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https://www.readbyqxmd.com/read/28799669/choosing-the-appropriate-shangring-size-for-paediatric-circumcision-using-the-no-flip-technique
#1
Li Fang, Weichao Zhu, Zhongfei Xie, Kerong Wu, Guoyao Wang, Zejun Yan, Zhong Zheng, Qi Ma, Yue Cheng
AIM: To determine the correct ShangRing size for paediatric circumcision using the no-flip technique. METHODS: A cohort of 104 boys (from 6 to 14 years) underwent ShangRing circumcision at Ningbo First Hospital, China. The patients were randomly divided into three groups according to the different methods used for choosing the ring size. For Group A, the ring size was chosen using the ShangRing measuring tape; for Group B, ring size was chosen based on the diameter of penis measured using a self-designed scale plate; and for Group C, ring size was chosen based on the diameter of the glans measured using the self-designed scale plate...
August 11, 2017: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/28798146/bloody-stools-in-a-3-day-old-term-infant
#2
Amelia Bray-Aschenbrenner, L Richard Feldenberg, Amelia Kirby, Colleen M Fitzpatrick, Justin B Josephsen
A 3-day-old term, male infant presented to the emergency department for evaluation of bloody stools. The infant was born after an uncomplicated pregnancy followed by a normal spontaneous vaginal delivery. The mother was group B Streptococcus colonized, and received antenatal penicillin prophylaxis. The infant received routine delivery room care, and was given ophthalmic erythromycin and intramuscular vitamin K. Circumcision was performed without bleeding and he was discharged from the newborn nursery and the hospital after 48 hours...
August 10, 2017: Pediatrics
https://www.readbyqxmd.com/read/28767453/ultrasonographic-assessment-of-bladder-volumes-in-children-undergoing-penile-surgery-does-the-type-of-anesthesia-matter
#3
Margaret Ekstein, Yuval Bar-Yosef, Jacob Ben-Chaim, Ron Flaishon, Avi A Weinbroum
BACKGROUND: There are scant data reporting postoperative ultrasonographically measured bladder volumes in children undergoing penile surgery. STUDY QUESTION: We studied the effect of various anesthesia techniques on return of micturition after penile surgery in children, using ultrasonographically measured bladder volumes. DATA SOURCES: Ultrasonographically measured postvoiding residual bladder volumes indexed to age-appropriate capacity, and time elapsed between the end of surgery and spontaneous voiding after pediatric circumcision, distal hypospadias repair, or repair of urethrocutaneous fistula, were studied...
July 17, 2017: American Journal of Therapeutics
https://www.readbyqxmd.com/read/28766375/powerlessness-normalization-and-resistance-a-foucauldian-discourse-analysis-of-women-s-narratives-on-obstetric-fistula-in-eastern-sudan
#4
Sarah Hamed, Beth-Maina Ahlberg, Jill Trenholm
Eastern Sudan has high prevalence of female circumcision and child marriage constituting a risk for developing obstetric fistula. Few studies have examined gender roles' relation with obstetric fistula in Sudan. To explore the associated power-relations that may put women at increased risk for developing obstetric fistula, we conducted nine interviews with women living with obstetric fistula in Kassala in eastern Sudan. Using a Foucauldian discourse analysis, we identified three discourses: powerlessness, normalization, and covert resistance...
August 1, 2017: Qualitative Health Research
https://www.readbyqxmd.com/read/28758020/factors-associated-with-intention-to-take-non-occupational-hiv-post-exposure-prophylaxis-among-thai-men-who-have-sex-with-men
#5
EDITORIAL
Nitiya Chomchey, Thira Woratanarat, Narin Hiransuthikul, Somrat Lertmaharit, Vitool Lohsoonthorn, Nipat Teeratakulpisarn, Suteeraporn Pinyakorn, James Lk Fletcher, Duanghathai Suttichom, Praphan Phanuphak, Jintanat Ananworanich, Nittaya Phanuphak
BACKGROUND: Men who have sex with men (MSM) are disproportionately infected with HIV in Thailand. Factors affecting their intention to take non-occupational HIV post-exposure prophylaxis (nPEP) are not well understood. This study sought to determine factors associated with an intention to take nPEP in this population. METHOD: This is a two-phase mixed-method study. Phase I was a cross-sectional survey of intention to take nPEP in 450 MSM attending for HIV testing, using a self-administered questionnaire...
