Pub Date : 2024-03-26DOI: 10.1093/jsxmed/qdae018.048
F. Jardelina Muniz Augusto Silva, D. da Costa Merino, T. Fernandes Torres, M. Castiglione, R. Pavione Rodrigues Pereira, C. Tanaka
Sexuality influences thoughts, feelings, actions and interactions and therefore also affects our physical and mental health. It is a complex part of life, shaped by many factors, including religious ones. Religiosity can guide the sexual and loving experience, directly influencing the individual's sexual understanding, such as the use or not of condoms during sexual practice. Therefore, the present study aims to identify in the literature the influence of religion on female sexuality. A narrative review of the literature was carried out in the PubMed database. Articles published in English, Spanish, Portuguese and Arabic from January 2017 to December 2022 were included, such as: clinical trials, meta-analysis and systematic review, which exclusively addressed female sexuality and religion. Studies that addressed male sexuality were excluded. 74 articles were found, of which 28 were selected for reading according to the summary and 10 studies met the inclusion criteria and were analyzed. Most of the studies were on the Muslim, Islamic and Christian religions. Important points related to religious beliefs were identified, such as non-use of contraceptive methods, lack of knowledge about reproductive health, religious conflicts, marital status, virginity, sexual submission and menstrual taboos that negatively influence the quality of sexual life of religious women. . Studies with greater methodological rigor are needed to address this important issue. This review showed that religion can have an adverse impact on the sexual health and quality of life of Islamic, Christian and Muslim women. Highlighting the need to conduct research in this area to understand and address this relationship. No conflict.
{"title":"(PM-20) INFLUENCE OF RELIGION ON FEMALE SEXUALITY: REVIEW OF NARRATIVE LITERATURE","authors":"F. Jardelina Muniz Augusto Silva, D. da Costa Merino, T. Fernandes Torres, M. Castiglione, R. Pavione Rodrigues Pereira, C. Tanaka","doi":"10.1093/jsxmed/qdae018.048","DOIUrl":"https://doi.org/10.1093/jsxmed/qdae018.048","url":null,"abstract":"\u0000 \u0000 \u0000 Sexuality influences thoughts, feelings, actions and interactions and therefore also affects our physical and mental health. It is a complex part of life, shaped by many factors, including religious ones. Religiosity can guide the sexual and loving experience, directly influencing the individual's sexual understanding, such as the use or not of condoms during sexual practice. Therefore, the present study aims to identify in the literature the influence of religion on female sexuality.\u0000 \u0000 \u0000 \u0000 A narrative review of the literature was carried out in the PubMed database. Articles published in English, Spanish, Portuguese and Arabic from January 2017 to December 2022 were included, such as: clinical trials, meta-analysis and systematic review, which exclusively addressed female sexuality and religion. Studies that addressed male sexuality were excluded.\u0000 \u0000 \u0000 \u0000 74 articles were found, of which 28 were selected for reading according to the summary and 10 studies met the inclusion criteria and were analyzed. Most of the studies were on the Muslim, Islamic and Christian religions. Important points related to religious beliefs were identified, such as non-use of contraceptive methods, lack of knowledge about reproductive health, religious conflicts, marital status, virginity, sexual submission and menstrual taboos that negatively influence the quality of sexual life of religious women. . Studies with greater methodological rigor are needed to address this important issue.\u0000 \u0000 \u0000 \u0000 This review showed that religion can have an adverse impact on the sexual health and quality of life of Islamic, Christian and Muslim women. Highlighting the need to conduct research in this area to understand and address this relationship.\u0000 \u0000 \u0000 \u0000 No conflict.\u0000","PeriodicalId":377411,"journal":{"name":"The Journal of Sexual Medicine","volume":"10 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140378708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-26DOI: 10.1093/jsxmed/qdae018.023
J. Benitez, E. Laborda, C. Sandoval-Salinas
Sexuality is an important aspect for men, so suffering from pathologies such as erectile dysfunction (ED) can affect different areas of their lives beyond sexual health. To evaluate the degree of affectation and the factors associated with the self-esteem and quality of life of men with ED. Men over 18 years old with ED treated in different cities in Spain participated. The general quality of life (World Health Organization Quality of Life-BREF, WHOQOL-BREF), quality of sexual life (Sexual Life Quality Questionnaire-SLQQ), and the degree of self-esteem (Self-Esteem and Relationship-SEAR) were evaluated, and identified factors associated with these constructs. How ED affects areas and quality of life was qualitatively explored with semi-structured interviews. 356 men participated in the quantitative phase and 21 in the qualitative phase. The average age was 58.2 years old (SD 12.2), 13.2% lived in Madrid, 55.6% worked, 59% lived with their partner, 98% were heterosexual, and 72.2% presented comorbidities related to ED. The mean IIEF was 11.4 (SD 6.6) and the mean time with ED was 5.9 years. In 17.4% the general quality of life was very bad or regular and in 55.3% quite good or very good, with no association found between this value and the quality of the erection or the degree of ED. The average score for the SLQQ questionnaire was 48.7 (SD 1.4) and for the SEAR questionnaire was 36.4 (SD 17.76), with an average score of 37.9 (SD 18.5) on the self-esteem subscale. Time with ED and frequency of sexual relations was associated with low self-esteem and confidence, and the severity of ED was associated with a low score in the social relationships domain (p<0.05). In the qualitative evaluation, few patients considered that ED affects other areas of their lives in addition to their sexual health. ED can negatively affect the quality of sexual life and self-esteem in Spanish men, but other areas of their lives are not affected. Boston Medical Group.
