Association between psychosocial distress, sexual disorders, self-esteem and quality of life with male androgenetic alopecia: a population-based study with men at age 46

ObjectivesTo study the association between androgenetic alopecia (AGA) and its severity with psychosocial well-being in male subjects aged 46 years at the population level.DesignCross-sectional study.SettingThe Northern Finland Birth Cohort 1966 (NFBC1966).ParticipantsData were available for 892 male subjects aged 46 years.InterventionsStudy subjects underwent comprehensive health examinations including a skin evaluation by dermatologists and determination of AGA according to the Norwood classification. They also filled in a questionnaire battery that included previously validated questionnaires: the Hopkins Symptom Checklist-25, the Beck Depression Inventory–II; the Generalised Anxiety Disorder Screener; a 15-dimensional measure of health-related quality of life; a 12-Item General Health Questionnaire. The battery also included questions about self-esteem and sexual health.Main outcome measurementsThe presence of AGA and its severity, psychosocial well-being.ResultsAGA was found in 68.5% of subjects, 27.8% of the cases were severe, 33.2% moderate and 39.0% mild. There was no significant association between the presence of AGA or its severity with depression, anxiety, quality of life, self-esteem or sexual symptoms. Those with severe AGA reported lower sexual activity when compared with those without AGA; however, the difference was not statistically significant.ConclusionsMiddle-aged men with AGA did not differ from men without AGA in terms of psychosocial well-being.

Ethnomedicinal Plants Used for Cure of Sexual Dysfunctions in Humans by Traditional Hakeem’s of Malegaon Region from Nasik District.

Hakeem is an Arabic word meaning “Physician” or “Practitioner of herbal medicine”. Hakeems are practice Unani medicinal system i.e. the Greco Arabian system of medicine or Islamic medicine. Most of the Hakeems are practice on sexual disorders like Decrease in sperm count, decrease of viscosity of semen, erectile dysfunction, pre mature ejaculation and fluidity of sperms are common sexual dysfunctions of males and Leucorrhoea, Amenorrhea and Lactational amenorrhea (Postpartum infertility) are the common sexual dysfunctions of females of human being. The present study on these diseases is based on the collection of data from Hakeems of Malegaon region who practicing on these diseases from generations about 90 to 150 years.

Online Consultations Between General Practitioners and Psychiatrists in the Netherlands: A Qualitative Study

Objective: To examine the nature and scope of questions about psychiatric patient cases submitted by general practitioners (GPs) to an established online consultation platform and to determine if they could have been answered by consulting existing clinical guidelines.Methods: All anonymized psychiatric cases submitted by GPs to the online electronic Prisma platform between September 2018 and November 2019 were examined in a mixed-methods study. Descriptive statistics and qualitative thematic analysis were used, followed by axial coding to arrive at overarching themes to characterize cases.Results: Of the 136 included cases, 44.1% concerned female patients and about half concerned patients aged 31–60 years. Common psychiatric disorders were depression, attention deficit hyperactivity disorder, sleeping problems, sexual disorders, and eating disorders. The first response was usually given within 2 h (interquartile range, 0–14.3 h), with 86% answered within 24 h and 95% within 48 h. Qualitative analysis revealed four themes, namely “type of question,” “cases in relation to current clinical guidelines,” “case complexity” and “the doctor being pressured.” Type of question comprised diagnostic, therapeutic, and referral questions. Notably, for 44.1% of questions no current clinical guidelines was present and 46.3% of cases were deemed complex in nature. GPs were willing to share their experiences of coping with being pressured by patients.Conclusion: The findings of this study support the potential for an online electronic consultation platform to facilitate feasible and useful interprofessional consultation between GPs and psychiatrists for a broad range mental illnesses and questions of varying complexity.

