scholarly journals Dialysis and Its Effect on Sexual Actions, Comparison of Multiple Sexual Performances in Dialysis Patients to Normal People, a Relational Design

2016 ◽  
Vol 3 (3) ◽  
Author(s):  
Fatemeh Fayazbakhsh

Introduction: sexual performance is one of the important aspects of the quality of life which can be effected by various illnesses, among them kidney disease can be mentioned. Purpose: this study was performed with the goal of comparing the dimensions of the sexual performance in dialysis patients and normal people. Method: The current study is a kind of causal-comparative one in the realm of descriptive studies in the year 1392 on a sample of 60 individuals (N=60) in the format of four groups of men dialysis patients (n=15), women dialysis patients (n=15), and healthy men and women (each group 15 individuals) was performed. For the purpose of choosing the subjects the method of multi-stage cluster sampling was used, also to choose the control group with attention to the consistency factor first degree relatives of the patients were used. With attention to the nature of the study the method of gathering of the data was done by survey and to gather information questionnaires on erection function (IIEF, rate of responding=91%) and the questionnaire of the women’s sexual function (FSFI, rate of responding=89%) was used. Also the quality datas resulting from the coding demographic evaluations and with the assistance of the quality datas analysis tools of Atlas TI 5,2 were analyzed. Findings: the results of the study showed that between the group of healthy women and dialytic women because of the variables related to the sexual performance, there is no meaningful difference (p>0/171), but between the healthy men and dialytic men with respect to dimensions of the mentioned variables meaningful difference was seen (p<0/0001). Conclusions: the findings of this study makes evident the need for psychological follow-ups and preparing the needed means for increasing the quality of this group of the society is evident more than before.

2021 ◽  
Vol 27 (4) ◽  
pp. 22-27
Author(s):  
Ahmad Raed Khasawneh ◽  
I.V. Serheta ◽  
N.V. Belik ◽  
A.O. Dovhan ◽  
I.I. Zhuchenko

Today in modern medicine the study of human health is reoriented to the individual principle, which is based on the identification and study of constitutionally determined patterns of manifestation of certain diseases. The purpose of the study is to establish and analyze the features of the girth body sizes in men and women with generalized fatty form of seborrheic dermatitis of varying severity. The comprehensive body size of 40 men and 40 young women (25-44 years) with generalized fatty seborrheic dermatitis (mild and severe) was determined. The control group consisted of the girth sizes of practically healthy men (n=82) and women (n=154) of the same age group, which were selected from the database of the research center National Pirogov Memorial Medical University. Statistical processing of body circumference was performed in the licensed package “Statistica 6.0” using non-parametric evaluation methods. As a result of studies in patients with seborrheic dermatitis of varying severity of men, compared with practically healthy men, found only greater values of the girth of the shoulder in a relaxed state and thighs, neck (only mild), shin in the upper part and waist (in both cases only with a severe degree), as well as smaller values of the girth of the shoulder in a tense state; and in patients of varying severity of women – greater values of the girth of the shoulder in a relaxed state, thighs, lower legs, neck, waist and all girths of the chest and both thighs (only severe), as well as smaller values of the girth of the hand (only with mild). In both men and women with seborrheic dermatitis, differences in girth body sizes are more pronounced in people with severe disease. Between men or women with seborrheic dermatitis of varying severity, there are no significant or trends in differences in girth body sizes. In the analysis of the manifestations of sexual dimorphism of the circumferential body size between men and women with seborrheic dermatitis found greater values in men with mild and severe disease of the upper extremities, hands, shin, feet and neck (in most cases more pronounced in representatives with mild severity), as well as only in men with mild severity – greater values of all chest girths. For a more correct understanding of changes in girth body sizes in Ukrainian men or women with seborrheic dermatitis of varying severity, it is necessary to analyze other constitutional parameters of the body.


2020 ◽  
Vol 18 (2) ◽  
pp. 145-154
Author(s):  
Sanaz Arzhangi ◽  
◽  
Meimanat Hosseini ◽  
Samaneh Hosseinzadeh ◽  
Mansoureh Zagheri Tafreshi ◽  
...  

