Evaluation of the occurrence of sexual dysfunction and general quality of life in female patients with psoriasis

Background: Psoriasis has a significant impact on quality of life (QoL). Sexual life can also be affected, with sexual dysfunction being reported by 25-70% of patients. Objectives: To determine the occurrence of sexual dysfunction and evaluate QoL in women with psoriasis. Methods: This case-control study included women aged 18-69 years. The validated Brazilian Portuguese versions of the Female Sexual Function Index (FSFI) and of the Medical Outcomes Study 36-Item Short Form Health Survey (SF-36) were administered to all participants to assess sexual function and QoL, respectively. Patients with psoriasis underwent clinical evaluation for the presence of comorbidities, especially psoriatic arthritis and other rheumatic manifestations. Location of lesions and the extent of skin involvement were also assessed. Results: The sample consisted of 150 women, 75 with diagnosis of psoriasis and 75 healthy controls. Prevalence of sexual dysfunction was high in women with psoriasis (58.6% of the sample). Prevalence was statistically higher in women with psoriasis than in controls (P = 0.014). The SF-36 domain scores were also lower in women with psoriasis, with role limitations due to physical health, limitations due to emotional problems, and mental health being the most affected domains. Study limitations: Sample size was calculated to evaluate the association between the occurrence of sexual dysfunction and psoriasis, but it did not include the determination of the possible causes of this dysfunction. Conclusions: QoL and sexual function were altered in women with psoriasis and should be taken into consideration when assessing disease severity

Role of Metastable Phases in Polymer Crystallization; Early Stages of Crystal Growth

In this chapter we have addressed issues concerning crystallization of flexible polymers from melt. We have described several examples where crystallization proceeds via a transient phase before a thermodynamically stable phase intervenes. With several examples it has been shown that transient state of a phase strongly depends on the crystal size. A phase that is thermodynamically stable during the initial stages of crystallization becomes metastable with crystal growth. Taking linear polyethylene as an example, it is shown that crystal size can be controlled during polymerization, thus the phase behavior. These findings have implications in polymer processing like sintering of intractable ultra high molecular weight polyethylene

Chain tilt and surface disorder in lamellar crystals. A FTIR and SAXS study of labeled long alkanes

Small-angle X-ray scattering (SAXS) and infrared spectroscopy (IR) are employed in a study of chain tilt and disorder in solution-crystallized long alkanes C198H398 and C12D25C192H384C12HD24 in extended and once-folded conformations. The as-grown crystals have chains perpendicular to the lamellar surface, but around 90 °C they start tilting relative to the layer normal. The tilt increases gradually to reach 35° just below melting point. The end-labeled alkane allows independent IR probing of molecular disorder at the deuterated surface layer and in the hydrogenous interior of the crystals. The initially small splitting of the CD2 bending mode doublet and the presence of a singlet component indicated a rough surface in as-grown crystals, with considerable translational disorder. The increase in splitting and decrease in absorbance of the singlet which occur on annealing at progressively higher temperatures showed a steady improvement in translational surface order, concomitant with an increase in chain tilt angle. Thus, it is concluded that the absence of tilt in as-grown crystals is not due to high surface order, as in the case of shorter odd n-alkanes, but rather to high nonequilibrium surface disorder with chain ends or folds protruding out of or sunk beneath the surface. It is also concluded that chain tilt only becomes necessary as the crystal surface becomes translationally more ordered and the crystal-amorphous interface sharpens. IR also demonstrated the reversible increase in conformational disorder in the surface layer with increasing temperature and an almost negligible increase in the crystal interior. The gradual change in tilt angle and the existence of noncrystallographic basal planes is interpreted in terms of translational molecular disorder at the surface. The increased central SAXS scatter during the tilting process indicates the creation of voids associated with ridge formation and corrugation of the lamellae</p