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2.
Ginekol Pol ; 95(5): 398-407, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38334351

RESUMO

OBJECTIVES: Prehabilitation is a concept of holistic approach to the patient and includes preoperative efforts focused on optimalization of patient's general condition. The idea of prehabilitation started at the beginning of the 21st century. However, prehabilitation programs in gynecological cancer patients are not standardized and are heterogeneous. The aim of the study it to present the concept of prehabilitation and propose prehabilitation protocol to be introduced in Polish oncological centers. MATERIAL AND METHODS: A search in PubMed, Medline, EMBASE (Ovid) and PsycINFO databases was conducted using the following keywords: prehabilitation, gynecological, abdominal surgery, and cancer. The primary outcomes were complications, hospitalization stay, intensive care unit transfer rate, blood loss, wound healing, and reoperation rate. The search was performed in July 2022 and covered the period from 1st January 2000 till 30th June 2022. RESULTS: A total number of 1,118 articles have been identified. Out of all eligible papers only 42 fulfilled the research criteria and were included in the study. The analysis showed that there is no standardized prehabilitation protocol for gynecological cancer surgery, although most include three-modal approach - physical activity, nutrition, and psychological intervention. There is no standard model for physical capacity evaluation, however, 1,118 6 Minute Walk Test (6MWT) is the most common. Frailty evaluation is based on different measurements that prevent from direct comparison of obtained results between studies. CONCLUSIONS: We are not ready to implement the prehabilitation program in polish oncological centers. The main reason elvicz is: lack of accredited ovarian cancer centers, lack of well-established standardized prehabilitation programs for gynecological malignancies (ovarian cancer especially), and lack of proper information for patients about advantages of adequate preparation elvic expected surgery. Furter studies on different prehabilitation programs and information campaigns both for patients and gynecologist are required to make implementing prehabilitation possible in Poland.


Assuntos
Neoplasias dos Genitais Femininos , Exercício Pré-Operatório , Humanos , Feminino , Polônia , Neoplasias dos Genitais Femininos/cirurgia , Procedimentos Cirúrgicos em Ginecologia , Cuidados Pré-Operatórios/métodos , Cuidados Pré-Operatórios/normas
3.
Contemp Oncol (Pozn) ; 27(1): 47-56, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37266338

RESUMO

Introduction: The aim of the study was to assess the sexual inhibitory tone, body image, self-concept, and sexual performance in couples after gynaecological cancer treatment, and to identify areas for further prospective studies. Material and methods: Thirty gynaecological cancer survivors with a heterosexual partner were assessed during a semi-structural sexual interview. Sexual excitation/sexual inhibition scales were used to evaluate proneness to sexual stimuli, whereas a body exposure during sexual activity questionnaire was used to assess body avoidance during sex. Self-concept in cancer survivors was evaluated by a sexual self-scheme scale. The differences in sexual needs, satisfaction, and sexual activity were comped between women and their partners. Results: In survivors and their partners the sexual inhibitory tone was higher than the excitatory tone - 3.91 and 2.45 vs. 2.97 and 2.31, respectively. Most women were schematic-positive and co-schematic - 46.7% and 40.0%, respectively. The decrease in importance of sex was higher in women compared to their partners (D change -0.88 and -0.22, respectively). The frequency of satisfying sex decreased after treatment in women but increased in their partners - D change: -1.04 and +2.94, respectively. Satisfaction with sexual life and quality of relationship improved or did not change after cancer diagnosis in women. None of the sexual response elements were changed by the cancer diagnosis in partners. Conclusions: In cancer survivors with a sexual partner, both people should be carefully counselled because there are some important differences in perception of sexual needs within the couple. Avoiding body exposure during sex and differences in proneness to sexual stimuli should be explored in further studies.

5.
J Hum Kinet ; 84: 206-215, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36457479

RESUMO

This study aimed to compare the acute effects of performing two kinds of pull-ups: traditional, pronated grip pull-ups performed with two arms and additional weight with loading intensity of 5RM and one-arm pull-ups, on specific upper body climbing power. Twenty-four advanced climbers participated in the study. The International Rock Climbing Research Association (IRCRA) Power Slap Test was chosen to assess specific upper body climbing power. All athletes performed the test under three conditions: control (without a conditioning activity) and both kinds of pull-ups as conditioning activities. Results revealed significant improvements in the Power Slap's distance, power, velocity, and force in 5RM weighted pull-ups, but not in one-arm pull-ups. In the latter case, participants reached higher power values after the conditioning stimulus, but the effect size was small. Also, the differences with the remaining variables (power, speed, and force) were non-significant. The results suggest that weighted pull-ups with a 5RM intensity and not one arm pull-ups seem to be an effective PAPE stimulus. Therefore, the former can be used as a conditioning activity before an explosive climbing exercise such as the Power Slap on a campus board.

