scholarly journals Modern Approaches to Examination of Andrological and Sexological Patients During Covid-pandemia

Health of Man ◽  
2021 ◽  
pp. 8-14
Author(s):  
Ihor Gorpynchenko ◽  
Volodymyr Spyrydonenko
Keyword(s):  
Medical Information ◽  
Laboratory Data ◽  
Clinical Syndrome ◽  
General Idea ◽  
Psychological State ◽  
Abdominal Organs ◽  
Dynamic Examination ◽  
Medical Recommendations ◽  
To Receive

Rapid increase in the overall incidence of pathologies of the reproductive and genitourinary systems in the conditions of a covid epidemic is predictable and requires certain medical and social steps (the formation of a preventive direction of treatment, the restoration of dispensary observation measures, the introduction of social health programs, the ability of citizens to receive qualified and timely specialized medical care etc.). The global spread of the SARS-CoV-2 coronavirus has led to a restriction in the provision of specialized urological care at the time of lockdown, which also negatively affected the dynamic examination of patients, due to a decrease in scheduled examinations. Remotely provided medical recommendations are not always correct due to the lack of the possibility of direct examination of the patient by a doctor. Significant assistance in the classification of patient complaints with the indicated clinical groups of symptoms is provided by questionnaires using generally recognized questionnaires, which must be used when interviewing each patient to establish a clinical syndrome, and it is possible to get a general idea of the state of human health only through a comprehensive analysis of the questionnaire data. The diagnosis by a doctor is established according to the anamnesis in 50% of cases, on the basis of clinical observation – in 30% and according to laboratory data – in 20%. The first remote contact of such patients with a doctor should include a detailed questioning of complaints, a review of the medical history, a review of his own medical, sometimes auto photographic, materials. Such men should always be examined on a second visit. In conditions of remote examination with lockdown, all the above examinations of patients with androgen deficiency are difficult to carry out, therefore, a less short diagnostic protocol can be applied, which will include the data: 1) ultrasound scan of the thyroid gland, abdominal organs, retroperitoneal space, small pelvis, scrotum; 2) data from clinical and laboratory tests. It is mandatory to provide medical information about the somatic and mental (psychological) state of the patient. Andrological patients usually do not have emergency conditions, but diagnostics, especially prescribing treatment, is a painstaking and individually directed process, therefore remote medical procedures are not the best option and require direct contact between the doctor and the patient.

scholarly journals Motivations for Participation in an Online Social Media Community for Diabetes

2018 ◽  
Vol 12 (3) ◽  
pp. 712-718 ◽  
Author(s):  
Katherine White ◽  
Achamyeleh Gebremariam ◽  
Dana Lewis ◽  
Weston Nordgren ◽  
James Wedding ◽  
...  
Keyword(s):  
Social Media ◽  
Technical Assistance ◽  
Medical Information ◽  
Community Members ◽  
Online Social Media ◽  
Patients With Diabetes ◽  
Health Related ◽  
High Level ◽  
Medical Recommendations ◽  
To Receive

Background: Our objectives were to describe individuals’ motivations for participation in an online social media community and to assess their level of trust in medical information provided by medical professionals and community members. Methods: A purposive survey was delivered to participants recruited through posts on the CGM in the Cloud group, Twitter, and blogs. Individuals were asked a series of demographic and social media use questions. Results: A total of 1268 members of the CGM in the Cloud community responded to the survey. The majority were non-Hispanic White (92.1%) and caregivers of an individual with diabetes (80.9%). Mean age was 41 years old, and 74.8% were female. Primary goals of the Facebook group were to learn more about Nightscout technology and to receive technological assistance. Individuals provided assistance to the community through spreading awareness, technical assistance, support, and donation. Respondents put a high level of trust in their peers versus health professionals in many health situations with nearly 40% of individuals reported to be helped by following advice found in the Facebook group, and 99% reported no harm. Conclusions: Our findings suggest that patients with diabetes and their caregivers use social media for many health-related purposes including medical recommendations and technical support for medical devices and systems as well as emotional support.

