35 research outputs found
Anteroposterior displacement behavior of the center of pressure, without visual reference, in postmenopausal women with and without lumbar osteoporosis
OBJECTIVE: The aims of this study were to evaluate the anteroposterior displacement behavior of the center of pressure without any visual reference and determine its relationship with knee muscle strength and reports of falls in postmenopausal women. Among those with osteoporosis, the specific objective was to evaluate the correlation of thoracic kyphosis and vitamin D with center of pressure displacement. METHODS: This was a cross-sectional observational study without intervention. The assessments were performed on 126 postmenopausal women (aged 55-65 years) who were grouped according to their lumbar bone density into osteoporosis and control groups. Center of pressure was evaluated on a force platform (100 Hz frequency and 10 Hz filter), with the subjects standing on both feet with eyes closed for 60 seconds. Knee muscle strength was evaluated using an isokinetic dynamometer in concentric/concentric mode at a velocity of 60°/s. In the osteoporosis group, vitamin D was assayed, and the thoracic spine was radiographed. RESULTS: In the control group, there was a correlation between the center of pressure and knee strength (r = 0.37;
Cognitive-behavioral group therapy for women with hypoactive sexual desire: A pilot randomized study
Background: Hypoactive Sexual Desire Disorder (HSDD) is a very prevalent sexual problem, with limited options for treatment. Given that psychological factors are major contributors to the disorder, a therapy such as Cognitive-Behavioral Therapy (CBT) may be useful to treat HSDD.
Objective: To evaluate the effects of group CBT on women with HSDD.
Method: Clinical trial randomized study with 106 women diagnosed with HSDD, who were divided as follows: Group 1 (n = 53) underwent group CBT for 8-weeks, and Group 2 (n = 53), were put on a waiting list and used as a control group. Sexual function was assessed by the Female Sexual Quotient (FSQQ) at the initial interview and after 6-months. Mann Whitney test was used for group comparison. Main Outcome Measures: demographics, education, sexual history, FSQQ and its domains for sexual function assessment.
Results: Both groups had similar characteristics regarding sexual response, self-image, and relationship with a partner at the initial interview. Women undergoing therapy showed significant improvement in sexual function when compared with the control group. The overall FSQQ result showed an average growth of 18.08 points (95% CI 12.87â23.28) for the therapy group against a decrease of 0.83 points (95% CI 3.43â1.77) for controls (p < 0.001). The five domains of the questionnaire also exhibited significant improvement in the therapy group: desire and interest (p = 0.003), foreplay (p = 0.003), excitation and tuning (p < 0.001), comfort (p < 0.001), and orgasm and satisfaction (p < 0.001).
Conclusion: Group CBT was shown to be an effective tool for treating HSDD
Diferenças no perfil trombofĂlico de mulheres com antecedente de tromboembolismo venoso relacionado e nĂŁo relacionado com a terapia de reposição hormonal
ViolĂȘncia domĂ©stica e sexual em mulheres e suas repercussĂ”es na fase do climatĂ©rio
INTRODUCTION: domestic violence and, particularly, sex can result in higher incidence of comorbidities in the climacteric. OBJECTIVE: to assess the effects of menopause on sexual and domestic violence. METHODS: sectional study in 124 postmenopausal women between 40 and 65, who suffered domestic violence and / or sexual, and a control group (124) composed (climacteric women who did not suffer violence) (N=120). Those who exposed to violence were divided into three groups 1 violence experienced in childhood and adolescence 2- adult phase 3- both phases. Subsequently a questionnaire on domestic and sexual violence was applied.Correlation was established for the intensity of climacteric symptoms measured with Menopausal Kupperman Index (MKI), type of violence experienced, stage of life exposesd to violence comorbidities during menopause, and women's perceptions about the quality of assistance received from the various professionals after the traumatic events. In the control group MKI and number of comorbidities were evaluated. RESULTS: those who have experienced violence in childhood/adolescence have average of 5.1 comorbidities; adulthood 4.6, and 4.4 in both phases, with a median of 5.0 in all phases, without violence (control) 2.8. The victims of sexual violence have more comorbidities compared those who underwent other types of violence. There were significant associations between having suffered any kind of violence in both phases and MKI serious and have suffered sexual violence at any stage of life, and MKI at least moderate. CONCLUSION: women who have experienced domestic and sexual violence have more comorbidities and MKI high compared to the control group.INTRODUĂĂO: a violĂȘncia domĂ©stica e, particularmente, a sexual pode implicar em maior ocorrĂȘncia de comorbidades no climatĂ©rio. OBJETIVO: avaliar as repercussĂ”es no climatĂ©rio da violĂȘncia domestica e sexual. MĂTODO: estudo transversal em 124 mulheres menopausadas, entre 40 e 65 anos, que sofreram violĂȘncia domĂ©stica e/ou sexual, e um grupo controle (mulheres na menopausa que nĂŁo sofreram violĂȘncia n=120). As expostas Ă violĂȘncia foram divididas em trĂȘs grupos: 1-violĂȘncia sofrida na infĂąncia e/ou adolescĂȘncia, 2-fase adulta, 3-ambas as fases, e aplicou-se questionĂĄrio sobre violĂȘncia domĂ©stica e sexual. Correlacionou-se a intensidade dos sintomas climatĂ©ricos medido pelo Ăndice Menopausal de Kupperman (IK), tipo de violĂȘncia sofrida, fase da vida exposta Ă violĂȘncia, comorbidades apresentadas no climatĂ©rio e percepçÔes da mulher sobre a forma com que os diversos profissionais acolheram ou nĂŁo nos eventos traumĂĄticos. No grupo controle avaliamos IK e numero de comorbidades. RESULTADOS: aquelas que sofreram violĂȘncia na infĂąncia/adolescĂȘncia apresentam media de 5,1 comorbidades; na fase adulta 4,6; e em ambas as fases 4,4, com mediana de 5,0 em todas as fases; sem violĂȘncia (controle) 2,8. As que sofreram violĂȘncia sexual apresentam mais comorbidades em relação aquelas que sofreram outros tipos de violĂȘncia. Houve associaçÔes significativas entre ter sofrido qualquer tipo de violĂȘncia em ambas Ă s fases e IK grave e ter sofrido violĂȘncia sexual em qualquer fase da vida, e IK no mĂnimo moderado. CONCLUSĂO: mulheres que sofreram violĂȘncia domĂ©stica e sexual apresentam mais comorbidades e IK elevado em relação ao grupo controle
A DĂșvida do ginecologista: prescrever ou nĂŁo hormĂŽnios na mulher no climatĂ©rio?
Date scanned: 2006-08-01.Held in the Russell L. and Lyn Wood Mining History Archive, Arthur Lakes Library, Colorado School of Mines