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Male circumcision

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https://www.readbyqxmd.com/read/29150457/combination-analgesia-for-neonatal-circumcision-a-randomized-controlled-trial
#1
Rana Sharara-Chami, Zavi Lakissian, Lama Charafeddine, Nadine Milad, Yaser El-Hout
OBJECTIVES: There is no consensus on the most effective pain management for neonatal circumcision. We sought to compare different modalities. METHODS: This is a double-blinded randomized controlled trial comparing 3 combination analgesics used during circumcision (EMLA + sucrose; EMLA + sucrose + dorsal penile nerve block [DPNB]; EMLA + sucrose + ring block [RB]) with the traditional topical analgesic cream EMLA alone. The trial was set in the normal nursery of a teaching hospital...
November 17, 2017: Pediatrics
https://www.readbyqxmd.com/read/29147059/tetanus-in-adult-males-bugando-medical-centre-united-republic-of-tanzania
#2
Riaz Aziz, Robert N Peck, Samuel Kalluvya, Bernard Kenemo, Alphonce Chandika, Jennifer A Downs
Problem: In the United Republic of Tanzania, the incidence of non-neonatal circumcision-related tetanus is probably underreported. Approach: We analysed charts and extracted information on outcome and wound location for non-neonatal cases of tetanus admitted to the intensive care unit of Bugando Medical Centre between 2001 and 2016. Local setting: Bugando Medical Centre, which is one of four teaching referral hospitals in the United Republic of Tanzania, has a 13-bed intensive care unit that manages all admitted patients with tetanus...
November 1, 2017: Bulletin of the World Health Organization
https://www.readbyqxmd.com/read/29136009/early-resumption-of-sexual-activity-following-voluntary-medical-male-circumcision-in-botswana-a-qualitative-study
#3
Jenny H Ledikwe, Nankie M Ramabu, Lisa P Spees, Scott Barnhart, Conrad Ntsuape, Bazghina-Werq Semo, Kathleen E Wirth
Unprotected sexual intercourse after undergoing voluntary medical male circumcision but prior to complete wound healing can lead to major adverse events including HIV acquisition. To better understand perceptions related to early resumption of sex prior to wound healing, 27 focus group discussions were conducted among 238 adult men, women, and community leaders in Botswana. Median age among all participants was 31 years of whom 60% were male and 51% were either employed and receiving salary or self-employed...
2017: PloS One
https://www.readbyqxmd.com/read/29117244/re-establishing-safer-medical-circumcision-integrated-initiation-ceremonies-for-hiv-prevention-in-a-rural-setting-in-papua-new-guinea-a-multi-method-acceptability-study
#4
Clement Morris Manineng, David MacLaren, Maggie Baigry, Emil Trowalle, Reinhold Muller, Andrew Vallely, Patrick Gesch, Francis Hombhanje, William John McBride
BACKGROUND: Efforts to stem the spread of Human Immunodeficiency Virus (HIV) in Papua New Guinea (PNG) are hampered by multiple interrelated factors including limited health services, extreme diversities in culture and language and highly prevalent gender inequity, domestic violence and poverty. In the rural district of Yangoru-Saussia, a revival of previously ceased male initiation ceremonies (MICs) is being considered for a comprehensive approach to HIV prevention. In this study, we explore the local acceptability of this undertaking including replacing traditional penile cutting practices with medical male circumcision (MMC)...
2017: PloS One
https://www.readbyqxmd.com/read/29112959/a-prospective-cohort-study-of-safety-and-patient-satisfaction-of-voluntary-medical-male-circumcision-in-botswana
#5
Kathleen E Wirth, Bazghina-Werq Semo, Lisa P Spees, Conrad Ntsuape, Scott Barnhart, Jenny H Ledikwe
Randomized trials have shown that voluntary medical male circumcision (VMMC) significantly reduces the risk of HIV acquisition in men. However, the rate of complications associated with the surgical procedure varies from 0.7% to 37.4% in real-world settings. We assessed the frequency, type and severity of adverse events following VMMC among 427 adult men surgically circumcised in southeastern Botswana; 97% completed ≥1 follow-up visit within seven days post-circumcision. Thirty moderate AEs were observed in 28 men resulting in an overall AE rate of 6...
