An article search of the ISI Web of Science and PubMed databases using the search terms “”sexual dysfunction”",

“”cardiovascular diseases”", “”coronary artery disease”", “”myocardial infarct”" and “”prevalence”" was performed.

In total, 893 references were found. Non-English-language and repeated references were excluded. After an abstract analysis, 91 references were included for full-text reading, and 24 articles that evaluated sexual function using validated instruments were selected for this review. This research was conducted in October 2012, and no time restrictions were placed on any of the database searches. Reviews and theoretical articles were excluded; only clinical trials and epidemiological studies were selected for this review.

The studies were mostly cross-sectional, observational Fedratinib and case-control in nature; other studies selleck used prospective cohort or randomized clinical designs. In women, all domains of sexual function (desire, arousal, vaginal lubrication, orgasm, sexual dissatisfaction and pain) were affected. The domains prevalent in men included erectile dysfunction

and premature ejaculation and orgasm.

Sexual dysfunction was related to the severity of cardiovascular disease. When they resumed sexual activity, patients with heart disease reported significant difficulty, including a lack of interest in sex, sexual dissatisfaction and a decrease in the frequency of sexual activity.”
“Aim. We compared local health caregivers’ opinions regarding the priority areas for improving the maternal and neonatal departments in low and high resource countries. Methods. Personnel involved in maternal and neonatal care operating in level III, teaching hospitals in four countries (Sri Lanka, Mongolia, USA, and Italy) were asked to fill out an anonymous, written questionnaire. Results. The questionnaire was completed by 1112 out of 1265 (87.9%) participants.

“”Personnel’s education”" was classified as the first most important intervention by health providers working Selleckchem Torin 2 in high (49.0%) as well as in low (29.9%) resource countries, respectively. Improvement in salary, equipment, internet access, and organizational protocols were considered as the most important interventions by a significantly larger percentage of personnel from low resource countries in comparison with those from high resource countries. Health providers from high resource countries considered organizational aspects (to define specific roles and responsibilities) as a priority more frequently than their colleagues from low resource countries. Conclusions. Although education of personnel was valued as the highest priority for improving maternal and neonatal departments there are substantial differences in priorities associated with the working setting. Local caregivers’ opinion may contribute to better design interventions in settings with high or limited resources.