Intellectual and Developmental Disabilities: Male Health

Intellectual and Developmental Disabilities: Male Health

We present the case of a 24-year-old immunocompromised man with an intratesticular abscess. Shingles causes a painful skin and nerve condition. 2. Sexual dysfunction, erectile dysfunction, hypogonadism, and premature ejaculation has been shown to be associated with physical and psychological health, and there is a strong correlation between sexual dysfunction and cardiovascular disease, metabolic syndrome, quality of life, and depression (6). All of these infections are rising, they comes from the outside, most often through sexual contact, catheterization, less common hematogenous route, ie through the blood, such as chronic infection foci (tonsils, sinuses and others). You should always consult a doctor or healthcare professional for medical advice. The rate of premature death is correspondingly high, with more than 37,000 additional years of life lost for working-age men (15–64 years) as a result of death from cancer (7).

Immunizations: after age 19 years, a tetanus–diphtheria and acellular pertussis (Tdap) vaccine once as part of tetanus–diphtheria vaccines and tetanus–diphtheria booster every 10 years. HPV vaccine should be considered. Shingles or herpes zoster vaccination once after age 60 years and also pneumococcal vaccine. The flu vaccine every year. Asperger’s syndrome  a pervasive developmental disorder resembling autistic disorder, being characterized by severe impairment of social interactions and by restricted interests and behaviors; however, patients are not delayed in development of language, cognitive function, and self-help skills. She was given a bulk herbal formula similar to Lian Qiao Bai Du Pian to drink three times a day; an external wash consisting of astringent herbs was also applied to relieve the itching and to help dry up the rash. A 35-year follow-up study from Finland based on a nation-wide population study of people with IDD has shown that males die younger than females (14) and the three most common causes of death were cardiovascular diseases, respiratory diseases, and neoplasms (15).

outdoor plants will really deliver, with potential yields between 8 ounces and 5 pounds. You may want to sposie until you see the doctor. Risk factors for suicide were similar to those in the general population. Most suicide victims with IDD had mild IDD and comorbid mental disorders. A 36-year-old man had a painless swelling on the dorsum of the scalp that had been present for many years. Pharmacokinetics Absorption: Administered I.V. The observed number of cancers in the cohort was close to what was expected and there was a significantly reduced risk of cancers of the prostate, urinary tract, and lungs.

The curves are dashed lines and a cautionary note is provided at the bottom: “WHO recommends BMI as the best measure after age 10”. Here’s your 30s in a nutshell: You can still walk the walk, but this is a decade for taking stock. A variety of dosage schedules and regimens of mercaptopurine, alone or in combination with other antitumor agents, are used. The same group also looked at people with Down syndrome (DS) and fragile X. For people with fragile X, there was no statistically significant difference with the general Finnish population, but an increased risk for lip cancer was found (18). Individuals with DS were found to have an overall equal cancer risk to that of the general population, but a significantly higher risk of leukemia and testicular cancer (19). After copious irrigation, a tiny little sucker (TLS) drain was placed into the testicular parenchyma ().
Intellectual and Developmental Disabilities: Male Health

Based upon the nation-wide Danish registration of people with IDD since 1850s compared to the general population, it was found that for males with IDD aged 15–64 years, there was an excess mortality of malignant neoplasms, diseases of the respiratory system, congenital malformations, and accidents (21). When the immunogen is a rabies vaccine and combined with a chemical sterilant, less rabies vaccine may need to be injected to effect inoculation against rabies. The prevalence of cardiovascular disease, cancer, as well as impairments of vision and hearing increased with age groupings for both genders. The only disease that did not significantly increase with age grouping in either females or males was hematological disorders. Psychiatric disorders decreased with age in males, while neurological disease decreased with age only in females. In a larger combined study (23) from New York State, Israel (22), and Taiwan with 4,449 adults with IDD, it was found that males were less likely to have endocrine, infectious, and respiratory diseases than females. In a smaller study (24) with 101 persons from a community sample compared to a 101 sample from residential care of older adults with IDD, no significant effect was found for gender and no significant residence versus gender interaction; but, for each disease separately it was found that males displayed more cardiovascular problems (9%) than females (1%) and females displayed more visual problems (37%) than males (21%).

There are some health issues specific to males with IDD, but it should be noted that symptoms and presentations are not always as clear or evident as for a male in the general population. One example from our work is the case of Alex. Alex, a 45-year old male with mild IDD living in a small group home and working in a regular job wanted to get himself a new pair of pants. de Lange’s syndrome  a congenital syndrome of mental retardation, short stature (Amsterdam dwarf), flat spadelike hands, and other anomalies. In another case, Long Dan Xie Gan Wan was used to treat an attack of genital herpes in a young woman. It took him longer time than usual to handle this task, so the sales person, who knew Alex from earlier encounters asked Alex if he needed help. Alex said yes and when the sales person saw Alex in his underwear, he noted a large bulge on his left side of his scrotum and realized that this was part of the reason why Alex was having difficulty trying on pants – they were too tight.

It cleared up promptly with antibiotics. Alex gave his permission and as a result Alex was referred for a medical examination and a testicular tumor was found and treated. Androgen deficiency is more common in males with IDD than in general population (13) and, in early teenage years, may result in failure of testis and penis to grow, failure of facial, body and pubic hair to appear, failure of voice to deepen, and failure of muscle development and growth (13). Br J Urol. • Discard unused solution because it doesn’t contain preservatives. Testosterone treatment is today available. Sports such as football, rugby, hockey and soccer are associated with the greatest increase in risk for concussion.

See an ophthalmologist for a baseline exam, which will include an eye pressure test; pupil dilation so the doctor can look at your retina and optic nerve; and a test of visual acuity. 43rd ed. Guidelines for this procedure in children and youth have been published by the American Academy of Pediatrics (28). The story of Alex above teaches us the importance of regular medical/health check-ups and screening with full examination including genitalia, even in the case of persons who have mild IDD, living at home or in group home and look healthy and carry on a normal job and life. The same though holds true for the general population in fact, since usually a person visiting the general practitioner for a sore throat will not, for example, have his genitalia checked. Primary health care for this population is important and we need to find ways to provide a golden standard of care and service that cater to this population (11). Recently, the Vanderbilt Kennedy Center for Excellence in Developmental Disabilities, together with Tennessee’s other university Center of Excellence in Developmental Disabilities, the Boling Center, and the Tennessee Department of Intellectual and Developmental Disabilities have developed an e-toolkit using experiences from Canada, which also has a checklist for male health (29).

5,070,080 to Fahim and a preferred method of injecting of the chemical sterilant is disclosed in U.S. While the studies referenced in this paper are beginning steps toward advancing our knowledge of male-specific manifestations of disease and its treatment, more detailed research on the male population with IDD is needed. Furthermore, the field of healthcare and IDD will benefit from the study of health promotion and disease prevention that may be particular to men. We therefore recommend a research agenda that focuses on males looking at the health status, healthcare needs, health promotion, and disease prevention, including diet, physical activity, and exercise needs of men with IDD be developed as a matter of utmost priority.

You may also like