Artículos de revistas sobre el tema "Genigar (Israel)"
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1
Boum, Aomar. "“The Virtual Genizah”: Emerging North African Jewish and Muslim Identities Online". International Journal of Middle East Studies 46, n.º 3 (18 de julio de 2014): 597–601. http://dx.doi.org/10.1017/s0020743814000658.
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After the establishment of the State of Israel, the Zionist narrative dominated the histories and historiographies of Middle Eastern and North African Jewries. Accordingly, Jews and Arabs were largely kept as distinct binaries divided by the intellectual walls that separated Middle East studies and Jewish studies programs. Local North African and Middle Eastern scholars also silenced or overlooked the Jewish dimension of Middle Eastern societies in the same manner that Israeli scholars ignored the historical connections between Arabs and Jews that existed both before and after 1948. The exclusive, sacred yet ebbing, nationalist paradigm has been plagued with historiographical fissures in recent decades, allowing a new wave of intellectual engagement by a young generation of Jewish and Muslim scholars who began to put the Jew and the Arab back into local and global histories formed through complex social, cultural, economic, and political networks.
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Meoded Danon, Limor. "The Parental Struggle With the Israeli Genital Socialization Process". Qualitative Health Research 31, n.º 5 (3 de febrero de 2021): 898–912. http://dx.doi.org/10.1177/1049732320984420.
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The focus of this article is on how parents of children with “nonnormative” genitalia cope with the conflict between the genital socialization process and their children’s genital autonomy in the Israeli medical–sociocultural context. Based on a qualitative narrative study that included 18 parents of children born with atypical genitalia and 23 parents who had chosen not to circumcise their sons, I compare parents’ experiences and perceptions of genital autonomy and examine the challenges posed by the Israeli genital socialization process from their perspective. In this study, I aim to shed light on the stressful and powerful Israeli genital socialization process, in which the medical, familial, and religious forces reproduce gendered normative genital appearances. The parents’ physical and emotional experiences include feelings of doubt and a critical stance toward genital socialization, changes in perceptions regarding genital appearance, and parental practices that challenge the meaning and outcomes of genital surgeries.
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Asali, Abed, Naif Khamaysi, Yunis Aburabia, Simha Letzer, Buteina Halihal, Moshe Sadovsky, Benjamin Maoz y R. H. Belmaker. "Ritual female genital surgery among bedouin in Israel". Archives of Sexual Behavior 24, n.º 5 (octubre de 1995): 571–75. http://dx.doi.org/10.1007/bf01541836.
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Wyatt, Nick. "Circumcision and Circumstance: Male Genital Mutilation in Ancient Israel and Ugarit". Journal for the Study of the Old Testament 33, n.º 4 (11 de mayo de 2009): 405–31. http://dx.doi.org/10.1177/0309089209105687.
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Halila, Suhil, R. H. Belmaker, Yunis Abu Rabia, Miron Froimovici y Julia Applebaum. "Disappearance of Female Genital Mutilation from the Bedouin Population of Southern Israel". Journal of Sexual Medicine 6, n.º 1 (enero de 2009): 70–73. http://dx.doi.org/10.1111/j.1743-6109.2008.01136.x.
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Sela, Shulamit. "The head of the Rabbanite, Karaite and Samaritan Jews: on the history of a title". Bulletin of the School of Oriental and African Studies 57, n.º 2 (junio de 1994): 255–67. http://dx.doi.org/10.1017/s0041977x00024848.
