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14 recordsLinked to original sources

Flexor profundus injuries treated with delayed two-staged tendon grafting.

Eleven patients with flexor profundus avulsions or severances recognized more than 6 weeks following injury were treated with delayed two-stage tendon grafting. Twelve profundus grafts were performed. All were young, well-motivated men. Total active motion improved from 166 to 244. Grip strength was significantly improved in eight patients. One graft ruptured requiring a secondary repair and two tenolyses were performed.

Adolescent↗

Vacuum devices for the impotent.

Vacuum constriction devices for the treatment of impotence achieve entrapment of blood in the penis following mechanically produced tumescence. Following application, blood flow is sustained, and the majority of users can achieve either an erection or an erection-like state that is satisfactory for intercourse. Properly motivated men can use these devices long-term without serious side effects. The devices are particularly effective in the management of partial impotence; they represent an attractive alternative to surgical procedures upon the penis, intracavernosal injection of vasoactive drugs, and sexual abstinence.

Erectile Dysfunction↗

One-year study of the efficacy of a dentifrice containing zinc citrate and triclosan to maintain gingival health.

In a previous study we demonstrated that gingival health could be maintained in a group of highly motivated nurses using a dentifrice containing a zinc salt and triclosan. We have now investigated the effect of the experimental dentifrice on a group of less motivated men. One hundred and three male students were given oral hygiene instruction (OHI) and their teeth were professionally cleaned. For each individual, both the instruction and cleaning were completed in a single 15-min period. Two balanced groups were formed, based on the prestudy plaque levels and gingival bleeding. One group used the experimental dentifrice for 12 months, while the other used a control. Results were assessed after 6 months, and after 12 months. As a result of the OHI, plaque and gingival bleeding were reduced at the end of the prestudy period. This improvement was not maintained by the control group even for 6 months. In contrast, the test group exhibited significantly lower plaque levels and higher standard of gingival health throughout the 12 months. Reassessment of available participants 6 months after the study showed that gingival health in both groups had returned to its prestudy condition. The lower observed standard of gingival health in the test group after ceasing to use the experimental dentifrice further supports the conclusion that this dentifrice can contribute to an oral care program.

Adult↗

The decision to lose weight.

The purpose of this article is to describe the reasons people give for deciding to lose weight compared by weight history and gender. The sample consisted of 162 Caucasian community volunteers. Data were obtained from an extensive open-ended interview that was analyzed using content analysis. Respondents were categorized into five groups, according to their success at weight loss: Successful, Always Normal Weight, Underweight, Clinically Successful, and Always Obese. The Clinically Successful and Always Obese were included in the category Unsuccessful Dieter. Reasons given for entering a weight-loss regime included attractiveness or appearance, health, fear, self-esteem issues, age, and competition. For the Successful Dieter, attractiveness and health were the two major motivations. Men and women were similar in their reasons for entering a weight-loss program. The issue of what makes a decision of sufficient importance to maintain weight loss remains unexplained. "Centrality" is offered as a possible explanation.

Adult↗

A review of sex differences in sexual jealousy, including self-report data, psychophysiological responses, interpersonal violence, and morbid jealousy.

The specific innate modular theory of jealousy hypothesizes that natural selection shaped sexual jealousy as a mechanism to prevent cuckoldry, and emotional jealousy as a mechanism to prevent resource loss. Therefore, men should be primarily jealous over a mate's sexual infidelity and women over a mate's emotional infidelity. Five lines of evidence have been offered as support: self-report responses, psychophysiological data, domestic violence (including spousal abuse and homicide), and morbid jealousy cases. This article reviews each line of evidence and finds only one hypothetical measure consistent with the hypothesis. This, however, is contradicted by a variety of other measures (including reported reactions to real infidelity). A meta-analysis of jealousy-inspired homicides, taking into account base rates for murder, found no evidence that jealousy disproportionately motivates men to kill. The findings are discussed from a social-cognitive theoretical perspective.

Affective Symptoms↗

Practices and perceptions of physical activity in urban, employed, middle-class Indians.

The aim of this study was to describe the detailed physical activity profiles of educated, employed, urban Indians and to ascertain their knowledge about the benefits of exercise, their concept of 'ideal' exercise, and the constraints in achieving it. To this end, 401 subjects (193 males, 208 females) between the ages of 25 and 58 years were studied. Women were significantly more active than men (p < 0.05), largely due to enhanced household activity (p < 0.05), which was not offset by the higher leisure time-related exercise of males (p < 0.05). Over 50 percent of subjects were aware of the benefits of exercise in preventing heart disease. The subjects' perceptions of 'ideal' exercise, based on exercise programmes they had drawn up for themselves, were adequate in terms of frequency and duration, but inadequate in intensity, when compared with the current recommendations for exercise in primary prevention of coronary heart disease. Lack of time (men 53.4%, women 68.3%) and lack of motivation (men 26.4%, women 28.4%) were the most-often cited reasons for being unable to achieve 'ideal' exercise goals. The data provides an important framework for understanding physical activity profiles of urban, educated and employed Indians on the basis of which behavioural strategies can be formulated to enhance physical activity and reduce cardiovascular risk.

