Comparison of Sertraline and Citalopram for Treatment of Premature Ejaculation

Normal 0 false false false MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman"; mso-ansi-language:#0400; mso-fareast-language:#0400; mso-bidi-language:#0400;} Introduction: We evaluated the efficacy of citalopram and sertraline in the treatment of premature ejaculation (PE). Materials and Methods: Of 101 married men with PE, 80 were eligible and consented to participate in this randomized controlled trial. Erectile dysfunction and administration of drugs for the treatment of PE were the exclusion criteria. The patients were evaluated using index of premature ejaculation (IPE) questionnaire and were randomly assigned into groups 1 (sertraline) and 2 (citalopram). They received one of these drugs for 8 weeks and then were re-evaluated by the IPE. Pretreatment and posttreatment results were compared within and between the study groups. Results: A total of 80 patients entered and completed the study. The mean age of the patients was 38.4 ± 7.7 in group 1 and 37.5 ± 6.9 in group 2 (P = .60). The mean pretreatment IPE scores were 21.4 ± 1.8 and 20.9 ± 1.3 in the patients of groups 1 and 2, respectively (P = .23). After 8 weeks, significant improvement was seen in both groups in terms of the IPE questionnaire results (39.8 ± 1.4; P P P = .50). No serious adverse effects were detected in any of the patients and both drugs were tolerated well. Conclusion: Citalopram and sertraline are safe and effective in patients with PE. Additionally, we failed to find any difference between the effects of these two drugs in the treatment of this condition.</p

Étude de la perception des restaurateurs sur l'impact économique des lois anti-tabac et étude de comportement des consommateurs à Genève

Entre 2008 et 2009, la fumée passive a été interdite des lieux publics genevois à deux reprises. Avec la 1ère et 2ème interdiction, les tenanciers et clients ont eu l’occasion de se remettre en question. Du côté des restaurateurs, des craintes quant à la bonne marche des affaires ont été exprimées. Il est temps de faire le bilan après le tournant que le milieu de la restauration a vécu. Après avoir fait des recherches et analysé des études étrangères et suisse sur les effets d’une interdiction de fumer dans le milieu du débit de boissons et/ou de repas, j’ai fait la découverte que les effets négatifs attendus d’une telle interdiction ne se sont pas réalisés dans la plupart des cas. Pour analyser le cas genevois, j’ai effectué un double travail de recherches. Dans un premier temps j’ai synthétisé des ressources statistiques officielles sur le milieu de la restauration. Là-dessus j’ai conclu que la plupart des indicateurs fournis par ces publications sont de bons instruments de mesure du climat conjoncturel. Ils permettent d’étayer les résultats de mes enquêtes que j’ai menées sur le terrain. Dans un deuxième temps, j’ai mené des entretiens semi directifs auprès des patrons d’établissements et des consommateurs. Au travers de ces entretiens, l’objectif était de mesurer l’impact de l’interdiction de fumer sur le plan des habitudes de consommation et de la réalité vécue des restaurateurs ainsi qu’évaluer la capacité des restaurateurs à s’adapter au cadre de travail. Les conclusions sont les suivantes : les patrons ont craint des baisses de revenu. Pour certains elles se sont avérées effectives dues à la nouvelle loi en vigueur. Pour les autres (la majorité), le chiffre d’affaires reste stable. Les patrons ont perçu que les habitudes de consommation avaient évolué ; en effet les consommateurs (fumeurs) confirment qu’ils restent moins longtemps sur place et consomment moins. Quelques exploitants constatent un renouvellement de leur clientèle au profit d’une autre qui ne vient plus comme avant. En réponse à la nouvelle loi, les restaurateurs se contentent de rester passifs et s’adaptent dans une faible mesure aux demandes des clients en vue de retrouver une part de convivialité presque perdue. Les consommateurs ont confirmé retrouver un plaisir à manger sans fumée. Des aspects tels que le cadre, l’ambiance et la convivialité sont des exemples d’attentes importantes. Finalement il y a une volonté générale pour ne pas marginaliser les fumeurs et trouver une solution qui préserve la convivialité à table. En confrontant la vision et les attentes des consommateurs face à la perception des exploitants de cafés et restaurants, je recommande aux gérants d’établissements de se spécialiser c’est à dire vendre le meilleur de leur savoir-faire et expertise, d’augmenter la valeur ajoutée de l’offre de leur établissement, soit faire vivre une expérience au client et d’investir dans les infrastructures tels que terrasses et fumoirs en gardant à l’esprit que la convivialité est au centre des préoccupations de la clientèle. Des solutions existent et font avancer la réflexion