性生活对男性来说是一个重要方面，因此，勃起功能障碍（ED）等病症会影响性健康之外的不同生活领域。 为了评估勃起功能障碍男性患者的自尊和生活质量受影响的程度和相关因素。 在西班牙不同城市接受治疗的 18 岁以上男性 ED 患者参加了此次调查。对一般生活质量（世界卫生组织生活质量调查表，WHOQOL-BREF）、性生活质量（性生活质量调查表-SLQQ）和自尊程度（自尊和人际关系-SEAR）进行了评估，并确定了与这些结构相关的因素。通过半结构化访谈对 ED 如何影响生活领域和生活质量进行了定性探讨。 356 名男性参与了定量研究，21 名男性参与了定性研究。他们的平均年龄为 58.2 岁（SD 12.2），13.2% 居住在马德里，55.6% 有工作，59% 与伴侣同居，98% 为异性恋，72.2% 有与 ED 相关的合并症。平均 IIEF 值为 11.4（标清 6.6），患 ED 的平均时间为 5.9 年。17.4%的患者总体生活质量很差或很一般，55.3%的患者总体生活质量相当好或很好，但这一数值与勃起质量或 ED 程度之间没有关联。SLQQ问卷的平均得分是48.7分（标清1.4分），SEAR问卷的平均得分是36.4分（标清17.76分），自尊分量表的平均得分是37.9分（标清18.5分）。患有 ED 的时间和发生性关系的频率与自尊心和自信心不足有关，ED 的严重程度与社会关系领域的低分有关（P<0.05）。在定性评估中，很少有患者认为除性健康外，ED 还影响了他们生活的其他方面。 ED 会对西班牙男性的性生活质量和自尊造成负面影响，但他们生活的其他方面并未受到影响。 波士顿医疗集团。
{"title":"(O-29) QUALITY OF LIFE AND SELF-ESTEEM IN SPANISH MEN WITH ERECTILE DYSFUNCTION","authors":"J. Benitez, E. Laborda, C. Sandoval-Salinas","doi":"10.1093/jsxmed/qdae018.023","DOIUrl":"https://doi.org/10.1093/jsxmed/qdae018.023","url":null,"abstract":"\u0000 \u0000 \u0000 Sexuality is an important aspect for men, so suffering from pathologies such as erectile dysfunction (ED) can affect different areas of their lives beyond sexual health.\u0000 \u0000 \u0000 \u0000 To evaluate the degree of affectation and the factors associated with the self-esteem and quality of life of men with ED.\u0000 \u0000 \u0000 \u0000 Men over 18 years old with ED treated in different cities in Spain participated. The general quality of life (World Health Organization Quality of Life-BREF, WHOQOL-BREF), quality of sexual life (Sexual Life Quality Questionnaire-SLQQ), and the degree of self-esteem (Self-Esteem and Relationship-SEAR) were evaluated, and identified factors associated with these constructs. How ED affects areas and quality of life was qualitatively explored with semi-structured interviews.\u0000 \u0000 \u0000 \u0000 356 men participated in the quantitative phase and 21 in the qualitative phase. The average age was 58.2 years old (SD 12.2), 13.2% lived in Madrid, 55.6% worked, 59% lived with their partner, 98% were heterosexual, and 72.2% presented comorbidities related to ED. The mean IIEF was 11.4 (SD 6.6) and the mean time with ED was 5.9 years. In 17.4% the general quality of life was very bad or regular and in 55.3% quite good or very good, with no association found between this value and the quality of the erection or the degree of ED. The average score for the SLQQ questionnaire was 48.7 (SD 1.4) and for the SEAR questionnaire was 36.4 (SD 17.76), with an average score of 37.9 (SD 18.5) on the self-esteem subscale. Time with ED and frequency of sexual relations was associated with low self-esteem and confidence, and the severity of ED was associated with a low score in the social relationships domain (p<0.05). In the qualitative evaluation, few patients considered that ED affects other areas of their lives in addition to their sexual health.\u0000 \u0000 \u0000 \u0000 ED can negatively affect the quality of sexual life and self-esteem in Spanish men, but other areas of their lives are not affected.\u0000 \u0000 \u0000 \u0000 \u0000 Boston Medical Group.\u0000","PeriodicalId":377411,"journal":{"name":"The Journal of Sexual Medicine","volume":"7 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140378770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-26DOI: 10.1093/jsxmed/qdae018.030
M. Castiglione, V. Bressani
Sexuality Education is a comprehensive educational process that includes knowledge, skills and values that enable children, young people and adults to make conscious and responsible decisions about their sexual experiences and sexuality. Addresses topics such as biological sex, sexual health care, sexual orientation, gender identity and gender expression. Describe the dynamics of an interdisciplinary service that aims to promote sexual education of people, in person and/or in a virtual environment. Ciranda-Sexuality and Human Behavior is a sexual education service created in November 2019 by a physiotherapist and a psychologist, specialists in Human Sexuality where together they promote educational actions with a theoretical-scientific basis, in an in-person and virtual environment, such as conferences and conversation circles, live broadcasts and promotion of educational materials, posted through social networks, networks such as Instagram and other communication channels, with the aim of promoting the improvement of the exercise of sexuality by addressing various educational topics. sexual for the population. In December 2019, a conversation round was held with the presence of 20 women. With the pandemic, at the beginning of 2020, Ciranda's activities became virtual, where the presence of people from different parts of Brazil and other countries was possible. In March 2020, with the support of a marketing consultant, an Instagram page was developed where we have reached 2035 followers to date, 241 posts with educational content including videos, texts with accessible vocabulary and live streams viewed. In addition, we held talks and roundtables through the Google Meet platform for approximately 100 women. In 2022 we return to face-to-face activities No conflict.