Objectives: The present research aimed to determine the effect of time-use training on the quality of time management in the mothers of girls with Intellectual Disability (ID) attending special schools.  Methods: This was a quasi-experimental study with a control group design. In total, 80 mothers (40 mothers in the intervention group & 40 mothers in the control group) of children with ID (age range: 6-13 years) were studied. The study participants were selected by cluster sampling method. The required data were collected using a demographic data questionnaire and the Mothers’ Time Use Questionnaire (MTUQ). A time management training program was provided in a one-day workshop for the intervention group. The obtained data were analyzed in SPSS using Independent Samples t-test, Paired Samples t-test, and Chi-squared test. Results: After the intervention period, the quality of time management of the mothers in the intervention group significantly increased, compared to the controls (P<0.05). Discussion: The current research findings suggested that time-use training improved the quality of time management in the studied subjects. Therefore, educational interventions related to time management are recommended for the parents of children with ID. Besides, paying attention to this vulnerable group should be among nurses’ responsibilities.


2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
Francesca Mallamaci ◽  
Vincenzo Antonio Panuccio ◽  
Maria Carmela Versace ◽  
Giovanni Luigi Tripepi ◽  
Graziella D'Arrigo ◽  
...  

Abstract Background and Aims Although physical activity has been documented to be effective in many categories of high-risk patients and more recently also in dialysis patients, there are no studies specifically focused on Peritoneal Dialysis (PD) patients. The peculiarity of this treatment modality for uremia is that it is carried out at the patient's home while the vast majority of physical exercise in dialysis patients is carried out during the hemodialysis (HD) session, then they are not applicable for PD patients. The Excite trial (JASN 2017; 28:1259-1268) is a home-based, individualized, low-intensity exercise program. In this multicenter, randomized clinical trial, the EXerCise Introduction To Enhance performance in dialysis patients trial (EXCITE), we aimed to investigate whether this home exercise program improves the degree of fitness and quality of life in patients with CKD-5D (Hemodialysis and Peritoneal Dialysis patients). The EXCITE home based clinical trial, is the first and may be the only one, involving peritoneal dialysis patients and this is of unique importance for the scientific community. Method We performed a secondary analysis of 35 peritoneal dialysis (PD) patients (age: 64±11 years; 74% males; 17% diabetics) who participated to the Exercise Introduction to Enhance Performance in Dialysis (EXCITE) trial, a 6-month randomized, multicenter trial testing whether a simple, personalized walking exercise program at home, managed by dialysis staff, improves functional status in adult patients on dialysis. The main study outcomes included change in physical performance at 6 months, assessed by the 6-minute walking test (6MWD) and the five times sit-to-stand test (STS), and in quality of life, assessed by the Kidney Disease Quality of Life Short Form (KDQOL-SF) questionnaire. Data are summarised as median and interquartile range (IQR). Results Out of 35 PD patients, 14 resulted to be allocated to the active arm and the remaining 21 to the control arm of the trial, and all completed the 6-month active phase of the trial. At baseline, the two groups did not differ as for age, gender, smoking, diabetes, and NYHA class (p ranging from 0.41 to 1.00) as well as for baseline values of 6MWD (active group, median 344 m, IQR: 307-440 m versus control group, median 302 m, IQR: 263-425m, P=0.12) and STS test (active group, median 18.2, IQR: 17.1-18.8 sec versus control group, median 20.2, IQR 16.2-27.1, P=0.25). During the 6 month period, there was a 34.0 m median increase of 6MWD (IQR: from 16.3 to 61.3 m) in the active group and only a modest increase of the same test in the control group (median: 14.0 m; IQR: from -39.5 to 38.5 m) and the between arms difference was statistically significant (P=0.034). No between arms difference was found in the STS test change (P=0.70). At 6 months, the quality of social interaction in the kidney disease component of the KDQOL-SF remained stable in patients of the active arm (median change from baseline: 0.0, IQR: from -5.0 to 17.5) whereas it decreased in patients in the control arm (median change from baseline: -5.8, IQR: from – 20.0 to -1.3) (between-arms difference, P=0.032). Conclusion The results of this multicentre trial involving PD patients show that a simple, personalized, home-based, low-intensity exercise program is feasible in PD patients and it may improve physical performance and quality of life in this high risk category of patients.


