Background: Erectile dysfunction (ED) is considered the prime sexual dysfunction attracting public attention among men all over the world. It ranges from partial decrease in penile rigidity to a complete erectile failure. To overcome this issue, sexenhancing medications have become popular among men. Aim: The main objective of this work was to determine the prevalence, demographics, and sexual features of sex-enhancing medications users among Egyptians. Patients and Methods: A total of 1916 adult males were included in the present study. This cross-sectional study was conducted between August 2020 and July 2021. Participants were invited to fill a self-structured questionnaire through 'Google Forms.' The form included three main sections for sociodemographic data; sexual activity, and sex-enhancing medication history and brief sexual functioning inventory score analysis (BSFI). Results: Our finding showed that 48.4% of the subjects used sex-enhancement drugs. After completing the BSFI score variables, the results revealed that there was a highly statistically significant difference for the total BSFI score between sexenhancement drug users and nonusers (23.4±5.7 and 21.02±4.5, respectively), with less than 0.001. Regarding the drugs used, the majority (67.9%) used sildenafil. Strengths and limitations: In the Egyptian society, talking about sex problems concerns most males and they get ashamed when talking about it. Sex-enhancement drugs are being circulated in Egypt in a nonmedical way. Conclusion: Urban residency, marriage, high education, job, low-to-middle socioeconomic status, smoking, drinking alcohol, and having chronic hypertension and/or diabetes mellitus were identified as features of sex-enhancing pharmaceutical users, with impairment of sexual function among them.
Integration of 5S-KAIZEN concepts into the medical curriculum of Public Health prepares the medical graduates with meaningful contributions to the mission of Continuous Quality Improvement (CQI). This paper aims to display the experience and impact of introducing the 5S-KAIZEN into the public health curriculum. A horizontal integration model was used in teaching the students the basic theoretical part of 5S-KAIZEN within a finite period of time followed by the practical application. The students achievements were evaluated with different methods included; written report, preparation of power-point presentation, a written exam, performance evaluation and MCQ. Students were able to evaluate the working environment; skilful in writing a report, clearly understood the required skills for a productive workplace. Findings suggest that 5S-KAIZEN is needed to be aligned as a requirement for graduation from all the postgraduate medical programs.
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