Social Media as a Source of Medical Information for Parents of Premature Infants: A Content Analysis of Prematurity-Related Facebook Groups

2021 ◽  
Author(s):  
Katherine Taylor ◽  
Jaclyn Havinga ◽  
Brittney Moore ◽  
Dmitry Tumin ◽  
Kelly Bear
Keyword(s):  
Intensive Care Unit ◽  
Social Media ◽  
Premature Infants ◽  
Neonatal Intensive Care ◽  
Medical Information ◽  
Medical Advice ◽  
Anticipatory Guidance ◽  
Key Points ◽  
Medical Recommendations ◽  
To Receive

Objective Parents are increasingly turning to social media for medical recommendations. Our objective was to systematically examine posts on Facebook for parents of infants hospitalized in the neonatal intensive care unit (NICU) to analyze how advice on medical topics was requested and given, and whether this advice was potentially medically inappropriate. Study Design One hundred Facebook groups were screened for study eligibility. In each group, up to 400 posts on medical topics were evaluated. The first 10 comments of each post were classified based on content and presence of medical advice. Appropriateness of advice was evaluated by a neonatologist. Results Of 28 groups meeting study criteria, 10 permitted access for data collection. We identified 729 posts requesting medical advice of which 29% referenced the NICU period. Posts on diagnosis and development (30 and 32% of posts, respectively) were the most common topics, and most likely to receive advice (78 and 76% of posts on these topics, respectively). We identified 238 comments containing potentially inappropriate medical advice and 30 comments recommending going against medical advice. Conclusion Parents are utilizing Facebook as a source of support and medical information. Parents are most likely to give development-related advice from their own parenting experiences. The high percentage of posts requesting advice about diagnosis and development in the post-NICU stage suggests parents seek increased anticipatory guidance. Key Points

scholarly journals The Spectrum of Bacille Calmette–Guérin Diseases in Children—A Decade of Data from Neonatal Vaccination Settings

Vaccines ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 150
Author(s):  
Noora Al Busaidi ◽  
Prakash KP ◽  
Amina Al-Jardani ◽  
Nashat Al-Sukaiti ◽  
Salem Al Tamemi ◽  
...  
Keyword(s):  
Laboratory Data ◽  
International Classification Of Diseases ◽  
Bcg Vaccine ◽  
Bacille Calmette Guerin ◽  
Related Disease ◽  
Central Public Health ◽  
Classification Of Diseases ◽  
Polymerase Chain ◽  
Disseminated Disease

In this paper, we present a multicentre record-based descriptive study used to estimate the incidence and characterize the spectrum of confirmed bacille Calmette–Guérin (BCG) vaccine-related disease among children in Oman. This study included all children (age ≤ 14 years) who had culture and/or polymerase chain reaction (PCR)-confirmed BCG disease from January 2006 to December 2018, as identified from Central Public Health Laboratory data and International Classification of Diseases coding of an electronic patient information system. In total, 88 children confirmed to have BCG disease were included in the study, making an average incidence of 9.2 cases per 100,000 vaccinated neonates. The males comprised 65.9%, Omanis 93.2%, and the median age of presentation was 4 months in children with BCG disease. The most common type of disease was BCG abscesses (72.4%). Children with immunodeficiency and those presenting within 6 months were found to have a more severe and disseminated disease. In total, 28 children had immunodeficiency. The age of presentation and type of BCG disease was significantly associated with immunodeficiency status. The majority of cases required therapy (both medical and surgical) and recovered well. The incidence of laboratory-confirmed BCG vaccine-related disease was low in Oman supporting continuing the use of the BCG vaccination practice at birth.

scholarly journals Datives with psych nouns and adjectives in Basque

2020 ◽  
Vol 54 (3) ◽  
pp. 647-696
Author(s):  
Beatriz Fernández ◽  
Fernando Zúñiga ◽  
Ane Berro
Keyword(s):  
Natural Language ◽  
Linguistic Theory ◽  
Psychological State ◽  
Formal Expression ◽  
Fine Grained ◽  
Psych Verbs ◽  
Other Regarding ◽  
Psychological Verbs

Abstract This paper explores the formal expression of two Basque dative argument types in combination with psych nouns and adjectives, in intransitive and transitive clauses: (i) those that express the experiencer, and (ii) those that express the stimulus of the psychological state denoted by the psych noun and adjective. In the intransitive structure involving a dative experiencer (DatExpIS), the stimulus is in the absolutive case, and the intransitive copula izan ‘be’ shows both dative and absolutive agreement. This construction basically corresponds to those built upon the piacere type of psychological verbs typified in (Belletti, Adriana & Luigi Rizzi. 1988. Psych-verbs and θ-theory. Natural Language and Linguistic Theory 6. 291–352) three-way classification of Italian psych verbs. In the intransitive structure involving a dative stimulus (DatStimIS), the experiencer is marked by absolutive case, and the same intransitive copula shows both absolutive and dative agreement (with the latter corresponding to the dative stimulus and not to the experiencer). We show that the behavior of the dative argument in the two constructions is just the opposite of each other regarding a number of morphosyntactic tests, including agreement, constituency, hierarchy and selection. Additionally, we explore two parallel transitive constructions that involve either a dative experiencer and an ergative stimulus (DatExpTS) or a dative stimulus and an ergative experiencer (DatStimTS), which employ the transitive copula *edun ‘have’. Considering these configurations, we propose an extended and more fine-grained typology of psych predicates.

