ABSTRACT
End-stage kidney disease has a negative impact on patients' quality of life. People who receive a kidney transplant experience an improvement in many areas of their daily life. Sexuality is a general component of health, which can be affected by end-stage kidney disease and kidney transplant. The aim of this study was to explore and understand the experiences and perspectives of kidney transplant recipients regarding their sexuality. A qualitative study based on Gadamer's hermeneutic philosophy was carried out. Two focus groups and nine interviews were conducted with 18 kidney transplant recipients. Data were audio-recorded, transcribed, and analyzed with the help of qualitative analysis software. Two main themes emerged from the data: (1) "The impact of a kidney transplant on sexuality", with the subthemes "sexuality is relegated to the background", "physical decline acts as a sexual inhibitor", and "changes in sexual activity following a kidney transplant"; (2) "Sexual education in kidney transplant recipients" with the subthemes "sexuality: a hidden concern amongst kidney transplant recipients" and "talking about sexuality with healthcare professionals". Sexuality is a frequent concern among kidney transplant recipients. The physiological and emotional changes experienced after kidney transplant exert a great influence on their sexuality. Healthcare professionals rarely discuss sexuality concerns with kidney transplant recipients. Professional sexual education and assistance are necessary to improve sexual health satisfaction of kidney transplant recipients.
ABSTRACT
Laparoscopic Adjustable Gastric Banding (LAGB) is a common surgery method used to help obese patients to lose weight. However, even if LAGB is able to produce a durable and relevant weight loss, it is less effective in improving body image: as demonstrated by a recent study, obese patients with a body image disorder in the pre-operative stage continue to show this even 13 months after the operation. In this presentation we will discuss the possible role of virtual reality (VR) in addressing this problem within an integrated cognitive behavioral approach. To test this approach, a case series of three LAGB patient who experienced body dissatisfaction even after a >30/40% excess body weight loss, is presented and discussed. At the end of the 6-week protocol the patients experienced a 15%-20% further reduction of their weight. This reduction was also matched by a general improvement of the psychological state. Both the weight loss and the level of well-being were further improved after a three-month follow-up.
Subject(s)
Bariatric Surgery/methods , Body Dysmorphic Disorders/psychology , Computer Simulation , Obesity, Morbid/surgery , Weight Loss , Adult , Female , Humans , Laparoscopy/methods , Male , Obesity, Morbid/psychologyABSTRACT
Bariatric surgery is an operation on the stomach and/or intestines that helps patients with extreme obesity to lose weight. Even if bariatric surgery, compared with traditional obesity treatment, is more effective in reducing BMI, this approach does not achieve equal results in every patient. More, following bariatric surgery common problems are body image dissatisfaction and body disparagement: there is a significant difference between the weight loss clinicians consider successful (50% of excess weight) and the weight loss potential patients expect to achieve (at least 67% of the excess weight). The paper discusses the possible role of virtual reality (VR) in addressing this problem within an integrated treatment approach. More, the clinical case of a female bariatric patient who experienced body dissatisfaction even after a 30% body weight loss and a 62% excess body weight loss, is presented and discussed.
Subject(s)
Bariatric Surgery , Body Dysmorphic Disorders/psychology , Body Dysmorphic Disorders/rehabilitation , Body Image , Cognitive Behavioral Therapy/methods , Obesity, Morbid/surgery , User-Computer Interface , Adult , Female , Humans , Psychiatric Status Rating ScalesABSTRACT
Introducción: el embarazo en la adolescencia es la gestación que ocurre entre los 10 y los 19 años de edad. En nuestro medio se ha convertido en un problema de salud pública, evidenciándose en este estudio un aumento de la prevalencia hasta superar las cifras locales y nacionales. Objetivo: determinar la prevalencia de partos y los factores asociados en madres adolescentes que ingresaron al Hospital Universitario de Santander (HUS) durante el año 2006-2007. Metodología: estudio de corte transversal de 273 mujeres seleccionadas de forma aleatoria sistemática que presentaron parto vaginal o por cesárea, en el HUS desde julio de 2006 hasta julio de 2007. Se aplicó una encuesta, donde se incluyeron variables de interés, (sociodemográficas, familiares, psicológicas); se completó la información con la historia clínica y se analizaron en el programa Epi Info® 2000 y Stata® 8.0. Resultados: la prevalencia de partos fue de 31,14% (IC95% 25,8-37,0) en pacientes menores de 20 años. Los factores protectores fueron: tener preocupación por el futuro (OR = 0,5), inicio tardío de relaciones sexuales (OR = 0,51) y no recibir educación sexual por parte de los padres (OR = 0,3). Los factores de riesgo fueron: no planear el embarazo (OR = 2,35) y no planificar (OR = 2,35). Conclusiones: la prevalencia encontrada es muy superior a la hallada en otros estudios locales, nacionales e internacionales.
Objective: adolescent pregnancy refers to gestation occurring between age 10 and 19; this has become a public health problem in Colombia. This study sought to determine the prevalence of births in teenagers admitted to the Santander Teaching Hospital (STH) over a year-long period (2006 and 2007) and the factors associated with the likelihood of teenage pregnancy for this region. Methodology: this was a cross-sectional study of 273 systematically and randomly selected females who underwent vaginal and caesarean births in the STH between July 2006 and July 2007. A survey was applied which included variables of interest (sociodemographic, family, psychological); the information was completed with the females clinical history and Epi InfoTM 2000 and StataTM 8.0 were used for analysing the data. Results: there was 31.14% (25.8-37.0 95%CI) prevalence for deliveries in patients aged less than 19. Factors disposing against teenage pregnancy included: being worried about the future (OR = 0.5), late onset of sexual activity (OR = 0.51) and not having received sexual education from parents (OR = 0.3). Risk factors were unplanned pregnancy (OR = 2.35) and not using contraceptive methods (OR = 2.35). Conclusions: the findings revealed a prevalence which was far higher than that found in similar local, national and international studies.
Subject(s)
Humans , Adolescent , Female , Pregnancy , Pregnancy , PrevalenceABSTRACT
Se realizó un estudio observacional, descriptivo, transversal y prospectivo en 290 pacientes sometidos a cirugía urológica de mínimo acceso, evaluando en ellos la técnica quirúrgica empleada, las complicaciones transoperatorias, el tiempo quirúrgico y los días de hospitalización.
Subject(s)
Urologic Diseases/surgeryABSTRACT
Evidence of clinal variation and selection on Mdh-1 locus was observed in 27 samples from 22 sites in a 2800 km north-south transect across Chile. We found a negative correlation among F allele normalized frequency and mean temperature, and minimum temperature of January and July, as well as a positive correlation among S allele normalized frequency and annual mean, and minimum January temperatures. Our results lend weight to the idea that Chilean honeybee populations of colder areas have higher F allele frequencies, supporting previous claims that Mdh-1 allozymes of Apis mellifera are subject to temperature-mediated selection.