Effect of Post Marriage Marital Skills Educational Program on Sexual Function of Women Referring to the Marriage Counseling Center of Mehriz City

Introduction: Sexual health is an important aspect of public health, especially in women. Healthy and satisfying sexual intercourse is an important factor in maintaining family health and preventing sexual disorders. In Iran, the prevalence of women sexual disorders was reported 31-72% in different age groups. The purpose of this study was to investigate the effect of a post marriage marital skills educational program on sexual function of women referring to the marriage counseling center of Mehriz City in 2020. Methods: This quasi-experimental study was conducted on 72 women who had been married for 6 months to one year. The participants were divided into the control (n = 36) and intervention (n = 36) groups. The data were collected using female sexual function index (FSTI) questionnaire. The intervention group was educated in 4 sessions of 120 minutes. Data analysis was performed by SPSS version 22 using descriptive and analytical statistics. Results: The mean age of the subjects in the intervention group was 22.58±4.83 and in the control group was 21.83±4.01years. The results showed that after the educational intervention, the mean score of sexual function increased significantly from 22.9 to 27 in the intervention group (p <0.05). There was also a significant increase in sexual desire, psychological stimulation, vaginal moisture, orgasm, satisfaction and a decrease in sexual pain (p <0.05). In the control group, the mean score of sexual function did not change significantly. Conclusion: It seems that the designed intervention of marital skills education on women's sexual function had a significant effect on all dimensions of sexual function. It is recommended that educational-counseling interventions be performed after marriage in health centers.

Effect of Topical Clove (Syzygium aromaticum (L.) Merr. & L.M.Perry) Gel on Premature Ejaculation: A Pilot Randomized Double-Blind Placebo-Controlled Clinical Trial

Premature ejaculation is one of the most common sexual disorders worldwide without a satisfying treatment. In this study, we investigated the efficacy of a topical formulation of clove oil in premature ejaculation patients. Eligible patients were randomly divided into two groups to use either Syzygium aromaticum (SA) 1% gel or placebo gel 10 minutes before the intercourse for a period of 8 weeks. Outcome measurement were Premature Ejaculation Diagnostic Tool (PEDT) and International Index of Erectile Function (IIEF) questionnaires in addition to Intravaginal Ejaculation Latency Time (IELT). A total number of 22 (11 patients in each group) participants completed the study. At the end of the intervention, the IELT scores changed from 29.84 ± 18.59 to 97.09 ± 91.86 and 42.51 ± 13.98 to 52.45 ± 32.7 seconds in SA gel and placebo groups, respectively (p-value = 0.003). Also, the changes of PEDT scores in the SA gel group (from 14 ± 3.55 to 9.2 ± 4.56) comparing to that of placebo gel group (from 14.63 ± 3.61 to 13.5 ± 3.78) was significantly different (p-value =0.001). Moreover, results of IIEF questionnaire revealed significant improvement of “Intercourse Satisfaction” in SA gel group (p-value = 0.016). No adverse event was observed. It seems that SA gel could be beneficial in the treatment of premature ejaculation; however, it should be further evaluated in larger studies.

Late outcomes of percutaneous coronary interventions (PCI) and subsequent life-quality in patients younger 40 years of age

