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  • RESEARCH 4 BUSINESS 2016, Ljubljana, 5 and 6 of May 2016

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    (1985a). And Creese I, t.. Brain Research 403, 419–319.

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    A depressive outlook may also viagra for sale in kenya color women’s decisions about pregnancy outcome and obstetric interventions (Coverdale et al. 1985). For example, some depressed women feel so inadequate that they cannot imagine raising a child and ask to terminate a pregnancy they might otherwise want to continue. Others may decline treatment for pregnancy complications because they believe a negative outcome is inevitable viagra for sale in kenya. Diagnosing depression can be more difficult during pregnancy because insomnia, decreased energy, decreased concentration, and appetite changes are common to both pregnancy and depression.

    1995), but these can be modified for use during pregnancy (O’Hara et al. Screening instruments such as the Beck Depression Inventory may overdiagnose depression because of these overlapping somatic effects (Salamero et al.

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    This is sometimes referred to as a “pie in the sky― defect because it is often wedge shaped viagra for sale in kenya. Table 4-1). On rare occasions a lesion of the white matter within the parietal lobe can affect the optic radiations and produce visual field defects (Figure 8-17E. Neurons in the medial portion of the lateral geniculate nucleus, which mediate vision from the superior visual fields, have axons that course rostrally into the temporal lobe before they course caudally to the primary visual cortex.

    Neurons in the intermediate and lateral portions of the lateral geniculate nucleus serve the macular region and the lower visual field, respectively. Their axons have a more direct course around the ventricle and through the white matter underlying the parietal cortex. Temporal lobe lesions can produce a visual field defect limited to the contralateral upper quadrant of each visual field (quadrantanopia) (Figure 5-14D.

  • Sexual Functioning Anderson and deProsse , in a longitudinal viagra for sale in kenya study, found that although sexual functioning was significantly disrupted for women with gynecologic cancer, their marital and other social relationships remained satisfactory. And 3) the self is worthy (Janoff-Bulman 1988). Midlife or Older Adulthood According to Erikson , the developmental task of midlife is integrity versus despair, characterized by achieving a balance between the triumph of one’s accomplishments and the despair of one’s failures. Inadequate resolution dur- Gynecologic Oncology 395 ing this era results in despair about one’s achievements and disappointments. In fact, some women simply cannot tolerate the viagra for sale in kenya physical limitations or alterations in appearance imposed by cancer and/or aging, thus precipitating serious psychologic distress.

    Cancer treatments may accelerate aging at a time when many women are already adjusting to typical midlife changes such as increased weight, diminished skin elasticity, or musculoskeletal problems. The existential struggle involves giving meaning to the cancer experience and regaining a belief in a predictable and benevolent world. Although midlife is often a stage of reflection and self-examination during which individuals redirect energies and replot life goals, cancer can trigger identity crises and distress in women who fear aging or for whom womanhood and/or feminine identity is linked to reproductive ability, sexual organs, and/or sexuality.

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