Disorders of arousal in 4 older adult males: evidence from clinical practice

2021 ◽  
Author(s):  
Giuseppe Loddo ◽  
Federica Fragiacomo ◽  
Greta Mainieri ◽  
Susanna Mondini ◽  
Giorgio Buzzi ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Older Adult ◽  
Adult Males ◽  
Disorders Of Arousal

scholarly journals Sex Difference in Self-Reported Sexual Functioning Among Frail Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 313-313
Author(s):  
Brianne Olivieri-Mui ◽  
Sandra Shi ◽  
Ellen McCarthy ◽  
Dae Kim
Keyword(s):  
Older Adults ◽  
Logistic Regression ◽  
Sex Differences ◽  
Sexual Function ◽  
Older Adult ◽  
Sexual Functioning ◽  
Social Life ◽  
Well Being ◽  
Adult Males ◽  
Males And Females

Abstract Frailty may differentially impact how older adult males and females perceive sexual functioning, an important part of well-being. We assessed the level of frailty (robust, pre-frail, frail) for anyone with data on 11 sexual functioning questions asked in wave 2 of the National Social Life, Health, and Aging Project, 2010-2011 (n=2060). Questions covered five domains: overall sexual function (OSF), sexual function anxiety (SFA), changes in sexual function (CSF), erectile/vaginal dysfunction (EVD), and masturbation. Logistic regression identified sex differences in frailty and reporting worse sexual functioning. Linear regression predicted the number of domains reported as worse. Among males (n=1057), pre-frailty meant higher odds of reporting SFA (OR 1.8 95%CI 1.2-6.6), CSF (OR 1.7 95%CI 1.1-2.7), and EVD (OR 1.5 95%CI 1.0-2.2). Among females (n=1003), there was no difference in reporting by frailty. Females were more likely to report worse OSF (Robust: OR 7.4, 95%CI 4.8-11.4; Pre-frail: OR 6.2, 95%CI 3.9-9.9; Frail: OR 3.4 95%CI 1.7-6.6), but less likely to report SFA (Robust OR .3, 95%CI .2-.5; Pre-frail OR .2, 95%CI .1-.3; Frail OR .2 95%CI .1-.3). Pre-frail and frail females reported fewer domains as worse (Pre-frail coefficient -0.21 SE 0.09, Frail -0.43 SE 0.14). As frailty worsened, males reported more domains as worse (Pre-frail 0.24 SE 0.07, Frail 0.29 SE 0.08). Self-reported sexual functioning differs by sex at all levels of frailty, and reporting by males, but not females, changes with frailty. Providers should be aware that sexual functioning is of importance to both sexes despite varying degrees of frailty.

scholarly journals Weekly Versus Monthly Testosterone Administration on Fast and Slow Skeletal Muscle Fibers in Older Adult Males

2015 ◽  
Vol 100 (2) ◽  
pp. E223-E231 ◽  
Author(s):  
Robert H. Fitts ◽  
James R. Peters ◽  
E. Lichar Dillon ◽  
William J. Durham ◽  
Melinda Sheffield-Moore ◽  
...  
Keyword(s):  
Skeletal Muscle ◽  
Older Adult ◽  
Muscle Fibers ◽  
Adult Males ◽  
Slow Skeletal Muscle ◽  
Skeletal Muscle Fibers ◽  
Testosterone Administration

scholarly journals Effects of an Exercise Intervention on Body Composition in Older Adult Males Diagnosed with Parkinsons disease: A Brief Report

2016 ◽  
Vol 01 (01) ◽  
Author(s):  
Corey A Peacock ◽  
Gabriel J Sanders ◽  
Kayla A Wilson ◽  
Emily J Fickes Ryan ◽  
Duane B Corbett ◽  
...  
Keyword(s):  
Body Composition ◽  
Older Adult ◽  
Exercise Intervention ◽  
Adult Males ◽  
Parkinsons Disease

