The influence of comorbidities on the aging males’ symptoms scale in patients with erectile dysfunction

Objectives: To investigate if certain common age-related comorbidities are related with a positive aging males’ symptoms (AMS) test outcome.

Methods: This was a multicentric, transversal, observational study carried out in a male population with erectile dysfunction. Comorbidities and testosterone levels were registered. The relationship between comorbidities, testosterone levels, and the AMS test outcomes was studied using the global score and the sub-scale score components.

Results: The study included 1112 patients. In the multivariate analysis the global score strongly correlated with TT?p?Conclusion: Although the AMS test is related to low levels of testosterone, it is also of some limited use for diagnosing hypogonadism because it has low specificity and is influenced by pathologies that are frequent during ageing.     

The impact of age,BMI and sex hormone on aging males’ symptoms and the international index of erectile function scores

Objective: To analyze the impact of age, BMI and sex hormone on aging males’ symptoms (AMS) and the 5-item version of the international index of erectile function (IIEF-5) scores in middle-aged and elderly Chinese men.

Methods: A population-based cross-sectional study was conducted in Jiashan County. A total of 969 men, aged between 40 and 80 years old, were admitted. Physical examination and the sex hormones were measured, and AMS and IIEF-5 scores were assessed.

Results: The oneway ANOVA analysis indicated older age groups had higher AMS total-scores, somatic and sexual sub-scores, and lower IIEF5 scores (all p?r_pairwise) analyses showed the significant associations between AMS and age or sex hormone (cFT, Bio-T, SHBG, and LH) levels, and similar for IIEF5. However, when age was adjusted, the correlation coefficients (r_partial) weakened, and correlation significance disappeared, except LH (for AMS: r_partial?=?0.096, p?=?.009; for IIEF-5: r_partial?= ?0.140, p?=?.001). Multiple linear regressions confirmed the influence of increased age and LH on the AMS and IIEF5 scores.

Conclusion: CFT, Bio-T and SHBG failed to yield any additional predicting information when age was adjusted. To improve the male reproductive health, future research should pay more attention on aging-related comorbidities and how to improve general wellness.     

Administration of daily 5 mg tadalafil improves endothelial function in patients with benign prostatic hyperplasia

Introduction: Tadalafil is a promising phosphodiesterase (PDE) 5 inhibitor prescribed for erectile dysfunction (ED). Daily low dose (5?mg) of tadalafil has also been used for the treatment of male lower urinary tract symptoms (LUTS) associated with benign prostate hyperplasia (BPH). PDE5 inhibitors induce relaxation of smooth muscle cells in the urethra, prostate, bladder neck, and blood vessels. The aim of this study was to investigate the efficacy of tadalafil on vessels endothelial function, in patients with male LUTS symptoms associated with BPH.

Methods: The Institutional Review Board (IRB) approved this clinical study and informed consents had been obtained from 81 BPH patients.

The following male LUTS parameters: international prostate symptom score (IPSS), overactive bladder symptom score (OABSS), voiding volume, max and mean voiding flow on voiding flowmetry examination and post-voiding residual urine (RU) were compared at 0, 1, 3, 6, and 12 months after a daily dose of 5?mg tadalafil.

In addition, erectile function was evaluated by the sexual health inventory for men (SHIM) score and vessels endothelial function and peripheral neuropathy were assessed by the brachial-ankle pulse wave velocity (baPWV), ankle brachial index (ABI), and vibration perception threshold (VPT) at 0, 3, 6, and 12 months after treatment.

Results: The mean age of 81 patients was 66.4?±?11.4 years old. Their prostate size was 30.2?±?22.1?ml.

Male LUTS parameters including IPSS, OABSS, and RU showed significant improvement from 1 to 12 months after tadalafil administration. Max and mean voiding flow was significantly increased at 6 months after tadalafil treatment.

The SHIM score showed significant improvement after 3 months. Whilst, the results of baPWV also showed significant improvement from 3 to 12 months. ABI was also significantly improved at 6 months. However, there was no change in the VPT at any time point.

Conclusions: Tadalafil is effective for both male LUTS and ED. It is also shown that tadalafil improves baPWV, which we can conclude that higher vessels elasticity has been obtained. This major finding of this study shows that tadalafil has the potency to improve vessels endothelial dysfunction in patients with BPH.     

Incapsulating hands: on the (in)dependence of young adults in the UNHCR’s Maratane Refugee Camp

Drawing on research with a small group of young women and men in Maratane Refugee Camp, Mozambique, this paper argues that youth envisage themselves as incapsulated in the camp’s physical and ideological boundaries. It shows that the United Nations’ (UN) mandate of finding durable solutions to international problems is difficult to achieve when young people envisage themselves as reliant or dependent on the UN. It argues that greater attention needs to be given to the mentoring of young people within the UN system, so that they are equipped with viable and realistic life expectations and skills.     