The fight against terrorism through the eyes of senior civil servants of the quai d’orsay : for a french contribution to the concept of operational code

La lutte contre le terrorisme est une préoccupation contemporaine des diplomaties, alors que sa définition internationale demeure introuvable. Dans une approche organisationnelle, les hauts fonctionnaires du ministère français des Affaires étrangères partageraient une vision commune sur la violence terroriste et un « savoir-faire » qui leur permettraient de prendre des décisions efficaces pour la prévenir et la combattre. Or, dans une approche constructiviste, la lutte contre le terrorisme relève de relations intersubjectives comprenant l’activation de systèmes de croyances ou Operational Codes (OPCODES) différents, selon que les diplomates français viennent de l’ENA ou du Concours d’Orient. Ces croyances jouent un rôle dans la façon que les hauts fonctionnaires voient le monde, l’ennemi, mais aussi se perçoivent dans leurs fonctions. Ce sont aussi des croyances préexistantes, forgées à partir des expériences et des engagements personnels, qui font que les décisions en matière d’antiterrorisme ne relèvent pas seulement de considérations sécuritaires, mais aussi de motivations matérielles, émotionnelles, cognitives et morales pour un Etat comme la FranceThe fight against terrorism is a contemporary concern shared in state diplomacy, though no such common definition exists in international affairs. From an organizational approach, senior civil servants of the French Ministry of Foreign Affairs are thought to share a global vision on terrorist violence and a savoir-faire that should allow them to make effective decisions in their efforts to prevent and fight against it. However, in a constructivist approach, the war on terrorism draws its inspiration from inter-subjective relations that activate a set of belief systems or different Operational Codes (OPCODES). These beliefs systems, though dependent French diplomats’ background (Ecole Nationale d’Administration (ENA) or the Concours d’Orient), contribute to their decision making process. Thus, these beliefs play a role in the way decision makers see the world, the enemy, but also as to how they perceive themselves in their duties. These pre-existing beliefs which have been forged through personal experiences and commitments are responsible for shaping a decision making process that is not solely based on security concerns. They are in fact, also determined by material, emotional, cognitive and moral motivations for a state such as that of Franc

Temporalité de l’État, temporalité de l’ennemi

The fight against terrorism constitutes one of axis of States’ foreign policy. Over the last twenty years, France has been applying a policy corresponding to the official recommendations developed by the senior civil servants of the Quai d’Orsay. But far from being a culture shared by all, French diplomats’ vision of terrorism reveals several subjective temporalities based on the interactions that structure them and that depend on recognition or its denial among actors of international relations. Philosophical beliefs enable us to identify the subjective temporalities through competing belief systems among French diplomats. They also enable us to identify, among others, a belief in the following fracture: a “long term” temporality, specific to the State and its representatives; a “cyclical and short” time, specific to the terrorist who is excluded from the long term. This temporal break leads to outlining a typology between “hubristic” and “civilizing” temporalities that we have attributed to “Énarques” (ENA graduates) and “cadres (civil servants) d’Orient” categories. It also suggests the influence of these temporal concepts on State strategic guidelines in response to terrorist violence

La lutte contre le terrorisme vue par les hauts fonctionnaires du quai d'orsay : pour une contribution française au concept d'operational code

The fight against terrorism is a contemporary concern shared in state diplomacy, though no such common definition exists in international affairs. From an organizational approach, senior civil servants of the French Ministry of Foreign Affairs are thought to share a global vision on terrorist violence and a savoir-faire that should allow them to make effective decisions in their efforts to prevent and fight against it. However, in a constructivist approach, the war on terrorism draws its inspiration from inter-subjective relations that activate a set of belief systems or different Operational Codes (OPCODES). These beliefs systems, though dependent French diplomats’ background (Ecole Nationale d’Administration (ENA) or the Concours d’Orient), contribute to their decision making process. Thus, these beliefs play a role in the way decision makers see the world, the enemy, but also as to how they perceive themselves in their duties. These pre-existing beliefs which have been forged through personal experiences and commitments are responsible for shaping a decision making process that is not solely based on security concerns. They are in fact, also determined by material, emotional, cognitive and moral motivations for a state such as that of FranceLa lutte contre le terrorisme est une préoccupation contemporaine des diplomaties, alors que sa définition internationale demeure introuvable. Dans une approche organisationnelle, les hauts fonctionnaires du ministère français des Affaires étrangères partageraient une vision commune sur la violence terroriste et un « savoir-faire » qui leur permettraient de prendre des décisions efficaces pour la prévenir et la combattre. Or, dans une approche constructiviste, la lutte contre le terrorisme relève de relations intersubjectives comprenant l’activation de systèmes de croyances ou Operational Codes (OPCODES) différents, selon que les diplomates français viennent de l’ENA ou du Concours d’Orient. Ces croyances jouent un rôle dans la façon que les hauts fonctionnaires voient le monde, l’ennemi, mais aussi se perçoivent dans leurs fonctions. Ce sont aussi des croyances préexistantes, forgées à partir des expériences et des engagements personnels, qui font que les décisions en matière d’antiterrorisme ne relèvent pas seulement de considérations sécuritaires, mais aussi de motivations matérielles, émotionnelles, cognitives et morales pour un Etat comme la Franc

