Birth Cont R Ol Fact Sheet
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Physiology of Female Sexual Function and Dysfunction
International Journal of Impotence Research (2005) 17, S44–S51 & 2005 Nature Publishing Group All rights reserved 0955-9930/05 $30.00 www.nature.com/ijir Physiology of female sexual function and dysfunction JR Berman1* 1Director Female Urology and Female Sexual Medicine, Rodeo Drive Women’s Health Center, Beverly Hills, California, USA Female sexual dysfunction is age-related, progressive, and highly prevalent, affecting 30–50% of American women. While there are emotional and relational elements to female sexual function and response, female sexual dysfunction can occur secondary to medical problems and have an organic basis. This paper addresses anatomy and physiology of normal female sexual function as well as the pathophysiology of female sexual dysfunction. Although the female sexual response is inherently difficult to evaluate in the clinical setting, a variety of instruments have been developed for assessing subjective measures of sexual arousal and function. Objective measurements used in conjunction with the subjective assessment help diagnose potential physiologic/organic abnormal- ities. Therapeutic options for the treatment of female sexual dysfunction, including hormonal, and pharmacological, are also addressed. International Journal of Impotence Research (2005) 17, S44–S51. doi:10.1038/sj.ijir.3901428 Keywords: female sexual dysfunction; anatomy; physiology; pathophysiology; evaluation; treatment Incidence of female sexual dysfunction updated the definitions and classifications based upon current research and clinical practice. -
Selectively Increases Vaginal Blood Flow in Anesthetized Rats
International Journal of Impotence Research (2003) 15, 461–464 & 2003 Nature Publishing Group All rights reserved 0955-9930/03 $25.00 www.nature.com/ijir Short communication Topical administration of a novel nitric oxide donor, linear polyethylenimine-nitric oxide/nucleophile adduct (DS1), selectively increases vaginal blood flow in anesthetized rats P Pacher1,2*, JG Mabley1, L Liaudet1, OV Evgenov1, GJ Southan1, GE Abdelkarim1, C Szabo´ 1 and AL Salzman1 1Inotek Pharmaceuticals Corporation, Beverly, Massachusetts, USA The aim of the present study was to test the effects of a topical administration of a novel nitric oxide donor, linear polyethylenimine-nitric oxide/nucleophile adduct (DS1), on vaginal blood flow and hemodynamics in rats. Laser Doppler flowmetry was used to measure blood flow changes following topical application of DS1 (0.3 or 1.5 mg in 0.15 ml saline) into the vagina of anesthetized Wistar rats. In vivo hemodynamic parameters were measured with Millar-tip-catheter placed in the left ventricle. DS1 (1.5 mg) increased vaginal blood flow by 191 7 24, 226 7 22 and 166 7 23% of the baseline value (at 5, 15 and 30 min, respectively, after application) without affecting systemic blood pressure, heart rate and cardiac function. The increased vaginal blood flow following DS1 application returned to baseline between 45 and 60 min. Thus, topical application of nitric oxide donors such as DS1 may be useful for the treatment of female sexual dysfunction that develops due to an impairment of local blood flow supply to the vaginal tissue. International Journal of Impotence Research (2003) 15, 461–464. -
Signs to Help the Deaf Included in This Packet
Signs to help the Deaf Included in this packet: Medical Signs Color Signs People Signs This is made by: Deanna Zander, I am a parent of a deaf son. Here is my email address: [email protected], if you have any questions, please email your question, Please put in the Subject box- RE: Medical Signs. For more information, or to obtain a hospital kit for Deaf or Hard of Hearing, please contact Pam Smith, Adult Outreach Coordinator @ 701-665-4401 Medical Signs (Medicine) Medical Medicine- Tip of bent middle finger rubs circle on left palm Sign- Palm-out indexes circle Signs alternately Made By: Deanna Zander Hi, Hello, Howdy Good-Bye, Yes, Yep Bye Right “S” hand & head nods (both head & hand nod) No, Nope Flat hand, Touch forehead, Just wave