{"title":"(O-39) CIRANDA- HUMAN BEHAVIOR AND SEXUALITY: EXPERIENCE OF A SEXUAL EDUCATION SERVICE IN BRAZIL","authors":"M. Castiglione, V. Bressani","doi":"10.1093/jsxmed/qdae018.030","DOIUrl":"https://doi.org/10.1093/jsxmed/qdae018.030","url":null,"abstract":"\u0000 \u0000 \u0000 Sexuality Education is a comprehensive educational process that includes knowledge, skills and values that enable children, young people and adults to make conscious and responsible decisions about their sexual experiences and sexuality. Addresses topics such as biological sex, sexual health care, sexual orientation, gender identity and gender expression.\u0000 \u0000 \u0000 \u0000 Describe the dynamics of an interdisciplinary service that aims to promote sexual education of people, in person and/or in a virtual environment.\u0000 \u0000 \u0000 \u0000 Ciranda-Sexuality and Human Behavior is a sexual education service created in November 2019 by a physiotherapist and a psychologist, specialists in Human Sexuality where together they promote educational actions with a theoretical-scientific basis, in an in-person and virtual environment, such as conferences and conversation circles, live broadcasts and promotion of educational materials, posted through social networks, networks such as Instagram and other communication channels, with the aim of promoting the improvement of the exercise of sexuality by addressing various educational topics. sexual for the population.\u0000 \u0000 \u0000 \u0000 In December 2019, a conversation round was held with the presence of 20 women. With the pandemic, at the beginning of 2020, Ciranda's activities became virtual, where the presence of people from different parts of Brazil and other countries was possible. In March 2020, with the support of a marketing consultant, an Instagram page was developed where we have reached 2035 followers to date, 241 posts with educational content including videos, texts with accessible vocabulary and live streams viewed. In addition, we held talks and roundtables through the Google Meet platform for approximately 100 women. In 2022 we return to face-to-face activities\u0000 \u0000 \u0000 \u0000 No conflict.\u0000","PeriodicalId":377411,"journal":{"name":"The Journal of Sexual Medicine","volume":"1 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140378802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-26DOI: 10.1093/jsxmed/qdae018.049
C. Braga, L. A. Vasconcelos dos Santos, M. Sampaio, LdL Bremberger, J. V. Medeiros, K. F. Torres de Sá Urtiga Rêgo, J. H. Sousa Luz, G. E. Becher
Social media provides a favorable space for health education. Among the available digital resources, WhatsApp message groups can serve as a source of information and a platform for discussions. Recent studies on sexual education through social media are more concentrated on interventions targeting STI prevention, sexual abuse mitigation, and contraception education. However, there are no reports of utilization of WhatsApp for education about paraphilias. The Brazilian Association for Studies in Medicine and Sexual Health (ABEMSS) utilizes WhatsApp as a tool to promote discussions of this often neglected topic. Nevertheless, more studies are needed to substantiate the validity of this resource. To review the literature and to share the experience of using WhatsApp to facilitate discussions and knowledge sharing about paraphilias. Narrative Review on the Use of Social Media in Sexual Education and an experience report on the Utilization of WhatsApp as an Educational Instrument for the study of paraphilias. The WhatsApp paraphilia study group was created in 2020 and comprises 222 healthcare professionals (54% urologists, 9% endocrinologists, 8% psychiatrists, 18% psychologists, 7% physiotherapists). Its activities primarily occur in a scheduled manner, but they can also arise spontaneously. They include discussions of clinical cases, scientific studies and lay media. In the first half of 2023, there were 12 scheduled activities and 8 spontaneous ones. To mitigate the risk of stigmatizing comments, department members act as moderators. WhatsApp seems to be a valuable tool for disseminating information about neglected health topics, such as paraphilias. The use of specific groups with scheduled and spontaneous activities promotes the provision of scientific information while promotes a attitude towards the topic. Paraphilias; Paraphilic disorders; Medical education; Social media No conflict.
{"title":"(PM-22) THE UTILIZATION OF SOCIAL MEDIA AS A PSYCHOPEDAGOGICAL TOOL IN SEXUAL HEALTH WITH A FOCUS ON PARAPHILIAS","authors":"C. Braga, L. A. Vasconcelos dos Santos, M. Sampaio, LdL Bremberger, J. V. Medeiros, K. F. Torres de Sá Urtiga Rêgo, J. H. Sousa Luz, G. E. Becher","doi":"10.1093/jsxmed/qdae018.049","DOIUrl":"https://doi.org/10.1093/jsxmed/qdae018.049","url":null,"abstract":"\u0000 \u0000 \u0000 Social media provides a favorable space for health education. Among the available digital resources, WhatsApp message groups can serve as a source of information and a platform for discussions. Recent studies on sexual education through social media are more concentrated on interventions targeting STI prevention, sexual abuse mitigation, and contraception education. However, there are no reports of utilization of WhatsApp for education about paraphilias. The Brazilian Association for Studies in Medicine and Sexual Health (ABEMSS) utilizes WhatsApp as a tool to promote discussions of this often neglected topic. Nevertheless, more studies are needed to substantiate the validity of this resource.\u0000 \u0000 \u0000 \u0000 To review the literature and to share the experience of using WhatsApp to facilitate discussions and knowledge sharing about paraphilias.\u0000 \u0000 \u0000 \u0000 Narrative Review on the Use of Social Media in Sexual Education and an experience report on the Utilization of WhatsApp as an Educational Instrument for the study of paraphilias.\u0000 \u0000 \u0000 \u0000 The WhatsApp paraphilia study group was created in 2020 and comprises 222 healthcare professionals (54% urologists, 9% endocrinologists, 8% psychiatrists, 18% psychologists, 7% physiotherapists). Its activities primarily occur in a scheduled manner, but they can also arise spontaneously. They include discussions of clinical cases, scientific studies and lay media. In the first half of 2023, there were 12 scheduled activities and 8 spontaneous ones. To mitigate the risk of stigmatizing comments, department members act as moderators.\u0000 \u0000 \u0000 \u0000 WhatsApp seems to be a valuable tool for disseminating information about neglected health topics, such as paraphilias. The use of specific groups with scheduled and spontaneous activities promotes the provision of scientific information while promotes a attitude towards the topic.\u0000 \u0000 \u0000 \u0000 Paraphilias; Paraphilic disorders; Medical education; Social media\u0000 \u0000 \u0000 \u0000 No conflict.\u0000","PeriodicalId":377411,"journal":{"name":"The Journal of Sexual Medicine","volume":"109 39","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140379377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-26DOI: 10.1093/jsxmed/qdae018.004
