Search

Opioid maintenance treatment (OMT) is the most widespread therapy for both females and males opioid addicts. While many studies have evaluated the OMT impact on men’s sexuality, the data collected about the change in women’s sexual functioning is still limited despite the fact that it is now well-known that opioids - both endogenous and exogenous - affect the endocrine system and play an important role in sexual functioning. The present study aims to determine how OMT with buprenorphine (BUP) or methadone (MTD) affects sexual health in women; examining also any possible emerging correlation between sexual dysfunction (SD), type of opioid and patients’ mental health. This multi-center study case recruited 258 female volunteers attending Italian public Addiction Outpatients Centers that were stabilized with OMT for at least 3 months. SD was assessed with the Arizona Sexual Experience Scale. The twelve-item General Health Questionnaire was used to assess participants’ mental health conditions. The results show that 56.6% of women receiving OMT for at least 3 months presented SD without significant differences between MTD e BUP groups. The majority of the subjects with SD have a poorer quality of intimate relationships and worse mental health than the average. To the best of our knowledge, the present study is the largest report on the presence of SDs in women as a side effects of MTD and BUP used in OMT. Since SDs cause difficulties in intimate relationships, lower patients’ quality of life and interfere with OMT beneficial outcomes, we recommend that women undertaking an opioid therapy have routine screening for SD and we highlight the importance to better examine opioid-endocrine interactions in future studies in order to provide alternative potential treatments such as the choice of opioid, opioid dose reduction and hormone supplementation.

External coloration in animals depends on the interaction of several different factors including the genetics and epigenetics processes that underlie the color expression, the mechanisms of color perception, and the general mechanisms controlling color evolution and function. Among all, camouflages from predators and conspicuousness are of particular interest because pose animal to choose between opposite adjustment in coloration. The external coloration of crustaceans is mainly due to the accumulation of carotenoids in the exoskeleton and the epidermal layer, and the trade-off between camouflage and communication had led to a variety of responses, involving signal partitioning, spectral sensibility, changing coloration, or signaling behavior. Here, we used digital images to explore intrapopulation variability of the external coloration of Pacifastacus leniusculus among body regions within an individual and between sexes. We found that 1) ventral coloration of claws are more saturated and brilliant than upper parts, 2) males express a more saturated and brightness coloration than females, especially on the lower portion of claws, 3) color intensity and brightness increases with size differently in different body regions, and 4) brightness is more variable in males than in females. All the above patterns support the hypothesis that color in this species could be the result of a compromise between camouflage from predators and conspicuousness for communication. The results of this study suggest that carotenoid might have something to do with intraspecific communication and perform more complex functions than that of a simple pigment., (© The Author(s) (2020). Published by Oxford University Press on behalf of Editorial Office, Current Zoology.)

Avoiding death is not always the preeminent goal of health care, and decisions about the use of life-supporting treatment may either hasten or forestall death. What are the health care professional's responsibilities regarding the use of life-supporting therapy? This report offers general and specific guidelines for termination of life-supporting treatment.