Intraperitoneal stone migration during percutaneos nephrolithotomy

Percutaneos nephrolithotomy (PNL) is the standard care for renal stones larger than 2 cm. The procedure has some major and minor complications. Renal pelvis laceration and stone migration to the retroperitoneum is one of the rare condition. We report the first case of intraperitoneal stone migration during PNL

Evaluation of Urinary Stones Ex Vivo With Micro-Computed Tomography: Preliminary Results of an Investigational Technique

Purpose: To evaluate the ultrastructural features of the urinary stonesremoved with endoscopic stone surgery, using micro computed tomography(micro-CT).Materials and Methods: Patients who had endoscopic surgery for renalor ureteral stones removal were included in this study. After surgery, thestones were classified into three groups and investigated with Skyscan 1174micro-CT. Group I underwent percutaneous nephrolithotomy (PNL) withultrasonic lithotripsy; group II had ureteroscopic stone surgery (USS) withpneumatic lithotripsy; and group III (the control group) had stone removalwith USS or PNL without lithotripsy. Stone homogeneity, voids, and theinternal structure of the stones were evaluated. Chi-square test was used toevaluate the difference statistically. P values less than .05 were consideredstatistically significant.Results: A total of 24 “calcium oxalate monohydrate” stones from 24patients were scanned with micro-CT. Stones treated with ultrasoniclithotripsy (group I) were more fragile, fragmented, and cracked than thosetreated with the pneumatic lithotripsy (group II; P = .01). Stones in groupII were more homogeneous and smooth than those in group I and resembled those of the control group (P = .02). Homogeneous, non-fragile stones andheterogeneous, fragile calculi were seen in all groups.Conclusion: The stone fragility could be confirmed by micro-CTinvestigation. Ultrasonic lithotripters increase the stone fragility, which isdemonstrated with increased heterogeneity by micro-CT

Significance of Surgical Margin in Patients with Clinical Localized Prostate Carcinoma Who Underwent Radical Prostatectomy

WOS: 000209846801282

<i>&#x2032;Stepped procedure</i> &#x2032; in laparoscopic cyst decortication during the learning period of laparoscopic surgery: Detailed evaluation of initial experiences

<b>Background:</b> We evaluated the importance and efficacy of &#x2032;<i>stepped procedure</i>&#x2032; in laparoscopic cyst decortication as an initial experience in it. <b> Materials and Methods: </b>A 36 renal cyst cases were included. The stepped retroperitonoscopic cyst excision divided into three groups. First step, doing the incisions to place the ports and expanding the retroperitoneal space with balloon distension, second step, placement of trocars and reach to the cyst, third step, aspiration and decortication of the cyst. The difficulty of the sessions was measured with the Visual Analog Scale (VAS) scoring system. Score was determined according to the difficulty of the surgical step ranging from &#x2032;0&#x2032; to &#x2032;10&#x2032;, &#x2032;0&#x2032;, too easy, &#x2032;10&#x2032; too difficult&#x2032;. The durations were measured. One-way ANOVA test was used for statistical analysis.<b> Results: </b> The<b> </b>mean age was 52.0 (20-75) years. The mean operation time was 52.0 min. The mean duration of the first step was 12.5, second, 26.0 and third, 22.5 min. The mean VAS of first step, 3.2, second, 6.0 and third, 3.6 There were only significant differences in duration time and VAS score for second step among the surgeons (<i>P</i>&#60; 0.05). <b> Conclusions:</b> Laparoscopic cyst decortication may provide gaining experience to approach the kidney laparoscopically. The side, size and localization of cysts were not found associated with the difficulty of the method