J. Jiménez, S. Rodríguez, C. Sandoval
Erectile dysfunction is associated with various psychological and physiological causes, including hormone levels such as testosterone. The role of estradiol in male sexual function is controversial, and studies reporting its impact on erectile function have been inconsistent. The aim of this study was to describe the levels of testosterone and estradiol in Mexican men with erectile dysfunction, based on the severity of dysfunction. Hormonal levels of TSH, T3, T4, LH, FSH, total and free testosterone, and estradiol were measured in men over 18 years of age with erectile dysfunction, attending a clinic in Mexico. Clinical variables were analyzed, estimating measures of central tendency and dispersion for numerical variables, and absolute and relative frequencies for categorical variables. The proportion of men with abnormal levels of estradiol and testosterone was calculated based on the severity of erectile dysfunction. A total of 70 participants were included. The average age was 53.9 years old (+/- 11.8); 18.5% had severe dysfunction, 65.7% had moderate dysfunction, 14.2% had mild to moderate dysfunction, and 1.4% had mild dysfunction. 35.7% were diabetic, and 34.2% were hypertensive. 62.8% had abnormal levels in at least one of the evaluated hormones: 5.7% had low TSH levels; 2.8% had low T3 levels; 1.4% had low T4 levels; 5.7% had low and 7.1% had high total testosterone levels; 12.8% had low and 2.8% had high free testosterone levels; 17.1% had high prolactin levels; 1.4% had low and 10% had high LH levels; 5.7% had high FSH levels. Estradiol level was high in 6 men (8.5%), 1 had mild-moderate and 5 moderate dysfunction; 8 men had low estradiol levels (11.42%), 1 had mild-moderate, 4 moderate and 3 severe dysfunction. Alteration on the levels of Estradiol was common in the analyzed group of patients with erectile dysfunction, especially in men with moderate dysfunction, observed in 12.8% of them. Boston Medical Group.
{"title":"(O-05) ESTRADIOL LEVELS IN MEXICAN MEN WITH ERECTILE DYSFUNCTION","authors":"J. Jiménez, S. Rodríguez, C. Sandoval","doi":"10.1093/jsxmed/qdae018.004","DOIUrl":"https://doi.org/10.1093/jsxmed/qdae018.004","url":null,"abstract":"\u0000 \u0000 \u0000 Erectile dysfunction is associated with various psychological and physiological causes, including hormone levels such as testosterone. The role of estradiol in male sexual function is controversial, and studies reporting its impact on erectile function have been inconsistent. The aim of this study was to describe the levels of testosterone and estradiol in Mexican men with erectile dysfunction, based on the severity of dysfunction.\u0000 \u0000 \u0000 \u0000 Hormonal levels of TSH, T3, T4, LH, FSH, total and free testosterone, and estradiol were measured in men over 18 years of age with erectile dysfunction, attending a clinic in Mexico. Clinical variables were analyzed, estimating measures of central tendency and dispersion for numerical variables, and absolute and relative frequencies for categorical variables. The proportion of men with abnormal levels of estradiol and testosterone was calculated based on the severity of erectile dysfunction.\u0000 \u0000 \u0000 \u0000 A total of 70 participants were included. The average age was 53.9 years old (+/- 11.8); 18.5% had severe dysfunction, 65.7% had moderate dysfunction, 14.2% had mild to moderate dysfunction, and 1.4% had mild dysfunction. 35.7% were diabetic, and 34.2% were hypertensive. 62.8% had abnormal levels in at least one of the evaluated hormones: 5.7% had low TSH levels; 2.8% had low T3 levels; 1.4% had low T4 levels; 5.7% had low and 7.1% had high total testosterone levels; 12.8% had low and 2.8% had high free testosterone levels; 17.1% had high prolactin levels; 1.4% had low and 10% had high LH levels; 5.7% had high FSH levels. Estradiol level was high in 6 men (8.5%), 1 had mild-moderate and 5 moderate dysfunction; 8 men had low estradiol levels (11.42%), 1 had mild-moderate, 4 moderate and 3 severe dysfunction.\u0000 \u0000 \u0000 \u0000 Alteration on the levels of Estradiol was common in the analyzed group of patients with erectile dysfunction, especially in men with moderate dysfunction, observed in 12.8% of them.\u0000 \u0000 \u0000 \u0000 Boston Medical Group.\u0000","PeriodicalId":377411,"journal":{"name":"The Journal of Sexual Medicine","volume":"124 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140380999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-26DOI: 10.1093/jsxmed/qdae018.038
S. Garcia, J. Santander, S. Peña Rodríguez, C. Diaz Ritter, D. Pomar, J. Azuero, M. P. Mogollón
The scrotal urethrocutaneous fistula is an uncommon pathology which can lead to serious complications, such as infections, scrotal abscesses, or even Fournier’s gangrene. We present an unusual case of scrotal urethrocutaneous fistula secondary to erosion of a penile prosthesis tubing in a patient with a history of erectile dysfunction. A 68-year-old patient with no previous comorbidities and a history of prostate adenocarcinoma that was treated with radical prostatectomy + lymphadenectomy, without the need for subsequent adjuvant therapy. He was diagnosed with erectile dysfunction after surgery, refractory to intracavernous therapy therefore required a 3-component penile implant placement procedure performed extra-institutionally. Two years after the surgery, he consulted with our institution for scrotal pain and urine leak from the scrotum during micturition. Physical examination shows extrusion of prosthesis tubes in the scrotal area with no signs of infection or exposure of the cylinders. The patient was hospitalized for management with antibiotics and to replace the penile implant. A retrograde urethrography with contrast medium was performed during surgery. Fluoroscopy showed a fistulous pathway between the penile urethra and the scrotum. No passage of the contrast to the corpora cavernosa was seen. The urethral lesion and fistula were identified and repaired. A malleable prosthesis was used, considering the amount of scar tissue. The patient had an adequate postoperative period. A urethral catheter and a cystotomy were used for six weeks. After catheter removal, a voiding cystogram was performed, finding no fistulas. The patient was followed for 11 months with no complications. Although scrotal urethrocutaneous fistulas are an infrequent complication after penile prosthesis implantation, a timely diagnosis is essential for conservative treatment and to avoid life-threatening complications. No conflict.