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For over a hundred years, scholars of medieval Jewish history have been interested in the history of the headship of the Jews in Egypt. The first among them, relying mostly on literary documents, believed that the ancient accounts about the establishment of the office of the head of the Jews (Nagid) could be traced back to the Fātimid occupation of Egypt (A.D. 969), while recent scholars—having at their disposal a growing stream of historical data from the Cairo Geniza—have ruled out the early establishment of the headship of the Jews (Negidut) because of the silence about this function in the Geniza documents of the first half of the eleventh century.With the rejection of the early establishment of the headship of the Jews in Egypt, an approach developed which attempted to view the Gaon, head of the Palestinian academy, as the head of the Jews in the Fātimid empire. Now, the rise of the headship of the Jews in Egypt was seen in conjunction with the decline of the Yeshiva of Eretz Israel, at the close of the eleventh century. Lately, scholarship has been enriched by the deciphering of two new Geniza documents related to the office of the headship of the Jews which provide an opportunity for a renewed discussion of two central problems. The first touches upon the old question of putting a date to the establishment of the headship of the Jews in Egypt, and the second, following on from the first, concerns the issue of the status of the Gaon of Eretz Israel during the Fatimid administration.
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MORGULIS, ELIZABETH. "Review of Otites Latreille (Diptera: Ulidiidae) from Israel with two new species and notes on biology and behavior". Zootaxa 3619, n.º 5 (4 de marzo de 2013): 541–53. http://dx.doi.org/10.11646/zootaxa.3619.5.3.
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The genus Otites Latreille was recorded for the first time from Israel during the study of Ulidiidae in the local fauna in 2009–2012, with three species occurring here: O. grata Loew, O. nox n. sp. and O. vitalyi n. sp. The three species are described and illustrated, and a key for their identification is provided. Laboratory behavioral observations on live O. grata individuals revealed a new mating trophallaxis behavior: a transfer of substance, during copulation, through the genital tracts of the male to the female, which the female expels and consumes after copulation.
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Maier, Christl M. "Jeremia am Ende. Prophetie als Schriftgelehrsamkeit". Evangelische Theologie 77, n.º 1 (1 de febrero de 2017): 44–56. http://dx.doi.org/10.14315/evth-2017-0107.
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Abstract The contribution discusses a shift in Old Testament prophetic research, starting with recent studies on extra-biblical prophetic texts, on reading and writing capacities in ancient Israel, and on the Septuagint as well as Qumran manuscripts. The image of a genial, inspired lone wolf is replaced by the idea of tradent prophecy. This transformed perspective on prophecy is illustrated by Jer 1:4-10 and Jer 36. Finally the essay sheds some light on consequences for the discussion between the theological disciplines.
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Haim, Ofir. "What is the “Afghan Genizah”? A short guide to the collection of the Afghan Manuscripts in the National Library of Israel, with the edition of two documents". Afghanistan 2, n.º 1 (abril de 2019): 70–90. http://dx.doi.org/10.3366/afg.2019.0026.
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This article provides an overview of a rare collection of manuscripts that was purchased by the National Library of Israel in recent years. These manuscripts, which belong to a larger corpus of manuscripts known as the “Afghan Genizah,” appear to have originated in central Afghanistan, possibly in the Bamiyan area, and are datable to a period of two hundred years, namely, from the early 5th/11th century to the early 7th/13th century. The overview of these texts is accompanied by an edition and translation of two Islamic acknowledgment (iqrār) deeds in New Persian, dated to the beginning of the 5th/11th century.
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Mitrani-Rosenbaum, Stella, David Gal, Michael Friedman, Nurit Kitron, Rimona Tsvieli, Nathan Mordel y Shaul O. Anteby. "Papillomaviruses in lesions of the lower genital tract in Israeli patients". European Journal of Cancer and Clinical Oncology 24, n.º 4 (abril de 1988): 725–31. http://dx.doi.org/10.1016/0277-5379(88)90306-9.
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Applebaum, Julia, Hagit Cohen, Michael Matar, Yones Abu Rabia y Zeev Kaplan. "Symptoms of Posttraumatic Stress Disorder After Ritual Female Genital Surgery Among Bedouin in Israel". Primary Care Companion to The Journal of Clinical Psychiatry 10, n.º 06 (15 de diciembre de 2008): 453–56. http://dx.doi.org/10.4088/pcc.v10n0605.
