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Sexuality in elderly

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https://www.readbyqxmd.com/read/28713500/the-social-network-among-the-elderly-and-its-relationship-with-quality-of-life
#1
Fatemeh Bahramnezhad, Raheleh Chalik, Farideh Bastani, Masoumeh Taherpour, Elham Navab
INTRODUCTION: Attention to the needs of the elderly is a social necessity, and it seems that evaluating the social network and quality of life of the elderly can be useful in a better understanding of their needs. This study was performed to determine the relationship between the social network and the quality of life of the elderly in the city of Bojnoord in Iran. METHODS: In this cross-sectional study, 201 elderly people aged 60 years or more were selected by continuous and consecutive sampling method in Bojnoord, Iran in 2014...
May 2017: Electronic Physician
https://www.readbyqxmd.com/read/28607643/retirement-homes-social-participation-and-quality-of-life
#2
Elham Amiri, Farzad Faraji Khiavi, Hossine Dargahi, Esmat Dastjerd
INTRODUCTION: Social participation is considered as a means of improving one's quality of life, thus the study aimed at assessing the association between the quality of life and social participation in the elderly. METHODS: This cross-sectional study was conducted in 2016. The study population was selected from among the residents of a retirement home (an elderly residential home) in one of the Northwestern provinces of Iran, and the required data was collected via three questionnaires related to the demographic data, the specific quality of life for the elderly (LEIPAD), and the extent of social participation...
April 2017: Electronic Physician
https://www.readbyqxmd.com/read/28596802/nursing-diagnoses-in-adult-elderly-patients-undergoing-outpatient-antineoplastic-chemotherapy-a-review
#3
REVIEW
Rafael Tavares Jomar, Rebeca Anselmo Furtado Gomes, Dayana Carvalho Leite, Helena Ferraz Gomes, Ellen Marcia Peres, Eugenio Fuentes Perez Junior
OBJECTIVE: To search in the scientific literature for nursing diagnoses identified in adult/elderly patients undergoing antineoplastic chemotherapy in an outpatient setting. METHODS: Review of studies published in Portuguese, English, or Spanish which were searched in five electronic databases in March 2016, using the descriptors nursing process, nursing diagnosis, neoplasms, drug therapy and hospital outpatient clinic. RESULTS: In the four studies selected for review, 40 nursing diagnoses were identified, namely unbalanced nutrition, less than body requirements, risk of deficient fluid volume, diarrhoea, fatigue, impaired home maintenance, deficient knowledge, disturbed body image, interrupted family processes, ineffective sexuality pattern, anxiety, powerlessness, fear, readiness for enhanced religiosity, risk of infection, impaired dentition, risk of impaired skin integrity, acute pain, and nausea...
2017: Ecancermedicalscience
https://www.readbyqxmd.com/read/28575266/incidence-of-elder-abuse-in-a-u-s-chinese-population-findings-from-the-longitudinal-cohort-pine-study
#4
XinQi Dong, Bei Wang
Background: Elder abuse (EA) is a global public health issue. However, no prior longitudinal research has quantified the incidence of EA, which is critical to understand risk factors and future prevention strategies. Methods: The study is based on a longitudinal cohort design. We followed 2,713 U.S. Chinese older adults who agreed to participate in the study within 2011 to 2015. A structured questionnaire was used to collect data regarding the 2-year incidence of EA and its subtypes...
July 1, 2017: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
https://www.readbyqxmd.com/read/28569089/professionals-awareness-of-sexual-abuse-in-late-life-an-exploratory-survey
#5
Sara Alon, Niva Tuma, Tova Band-Winterstein, Hadass Goldblatt
BACKGROUND: The sexual abuse phenomenon is considered taboo. It has been discussed, to date, mainly in relation to children and young women, with insufficient attention to sexual abuse in a late-life context. OBJECTIVES: The aim of this survey was to explore professionals' awareness of elder sexual abuse (ESA). DESIGN: The survey was conducted among 161 Jewish and Arab professionals from health care and social services, who worked with older adults in Israel...
