ABSTRACT
AIMS: This prospective study aimed to compare the clinical outcomes between the use of Erbium:YAG (Er:YAG) laser in a nonablative mode, to the use of the pharmacological treatment of oral tadalafil for the treatment of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). METHODS: The laser group received two sessions of Erbium:YAG laser, administered intraurethrally in a long, nonablative train of long pulses (SMOOTH™ mode), applied at the level of the male prostatic urethra. Tadalafil group received oral tadalafil at a dose of 5 mg/day, consecutively for 2 months. Effectiveness was assessed using the International Prostate Symptom Score (IPSS) questionnaire, VAS (visual analogue scale) pain score, and maximum urethral flow at follow-up visits up to 12 months after initiating treatment. Adverse effects were recorded after each treatment and follow-up sessions. RESULTS: The results show a significant decrease in the IPSS score in both groups up to the 12-month follow-up. The increase in Q-max was evident up to 3-months follow-up in the tadalafil group and up to 6 months in the laser group. The decrease in the VAS pain score was also significant in both treatment groups, lasting up to 3 months in the tadalafil group and up to 6 months in the laser group. CONCLUSIONS: The nonablative Er:YAG SMOOTH™ laser seems to be a promising treatment for this widely occurring condition. More studies are needed to confirm its safety and efficacy.
Subject(s)
Chronic Pain/therapy , Erbium/therapeutic use , Lasers, Solid-State/therapeutic use , Pelvic Pain/therapy , Prostatitis/therapy , Adult , Humans , Male , Middle Aged , Prospective Studies , Treatment OutcomeABSTRACT
El suicidio es un problema de salud pública, responsable de 800 000 muertes por año en el mundo. Múltiples intervenciones, como el uso de aplicaciones móviles, medios digitales o recursos en línea han demostrado resultados prometedores para su prevención. El presente trabajo tuvo como objetivo realizar una revisión de la literatura sobre la utilidad de las aplicaciones móviles para la prevención del suicidio en la población adolescente y adulta joven, en el contexto de la Atención Primaria de Salud. Se realizó una búsqueda de la literatura con el fin de identificar las estrategias para la prevención del suicidio en adolescentes y adultos jóvenes que involucraran las aplicaciones móviles. Se establecieron tres categorías de análisis y síntesis de la información: necesidades de los pacientes con riesgo de suicidio; salud móvil y prevención del suicidio; y limitaciones de las aplicaciones para la prevención del suicidio. La literatura indica que las aplicaciones móviles pueden ser útiles para el manejo de las enfermedades mentales, en conjunto con la terapia convencional(AU)
Suicide is a public health problem causing 800 000 deaths a year worldwide. A large number of interventions, among them mobile applications, digital devices and online resources, have shown promising results for its prevention. The purpose of the study was to conduct a literature review about the usefulness of mobile applications in primary health care to prevent suicide among adolescents and young adults. A bibliographic search was performed to identify mobile application-based suicide prevention strategies aimed at adolescents and young adults. Three information analysis / synthesis categories were established: needs of patients at risk of committing suicide, mobile health and suicide prevention, and limitations of suicide prevention applications. The literature indicates that mobile applications may be useful to manage mental disease, in conjunction with conventional therapy(AU)