{"title":"(PM-06) A RARE CASE OF SCROTAL URETHROCUTANEOUS FISTULA SECONDARY TO EROSION OF PENILE PROSTHESIS CONNECTOR TUBING","authors":"S. Garcia, J. Santander, S. Peña Rodríguez, C. Diaz Ritter, D. Pomar, J. Azuero, M. P. Mogollón","doi":"10.1093/jsxmed/qdae018.038","DOIUrl":"https://doi.org/10.1093/jsxmed/qdae018.038","url":null,"abstract":"\u0000 \u0000 \u0000 The scrotal urethrocutaneous fistula is an uncommon pathology which can lead to serious complications, such as infections, scrotal abscesses, or even Fournier’s gangrene. We present an unusual case of scrotal urethrocutaneous fistula secondary to erosion of a penile prosthesis tubing in a patient with a history of erectile dysfunction.\u0000 \u0000 \u0000 \u0000 A 68-year-old patient with no previous comorbidities and a history of prostate adenocarcinoma that was treated with radical prostatectomy + lymphadenectomy, without the need for subsequent adjuvant therapy. He was diagnosed with erectile dysfunction after surgery, refractory to intracavernous therapy therefore required a 3-component penile implant placement procedure performed extra-institutionally. Two years after the surgery, he consulted with our institution for scrotal pain and urine leak from the scrotum during micturition. Physical examination shows extrusion of prosthesis tubes in the scrotal area with no signs of infection or exposure of the cylinders. The patient was hospitalized for management with antibiotics and to replace the penile implant.\u0000 A retrograde urethrography with contrast medium was performed during surgery. Fluoroscopy showed a fistulous pathway between the penile urethra and the scrotum. No passage of the contrast to the corpora cavernosa was seen. The urethral lesion and fistula were identified and repaired. A malleable prosthesis was used, considering the amount of scar tissue. The patient had an adequate postoperative period. A urethral catheter and a cystotomy were used for six weeks. After catheter removal, a voiding cystogram was performed, finding no fistulas. The patient was followed for 11 months with no complications.\u0000 \u0000 \u0000 \u0000 Although scrotal urethrocutaneous fistulas are an infrequent complication after penile prosthesis implantation, a timely diagnosis is essential for conservative treatment and to avoid life-threatening complications.\u0000 \u0000 \u0000 \u0000 No conflict.\u0000","PeriodicalId":377411,"journal":{"name":"The Journal of Sexual Medicine","volume":"124 48","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140381224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-26DOI: 10.1093/jsxmed/qdae018.027
I. Silva, A. Naccarato, W. E. Matheus
Penile cancer (PC) mainly affects lower socioeconomic groups and those with less education. Patients who develop PC often experience symptoms for months before consult a urologist. The delay of the treatment affects the severity of the prognosis. Penectomy is still the best treatment available. This study aims to understand the meaning of the experience of patients who had PC and underwent partial or total penectomy treatment. Patients were approached and invited to participate. Upon acceptance, the nature of the research, objectives and all ethical precautions were explained. All patients were seen by the same psychologist. The technique used was the open interview. We interviewed 7 patients who had and treated penile cancer with partial or total penectomy. Data were collected through recording. Data processing followed the following steps: literal transcription of the interviews; description of interviews in formal language; first reduction seeking the meaning of the reported experiences; listing of the units of meaning of each of the interviews collected. The next step was to specify what is common in the interviewees stories in relation to their lived experience. It is possible to see that CP is a debilitating experience for those who live it. QoL is affected, as is the experience of masculinity itself. It is a very uncomfortable experience, both before and after the treatment. The patient with CP lives with the symptoms for a long time before seeking a solution. It is concluded that the PC has multiple variables, and the number of reports that talk about how difficult it was to reach at the diagnosis, not only due to the patient's own denial of symptoms, but also due to the inefficient care received in countless consultations, brings the reflection on the quality of knowledge of the professionals who provide assistance to this population in relation to PC. CAPES.