Author(s):  
Obadeh Bassam Abdel-Rahman Al-Qaraleh

Significant prevalence and decline in quality of life caused by psoriasis in combination with the lack of etiotropic methods of its treatment, put this disease, in terms of relevance for modern medicine on a par with diabetes, hypertension, asthma etc. That is, there is a need to find easily accessible markers that would determine the susceptibility to this disease. The aim of the study was to establish the differences in the skinfold thickness between healthy and/or psoriatic Ukrainian men depending on the severity of the disease without and taking into account the somatotype. For 32 Ukrainian men of the first mature age, patients with mild psoriasis and 68 men with severe psoriasis (according to the PASI index) were determined skinfold thickness according to Bunak and determined the somatotype according to the Heath-Carter scheme. The control group consisted of 82 healthy men of similar age, selected from the database of the research center of National Pirogov Memorial Medical University, Vinnytsya. Statistical data processing was performed in the license package “Statistica 5.5” using non-parametric methods of evaluation of the obtained results. It was found that in patients with mild or severe psoriasis of men without division into somatotypes and in representatives of the mesomorphic somatotype compared to healthy men, the skinfold thickness is significantly higher at the lower angle of the scapula, abdomen and side, and significantly lower on the back and front of the shoulder, chest and thighs. When comparing the skinfold thickness between patients with mild or severe psoriasis of endo-mesomorphic somatotype with healthy men of similar somatotype, we found larger values of the skinfold thickness under the lower angle of the scapula (only with mild course), on the abdomen and side, and also smaller values of the skinfold thickness on the posterior surface of the shoulder and only in representatives with severe psoriasis – on the anterior surface of the shoulder, chest and thigh. Between patients with different degrees of severity of dermatosis both without distribution, and with distribution on various somatotypes of reliable or tendencies of differences of skinfold thickness are not revealed. Thus, there are pronounced differences in most indicators of the skinfold thickness between healthy and patients with mild or severe psoriasis of Ukrainian men of the first mature age, both without distribution and with the division into different somatotypes.


Health of Man ◽  
2021 ◽  
pp. 71-78
Author(s):  
Volodymyr Trishch ◽  
Andrii Mysak

Sexual health is an integral part of everyone’s quality of life. Sexual harmony depends on a man’s sexual desire and erectile function. The most common disorder of male sexual health is erectile dysfunction. Improving the treatment of patients with this pathology helps to improve both physical and mental health and thus improve the quality of life. The objective: the aim of the study was to evaluate the efficacy and safety of combination course therapy and monotherapy in patients with erectile dysfunction. Materials and methods. The observation included 89 men with erectile dysfunction of mixed genesis aged 25 to 50 years with mild to moderate severity. All patients were divided into three groups. The I group of 32 patients with moderate ED, received during the month in the morning Bodrex 1 sachet 60 minutes before meals and in the evening Strondex one spray into the oral cavity (12,5 mg sildenafil), regardless of the presence or absence of sexual activity in this day and an additional 30 minutes before sexual intercourse from 12,5 to 25 mg, followed by a comparative assessment of clinical results immediately after treatment in relation to a group of patients (II group – 32), also with moderate ED who received sildenafil in tablet form dose of 25 mg 1 hour before sexual intercourse, but not more often than once a day. The third group (III group – 25) of patients consisted of men with mild ED, who received during the month only Bodrex in the morning 1 sachet 60 minutes before meals, with comparing clinical data before and after treatment. Bodrex and Strondex preparations are presented on the market by the pharmaceutical company Geolik Pharm Marketing Group. Results. The use of course combination therapy (Strondex + Bodrex) in the treatment of patients with moderate ED was found to be significantly more effective than sildenafil monotherapy at a dose of 50 mg on demand before sexual intercourse, as evidenced by subjective assessment of patients and objective data. Namely, the integrative indicator «erectile function» in this group of patients improved almost twice, while in the second group of patients this indicator improved by 62,9% (p<0,05). Accordingly «оverall satisfaction" in group I patients improved 2,3 times, and in group II patients 1,8 times. Dopplerosonography of the penis in patients with moderate ED showed a probable decrease in hemodynamics in the corpora cavernosa, which indicated the presence of vascular factor with impaired vascular endothelial function (p<0,05). After treatment, a more pronounced increase in cavernous blood flow occurred in group I, namely an increase in peak systolic velocity by 69,5%, while in group II by 38,5% (p1<0,05). It was noted that the concentration of ET-1 in the serum of patients with moderate ED was 3 times higher than the average in the group of almost healthy men, which may indicate severe endothelial dysfunction (p<0,05). Accordingly, after treatment, the level of ET-1 in the blood of patients decreased in group I, who received combination therapy, by 44,2%, while in group II by 28,3% (p1<0,05). Before treatment, the majority of patients with moderate ED, namely 78,1%, could not have sexual intercourse due to insufficient erection. After treatment in 53,1% of group I patients receiving combination therapy (Strondex + Bodrex), erection was completely restored, while in group II erection was completely restored in 28,1% of patients. Also, according to the obtained data, it should be noted a significant positive dynamics of all integrative indicators of IIEF on the background of taking Bodrex in patients with mild ED (p<0,05). An increase in the baseline «erectile function» by 1,4 times, contributed to an increase in sexual satisfaction and sexual satisfaction in general by 2,3 times. The mean peak systolic rate of cavernous blood flow before treatment in this group of patients was lower compared with the control group by 21,2% (p<0,05). This indicator improved after treatment by 21,7%, and became not significantly different from this indicator in the control group of almost healthy men (p1<0,05; p2>0,05), which indicated the normalization of hemodynamics in penis. In patients with mild ED, the concentration of ET-1 in the serum was 1,7 times higher than in the control group (p<0,05). After treatment, this index decreased by 1.5 times, approaching the rate in the group of almost healthy men (p2>0,05). Before treatment in this group, no patient had a complete erection, and less than half of the patients (45,5%) had a pratial erection. After a course of treatment with Bodrex, complete erection was restored in 68,2% of patients, and a total of 86,4% of patients were able to have sexual intercourse. Conclusions. The use of combination course therapy (Strondex + Bodrex) in patients with moderate ED and course monotherapy (Bodrex) in patients with mild ED contributes to a more stable clinical effect, as evidenced by the dynamics of the data.


