scholarly journals Sexual Functioning after Stroke among Rehabilitation Medicine Out-Patients and their Sexual Partners: A Cross-Sectional Study

2020 ◽  
Vol 54 (2) ◽  
Author(s):  
Carl Froilan D. Leochico ◽  
Jose Alvin P. Mojica ◽  
Sharon D. Ignacio ◽  
Betty Dy-Mancao

Background. Sexuality remains to be a sensitive issue in the Philippines, but it encompasses real problems that stroke patients and their partners continue to face. Sexual dysfunction, an under-recognized complication poststroke, is caused by an interplay of physical, emotional, cognitive, and language impairments, in combination with psychosocial factors. Objectives. This study aimed to determine changes in sexual functioning (libido, coital frequency, sexual arousal, and sexual satisfaction) among stroke out-patients at the Philippine General Hospital and their sexual partners.Methods. This cross-sectional study involved patients (≥30 years old with 1 stroke episode), and their partners. Through individual interviews and questionnaires, data were gathered on general attitude toward sex, ability to address sexual issues with partner, fear of recurrence of stroke, unwillingness to participate in coitus, risk of depression, and level of happiness. Results. Twenty-nine patients and 23 partners participated. There was a statistically significant decrease in coital frequency post-stroke among patients (p<0.001) and partners (p<0.05). Majority reported lower level of libido, sexual arousal, and sexual satisfaction post-stroke. Participants unable to discuss sexual issues with partner were more likely to report sexual dissatisfaction (p<0.05). Those with higher scores on Zung’s depression scale were likely to be sexually dissatisfied (p<0.05). Level of happiness was moderately correlated with sexual satisfaction (r=0.51). Conclusion. Sexual life of couples affected by stroke is commonly overlooked. There was a decline in libido, coital frequency, arousal, and sexual satisfaction among stroke patients and partners at the Philippine General Hospital.

2020 ◽  
Vol 27 (4) ◽  
pp. 72-84
Author(s):  
Hui Jie Wong ◽  
◽  
Sakinah Harith ◽  
Pei Lin Lua ◽  
Khairul Azmi Ibrahim ◽  
...  

2021 ◽  
Author(s):  
Laura Batista. ◽  
Gabriel Suzart

Background: The post-stroke persistent headache syndrome is poorly characterized in the literature and recognized in clinical practice. The objective of this study is to describe the clinical and epidemiological profile of patients with persistent post-stroke headache and its pattern. Design and setting: Cross-sectional study at a reference stroke outpatient clinic from Federal University of Bahia. Methods: Patients were actively approached during the usual consultation. Results: From a total of 52 stroke patients, 11 (21.2%) were diagnosed with persistent post-stroke headache, 19 (36.5%) with acute post-stroke headache and 22 (42.3%) without headache. Systemic arterial hypertension was more frequent in the group without headache (95.5%) than in the group with persistent headache (63.6%). On the other hand, the second group presented a greater proportion of sedentary lifestyle (90.9% vs 54.5%) and smoking (45.5% vs 27.3%) than the first group. In patients with persistent headache, the median frequency of pain in the last 3 months was 40.5 days (IIQ 14.25 - 90.0) and the most frequent locations were strictly unilateral (45.5%) and holocranial (36 , 4%), with no individual reporting an alternating unilateral pattern. Conclusions: Corroborating the results of previous studies, our data demonstrated a relevant prevalence of persistent post-stroke headache, and it is possible that previously hypertensive patients are more protected for the development of persistent headache than individuals without hypertension.


2020 ◽  
Vol 22 (1) ◽  
Author(s):  
Mateusz Kowal ◽  
Anna Kołcz ◽  
Robert Dymarek ◽  
Małgorzata Paprocka-Borowicz ◽  
Jan Gnus

2021 ◽  
pp. 1-7
Author(s):  
Amélie Gabet ◽  
Clémence Grave ◽  
Edouard Chatignoux ◽  
Philippe Tuppin ◽  
Yannick Béjot ◽  
...  

