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Primary angioplasty versus thrombolysis in ST elevation myocardial infarction
ISMH Congress 2011 Abstracts P = 0.025).Abuse more than 5 times a week was associated with smaller bladder capacity (187.7 ml vs 337.0ml; P = 0.025). Longer quitting-duration (1 year, 6 months, 3 months vs <3 months) was associated with lower symptom (5.54, 5.25, 5.0, 4.11) and bother score (2.08, 1.75, 1.67, 0.89, respectively). Fine hand coordination tests and lung function tests were below standard in 53% and 60% of participants, respectively. BAI and BDI scores were abnormal in 60.4% and 58.5% of abusers, respectively. Conclusion: This community survey suggested many detrimental effects of street ketamine abuse. This study provides a basis for the development of health promotion material that can be used in the community by social workers seeking to encourage drug cessation. It also provides evidence for further longitudinal study and material for cognitive therapy. doi:10.1016/j.jomh.2011.08.078
Abstract ID: #0015 ‘‘MASCULINE BEHAVIOUR
CAPITAL”
AND
MEN’S
HEALTH-RELATED
R. de Visser 1,∗ , L. McDonnell 2 1
University of Sussex, Falmer, United Kingdom, 2 UKCP, London, United Kingdom
Background: Health behaviours are important resources for the development and display of masculine identity. Recent qualitative research with young men indicated that traditionally masculine health behaviour provides men with ‘‘masculine capital,” which can be accrued to develop a masculine identity, and traded to excuse or compensate for non-masculine behaviour in other domains. The aim of this study was to develop this research by: (1) assessing young men’s AND women’s beliefs about how various health behaviours affect masculine identity; (2) mixing quantitative and qualitative approaches to analyse the strength of statistical associations AND subjective experiences and meaning-making. Materials & Methods: 731 university students completed an online survey that assessed personal importance of gender identity, gender role stereotypes, beliefs about the masculinity/femininity of a range of health behaviours and engagement in these behaviours. 16 of these people were purposively sampled for individual interviews: four women and four men with the most egalitarian gender role beliefs, and four women and four men with the least egalitarian gender role beliefs. Results: The quantitative data showed that ratings of men’s masculinity depended on the number of traditionally masculine health behaviours they engaged in. More marked distinctions between more and less masculine men were related to: greater personal importance of gender identity; greater endorsement of gender role stereotypes; and stronger separations between masculine and feminine health behaviours. The qualitative data supported the quantitative data. Participants with more stereotyped gender role beliefs tended to have more strict beliefs about the masculinity of various health behaviours. Participants’ accounts also validated earlier findings about masculine capital – e.g. traditional and egalitarian respondents referred to notions like ‘‘man points”. When asked about their own experiences, many men described situations when they had engaged in traditionally masculine health-related behaviours so as to accrue masculine capital or to trade it for engagement in non-masculine (or feminine) behaviours. Conclusion: The findings suggest that men’s concerns about masculinity could be harnessed to encourage more healthy patterns of ‘‘masculine” behaviour. However, they also suggest that failure to question socially constructed definitions of gender may reinforce stereotypes that restrict men’s and women’s opportunities. doi:10.1016/j.jomh.2011.08.079
Abstract ID: #0012 PRIMARY ANGIOPLASTY VERSUS THROMBOLYSIS IN ST ELEVATION MYOCARDIAL INFARCTION N. Mouine, M. Raissouni, A. Bouzerda, M. Sabry, A. Chaib, A. Boukili, M. Nazzi, A. Benyass, E.M. Zbir ∗ Department of Cardiology, Rabat, Morocco Background: The treatment of ST elevation myocardial infarction is to restore permeability in the coronary artery responsible; the goal of our
234 jmh
Vol. 8, No. 3, pp. 208–245, 2011
work was to illustrate the benefit of primary angioplasty as an alternative to thrombolysis. Materials & Methods: This was a retrospective study involving 75 patients admitted for ST elevation myocardial infarction between January 2008 and February 2010. Patients were divided into 2 groups: Group 1 (n = 30), treated by primary angioplasty, and Group 2 (n = 45) thrombolysed, All benefited from a clinical examination, an electrocardiogram, an echocardiogram, enzyme markers and coronary angiography. Results: The average age of the patients was 56.6 ± 6.7 years (group 1) and 55.4 ± 5.9 years (group 2), with males being predominant in both groups. Most of these patients had more than 2 cardiovascular risk factors, regardless of group. The time between chest pain and admission to the emergency department was 231 min in Group 1 versus 247 min in Group 2, and the reperfusion period was 281 min in Group 1 (door to baloon) versus 277 min in Group 2 (onset of chest pain to thrombolysis). Coronary angiography showed three vessel lesions in 30% (Group 1) versus 26% (Group 2), two vessel lesions in 23% (group 