#Western Reserve Hospice

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New research by Israeli fertility experts has challenged current medical opinion, which holds that refraining from sex for up to a week is beneficial for men prior to undergoing some types of fertility treatment.

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Doctors from Soroka University and Ben-Gurion University tested over 7,200 semen samples for semen volume, sperm concentration and shape, and the percentage and total count of motile (active and moving) sperm. The samples were from around 6,000 men being investigated or treated for infertility who had abstained from sex for periods of up to two weeks.

More than 4,500 of the samples had normal sperm counts while the remainder had varying degrees of oligozoospermic (reduced) counts ranging from mild, through moderate, to severe.

The researchers found that while the volume of semen increased up to 11 to 14 days of abstinence, whatever the sperm count was, the morphology (shape and form) of the sperm gradually deteriorated.

In the samples from men with reduced sperm counts the proportion of motile sperm actually fell significantly from day two onwards, reaching a low at day six and remaining low.

Dr. Eliahu Levitas will tell the annual meeting of the European Society of Human Reproduction and Embryology in Madrid: "Semen volume was directly and significantly correlated with duration of abstinence, while sperm motility was inversely and significantly related to abstinence in oligozoospermic samples only. The percentage of normal forms of sperm was inversely and significantly related to abstinence in both moderately oligozoospermic and normal samples."

Dr. Levitas, a senior physician at the fertility and IVF unit of Soroka University Medical Center, said that most fertility clinics followed the World Health Organisation guidelines of recommending sexual abstinence for two to seven days prior to treatment.

"Our data challenge the role of abstinence in male infertility treatments. What we have found is not so relevant to ICSI, where only a single sperm is injected into the egg, but for those treatments where we are trying to get the best possible sperm quality for intra-uterine insemination.

"For these patients we recommend minimal abstinence - ideally no more than two days."

Dr. Levitas said there was no real consensus among researchers as to why sperm gets damaged and becomes less viable. "It's possible that there is oxidative DNA damage by, for example, cigarette smoking or other damaging agents. Or perhaps the sperm from oligozoospermic men is more susceptible to detrimental agents and therefore might benefit from spending only a short time in the reproductive tract."

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Do you know about - Hospice Care: Essential Guidelines for Finding the Best Respite Care Service

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There are very few people equipped to face the challenges of caring for an ill family member alone. So getting some help is essential for the health of those involved in caregiving. With respite care, a caregiver receives a short term break that can help relieve stress, foster balance in their life, and restore energy.

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When looking at which type of respite care to choose, the bottom line is always to find the right kind of support for your individual circumstance. There are three general types of respite care options to pick from; independent providers, home care agencies, and out-of-home programs.

It is always advisable for family members of respite care recipients to take some time for evaluation when looking for providers, both for the safety of their loved one and their own peace of mind. They should conduct a thorough phone interview with every candidate, followed by a personal interview. Being specific about skills, tasks, and schedules involved in the care is essential to finding the right person.

Compensation and payment arrangements should also be included in the discussion. During the screening process, candidates should be asked to present personal and work references. All the information provided should be verified by asking the references about the care provider's trustworthiness, reliability, punctuality and ability to handle stress. If at all possible, a background check should be conducted. Another important consideration is the feeling of the care recipient towards being in a hospice facility.

Although home care agencies can be the most expensive choice, they are also usually simpler to use. An agency works by finding and placing providers, managing payroll, and by providing reserves for ill or absent personnel. An agency also provides avenues for complaints, intervention, or settlement should problems occur. These factors are usually lacking when working with independent providers.

The other respite care option is an off-site program. When choosing an out-of-home program or hospice care, it's best to narrow the choices to the three best, then visit each for evaluation. Family members should observe how care recipients interact with the staff and they should try to imagine their loved one's condition if they were staying there. Having a good feel and impression of the people as well as the environment can assure family members that they are placing their loved one in good hands.

While respite care is vital for full-time caregivers who need to take some time off, they might find it hard to entrust their loved ones to strangers. However, doing thorough research can help dispel these fears and help them find the provider that will best suit their needs.

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