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Biomedical subjects

B Maoz

Publications and source records attributed to B Maoz.

54 records · Page 3Linked to original sources

The effects of oestrogen therapy on the sex life of post-menopausal women.

The literature concerning sexual behaviour around the time of the menopause is reviewed. Mentioned is a decline in sexual activity and satisfaction in women which is attributed to the changes in the women themselves, and not merely a reaction to the decline in the sexual capacity of their husbands. Forty women were treated during 1 yr with oestrogens. The eventual effect of this treatment on sexual activity and satisfaction was investigated and compared with a group who had undergone partial treatment only. The results show that in the completely treated Group A, symptoms such as hot flushes and depression diminished, and the pain of sexual relations was relieved. As a consequence of this improvement, coital activity and satisfaction were more gratifying. The partially treated Group B showed a clear decline in sexual activity and in sexual satisfaction.

Adult↗

Hyperprolactinemia: a possible cause of sexual impotence in male patients undergoing chronic hemodialysis.

Hyperprolactinemia is known to cause impotence in patients with normal renal function and elevated serum prolactin levels (SPLs) have also been reported in uremia. This study was undertaken to examine a possible role of elevated SPLs in the impotence of male patients undergoing chronic hemodialysis (CHD). SPLs in 16 male patients undergoing CHD were evaluated using a homologous double-antibody radioimmunoassay with prolactin isohormones isolated from human amniotic fluid. Patients were divided in 2 groups: 6 patients were sexually impotent and 10 sexually potent. Patients with emotional disturbances or marital conflicts known to cause impotence were excluded from the study. The SPLs of the impotent patients were found to be significantly elevated in comparison to the levels of the potent patients (136.7 +/- 28.2 vs. 37.3 +/- 2.7 ng/ml, p less than 0.001). Furthermore, in 2 patients who were successfully treated with bromocriptine to suppress hyperprolactinemia, recovery of sexual potency was noted. Thus, sexual impotence in male CHD patients seems to be associated with marked hyperprolactinemia. It is suggested that elevated SPLs may be an important cause of impotence among CHD patients.

Adult↗

Changes in psychological well-being during postmenopause as a result of estrogen therapy.

A study of the effects of a conjugated estrogen (Femipren) upon various climacteric symptoms, depression and anxiety scores and psycho-social factors in 120 women around the menopause, was carried out in a Menopause Clinic. In order to participate in this study, the women had to meet very strict criteria. A climacteric symptom list, the MMPI and a psycho-social questionnaire were used for assessment, and were employed before, during and at the end of 1 yr of hormone replacement therapy. Typical vasomotor and psychic symptoms changed significantly as did such factors as self-image, optimism, perception of the future and satisfaction with personal appearance, in those patients who received hormonal replacement therapy for 1 yr. As the psychological factors changed only in those patients who received long-term estrogen therapy, a tentative hypothesis of direct psychotropic effect of estrogen was formulated.

Climacteric↗

Mental hospital experience, classroom instruction and change in conceptions and attitudes towards mental illness.

Changes in conceptions and attitudes towards mental illness and the mentally ill were investigated in Israel. Questionnaires were presented to 69 student nurses, assessing stereotyped image, authoritarianism, social restrictiveness, benevolence, mental hygiene ideology and interpersonal aetiology before and after psychiatric affiliation in two kinds of mental hospitals, or before and after classroom instruction only. The findings lend cultural generality to previous observations and demonstrate that: (a) classroom instruction is ineffective as an agent of change; (b) practical experience involving personal confrontation with mental patients in a progressive psychiatric hospital, which contradicts the stereotyped image of mental patients and inculcates positive attitudes towards them, results in a change to a more professional scientific orientation and a more humane, accepting and liberal attitude; (c) under hospital conditions which support the stereotyped conception and authoritarian restrictive attitudes, the confrontation will result in preservation, even consolidation and strengthening, of the stereotyped image and undesirable attitudes towards mental patients. The findings were discussed and the implications for training programmes were drawn.

Attitude of Health Personnel↗

The effect of outside work on the menopausal woman.