6.
J Clin Med ; 11(21)2022 Nov 03.
Artigo em Inglês | MEDLINE | ID: mdl-36362750

RESUMO

The COVID-19 pandemic undoubtedly had significant effects on women's health and the course of pregnancy. The aim of this single-center study was to explore the impact of the COVID-19 pandemic on adult pregnant and postpartum women's mental health, as well as to identify factors associated with depressive symptoms, anxiety and fear of delivery. The 465 women included in this questionnaire-based cohort study were divided into two groups: one (controls) of women who gave birth before (n = 190), and the second who were pregnant and delivered during the pandemic (n = 275). The COVID-19 pandemic affected the severity of self-reported anxiety regarding childbirth (mean scores 2.7 vs. 2.36, p = 0.01). The depression (19.84 ± 13.23) and anxiety (16.71 ± 12.53) scores were higher in pregnant women during the COVID 19 pandemic, compared to women who gave birth before the pandemic (8.21 ± 7.38 and 11.67 ± 9.23, respectively). These findings demonstrate the magnitude of the pandemic's impact on women's mental health, and actions to improve the mental health of pregnant women in Poland may be crucial for maternal and fetal well-being.

7.
Artigo em Inglês | MEDLINE | ID: mdl-36232120

RESUMO

INTRODUCTION: The COVID-19 pandemic has significantly affected local governments involved in sports and recreation in designated areas. The unprecedented scale of the spread of the disease has led to increased research in the area of the disease, considering various correlations. However, little has been written about the impact of the pandemic on local government spending on recreation and sports services in Poland. OBJECTIVE: The purpose of the article is to assess the level of local government involvement in the implementation of sports and recreation in Poland compared to other European Union countries, as well as changes in this level in connection with the emergence of the COVID-19 pandemic in the opinion of respondents. METHODOLOGY: In the study, the data regarding expenditures of local government units on recreational and sporting services collected in the Statistical Office of the European Union (EURO-STAT) for 2015-2020 were used. The survey portion was conducted among 1600 respondents who provided answers on a 5-item scale that addressed local government involvement in promoting physical activity among residents during COVID-19. RESULTS AND CONCLUSION: Local government spending on recreational and sporting services in Poland between 2015 and 2019 increased by about 38%, from EUR 1524.7 million in 2015 to EUR 2103.5 million in 2019. This spending in 2019 was about 40% higher than the average for European Union countries. In contrast, in 2020 it amounted to more than EUR 1886 million and was more than 10% lower compared to the previous year (2019)-the pre-pandemic period. Despite the obstacles caused by the COVID-19 pandemic and budgetary constraints, cities in Poland took several measures in 2020 to maintain the current pace of development and strived to maintain the status of modern, green, and open, betting on balanced development also in aspects related to sports or culture. It was shown that the opinion of respondents mostly coincided with the existing financial state-in voivodeships where there had been a decrease in spending related to sports and recreation compared to the pre-pandemic period, residents are worse at assessing the activities of local governments related to promoting physical activity.


Assuntos
COVID-19 , Governo Local , COVID-19/epidemiologia , Exercício Físico , Humanos , Pandemias , Polônia
8.
Nutrients ; 14(16)2022 Aug 11.
Artigo em Inglês | MEDLINE | ID: mdl-36014794

