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A fragility index analysis of clinical trials evaluating low-intensity extracorporeal shockwave therapy for erectile dysfunction.
Int J Impot Res
December 2024
University of Miami Miller School of Medicine, Urology, Miami, FL, USA.
Erectile dysfunction is a common sexual dysfunction that affects a significant proportion of men. Low-intensity extracorporeal shockwave therapy has been evaluated in multiple clinical trials as a therapeutic option for men with erectile dysfunction. The robustness of these clinical trials is not well defined, as the trials are hindered by inconsistent treatment protocols, small study arm size and short follow-up intervals.
View Article and Find Full Text PDFPenile lenghthening original technique using a pubo-cavernous spacer. Long term results from a series of over 200 patients.
Arch Ital Urol Androl
September 2022
Department of Urology, "Cristo Re" Hospital, Rome.
Introduction: We report our long experience in the surgical treatment of patients requesting penile lengthening by suspensory ligament release and placement of a custom-made soft silicone pubo-cavernous spacer. The aim was to show that with this surgical technique the results obtained are maintained over time. It is crucial to achieve postoperative satisfaction of these patients who show fragility and self-esteem problems.
View Article and Find Full Text PDFNever Thought I was Going to be Placed in a Situation Like This: In the Shoes of the Doctor Responsible for Municipal Health, Back in My Country, Perú.
J Popul Ageing
August 2022
Facultad de Medicina, Centro de Investigación del Envejecimiento, Universidad de San Martín de Porres, Lima, Perú.
The COVID-19 pandemic changed the way of living on the planet and, in my case, revealed the fragility of primary care services to respond to a health emergency that mainly affected older adults. Upon obtaining my medical degree, I felt guaranteed to have the skills to be a primary care physician; however, the coronavirus gave me "a reality bath with the aroma of impotence, bewilderment, and abandonment." Contradictory provisions and regulations, absence of a continuous policy, poor leadership, insufficient resources, and mismanagement by the Ministry of Health.
View Article and Find Full Text PDFThe production of the common as a care strategy for complex users: a cartography with homeless women.
Cien Saude Colet
August 2021
Programa de Pós-Graduação em Saúde Coletiva, Faculdade de Ciências Médicas, Universidade Estadual de Campinas. R. Tessália Vieira de Camargo 126, Cidade Universitária, 13083-887. Campinas SP Brasil.
This paper discusses the low power of traditional care offers for so-called complex users in the health sector. It aims to show, from the narratives of two guiding-users, that professionals, services, and policies disregard the multiple singularities involved in the care and attempt to overlap their knowledge in asymmetrical relationships. They are often put at stake in their ability to generate interesting and more life-producing offers.
View Article and Find Full Text PDF'Narrow-sense' and 'broad-sense' vascular abnormalities of systemic sclerosis.
Immunol Med
September 2020
Department of Dermatology, Wakayama Medical University Graduate School of Medicine, Wakayama, Japan.
Systemic sclerosis (SSc) induces skin thickening and numerous symptoms involving the entire body. Collagen deposition, immune disorder, and vascular abnormalities is currently estimated to be three major causal factors involved in the respective conditions. Vascular abnormalities usually develop in the initial phase of this disease, and may exist in all phases; therefore, they markedly influence the patient's quality of life.
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