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FAJFER, MONIKA. "Two new mite species of the genus Geckobia Mégnin (Acariformes: Pterygosomatidae) from Israel". Zootaxa 5227, n.º 2 (5 de enero de 2023): 251–64. http://dx.doi.org/10.11646/zootaxa.5227.2.5.
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Two new species of pterygosomatid mites parasitizing Sinai fan-fingered gecko Ptyodactylus guttatus Heyden (Phyllodactylidae) from Israel are described: Geckobia bochkovi sp. nov. and Geckobia synthesys sp. nov. The former species is the most similar to Geckobia squameum Bertrand, Paperna, and Finkelman, 1999, but differs by the presence of a well-outlined, slightly concave propodonotal shield in its anterior and posterior margin, fine-pointed dorsal setae that slightly increase in length from the anterior to the posterior part of the idiosoma, leg setae l’FI and l’GI, shape of coxal setae 4a, 4b and 4c which are slender and smooth or with barely discernible serration. The latter species is most similar to Geckobia keegani Lawrence, 1953 but differs in the shape of the propodonotal shield, which is almost straight in its posterior margin, the presence of five pairs of setae on the shield, 19–28 pairs of idiosomal ventral setae, three genital setae and leg setae l’GI, l’GIV, vFI–II, vFIII–IV, lFIII–IV and vTrIV.
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Reif, Stefan C. "The Genizah and Jewish Liturgy: Past Achievements and a Current Project". Medieval Encounters 5, n.º 1 (1999): 29–45. http://dx.doi.org/10.1163/157006799x00240.
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AbstractSchechter appreciated the significance of his liturgical finds in the Genizah but important contributions were carlier made in Oxford by Adolf Neubauer, and his nephew, Adolf Büchler. Publication of such fragments progressed in Europe, and leading figures were Ismar Elbogen and Jacob Mann. In the U.S.A., Louis Finkelstein attempted to reconstruct the "original" Second Temple versions of the amidah and the grace after meals. More recently, Naphtali Wieder has analysed hundreds of fragments that permit comparisons of the Palestinian and Babylonian rites while Ezra Fleischer has questioned Joseph Heinemann's theory about the existence of equally valid alternatives of the standard prayers in the talmudic period, and produced a major monograph on Eretz-Israel customs. Note should be taken of variant methodologies, of the contributions of younger scholars, and of new theories inspired by a century of Genizah finds. One of the remaining questions, being dealt with by Reif, assesses how the physical medium has affected the development of content. Recent research traces how the single leaf evolved into the codex, how the private individual became the professional scribe, and how brief and provisional notes turned into formal, and virtually canonized, prayer-books.
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Urbina, Sergio, Hernando Ruiz y Sofia Parejas. "Pelvic Actynomyces Infection: Report of Two Cases Occurred in the Hospital of San José". Infectious Diseases in Obstetrics and Gynecology 2006 (2006): 1–2. http://dx.doi.org/10.1155/idog/2006/69020.
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The actynomyces infection is a rare cause of chronic pelvic inflammation, which can be manifested in multiple ways. It is caused by the actynomyces bacteria, usually by the israelii type, which can be a part of the normal flora of the genital tract in patients who use intrauterine device (IUD). There is a discussion about the importance of considering this infection disease as part of the differential diagnosis in patients using the IUD, with atypical manifestations and bizarre presentation of infections of the genital tract, severe pelvic adherent syndromes, tubo-ovarian complexes (abscesses) barely symptomatic, and in the case of intraoperatory suspicion of pelvic carcinomatosis among others.
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HAIM, OFIR. "Acknowledgment Deeds (iqrārs) in Early New Persian from the Area of Bāmiyān (395–430 ah/1005–1039 ce)". Journal of the Royal Asiatic Society 29, n.º 3 (julio de 2019): 415–46. http://dx.doi.org/10.1017/s1356186318000718.