RESUMO

BACKGROUND: Emotional eating (EE) is not a separate eating disorder, but rather a type of behavior within a group of various eating behaviors that are influenced by habits, stress, emotions, and individual attitudes toward eating. The relationship between eating and emotions can be considered on two parallel levels: psychological and physiological. In the case of the psychological response, stress generates a variety of bodily responses relating to coping with stress. OBJECTIVE: Therefore, the main objective of this study was to evaluate and compare the prevalence of emotional eating in groups of students in health-related and non-health-related fields in terms of their differential health behaviors-diet and physical activity levels. MATERIAL AND METHODS: The cross-sectional survey study included 300 individuals representing two groups of students distinguished by their fields of study-one group was in health-related fields (HRF) and the other was in non-health-related fields (NRF). The study used standardized questionnaires: the PSS-10 and TFEQ-13. RESULTS: The gender of the subjects was as follows: women, 60.0% (174 subjects) (HRF: 47.1%, n= 82; NRF: 52.9%, n = 92); men, 40.0% (116 subjects) (HRF: 53.4%, n = 62; NRF: 46.6%, n = 54). The age of the subjects was 26 years (±2 years). Based on the results of the TFEQ-13, among 120 subjects (41.4%) there were behaviors consistent with limiting food intake (HRF: 72.4%; NRF: 11.0%), while 64 subjects (20.7%) were characterized by a lack of control over food intake (HRF: 13.8%, 20 subjects; NRF: 27.4%, 20 subjects). Emotional eating was characteristic of 106 students (37.9%), with the NRF group dominating (61.6%, n = 90). It was observed that a high PSS-10 score is mainly characteristic of individuals who exhibit EE. CONCLUSIONS: The results obtained in the study indicate that lifestyle can have a real impact on the development of emotional eating problems. Individuals who are characterized by elevated BMI values, unhealthy diets, low rates of physical activity, who underestimate meal size in terms of weight and calories, and have high-stress feelings are more likely to develop emotional eating. These results also indicate that further research in this area should be undertaken to indicate whether the relationships shown can be generalized.


Assuntos
Emoções , Estudantes , Adulto , Índice de Massa Corporal , Estudos Transversais , Dieta , Ingestão de Alimentos/psicologia , Exercício Físico , Comportamento Alimentar/psicologia , Feminino , Humanos , Masculino , Polônia/epidemiologia , Prevalência , Estudantes/psicologia , Inquéritos e Questionários
9.
Nutrients ; 14(14)2022 Jul 08.
Artigo em Inglês | MEDLINE | ID: mdl-35889771

RESUMO

(1) Background: The literature emphasizes the role of many factors influencing the onset of eating disorders (EDs) and their mutual influence on each other. Therefore, this study aimed to evaluate and compare the prevalence of orthorexic behaviors in groups of health-related and non-health-related students in terms of their differential health behaviors-diet and physical activity levels. (2) The study included 300 individuals representing two equal groups of fields of study, which for the study were called the health-related field (HRF) and the non-health-related field (NRF). (3) Results: Based on the results of the dietary assessment, it was found that the best dietary model was characterized by the HRF group; in this group, 97.2% of students were characterized by a very good and good dietary mode. The NRF group, on the other hand, was dominated by a sufficient dietary mode for 64.4% of all cases in this group (94 people), while the dietary model marked as "good" was less popular, at 24.6% of this group (36 people). (4) Conclusions: Based on the cited self-research and information from the literature, it can be concluded that the problem of orthorexia is still a new issue at the level of social sciences, medical sciences, and health sciences. The psychometric tools used in this study allowed us to demonstrate the prevalence of the aforementioned eating disorders in the sample groups of students.


Assuntos
Transtornos da Alimentação e da Ingestão de Alimentos , Ortorexia Nervosa , Dieta , Exercício Físico , Comportamento Alimentar , Transtornos da Alimentação e da Ingestão de Alimentos/epidemiologia , Comportamentos Relacionados com a Saúde , Humanos , Polônia/epidemiologia , Prevalência , Estudantes , Inquéritos e Questionários , Universidades
10.
J Air Transp Manag ; 103: 102231, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-35645470

RESUMO

Omnipresent globalisation causes integration of societies, economies and cultures, and air transport significantly facilitates it. Before the COVID-19 pandemic, air transport was one of the most dynamically developing types of transportation. The quality of airport services was measured, as it supports the development of air transport and airports in particular. As today the future of the air transport industry is not clear, it is essential to have the last picture of service quality assessment criteria before the airports' lockdown to sustain their development after reassumption. The study covered the operation of a regional international airport in Europe before the lockdown due to the COVID-19 pandemic. A diagnostic survey was used in the study, and the data were collected through a questionnaire of 40 questions. The study covered 263 passengers who had used the services of the examined airport at least once before the lockdown. The collected data were statistically analysed. The main findings are that the passengers consider components of the quality of airport services in groups and not individually. In some groups of factors, the level of satisfaction varies depending on the frequency of airport use. The results are in accordance with the findings of other authors researching different airports. They should be considered when managing the airport and identifying the causes of low-quality services to improve them and eliminate or at least reduce passenger dissatisfaction, especially in the face of resumption of airport operations after the COVID-19 pandemic.

