship between the severity of perimenopausal symptoms and satisfaction with sexual life. Results: A greater proportion of urban women reported symptoms in the perimenopausal period than rural women. Statistically significant correlations were observed for irritability (P = 0.03) and sexual problems (P = 0.01). However, rural women reported a greater degree of symptom severity. There was a statistically significant difference in severity of somatic and psychological symptoms between urban and rural women. In urban women, the average score for general satisfaction with their sexual life was 62 ± 19.96, whereas the average score for rural women was slightly less, 59 ± 23.56. A statistically significant inverse relationship was observed between the severity of perimenopausal symptoms and quality of sexual life, with values of Spearman’s rank correlation coefficients ranging from −0.490 to −0.064. Conclusions: Urban or rural residence had a slight influence on the frequency and severity of perimenopausal symptoms, and severity of symptoms had a significant influence on women’s satisfaction with their sexual life.

scholarly journals Dyadic Satisfaction and Shared Affectivity Are Associated with Psycho-Sexual Functioning in Elderly Men and Women

Sexes ◽  
2022 ◽  
Vol 3 (1) ◽  
pp. 68-77
Author(s):  
Erika Limoncin ◽  
Daniele Mollaioli ◽  
Andrea Sansone ◽  
Elena Colonnello ◽  
Giacomo Ciocca ◽  
...  
Keyword(s):  
Sexual Health ◽  
Elderly People ◽  
Linear Regression Analysis ◽  
Sexual Life ◽  
Elderly Subjects ◽  
Sexual Dysfunctions ◽  
Emotional Wellbeing ◽  
Significant Difference ◽  
Dyadic Satisfaction

Objectives The quality of sexual life of elderly people represents an understudied topic of sexual medicine and of psycho-sexology. Hence, we aimed to evaluate the association of specific psycho-relational variables, such as intimacy, increased affective gestures towards a partner (AGtP), daily shared activities, and dyadic satisfaction, with the psychosexual wellbeing of elderly people, expressed in terms of sexual satisfaction. Methods: A cohort of elderly people was selected from a sample of a broader study evaluating the role of sexual activity in protecting the emotional wellbeing of a population subjected to quarantine due to the COVID-19 pandemic. Specifically, the presence of sexual dysfunctions, the emotional wellbeing (i.e., absence of anxiety and/or depression), and the quality of the partners’ relationships were studied. For the study’s purpose, the Sexual Health Inventory for Males (SHIM), the Female Sexual Function Index (FSFI), the Orgasmometer and the Orgasmometer-F, the Generalized Anxiety Disorder scale (GAD-7), the Patient Health Questionnaire (PHQ-9), and the Dyadic Adjustment Scale were adopted. Results: A group of 124 elderly subjects (≥60) was selected for the study’s purposes. Among these, 84% were males (120/124), and 16% were females (20/124). All the subjects declared to be in a stable relationship and to be sexually active during the first lockdown period. Gender differences were found for the Dyadic Satisfaction subscale (males: 37.04 ± 6.57; females: 32.85 ± 10.04; p < 0.05) and the Orgasmometer (males: 7.64 ± 1.30; females: 6.60 ± 2.46; p < 0.01). Linear regression analysis showed the association between higher Orgasmometer scores and: (i) the absence of sexual dysfunctions (β = −1.213; SE = 0.271; p < 0.0001), (ii) higher dyadic satisfaction (β = 0.042; SE = 0.019; p < 0.05), and (iii) reduced shared activities with partner (β = −0.463; SE = 0.143; p < 0.01) and increased affective gestures towards partner (DAS measured AGtP) (β = 0.595; SE = 0.065; p < 0.0001). Post hoc analysis of ANCOVA with the Bonferroni correction method showed a significant difference in the Orgasmometer scores between subjects with and without sexual dysfunction (mean difference: 2.102; SE = 0.340; pBonf < 0.001), with healthy subjects reporting higher scores compared to dysfunctional ones. Conclusions: It is reasonable to suppose that, beyond the presence of sexual dysfunctions, the sexual health of elderly people may benefit from the quality of the relationship, and, specifically, from the presence of affective gestures towards the partner and the dyadic satisfaction. To the contrary, the quantity of time spent together, sharing specific activities, may be considered a factor worsening relational and sexual health. These data should be considered during the evaluation of sexual health among elderly people.

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