First two fingers close onto move forward slightly right thumb, & shake your head Appointment Schedule Fingertips of the right palm- out “5” draws down left palm; then turn palm-in & draws across palm The right “S” hand palm down, is postitioned above the left “S” hand, also palm- down. The right hand circels above the left in a clockwise manner & is brought on the back of left hand. Your Name, My Name Birthday My, Mine- Your- The right middle finger touches the chin, Palm of flat Vertical flat palm moves then moves down to touch the chest hand on chest toward person Fingerspell- The right hand, palm- out, is move left to right, fingers wiggling up & Name- Right “H” touches left “H” at right angles MM/DD/YYYY down Call, phone Left “Y” hand, thumb near ear, little finger near mouth The upturned thumbs -
Hand Gestures
L2/16-308 More hand gestures To: UTC From: Peter Edberg, Emoji Subcommittee Date: 2016-10-31 Proposed characters Tier 1: Two often-requested signs (ILY, Shaka, ILY), and three to complete the finger-counting sets for 1-3 (North American and European system). None of these are known to have offensive connotations. HAND SIGN SHAKA ● Shaka sign ● ASL sign for letter ‘Y’ ● Can signify “Aloha spirit”, surfing, “hang loose” ● On Emojipedia top requests list, but requests have dropped off ● 90°-rotated version of CALL ME HAND, but EmojiXpress has received requests for SHAKA specifically, noting that CALL ME HAND does not fulfill need HAND SIGN ILY ● ASL sign for “I love you” (combines signs for I, L, Y), has moved into mainstream use ● On Emojipedia top requests list HAND WITH THUMB AND INDEX FINGER EXTENDED ● Finger-counting 2, European style ● ASL sign for letter ‘L’ ● Sign for “loser” ● In Montenegro, sign for the Liberal party ● In Philippines, sign used by supporters of Corazon Aquino ● See Wikipedia entry HAND WITH THUMB AND FIRST TWO FINGERS EXTENDED ● Finger-counting 3, European style ● UAE: Win, victory, love = work ethic, success, love of nation (see separate proposal L2/16-071, which is the source of the information below about this gesture, and also the source of the images at left) ● Representation for Ctrl-Alt-Del on Windows systems ● Serbian “три прста” (tri prsta), symbol of Serbian identity ● Germanic “Schwurhand”, sign for swearing an oath ● Indication in sports of successful 3-point shot (basketball), 3 successive goals (soccer), etc. HAND WITH FIRST THREE FINGERS EXTENDED ● Finger-counting 3, North American style ● ASL sign for letter ‘W’ ● Scout sign (Boy/Girl Scouts) is similar, has fingers together Tier 2: Complete the finger-counting sets for 4-5, plus some less-requested hand signs. -
Consonants Name of Sound Verbal Cue Other Cues
CONSONANTS NAME OF SOUND VERBAL CUE OTHER CUES “p” sound Popping sound “Where’s your pop?” Fill cheeks up with air “You forgot your and blow out with the pop.” sound, feeling wind on hand “b” sound Popping sound “Where’s your pop?” Fill cheeks up with air “You forgot your and blow out with the pop.” sound “m” sound Humming sound “Close you mouth and Lips together and hum hummmm.:” Touch to feel vibration “n “ sound Buzzing teeth or “Teeth together and Finger on clenched buzzing tongue sound buzz.” teeth to feel vibration “t” sound Tippy sound “Use your tippy.” Index finger to center of spot above upper lip “d” sound Tippy sound “Use your tippy.” Index finger to center of spot above upper lip “h” sound Open mouth windy “Where’s your wind?” Open palm of hand up sound “I didn’t feel your just in front of your wind.” mouth to feel wind “k” sound Throaty sound “Where’s your Index finger pointed throaty?” to throat “g” sound Throaty sound “Where’s your Index finger pointed throaty?” to throat “f” sound Biting lip windy “You forgot to bite Bite lower lip with sound your lip.” “You upper teeth and blow forgot your wind.” wind “v” sound Biting lip windy “You forgot to bite Bite lower lip with sound your lip.” “You upper teeth and blow forgot your wind.” wind Initial “s” sound Smiley windy sound “Smile and make Smile with teeth some wind.” “Keep together and blow those teeth together.” wind Final sounds Sticky sounds “Where’s your Same as above for sticky?” most but for “s” move forearm form left to right starting with an open hand and moving to a closed hand “z” sound Buzzing windy sound “Use your buzz.” Teeth together and blow wind “sh”sound Fat and fluffy sound “Make it fat and Lips out and puckered fluffy.” while blowing out Copyright David W Hammer, MA CCC-SLP Special thanks to Mary Ann Migitsch for her contribution to this chart. -