Delirium on clozapine: A tale of friend turned foe-A case report

2020 ◽  
pp. 009121742097282 ◽  
Author(s):  
Aparna Das ◽  
Rebecca Minner ◽  
Lewis Krain ◽  
John Spollen
Keyword(s):  
Case Report ◽  
Clinical Practice ◽  
Side Effects ◽  
Adverse Effects ◽  
Older Adult ◽  
Psychiatric Illness ◽  
Management Strategies ◽  
Treatment Resistant ◽  
Drug Of Choice ◽  
Life Threatening

Treatment resistant schizophrenia (TRS) is often encountered in clinical practice. Clozapine remains the drug of choice in the management of TRS. Several studies have shown that clozapine is the most effective antipsychotic medication to date for TRS. But it is also well known that it has multiple side effects. Some side effects are transient and relatively benign, while other adverse effects are menacing, serious and life-threatening. Delirium may occur with clozapine and is a therapeutic challenge as there is always a risk of precipitating delirium on clozapine rechallenge. Limited management strategies are available as alternatives for the management of psychiatric illness stabilized on clozapine. In this case report, we describe an older adult patient who developed delirium on clozapine. The aims of this case report are to discuss the mechanism by which clozapine leads to delirium, revisit various factors which could possibly lead to delirium, and discuss the different management strategies available for management of psychiatric illness for a patient previously stabilized on clozapine.

scholarly journals Sleep Apnea Syndrome (SAS) Clinical Practice Guidelines 2020

2022 ◽  
Author(s):  
Tsuneto Akashiba ◽  
Yuichi Inoue ◽  
Naohisa Uchimura ◽  
Motoharu Ohi ◽  
Takatoshi Kasai ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Sleep Apnea ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Medical Information ◽  
Sleep Apnea Syndrome ◽  
Adult Males ◽  
Obstructive Sleep ◽  
Number Of Patients ◽  
Apnea Syndrome

AbstractThe prevalence of sleep-disordered breathing (SDB) is reportedly very high. Among SDBs, the incidence of obstructive sleep apnea (OSA) is higher than previously believed, with patients having moderate-to-severe OSA accounting for approximately 20% of adult males and 10% of postmenopausal women not only in Western countries but also in Eastern countries, including Japan. Since 1998, when health insurance coverage became available, the number of patients using continuous positive airway pressure (CPAP) therapy for sleep apnea has increased sharply, with the number of patients about to exceed 500,000 in Japan. Although the “Guidelines for Diagnosis and Treatment of Sleep Apnea Syndrome (SAS) in Adults” was published in 2005, a new guideline was prepared to indicate the standard medical care based on the latest trends, as supervised by and in cooperation with the Japanese Respiratory Society and the “Survey and Research on Refractory Respiratory Diseases and Pulmonary Hypertension” Group, of Ministry of Health, Labor and Welfare and other related academic societies, including the Japanese Society of Sleep Research, in addition to referring to the previous guidelines. Since sleep apnea is an interdisciplinary field covering many areas, this guideline was prepared including 36 clinical questions (CQs). In the English version, therapies and managements for SAS, which were written from CQ16 to 36, were shown. The Japanese version was published in July 2020 and permitted as well as published as one of the Medical Information Network Distribution Service (Minds) clinical practice guidelines in Japan in July 2021.

scholarly journals ASCO Clinical Practice Guideline on Uses of Serum Tumor Markers in Adult Males With Germ Cell Tumors

2010 ◽  
Vol 6 (4) ◽  
pp. 199-202 ◽  
Author(s):  
Timothy D. Gilligan ◽  
Daniel F. Hayes ◽  
Jerome Seidenfeld ◽  
Sarah Temin
Keyword(s):  
Clinical Practice ◽  
Germ Cell ◽  
Tumor Markers ◽  
Clinical Practice Guideline ◽  
Germ Cell Tumors ◽  
Cell Tumor ◽  
Tumor Subtype ◽  
Adult Males ◽  
Serum Tumor Markers ◽  
Nonseminomatous Germ Cell Tumors

An examination of serum tumor markers for monitoring or surveillance for each histologic germ cell tumor subtype: seminoma and nonseminomatous germ cell tumors.

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