scholarly journals Baroness Charlotta Castelli Glembay – Was she hypersexual?

2021 ◽  
Vol 19 (1) ◽  
pp. 83-100
Author(s):  
Goran Arbanas
Keyword(s):  
Sexual Behaviour ◽  
Clinical Syndrome ◽  
Pattern Of Failure ◽  
Statistical Manual ◽  
Sexual Drive ◽  
International Classification Of Disease ◽  
Diagnostic And Statistical Manual ◽  
Persistent Pattern ◽  
Formal Recognition

Hypersexuality disorder (or sexual addiction or excessive sexual drive or compulsive sexual behaviour disorder) is a controversial condition that is present in the International Classification of Disease but not in the Diagnostic and Statistical Manual for Mental Disorders. It is defined as a clinical syndrome characterised by a persistent pattern of failure to control intense, repetitive sexual impulses or urges resulting in repetitive sexual behaviour. The condition is more prevalent in men than in women. Some medical conditions were described in fictional literature before their formal recognition in medicine, like Huntington disease, Pickwick syndrome, and Munchausen syndrome. The aim of this article is to analyse the fictional character of Charlotta Castelli Glembay from Miroslav Krleža’s play Messrs Glembays from 1928. Krleža presented a woman with a sexual drive that could be described as uncontrollable, organic (physical) in origin, and different from love and affection (that she also experienced, but only with one particular man). The author gave a special name for her condition – erotic intelligence. This sexual behaviour has distressing and devastating consequences. This paper will argue that the play depicts hypersexuality disorder in a woman, with a designation of its aetiology. In concordance with the prevailing attitudes of the time (the early 20th century), hypersexuality in women had negative attributions.

scholarly journals Случай болезни (синдрома) Кавасаки в г. Хабаровске

2020 ◽  
pp. 106-110
Keyword(s):  
Kawasaki Disease ◽  
Scarlet Fever ◽  
Laboratory Data ◽  
Clinical Syndrome

A case of diagnostics and treatment of Kawasaki disease (syndrome) in a child aged 3.5 years old, hospitalized with suspected scarlet fever and yersiniosis, is described. The main clinical syndrome manifestations and laboratory data, confirming this diagnosis, are presented.

Crescentic glomerulonephritis

2009 ◽  
pp. 399-434
Author(s):  
Patrick Nachman ◽  
Richard J. Glassock
Keyword(s):  
Renal Function ◽  
End Stage Renal Disease ◽  
Crescentic Glomerulonephritis ◽  
Rapidly Progressive Glomerulonephritis ◽  
Clinical Syndrome ◽  
Aggressive Treatment ◽  
Stage Renal Disease ◽  
End Stage ◽  
Glomerular Tuft

The term crescentic glomerulonephritis (CrGN) refers to a diverse collection of disorders of widely different etiology and pathogenesis having in common the development of extensive proliferation of cells within Bowman's space (Couser, 1988; Glassock et al., 1995; Nachman et al., 1998; Pusey and Rees, 1998; Morgan et al., 2006; Lionaki, et al., 2007). The resulting accumulation of cells gives rise to a ‘crescent’ enveloping the glomerular tuft itself. Polymerization of fibrinogen in Bowman's space due to passage of fibrinogen through gaps in the capillary wall, the elaboration of procoagulant factors by infiltrating monocytes and impaired fibrinolysis all contribute to the pathogenesis of the crescent (Couser, 1988, Glassock et al., 1995). Usually 〉50% of glomeruli are involved with crescentic lesions. Such patients also frequently manifest rapid and progressive deterioration of renal function leading to the clinical syndrome of rapidly progressive glomerulonephritis. Early and aggressive treatment can often delay or prevent the development of end-stage renal disease (ESRD). See Table 10.1 for an etiologic and pathogenetic classification of CrGN.