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AbstractThe article provides an edition and translation of eight early Islamic acknowledgment (iqrār) deeds written in Early New Persian, which are preserved in the National Library of Israel. The acknowledgment deeds are part of a rich trove of manuscripts known as the “Afghan Genizah”, reportedly found in the area of Bāmiyān in central Afghanistan. Dated between the years 395–430/1005–1039, the eight discussed acknowledgment deeds are probably the earliest extant legal documents written in New Persian. This implies that Islamic legal documents were drawn up in New Persian in the area of Bāmiyān—and perhaps in other eastern Iranian territories—as early as the beginning of the 5th/11th century. Furthermore, a thorough examination of the formulaic structure of these acknowledgment deeds reveals their reliance on Arabic legal formulae, which may reflect an early stage of legal writing in New Persian.
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Belmaker, R. "PL02 Female Genital Mutilation: Successful Social Change Exemplified by Israeli Bedouin and Ethiopian Jews". Asian Journal of Psychiatry 4 (julio de 2011): S1—S2. http://dx.doi.org/10.1016/s1876-2018(11)60005-1.
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Samra, Zmira, Edna Scherf y Michael Dan. "Herpes Simplex Virus Type 1 Is the Prevailing Cause of Genital Herpes in the Tel Aviv Area, Israel". Sexually Transmitted Diseases 30, n.º 10 (octubre de 2003): 794–96. http://dx.doi.org/10.1097/01.olq.0000079517.04451.79.
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SZPILA, KRZYSZTOF, DOMINIKA WYBORSKA, CEZARY BYSTROWSKI y THOMAS PAPE. "Redescription of Sphecapatoclea excisa Villeneuve, 1909 (Diptera: Sarcophagidae)". Zootaxa 4728, n.º 1 (21 de enero de 2020): 110–22. http://dx.doi.org/10.11646/zootaxa.4728.1.5.
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Sphecapatoclea excisa Villeneuve, 1909, the type species of the Palaearctic genus Sphecapatoclea Villeneuve, 1909, is redescribed based on a female syntype and on material from Makhtesh Ramon National Park, Israel, and its first instar larva is described for the first time. The species is sexually dimorphic, with much darker adult males. The male genital apparatus is unique by its compressed and sclerotised epiphallus. The morphology of the first instar larva is in accordance with the recently suggested position of the genus Sphecapatoclea in the Old World clade of the “lower” Miltogramminae. Two COI mini-barcodes are provided for S. excisa, and molecular data are in agreement with sequences for Sphecapatoclea spp. available in GenBank. Morphology supports a broad concept of the genus, as S. excisa presents a mixture of character states traditionally used to diagnose either Sphecapatoclea (s. str.) or Parthomyia Rohdendorf, 1925. Available morphological keys for genera of Palaearctic Miltogramminae are compared for functionality, and possible autapomorphies from both adult and larval morphology are discussed.
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Derks, Marco. "“If I Be Shaven, Then My Strength Will Go from Me”". biblical interpretation 23, n.º 4-5 (2 de noviembre de 2015): 553–73. http://dx.doi.org/10.1163/15685152-02345p05.
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Samson is well known for his long hair and exceptional strength. Most commentators, however, have overlooked the fact that it is Samson himself who constructs a connection between his hair and his strength. He had considered his hairstyle a sign of his hypermasculine identity instead of a demarcation of his Naziriteship. Reading the Samson narrative from a queer perspective, this article shows how Samson’s “heterosexuality” is produced, appears, and dissolves back into queerness. Samson’s hypermasculinity is a covering for his queer identity and results in his construction of several interrelated dualisms (Israel/Philistines, male/female, strong/weak, etc.) and in his excessive use of violence (physical, sexual, rhetorical, symbolic) against both women and men. When he meets a woman (Delilah) who doesn’t fit in his phallogocentric ideology, he reveals his secret through a non-genital erotic play (BDSM) with her and loses his strength when she symbolically castrates him by cutting his hair.