1,148 women between the ages of 45 and 54 from five different ethnic groups in Israel, representing a traditional-modern continuum were investigated with regard to the relationship of their menopausal symptomatology with their work situations now and what they were when the women were aged 40. A relatively low symptomatology was found among European Jews, North African Jews and Arabs in the peri- or postmenopause where their work load was unchanged or somewhat more than before. On the other hand, the Persian Jews showed a remarkable contrast, namely: those who had never worked at all outside the home suffered less than all the others in all the stages of menopause. These results cannot be explained only by the socioeconomic differences between the five groups, as the North Africans and Persians both belong to the lower urban socioeconomic class and the Arabs to the low rural socioeconomic class, with the Europeans belonging to the middle urban class. Nor can the results be explained merely by the difference in modernity and traditionalism. The matter is more complicated, and additional factors such as physical health, marital relationships and general stability are almost certainly involved. The advice to "go out and work" which is so often given by medical practitioners to menopausal women is thus not always correct, and should not be given automatically.

Adolescent↗

Creativity and self-actualization in the aging personality.

Twenty-five residents (sixty-nine to ninety-three years old) of two Israeli homes for the elderly were investigated in order to see if there was a correlation between the creative attitude (self-actualizing personality) and the way of coping with the process of aging and attitude toward death. The results showed that the more creative-actualizing a personality, the better the coping with aging phenomena and the less denial of death.

Adaptation, Psychological↗

Adjustment and war bereavement - some considerations.

Forty-seven parents from 25 families who had lost a son in the War of Attrition of 1969-1970 were interviewed in the course of this study. The interviews took place 2-3 years after the bereavement. The purpose of the study was an assessment of personal adjustment of bereaved parents, and an examination of background and behavioural characteristics which might differentiate between parents making a better and less good adjustment to the loss of a son. To this end data were collected via semistructured interviews. Non-objective variables: religiosity, social interpersonal relationships and adjustment were rated by independent judges. Reliability of interjudge agreement ranged from 0-67 to 1-00. Hypotheses were tested using correlation matrices. The hypothesis stating a positive relationship of high religiosity and good adjustment was not confirmed. The results suggest a very significant relationship between good adjustment and level of education (r = 0-668, alpha less than 0-01). Level of education was responsible for most of the variance and thus made impossible an answer regarding the relationship between religiosity and recovery after bereavement. To elucidate religiosity's function in adjustment, control of education level would be necessary. While this was not done in the present study, a further research plan was suggested. The hypothesis stating a positive correlational relationship between adjustment and interpersonal skills as reflected in social contacts and marital relations was confirmed (r = 0-735, r = 0-573, alpha less than 0-01). The findings of this study suggest that individuals who have suffered a severe stress, may gain strength, encouragement and compensation when their life style includes higher educational level and satisfying interactions with other people.

Adaptation, Psychological↗

The perception of menopause in five ethnic groups in Israel.

An investigation was made into the menopausal symptoms and attitudes of 1, 148 Israeli women of five different ethnic origins. The results show that, while some of the somatic menopausal symptoms are independent of ethnic origin, psychic and psychosomatic symptoms are more closely associated with this variable. Similarly, attitudes to the climacteric vary across cultural origins, especially with regard to husband-wife relationships. This study underlines the necessity of a multi-factorial, biological, sociological, psychological and anthropological approach to problems of menopause.

Attitude↗

Factors influencing sexual activity after prostatectomy: a prospective study.

Between 16 and 30 per cent of all prostatectomy patients become impotent after an operation for benign prostatic hyperplasia. Since the surgical technique does not seem to be the factor responsible for such a serious problem, more accentuated by the fact that this operation is becoming increasingly frequent with the increase in life expectancy, an assessment of 15 patients before and after prostatectomy is presented. With a statistical analysis of a structured interview (including a mini-Minnesota Multiphasic Personality Inventory test before and after the operation) 3 main differentiating factors emerged between the potent and the impotent group: 1) the level of anxiety exhibited by the patient, 2) whether the patients received an explanation about the surgery and its outcome prior to the operation and 3) the patient's general satisfaction with life.

Aged↗

The psychosocial sequelae of the Milwaukee brace in adolescent girls.

The psychosocial sequelae of treatment by Milwaukee brace were investigated in 38 girls. These girls were found to cope well after an initial critical period. Only minor disturbances of body image and sexual attitudes were observed. It seems that except for individual severe cases, no specific psychiatric intervention is needed in those patients, and a competent orthopedic surgeon could manage all the psychological aspects.

Adolescent↗