2018 ◽  
Vol 8 (1) ◽  
pp. 28-33 ◽  
Author(s):  
Kamal Solati ◽  
Saeed Mardani ◽  
Ali Ahmadi ◽  
Sajad Danaei

Introduction: Amongst other problems, dialysis patients also present mental and psychological problems. Objectives: In this study, we investigated the effect of mindfulness-based cognitive therapy (MBCT) on quality of life and self-efficacy in hemodialysis patients. Patients and Methods: In a descriptive study, 50 hemodialysis patients undergoing dialysis in Hajar hospital were randomly selected and divided into two groups of experimental and control. The experimental group attended 2 to 2.5 hours treatment sessions according to the MBCT program. Before the intervention and two months after, the outcomes of the study, regarded as, quality of life and self-efficacy were evaluated using the 36-Item Short Form Health Survey (SF-36) and Sherer et al’s General Self-efficacy Scale, respectively. Data were analyzed using descriptive statistics, independent t test, paired t test, and Wilcoxon test in the Stata software. Results: The results indicated that 2 months after intervention, a decrease of 2.05 points in mean score for quality of life in the control group and an increase of 10.30 points in the intervention group at P<0.01 significance level was detected. Furthermore, mean self-efficacy score increased by 0.95 in control group and 5.2 points in the intervention group at P<0.01 significance level. While, the mean scores for quality of life and self-efficacy increased after intervention, the difference in the mean scores between the two groups was not statistically significant after intervention (P>0.05). Conclusion: The results of this study showed that the MBCT program resulted in an increase in the mean scores for quality of life and self-efficacy in hemodialysis patients.


2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Emirensiana Watu ◽  
Supargiyono ◽  
Haryani

Filariasis is a chronic infectious disease caused by filarial worms. Swelling in the legs in patients with filariasis can result in a significantly lower quality of life. The recommended treatments for patients who experience swelling or lymphoedema are lymphoedema exercises and foot elevation. This research is a quantitative study with a quasi-experimental design including pre- and posttreatment tests with a control group. This study used a cluster sampling method, which is a nonprobability sampling technique. The samples in this study were 48 respondents divided into two groups: 24 respondents from the Nebe Village comprising the intervention group and 24 respondents from the Bangkoor Village comprising the control group. The intervention group conducted lymphoedema exercises and foot elevation three times a week for 15–20 min for 1 month and measured their quality of life using the LFSQQ questionnaire. Measurements of pitting edema and ankle diameter were also carried out. Paired t-test revealed an improvement in the quality of life between pretest and posttest in the intervention and control groups (p=0.001). The quality of life in the pre-post intervention group improved from 67.42 to 81.58. In addition, the quality of life in the pre-post control group only improved from 62.50 to 72.58. The level of pitting edema decreased from severe (+++) to moderate (++) and from mild (+) to normal (0), and there was no difference in ankle diameter in each group (p=1.000). The quality of life improved before and after the administration of lymphoedema exercises and foot elevation for each group. Pitting edema decreased before and after lymphoedema exercises and foot elevation for each group. There was no decrease in ankle diameter after lymphoedema exercises and foot elevation in the intervention and control groups.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Els Nadort ◽  
Robbert W. Schouten ◽  
Friedo W. Dekker ◽  
Adriaan Honig ◽  
Patricia van Oppen ◽  
...  

