Abstract
than normal in girth, tortuous and hard. Circumferential biopsy was done and revealed a chronic fibrosis. Case 2 – Scrotal horn: A 37-year-old man had similar procedure as Case 1, and six months later presented with massive penile fibrosis with huge scrotal involvement in horn shape. CT scan of the pelvis revealed extensive fibrosis of the penis and scrotum, involving the whole dartos and cremasteric layer with spared testis. Case 3 – Penile Cellulitis: The last case was a 45 year-oldman who presented with severe cellulitis of the penile post penile injection. He was treated with six weeks antibiotic with 2 weekly review and plan for biopsy. In spite of prolonged antibiotic, his penile skin was not improved (inflamed and edematous), and he requires penile prosthesis. We would like to share difficulty in decision making and managing these post penile augmentation complications. 69 The prevalence and factors associated with depressive symptoms among urban poor men in Selangor, Malaysia K.L. Tan. International Medical University, Malaysia Background: Depression is a significant public health concern and has been projected to be the most important cause of morbidity worldwide. Objectives: The aim of the study was to estimate the prevalence and identify factors associated with depressive symptoms among urbanpoormen in Selangor,Malaysia. Methods: A community based cross-sectional study involving 244 male respondents from Section 8 Kota Damansaradistrict was conducted in February 2010. Data on socio-demographic and lifestyle factors were collected by face-to-face interview using a structured questionnaire by trained staff. The Patient Health Questionnaire (PHQ-9) was used to determine the presence or absence of depressive symptoms among the male respondents. A score of 10 or more was used to calculate for the presence of depressive symptoms. All male respondents aged 18 years and over in the selected households were interviewed. The prevalence of depressive symptoms was estimated. Pearson Chi-Square test was used to test for an association between each factor and depressive symptom with significance set at p< 0.05. Results: The mean age of the respondent was 33.6±12.8 years. Majority was Malay (73.8%), had secondary level education (75.4%), employed (76.2%) and married (62.3%). The prevalence of depressive symptoms among urban poor men was 16.4%. Factors significantly associated with depressive symptoms include marital status, years lived in the area and alcohol consumption. Conclusions: Depressive symptoms among urban poor adult men in Kota Damansara, Selangor was 16.4% and was associated with marital status, years lived in the area and alcohol consumption. jmh Vol. 8, Suppl. 1, S97–S121, April 2011 S121
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