<b><i>Introduction:</i></b> COVID-19 was found to be associated with an increased risk of stroke. This study aimed to compare characteristics, management, and outcomes of hospitalized stroke patients with or without a hospital diagnosis of CO­VID-19 at a nationwide scale. <b><i>Methods:</i></b> This is a cross-sectional study on all French hospitals covering the entire French population using the French national hospital discharge databases (<i>Programme de Médicalisation des Systèmes d’Information</i>, included in the <i>Système National des Données de Santé</i>). All patients hospitalized for stroke between 1 January and 14 June 2020 in France were selected. A diagnosis of COVID-19 was searched for during the index hospitalization for stroke or in a prior hospitalization that had occurred after 1 January 2020. <b><i>Results:</i></b> Among the 56,195 patients hospitalized for stroke, 800 (1.4%) had a concomitant COVID-19 diagnosis. Inhospital case-fatality rates were higher in stroke patients with COVID-19, particularly for patients with a primary diagnosis of COVID-19 (33.2%), as compared to patients hospitalized for stroke without CO­VID-19 diagnosis (14.1%). Similar findings were observed for 3-month case-fatality rates adjusted for age and sex that reached 41.7% in patients hospitalized for stroke with a concomitant primary diagnosis of COVID-19 versus 20.0% in strokes without COVID-19. <b><i>Conclusion:</i></b> Patients hospitalized for stroke with a concomitant COVID-19 diagnosis had a higher inhospital and 3 months case-fatality rates compared to patients hospitalized for stroke without a COVID-19 diagnosis. Further research is needed to better understand the excess of mortality related to these cases.


2016 ◽  
Vol 28 (4) ◽  
pp. 389-396 ◽  
Author(s):  
Henry Namme Luma ◽  
Servais Albert Fiacre Bagnaka Eloumou ◽  
Ellis Atemlefeh Fualefeh-Morfaw ◽  
Agnes Malongue ◽  
Elvis Temfack ◽  
...  

While gastrointestinal disease is common among HIV infected individuals, the prevalence and distribution of ano-rectal pathology has not been well studied in our setting. The objective of this study therefore was to determine the prevalence and determinants of ano-rectal pathology in HIV infected patients attending the Douala General Hospital HIV treatment centre. A hospital-based cross-sectional study was undertaken. We collected socio-demographic, clinical and laboratory data using a structured questionnaire and patients’ files. Each study participant had a full physical and ano-rectal examination. We further studied factors associated with having at least one ano-rectal lesion by logistic regression reporting odds ratios (ORs) and their 95% confidence intervals (CI). We included 390 HIV infected patients. The mean age was 41 (SD: 8) years and 48% were men. Median duration since HIV diagnosis was 3 (interquartile range: 2–5) years and median CD4 cell count was 411 (interquartile range: 234–601) cells/mm3. Prevalence of ano-rectal pathology was 22.8% (95% CI: 18.7–27.3). Hemorrhoids and proctitis were most common lesions found; each in 10% of patients. From multivariate logistic regression, factors associated with ano-rectal pathology were CD4 < 350 cells/ml (OR: 2.1, 95% CI: 1.1–4.2), not on highly active antiretroviral therapy (OR: 2.2, 95% CI: 1.1–4.6), inpatient (OR: 2.3, 95% CI: 1.2–4.3), ano-rectal intercourse (OR: 5.0, 95% CI: 1.7–15.1), and more than one sexual partner (OR: 2.4, 95% CI: 1.3–4.2). Ano-rectal pathology is common amongst HIV infected patients. Care givers should actively investigate and treat them as this will improve the quality of life of people living with HIV/AIDS.


2018 ◽  
Vol 31 (2) ◽  
pp. 204-205
Author(s):  
Villa-Cruz Grecia ◽  
González-Oropeza Diego ◽  
Ploneda-González César ◽  
Hernández-Escobar Claudia ◽  
Tenorio-Martínez Sofía

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