2017: PloS One
https://www.readbyqxmd.com/read/29107569/school-support-as-structural-hiv-prevention-for-adolescent-orphans-in-western-kenya
#6
Hyunsan Cho, Isabella Mbai, Winnie Kavulani Luseno, Marcia Hobbs, Carolyn Halpern, Denise Dion Hallfors
PURPOSE: Using a clustered randomized controlled trial design, we evaluated whether support to keep Kenyan orphaned adolescents in school reduces the risk of HIV infection. METHODS: Participants included 835 orphaned boys and girls in grades 7 and 8 (mean age at the baseline = 15 years) in western Kenya. Primary schools (N = 26) were randomized to the study condition. Intervention participants received school uniforms, payment of tuition when they transitioned into high school, and nurse visits to monitor school absenteeism and provide assistance to stay in school...
October 26, 2017: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/29097659/impact-of-educational-interventions-on-acceptance-and-uptake-of-male-circumcision-in-the-general-population-of-western-china-a-multicenter-cohort-study
#7
Bo Zhou, Chuanyi Ning, Chase D McCann, Yanyan Liao, Xiaobo Yang, Yunfeng Zou, Junjun Jiang, Bingyu Liang, Abu S Abdullah, Bo Qin, Halmurat Upur, Chaohui Zhong, Li Ye, Hao Liang
To compare different intervention models for promoting male circumcision (MC) to prevent HIV transmission in Western China. A total of 1690 male participants from multiple study sites were cluster randomly allocated to three-stage (Model A), two-stage (Model B), and one-stage (Model C) educational interventions. In all three interventions models, knowledge about MC significantly increased and the reported willingness to accept MC increased to 52.6% (255/485), 67.0% (353/527), and 45.5% (219/481) after intervention, respectively (P < 0...
November 2, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29073167/revealed-willingness-to-pay-versus-standard-cost-effectiveness-thresholds-evidence-from-the-south-african-hiv-investment-case
#8
Gesine Meyer-Rath, Craig van Rensburg, Bruce Larson, Lise Jamieson, Sydney Rosen
BACKGROUND: The use of cost-effectiveness thresholds based on a country's income per capita has been criticized for not being relevant to decision making, in particular in middle-income countries such as South Africa. The recent South African HIV Investment Case produced an alternative cost-effectiveness threshold for HIV prevention and treatment interventions based on estimates of life years saved and the country's committed HIV budget. METHODS: We analysed the optimal mix of HIV interventions over a baseline of the current HIV programme under the committed HIV budget for 2016-2018...
2017: PloS One
https://www.readbyqxmd.com/read/29072123/opinions-and-perceptions-regarding-traditional-male-circumcision-with-related-deaths-and-complications
#9
Mbuyiselo Douglas, Thelmah Xavela Maluleke, Thabang Manyaapelo, Vicki Pinkney-Atkinson
The notion of manhood values is highly treasured and respected by various cultural groups practicing traditional male circumcision (TMC) in South Africa. This study was conducted at Libode, Eastern Cape, South Africa. The goals of this study were to (a) explore opinions and perceptions related to TMC among boys from 12 to 18 years of age, and (b) determine the actions to be taken to prevent high mortality and morbidity rates related to TMC. A simple random sampling was used to select three focus group discussions with 36 circumcised boys, and purposive sampling was used to select 10 key informants...
October 1, 2017: American Journal of Men's Health
https://www.readbyqxmd.com/read/29061194/impact-of-a-community-health-worker-hiv-treatment-and-prevention-intervention-in-an-hiv-hotspot-fishing-community-in-rakai-uganda-mlake-study-protocol-for-a-randomized-controlled-trial
#10
Larry W Chang, Ismail Mbabali, Xiangrong Kong, Heidi Hutton, K Rivet Amico, Caitlin E Kennedy, Fred Nalugoda, David Serwadda, Robert C Bollinger, Thomas C Quinn, Steven J Reynolds, Ronald Gray, Maria Wawer, Gertrude Nakigozi
BACKGROUND: Effective yet practical strategies are needed to increase engagement in HIV treatment and prevention services, particularly in high-HIV-prevalence hotspots. We designed a community-based intervention called "Health Scouts" to promote uptake and adherence to HIV services in a highly HIV-prevalent fishing community in Rakai, Uganda. Using a situated Information, Motivation, and Behavioral skills theory framework, the intervention consists of community health workers, called Health Scouts, who use motivational interviewing strategies and mobile health tools to promote engagement in HIV treatment and prevention services...