Background Late results of PCI in patients aged ≤40 years are few presented without differentiation of groups with acute coronary syndrome (ACS) vs. Stable Angina, and age borderlines≤35 years vs. 36–40 years. Health-life quality following PCI in patients ≤40 years of age not studied. Objective To analyze predictors of outcomes, and subsequent life-style in patients aged ≤35 vs. 36–40 years underwent PCI according to ACS vs. Stable Angina. Material Enrolled 208 consecutive patients with coronary artery disease aged 24–40 years, of them 157 (75.5%) – aged 36–40 years, 51 (24.5%) – ≤35 years. 197 (94.7%) patients underwent revascularization of the myocardium, of them: 165 (79.3%) patients underwent PCI; 32 (15.4%) – CABG. 11 (5.3%) patients abandoned revascularization. Late results of PCI, and subsequent health-life quality studied in 126 (76,4%) of 165 patients on 10–108 months (mean 62,5±2,6). Results 84 (50.9%) patients underwent PCI according to ACS; 81 (49.1%) – Stable Angina, without any complications. In-hospital, and 30-days mortality 0%. Actuarial survival on 9 years comprised 99,2%; cardiac mortality – 0,8%; events-free survival on 1–2–3 years comprised 90,5–84,1%-81,7%; on 5–9 years – 79,4%. Active lifestyle verified in 74,6% patients; sparing lifestyle – in 25,4%; return to work – in 86,5% patients. 88,1% examined preserved family; transitory sexual disorders revealed in 28,6% patients. Regular medication, and dietary regimen followed by 83,3% & 27,8% patients. Continue smoking & abuse energetic drinks 34,1% & 23,8% examined; overweight and obesity persisted in 23,8% & 19% examined patients. 23% patients fall in depression tied with re-MI/ angina; 18,3% – with quarantine (COVID-19); 6,3% examined suffered “panic attack” waiting recurrence of angina. Re-MI/angina revealed in 23% patients; 20,6% examined underwent re-PCI. Conclusion Predictors of poor outcomes were: 1) ACS; 2) age in time of PCI ≤35 years; 3) early MI, DM, LVEF ≤35–40%; 4) used stents diameter&lt;28mm.; 5) continued smoking, and abuse of energetic drinks. Leading independent predictor – aggressively current atherosclerosis & DM in individuals ≤40 years of age leading to rapid dysfunction of stents; in patients with patency stents – lesion of native or “protected” coronary arteries. FUNDunding Acknowledgement Type of funding sources: None.

Evaluation of mycational and sexual complaints inwomen practicing physical activity

The pelvic floor has the function of supporting the pelvic organs. In women,changes in the pelvic musculature can result in urinary incontinence, pelvicorgan prolapses and other disorders, which may include sexual disorders. Theaim of this study was to assess sexual and voiding dysfunctions among womenwho practice physical activity. A cross-sectional observational study was carriedout, with 31 female patients, aged between 20 and 35 years (26.0 ± 4.2),divided into group G1 with 18 women practicing physical activity with practicetime less than 3 years and the G2 group with 13 women practicing physicalactivity for more than 3 years. As evaluation instruments were used: TheInternational Consultation on Incontinence Questionnaire (ICIQ –SF) and theICIQ-VS questionnaire. The results showed a greater severity of voidingsymptoms in women in group G2, with a severity score of 6.0 and group G1 hada severity score of 3.1, chi-square=5.19 and p=0.07. Regarding vaginalsymptoms, G2 showed a prevalence of 61.5%, which may be indicative of POP.In the present study, a high prevalence of UI symptoms was observed inwomen who practice physical activity, when related to the time of practice, therewas the presence of mild UI in Group G1 andmoderate in Group G2 (p=0.07),presenting a higher impairment of the quality of life of the G2 group (p=0.01).

PELAKU PEDOFILIA (Tinjauan Dari Faktor Penyebab dan Aspek Dinamika Psikologis)

This study aims to find out the psychological dynamics in pedophiles. The focus of research is the factors causing pedophile behavior in perpetrators. This study uses a qualitative method with a case study approach. The results showed that the perpetrator was a person known by the victim, namely the neighbor and the teacher. In general, the three participants have similarities in the factors causing pedophile behavior. The main common factors of the three participants in this study are the lack of affection from the family, especially the father figure, low self-esteem, failure to have a relationship with a partner, feeling disappointed or frustrated, consumption of pornographic content, and the inability to control sexual desire. Meanwhile, the different factors of the three participants were poor environment, having a less harmonious family background, relatively low level of economy, and education. Having-teen sexual experiences or have been victims of sexual harassment, having been physically abused or the victims of bullying and having sexual disorders can also be the factors. In addition, all three participants had a lack of sex education or understanding related to participants' cognitive aspects. There are also some factors related to affective aspects, namely feelings of guilt or even feeling of satisfaction after these three participants engage in inpedophile behavior. The conative aspect includes other factors such as the consumption of pornographic content, and the way participants give the lure to the victims and their threats, as well as how to perform pedophile behavior by inserting genitals into the victim's anus and then touching, pressing down the victim's genitals.