Palm Reading
Palm Reading Also known as palmistry or chiromancy, palm reading is practiced all over the world with roots in Indian astrology and gypsy fortune-telling. The objective is to evaluate a person’s character and aspects of their life by studying the palm of their hand. There is no substantiate evidence of correlation between palm features and psychological traits; palm reading is for entertainment purposes. Getting Started Which hand to read? There are two main practices: For males, the left hand is what you’re born with, and the right is what you’ve accumulated throughout your life. For females, it’s the opposite. Your dominant hand (the hand you use most often) determines your future and your other, non-dominant hand, is used to determine the past or hidden traits Take these into consideration when choosing which hand to read. Reading the Primary Lines of your Hand 1. Interpret the Heart Line This line is believed to indicate emotional stability, romantic perspectives, depression, and cardiac health. Begins below the index finger = content with love life Begins below the middle finger = selfish when it comes to love Begins in-between the middle and index fingers = caring and understanding Is straight and short = less interest in romance Touches life line = heart is broken easily Is long and curvy = freely expresses emotions and feelings Is straight and parallel to the head line = good handle on emotions Is wavy = many relationships, absence of serious relationships Circle on the line = sad or depressed Broken line = emotional trauma 2. Examine the Head Line This line represents learning style, communication style, intellectualism, and thirst for knowledge. -
ASL) Visual Reference Library
American Sign Language (ASL) Visual Reference Library Important, everyday Swagelok terms and phrases, and how to sign them. Swagelok Visual Reference Library 2 About the Swagelok American Sign Language (ASL) Visual Reference Library At Swagelok, we believe in providing a work environment rooted in the values of continuous improvement and mutual respect among every supervisor and associate. We believe that clear communication and teamwork are critical to meeting those goals. And we are committed to ensuring that all associates, across our sites, have the tools they need to converse and work together successfully. The Swagelok American Sign Language (ASL) Visual Reference Library is one of those tools. Swagelok employs associates with hearing loss or who are hearing impaired whose primary means of communication is through American Sign Language. This document exists to record signs of a variety of important, Swagelok-specific terms and phrases that have been identified by the associates and team members who use them the most: our hearing impaired associates, their peers, and supervisors. Each definition includes written and visual signing instructions, as well as a link to a video of the sign being performed by our own associate, Alvin Waggy. We hope you will use this tool to foster clear, consistent communication among all Swagelok associates, now and in the future. Table of Contents Click to view entry. Actuator ______________ 3 First Aid ______________ 12 Moving Negative ______ 20 Staking ______________ 29 Assembly _____________ 3 First -
CMC Stabilization Exercises the Purpose of These Exercises Is to Strengthen Your Muscles Around Your Arthritic Thumb Joint Making It More Stable and Less Painful