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Lavee, Moshe. "Marital Bond and Genealogical Anxiety – Reaffirming the Schism between Rabbinic Texts from Babylonia and the Land of Israel". Journal of Ancient Judaism 11, n.º 1 (7 de septiembre de 2020): 116–47. http://dx.doi.org/10.30965/21967954-12340006.
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Abstract Societies are constituted of thick networks of intersecting constructs: genealogical anxiety is bound up with stronger patriarchal family structures. Goody and Guichard portrayed two clusters of social features – the “Occidental” (bi-lineal family model, strengthened nuclear family, solid husband-wife relationship, monogamy, loose gender separation, and a higher status of women); and the “Oriental” (patrilineal model, broader family structure, weak husband-wife relationship, tribal importance attributed to genealogy, codes of honor and shame, legitimacy of polygamy, rigid gender separation, a lower status of women, active men, and female passivity). Following these taxonomies, the article explores the relationship between genealogical anxiety and intersecting social commitments in classical and early medieval rabbinic culture: Talmudic and Midrashic stories, as well as an exegetical narrative from an unknown Midrash preserved in the Genizah. It also claims that the earlier sources are proven helpful in reaffirming the claim for a different mode of genealogical anxiety in Babylonian sources.
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Gueta, Itai, Jessica Ross, Revital Sheinberg, Rimona Keidar, Ayelet Livne, Matitiahu Berkovitch, Maya Berlin et al. "Association between prenatal phthalate exposure and ano-genital indices among offsprings in an Israeli cohort". Heliyon 10, n.º 13 (julio de 2024): e33633. http://dx.doi.org/10.1016/j.heliyon.2024.e33633.
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Komba Boussaga, Yvonne, Griche Aissam, Rabab Ghalmi, Felicite Niafam Etoughe, Habone Elmi Hassan, Fatima Ihbibane, Said Ait Benali y Noura Tassi. "ACTINOMYCOSIS OF THE SPINE AND ABDOMINOPELVIAN: CASE REPORT". International Journal of Advanced Research 10, n.º 02 (28 de febrero de 2022): 150–54. http://dx.doi.org/10.21474/ijar01/14187.
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Actinomycosis is a very rare disease caused by Actinomyces israelii, a saprophytic bacterium of the oropharynx and genital tract of women. Its diagnosis is made difficult by the lack of clinical and radiological specificity. We report three cases of patients with actinomycosis of various locations, but with similar management. These cases recall the radio-clinical and therapeutic aspects of this rare infection. They underline the necessity of a microbiological diagnosis for any surgical specimen and the major importance of the histological study in the diagnosis of this condition.
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Djaković, Ivka, Tanja Leniček, Relja Beck, Zdenko Kraljević, Krunoslav Kuna y Dražan Butorac. "Subcutaneous Dirofilariasis in Female Pubic Region - Case Report". Open Access Macedonian Journal of Medical Sciences 7, n.º 3 (9 de febrero de 2019): 392–95. http://dx.doi.org/10.3889/oamjms.2019.034.
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BACKGROUND: Number of reported cases of human dirofilariasis in the last couple of decades has been increasing. Dogs are the main reservoir hosts, while various mosquito species represent/serve as vectors. Human infections are caused by two different parasites: Dirofilaria immitis and Dirofilaria repens. Dirofilaria repens is currently considered to be one of the most rapidly-spreading human and animal parasite species in Europe. Clinical features are characterised by subcutaneous or ocular lesions which can persist for months without any symptoms. The disease is considered to be endemic in Mediterranean countries, central Asia, Israel, and Sri Lanka with increased incidence in Central and East Europe. Apart from the local population, tourists are also susceptible to this disease. Export of domestic animals can transfer parasites between different countries. This disease is rare in Croatia.
CASE PRESENTATION: We are presenting a case of a 58-year-old female patient with dirofilariasis of the genital region caused by Dirofilaria repens, confirmed with PCR and sequencing.