Daridorexant, a new dual orexin receptor antagonist, in elderly subjects with insomnia disorder

Neurology ◽  
2020 ◽  
Vol 94 (21) ◽  
pp. e2222-e2232 ◽  
Author(s):  
Gary Zammit ◽  
Yves Dauvilliers ◽  
Scott Pain ◽  
Dalma Sebök Kinter ◽  
Yosef Mansour ◽  
...  
Keyword(s):  
Receptor Antagonist ◽  
Elderly People ◽  
Dose Range ◽  
Sleep Onset ◽  
Latin Square ◽  
Elderly Subjects ◽  
Insomnia Disorder ◽  
To Receive ◽  
Dose Dependent

ObjectiveTo assess the dose-response of daridorexant, a new dual orexin receptor antagonist, on wake after sleep onset (WASO).MethodsElderly (≥65 years) participants (n = 58) with insomnia were randomly allocated (Latin square design) to receive 5 treatments (5, 10, 25, and 50 mg daridorexant and placebo) during 5 treatment periods, each consisting of 2 treatment nights followed by a 5- to 12-day washout period. Main efficacy endpoints were the absolute change from baseline in WASO (primary) and latency to persistent sleep (LPS; secondary) to days 1 and 2 (mean of 2 treatment nights assessed by polysomnography) in each period. Safety and tolerability were also assessed.ResultsOf 58 participants included, 67% were female, and the median age was 69 years (range 65–85 years). WASO and LPS were dose-dependently reduced from baseline to days 1 and 2 after daridorexant administration (multiple comparison procedure modeling, p < 0.0001 and p = 0.004, respectively); reductions were statistically significant for doses ≥10 mg compared with placebo (WASO: −32.0, −45.1, −61.4 minutes; LPS: −44.9, −43.8, −45.4 minutes for 10, 25, and 50 mg, respectively, p ≤ 0.025). Treatment-emergent adverse events were similar for daridorexant and placebo; the most frequent were fatigue, nasopharyngitis, gait disturbance, and headache (≤7% in any group).ConclusionsDaridorexant was well tolerated. Dose-dependent improvements in WASO and LPS were statistically significant (dose range 10–50 mg) in elderly people with insomnia disorder.ClinicalTrials.gov identifier:NCT02841709.Classification of evidenceThis study provides Class I evidence that, for elderly people with insomnia, daridorexant reduced WASO.

Message Framing and Color Combination in the Perception of Medical Information

2011 ◽  
Vol 108 (2) ◽  
pp. 667-672 ◽  
Author(s):  
Yu-Hung Chien
Keyword(s):  
University Students ◽  
Medical Information ◽  
Message Framing ◽  
White Background ◽  
Color Combination ◽  
Item Questionnaire ◽  
Black Characters ◽  
Flu Vaccine ◽  
Vaccine Information ◽  
To Receive

A 2 × 2 between-subjects design was used to examine the effects of message framing (gain vs loss) and color combination (red background with white characters vs white background with black characters) on 120 university students' perception of materials promoting the H1N1 flu vaccine and their willingness to receive the vaccine after they had read the materials. Each participant completed a 6-item questionnaire, and the results of an analysis of variance showed that participants rated vaccine information presented through loss-framed messages as having greater interest and leading to greater understanding. Loss-framed messages presented on a white background with black characters significantly increased the willingness of the participants to receive the vaccine.

scholarly journals Morphology of various strains of the trypanosome causing disease in man in Nyasaland. I.–The human strain

1913 ◽  
Vol 86 (587) ◽  
pp. 285-302 ◽  
Keyword(s):  
East Africa ◽  
Domestic Animals ◽  
Sleeping Sickness ◽  
Tsetse Fly ◽  
General Idea ◽  
Glossina Morsitans ◽  
African Species ◽  
Important Species ◽  
Wild Game

In order to gain a general idea of this important species of trypanosome, it will be necessary to study as many individual strains as possible. It may be thought unnecessary to describe each strain so much in detail, but without this it will be impossible to get any order out of the chaos which rules at present in the classification of the African species of trypanosomes pathogenic to man and the domestic animals. Up to the present the Commission have only had an opportunity of working with five human strains. Four of these are from natives infected in the Sleeping-Sickness Area, Nyasaland, the fifth from an European who contracted the disease in Portuguese East Africa. It is intended, in later papers, to describe five strains from wild game and the same number from the tsetse fly, Glossina morsitans .

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