CMC Stabilization Exercises The purpose of these exercises is to strengthen your muscles around your arthritic thumb joint making it more stable and less painful. Exercises are to be performed gently and never should be painful! 1. Imaginary Ball: Pretend 2. Thumb Pinch: Form a circle to hold a ball and let the ball with your index finger and slowly expand, keeping the thumb. Tighten your thumb fingers slightly curled. Hold muscles against the fingers of for the count of 5, repeat your other hand. Hold for the ___times. count of 5, _____times. 3. Thumb outward push: 4. Thumb perpendicular with your hand resting on push: with your hand resting the table, push outward on the little finger side on the with your thumb; don’t let table, push your thumb out- your thumb move by stop- ward; use your other hand to ping it with your other hand block it from moving. but tense the muscles. _____times. _____times. 5. Index finger push: 6. Stable pinch: touch the with your hand lying flat thumb to the first two fin- on the table, move the gers; pinch against the index finger toward your thumb keeping the *MP joint *MP thumb; use your other slightly bent in an “O” hand to stop it from mov- shape. _____times. ing. _____times. 7. Putty thumbprints: use 8. Pinch strengthening: your thumb, index and mid- Keeping the stable “O” posi- dle fingers to make light im- tion, squeeze the fingers into pressions in the putty. Keep the putty. Do this only if you the stable “O” position. -
Sexuality, Intimacy & Chronic Illness
FACT SHEET SEXUALITY, INTIMACY & CHRONIC ILLNESS Relationships and sexual satisfaction are important to quality of life. This is especially true for people coping with chronic illness. Sex is an act that can bring satisfaction and release. Even though ALS does not directly affect sexual function, for a person with ALS, sex may also bring pain, frustration and embarrassment. There are methods and techniques available to help people with ALS and their partners cope with their changing sex life and maintain intimacy. BENEFITS OF SEX SEXUAL RESPONSE CYCLE AND Chronic illness can restrict the activities of daily living. CHRONIC ILLNESS Maintaining a sexual relationship can be a source of com- Chronic illness can affect sexual satisfaction and the fort, pleasure and intimacy and an affirmation of one’s true sexual relationship for both partners. ALS does not impair self when other roles have been stripped away. A satisfying sexual function but medications, immobility, respiratory sex life, for the person with ALS and their partner, is one problems, fatigue and body image factors may negatively way to feel “normal” when so many other areas in their affect sexuality. lives have changed. Documented benefits of sex include the following: PSYCHOLOGICAL EFFECTS • Orgasm frequency is inversely related to risk of death. • Reduction of stress. • Anxiety, loss of self-esteem, grief and depression • Improved sleep post-orgasm. associated with chronic illness may impair sexual • Increased relationship satisfaction and stability. fulfillment. • Chronic illness alters relationship dynamics. Partners EFFECTS OF ALS ON SEXUALITY become caregivers, as well as lovers. Role changes may Understanding the sexual response cycle is important to cause sexual activity to decrease. -
The Pelvic Floor Muscles - a Guide for Women This Booklet Is Supported by Wellbeing of Women Registered Charity No
The Pelvic Floor Muscles - a Guide for Women This booklet is supported by Wellbeing of Women Registered Charity No. 239281 www.wellbeingofwomen.org.uk Introduction Up to a third of all women experience a problem with their pelvic floor muscles at some time during their life. The most common problems are leaking with activity, sneezing or coughing (stress urinary incontinence) and pelvic organ prolapse (a feeling of something coming down in the vagina). All the bladder, bowel and sexual functions require good pelvic floor muscles. Effective pelvic floor muscles in pregnancy will reduce the risk of postnatal stress urinary incontinence (SUI). Bowel Uterus Bladder Pubic Bone Tailbone Pelvic floor muscles Vagina Urethra The pelvic floor muscles lie across the base of your pelvis to help keep the pelvic organs - bladder, uterus and bowel - in the correct position. The muscles are held in place by ligaments that support the organs especially when there is an increase of pressure in the abdomen that occurs with lifting, bending, carrying and straining. This is called intra-abdominal pressure and when it increases the pelvic floor and abdominal muscles brace so that the internal organs such as the uterus and bladder are not pushed downwards. The pelvic floor muscles work to help keep the bladder and bowel openings closed to prevent unwanted leakage (incontinence) and they relax to 1 allow easy bladder and bowel emptying. Good pelvic floor muscles can help with sex by improving the vaginal sensation and your ability to grip. Your pelvic floor muscles are important in posture and with the abdominal muscles help to support your spine. -
