RESUMO
The last decade has seen a transformation in the endoscopic management of Barrett's esophagus associated dysplasia from simple surveillance to therapeutic tissue eradication. The combined approach using endoscopic mucosal resection and ablative techniques has proven to be safe and effective. This strategy provides a more cost-effective and safer alternative to esophagectomy for patient with high-grade dysplasia. Despite its safety and efficacy, many questions remain regarding durability, complications, and risk-stratification of patients for endoscopic therapy. However, endoscopic therapy provides a safe and effective weapon against the rising incidence of esophageal adenocarcinoma.
Assuntos
Esôfago de Barrett/terapia , Neoplasias Esofágicas/terapia , Esofagoscopia , Esôfago/patologia , Técnicas de Ablação , Esôfago de Barrett/complicações , Esôfago de Barrett/diagnóstico , Neoplasias Esofágicas/complicações , Neoplasias Esofágicas/diagnóstico , Humanos , Estadiamento de NeoplasiasRESUMO
Young adult women who had experienced incest and a matched comparison group were examined for differences in interpersonal functioning, sexual functioning, self-esteem, and emotional adjustment. Those reporting incest reported significantly poorer general social adjustment, especially in dating relationships. They had significantly lower levels of sexual satisfaction, lower self-esteem, and distorted body images, as well as greater depression and lower positive affect. These characteristics may be related not only to the incest experience but to the general family environment in which incest occurred, as significant differences in family characteristics were also observed.
Assuntos
Abuso Sexual na Infância/psicologia , Ajustamento Social , Adolescente , Adulto , Sintomas Afetivos/psicologia , Família , Feminino , Humanos , Relações Interpessoais , Autoimagem , Disfunções Sexuais Fisiológicas/psicologiaRESUMO
This study's purpose was to assess resistance to sexual aggression, from kissing/fondling to intercourse; to test the relative efficacy of three theoretical models (Victim Precipitation, Social Control, and Situational Blame) for predicting resistance to acquaintance rape. Seventy-five percent of the 206 university students reported vicitimization. Average time since victimization was 2.03 years. Sixty-eight percent of victims successfully resisted their most severe victimization attempt. Four situational factors predicted resistance: isolation of incident site, previous victim-offender relationship, previous victim-offender sexual intimacy, and clarity of victim nonconsent. Two personality variables, the California Personality Inventory scales of dominance and social presence, distinguished successful from unsuccessful resisters. Attitudinal measures were not statistically significant.