July 1, 2017: Journal of Virus Eradication
https://www.readbyqxmd.com/read/28756397/penile-transplantation-as-an-appropriate-response-to-botched-traditional-circumcisions-in-south-africa-an-argument-against
#6
Keymanthri Moodley, Stuart Rennie
Traditional male circumcision is a deeply entrenched cultural practice in South Africa. In recent times, there have been increasing numbers of botched circumcisions by untrained and unscrupulous practitioners, leading to genital mutilation and often, the need for penile amputation. Hailed as a world's first, a team of surgeons conducted the first successful penile transplant in Cape Town, South Africa in 2015. Despite the euphoria of this surgical victory, concerns about the use of this costly intervention in a context of severe resource constraints have been raised...
July 29, 2017: Journal of Medical Ethics
https://www.readbyqxmd.com/read/28753818/phimosis-in-a-10-yr-old-boy-without-urinary-infection-how-to-inform-parents-against-circumcision
#7
Anne-Karoline Ebert, Maximilian Stehr
In a 10-yr-old boy with no abnormalities or symptoms other than nonretractability of the foreskin, the foreskin should be preserved. If treatment is needed, local corticoid application should be used as first-line therapy, as it gives excellent results in up to 90% of cases, before removing this sensitive part of the body.
June 20, 2017: European Urology Focus
https://www.readbyqxmd.com/read/28753815/phimosis-in-a-10-yr-old-boy-without-urinary-infection-how-to-inform-parents-for-circumcision
#8
Marco Castagnetti, Ciro Esposito
Circumcision can be a viable option for phimosis in a 10-yr-old boy, also if asymptomatic, in the presence of skin alterations or if the parents prefer avoid observation. Morbidity is minimal if the procedure is performed in a hospital setting.
June 24, 2017: European Urology Focus
https://www.readbyqxmd.com/read/28753544/effect-of-female-genital-cutting-performed-by-health-care-professionals-on-labor-complications-in-egyptian-women-a-prospective-cohort-study
#9
Wael F Saleh, Haitham A Torky, Mohamed A Youssef, Wael S Ragab, Mohamed A Sayed Ahmed, Ashraf Eldaly
AIM: To examine the effect of the degree of female genital cutting (FGC) performed by health-care professionals on perineal scarring; delivery mode; duration of second stage of labor; incidence of perineal tears and episiotomy in a cohort of uncircumcised versus circumcised (types I and II) women. METHODS: A prospective cohort study included 450 primigravida women in active labor attending the Faculty of Medicine Cairo University Hospital between January 2013 and August 2014...
July 28, 2017: Journal of Perinatal Medicine
https://www.readbyqxmd.com/read/28750615/implications-of-male-circumcision-for-women-in-papua-new-guinea-a-transformational-grounded-theory-study
#10
Michelle Redman-MacLaren, Jane Mills, Rachael Tommbe, David MacLaren, Rick Speare, William J H McBride
BACKGROUND: Male circumcision reduces the risk of female-to-male transmission of human immunodeficiency virus (HIV) and is being explored for HIV prevention in Papua New Guinea (PNG). PNG has a concentrated HIV epidemic which is largely heterosexually transmitted. There are a diverse range of male circumcision and penile modification practices across PNG. Exploring the implications of male circumcision for women in PNG is important to inform evidence-based health policy that will result in positive, intended consequences...
July 27, 2017: BMC Women's Health
https://www.readbyqxmd.com/read/28750140/the-diagnosis-and-management-of-male-genital-lichen-sclerosus-a-retrospective-review-of-301-patients
#11
G Kravvas, T N Shim, P R Doiron, A Freeman, C Jameson, S Minhas, A Muneer, C B Bunker
INTRODUCTION: Male genital lichen sclerosus (MGLSc) is an acquired, chronic, inflammatory skin disease that is associated with significant morbidity and squamous cell carcinoma of the penis (PSCC). However, some clinical, diagnostic and management controversies endure, including the relationship with penile intraepithelial neoplasia (PeIN). OBJECTIVES: To clarify clinical presentations, diagnostic approaches, histological findings, response to treatment and the relationship with PeIN...
