scholarly journals The Psychosocial Impact of Rosacea in Men: First Quantitative Study

2021 ◽  
Vol 6 (4) ◽  
pp. 01-09
Author(s):  
Mohammed S Al Abadie ◽  
Farlin Asharaff ◽  
Dina Al Abadie

Psychosocial impact of Rosacea in men has generally been a topic that in understudied in literature. We conducted a cross-sectional paper-based survey was conducted with male patients who have experienced rosacea for at least five years at the dermatology outpatient department at New Cross Hospital in Wolverhampton, England to determine the psychosocial impact of Rosacea on Men Quality of life and self-esteem. 52 % of the male population were noted to be “often” mentally pre-occupied by rosacea and frustrated due to rosacea. 85 % of the male population “never” used cosmetic camouflage. Mean function score is noted to be 6.81. This indicates that men are less in favour of coping mechanisms. Results from this study highlight that despite the emotional impact rosacea has on the male population, they do not frequently use coping mechanisms. This emphasises the psychosocial impact of rosacea on male population and the need for dermatologists to address the emotional impact on men as part of management as well as to raise awareness around this topic.

2021 ◽  
Vol 8 (11) ◽  
pp. 3320
Author(s):  
Joe Mathew ◽  
Rajeev S.

Background: Diabetic foot is a very common condition responsible for a major bulk of surgical admissions and out-patient visits. Lack of awareness of many factors influencing the incidence of this disease complex has led to loss of life, limb and quality of life. The site-specific incidence of initial site and initiating factor has not been studied in diabetic foot.Methods: A study has been done over a period of one and a half years which looked into the distribution of initial site of infection in diabetic foot and associated initiating etiologies. The study was cross sectional. History, general inspection of foot, dermatological, neuropathic and vascular assessments were done, in addition to making careful notes about the site and cause of infection.Results:60.7% of patients were >60 years old, 55.3% were male patients. 63.3% of patients had diabetes for more than 10 years. In 29.3% the initial site of infection was the big toe, 22% in the ball of foot, 18% in the other 4 toes together, 14.7% in the interdigital spaces, 10.7% in the heel and 5.3% in the mid foot. In most of the cases the etiology is multifactorial, trauma in 56%, musculoskeletal deformities in 47.3%, callosities in 41.3%, cracks and fissures in 16.7%, fungal infection in 7.3%, nail infection in 6%, no initiating introduction of infection identified in 10.7%.Conclusions: Awareness of and thus particular stress being place on identification of specific site and cause of infection should help in care of the foot in diabetics.


2020 ◽  
Vol 14 (Supplement_1) ◽  
pp. S605-S605
Author(s):  
V Domislović ◽  
M Brinar ◽  
L Vujičić ◽  
M Novosel ◽  
D Grgić ◽  
...  

Abstract Background Inflammatory Bowel Disease (IBD) has a negative impact on quality of life (QOL), and sexuality is one of its major determinants. The impact of disease characteristics on sexuality and intimacy is one of the main concerns of IBD patients. Despite the obvious relevance of this problem, knowledge of the extent and the determinants of sexual dysfunction in persons with IBD is limited. The main goal of the study was to determine the correlation of quality of life (QOL) and it’s components in patients with IBD, and to investigate the impact of disease duration on QOL components. Methods In this cross-sectional study patients fulfilled anonymous validated questionnaire on their sexual function. In International Index of Erectile Function (IIEF) for males, five domains were evaluated through questions on erectile function, orgasmic function, sexual desire, intercourse satisfaction and overall satisfaction. In women were six domains assessed, desire, arousal, lubrication, orgasmic function, satisfaction and pain. For both scores, higher scores indicated a better function. Patients also fulfilled IBDQ-32, a validated questionnaire for assessing quality of life in IBD patients that consists of four main components (social, emotional, systemic and bowel function). Results In this study we have enrolled 202 patients who fulfilled the questionnaire (133 CD, 69 UC). Among them 122 were men and 80 women. Average age of included patients was 39.2 ± 11.02. Prevalence of SD in women was 70% (n = 60) and 18% (n = 22) in males. Female patients with sexual dysfunction had lower emotional and social QOL (p = 0.035 and p = 0.03, respectively). Total male IIEF sexual function score correlated significantly with all of the components of IBDQ; emotional (rho=0.36, p < 0.001) systemic (rho=0.24, p = 0.006), social (rho=0.28, p = 0.002), bowel (rho=0.27, p = 0.002) and with total IBDQ (rho=0.36, p < 0.001). Regarding erectile function score, there was also correlation with all of the components of IBDQ. Total female sexual function FSFI score correlated significantly only with systemic component of IBDQ (rho=0.25, p = 0.02). Interestingly, in male patients disease duration correlate negatively with emotional and social component of IBDQ (rho = −0.21, p = 0.02 and rho=-023, p = 0.01, respectively), which was not the case in female patients. Conclusion The results show correlation of sexual function score with components of QOL, which were more correlated in male patients. Our results suggest that longer disease duration might have positive impact on emotional and social life in male patients, which could be connected with achieving disease control and accepting the disease. It is important to provide proper psychological support, medical treatment and educational information.


