The Experts below are selected from a list of 9675 Experts worldwide ranked by ideXlab platform
Mitchell Tepper - One of the best experts on this subject based on the ideXlab platform.
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improving Sexual satisfaction in persons with spinal cord injuries collective wisdom
Topics in Spinal Cord Injury Rehabilitation, 2017Co-Authors: F Courtois, Marcalee Alexander, Stacy Elliott, Mitchell TepperAbstract:Sexuality is an important part of life, and it is necessary for clinicians to have a specific format in which to address Sexual issues with their patients. A systematic approach to working with patients with spinal cord injury (SCI) to improve their Sexual functioning and response is presented. Nonjudgmental communication about Sexual concerns is followed by a detailed pre- and postinjury medical, psychosocial, and Sexual history. If preexisting Sexual issues are present, it is recommended that the patient be referred for assessment and treatment of these separate from the patient's SCI-related concerns. Physical examination, with special attention to issues that could impact the patient's Sexuality, is followed by a detailed neurologic assessment with specific attention to the T11-L2 and S3-5 spinal segments. Education of the patient with regard to his or her Sexual potential and the need to be flexible in his or her Sexual repertoire is followed by self-Exploration and practice. Routine follow-up is suggested after patient's initial Sexual Exploration. Treatment of confounding and iatrogenic factors related to SCI is followed by more Sexual experience. Afterwards the clinician is encouraged to use simple techniques to treat Sexual issues and follow-up with the patient to assess the outcome. A structured program utilizing vibratory stimulation with or without midodrine is described as a way to achieve ejaculation and potentially orgasm, and techniques for treating severe autonomic dysreflexia are discussed. If these interventions do not alleviate the patient's Sexual concerns, the clinician should refer the patient for more specialized consultation.
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Women with Complete Spinal Cord Injury: A Phenomenological Study of Sexuality and Relationship Experiences
Sexuality and Disability, 1997Co-Authors: Eleanor Richards, Mitchell Tepper, Beverly Whipple, Barry R. KomisarukAbstract:The phenomenological study described in this paper examines the Sexuality and relationship “lived experiences” of 15 adult women who sustained complete spinal cord injury between the levels of T6 and L2 verified by a physiatrist. Audiotaped, semi-structured interviews were conducted by an interdisciplinary team of investigators. A set of themes and sequentially consistent patterns emerged from post-injury data that were labelled: Cognitive-genital dissociation, Sexual disenfranchisement, Sexual Exploration, and Sexuality reintegration. Sexuality and relationship issues in women with complete SCI are discussed, and indications for future studies and educational implications are presented.
Marcalee Alexander - One of the best experts on this subject based on the ideXlab platform.
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improving Sexual satisfaction in persons with spinal cord injuries collective wisdom
Topics in Spinal Cord Injury Rehabilitation, 2017Co-Authors: F Courtois, Marcalee Alexander, Stacy Elliott, Mitchell TepperAbstract:Sexuality is an important part of life, and it is necessary for clinicians to have a specific format in which to address Sexual issues with their patients. A systematic approach to working with patients with spinal cord injury (SCI) to improve their Sexual functioning and response is presented. Nonjudgmental communication about Sexual concerns is followed by a detailed pre- and postinjury medical, psychosocial, and Sexual history. If preexisting Sexual issues are present, it is recommended that the patient be referred for assessment and treatment of these separate from the patient's SCI-related concerns. Physical examination, with special attention to issues that could impact the patient's Sexuality, is followed by a detailed neurologic assessment with specific attention to the T11-L2 and S3-5 spinal segments. Education of the patient with regard to his or her Sexual potential and the need to be flexible in his or her Sexual repertoire is followed by self-Exploration and practice. Routine follow-up is suggested after patient's initial Sexual Exploration. Treatment of confounding and iatrogenic factors related to SCI is followed by more Sexual experience. Afterwards the clinician is encouraged to use simple techniques to treat Sexual issues and follow-up with the patient to assess the outcome. A structured program utilizing vibratory stimulation with or without midodrine is described as a way to achieve ejaculation and potentially orgasm, and techniques for treating severe autonomic dysreflexia are discussed. If these interventions do not alleviate the patient's Sexual concerns, the clinician should refer the patient for more specialized consultation.
Marleen Temmerman - One of the best experts on this subject based on the ideXlab platform.
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social context Sexual risk perceptions and stigma hiv vulnerability among male sex workers in mombasa kenya
Culture Health & Sexuality, 2009Co-Authors: Jerry Okal, Stanley Luchters, Scott Geibel, Matthew Chersich, Daniel Lango, Marleen TemmermanAbstract:Knowledge about Sexual practices and life experiences of men having sex with men in Kenya, and indeed in East Africa, is limited. Although the impact of male same-sex HIV transmission in Africa is increasingly acknowledged, HIV prevention initiatives remain focused largely on heteroSexual and mother-to-child transmission. Using data from ten in-depth interviews and three focus group discussions (36 men), this analysis explores social and behavioural determinants of Sexual risks among men who sell sex to men in Mombasa, Kenya. Analysis showed a range and variation of men by age and social class. First male same-sex experiences occurred for diverse reasons, including love and pleasure, as part of Sexual Exploration, economic exchange and coercion. Condom use is erratic and subject to common constraints, including notions of Sexual interference and motivations of clients. Low knowledge compounds Sexual risk taking, with a widespread belief that the risk of HIV transmission through anal sex is lower than vagi...