阴茎癌（PC）主要影响社会经济地位较低的群体和受教育程度较低的人群。阴茎癌患者往往在出现症状数月后才去看泌尿科医生。延误治疗会影响预后的严重程度。阴茎切除术仍是目前最好的治疗方法。本研究旨在了解接受阴茎部分或全部切除术治疗的 PC 患者的经验意义。研究人员与患者进行了接触，并邀请他们参与研究。患者接受邀请后，研究人员会向其解释研究的性质、目的和所有伦理方面的注意事项。所有患者均由同一位心理学家进行诊治。采用的技术是开放式访谈。我们采访了 7 名阴茎癌患者，他们都接受了阴茎部分或全部切除术。数据通过录音收集。数据处理遵循以下步骤：对访谈进行文字转录；用正式语言对访谈进行描述；首先还原所报告经历的意义；列出收集到的每个访谈的意义单位。下一步是明确受访者故事中与其生活经历有关的共同点。可以看出，CP 对患者来说是一种使人衰弱的经历。生活质量受到影响，男性体验本身也是如此。无论是在治疗前还是治疗后，这种体验都会让人感到非常不舒服。在寻求解决方案之前，CP 患者会长期忍受这些症状。可以得出的结论是，PC 存在多种变数，许多报告都谈到了诊断的困难程度，这不仅是由于病人自己否认症状，还由于在无数次咨询中得到的护理效率低下，这让人反思为这一人群提供 PC 相关帮助的专业人员的知识质量。 CAPES.
{"title":"(O-33) PSYCHOLOGICAL ASPECTS OF PATIENTS WITH PENIS CANCER: REPORTS OF PATIENTS ACCOMPANIED AT THE UROLOGY ONCOLOGY OUTPATIENT CLINIC OF THE HOSPITAL DE CLINICAS DA UNICAMP","authors":"I. Silva, A. Naccarato, W. E. Matheus","doi":"10.1093/jsxmed/qdae018.027","DOIUrl":"https://doi.org/10.1093/jsxmed/qdae018.027","url":null,"abstract":"\u0000 \u0000 \u0000 Penile cancer (PC) mainly affects lower socioeconomic groups and those with less education. Patients who develop PC often experience symptoms for months before consult a urologist. The delay of the treatment affects the severity of the prognosis. Penectomy is still the best treatment available.\u0000 This study aims to understand the meaning of the experience of patients who had PC and underwent partial or total penectomy treatment.\u0000 Patients were approached and invited to participate. Upon acceptance, the nature of the research, objectives and all ethical precautions were explained. All patients were seen by the same psychologist. The technique used was the open interview. We interviewed 7 patients who had and treated penile cancer with partial or total penectomy. Data were collected through recording. Data processing followed the following steps: literal transcription of the interviews; description of interviews in formal language; first reduction seeking the meaning of the reported experiences; listing of the units of meaning of each of the interviews collected. The next step was to specify what is common in the interviewees stories in relation to their lived experience.\u0000 It is possible to see that CP is a debilitating experience for those who live it. QoL is affected, as is the experience of masculinity itself. It is a very uncomfortable experience, both before and after the treatment. The patient with CP lives with the symptoms for a long time before seeking a solution. It is concluded that the PC has multiple variables, and the number of reports that talk about how difficult it was to reach at the diagnosis, not only due to the patient's own denial of symptoms, but also due to the inefficient care received in countless consultations, brings the reflection on the quality of knowledge of the professionals who provide assistance to this population in relation to PC.\u0000 \u0000 \u0000 \u0000 CAPES.\u0000","PeriodicalId":377411,"journal":{"name":"The Journal of Sexual Medicine","volume":"48 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140378535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-26DOI: 10.1093/jsxmed/qdae018.031
I. Silva, A. Naccarato, B. Fiolo, F. Denardi, W. E. Matheus, U. Ferreira
The incidence of cancer in the world population in 2002 was estimated at 11 million new cases, in 2020 this estimate is approximately 20 million. Cancer is a global public health problem. Testicular cancer (TC) mainly affects men aged 15 to 40 years, and the incidence is about 5/100,000. Typically, tumors are aggressive and cause a great psychological impact on patients. Penile cancer (PC) represents 2% of all types of tumors that affect men in Brazil. The majority of the affected population are elderly men. Normally the tumor is identified at an advanced stage, when the only available treatment is total or partial penectomy, causing great emotional impact. This work aims to evaluate the impact of psychotherapy, in an open group, on the Quality of Life Related to Health and Sexuality in patients with CT and CP who have been diagnosed, are undergoing treatment or are being monitored after treatment. Data are collected through an initial interview (Identification, Anamnesis, Health Anamnesis, Degree of Satisfaction with Life and Sexuality, Affective-Emotional Assessment and Treatment Data), SF-36 questionnaire and IIEF-5 short form, in patients who were diagnosed, underwent treatment or are being monitored at the outpatient clinic, and reapplied at the end of 12 sessions. At each session, 5 questions are answered regarding the perception of the previous session. The group is available once a week for 12 weeks. Sessions last 90 minutes, led by the same psychologist. The research is being developed considering the ethical principles of secrecy, privacy and confidentiality. At the beginning of the process, the Free and Informed Consent Form is delivered as well as details regarding the research. It is also explained that participation is voluntary and that the participant may leave the research at any time, without this affecting their treatment and follow-up. No conflict.