October 23, 2017: Trials
https://www.readbyqxmd.com/read/29041800/an-exploration-of-the-knowledge-attitudes-and-beliefs-of-xhosa-men-concerning-traditional-circumcision
#11
Salome Froneman, Paul A Kapp
BACKGROUND: The practice of traditional circumcision is associated with considerable morbidity and mortality, yet there is a paucity of literature that provides an understanding of the cultural values that influence men to choose traditional rather than medical circumcision.The aim of this study was to better understand the culture surrounding traditional circumcision, with a view to addressing morbidity and mortality rates associated with the Xhosa male initiation rituals.We explored Xhosa men's perceptions regarding the need for the risks and the social pressure to undergo traditional circumcision, the impact of non-initiation or failed initiation and the perceived barriers to obtaining medical help for the complications of traditional circumcisions...
October 13, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/29029086/hiv-prevention-costs-and-their-predictors-evidence-from-the-orphea-project-in-kenya
#12
Omar Galárraga, Richard G Wamai, Sandra G Sosa-Rubí, Mercy G Mugo, David Contreras-Loya, Sergio Bautista-Arredondo, Helen Nyakundi, Joseph K Wang'ombe
We estimate costs and their predictors for three HIV prevention interventions in Kenya: HIV testing and counselling (HTC), prevention of mother-to-child transmission (PMTCT) and voluntary medical male circumcision (VMMC). As part of the 'Optimizing the Response of Prevention: HIV Efficiency in Africa' (ORPHEA) project, we collected retrospective data from government and non-governmental health facilities for 2011-12. We used multi-stage sampling to determine a sample of health facilities by type, ownership, size and interventions offered totalling 144 sites in 78 health facilities in 33 districts across Kenya...
December 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29028293/a-large-case-series-on-surgical-outcomes-in-congenital-fxiii-deficiency-patients-in-iran
#13
Majid Naderi, Sezaneh Haghpanah, Ghasem Miri-Aliabad, Hakimeh Tavosi, Mehran Karimi
BACKGROUND: The lack of accepted standardized surgical guidelines leads to dependence on the treating physicians' and centers' experiences. AIM: Our aim is to evaluate the surgical outcomes on a large group of congenital FXIII deficiency (FXIIID) patients. METHODS: A case series study was conducted on congenital FXIIID patients in two major referral centers located in Iran from 2010 to 2016 prior to surgery. All patients were on prophylaxis using plasma factor XIII concentrate (10 U kg(-1) , every 28 days) except three patients...
October 13, 2017: Journal of Thrombosis and Haemostasis: JTH
https://www.readbyqxmd.com/read/29025633/association-between-male-circumcision-and-women-s-biomedical-health-outcomes-a-systematic-review
#14
Jonathan M Grund, Tyler S Bryant, Inimfon Jackson, Kelly Curran, Naomi Bock, Carlos Toledo, Joanna Taliano, Sheng Zhou, Jorge Martin Del Campo, Ling Yang, Apollo Kivumbi, Peizi Li, Sherri Pals, Stephanie M Davis
BACKGROUND: Male circumcision reduces men's risk of acquiring HIV and some sexually transmitted infections from heterosexual exposure, and is essential for HIV prevention in sub-Saharan Africa. Studies have also investigated associations between male circumcision and risk of acquisition of HIV and sexually transmitted infections in women. We aimed to review all evidence on associations between male circumcision and women's health outcomes to benefit women's health programmes. METHODS: In this systematic review we searched for peer-reviewed and grey literature publications reporting associations between male circumcision and women's health outcomes up to April 11, 2016...
November 2017: Lancet Global Health
https://www.readbyqxmd.com/read/29025620/effect-of-male-circumcision-on-risk-of-sexually-transmitted-infections-and-cervical-cancer-in-women
#15
Brian J Morris, Catherine A Hankins
No abstract text is available yet for this article.