July 27, 2017: Journal of the European Academy of Dermatology and Venereology: JEADV
https://www.readbyqxmd.com/read/28750070/low-hiv-incidence-in-pregnant-and-postpartum-women-receiving-a-community-based-combination-hiv-prevention-intervention-in-a-high-hiv-incidence-setting-in-south-africa
#12
Geoffrey Fatti, Najma Shaikh, Debra Jackson, Ameena Goga, Jean B Nachega, Brian Eley, Ashraf Grimwood
BACKGROUND: Young Southern African women have the highest HIV incidence globally. Pregnancy doubles the risk of HIV acquisition further, and maternal HIV acquisition contributes significantly to the paediatric HIV burden. Little data on combination HIV prevention interventions during pregnancy and lactation are available. We measured HIV incidence amongst pregnant and postpartum women receiving a community-based combination HIV prevention intervention in a high HIV incidence setting in South Africa...
2017: PloS One
https://www.readbyqxmd.com/read/28749979/attitudes-and-decision-making-about-early-infant-versus-early-adolescent-male-circumcision-demand-side-insights-for-sustainable-hiv-prevention-strategies-in-zambia-and-zimbabwe
#13
Sema K Sgaier, Sunny Sharma, Maria Eletskaya, Ram Prasad, Owen Mugurungi, Bushimbwa Tambatamba, Getrude Ncube, Sinokuthemba Xaba, Alice Nanga, Sehlulekile Gumede-Moyo, Steve Kretschmer
As countries approach their scale-up targets for the voluntary medical male circumcision program for HIV prevention, they are strategizing and planning for the sustainability phase to follow. Global guidance recommends circumcising adolescent (below 14 years) and/or early infant boys (aged 0-60 days), and countries need to consider several factors before prioritizing a cohort for their sustainability phase. We provide community and healthcare provider-side insights on attitudes and decision-making process as a key input for this strategic decision in Zambia and Zimbabwe...
2017: PloS One
https://www.readbyqxmd.com/read/28747167/combined-interventions-to-reduce-hiv-incidence-in-kwazulu-natal-a-modelling-study
#14
Stéphanie Blaizot, Helena Huerga, Benjamin Riche, Tom Ellman, Amir Shroufi, Jean-François Etard, René Ecochard
BACKGROUND: Combined prevention interventions, including early antiretroviral therapy initiation, may substantially reduce HIV incidence in hyperendemic settings. Our aim was to assess the potential short-term impact of combined interventions on HIV spreading in the adult population of Mbongolwane and Eshowe (KwaZulu-Natal, South Africa) using sex- and age-specific scenarios, and age-targeted interventions. METHODS: A mathematical model was used with data on adults (15-59 years) from the Mbongolwane and Eshowe HIV Impact in Population Survey to compare the effects of various interventions on the HIV incidence rate...
July 26, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28743816/penile-anaerobic-dysbiosis-as-a-risk-factor-for-hiv-infection
#15
Cindy M Liu, Jessica L Prodger, Aaron A R Tobian, Alison G Abraham, Godfrey Kigozi, Bruce A Hungate, Maliha Aziz, Fred Nalugoda, Sanjeev Sariya, David Serwadda, Rupert Kaul, Ronald H Gray, Lance B Price
Sexual transmission of HIV requires exposure to the virus and infection of activated mucosal immune cells, specifically CD4(+) T cells or dendritic cells. The foreskin is a major site of viral entry in heterosexual transmission of HIV. Although the probability of acquiring HIV from a sexual encounter is low, the risk varies even after adjusting for known HIV risk factors. The genital microbiome may account for some of the variability in risk by interacting with the host immune system to trigger inflammatory responses that mediate the infection of mucosal immune cells...