May 1, 2017: Journal of the American Psychiatric Nurses Association
https://www.readbyqxmd.com/read/28552709/morbidity-and-mortality-of-locally-advanced-prostate-cancer-a-population-based-analysis-comparing-radical-prostatectomy-versus-external-beam-radiation
#6
Adam S Feldman, Christian P Meyer, Alejandro Sanchez, Anna Krasnova, Gally Reznor, Mani Menon, Adam S Kibel, Toni K Choueiri, Stuart R Lipsitz, Maxine Sun, Quoc-Dien Trinh
PURPOSE: The management of locally advanced prostate cancer (PCa) remains controversial. We sought to compare the effect of primary external beam radiation therapy (EBRT) vs. radical prostatectomy (RP) for locally advanced PCa. MATERIALS AND METHODS: Retrospective analysis of 2,935 elderly (≥65 years) men in the Surveillance, Epidemiology, and End Results Medicare linked database who underwent EBRT or RP for locally advanced PCa. Propensity-adjusted Cox proportional hazard and regression models fitted to examine urinary and gastrointestinal (GI) toxicities, use of androgen deprivation therapy (ADT), as well as overall and PCa-specific mortality...
May 25, 2017: Journal of Urology
https://www.readbyqxmd.com/read/28538460/transforming-care-for-victims-of-violence
#7
Anne C Boatright
In this month's Magnet® Perspectives column, Anne Boatright, MSN, RN, SANE, describes her efforts to develop a comprehensive forensic nursing program at Methodist Hospital in Omaha. Ms Boatright transformed a sexual assault nurse examiner (SANE) program into one that provides 24/7 coverage at Methodist's 2 SANE locations and cares not only for victims of sexual assault but also for the victims domestic violence, sex trafficking, strangulation, elder abuse, and neglect. Her work extends beyond the walls of Methodist to the community, where she serves as a core member of the Nebraska Human Trafficking Task Force...
June 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28528127/determining-the-effectiveness-of-an-elder-abuse-nurse-examiner-curriculum-a-pilot-study
#8
Janice Du Mont, Daisy Kosa, Rebecca Yang, Shirley Solomon, Sheila Macdonald
OBJECTIVES: To pilot and evaluate a novel Elder Abuse Nurse Examiner Curriculum and its associated training materials for their efficacy in improving Sexual Assault Nurse Examiner (SANE)s' knowledge of elder abuse and competence in delivering care to abused older adults. METHODS: Pilot training was held with 18 SANEs from across Ontario, Canada. A 52-item pre- and post-training questionnaire was administered that assessed participants' self-reported knowledge and perceived skills-based competence related to elder abuse care...
August 2017: Nurse Education Today
https://www.readbyqxmd.com/read/28485492/physical-abuse-of-elderly-adults-victim-characteristics-and-determinants-of-revictimization
#9
Lee S Friedman, Susan Avila, Tazeen Rizvi, Renee Partida, Daniel Friedman
OBJECTIVES: To describe victim characteristics and determinants of recurrent physical abuse of elderly. DESIGN: Multicenter retrospective analysis of multiple data systems to study victims of elder mistreatment in the greater Chicago metropolitan area. SETTING: Five teaching hospitals with Level 1 trauma centers. PARTICIPANTS: Individuals aged 60 and older treated for physical and sexual abuse between 2000 and 2011. MEASUREMENTS: History of revictimization was based on hospital admission histories, Adult Protective Services records, and self-report...
May 9, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28484111/liver-fibrosis-after-antiretroviral-therapy-in-a-longitudinal-cohort-of-sexually-infected-hiv-patients-in-eastern-china
#10
Qian Wei, Haijiang Lin, Yingying Ding, Xing Liu, Qionghai Wu, Weiwei Shen, Meiyang Gao, Na He
We assessed the factors that influenced improvement or progression in human immunodeficiency virus (HIV)-infected patients who were receiving combination antiretroviral therapy (cART). This was a retrospective cohort study of HIV-infected patients receiving cART in Taizhou, Zhejiang, China, 2009-2015. Liver fibrosis was assessed by Fibrosis-4 (FIB-4) score. Improvement of liver fibrosis was defined as having > 30% decrease in FIB-4 from baseline, whereas progression of liver fibrosis was defined as having > 30% increase in FIB-4 score from baseline...