1) versus 18% (Group 2) and single vessel disease in 47% (group 1) versus 56% (group 2). In Group 1, in addition to medical treatment and primary angioplasty, 3.3% had undergone coronary artery bypass grafting, while in Group 2, after thrombolysis, 24% benefited from angioplasty, 20% had CABG and 56% were treated medically. Angioplasty as the primary treatment was notably successful, with a good outcome in 83% of cases, and a stent thrombosis occurring in only 2 cases. In Group 2, the outcome was favourable in only 46% of cases: there was a single death due to cardiogenic shock and complications such as left ventricular dysfunction occurred in 13% of patients, angina in 13% and arrhythmia in 3%. Conclusion: The choice of basic therapy in STEMI is mainly based not only on accessibility to the angiography room but also on angioplasty reperfusion time (door to balloon). When it is available, angioplasty is highly recommended. doi:10.1016/j.jomh.2011.08.080
Abstract ID: #0135 SUBSTANCE USE DISORDERS: AN INTERNATIONAL CONCERN FOR MEN’S HEALTH J. Bonhomme Morehouse School of Medicine, East Point, GA, USA Background: The ‘‘Global Status Report on Alcohol and Health 2011” from the World Health Organization estimates that 6% of all male deaths worldwide are related to alcohol, as opposed to only 1% of female deaths. The report cites alcohol abuse as the third leading cause of death and disability worldwide, causing 9% of all deaths in the 15 and 29 year age group. The problem is especially severe in developing countries, particularly in Africa and Asia as well as the Russian Federation and neighboring countries. Materials & Methods: Although alcohol is widely considered the most commonly abused substance in most locales, the range of substances causing premature death, disability and illness extends far beyond alcohol alone. The World Health Organization released ATLAS 2010 as a first global report on substance use disorders, collecting data from 147 nations. The report noted that both alcohol and drug use disorders are more common in men than women. Every year alcohol kills 35/100,000 people and illicit drugs kill 4/100,000 people. Tobacco was found to be responsible for 3.7% and alcohol/illicit drug use accounted for 5.4% of the annual worldwide disease burden. In 2004, 7.6% of all diseases and injuries globally among men were alcohol-related as compared to 1.4% among women. Some Eastern and Central European countries report alcohol use disorders in up to 16% of their populations. Results: Substance use can lead to psychological disorders, social dysfunction, family disruption, employment instability, legal involvement, and serious medical conditions such as cirrhosis of the liver. Substance use disorders are a major driving force in the global spread of infectious disease, including HIV, Hepatitis B and C, tuberculosis, and sexually transmitted infections. Conclusion: Substance use disorders are an exceedingly prevalent but highly misunderstood group of health problems that have a major impact on international health. New science has revealed real and demonstrable changes in brain structure and function, placing substance use disorders
Abstract ID: #0015 ‘‘MASCULINE BEHAVIOUR
CAPITAL”
AND
MEN’S
HEALTH-RELATED
R. de Visser 1,∗ , L. McDonnell 2 1
University of Sussex, Falmer, United Kingdom, 2 UKCP, London, United Kingdom
Background: Health behaviours are important resources for the development and display of masculine identity. Recent qualitative research with young men indicated that traditionally masculine health behaviour provides men with ‘‘masculine capital,” which can be accrued to develop a masculine identity, and traded to excuse or compensate for non-masculine behaviour in other domains. The aim of this study was to develop this research by: (1) assessing young men’s AND women’s beliefs about how various health behaviours affect masculine identity; (2) mixing quantitative and qualitative approaches to analyse the strength of statistical associations AND subjective experiences and meaning-making. Materials & Methods: 731 university students completed an online survey that assessed personal importance of gender identity, gender role stereotypes, beliefs about the masculinity/femininity of a range of health behaviours and engagement in these behaviours. 16 of these people were purposively sampled for individual interviews: four women and four men with the most egalitarian gender role beliefs, and four women and four men with the least egalitarian gender role beliefs. Results: The quantitative data showed that ratings of men’s masculinity depended on the number of traditionally masculine health behaviours they engaged in. More marked distinctions between more and less masculine men were related to: greater personal importance of gender identity; greater endorsement of gender role stereotypes; and stronger separations between masculine and feminine health behaviours. The qualitative data supported the quantitative data. Participants with more stereotyped gender role beliefs tended to have more strict beliefs about the masculinity of various health behaviours. Participants’ accounts also validated earlier findings about masculine capital – e.g. traditional and egalitarian respondents referred to notions like ‘‘man points”. When asked about their own experiences, many men described situations when they had engaged in traditionally masculine health-related behaviours so as to accrue masculine capital or to trade it for engagement in non-masculine (or feminine) behaviours. Conclusion: The findings suggest that men’s concerns about masculinity could be harnessed to encourage more healthy patterns of ‘‘masculine” behaviour. However, they also suggest that failure to question socially constructed definitions of gender may reinforce stereotypes that restrict men’s and women’s opportunities. doi:10.1016/j.jomh.2011.08.079