2012 ◽  
Vol 15 (4) ◽  
pp. 220-226 ◽  
Author(s):  
Karen Voigt ◽  
Stéphanie Taché ◽  
Matthias Hofer ◽  
Carsten Straßberger ◽  
Henna Riemenschneider ◽  
...  

Author(s):  
John Verrinder Veasey ◽  
Adriana Bittencourt Campaner

Objetivo: Avaliar o perfil epidemiológico e impacto na qualidade de vida dos pacientes portadores de verrugas anogenitais. Métodos: Trata-se de estudo transversal prospectivo realizado no Ambulatório de Infecções Sexualmente Transmissíveis do Hospital da Santa Casa de São Paulo no período de janeiro de 2015 a dezembro de 2017. Para avaliação do impacto na qualidade de vida foi aplicado um questionário específico para condiloma acuminado, que analisa o impacto na esfera emocional e sexual, e comparou-se seus resultados ao número e tempo de lesões apresentadas pelos pacientes do sexo masculino. Resultados: Foram avaliados o perfil epidemiológico de 48 pacientes, destes 23 pacientes responderam o questionário e demonstraram terem sido afetados na dimensão emocional e/ou sexual pelas suas lesões. Ao se correlacionar o número de lesões de condilomas aos resultados de impacto emocional, impacto sexual e impacto geral não se observou relação estatisticamente significante (p= 0,298, p=0,297 e p=0,230 respectivamente). Ao se correlacionar o tempo de lesão apresentada pelos pacientes ao impacto nas esferas emocional, sexual e geral houve uma relação inversa significativa com p<0,05, apresentando correlação moderada pelo método de análise de Pearson com p=0,039 na esfera emocional, p=0,009 na esfera sexual e p=0,010 na esfera global. Conclusões: A presença de condilomas anogenitais interfere na qualidade de vida de seus portadores, afetando tanto a esfera emocional quanto sexual. Notou-se também que pacientes com impacto na qualidade de vida pela presença de condilomas tendem a buscar auxílio médico mais rapidamente, enquanto pacientes com baixo impacto nas esferas sexual e emocional demoram mais tempo a procurar tratamento médico.Descritores: Papillomaviridae, Condiloma acuminado, Perfil de impacto da doença, Indicadores de qualidade de vida Abstract Objective: To evaluate the epidemiological profile and impact on the quality of life of patients with anogenital warts. Methods: This is a prospective cross-sectional study conducted at the Ambulatory of Sexually Transmitted Infections at Santa Casa de São Paulo Hospital from January 2015 to December 2017. To evaluate the impact on quality of life, a specific questionnaire was used for condyloma acuminata, which analyzes the impact in the emotional and sexual sphere, and compared its results to the number and time of lesions presented by the patients. Results: The epidemiological profile of 48 patients was evaluated; 23 of these patients answered the questionnaire and were affected in the emotional and / or sexual dimension by their lesions. When correlating the number of condyloma lesions to the results of emotional impact, sexual impact and general impact, no statistically significant relationship was observed (p = 0.298, p = 0.297 and p = 0.230, respectively). When correlating the time of condyloma presented by the patients to the impact in the emotional, sexual and general spheres, there was a significant inverse relationship with p <0.05, presenting a moderate correlation with the Pearson analysis method with p = 0.039 in the emotional sphere, p = 0.009 in the sexual sphere and p = 0.010 in the global sphere. Conclusions: The presence of anogenital condylomas interferes in the quality of life of the patients, affecting both the emotional and sexual spheres. It was also noted that patients with impact on quality of life due to the presence of condylomata tend to seek medical help more quickly, while patients with low impact in the sexual and emotional spheres take more time to seek medical treatment.Key Words: Papillomaviridae, Condylomata acuminata, Sickness impact profile, Indicators of quality of life


2021 ◽  
Vol 15 (58) ◽  
pp. 351-367
Author(s):  
Luísna Gabriela Aguiar Lobo De Resende ◽  
Gabriel Cardoso Oliveira da Silva ◽  
Erica Carvalho Caldas

