Stephy Publishers

  Journal of Psychological Science and Research  - (JPsSR) |  Stephy Publishers Primary Mental Health Care Part 2: Three European Primary Mental Health Care Examples as Basis for Change to the Irish System  Abstract The successes and limitations of primary mental health care systems in three countries outside of Ireland are examined in order to inform potential change for the Irish primary mental health care system. Systems currently at work within Scotland, England, and the Netherlands are outlined, all of which employ versions of the “stepped-care” approach to primary care. It is acknowledged that Ireland is attempting to modify primary care to include the stepped-care approach. However, there are significant limitations to the current Irish system. With the Scottish, English, and Dutch systems in mind, an alternative vision of primary mental health care for Ireland is suggested. Keywords: Mental health, Health care, Irish system Initiatives in primary mental h...

  Pregnancy and Women’s Health Care International Journal - (PWHCIJ)| Stephy Publishers Introduction Dyspareunia is a common, but little-known, chronic problem, described as persistent or recurring pain that occurs during sexual intercourse. 1  It is a multifactorial pathology that involves psychological, biological and social factors. The incidence of dyspareunia is difficult to determine because women do not usually resort to consultation. The prevalence is around 10% of women of childbearing age and 45% of postmenopausal women. 2  Estrogen deficiency can lead to vaginal atrophy, the symptoms of which include vaginal dryness as well as dyspareunia, burning, and dysuria; urgent urinary symptoms, and recurrent urinary tract infections (UTIs). 3  Dyspareunia can be classified in different ways: depending on the moment in which the pain appeared (primary or secondary), in the situational context (generational or situational) and the one that is most used today in cl...