In contrast to subjects of previous research, the women in our study did not have a disorder of sexual desire, but more than one third experienced disorders of sexual arousal, implying a physiological deficit. Although the etiology for these arousal phase dysfunctions has not been defined, such conditions are treatable and warrant referral to a gynecologist versed in the treatment of sexual disorders.

Although many studies have shown associations between the amount of time spent together and relationship satisfaction, none has established the causal direction of the association. While time spent together may cause increased satisfaction, it is equally likely that greater satisfaction causes couples to spend more time together. Recent research that experimentally increased the amount of time couples spent together found no increase in relationship satisfaction. The present study looks at relationships that spend less time together—long-distance relationships (LDRs)—and examines their relationship quality compared to geographically proximal relationships (PRs). A multivariate analysis of variance compared self-reported levels of relationship satisfaction, intimacy, dyadic trust and the degree of relationship progress, between 194 individuals in premarital LDRs and 190 premarital PRs. The analysis found no significant differences. This suggests that the amount of time a couple spends together does not itself play a central role in relationship maintenance.

Previous studies have shown this abnormal ambulatory NPTR pattern to be associated with neurogenic rather than vasogenic ED. Therefore, epilepsy-related ED may have a substantial neurophysiologic component.

Military health care providers located in field environments frequently face situations in which procedural sedation and analgesia are necessary, without the advantage of sophisticated monitoring equipment. Ketamine is a unique agent that can be administered either intravenously or intramuscularly to produce predictable and profound analgesia, with an exceptional safety profile. We review the issues unique to ketamine and provide a practical guide for the use of ketamine for adult and pediatric patients in a field environment.

In children less than 10 years old, etomidate seems to produce minimal hemodynamic changes, and appears to have a low risk of clinically important adrenal insufficiency, myoclonus, and status epilepticus. The association between etomidate and emesis (observed in less than 3% of enrolled patients) remains unclear. For clinical situations in which minimal blood pressure changes during RSI are critical, etomidate appears to have a favorable risk-benefit profile for children under 10 years old.