A acne é uma afecção cutânea comum, que atinge cerca de 80% da população em alguma fase da vida. Além da parte estética, a acne abrange consequências psicológicas e sociais que podem afetar a qualidade de vida, saúde psíquica e a autoestima dos pacientes. O presente estudo de revisão narrativa bibliográfica, investigou os aspectos principais   do impacto psicossocial em pessoas com acne vulgar. Constatou-se que vários danos são gerados para os acometidos por essa patologia, entre eles estão: ansiedade, fobia social, depressão, insegurança, timidez, sintomas obsessivos compulsivos e transtorno dismórfico corporal. Tendo em vista os resultados apontados, confirmou-se que o tratamento adequado e efetivo apresenta grande melhora no quadro dos pacientes. Diante dos malefícios que a acne promove para vida da população é necessário compreendê-la como uma doença e não apenas como uma disfunção estética. ---Acne is a common skin condition that affects about 80% of the population at some stage of life.  In addition to the aesthetic part, acne includes psychological and social consequences that can affect the quality of life, mental health, and self-esteem of patients.  The present study of a bibliographic narrative review investigated the main aspects of the psychosocial impact on people with acne vulgaris.  It was found that several damages are generated for those affected by this pathology, including anxiety, social phobia, depression, insecurity, shyness, obsessive-compulsive symptoms and body dysmorphic disorder.  In view of the above results, it was confirmed that the adequate and effective treatment presents a great improvement in the patients' condition.  In view of the harm that acne causes to the population's life, it is necessary to understand it as a disease and not just an aesthetic dysfunction. 


Author(s):  
Muhammad Kamran ◽  
Nazia Mumtaz ◽  
Ghulam Saqulain

Abstract Objective: To find the levels of self-esteem, depression, anxiety and stress among prosthesis users. Method: The cross-sectional study was conducted from June to November 2018 at Chal Foundation centres in Bagh and Swabi, Pakistan, and comprised prosthesis users of both genders aged 15-60 years. Rosenberg self-esteem scale and Depression anxiety and stress scale-21 were used to collect data which was analysed using SPSS 22. Results: Of the 400 subjects, 315(78.8%) were males and 85(21.2%) were females. The overall mean age was 38.03±11.86 years. Low level of self-esteem was found in 350(87.5%), depression in 374(93.4%), anxiety in 388(96.9%) and stress in 338(84.4%). Females showed significant association with stress (p=0.009). Conclusion: The level of self-esteem was low among majority of the participants and psychological well-being was found to be poor. Key Words: Amputation, Anxiety, Depression, Prosthesis users, Quality of life, Continuous...


TH Open ◽  
2019 ◽  
Vol 03 (02) ◽  
pp. e190-e199 ◽  
Author(s):  
Naresh Gupta ◽  
Abderrahmane Benbouzid ◽  
Meriem Belhani ◽  
Mohammed El Andaloussi ◽  
Khadija Maani ◽  
...  

Introduction Optimizing hemophilia care remains challenging in developing countries. Burden-of-disease studies are important to develop strategies for improving hemophilia care. Aim The HAEMOcare study evaluated the factors contributing to hemophilia-related orthopedic disease burden in developing countries. Methods HAEMOcare was a noninterventional, cross-sectional, epidemiological study conducted in Algeria, India, Morocco, Oman, and South Africa. Male patients with severe hemophilia (N = 282) aged ≥6 years, without or with inhibitors, being treated on-demand for bleeding were included. Hemophilia-related orthopedic clinical and functional status was assessed using the Hemophilia Joint Health Score (HJHS), radiological status with the Pettersson Score, and quality of life with the EuroQol five-dimension questionnaire (EQ-5D-3L). Direct and indirect economic costs of hemophilia care were also calculated. Results Patients (mean [standard deviation, SD] age: 20.8 [10.6] years) experienced a mean annualized bleeding rate of 25.8. Overall mean (SD) HJHS and Pettersson score were 17.9 (12.8) and 15.0 (13.5), respectively; scores were similar between patients without or with inhibitors (p = 0.21 and 0.76, respectively). Approximately 70% of adults reported problems relating to pain/discomfort and mobility parameters in the EQ-5D-3L. Mean distance to a hemophilia treatment center (HTC) was 79.4 km. As expected, total costs of hemophilia were statistically significantly higher in patients with inhibitors versus without inhibitors (p = 0.002). Conclusion Inadequate access to HTCs and expert care, along with high bleeding rates, led to equivalent hemophilia-related orthopedic morbidity between hemophilia patients without and with inhibitors. HAEMOcare documented the economic and disease burdens associated with suboptimal hemophilia care in developing countries.


