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Words: Failures in Communication
Published in Philip Berry, Necessary Scars, 2021
The problem with this chap is that he’s been through it before. This is a recurrence. In another hospital, at a preposterously young age, he got pancreatic cancer. Another hospital, another country, another hemisphere, in fact. They did a good job, technically. Cut out the tumour, replaced a major abdominal vein with a graft, re-plumbed an adjacent artery. When I read the op notes (lifted from his impeccably kept folder), I sighed. It must have been edging into those vessels. Locally advanced, as we say. And far too many nodes. Of the seven they removed, six contained cancer. But they hammered him with chemo, cleaned the circuits of any rogue cells, got him through a few bouts of neutropenia, and gave him the all-clear. Cured.
The Big Canvas: Issues and Context
Published in John K. Crellin, A Social History of Medicines in the Twentieth Century, 2020
The extensive use at the time of commercial over-the-counter medicines has been similarly found for other disadvantaged rural areas, including Appalachia.40 As in Newfoundland, these medicines clearly led, despite their expense, to some edging out of the harvesting of plants and preparing remedies in the kitchen.41 No doubt exists that commercialism drove and reshaped self-care for reasons such as limited local supply of herbs, the saving of time in making remedies in the kitchen, and the persuasive promotion of over-the-counter medicines through both advertising and the authority of "famous" companies and of drugstores. Some of these issues are touched upon in Chapter 3, though space does not allow discussion of such ramifications as shifting some health care decision making from the women in the household and the ultimate undermining of the sense of community and self-sufficiency in rural living.
Internet Pornography: Addiction or Sexual Dysfunction?
Published in Philipa A Brough, Margaret Denman, Introduction to Psychosexual Medicine, 2019
The more the viewer seeks and masturbates to porn, the more dopamine is produced so that eventually the receptors and signals in the brain fatigue. The viewer is left still wanting, but unable to reach the desired level of satisfaction, and so becomes desensitised. For a man this may mean difficulty in maintaining an erection with imagery that would previously have provided reliable stimulation. Even with an erection they may find that ejaculation is delayed and ultimately may be absent as they struggle to reach the previous level of arousal. The viewer may experience their libido diminishing as pornography takes the ‘sex’ out of sex. They may even avoid ejaculation and practise ‘edging’, remaining at the point just prior to orgasm and ejaculation, for as long as they can tolerate. In this way they satisfy the craving for the ‘seeking’ behaviour for the maximum amount of time. When ejaculation occurs, they may feel deflated rather than satisfied as they know the activity or ritual is now over.
Evaluation of post-COVID health status using the EuroQol-5D-5L scale
Published in Pathogens and Global Health, 2022
Siddhi Hegde, Shreya Sreeram, Kaushik R Bhat, Vaishnavi Satish, Sujith Shekar, Mahesh Babu
A clinician’s responsibility extends beyond discharge from the hospital, into effective follow-up. For this purpose, a simple, standard and reproducible tool is required to guide physicians and public health officials. Such an instrument will help to pinpoint the red flags in all sectors of the survivors’ health and also assist the physicians in guiding patients to ease back into their routine life. Currently, there is a lack of an efficient follow-up system and a validated standard questionnaire to assess post-COVID recovery. Upon establishing a well-rounded evaluation system, the scope for rehabilitation centers arises. This will assure holistic recovery edging into tertiary prevention. It will also aid in developing screening and treatment programs to minimize the long-term cognitive consequences of COVID-19[16]. The objective of this study was to assess the post-COVID health status in recovered patients using the EuroQol-5D questionnaire.
Occupational Therapy Interventions for Clients with Ehlers-Danlos Syndrome (EDS) in the Presence of Postural Orthostatic Tachycardia Syndrome (POTS)
Published in Occupational Therapy In Health Care, 2022
David Levine, Brittany Work, Susan McDonald, Nicole Harty, Carolee Mabe, Alison Powell, Graceline Sanford
In a study that reviewed specific difficulties in everyday tasks and the strategies that clients with POTS implemented to manage symptoms, techniques for modifying ADLs and IADLs were most commonly reported (Rich et al., 2020). Some clients reported utilizing shower chairs or benches to prevent worsening of symptoms while bathing, while others reported using assistive devices, such as walkers, canes, or even wheelchairs and scooters, for mobility as needed, depending on the presentation of their symptoms (Rich et al., 2020). Other low-cost modifications (although this is not specific to EDS or POTS), such as handrails on steps, grab bars in bathrooms, proper lighting, edging around steps, and non-slip surfaces can be effective in lowering risk of injury to the general population by minimizing the fall risk at home (Keall et al., 2015). These implementations may be effective with these populations given the various symptoms they exhibit (e.g., decreased proprioception with EDS and OI with POTS) (Castori & Hakim, 2017; Ferrell et al., 2004).
Work-related musculoskeletal disorders among workers in an MDF furniture factory in eastern Thailand
Published in International Journal of Occupational Safety and Ergonomics, 2018
Anamai Thetkathuek, Parvena Meepradit
It was found that the majority of workers (53.9%) had symptoms of shoulder pain; 39.6% had pain in both shoulders. These symptoms were found mostly in the drilling department (62%), followed by the edging department (60.8%). The percentage of those with wrist and hand pain was 37.8%, and pain in both wrists and hands was 24.5%. Pain in the wrists and hands was most common in the drilling department (46%), followed by the edging department (39%). Many of the workers (37.5%) had upper back pain symptoms. This symptom was found mostly in the combination department (53.8%), followed by the drilling department (42%), as shown in Table 4.