Abstract Background Only a minority of dialysis patients with depressive symptoms are diagnosed and receive treatment. Depressive symptoms are highly prevalent in this population and are associated with adverse clinical outcomes. Underlying factors for this undertreatment may be the lack of evidence for the safety and effectivity of antidepressant medication, the reluctance of patients to adhere to antidepressant medication, the lack of mental healthcare provision in somatic healthcare environments and end-stage renal disease (ESRD) related physical limitations that complicate face-to-face psychotherapy. Guided Internet-based self-help treatment has demonstrated to be effective for depressive symptoms in other chronic patient populations and may overcome these barriers. The aim of this study is to investigate the (cost) effectiveness of a guided Internet-based self-help intervention for symptoms of depression in dialysis patients. Methods This study is a cluster randomized controlled trial (RCT) that investigates the effectiveness of a 5-week Internet-based self-help Problem Solving Therapy (PST) for depressive symptoms in dialysis patients. Depressive symptoms will be measured using the Beck Depression Inventory – second edition (BDI-II), with a cut-off score of ≥10. We aim to include 206 dialysis patients with depressive symptoms who will be cluster randomized to the intervention or the Care as Usual (CAU) control group. Secondary outcomes will include anxiety symptoms, quality of life, economic costs and clinical outcomes, such as inflammatory factors and hair cortisol levels. Assessments will take place at baseline (T0), 2 weeks after intervention (T1) and 6 months (T2), 12 months (T3) and 18 months (T4) after intervention. The control group will be measured at the same time points. Analysis will be based on the intention-to-treat principle. Mixed models will be used to assess the changes within each condition between pre-treatment and post-treatment. Discussion If demonstrated to be (cost) effective, Internet-based PST will offer new possibilities to treat dialysis patients with depressive symptoms and to improve their quality of care. Trial registration Dutch Trial Register: Trial NL6648 (NTR6834) (prospectively registered 13th November 2017).


2020 ◽  
Vol 12 (3) ◽  
pp. 189
Author(s):  
Imelda Gernauli Purba ◽  
Elvi Sunarsih ◽  
Inoy Trisnaini ◽  
Rico Januar Sitorus

Introduction: Ogan Ilir is one of the three regency with the highest stunting incidence in South Sumatera. Environment factor is indirect causes of stunting in toddlers. The objective of this study therefore was to analyze the correlation between environmental sanitation with the incidence of stunting on toddler in Ogan Ilir Regency. Method: An observational analytical with a Cross sectional approach was conducted to determine incidence of stunting and associated environmental sanitation factors among toddler. Samples were toddler aged 12-59 months around 152 which selested by Multi Stage Cluster Sampling. Data was collected through interviews using questionnaries and observation was using checklist. The data was analyzed using Analysis of covariance test at (α=0.05). Result and Discussion: There was significant association between physical quality of clean water with incidence of stunting (p=0.036). Also, quqlity of sewerage significantly correlated to incidence of stunting (p=0.011). Significantly association also found between quality of latrines with incidence of stunting (p=0.005). On the other hand, history of infectious disease (p=0.100), personal hygiene (p=0.347), pesticide exposure (p=0.06), and cigarette smoke exposure (p=0.077) were not associated with inciden of stunting. Conclusion:Indirectly, the incidence of toddlers stunting is determined by environmental sanitation. 


2021 ◽  
pp. 026461962110190
Author(s):  
Noshin Kamali ◽  
Mohammad Ashori

Orientation and mobility (O&M) training is a practical and helpful method to prepare people who are blind for independent living. Hence, this study aimed to survey the effect of O&M training on the quality of life in students who are blind in Iran. This research was a quasi-randomized controlled trial design. Participants were 24 third-grade to sixth-grade students from two schools for blind in Isfahan, Iran. Using cluster sampling method, one school was assigned to the experimental group ( n = 12) and the other to the control group ( n = 12). The experimental group participated in the 8-session O&M training program. Both groups completed a World Health Organization Quality of Life (WHOQOL-BREF) at pre-intervention and post-intervention. The obtained data were analyzed using analysis of covariance (ANCOVA) and multivariate analysis of covariance (MANCOVA) test. The results showed significant increases in quality of life and all subscales (physical health, mental health, social relationships, and environmental health) in the experimental group than in the control group. The findings suggest that O&M training can promote quality of life among students who are blind in Iran. Moreover, these findings increase the interest of children and adolescents who are blind in O&M training.


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