November 2017: Lancet Global Health
https://www.readbyqxmd.com/read/29016651/soccer-based-promotion-of-voluntary-medical-male-circumcision-a-mixed-methods-feasibility-study-with-secondary-students-in-uganda
#16
George Miiro, Jeff DeCelles, Rwamahe Rutakumwa, Jessica Nakiyingi-Miiro, Philip Muzira, Wilber Ssembajjwe, Saidat Musoke, Lorna J Gibson, Rebecca B Hershow, Suzanna Francis, Belen Torondel, David A Ross, Helen A Weiss
The Ugandan government is committed to scaling-up proven HIV prevention strategies including safe male circumcision, and innovative strategies are needed to increase circumcision uptake. The aim of this study was to assess the acceptability and feasibility of implementing a soccer-based intervention ("Make The Cut") among schoolboys in a peri-urban district of Uganda. The intervention was led by trained, recently circumcised "coaches" who facilitated a 60-minute session delivered in schools, including an interactive penalty shoot-out game using metaphors for HIV prevention, sharing of the coaches' circumcision story, group discussion and ongoing engagement from the coach to facilitate linkage to male circumcision...
2017: PloS One
https://www.readbyqxmd.com/read/28990535/voluntary-medical-male-circumcision-to-prevent-hiv-in-tanah-papua-indonesia-field-trial-to-assess-acceptability-and-feasibility
#17
M Ridwan Ansari, Elan Lazuardi, Frank Stephen Wignall, Constant Karma, Sylvanus A Sumule, Siti Nadia, Robert Magnani
BACKGROUND: Relatively little attention has been directed to the significant HIV prevention role that voluntary medical male circumcision (VMMC) can play in populations with moderate levels of HIV prevalence. One such location is Tanah Papua, Indonesia, which in 2013 had a general population HIV prevalence of 2.3% concentrated among indigenous Papuans (2.9% prevalence), very few of whom are circumcised. This article reports the findings of an implementation research study assessing the acceptability and feasibility of introducing VMMC for HIV prevention...
October 5, 2017: Current HIV Research
https://www.readbyqxmd.com/read/28989010/global-health-education-for-medical-students-when-learning-objectives-include-research
#18
Alison M Bales, Anthony R Oddo, David J Dennis, Robert C Siska, Echo VanderWal, Harry VanderWal, Nompumelelo Dlamini, Ronald J Markert, Mary C McCarthy
BACKGROUND: The Luke Commission, a provider of comprehensive mobile health outreach in rural Swaziland, focuses on human immunodeficiency virus testing and prevention, including the performance of over 100 circumcisions weekly. Educational objectives for medical student global health electives are essential. Learning research methodology while engaging in clinical activities reinforces curriculum goals. Medical care databases can produce clinically significant findings affecting international health policy...
October 5, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28982175/predictors-of-voluntary-medical-male-circumcision-prevalence-among-men-aged-25-39-years-in-nyanza-region-kenya-results-from-the-baseline-survey-of-the-tasco-study
#19
Elijah Odoyo-June, Kawango Agot, Jonathan M Grund, Frankline Onchiri, Paul Musingila, Edward Mboya, Donath Emusu, Jacob Onyango, Spala Ohaga, Leonard Soo, Boaz Otieno-Nyunya
INTRODUCTION: Uptake of voluntary medical male circumcision (VMMC) as an intervention for prevention of HIV acquisition has been low among men aged ≥25 years in Nyanza region, western Kenya. We conducted a baseline survey of the prevalence and predictors of VMMC among men ages 25-39 years as part of the preparations for a cluster randomized controlled trial (cRCT) called the Target, Speed and Coverage (TASCO) Study. The TASCO Study aimed to assess the impact of two demand creation interventions-interpersonal communication (IPC) and dedicated service outlets (DSO), delivered separately and together (IPC + DSO)-on VMMC uptake...
2017: PloS One
https://www.readbyqxmd.com/read/28978292/factors-associated-with-the-take-up-of-voluntary-medical-male-circumcision-amongst-learners-in-rural-kwazulu-natal
#20
Gavin George, Kaymarlin Govender, Sean Beckett, Carl Montague, Janet Frohlich
Voluntary medical male circumcision (VMMC) is an integral part of South Africa's HIV prevention programme. School-going males, in particular, are considered a cost-effective target population. However, ambitious policy targets have not been achieved due to the plateau in demand for VMMC. This study documents the factors influencing demand for VMMC amongst school-going males. Data were collected from 750 learners (251 circumcised and 499 uncircumcised) from 42 secondary schools in KwaZulu-Natal, South Africa...
September 2017: African Journal of AIDS Research: AJAR
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