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social context Sexual risk perceptions and stigma hiv vulnerability among male sex workers in mombasa kenya
Culture Health & Sexuality, 2009Co-Authors: Jerry Okal, Stanley Luchters, Scott Geibel, Matthew Chersich, Daniel Lango, Marleen TemmermanAbstract:Knowledge about Sexual practices and life experiences of men having sex with men in Kenya, and indeed in East Africa, is limited. Although the impact of male same-sex HIV transmission in Africa is increasingly acknowledged, HIV prevention initiatives remain focused largely on heteroSexual and mother-to-child transmission. Using data from ten in-depth interviews and three focus group discussions (36 men), this analysis explores social and behavioural determinants of Sexual risks among men who sell sex to men in Mombasa, Kenya. Analysis showed a range and variation of men by age and social class. First male same-sex experiences occurred for diverse reasons, including love and pleasure, as part of Sexual Exploration, economic exchange and coercion. Condom use is erratic and subject to common constraints, including notions of Sexual interference and motivations of clients. Low knowledge compounds Sexual risk taking, with a widespread belief that the risk of HIV transmission through anal sex is lower than vaginal sex. Traditional family values, stereotypes of abnormality, gender norms and cultural and religious influences underlie intense stigma and discrimination. This information is guiding development of peer education programmes and sensitisation of health providers, addressing unmet HIV prevention needs. Such changes are required throughout Eastern Africa.
Han-zhu Qian - One of the best experts on this subject based on the ideXlab platform.
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Predictors of HIV and syphilis among men who have sex with men in a Chinese metropolitan city: comparison of risks among students and non-students.
PloS one, 2012Co-Authors: Lan Zhang, Xianbin Ding, Liangui Feng, Yan Xiao, Yuhua Ruan, Sten H. Vermund, Yiming Shao, Han-zhu QianAbstract:Background Men who have sex with men (MSM) are at a substantial risk of HIV, given rising HIV prevalence in urban China. Adolescent and adult students often take HIV-related risk as part of Sexual Exploration. We compared the risks of HIV and syphilis infections and risky Sexual behaviors between student and non-student among urban MSM. Methods Respondent driven sampling approach was used to recruit men who were self-identified as MSM in Chongqing Metropolitan City in southwestern China in 2009. Each participant completed a computer-assisted self-interview which collected demographic and behavioral data, and provided blood specimens for HIV and syphilis testing. Multivariable logistic regression analyses identified predictors for HIV and syphilis infections while comparing student and non-student MSM. Results Among 503 MSM participants, 36.4% were students, of whom 84.2% were in college. The adjusted prevalence of HIV infection was 5.5% (95% confidence interval [CI]: 2.1%–10.2%) in students and 20.9% (95% CI: 13.7%–27.5%) in non-students; the adjusted prevalence of syphilis was 4.4% (95% CI: 0.7%–9.0%) in students and 7.9% (95% CI: 3.6%–12.9%) in non-students (P = 0.12). Two groups had similar risky Sexual behaviors such as number of Sexual partners and exchanging sex for money. Multivariate analysis showed that students had lower HIV prevalence than non-students (adjusted odds ratio [AOR]: 0.3; 95% CI: 0.1–0.8) adjusting for age, ethnicity and other variables. Conclusion Student MSM have lower HIV and similar syphilis prevalence compared with non-student MSM. However, due to a shorter duration of Sexual experience and high prevalence of at-risk Sexual behaviors among student MSM, HIV risk might be quite high in students as in non-students.
Patti M. Valkenburg - One of the best experts on this subject based on the ideXlab platform.
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Adolescents' Exposure to Sexually Explicit Internet Material, Sexual Uncertainty, and Attitudes Toward Uncommitted Sexual Exploration Is There a Link?
Communication Research, 2008Co-Authors: Jochen Peter, Patti M. ValkenburgAbstract:The link between adolescents' exposure to Sexual media content and their Sexual socialization has hardly been approached from an identity development framework. Moreover, existing research has largely ignored the role of adolescents' exposure to Sexually explicit Internet material in that association. This study introduces two characteristics of adolescents' Sexual self—Sexual uncertainty and attitudes toward Sexual Exploration—and investigates these characteristics as potential correlates of adolescents' exposure to Sexually explicit Internet material. Drawing from a sample of 2,343 Dutch adolescents aged 13 to 20, the authors find that more frequent exposure to Sexually explicit Internet material is associated with greater Sexual uncertainty and more positive attitudes toward uncommitted Sexual Exploration (i.e., Sexual relations with casual partners/friends or with Sexual partners in one-night stands). The findings call for more attention to adolescents' exposure to Sexually explicit material on the In...