11.
Reprod Biol Endocrinol ; 20(1): 94, 2022 Jun 28.
Artigo em Inglês | MEDLINE | ID: mdl-35765001

RESUMO

BACKGROUND: The effect of hormonal contraceptives on sexual function and body image is still controversial. Existing studies have not come to definite conclusions on the association between hormonal contraceptive use and sexual function/presence of sexual dysfunction or changes in body image perception. Thus, this study aimed to evaluate the prevalence of sexual problems/dysfunction in Polish women of reproductive age (18-45 years) and to assess to what extent oral combined contraceptive pills (OCCP) impact body image, sexual function and the prevalence of female sexual dysfunction (FSD). METHODS: A total of 495 women were included in this cross-sectional questionnaire-based study. Sexual function was assessed by the Changes in Sexual Function Questionnaire (CSFQ), the prevalence of FSD was assessed by DSM-5 criteria, and body image was assessed by the Body Exposure during Sexual Activity Questionnaire (BESAQ). A total of 237 women using OCCP were the study group (HC), and the rest were controls (CG). A regression model was used to evaluate the influence of the selected variables on sexual function and the presence of FSD. RESULTS: The prevalence of FSD was 7.5% in HC and 2.6% in CG, and 22% compared to 14% of women in HC and CG, respectively, reported sexual problems (CSFQ). The demographic characteristics of those using other contraception methods or not using any contraception (control group) were similar. The contraceptive group was characterized by significantly higher importance of sex (4.03 vs. 3.79), worse partner's attitude toward sex (4.35 vs. 4.47), worse self-attitude toward sex (4.35 vs. 4.47), and worse body image (BESAQ) compared to controls. Among all of the variables, a lower level of anxiety (t = -1.99), positive attitudes toward sex (t = 2.05), watching erotic videos (t = 5.58) and a higher importance of sex (t = 5.66) were predictive of better sexual function (R2-0.38, F = 28.9, p = 0.0001). CONCLUSION: Sexual behaviors and function are different in those using OCCP compared to nonusers. The prevalence of sexual problems and dysfunction was higher in those using this hormonal method of contraception; however, using OCCP was not a risk factor for either worse sexual function or sexual dysfunction. Partners' attitudes toward sex and general anxiety level were factors contributing to sexual function and the risk of sexual dysfunction in the population of women of reproductive age and should be routinely evaluated in clinical practice, especially before prescribing hormonal contraceptives.


Assuntos
Imagem Corporal , Disfunções Sexuais Fisiológicas , Adolescente , Adulto , Anticoncepção/métodos , Anticoncepcionais Orais Combinados/efeitos adversos , Estudos Transversais , Feminino , Humanos , Pessoa de Meia-Idade , Disfunções Sexuais Fisiológicas/induzido quimicamente , Disfunções Sexuais Fisiológicas/epidemiologia , Adulto Jovem
12.
Int J Gynecol Cancer ; 2022 May 13.
Artigo em Inglês | MEDLINE | ID: mdl-35568382