{"title":"(O-40) THERAPEUTIC GROUPS FOR MEN WITH PENILE OR TESTICULAR CANCER","authors":"I. Silva, A. Naccarato, B. Fiolo, F. Denardi, W. E. Matheus, U. Ferreira","doi":"10.1093/jsxmed/qdae018.031","DOIUrl":"https://doi.org/10.1093/jsxmed/qdae018.031","url":null,"abstract":"\u0000 \u0000 \u0000 The incidence of cancer in the world population in 2002 was estimated at 11 million new cases, in 2020 this estimate is approximately 20 million. Cancer is a global public health problem. Testicular cancer (TC) mainly affects men aged 15 to 40 years, and the incidence is about 5/100,000. Typically, tumors are aggressive and cause a great psychological impact on patients.\u0000 Penile cancer (PC) represents 2% of all types of tumors that affect men in Brazil. The majority of the affected population are elderly men. Normally the tumor is identified at an advanced stage, when the only available treatment is total or partial penectomy, causing great emotional impact.\u0000 This work aims to evaluate the impact of psychotherapy, in an open group, on the Quality of Life Related to Health and Sexuality in patients with CT and CP who have been diagnosed, are undergoing treatment or are being monitored after treatment. Data are collected through an initial interview (Identification, Anamnesis, Health Anamnesis, Degree of Satisfaction with Life and Sexuality, Affective-Emotional Assessment and Treatment Data), SF-36 questionnaire and IIEF-5 short form, in patients who were diagnosed, underwent treatment or are being monitored at the outpatient clinic, and reapplied at the end of 12 sessions. At each session, 5 questions are answered regarding the perception of the previous session. The group is available once a week for 12 weeks. Sessions last 90 minutes, led by the same psychologist.\u0000 The research is being developed considering the ethical principles of secrecy, privacy and confidentiality. At the beginning of the process, the Free and Informed Consent Form is delivered as well as details regarding the research. It is also explained that participation is voluntary and that the participant may leave the research at any time, without this affecting their treatment and follow-up.\u0000 \u0000 \u0000 \u0000 No conflict.\u0000","PeriodicalId":377411,"journal":{"name":"The Journal of Sexual Medicine","volume":"122 39","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140378823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-26DOI: 10.1093/jsxmed/qdae018.003
J. F. Uribe
Penile dorsal venocclusive dysfunction is recognized as a cause of erectile dysfunction in some young patients with no other risk factors. The objective of this study is to report the results of a surgical technique in patients who presented ED before the age of 40, with follow-up up to 12 months after treatment. A descriptive study was carried out in a retrospective cohort of medical records with 60 patients who met the inclusion criteria, evaluated, and underwent standardized ligature surgery by the same surgeon between 01/2014 and 04/2022. The group underwent a symptom score (International Index of Erectile Function-5), before surgery, 3, 6 and 12 months after. The results of the IIFE-5 before and after surgery were related to the different degrees of erectile dysfunction (severe, moderate, and mild); additionally they were divided into three groups according to criteria defined by the IIFE-5 as successful, moderate, and poor. The diagnosis of venous leaks was made by penile Doppler ultrasound, recording venous leaks and degree of penile fibrosis. The study protocol was approved by the Research Committee of the Pablo Tobon Uribe Hospital in Medellín. The age of onset of erectile dysfunction was between 14-39 years, mean 23.9; the mean age of the patients who consulted was 31.5 years. The time of evolution of the disease before attempting surgery varied between 2 months and 21 years (average 9.5 years). The result of the preoperative IIFE-5 was: Severe ED: n=6 (10%) and moderate ED: n=54 (90%), there were no preoperative mild ones. Postoperative outcomes at 12 months were: moderate ED n=13 (21.6%); mild ED n=25 (41.6%) and without ED n=22 (36.6%), after the intervention. Additionally, according to the internal analysis of IIFE-5: n=39 (65%) was successful; n=9 (15%) moderate and n=12 (20%) poor. Ligation of penile dorsal venous leaks has good medium and long-term results in terms of erection quality and patient satisfaction. No conflicto.
{"title":"(O-03) DORSAL VENOUS LEAK LIGATION IN PATIENTS WITH ERECTILE DYSFUNCTION. REPORT OF 60 PATIENTS WITH 12-MONTH FOLLOW-UP","authors":"J. F. Uribe","doi":"10.1093/jsxmed/qdae018.003","DOIUrl":"https://doi.org/10.1093/jsxmed/qdae018.003","url":null,"abstract":"\u0000 \u0000 \u0000 Penile dorsal venocclusive dysfunction is recognized as a cause of erectile dysfunction in some young patients with no other risk factors. The objective of this study is to report the results of a surgical technique in patients who presented ED before the age of 40, with follow-up up to 12 months after treatment.\u0000 \u0000 \u0000 \u0000 A descriptive study was carried out in a retrospective cohort of medical records with 60 patients who met the inclusion criteria, evaluated, and underwent standardized ligature surgery by the same surgeon between 01/2014 and 04/2022. The group underwent a symptom score (International Index of Erectile Function-5), before surgery, 3, 6 and 12 months after. The results of the IIFE-5 before and after surgery were related to the different degrees of erectile dysfunction (severe, moderate, and mild); additionally they were divided into three groups according to criteria defined by the IIFE-5 as successful, moderate, and poor. The diagnosis of venous leaks was made by penile Doppler ultrasound, recording venous leaks and degree of penile fibrosis. The study protocol was approved by the Research Committee of the Pablo Tobon Uribe Hospital in Medellín.