Education in multicultural environment – teaching/learning support activities (on the example of Georgia)

The National Curricula of Georgia emphasises the importance of intercultural education only in a declarative way. This article investigates how specific activities can contribute to the development of intercultural competences in a diverse environment. We conclude that additional training resources are critical for the development of those competencies among students. Application of our proposed model can serve to improve the intercultural schooling and adaptation of students in diverse environments.     

The Influence of the Psychoanalytic Community of Emigrès (1930–1950) on Clinical Social Work with Children

This study examines the influence of emigrè psychoanalysts on clinical social work with children in America. It is anticipated that this study will be useful in understanding the transformation of some social workers into more psychoanalytically-oriented clinicians regarding the treatment of children during the period 1900–1950. Using literature review and primary source material, the study examines the evolution of clinical social work with children from a child welfare model to a child guidance model incorporating psychoanalytic thinking. The study examines how psychoanalytic theory influenced social workers in their conceptualization and treatment of children, and describes the difficulties confronted by the emigrè psychoanalytic community as it tried to enter professional practice in America.     

Impacts of urbanization on palustrine (depressional freshwater) wetlands—research and management in the Puget Sound region

This paper summarizes the results of the Puget Sound Wetlands and Stormwater Management Research Program, which examined the impacts of urban stormwater on wetlands. Results are presented for data collected between 1988 and 1995 for 19 wetlands, showing changes in wetland hydrology resulting from urban conversion and the subsequent impacts on plant and amphibian communities. The amount of watershed imperviousness, the forested area, and the degree of outlet constriction were found to be the most significant factors affecting wetland hydroperiods. As hydroperiods changed, plant communities shifted towards communities adaptable to the new hydrograph. Wetlands with water level fluctuation above 20 cm resulted in lower plant richness in the emergent and scrub-shrub zones. Similarly, wetlands with water level fluctuation greater than 20 cm were significantly more likely to have low amphibian richness of three or fewer species. A primary goal of the research program was to employ the results to improve the management of both wetlands and stormwater in urban areas. Hydrologic guidelines were applied to King County's basin planning and master drainage planning efforts. Controls that focused on minimizing impervious surfaces and maximizing forest retention in the wetland watershed proved to be the most widely usable strategy.     

The post(hu)man always rings twice: theorising the difference of impairment in the lives of people with ‘mental health problems’

A vital debate in British disability studies concerns the question of how impairment can be theorised, taking place between those who claim a critical realist ontology and those who argue for a critical social ontology. Recently, this discussion on impairment issues seems to merge with the agenda of the newly emerging perspective of critical disability studies. In contrast to the recent claim of Vehmas and Watson in Disability & Society that critical disability theorists only engage in a relativistic deconstruction of impairment, as critical disability scholars we explore the recent work of Braidotti who addresses a difference between a deconstructive anti-humanist stance and an affirmative post-humanist turn. Inspired by our empirical research, we theorise the difference of impairment in the lives of people with ‘mental health problems’ that can imply, in theoretical and in practical real-life terms, both a limitation and a potential that matters.     

Speaking with the Colonial Ghosts and Pungsu Rumour in Contemporary South Korea (1990–2006): The Pungsu (Feng Shui) Invasion Story Surrounding the Demolition of the Former Japanese Colonial-General Building and Iron Spikes

This essay explores how the legacy of Japanese colonisation (1910–1945) continues to have a lingering impact on Korean life decades after territorial decolonisation. That is, the idea of demolishing the former Japanese Colonial-General building from the civil government of Kim Young-sam and the mysterious large iron spikes found at “auspicious sites” in mountains across the country caused a huge public debate throughout the 1990s until the demolition of the building in 1996. The building in question, on the doorstep of the Chosun royal palace, was regarded as a case of a pungsu (a form of East Asian geomancy better known as feng shui) “invasion” by the Japanese during the colonial era, allegedly to cut the qi (vital forces) of Korean national sovereignty. The iron spikes were also understood by many in the context of a “pungsu invasion”. Unfortunately, there is a general lack of documentary and scientific evidence to confirm the claims made about them, and so the controversy about whether this is a fact or a trauma-stricken myth continues. Beyond the debate over documentary and scientific evidence, this article aims to articulate how these stories or rumours suggest “a collective problem solving and collective psychosis” of a community reimagining itself at an important juncture of history. These rumours reflect the ways in which the nation and the public deal with the interrupted and incomplete social process, especially with regard to the long-unresolved collective wounds and grievances from the Japanese colonial era and a continuing fear of Japan, the nation’s “other”. This article also aims to explore how this controversy echoes post-authoritarian Korean society’s fever of “spiritual decolonisation” and “rectification of history”, which have become consistent public preoccupations and policy statements of successive Korean governments.     