May 6, 2017: Bioscience Trends
https://www.readbyqxmd.com/read/28455847/assessment-of-sexual-function-in-japanese-men-with-prostate-cancer-undergoing-permanent-brachytherapy-without-androgen-deprivation-therapy-analysis-from-the-japanese-prostate-cancer-outcome-study-of-permanent-iodine-125-seed-implantation-database
#11
Koji Okihara, Atsunori Yorozu, Shiro Saito, Nobumichi Tanaka, Hirofumi Koga, Satoshi Higashide, Takashi Kikuchi, Masahiro Nakano
OBJECTIVES: To evaluate male sexual function in Japanese prostate cancer patients undergoing permanent brachytherapy without endocrine treatment, using quality of life measures of the Expanded Prostate Cancer Index Composite. METHODS: A total of 482 patients were selected as analysis subjects from the nationwide database for the Japanese Prostate Cancer Outcome Study of Permanent Iodine-125 Seed Implantation. The patients were asked to complete the Expanded Prostate Cancer Index Composite questionnaires before and at 3, 12, 24, and 36 months after the permanent brachytherapy...
April 28, 2017: International Journal of Urology: Official Journal of the Japanese Urological Association
https://www.readbyqxmd.com/read/28453387/if-they-don-t-count-us-we-don-t-count-trump-administration-rolls-back-sexual-orientation-and-gender-identity-data-collection
#12
Sean R Cahill, Harvey J Makadon
The Trump Administration recently removed sexual orientation and gender identity (SOGI) questions from a national aging survey, and decided not to add a sexual orientation category and a transgender identity field to a national disability survey as planned. These actions have raised concerns that the major expansion of SOGI data collection on surveys and in clinical settings, which has occurred in recent years, may be under threat. SOGI data collection is essential to understand lesbian, gay, bisexual, and transgender (LGBT) health and the extent to which LGBT people access critical social services, including elder and disability services essential for living in community...
June 2017: LGBT Health
https://www.readbyqxmd.com/read/28451752/patient-sexual-function-and-hip-replacement-surgery-a-survey-of-surgeon-attitudes
#13
Rita Th E Harmsen, Melianthe P J Nicolai, Brenda L Den Oudsten, Hein Putter, Tsjitske M Haanstra, Peter A Nolte, Barend J Van Royen, Henk Elzevier
PURPOSE: To explore practises of orthopaedic surgeons (and residents) in addressing sexual function (SF) in patients before and after total hip arthroplasty (THA). METHODS: A 26-item questionnaire was sent to health professionals (n = 849); 526 (62.0%) responses were included in the analyses. RESULTS: About 78% of the respondents (77.5%) almost never addressed SF. The most mentioned reason was that "patients do not ask" (47.4%) followed by "I am not aware of possible needs" (38...
April 27, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28438100/an-epidemiology-of-sexual-assault-among-elderly-women-in-the-mthatha-area-of-south-africa
#14
Banwari L Meel
Background South Africa has one of the highest rates of rape in the world, but this barely seems to surprise anyone. It is extremely disturbing, especially when children and elderly women are raped. Women and children are usually the weakest group in society physically, as well as the most exposed to abuse and neglect. It should be the responsibility of a civil society to protect these vulnerable groups from harm. Objective This study investigated the trend of rapes among elderly women in the Mthatha area of South Africa...
April 2017: Medicine, Science, and the Law
https://www.readbyqxmd.com/read/28407061/lifetime-abuse-and-perceived-social-support-among-the-elderly-a-study-from-seven-european-countries
#15
Bahareh Eslami, Mirko Di Rosa, Henrique Barros, Mindaugas Stankunas, Francisco Torres-Gonzalez, Elisabeth Ioannidi-Kapolou, Jutta Lindert, Maria Gabriella Melchiorre
Being a victim of abuse during one's life course may affect social relations in later life. The aims of this study were to: (i) examine the association between lifetime abuse and perceived social support and (ii) identify correlates of perceived social support among older persons living in seven European countries. A sample of 4467 women and men aged 60-84 years living in Germany, Greece, Italy, Lithuania, Portugal, Spain and Sweden was collected through a cross-sectional population-based study. Abuse (psychological, physical, sexual, financial and injury) was assessed through interviews or interviews/self-response questionnaire based on the Conflict Tactics Scale-2 and the UK study on elder abuse...