\u0000 \u0000 \u0000 \u0000 The age of onset of erectile dysfunction was between 14-39 years, mean 23.9; the mean age of the patients who consulted was 31.5 years. The time of evolution of the disease before attempting surgery varied between 2 months and 21 years (average 9.5 years). The result of the preoperative IIFE-5 was: Severe ED: n=6 (10%) and moderate ED: n=54 (90%), there were no preoperative mild ones. Postoperative outcomes at 12 months were: moderate ED n=13 (21.6%); mild ED n=25 (41.6%) and without ED n=22 (36.6%), after the intervention. Additionally, according to the internal analysis of IIFE-5: n=39 (65%) was successful; n=9 (15%) moderate and n=12 (20%) poor.\u0000 \u0000 \u0000 \u0000 Ligation of penile dorsal venous leaks has good medium and long-term results in terms of erection quality and patient satisfaction.\u0000 \u0000 \u0000 \u0000 \u0000 No conflicto.\u0000","PeriodicalId":377411,"journal":{"name":"The Journal of Sexual Medicine","volume":"111 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140379298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-26DOI: 10.1093/jsxmed/qdae018.009
F. Facio, T. Antoniassi, T. F. Rocha Ruiz, S. Taboga, S. Jacovaci Colleta, L. R. Falleiros Junior
Peyronie's disease (PD) is a progressive fibrotic disorder affecting the tunica albuginea (TA) of the penis. MMF was evaluated previously after experimental induction of PD. We investigate the modulation of metalloprotease (MMP) expression and collagen deposition in the TA in PD induced after treatment with MMF in rats. Rats were divided into: control group; sham (injection of saline solution); only TGFβ injection (7 or 30 days); TGFβ injection and treatment with MMF (7 or 30 days). Samples were collected for histochemical and immunohistochemistry, measurements of collagen fibers and MMP expression were performed in random fields. Statistical analyses were checked for normality using the Kolmogorov-Smirnov test, followed by ANOVA test or Kruskal-Wallis test. Collagen type I (COLI) was decreased in 7 and 30 days (43.19% ± 1.22; 38.14%1.23), and collagen type III (COLIII) was increased in both periods in the TGFβ induction (56.81% ± 1.22; 61.86% ± 1.23). COLI/COLIII ratio of MMF treatment (7 days) was enhanced (54.74% ± 2.86; 45.26% ± 2.88). COLI (7 and 30 days) were statistically different, as well as 30 days of MMF treatment decreased COLIII (27.41% ± 3.11). MMP was increased at 7 days after TGFβ induction. However, 30 days after induction, MMP expression decreased (1.67% ± 0.16), whereas, with MMF treatment, increased (2.44% ± 0.22). MMP3 expression was similar in both groups. Within 7 days, MMP was enhanced (4.77% ± 0.37; 4.43% ± 0.43) and decreased in 30 days (3.73% ± 0.38; 3.20% ± 0.33). MMP presented an enhancement at 7 days in TGFβ-induction, with (17.56% ± 0.97) or without (13.41% ± 1.31) MMF treatment. However, with MMF treatment at 7 days, MMP showed increased values, and, at 30 days, MMP no differences were observed. Induction with TGFβ promoted an imbalance the COLI/COLIII ratio of the tunica albuginea, and the MMF treatment promoted recovery of collagen status. MMP expression were altered, and MMF promoted the collagen recovery by MMP modulation. No conflict.
{"title":"(O-12) MODULATION OF MMP EXPRESSION AND COLLAGEN DEPOSITION IN THE TUNICA ALBUGINEA IN PEYRONIE´S DISEASE INDUCED AFTER TREATMENT WITH MYCOPHENOLATE MOFETIL","authors":"F. Facio, T. Antoniassi, T. F. Rocha Ruiz, S. Taboga, S. Jacovaci Colleta, L. R. Falleiros Junior","doi":"10.1093/jsxmed/qdae018.009","DOIUrl":"https://doi.org/10.1093/jsxmed/qdae018.009","url":null,"abstract":"\u0000 \u0000 \u0000 Peyronie's disease (PD) is a progressive fibrotic disorder affecting the tunica albuginea (TA) of the penis. MMF was evaluated previously after experimental induction of PD. We investigate the modulation of metalloprotease (MMP) expression and collagen deposition in the TA in PD induced after treatment with MMF in rats. Rats were divided into: control group; sham (injection of saline solution); only TGFβ injection (7 or 30 days); TGFβ injection and treatment with MMF (7 or 30 days). Samples were collected for histochemical and immunohistochemistry, measurements of collagen fibers and MMP expression were performed in random fields. Statistical analyses were checked for normality using the Kolmogorov-Smirnov test, followed by ANOVA test or Kruskal-Wallis test.\u0000 \u0000 \u0000 \u0000 Collagen type I (COLI) was decreased in 7 and 30 days (43.19% ± 1.22; 38.14%1.23), and collagen type III (COLIII) was increased in both periods in the TGFβ induction (56.81% ± 1.22; 61.86% ± 1.23). COLI/COLIII ratio of MMF treatment (7 days) was enhanced (54.74% ± 2.86; 45.26% ± 2.88). COLI (7 and 30 days) were statistically different, as well as 30 days of MMF treatment decreased COLIII (27.41% ± 3.11). MMP was increased at 7 days after TGFβ induction. However, 30 days after induction, MMP expression decreased (1.67% ± 0.16), whereas, with MMF treatment, increased (2.44% ± 0.22). MMP3 expression was similar in both groups. Within 7 days, MMP was enhanced (4.77% ± 0.37; 4.43% ± 0.43) and decreased in 30 days (3.73% ± 0.38; 3.20% ± 0.33). MMP presented an enhancement at 7 days in TGFβ-induction, with (17.56% ± 0.97) or without (13.41% ± 1.31) MMF treatment. However, with MMF treatment at 7 days, MMP showed increased values, and, at 30 days, MMP no differences were observed.\u0000 \u0000 \u0000 \u0000 Induction with TGFβ promoted an imbalance the COLI/COLIII ratio of the tunica albuginea, and the MMF treatment promoted recovery of collagen status. MMP expression were altered, and MMF promoted the collagen recovery by MMP modulation.\u0000 \u0000 \u0000 \u0000 No conflict.\u0000","PeriodicalId":377411,"journal":{"name":"The Journal of Sexual Medicine","volume":"102 38","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140379670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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