Introduction It has been proposed that women's sexual problems/dysfunctions, in the absence of personal and interpersonal distress, may have little clinical importance, as they may not necessarily affect women's sexual satisfaction. However, data are missing to support such interpretation. Aim The objective of the present study was to examine whether the presence of a sexual problem necessary affects women's satisfaction with sexual function. Method The study included 164 women who visited a general hospital because of symptoms not related to their sexual function and were asked to complete voluntarily and anonymously demographic data and two questionnaires. Main Outcome Measures Women completed the Female Sexual Function Index (FSFI)—an instrument which evaluates women sexual function—and the Symptom Checklist of Sexual Function—women version (SCSF-w), a screening tool of women's self-perception of sexual function. Results Mean patients’ age was 43 ± 12.6 (18–72) years. According to the FSFI, 48.8% of the participants had a sexual dysfunction. However, based on their self-perception of sexual function (SCSF), 80.5% of the sample declared to be satisfied with their sexual function, despite the fact that 69.5% of them reported at least one sexual problem. Of all women, only 26.2% would like to talk about their sexual problem(s) with a doctor (57.4% of those who are “bothered” by their sexual symptoms). Logistic regression analysis revealed no association between any sexual dysfunction and women's satisfaction from their sexual function. Conclusion Despite the presence of sexual problem(s), women may be satisfied with their sexual function, but half of those who are bothered would like to talk about it with their doctor. The presence of a sexual problem or its severity is not a determinant of women's help-seeking behavior. Such data strongly support current definitions of women's sexual dysfunction, where the presence of personal distress has been included as a crucial dimension.

In this study, Multifractal Detrended Fluctuation Analysis (MF-DFA) is applied to daily temperature time series (mean, maximum and minimum values) from 22 Greek meteorological stations with the purpose of examining firstly their scaling behavior and then checking if there are any differences in their multifractal characteristics. The results showed that the behavior is the same at almost all stations, i.e., time series are positive long-term correlated and their multifractal structure is insensitive to local fluctuations with large magnitude. Moreover, this study deals with the spatial distribution of the main characteristics of multifractal (singularity) spectrum: the dominant Hurst exponent, the width of the spectrum, the asymmetry and the truncation type of the spectrum. The spatial distributions are discussed in terms of possible effects from various climatic features. In general, local atmospheric circulation and weather conditions are found to affect the shape of the spectrum and the corresponding spatial distributions. Furthermore, the intercorrelation of the main multifractal spectrum parameters resulted in a well-defined group of stations sharing similar multifractal characteristics. The results indicate the usefulness of the non-linear analysis in climate research due to the complex interactions among the natural processes.

The Multifractal Detrended Fluctuation Analysis (MF-DFA) is used to examine the scaling behavior and the multifractal characteristics of the mean daily temperature time series of the ERA-Interim reanalysis data for a domain centered over Greece. The results showed that the time series from all grid points exhibit the same behavior: they have a positive long-term correlation and their multifractal structure is insensitive to local fluctuations with a large magnitude. Special emphasis was given to the spatial distribution of the main characteristics of the multifractal spectrum: the value of the Hölder exponent, the spectral width, the asymmetry, and the truncation type of the spectra. The most interesting finding is that the spatial distribution of almost all spectral parameters is decisively determined by the land-sea distribution. The results could be useful in climate research for examining the reproducibility of the nonlinear dynamics of reanalysis datasets and model outputs.

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Multifractal Detrended Cross-Correlation Analysis (MF-DCCA) was applied to time series of global methane concentrations and remotely-sensed temperature anomalies of the global lower and mid-troposphere, with the purpose of investigating the multifractal characteristics of their cross-correlated time series and examining their interaction in terms of nonlinear analysis. The findings revealed the multifractal nature of the cross-correlated time series and the existence of positive persistence. It was also found that the cross-correlation in the lower troposphere displayed more abundant multifractal characteristics when compared to the mid-troposphere. The source of multifractality in both cases was found to be mainly the dependence of long-range correlations on different fluctuation magnitudes. Multifractal Detrended Fluctuation Analysis (MF-DFA) was also applied to the time series of global methane and global lower and mid-tropospheric temperature anomalies to separately study their multifractal properties. From the results, it was found that the cross-correlated time series exhibit similar multifractal characteristics to the component time series. This could be another sign of the dynamic interaction between the two climate variables.

Human dirofilariasis is a zoonotic infection caused by worms of the genus Dirofilaria. Most reported cases involve Dirofilaria repens, and D. immitis infection has been rarely reported. Canines act as a reservoir for the infection, while human infections are sporadic. Human dirofilariasis has been widely reported in South Europe; however, the worldwide distribution constantly changes. We herein report an extremely rare case of subcutaneous trunk dirofilariasis in a 45-year-old immunosuppressed woman, caused by D. immitis. The parasitic infection was detected using ultrasonography. The infection was confirmed by a polymerase chain reaction-based method and was attributed to D. immitis.

CT-guided radiofrequency tumor ablation was safe and efficient for palliative treatment in our cohort of patients.

Introduction Several complications during and after penile implantation have been reported. The most difficult part of the procedure seems to be the dilatation of the corpora, especially in fibrotic cases. Aim To report a rare intraoperative complication during dilatation of the corpora and its management. Methods During dilation of the corpora cavernosa with Brooks dilators for the implantation of penile prosthesis, its head was detached and stuck at the tip of the corpus cavernosum. Several trials to remove the head of the dilator using different kinds of clamps were unsuccessful. Finally, an incision was performed to the distal lateral part of the corpora cavernosa and the head of the dilator was removed. Implantation was completed uneventfully. Results The patient instructed to inflate the prosthesis and use it for sexual intercourse after 6 weeks. Follow-up was 14 months and the patient is using properly the prosthesis. Conclusions Although this is a very rare complication not previously described, we recommend examination of the dilators before use.