Management of erectile dysfunction with a novel orodispersible formulation of the PDE-5 inhibitor vardenafil

Erectile dysfunction (ED) is a medical condition which can affect men of all ages. As men live longer and the prevalence of cardiovascular disease and diabetes continue to increase, the problem of ED will become more prominent. The condition affects men both physically and emotionally. The profound psychological effect that this condition has on men should not be underestimated. A man with the problem of ED may feel robbed of his identity, may develop feelings of dissatisfaction with life in addition to anxiety, depression, low self-esteem and a decrease in quality of lifepeer-reviewe

Measuring Food Security for Pakistan Using 2007-08 HIES Data

Food is one of the most basic rights of every one living on this earth to get food. Food insecurity has very serious consequences in term of undermining people’s health, productivity and even their very survival. Sufficient food policy should not distract us from the need to find ways to address hunger. In this study we have calculated food security indicators related to food access and utilization by using Household Integrated Economic Survey(HIES) 2007-08 data. Almost 25% of the population is suffering from high food insecurity and 40% population is suffering from medium level of food insecurity. Cereals comprise more than 50% of the calories consumed by all income groups. Better educated household heads have lower food insecurity level than less educated after controlling income effect. Household size and food security are negatively related. Sind province has the highest percentage of food insecure population while in absolute number Punjab has the highest number of food insecure people.Availability, Accessibility, Utilization, Food Security Indicators

The Terror Within: Obesity in Post 9/11 U.S. Life

This essay is based on the premise that all biological sites are also cultural sites. Its central claim is that understanding the cultural work performed by the public health campaign against obesity is essential to a broader accounting of post 9/11 life in the United States. Through analysis of the relationship between the simultaneous wars against obesity and terror, this essay argues that the “war against obesity” plays a role in sustaining the “war on terror” by contributing to the post 9/11 culture of fear, providing a focus for wartime communal self-sacrifice, and obscuring the toll that the war on terror is taking on minority communities

Multicultural Religious Populations' Manifestations of Power and Control in Cases of Disordered Eating

In reflecting about cultural psychology there is always a reminder to revert and think back about the underlying issues that challenge the foundations of western psychology and its practical and theoretical application in other cultures around the world. One of these is the idea of power and control. At the root of diagnosing and defining disorders, we are faced with questions that attempt to answer crucial components of psychology at its core. Not only can traces of power and control be present in the varying aspects of psychology, but also in the factors that contribute to disorders. By examining characteristics that make up and affect individuals, therapists can better understand the client population and provide appropriate treatment for those who seek psychological services. This paper will address religion as one facet of culture and expands on how it manifests notions of power and control in individuals with eating disorders or in those who suffer from warped ideas of body image and physical attractiveness

Eating and feeding disorders in pediatric age

Eating and feeding disorders are common in pediatric age and may be important to discover and recover the early symptoms in order to optimize the treatment and management