July 25, 2017: MBio
https://www.readbyqxmd.com/read/28737591/hiv-incidence-and-predictors-of-hiv-acquisition-from-an-outside-partner-in-serodiscordant-couples-in-lusaka-zambia-1995-2012
#16
Dvora L Joseph Davey, Kristin M Wall, William Kilembe, Htee Khu Naw, Ilene Brill, Bellington Vwalika, Elwyn Chomba, Joseph Mulenga, Amanda Tichacek, Marjan Javanbakt, Pamina Gorbach, Susan Allen
OBJECTIVE: Evaluate the incidence and predictors of HIV acquisition from outside partners in serodiscordant couples. METHODS: Demographic, behavioral, and clinical exposures were measured quarterly in a cohort of serodiscordant cohabiting couples in Zambia from 1995-2012 (n=3049). Genetic analysis classified incident infections as those acquired from the study partner (linked) or acquired from an outside partner (unlinked). Factors associated with time to unlinked HIV infection were evaluated using multivariable Cox proportional hazards regression stratified by gender...
July 4, 2017: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/28732496/accuracy-and-determinants-of-perceived-hiv-risk-among-young-women-in-south-africa
#17
Brendan Maughan-Brown, Atheendar S Venkataramani
BACKGROUND: HIV risk perceptions are a key determinant of HIV testing. The success of efforts to achieve an AIDS-free generation - including reaching the UNAIDS 90-90-90 target - thus depends critically on the content of these perceptions. We examined the accuracy of HIV-risk perceptions and their correlates among young black women in South Africa, a group with one of the highest HIV incidence rates worldwide. METHODS: We used individual-level longitudinal data from the Cape Area Panel Study (CAPS) from 2005 to 2009 on black African women (20-30 years old in 2009) to assess the association between perceived HIV-risk in 2005 and the probability of testing HIV-positive four years later...
July 21, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28727375/an-unanswered-question-in-pediatric-urology-the-post-pubertal-persistence-of-prepubertal-congenital-penile-curvature-correction-by-tunical-plication
#18
Ünsal Ozkuvanci, Orhan Ziylan, M Irfan Dönmez, Omer Baris Yucel, Tayfun Oktar, Haluk Ander, Ismet Nane
OBJECTIVE: The aim of this study is to analyze post pubertal results of pre pubertal tunica albuginea plication with non-absorbable sutures in the correction of CPC. MATERIALS AND METHODS: The files of patients who underwent tunica albuginea plication without incision (dorsal/lateral) were retrospectively reviewed. Patients younger than 13 years of age at the time of operation and older than 14 years of age in November 2015 were included. Patients with a penile curvature of less than 30 degrees & more than 45 degrees and penile/urethral anomalies were excluded...
June 14, 2017: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/28723479/infectious-complications-of-circumcision-and-their-prevention
#19
REVIEW
Itzhak Brook
CONTEXT: A growing body of evidence supports the health benefits of circumcision, but the occurrence of infectious complications is of concern. OBJECTIVE: To review literature presenting past data and studies of infectious complications of circumcision and their prevention. EVIDENCE ACQUISITION: A literature search was conducted of the Cochrane Library, Embase, Turning Research into Practice, PubMed, and Medline databases from their inception through June 25, 2015...
October 2016: European Urology Focus
https://www.readbyqxmd.com/read/28718498/assessing-hiv-acquisition-risks-among-men-who-have-sex-with-men-in-the-united-states-of-america
#20
Ram K Shrestha, Stephanie L Sansom, David W Purcell
Men who have sex with men (MSM) can reduce their risk of acquiring human immunodeficiency virus (HIV) by using various prevention strategies and by understanding the effectiveness of each option over the short- and long-term. Strategies examined were: circumcision; insertive anal sex only; consistent, 100% self-reported condom use; and pre-exposure prophylaxis (PrEP). PrEP efficacy was based on three levels of adherence. The cumulative HIV acquisition risk among MSM over periods of 1 year and 10 years were estimated with and without single and combinations of prevention strategies...
December 2016: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
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