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  • ISSN: 2379-0547
    Volume 3, Issue 2
    Research Article
    Kam Weng Boey* and Anna Hoi Nga
    Female sexual dysfunction (FSD) is a serious health problem because of its high prevalence and deleterious effects on women's quality of life. It is essential that practitioners of family medicine and community health are able to detect FSD in its early stage so that timely treatment could be offered. This study examined the applicability of a 5-item Female Sexual Function Index (FSFI-5) in the assessment of female sexual dysfunction and in the identification of risk factors of FSD. Data were collected from Hong Kong Chinese women (N = 1011) by questionnaire survey via convenience sampling. The data confirmed that FSFI-5 was a global measure of sexual dysfunction with satisfactory reliability (Cronbach a = .90). Validity of the FSFI-5 was demonstrated by its ability to differentiate sexual function of women with and without oophorectomy and of women in menopause vs. in menstruation. The scores on FSFI-5 showed that the sexual function of Hong Kong Chinese women was generally satisfactory, except for a slightly lower level of sexual desire. Compared with a sample of normal American women, Hong Kong Chinese women had significantly poorer overall sexual function. However, they exhibited better sexual functioning than that of an American sample with female sexual arousal dysfunction. The cross-national difference provides additional evidence for the contrasted-group validity of the FSFI-5. Women who were divorced, aged 41 or older, of lower education (primary or below), and with relatively high income were at higher risk of FSD as assessed by FSFI-5. Lower scores on FSFI-5 were also associated with lower sexual frequency. With its demonstrated reliability and validity, practitioners of family medicine and community health can use the FSFI-5 as a quick screening tool of FSD to facilitate early treatment for women who are distressed by the problem.
    Salma Rashid Altheeb AlKalbani*, FathiyaThabit Naser Al-Shariqi Mustafa Al-Hinai and Abdullah AlMuniri
    Objective: To assess the correlation between diet and lifestyle factors and the risk of H.pylori infection in Omani patient attending Sultan Qaboos University hospital (SQUH) with chief complaint of dyspepsia.
    Method: This was a pilot cross sectional study of 100 patients attending SQUH daycare for OGD between September 2012 and September 2013. Ethical approval was obtained from SQUH scientific comity. Biopsy was taken in order to test for H. pylori infection. Data was collected in questionnaire including 107 food items with lifestyle factors (called food frequency questionnaire). Ten items were selected randomly and studied them in relation to H. pylori infection.
    Result: Forty one percent (41%) have a positive test for H. pylori with no difference between two genders. Most of the patients were less than 60 years of age with income less than 500 Omani Rial but P value was not significant. No clear correlation between the total daily carbohydrates, fats or proteins intake and the risk of H. pylori infection. Seventy one percent (71%) of Patients who take soft drink on daily basis or almost daily basis have positive H. pylori result (P value 0.04). No significant correlation found between H. pylori and other food items studied.
    Conclusion: The study showed that there is a strong correlation between the frequency of soft drink intake and the risk of H. pylori infection. However, no clear correlation was found between the total calories intake and H. pylori infection. No clear correlation was found between the H. pylori infection and smoking and drinking alcohol. Further studies need to be done with larger sample size to find out if there is clear correlation between H. pylori and diet and lifestyle.
    Lise McCoy*, Joy H. Lewis, Thomas Bennett, J. Aaron Allgood, Curtis Bay, and Frederic N. Schwartz
    Responding to the national need to prepare healthcare professionals motivated to work with medically underserved populations, our medical school developed a series of interactive, virtual patient training modules designed to provide simulated clinical practice in a community health center context. The purpose of this research is to determine the extent to which these training modules support practice with clinical reasoning, foster engagement, engender peer-collaborative discussion, and reinforce skills associated with community oriented primary care (COPC). Methods: In 2014-15,109 first year medical students worked in teams of 3-4 to complete eight simulated patient encounters within a new learning platform, the Virtual Community Health Center (VCHC). Small group faculty provided anonymous feedback after each session. Written student responses to case debrief were analyzed and coded using grounded theory.
    Results: Over the course of completing eight electronic case modules, students achieved significant individual learning gains on pre-post quizzes for 7/8 cases. Student teams earned an average of 75/100 points on the cases. Small group clinical faculty affirmed the efficacy of these virtual cases in terms of clinical reasoning, engagement and student collaboration. Case debriefs suggest students increased awareness of patient-centered care and community health.
    Conclusion: VCHC modules were valuable in terms of providing deliberate practice with clinical reasoning and learner engagement. They reinforced peer collaboration, and principles of Community-oriented Primary Care (COPC).
    Vitor Sousa Peixoto*, Juliana Jordao Goes, and Divanise Suruagy Correia
    Primary care is the gateway to the Brazilian Health System (SUS), being the site for monitoring patients, including those with mental disorders, through the Family Health Strategy (FHS). Psychotropic drugs are substances that generate dependency, occurring high consumption by the population. The purpose is to make a profile of the users followed by the FHS on the use of psychotropic drugs. Method: A descriptive, cross-sectional study carried out in three municipalities in the state of Alagoas, Brazil. Results: Most patients were female, 41-60 years; use of 2 to 5 years, from the socioeconomic class D, with no researched from class A. Insomnia was the main reason for the use of drugs. Clonazepam was the most prescribed and used psychotropic drug. Conclusion: The high frequency of chronic use of psychotropic drugs show the need for better monitoring and control at Basic Health Units (BHU) on its consumption, and the importance of discussions on other alternatives to these drugs.
    Frederick J Goldstein*
    Opioid prescribing to provide effective analgesia for various medical conditions has increased annually for many years. This trend was promoted decades ago by several organizations including two of which I am a member, the American Pain Society and the International Association for the Study of Pain. Certainly, opioid risks were known and discussed at various meetings over those years. Some presentations were specifically devoted to use of opioids in chronic non-cancer pain. However, during this time, there was no major consensus that such an escalation of prescribing these valuable medications would likewise increase cases of addiction and overdoses.
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