Abstract ID: #0012 PRIMARY ANGIOPLASTY VERSUS THROMBOLYSIS IN ST ELEVATION MYOCARDIAL INFARCTION N. Mouine, M. Raissouni, A. Bouzerda, M. Sabry, A. Chaib, A. Boukili, M. Nazzi, A. Benyass, E.M. Zbir ∗ Department of Cardiology, Rabat, Morocco Background: The treatment of ST elevation myocardial infarction is to restore permeability in the coronary artery responsible; the goal of our
234 jmh
Vol. 8, No. 3, pp. 208–245, 2011
work was to illustrate the benefit of primary angioplasty as an alternative to thrombolysis. Materials & Methods: This was a retrospective study involving 75 patients admitted for ST elevation myocardial infarction between January 2008 and February 2010. Patients were divided into 2 groups: Group 1 (n = 30), treated by primary angioplasty, and Group 2 (n = 45) thrombolysed, All benefited from a clinical examination, an electrocardiogram, an echocardiogram, enzyme markers and coronary angiography. Results: The average age of the patients was 56.6 ± 6.7 years (group 1) and 55.4 ± 5.9 years (group 2), with males being predominant in both groups. Most of these patients had more than 2 cardiovascular risk factors, regardless of group. The time between chest pain and admission to the emergency department was 231 min in Group 1 versus 247 min in Group 2, and the reperfusion period was 281 min in Group 1 (door to baloon) versus 277 min in Group 2 (onset of chest pain to thrombolysis). Coronary angiography showed three vessel lesions in 30% (Group 1) versus 26% (Group 2), two vessel lesions in 23% (group 1) versus 18% (Group 2) and single vessel disease in 47% (group 1) versus 56% (group 2). In Group 1, in addition to medical treatment and primary angioplasty, 3.3% had undergone coronary artery bypass grafting, while in Group 2, after thrombolysis, 24% benefited from angioplasty, 20% had CABG and 56% were treated medically. Angioplasty as the primary treatment was notably successful, with a good outcome in 83% of cases, and a stent thrombosis occurring in only 2 cases. In Group 2, the outcome was favourable in only 46% of cases: there was a single death due to cardiogenic shock and complications such as left ventricular dysfunction occurred in 13% of patients, angina in 13% and arrhythmia in 3%. Conclusion: The choice of basic therapy in STEMI is mainly based not only on accessibility to the angiography room but also on angioplasty reperfusion time (door to balloon). When it is available, angioplasty is highly recommended. doi:10.1016/j.jomh.2011.08.080
Abstract ID: #0135 SUBSTANCE USE DISORDERS: AN INTERNATIONAL CONCERN FOR MEN’S HEALTH J. Bonhomme Morehouse School of Medicine, East Point, GA, USA Background: The ‘‘Global Status Report on Alcohol and Health 2011” from the World Health Organization estimates that 6% of all male deaths worldwide are related to alcohol, as opposed to only 1% of female deaths. The report cites alcohol abuse as the third leading cause of death and disability worldwide, causing 9% of all deaths in the 15 and 29 year age group. The problem is especially severe in developing countries, particularly in Africa and Asia as well as the Russian Federation and neighboring countries. Materials & Methods: Although alcohol is widely considered the most commonly abused substance in most locales, the range of substances causing premature death, disability and illness extends far beyond alcohol alone. The World Health Organization released ATLAS 2010 as a first global report on substance use disorders, collecting data from 147 nations. The report noted that both alcohol and drug use disorders are more common in men than women. Every year alcohol kills 35/100,000 people and illicit drugs kill 4/100,000 people. Tobacco was found to be responsible for 3.7% and alcohol/illicit drug use accounted for 5.4% of the annual worldwide disease burden. In 2004, 7.6% of all diseases and injuries globally among men were alcohol-related as compared to 1.4% among women. Some Eastern and Central European countries report alcohol use disorders in up to 16% of their populations. Results: Substance use can lead to psychological disorders, social dysfunction, family disruption, employment instability, legal involvement, and serious medical conditions such as cirrhosis of the liver. Substance use disorders are a major driving force in the global spread of infectious disease, including HIV, Hepatitis B and C, tuberculosis, and sexually transmitted infections. Conclusion: Substance use disorders are an exceedingly prevalent but highly misunderstood group of health problems that have a major impact on international health. New science has revealed real and demonstrable changes in brain structure and function, placing substance use disorders