Advancing the Right to Health: The Vital Role of Law

Effective laws and an enabling legal environment are essential to a healthy society. Most public health challenges – from infectious and non-communicable diseases to injuries, from mental illness to universal health coverage – have a legal component. At global, national and local levels, law is a powerful tool for advancing the right to health. This tool is, however, often underutilized. This report aims to raise awareness about the role that public health laws can play in advancing the right to health and in creating the conditions for all people to live healthy lives. The report provides guidance about issues and requirements to be addressed during the process of developing or reforming public health laws, with case studies drawn from countries around the world to illustrate effective practices and critical features of effective public health legislation. Advancing the right to health: the vital role of law is the result of a collaboration between the World Health Organisation, the International Development Law Organisation (IDLO), the O’Neill Institute for National and Global Health Law, Washington D.C., USA, and Sydney Law School, University of Sydney. The Project Directors were: Professor Lawrence O. Gostin, Linda D. and Timothy J. O’Neill Professor of Global Health Law and University Professor, Georgetown University; Faculty Director, O’Neill Institute for National and Global Health Law, Georgetown University; Mr David Patterson, Senior Legal Expert – Health; Department of Research & Learning, International Development Law Organization; Professor Roger Magnusson, Professor of Health Law & Governance, Sydney Law School, University of Sydney; Mr Oscar Cabrera, Executive Director, O’Neill Institute for National and Global Health Law, Georgetown University Law Center; Ms Helena Nygren-Krug (2011–2013), Senior Advisor, Human Rights & Law, UNAIDS. The content and structure of the report reflect the consensus reached at the second of two international consultations in public health law that preceded the preparation of the report, hosted by WHO and IDLO in Cairo, Egypt, 26-28 April 2010. Part 1 introduces the human right to health and its role in guiding and evaluating law reform efforts, including efforts to achieve the goal of universal health coverage. Part 2 discusses the process of public health law reform. The law reform process refers to the practical steps involved in advancing the political goal of law reform, and the kinds of issues and obstacles that may be encountered along the way. Part 2 identifies some of the actors who may initiate or lead the public health law reform process, discusses principles of good governance during that process, and ways of building a consensus around the need for public health law reform. Part 3 turns from the process of reforming public health laws to the substance or content of those laws. It identifies a number of core areas of public health practice where regulation is essential in order to ensure that governments (at different levels) discharge their basic public health functions. Traditionally, these core areas of public health practice have included: the provision of clean water and sanitation, monitoring and surveillance of public health threats, the management of communicable diseases, and emergency powers. Building on these core public health functions, Part 3 goes on to consider a range of other public health priorities where law has a critical role to play. These priorities include tobacco control, access to essential medicines, the migration of health care workers, nutrition, maternal, reproductive and child health, and the role of law in advancing universal access to quality health services for all members of the population. The report includes many examples that illustrate the ways in which different countries have used law to protect the health of their populations in ways that are consistent with their human rights obligations. Countries vary widely in terms of their constitutional structure, size, history and political culture. For these reasons, the examples given are not intended to be prescriptive, but to provide useful comparisons for countries involved in the process of legislative review

The portion size effect and overconsumption – towards downsizing solutions for children and adolescents

Portion sizes of foods offered to consumers have increased at the same time as overweight and obesity levels have risen. It has been suggested that large portions of high energy density (HED) foods increase total energy intake and that this is not compensated for in the short- to medium-term, potentially promoting weight gain. In the laboratory setting, offering large portions of HED foods increases overall energy intake in both children and adults. This phenomenon is known as the portion size effect (PSE), and it is robust, reliable and enduring. The possible impact of the PSE is that large portions served over time may facilitate overeating and could contribute to overweight and obesity. Explanations for the PSE vary from simple heuristics, such as the tendency to clear the plate, to more complex biobehavioural processes, including individual differences in susceptibility to external food cues through eating traits. Consumers may eat in accordance with available consumption norms or eat opportunistically when large portions are made available. An obvious solution to the PSE is to ‘downsize’ HED meal items and snacks, but whether this strategy is acceptable or feasible is not clear. In adults, the effects of downsizing are mixed and for children and adolescents, as yet unclear. The contention is that for those who are still learning about social norms and appropriate portions, there remains the potential to counter the PSE through downsizing strategies

Beyond the clinic? Eluding a medical diagnosis of anorexia through narrative

The persistence and recurrence of anorexia nervosa poses a clinical challenge, and provides support for critiques of oppressive and injurious facets of society inscribed on women’s bodies. This essay illustrates how a phenomenological, linguistic anthropological approach fruitfully traverses clinical and cultural perspectives by directing attention beyond the embodied experience of patients diagnosed with anorexia nervosa to those who are not clinically diagnosed. Extending a model of illness and recovery as entailing sufferers’ emplotting of past, present, and imagined future selves, I argue that women’s accounts of their experiences do not simply reflect lived reality, but actually propel health-relevant states of being by enlivening and creating these realities in the process of their telling. In indexical interaction with public and clinical discourses, narratives’ grammar, lexicon, and plot structures modify subjects’ experiences and interpretations of the events and feelings recounted. This article builds on the insight that linear narratives of “full recovery” that adopt a clinical and feminist voice can help tellers stay recovered, whereas for those “struggling to recover,” a genre of contingent, uncertain, sideshadowing narratives alternatively renders recovery an elusive and ambivalently desired object. This essay then identifies a third narrative genre, eluding a diagnosis, which combines elements of the first two genres to paradoxically keep its teller simultaneously sheltered from, and invisible to the well-meaning clutches of medical care, leaving her suffering, yet free, to starve. This focus on narrative genres illustrates the utility of linguistic analyses for discerning and interpreting distress in subclinical populations.First author draf