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[Sexual activity in the elderly in a rural environment].

OBJECTIVE: To study the prevalence of sexual activity (SA), its characteristics and associated variables in a rural population-group of the over-60s. DESIGN: A descriptive crossover study. SETTING: Health Centre in the town of Pravia. PARTICIPANTS: Residents who were 60 or over on March 1, 1995: 3,173 (1,362 men and 1,811 women). SOURCE: Municipal roll (9,986 inhabitants). By simple randomised sampling, n = 177 (significance 5%, accuracy 7%). MEASUREMENTS AND MAIN RESULTS: A closed questionnaire administered by professional staff at the Centre measured: gender, age, socio-cultural data, functional capacity, pathologies and medicines depressing SA (MDSA), coital sexual relations (SR), other types of SA (OTSA), sexual dysfunctions, age at and reason for giving up SR (GSR). 181 questionnaires were filled in: 75 men and 106 women. Maintaining SR was significantly associated (p < 0.05) with: being male, being younger, marriage, OH, functional independence. Not maintaining them was associated with vasculopathies, arthrosis and MDSA. Applying logistical regression analysis gave as predictive variables only: marital status, functional capacity and gender. CONCLUSIONS: Half of the participants maintained some kind of SA. The presence of SR was basically linked to having a partner, being functionally independent and being male. We found a high percentage of sexual dysfunctions. We believe it is relevant to include evaluation of sexual function in overall evaluation of the elderly.

Age Distribution↗

[An extended case of autoerotic accident].

A case of an autoerotic accident in an extended sense is reported. A heterosexual couple died from strangulation at the same time during common autoerotic practice.

Accidents↗

[A case of the multiyear presence of a foreign body in the bladder].

A unique case of a foreign body is reported. The body (a piece of copper wire 0.1 mm in diameter) entered the urinary bladder 27 years ago when the patient (his age was then 20) was self-abusing by introduction in the urethra of several thin copper wires. At the age of 47 the patient was admitted to the urological clinic with complaints of pain at urination, pollakiuria, macrohematuria. X-ray made the diagnosis of a bladder concrement with a foreign body in its center. Suprapubic cystotomy was made and the stone 40 x 30 x 16 mm in size was removed. The case eventuated in a complete recovery.

Chronic Disease↗

[2 autoerotic accidents: fatal nitrous oxide anesthesia and thoracic compression].

Report on 2 fatal autoerotic cases. In the first case a 20-year-old man died due to the use of nitrous oxide (laughing gas) which he had used in a self-constructed breathing-machine. The nitrous oxide came from a cartridge which normally is used for aerosol cans for whipped cream. In the second case a 19-year-old man used a pressure-suit for military-jet pilots and inflated it with a 12-volt-compressor. Additionally the head was covered with 3 masks and a motorcycle helmet. Arms and legs were bound. The cause of death was a massive compression of the thorax.

Accidents↗

Foreign bodies in the bladder: report of four cases.

This report presents the author's experience with four cases of foreign bodies in the bladder during a urological practice that spanned three different geographical locations. Relevant clinical aspects of this condition are discussed as well as technical tips given by various authors for the safe retrieval of such objects.

Adult↗

Sense and sexuality.

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Ethics, Nursing↗

Compulsive sexual behaviors--difficult aeromedical disposition.

Axis I psychiatric disorders generally are considered incompatible with both the issuance and subsequent maintenance of aeromedical clearance certificates. Little doubt exists as to the impact that conditions such as anxiety disorders, mood disorders, or substance-related disorders have on the conduct of safe flight. Nevertheless, different compulsive sexual behaviors (CSBs), which now are thought to share similar origins and associated comorbidity, can similarly affect impulse control, judgment, concentration, and insight. Yet, these conditions frequently are handled administratively (if not legally). Moreover, in practice CSBs fall within a spectrum of behaviors from "normative" nonparaphilic sexuality to more deviant paraphilic behavior. Through the presentation of five selected cases seen at the Naval Operational Medicine Institute, this article explores examiner difficulty in establishing a diagnosis, discusses models useful in understanding the origins of these disorders, and highlights critical elements in establishing aeromedical disposition. The authors conclude that CSBs may be associated with anxiety, dysphoria, a pattern of increased risk taking, a high threshold for arousal, and poor judgment, which may impact the safety of flight. A comprehensive psychiatric evaluation is essential in determining aeromedical disposition, and consideration should be given to reviewing these cases from a medical perspective prior to any administrative disposition.

Adult↗