2016 ◽  
Vol 34 (2_suppl) ◽  
pp. 525-525
Author(s):  
Alberto Dalla Volta ◽  
Francesca Valcamonico ◽  
Carlo Cappelli ◽  
Andrea Delbarba ◽  
Vittorio D. Ferrari ◽  
...  

525 Background: Sunitinib (S) is a standard first line treatment of metastatic renal cell carcinoma (mRCC). Asthenia and fatigue are the most prevalent toxicities but the relevant causes are not fully elucidated. Since endocrine glands are highly vascularized, the potent antiangiogenic effect of S can potentially impair their function. With the exception of hypothyroidism, the endocrine-related side-effects of S have not been extensively explored. Methods: We performed a cross-sectional study in which pituitary, thyroid, parathyroid, adrenal and gonadal functions were assessed in 25 mRCC patients who received 9 months of S therapy. Since a high prevalence of hypogonadism was observed, we subsequently enrolled 16 mRCC male patients in a prospective cohort study in which serum testosterone (T) serum free T, serum FSH and LH were evaluated at baseline and after 6 weeks (1 cycle) of S therapy. In patients eligible for testosterone replacement after andrologic evaluation, a FACT-G questionnaire for quality of life (QoL) assessment was prospectively administered at baseline and after 3 months. Results: In the cross sectional study 15/22 S treated male patients (68%) had serum T below the normal range and 13 of them (87%) presented with low/normal levels of LH. In the prospective study mean T levels (95% CI) were 5.04 ng/ml (3.4 - 6.7) at baseline and 4.1 ng/ml (3 - 5.3) after 6 weeks (p 0.05). The corresponding free T were 91.4 pg/ml (66 – 116.8) and 80.2 pg/ml (65 – 95.3) (p 0.24), respectively. Hypogonadism was observed in 5 (31%) patients at baseline and 10 (63%) patients after 6 weeks of S therapy. In the 5 patients becoming hypogonadic after S therapy, LH was 11.4 mU/ml (3.2 - 19.5) at baseline and 11.5 mUI/ml (0 – 23.5) after 6 weeks. Four patients were addressed to testosterone replacement. QoL significantly improved in 3 of them, with the strongest advantage in the physical comfort area. Conclusions: S therapy induces hypogonadism in a high proportion of male patients with mRCC. Low or inappropriately normal LH levels are consistent with a pituitary origin of the endocrine disorder. Testosterone replacement may improve the QoL and treatment tolerance.


2017 ◽  
Vol 70 (2) ◽  
pp. 271-278 ◽  
Author(s):  
Emmanuelle da Cunha Ferreira ◽  
Maria Helena Barbosa ◽  
Helena Megumi Sonobe ◽  
Elizabeth Barichello

ABSTRACT Objective: to assess self-esteem (SE) and health-related quality of life (HRQoL) in ostomized patients due to colorectal cancer. Method: cross sectional research with a quantitative approach. Three instruments were used for data collection: one instrument containing sociodemographic and clinical data, Rosenberg's Self-Esteem Scale, and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire. Results: SE and HRQoL were considered satisfactory. Significant statistical difference was found in the social function domain and marital status, ostomy duration, location, and time; global health scale and ostomy type; cognitive function and pain in the ostomy site. There was a correlation between self-esteem and all the functional scales and the global health scale. Conclusion: knowing SE and HRQoL levels, in addition to the variables that influence them, supports ostomized patients' care planning, rehabilitation, and social autonomy.


2014 ◽  
Vol 128 (11) ◽  
pp. 972-975 ◽  
Author(s):  
A Qureishi ◽  
G Garas ◽  
A Mallick ◽  
D Parker

AbstractBackground:In children, otitis media with effusion is treated using grommets or hearing aids. Parents considering treatment options express concerns regarding the psychosocial impact of hearing aids in terms of self-esteem and bullying. This study assessed the psychosocial impact of hearing aid use.Methods:A cross-sectional study was undertaken comparing hearing aid users to non hearing aid users with regard to their attitudes towards hearing aids. All subjects, who had been diagnosed with otitis media with effusion, were aged less than 16 years, were without disability and attended mainstream schools. A questionnaire was designed and utilised.Results:The study comprised 47 children with hearing aids and 50 with grommets. Significant between-group differences (p < 0.05) were noted with regard to perceptions related to bullying, feelings of inadequacy and embarrassment. The overall negative perceptions of non hearing aid users were not reported by hearing aid users.Conclusion:Children with hearing aids do not suffer from bullying or low self-esteem to the extent perceived by parents. This information is useful for informed decisions regarding treatment of otitis media with effusion.


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