RESUMO

OBJECTIVE: Both the location of primary disease and treatment side effects may have an impact on sexual function in oncogynecological patients. The aim of this study was to examine the prevalence, strategies, difficulties, and ideas for improvement in sexual counseling among specialists managing patients with gynecologic malignancies. METHODS: This was a cross-sectional survey study performed among healthcare professionals treating patients with gynecologic malignancies. A self-prepared questionnaire included 61 questions concerning general demographic information and different aspects of sexual counseling in the gynecologic oncology practice. Analysis included attitudes, behaviors, management strategies, difficulties, and ideas for possible systemic improvements. Statistical analysis involved descriptive statistics, two-sided chi-square test, and Fisher's exact test. RESULTS: A total of 150 respondents from 46 countries answered the survey. The majority of survey participants stated that sexual counseling of oncological patients is very important (n=73, 49%) or important (n=46, 31%). One hundred and two (68%) respondents agreed that sexual counseling of gynecologic oncology patients should be routinely provided by the specialist managing the primary disease. However, collecting information concerning sexual function is performed often or always by only 21% of respondents and 19% discuss the topic rarely or never. The most frequently indicated barriers leading to difficulties in sexual counseling include lack of time (74%), lack of specialist knowledge (55%), and patient embarrassment (48%). One hundred and seven (71%) respondents expressed interest in participating in sexual counseling workshops organized by the European Society of Gynaecological Oncology (ESGO)/European Network of Young Gynaecological Oncologists (ENYGO), 74 (49%) would like to access webinars on the topic, and 120 (80%) would be interested in materials in the ESGO online educational resources. CONCLUSION: One of the proposed solutions to insufficient access to sexual care for women with gynecologic malignancies is providing access to specialist educational programs for both patients and healthcare specialists.

13.
Front Psychol ; 13: 862891, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35418911

RESUMO

Introduction: The rapid development of technology has led to the transfer of entertainment to the virtual world. Many games and multimedia applications use the so-called augmented reality. With the development of a new technological branch, a new health problem has emerged, which is infoholic addiction, attracting people with the specific functionality that is cyberspace and the virtual world. Objective: The study aimed to assess health behaviors and the risk of addiction among users of urban multimedia games. Research methodology. The study was conducted among players 1,134 of urban multimedia games-Pokemon GO, in the period March-June 2021. A 990 correctly completed questionnaires were included in the final analyses. The author's questionnaire was used in the study, which included two standardized measurement scales in the Polish abbreviated version: a questionnaire of emotions and sensations associated with electronic entertainment and a questionnaire on addiction to electronic forms of entertainment. Statistica 13.0 program was used for statistical processing of the data. The probability level was p < 0.05. Results: The profile of the gamer was identified as male, aged 18-30 years, with secondary education (more rarely higher), not in a relationship, living in a city of more than 100 thousand inhabitants-60.1% of gamers met these criteria. Respondents played urban multimedia games daily (84.7%). About 26.3% of respondents played this type of game 2-3 h a day. In terms of physical fitness, 64.3% of respondents felt that physical fitness had improved as a result of playing multimedia urban games. In terms of mental condition, most of the respondents said that nothing had changed (55.3%). It was observed that 72.3% of respondents had some risk of addiction to urban multimedia games. Conclusion: Users of urban multimedia games were usually adult men living in big cities. It was also shown that the defined profile of the player was characterized by a higher risk of addiction to electronic forms of entertainment. It was observed that the respondents most often played urban multimedia games every day in a maximum of two-hour sessions. Based on the tools used, it can be concluded that the study group was characterized by a certain risk of addiction to urban multimedia games.

14.
Artigo em Inglês | MEDLINE | ID: mdl-35409888

RESUMO

BACKGROUND: Maintaining sexual life in older women might be perceived as a measure of healthy and successful aging. This study aimed to establish the prevalence of female sexual dysfunction (FSD) based on the DSM-5 criteria and predictors of sexual performance in older women. METHODS: A total of 185 women between 55 and 79 years old were included in the study. Validated scales were used to assess sexual function (Changes in Sexual Function Questionnaire (CSFQ)), the propensity for sexual excitation/inhibition (Sexual Excitation/Sexual Inhibition Inventory for Women), and sexual anxiety/avoidance (Body Exposure during Sexual Activity Questionnaire (BESAQ)). Multiple regression was used to assess the factors affecting sexual function and the prevalence of FDS. RESULTS: Sexual distress was diagnosed in 14.1% of women, and FSD in 16.2% (n = 53), whereas sexual problems (CSFQ) were diagnosed in 33.3% of women, and distressing sexual concerns in 35.1%. Women with a lower number of male sexual partners (ß = -0.22), a better attitude toward sex (ß = 0.25), higher importance of sex (ß = 0.31), a higher level of sexual excitation (ß = 0.34), and that were sexually active (ß = 0.39) had better sexual function, as evaluated by CSFQ. CONCLUSIONS: Most older women remain sexually active. The diversity of sexual activity in later life should be affirmed to encourage women to be sexually active and to strengthen the response to sexual stimuli.


