In the recent years, ischemic brain injury related to embolization after transcatheter aortic valve replacement (TAVR) has received increased attention as new embolic protection strategies emerged to protect the brain. Diverse cerebral protection devices have been developed to reduce cerebral embolization during TAVR. These devices work through various mechanisms and are in different stages of clinical translation. This review provides the evidence‐based review of peri‐procedural stroke prevention during TAVR and summarizes currently available cerebral embolic protection devices.
Introduction The shaping of human identity in the relationship between the mind and the body and the importance of this relationship for becoming a sexual being are elements of everyone's life, but in the case of transgender people this path is particularly complicated. Objective The main aim of the study was to analyze the relationship between the quality of life and sexual life in relation to the process of diagnosis and treatment of transgender people. Methods 104 transgender people were enrolled in the study, including 66 transgender men and 38 transgender women. The study was conducted in two medical centers. The research tool used in the study was the original questionnaire and the Life Satisfaction Scale (SWLS), the Sexual Satisfaction Questionnaire (KSS). Results In the study, all transsexual persons had complete medical and psychological diagnostics necessary to confirm the diagnosis. The average duration of the diagnostic process was 6 to 12 months among the surveyed people (N = 42; 40,4%). Transgender persons also defined the duration and time of implementation of the "real life" test. The analysis of the research material shows that the vast majority of respondents started the "real life" test before starting the diagnostic process and its average duration during the diagnostic process was from 3 to 6 months. All medical services in the field of diagnostic and laboratory tests as well as medical procedures related to surgical gender correction cover from own resources. Medical procedures in the field of intramuscular injections are not carried out as part of primary health care, but are carried out in their own scope, usually independently after the previous instruction by persons unprofessional prepared for that. Studies have also shown that health-related aspects including reproductive health are not addressed in the transgender group by the attending physicians. The vast majority of information about transgender is searched on the Internet, and not by doctors as a professional source of information. Half of the transgender examined had suicidal ideation (N=58%) and 11% of those attempted suicide. The mean value of life satisfaction (SWLS) in the study group was 25,4 (SD=4,3; min.=12, max.=33). The Mann-Whitney U test showed that the examined transgender people differ in the average result obtained in the SWLS scale (U = 723,5; p = 0,.000270). The average raw result obtained in the KSS scale for the whole examined group is 32.88 (SD=3.28; min.=20, max.=39). Conclusions The diagnosis and treatment process determines the quality of life, sexual satisfaction of transgender people. Support for the transgender family determines their assessment of life satisfaction. In Poland, there is no standard of care for transgender people and there is no discussion of reproductive health. Disclosure Any of the authors act as a consultant, employee or shareholder of an industry for: Medical University of Silesia
Introduction Orthodontic treatment is closely related to the quality of life, including sexual life. Oral health obliges us to take a holistic approach to sexual health. Regarding the sexuality of orthodontic appliance users, no such studies have been conducted so far. Objective The main goal of the study was to analyze the quality of life, including sexual life of orthodontic appliance users. Methods 922 people over 18 years old who were undergoing orthodontic treatment with fixed appliances or aligners were selected for the study. Data for the study were obtained using two standardized questionnaires: The Satisfaction With Life Scale and The Sexual Satisfaction Questionnaire, a metric and an author’s questionnaire. Results The study group consisted of 922 people, including 718 women and 204 men, aged 20 to 56 years. All subjects were undergoing orthodontic treatment. Among the respondents, both men and women, the treatment process with the use of classic fixed appliances with metal brackets (n = 544) was dominating. Another group of orthodontic appliance users were patients with fixed appliances with aesthetic brackets (ceramic, porcelain, crystal) (n = 194). The patients treated with aligners were found only in the women's group (n = 145). The average orthodontic treatment time ranged from 1 to 1.5 years, however, there were individuals treated for more than 2 years. The mean score of satisfaction with life in the study group was 20.85. The study showed that men achieve statistically significantly higher results than women on the Satisfaction With Life Scale (p <0.00). The mean score of sexual satisfaction in the study group was 31.10. Regarding the selfassessment of sexual satisfaction, a statistically significant difference was noticed between women and men (p <0.001) – men assessed their sexual life higher than women. The relationship between sexual satisfaction and self-esteem in sexual life proved to be closely related. The self-esteem of the respondents was consistent with the results obtained in a standardized questionnaire and the high self-esteem rate was accompanied by high, objectively assessed sexual satisfaction scores. Sexual satisfaction was also strongly correlated with the respondents' attitude to the orthodontic appliances, the level of satisfaction with the relationship, and the frequency of sexual intercourse. The study demonstrated positive correlations of the sexual satisfaction score with the overall quality of life. Conclusions The attitude of the respondents to the orthodontic appliances has an impact on their quality of life, including sexual life. The orthodontic appliances may generate difficulties (the reduction of frequency or discontinuation) in subjects' sexual behavior, such as kissing and oral sex. Orthodontic appliances may also cause injury during sexual intercourse. The lack of reliable information on the relationship between orthodontic treatment and sexuality forces a need to raise awareness among dentists and orthodontic appliance users about the topics related to orthodontic treatment and sexual health. Disclosure No
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.