Approach to the Patient: Erectile Dysfunction
A good physician-patient relationship helps to unravel the possible causes of ED, many of which require discussion of personal and sometimes embarrassing topics. For this reason, a primary care provider is often ideally suited to initiate the evaluation. A complete medical and sexual history should be taken in an effort to assess whether the cause of ED is organic, psychogenic, or multifactorial (Fig. 492). Initial questions should focus on the onset of symptoms, the presence and duration of partial erections, and the progression of ED.
Poor sexual health is now a major public health issue in the UK, with all four
countries having a sexual health strategy, strategic framework or action plan
in place. The Government in England wishes to improve sexual health services,
with a focus on improving access.
All over the country nurses are working in new and innovative ways in
sexual and reproductive health. Many are working in advanced and specialist
clinical roles as independent practitioners and more creative posts are being
developed in the National Health Service to maximise optimum use of nurses’
Given the unusual circumstances of Cambodia and their likely impacts on the older population,
considerable effort was made to develop a survey questionnaire that not only would cover the standard
issues about elderly economic, social and physical well-being that are the focus of recent surveys of older
age populations in the region but also issues specific for the situation in Cambodia.
As you begin your study of psychology, you
will find that it is different from any of your other
classes. This is because psychology is connected
to both the social sciences, such as history or
economics, and the natural sciences, such as
biology and chemistry. As a social science, psychology
explores the influences of society on
individual behavior and group relationships. As a
natural science, psychology looks for biological
explanations for human behavior.
Chapter 124. Sexually Transmitted Infections: Overview and Clinical Approach (Part 18)
Table 124-8 Initial Management of Genital or Perianal Ulcer
Herpes simplex virus (HSV)
Treponema pallidum (primary syphilis)
Haemophilus ducreyi (chancroid)
Usual initial laboratory evaluation Dark-field exam, direct FA, or PCR for T. pallidum; RPR or VDRL test for syphilis (if negative but primary syphilis suspected, repeat in 1 week); culture,
direct FA, ELISA, or PCR for HSV; consider HSV-2-specific serology. In chancroid-endemic area: PCR or culture for H.
This paper intends to use psychoanalysis to discover where and how the fascination
of film is reinforced by pre-existing patterns of fascination already at work within the
individual subject and the social formations that have moulded him. It takes as
starting point the way film reflects, reveals and even plays on the straight, socially
established interpretation of sexual difference which controls images, erotic ways of
looking and spectacle.
A rights-based approach to access is based on the framework of international values and
standards, set out in the Universal Declaration of Human Rights (see
www.unhchr.ch/udhr/index.htm) and other international human rights conventions. These are
primarily concerned with promoting the wellbeing and free choice of all individuals, especially
people made vulnerable through poverty, stigma, marginalisation or violence.
Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Respiratory Research cung cấp cho các bạn kiến thức về ngành y đề tài: Phylogenetic analysis consistent with a clinical history of sexual transmission of HIV-1 from a single donor reveals transmission of highly distinct variants...
This should have been expected. Economic demography can be a most frustrating
subject. Itwould seemthat for any theoretical inference, nomatter howinnocuous, there is some
set of data from some part of the world over some period that is not consonant with it.
40 years of demographic research have uncovered that the factors underlying fertility behaviour
include not only the techniques that are available to households for controlling their size, but also
the household demand for children. The latter in particular is influenced by a number of factors
Advocacy efforts recognize that, in order to build support for family planning and other
reproductive health, a variety of different audiences and approaches must be used. To
increase men’s participation in reproductive health, advocacy activities can be used to
address a variety of legislative, institutional, religious, and cultural barriers. At the commu-
nity level, opinion leaders and religious leaders often have negative perceptions of family
Leonard Kleinrock of MIT published the first paper
on packet switching theory in July 1961 . Kleinrock
convinced Roberts of the theoretical feasibility of
communications using packets rather than circuits—a
major step toward computer networking. The other
key step was to make the computers talk to each other.
Exploring this idea in 1965 while working with
Thomas Merrill, Roberts connected the TX-2 computer
in Massachusetts to the Q-32 in California
through a low-speed dial-up telephone line , creating
the first-ever (though small) wide-area computer
Education is an important tool in the fight
against HIV/AIDS. And while most schools
are welcoming to children, some schools
fail to provide the necessary protection for
children to flourish and, in fact, may expose
young people – especially girls – to violence.
School cultures can contribute to gender
violence. Often, gender stereotypes and
inequities abound in the classroom, where
different behaviours and roles are expected
from girls and boys. Gender-based school
violence takes many forms.
People with MEN1 have a very high risk of developing tumors of 3 glands: the pituitary,
parathyroid, and pancreas. About one-third to one-half of people with this condition also
develop adrenal adenomas or enlarged adrenal glands. These usually do not cause any
symptoms. This syndrome is caused by defects in a gene called MEN1. People who have
a family history of MEN1 or pituitary, parathyroid, pancreas, or adrenal cancers should
ask their doctor if they might benefit from genetic counseling.
At Bank of America, we are committed to
providing you with sound advice and
financial tools to help you build and
maintain a good credit history and to
reach your financial goals. When you use
your Bank of America credit card responsibly,
you can begin to establish a credit history
that will benefit you now and in the future.
Before you start using credit cards, it’s important to fully understand what a credit card is and how it works. How you
use and manage your cards will have a big impact on your
Opportunity: Cancer is the leading cause of death in Canadian children beyond the neonatal period. One in 400 Canadian
adults are survivors of childhood cancer, and more than two-thirds experience chronic and/or late-occurring health problems,
that often are not clinically apparent until decades after treatment.
10 Non-random molecular or cytogenetic events are found
in 50% of childhood cancers, and many types of childhood cancers are associated with congenital anomalies, or family
cancer history, suggesting a strong genetic basis for the etiology of cancer in children.
Prison policies often overlook the special needs of women and their health. Many women in
prison have high levels of mental illness and drug or alcohol dependence as well as histories of
sexual and physical abuse and violence. Issues arising from gender-specific health care needs
and family responsibilities are also frequently neglected. Although women represent a small
percentage of the total prison population, their numbers are increasing and the rate of increase is
much greater than that of men.
Including urinary issues in the gynecologic evaluation is helpful. Urinary
tract infections (UTIs) are one of the most common reasons to seek medical
care and are sometimes triggered by sexual activity. Urinary incontinence is
an increasingly recognized health problem (see Chapter 10).
Finally, because domestic violence is common (2), screening for current or
previous physical, emotional, or sexual abuse is an important part of the pa-
tient’s history and in some states is mandatory.
Most insects are sexual and thus mature males and females must be present at the same time and place for reproduction to take place. As insects are generally short-lived, their life history, behavior, and reproductive condition must be synchronized.
An understanding of the patient’s current and past sexual activity aids in
assessment of sexually transmitted disease risk and contraceptive needs. The
physician should strive to avoid assumptions about a patient’s sexuality. One
way is to ask, “Are you sexually active with men, women, or both?” Similarly,
inquiring whether the patient is interested in contraception rather than as-
suming a patient is only choosing between birth control methods will lead to
a more productive interaction. Current and prior expression of sexual identity
Both are formative structures,
mechanisms not meaning. In themselves they have no signification, they have to be
attached to an idealisation. Both pursue aims in indifference to perceptual reality,
creating the imagised, eroticised concept of the world that forms the perception of
the subject and makes a mockery of empirical objectivity. During its history, the
cinema seems to have evolved a particularillusion of reality in which this
contradiction between libido and ego has found a beautifully complementary