Adult↗

100 years of animal welfare regulation and of experiments with animals in Germany, effects and reasons.

The first regulations (1883) have been renewed twice (1933, 1972) and will soon be renewed once again (1986). They have always been influenced by two motivations: men's feeling of responsibility for animals on one hand and antiscientism or public suspicion against scientists on the other hand. The general rules concerning animal welfare (anaesthesia, reduction of number and harm, species selection etc.) have been constant for 100 years, but governmental control increases by the establishment of special licences (for each project, for the responsible scientist, for the location) by regular controls of the laboratories, by installing a permanent animal welfare officer in the institutions, by protocols, special taxes and increasing penalties. Out of different public ethical concepts about the use of animals, the law for the present agrees with those permitting to use animals for "reasonable purposes". But now the public opinion wants to change to "only for necessary" purposes; this especially concerns animal experiments causing severe pain. Philosophers and public have difficulties to find consentaneous reasons for the "necessity" of basic research. Each basic research in biology must be accepted as necessary because life is multifactorially organized and can be analyzed sufficiently only by random-like strategies to test not monocausally evidenthypotheses alone, but all reasonable possibilities.

Animal Welfare↗

Condom use by Dutch men with commercial heterosexual contacts: determinants and considerations.

We report responses from 559 clients of female prostitutes, with a view to determining to what extent previously identified factors play a part in condom use. To increase the response rate to advertisements in daily and weekly newspapers, interviews were held by phone. This procedure had the advantage of ensuring the anonymity many clients demanded. Of those clients having vaginal or anal contact (91%), 14% had not always used condoms in the previous year. Compared with consistent condom users, these men were less highly educated, had twice as many commercial contacts, and had more contacts with "steady" prostitutes. They were either more emotionally motivated to visit prostitutes than were consistent condom users or exhibited a stronger need for sexual variation. They showed a more compulsive attitude toward visiting prostitutes, had a more negative attitude toward prostitution in general, evaluated condoms more negatively, had a higher personal efficacy to achieve unsafe contacts, and had a higher general risk assessment, commensurate with their behavior. Men with only safe contacts had either an intrinsic or an extrinsic motivation for condom use. Among extrinsically motivated men, their behavior change was more recent and had not yet taken root: They still envisioned unsafe commercial sex to be possible in the future. Education aimed at the small group of men practicing unsafe contacts will not easily and directly lead to behavior change. But these educational activities may support prostitutes to persist in (consistent) condom use, regardless of clients' pressure to do otherwise.

Adult↗

Postvasectomy semen analysis: why patients don't follow-up.

Semen analysis following elective vasectomy is necessary to confirm that the procedure was successful. However, many patients fail to follow postoperative instructions to obtain semen analysis. One hundred forty-one patients who had undergone vasectomy at the Family Practice Center of the Medical College of Ohio were surveyed to assess reasons for a poor rate of follow-up after vasectomy. Only 26 percent of respondents had returned two or more semen samples following surgery. Forty-five percent had not returned any samples. The inconvenience and embarrassment of having to bring semen specimens to the laboratory were identified as factors that can affect patient adherence to instructions. Respondents who had not returned any semen specimens were more likely to answer that their spouse would not be very upset if the vasectomy failed and pregnancy resulted. Our survey results identify issues for improving patient care following vasectomy. These include patient education and postoperative protocols.

Aftercare↗

[Abortion and the man. Psychological and psychopathological manifestations in the face of lost fatherhood].

This study examines the psychological and psychopathological reactions that may appear in a man when his partner aborts. The small amount of literature that exists on the subjects was examined, and several men were, interviewed at the time their partners aborted voluntarely. It turns out that in spite of the man's lack of recognition of any reactions (reinforced by current attitudes and by the scant psychological and medical interest in the subject), there is considerable emotional involvement in the lost parenthood, both for the man and the woman. As revealed by the interviews, this involvement may manifest itself in persecutory or depressive anxiety and psychosomatic symptoms. Moreover, but very rarely, real and typical psychopathological symptoms may appear, such as depression and behavioural disorders. The appearance of these reactions is linked to the problems and conflicts aroused by prospective fatherhood, leading to a comparison between the experiences of fuliwed fatherhood and those of fatherhood lost.

Abortion, Induced↗