‘Shoot with your pen’: Isaac William(s) Wauchope’s Ingcamango Ebunzimeni and the power of speaking obscurely in public

This article explores Ingcamango Ebunzimeni, a collection of poems published in the latter months of 1912 by the African intellectual and missionary Isaac William(s) Wauchope (1852–1917). Wauchope is most prominently known for having written a poem that, among other things, incites his peers to ‘take paper and ink’ and ‘[s]hoot with your pen’. Ingcamango Ebunzimeni is a peculiar moment in the life and writing of Wauchope. In a remarkable series of events, Wauchope served a two‐year prison sentence in Tokai between 1910 and 1912. In the argument that follows, I raise a number of issues regarding the circumstances leading to the writing and publication of Ingcamango Ebunzimeni. Taking as a point of departure Wauchope’s seeming reluctance to explicitly engage his feelings about his imprisonment, I suggest that speaking ‘obscurely’ within a public context allows Wauchope to make utterances that begin to contest, in very complex ways, the fall from grace occasioned by his imprisonment. Wauchope’s poems address themselves to a context where the recent events of his life give rise to dire tensions between the dominant colonial version of his life story that holds him to be a ‘masquerading minister’ and its resistive corollary which seeks to redeem him as the unwilling victim of an unremorseful social order that, having generated a class of Christianised Africans as an example of civilisation, casts them down as a symptomatic failure of the very same process. Indeed, it is in addressing himself to both spheres of meaning simultaneously that Wauchope defines the complexity of Ingcamango Ebunzimeni.     

Rewilding in the Garden: are garden hybrid plants (cultivars) less resilient to the effects of hydrological extremes than their parent species? A case study with Primula

Urban Ecosystems - Urban green infrastructure, such as gardens, can mitigate some of the consequences of climate change, e.g. reducing flash-flooding or urban heat islands. Green infrastructure,...     

‘Class’, ‘Race’ and Language: imagining China and the discourse on the category ‘Han’ in the writing of Marxist revolutionary Qu Qiubai (1899–1935)

This study investigates the discursive peregrinations of the ‘Han’ category in the writings of the Chinese revolutionary, theoretician and activist Qu Qiubai. In the papers he wrote at the beginning of the 1930s dealing with the questions of language and writing, the author made singular use of the concept ‘Han’ to talk about the language/writing of the ‘Han’ (Hanzi, Hanyu) as a racial or ethnic group (Hanzu). Qu elaborated a discourse which articulated and mobilized, sometimes in a contradictory manner, the ‘Han’ category both as a ‘race’ and as a social class. Going beyond the race/class dialectic, I will try to show that these texts question the territorial, cultural and ethnic boundaries of ‘China’ and its homogeneity. Following this argument, this paper demonstrates how Qu's attempt to define ‘Chinese language(s)’ helps us to elucidate the complex articulation between China as a discursive and spatial category, the ‘Han’ category, and the other nationalities in the Chinese space. By questioning the homogeneity of the linguistic identity of China, using the word zhongguohua, Qu Qiubai unveiled an unstable and fragile imaginary relative to China and its so-called majority ethnic group, the Han.     

Commentary on Walker,Brantley, and Rigsbee's (2004) “A Critical Analysis of Parental Alienation Syndrome and Its Admissibility in the Family Court”

Abstract

In this response to Walker et al. (2004), we explain our perspective, recent research, and recommendations in order to correct some misunderstandings of our work on alienated children. Then we address some important issues that Walker et al. have raised that deserve the attention of the field. These include whether a child necessarily needs a relationship with both parents; when we should give children their own voice and respect their self-determination, whether children who reject a parent are significantly emotionally troubled or at-risk for emotional or mental disorders in the future; and whether they need court-ordered intervention (despite the child's and aligned parent's resistance or objections). Finally, we address what are the nature, purpose, and prognosis for mandated treatment.     

“So They’ll Have Somewhere to Go”: Establishing Non-governmental Organizations (NGOs) for Children with Autism in the People’s Republic of China

Despite policy calling for compulsory education in China, many children with autism are not in school. This article examines the establishment of autism-related non-governmental organizations (NGOs) in China to meet needs not being met by the state. We focus on the background and motivation in founding and running these NGOs, after first considering the broader context of state decentralization and NGOs roles in supplementing welfare needs in reforming societies, and the educational policy context of China. This study used mixed methods, including questionnaires with open-ended and limited choice questions, and follow-up discussion email. The goals of NGO leaders—more than 50% of whom are parents of children with autism—are to make up for where government implementation of educational policy is insufficient; help others and advocate for inclusion in society; and do meaningful work. Implications from these findings are discussed.