Self Range of Motion Exercises for Arm and Hand
Self-Range of Motion Exercises for the Arm and Hand After a stroke, it is important to do the exercises in this handout for your affected arm and hand. You can do them on your own by using your unaffected arm and hand. These gentle movements are called “self-range of motion” exercises, and they help to maintain your movement, prevent stiffness, improve blood flow, and increase awareness of your affected arm and hand. Complete the exercises slowly and do not force movements. Stop if you feel pain. If you have any questions or concerns, please contact your Occupational Therapist: _______________________________ Do the exercises in this handout _____ times each day. Page - 1 Self-range of motion exercises for the arm and hand 1. Shoulder: Forward Arm Lift Interlock your fingers, or hold your wrist. With your elbows straight and thumbs facing the ceiling, lift your arms to shoulder height. Slowly lower your arms to starting position. Hold for ____ seconds. Repeat ____ times. Page - 2 Self-range of motion exercises for the arm and hand 2. Shoulder: “Rock the Baby” Stretch Hold your affected arm by supporting the elbow, forearm and wrist (as if cradling a baby). Slowly move your arms to the side, away from your body, lifting to shoulder height. Repeat this motion in the other direction. Slowly rock your arms side-to-side, and keep your body from turning. Repeat ____ times. Page - 3 Self-range of motion exercises for the arm and hand 3. Shoulder: Rotation Stretch Interlock your fingers, or hold your wrist. With your elbows bent at 90 degrees, keep your affected arm at your side. -
Prevalence of and Risk Factors Associated with Sexual Health Issues in Primiparous Women at 6 and 12 Months Postpartum
O’Malley et al. BMC Pregnancy and Childbirth (2018) 18:196 https://doi.org/10.1186/s12884-018-1838-6 RESEARCHARTICLE Open Access Prevalence of and risk factors associated with sexual health issues in primiparous women at 6 and 12 months postpartum; a longitudinal prospective cohort study (the MAMMI study) Deirdre O’Malley1, Agnes Higgins2, Cecily Begley2,3, Deirdre Daly2 and Valerie Smith2* Abstract Background: Many women are not prepared for changes to their sexual health after childbirth. The aim of this paper is to report on the prevalence of and the potential risk factors (pre-pregnancy dyspareunia, mode of birth, perineal trauma and breastfeeding) for sexual health issues (dyspareunia, lack of vaginal lubrication and a loss of interest in sexual activity) at 6 and 12 months postpartum. Methods: A longitudinal cohort study of 832 first-time mothers who were recruited in early pregnancy and returned postnatal surveys at 3, 6, 9 and 12 months postpartum were assessed for sexual health issues and associated risk factors. Results: Nearly half of the women (46.3%) reported a lack of interest in sexual activity, 43% experienced a lack of vaginal lubrication and 37.5% of included women had dyspareunia 6 months after birth. On univariate analysis, vacuum-assisted birth, 2nd degree perineal tears, 3rd degree perineal tears and episiotomy were all associated with dyspareunia 6 months postpartum, but, of these only 3rd degree tears, in association with breastfeeding and pre-existing dyspareunia, remained significant on multivariable analysis. Breastfeeding, in combination, with other significant factors, was associated with dyspareunia, a lack of vaginal lubrication and a loss of interest in sexual activity 6 months postpartum, and, dissatisfaction with body image emerged as a significant factor associated with lack of interest in sexual activity at 12 months postpartum.