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The chronicle



The chronicle

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Chronic Diseases Network of the Northern Territory


The Chronicle newsletters; Chronic Diseases Network newsletters; E-Journals; PublicationNT




Date:2013-03; Made available via the Publications (Legal Deposit) Act 2004 (NT).; This publication contains may contain links to external sites. These external sites may no longer be active.




Chronic diseases -- Northern Territory -- Treatment -- Periodicals; Chronic Diseases Network of the Northern Territory -- Periodicals

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Chronic Diseases Network of the Northern Territory

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v. 25 no. 1

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March 201312 Gender Specifi c Issues for people with End Stage Renal Failure Dorothy Brown, Renal Services Development Offi cer NT Department of Health At fi rst glance gender may not seem to be an issue in the story of renal failure e.g. the Australian and New Zealand Dialysis and Transplant Registry (ANZDATA) report 2011 showed that, of the 64 patients commencing dialysis in the NT in 2010, the gender division was exactly 32 males and 32 females.1 In the busyness of treating clients renal disease and the accompanying complications of co-morbid conditions, the signifi cance of the effects of renal disease on gender health could be overlooked by those responsible for their health care. Though a delicate subject and one which those who are affected are understandably reluctant to talk about, studies have shown that people with End Stage Renal Failure (ESRF) have a high prevalence of sexual dysfunction due to the effects of uraemia, neuropathy, autonomic dysfunction, vascular disease, depression and medications.2 The majority of patients with ESRF in the Northern Territory (NT) are of Aboriginal and Torres Strait Islander (ATSI) origin. Data comparisons looking at the age specifi c incidence rate per million ATSI people at the commencement of dialysis show that the NT population score higher in the 0-21 year, 25-44 year, 45-54 year and 55-65 year age brackets than other states with a marked increase in the 35 65 year age bracket.3 The fact that most people with ESRF in the NT fall within this younger, sexually active age group, adds weight to the importance of taking this issue seriously, and emphasises how relevant this topic is to marital and social well being and the quality of life of ESRF patients. Some female gender issues associated with ESRF7 are: hormonal disturbances resulting in high incidence of anovulatory periods and infertility prolonged periods of bleeding due to unopposed effect of oestrogen on the endometrium G EN D ER H EA LT H Continued from Page 11 Continued on Page 13 Applications close 5pm Friday 8 March 2013. All information about the 2013 Mens Health Community Grants is available now at www.49. com.au The National Mens Health Gathering, 2013 The National Mens Health Gathering will be held in Brisbane, 22-25 October, 2013. It incorporates the: 7th National Aboriginal & Torres Strait Islander Male Health Convention 10th National Mens Health Conference The Inaugural Men and Vulnerable Families Forum The theme of the Gathering is Blazing a Trail: to healthier men and communities and an impressive program is being developed with wellrespected international and domestic keynote speakers invited. International speakers who have accepted the invitation to date include: Professor Alan White, UK - the worlds fi rst Professor of Mens Health Mr Richard Aston, NZ- Chief Executive of Big Buddy, a mentoring program for fatherless boys Mr David Bartlett, UK - Deputy Chief Executive, Fatherhood Institute UK Joe Puketapu, NZ - Contracts Manager, Te Hauora o Ngti Rrua Glen Poole, UK - UK Co-ordinator of International Mens Day and Strategic Director of The Mens Network Dr Richard Fletcher Family Action Centre, University of Newcastle