Assuntos
Disfunções Sexuais Psicogênicas , Idoso , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Comportamento Sexual , Disfunções Sexuais Psicogênicas/diagnóstico , Disfunções Sexuais Psicogênicas/epidemiologia , Parceiros Sexuais , Inquéritos e Questionários
16.
Front Psychol ; 12: 696943, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34305756

RESUMO

Purpose: The main aim of the research was to analyse aggression dimensions among athletes practising martial arts and combat sports. Material and Methods: There were 219 respondents. The Buss and Perry Aggression Questionnaire (BPAQ) in the Polish adaptation by Siekierka was applied. Results: Martial arts apprentices turned out to present a statistically significantly lower level of hostility (p < 0.001) and of the general aggression index (p = 0.04) than combat sports athletes. It turned out that lower level of aggression was noted in female participants (physical aggression (p < 0.001), verbal aggression (p = 0.004), hostility (p < 0.001), and the general aggression index (p < 0.001). Analysis revealed that the training experience and the training rank did not differentiated the level of the respondents' particular aggression dimensions. Conclusions: It would be advisable to perform parallel analyses in other areas of Poland and take into account the respondents' education and place of residence.

17.
Artigo em Inglês | MEDLINE | ID: mdl-34069981

RESUMO

BACKGROUND: Supplementing ß-alanine (BA) improves exercise performance in efforts that are highly dependent on anaerobic glycolysis. As it has not yet been established whether it relates to climbing, the current study aimed to investigate the effects of BA on climbing-specific performance. METHODS: Fifteen elite climbers performed intermittent high-force high-velocity campus board exercise, and two bouldering traverses, hard and easy. They ingested 4.0 g·d-1 BA or placebo for four weeks in a double-blind, pre/post experimental design. RESULTS: In the campus board trial, ANOVA revealed a tendency toward significance (p = 0.066). Post hoc analysis revealed that there was a significant (p = 0.002) and "large" (d = 1.55) increase in the total number of "slaps" in the BA group. No significant supplementation × group interaction was found in "hard" traverse and a significant interaction for mean changes in number of moves (p = 0.025) and in time to failure (p = 0.044) on an "easy" traverse. Post hoc analysis revealed that only the BA group significantly improved from baseline in number of moves (+9.5) and time to failure (+32 s). Effect sizes were d = 1.73 and d = 1.44, respectively. CONCLUSIONS: Four weeks of BA supplementation can improve performance during continuous climbing lasting about 1 min and repeated bouts of upper body campus-like movements. However, it failed to enhance climbing of a shorter duration.


Assuntos
Resistência Física , Esportes , Suplementos Nutricionais , Teste de Esforço , beta-Alanina
18.
PLoS One ; 16(4): e0249560, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33822822

RESUMO

The contemporary concept of sexual counseling for women with sexual problems, distress, and female sexual dysfunction (FSD) includes tailored medical and/or psychological intervention. The dual control model and the Sexual Excitation/Sexual Inhibition Inventory for Women (SESII-W) are helpful for identifying risk factors and tailoring therapy for FSD. The current study aimed to (1) validate the Polish translation of the SESII-W in a sample of Polish women, and (2) verify the usefulness of the SESII-W in clinical practice. Five hundred nine white women age 18 to 55 years old (M ± SD age = 39.7 ± 11.3 years) were included in this cross-sectional study. Linguistic validation of the Polish translation of the SESII-W was first performed. A battery of tests was then used to evaluate reliability, convergent and discriminant validity, measurement invariances, and correlations between the SESII-W and other measures. Given that the original version of the SESII-W had unsatisfactory model fit, exploratory and confirmatory factor analyses were subsequently performed. Results showed a new final model that included 26 items with seven lower- and two higher-order factors and explained 58.9% of the variance in the data, with CFI = 0.93, RMSEA = 0.05 and χ2 = 693.39, p < 0.001. Cronbach's α was 0.77 for Sexual Excitation (SE) and 0.88 for Sexual Inhibition (SI) scales. A moderate negative association between SI and the presence of FSD according to Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) criteria was noted. SE was positively associated with engaging in risky sexual behaviors, Extraversion and Openness to Experiences traits, and was negatively correlated with relationship quality. Finally, age was negatively correlated with all domains of the SESII-W except Arousal Contingency. SE and SI were both lower in older women as compared to younger once. These results demonstrate that the Polish version of SESII-W shows good psychometric properties. A higher propensity for SI was associated with the presence of sexual problems, distress, and FSD, whereas a higher propensity for SE was associated with greater engagement in risky sexual behaviors and personality type. However, future studies on larger and more diverse populations are required to confirm the replicability of the factor structure of the scale.


