Sexual Issues and Concerns: Tales of Chinese Women with Spinal Cord Impairments

Background Much has been written about the pathophysiological impact of spinal cord impairment (SCI) on sexual function in women, yet the literature offers only sparse coverage of its psychological and emotional impacts on female sexuality, and the factors which may influence the maintenance of sexual identity as a woman with physical disability.Methodology To gain insights into sexual experiences and concerns, in-depth interviews were conducted with 10 Chinese women with SCI. Narrative data on marital relationships, sexual identity, sexual knowledge, and sexual satisfaction was transcribed and the content analyzed.Results When disability intrudes in a woman’s life, sexuality is reshaped against the foundation of previous sexual experiences and expectations, especially for women who acquired disabilities in adulthood. Constructions of sexuality among these women encompassed broader areas than the sexual act alone. These included the couple’s adjustment to her disabilities, society’s perception of a woman’s image, internalization of messages about women’s roles within the family, the attitude of health professionals towards sexuality, and the onset of disability.Conclusion Sexuality is an important health concern for women who live with long-term physical disabilities and should be acknowledged by sensitive and responsive health practices. Health care professionals need to renounce the sexual myths and stereotypes and genuinely attempt to understand the possible impact of SCI on women’s sexuality.     

American Cancer Society prostate cancer survivorship care guidelines

Answer questions and earn CME/CNE Prostate cancer survivors approach 2.8 million in number and represent 1 in 5 of all cancer survivors in the United States. While guidelines exist for timely treatment and surveillance for recurrent disease, there is limited availability of guidelines that facilitate the provision of posttreatment clinical follow‐up care to address the myriad of long‐term and late effects that survivors may face. Based on recommendations set forth by a National Cancer Survivorship Resource Center expert panel, the American Cancer Society developed clinical follow‐up care guidelines to facilitate the provision of posttreatment care by primary care clinicians. These guidelines were developed using a combined approach of evidence synthesis and expert consensus. Existing guidelines for health promotion, surveillance, and screening for second primary cancers were referenced when available. To promote comprehensive follow‐up care and optimal health and quality of life for the posttreatment survivor, the guidelines address health promotion, surveillance for prostate cancer recurrence, screening for second primary cancers, long‐term and late effects assessment and management, psychosocial issues, and care coordination among the oncology team, primary care clinicians, and nononcology specialists. A key challenge to the development of these guidelines was the limited availability of published evidence for management of prostate cancer survivors after treatment. Much of the evidence relies on studies with small sample sizes and retrospective analyses of facility‐specific and population databases. CA Cancer J Clin 2014;64:225–249. © 2014 American Cancer Society .     

The suitability of expanded PTFE for carotid patch angioplasty

From June 1985 to December 1988, 175 consecutive patients underwent 204 carotid endarterectomies with routine use of expanded PTFE patch angioplasty. Two patients (1%) suffered strokes and there were no transient ischemic attacks or deaths in the immediate postoperative period. All carotid endarterectomies were performed with an intraluminal shunt without cerebral monitoring. The indications for carotid endarterectomy were symptoms (83% of patients) or no symptoms of internal carotid artery atherosclerotic stenoses (12.7% of patients). Neurological assessment, Doppler and real-time ultrasound were performed at six months, twelve months and then annually. Over the follow-up period there were one asymptomatic occlusion and two high grade symptomatic stenoses which required reoperation.Presented at the Annual Meeting of the Peripheral Vascular Surgery Society, New York, New York, June 17, 1989.     

显微、紫外光谱方法检测羚羊角与山羊角、羚羊角胶囊的真伪和掺骨塞及钙含量

OBJECTIVETo detect the true and the false of cornu saigae tataricae(CST) and cornu capra hircus(CCH) and cornu saigae tataricae capsules(CSTC)and of the bone adulterant and of the calcium content in CSTC. METHODSThe true and the false of CSTand CCH and bo