April 11, 2017: European Journal of Public Health
https://www.readbyqxmd.com/read/28376482/discordant-genotypic-sex-and-phenotype-variations-in-two-spanish-siblings-with-17%C3%AE-hydroxylase-17-20-lyase-deficiency-carrying-the-most-prevalent-mutated-cyp17a1-alleles-of-brazilian-patients
#16
Mónica Fernández-Cancio, Emilio García-García, Carmen González-Cejudo, María-Angeles Martínez-Maestre, Miguel-Angel Mangas-Cruz, Gil Guerra-Junior, Maricilda Pandi de Mello, Ivo J P Arnhold, Mirian Y Nishi, Berenice Bilharinho Mendonça, Elena García-Arumí, Laura Audí, Eduardo Tizzano, Antonio Carrascosa
17α-hydroxylase/17,20-lyase deficiency is a rare form of congenital adrenal hyperplasia caused by mutations in CYP17A1. Two phenotypic female sisters, aged 17 and 15 years and with 46,XY and 46,XX karyotypes, respectively, presented with primary amenorrhea and absent secondary sexual characteristics. The elder sib also presented with high blood pressure. Both patients had elevated levels of ACTH, gonadotropins, progesterone, corticosterone, and deoxycorticosterone, and reduced levels of estradiol, testosterone, androstenedione, 17-OH-P, DHEA-S, cortisol, aldosterone, and renin activity...
2017: Sexual Development: Genetics, Molecular Biology, Evolution, Endocrinology, Embryology, and Pathology of Sex Determination and Differentiation
https://www.readbyqxmd.com/read/28328307/a-comment-on-wong-and-waite-elder-mistreatment-predicts-later-physical-and-psychological-health-results-from-a-national-longitudinal-study-jean-issue-29-1-pp-15-42
#17
Ron Acierno
Wong and Waite present a longitudinal study of elder abuse and its effects. However, they contend that their data do not support the protective effects of social support, a finding in contrast with virtually all existing research on the topic. Closer inspection of their variables indicates that they misclassify elder abuse insofar as their results are actually in terms of only one type of elder abuse, psychological abuse, ignoring physical and sexual abuse. They also define "elder abuse" using only one question: "Is there anyone who insults you or puts you down?" Finally, they measure social support with the single item: "if they generally feel they can open up to, and rely on, these significant others...
March 2017: Journal of Elder Abuse & Neglect
https://www.readbyqxmd.com/read/28261826/a-literature-review-of-antithrombotic-and-anticoagulating-agents-on-sexual-function
#18
L W-H Chen, H-L Yin
Although millions of people receive antithrombotic agents (ATAs) or anticoagulating agents (ACAs) for vascular prophylaxis daily, the negative impact of these agents on sexual function has not been systematically studied. Therefore, a literature search was conducted to determine the effects of the marketed ATAs and ACAs on sexual function. In regard to men, the results show that thienopyridine derivatives increase the risk of erectile dysfunction (ED) and decrease libido and sexual function. The relationship between aspirin use and ED is inconsistent, ranging from a moderate risk to beneficial effects...
March 6, 2017: Andrologia
https://www.readbyqxmd.com/read/28260613/sexual-harassment-in-care-work-dilemmas-and-consequences-a-qualitative-investigation
#19
Maj Britt D Nielsen, Susie Kjær, Per T Aldrich, Ida E H Madsen, Maria K Friborg, Reiner Rugulies, Anna P Folker
BACKGROUND: Care workers are often exposed to sexual harassment from patients. Research shows that such exposure may have detrimental effects on mental health of the care workers. Inappropriate sexual behaviour from patients is a particular challenge for formal and informal care workers alike. There is a scarceness of studies investigating the experience and the handling of sexual harassment from patients. OBJECTIVES: To investigate the experience and handling of sexual harassment from patients in care work...
February 24, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28217306/sexual-function-of-patients-with-heart-failure-facts-and-numbers
#20
EDITORIAL
Tiny Jaarsma
Approximately 60% to 87% of patients with heart failure (HF) report sexual problems, and numbers as low as 31% of HF patients younger than 70 have normal sexual function. When compared with healthy elders, the amount of perceived sexual dysfunction might be similar (around 56%), but patients with HF are reporting more erectile dysfunction (ED) and also perceive that their HF symptoms (20%) or HF medication (10%) is the cause for their problems. The prevalence of ED is highly prevalent in men with cardiac disease and reported in up to 81% of cardiac patients, compared with 50% in the general older population...
February 2017: ESC Heart Failure
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