Assuntos
Inibição Psicológica , Assunção de Riscos , Comportamento Sexual/psicologia , Disfunções Sexuais Psicogênicas/epidemiologia , Adolescente , Adulto , Estudos Transversais , Extroversão Psicológica , Feminino , Humanos , Pessoa de Meia-Idade , Polônia/epidemiologia , Psicometria , Disfunções Sexuais Psicogênicas/etiologia , Disfunções Sexuais Psicogênicas/psicologia , Inquéritos e Questionários , Adulto Jovem
19.
Int J Surg Case Rep ; 79: 11-13, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-33418422

RESUMO

INTRODUCTION AND IMPORTANCE: Case report of patient with congenital lack of factor VII, suffering from recurrent hematomas and massive menstrual bleedings resulting in severe anemia and multiple hospitalization. CASE PRESENTATION: Patient was diagnosed with endometrial hyperplasia and not responding to hormonal treatment and substitution with recombinant factor VII was not effective to reduce the bleedings. This case describes successful laparoscopic technique of using bipolar coagulation and non-absorbable clips. CLINICAL DISCUSSION: We describe premedication and post-surgical management - which we had to modify from this found in very scarce literature. Despite previous vaginal deliveries without any complications during the puerperium, 20 days after the surgery patient presented with intraperitoneal bleeding after stopping rFVIIa therapy. It was treated medically without the need for re-laparoscopy. CONCLUSION: Laparoscopic surgery is possible in patients with lack and deficiency of FVIIa, but they need close post-operative surveillance and prolonged supplementation with recombinant FVIIa.

20.
Arch Sex Behav ; 50(6): 2741-2753, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-32964350

RESUMO

The present study aimed to develop a Polish version of the Sexual Inhibition/Sexual Excitation Scale (SIS/SES-PL) and explore its psychometric validity in a sample of 498 men aged between 18 and 55 years. We used exploratory and confirmatory factor analyses to obtain the best model fit. Out of the 45 items in the original scale, 32 items with eight subscales and three higher-order factors: (sexual excitation [SES], sexual inhibition due to performance failure [SIS1], and sexual inhibition due to performance consequences [SIS2]) were included in the SIS/SES-PL. The SIS/SES-PL was found to have a good and satisfactory fit (comparative fit index = .87; Tucker-Lewis Index = .85; root mean square error of approximation = .054; χ2 = 1108.7; p < .001; test-retest reliability Cronbach's alpha = .93). A small correlation between age and the SIS1 and SIS2 scores was detected. However, forward multiple regression analysis revealed a significant correlation only between age and SIS1 [ß = .23, p < .001, R2 for model = .05; F(1, 494) = 27.52, p < .001]. Furthermore, a moderate correlation between SIS1 and SES2, as well as SIS1 and general inhibition properties (measured using the Behavioral Inhibition Scale), was noted. In the case of SIS2, only small effects were observed, with the highest values for engaging in risky sexual behavior. Out of the total number of 42 variables, a moderate correlation between SES and the following was described: importance of sex, hypersexual behaviors, frequency of masturbation, frequency of sexual activities per month, sexual risk-taking, high promiscuity (measured using the Sociosexual Orientation Inventory Revised-Drive), general activation properties (measured using the Behavioral Activation Scale), neuroticism, and erotophilic tendencies (measured using the Sexual Opinion Survey-Short Form). The results of the study allowed us to conclude that the SIS/SES-PL might be a useful tool for tailoring therapy for men with sexual problems, as well as in the field of clinical research on sexual inhibition and excitation. Furthermore, it is a reliable and useful tool for measuring propensities for sexual excitement and inhibition.


Assuntos
Disfunções Sexuais Psicogênicas , Adolescente , Adulto , Humanos , Masculino , Pessoa de Meia-Idade , Polônia , Psicometria , Reprodutibilidade dos Testes , Comportamento Sexual , Disfunções Sexuais Psicogênicas/diagnóstico , Inquéritos e Questionários , Adulto Jovem
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