CONCLUSION: From the clinician point of view, subcutaneous dirofilariasis should be considered as a differential diagnosis in cases of long-lasting subcutaneous swellings.
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Murad, Tasneem, Sundus Ambreen, Noureen Hafeez, Faisal Khan, Jahanzaib . y Hassan Tariq. "Physical and Biological Evidence in Sexual Assault Cases Reported in District Rawalpindi". Pakistan Journal of Medical and Health Sciences 15, n.º 7 (30 de julio de 2021): 1913–15. http://dx.doi.org/10.53350/pjmhs211571913.
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Forensic medical examination serve two purposes i.e.to preserve mental and physical health of the victim as well as collection of forensic evidence 1,2. Collection and documentation of evidence whether in form of injures or biological material is help to validate the objects and the accoster's past.3 The outline of wounds also has a criminal worth because they are related to the result of lawful proceedings4. The works assessment explores the variables linked to genital harm occurrence and places that are informed in a sequence of surveying examinations of medicinal proceedings 5.The occurrence of perfect indication of erotic harms in the U.S. ranges from 5-27%, in Italy 11.5%, in Thailand 42% and in Denmark 38%. In Israel, as in another place in the countries, few cases of erotic stabbing in children have vibrant indication of a erotic style. 6,7,8,9. Objective: To evaluate incidence and comparison of physical and biological evidence in victims of sexual assault and their relation to time interval between examination and incident. Methodology: The retrospective cross sectional study was placed during June 2019 to December 2020 on cases reported in the DHQ Hospital Rawalpindi with follow up reports. Total 108 cases were reported during this period. Data was collected from DHQ Hospital Rawalpindi with follow up reports. Examination results were included presence and absence of physical injuries located genital region and other parts of the body, and presence and absence of biological evidence .The fallouts of investigation were linked to parameters such as sex, age and length of time since assault. Data was analyzed by using SPSS version 19 Results: Female victim: Out of 108 cases 77 was female.61% was unmarried and 39% was married (Figure 1). 44.2% cases was fall between age range of 16-20years.2.6%cases between age group of 45-50 years.51.9% cases belong to rural area. While 48.1% cases belong to urban. Vaginal swab was positive in 79.2%.genital injuries was present in 13% cases.11.7% married and 1.3% unmarried. Other injuries present in 6.5%married.7.8%unmarried. Fresh hymen injuries present in 13%.old in 41.6%. Male victims: Total 31 in number.67.7%in rural area ,while 32.3% in urban.45.2% (14)between age group 11-15 years .Anal swab was positive in 64.5%.(20 in number).Bleeding was present in 32.3% (10)cases. Bruises in 41.9%.abrasion was present in 48.4%.(15)25% in 11-15 years age group. Genital injuries was present in 45.2%(14).other injuries 28.1%.anal swab with injuries positive in 34.4%.negative in 12.5%.Finding on clothes was present on 12.5%. Conclusion & Recommendations: Rape or sexual assault in the absence of prior sexy knowledge, genital or physique harms are usually found in adolescents. The possibility of rape in nonappearance of any hurt, with or deprived of permission cannot be excluded. A competent forensic examiner must examines and follow up the victims of sexual violence. The forensic examiner must have technical and scientific skills that are medicinal and stabbing history taking, whole body examination, and organic article collects, recording damages, clinical pediatric practice, interpretation of findings and reports and prosecution. Keywords: Genital harms, adolescent, body injuries, Prosecution
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Kalawate, Aparna Sureshchandra, Shital Pawara, A. Shabnam y K.P. Dinesh. "DNA barcode reveals the occurrence of Palearctic Olepa schleini Witt et al., 2005 (Lepidoptera: Erebidae: Arctiinae) from peninsular India with morphological variations and a new subspecies". Journal of Threatened Taxa 12, n.º 9 (26 de junio de 2020): 16143–52. http://dx.doi.org/10.11609/jott.5596.12.9.16143-16152.
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The present study was taken up to report a new record of the tiger moth genus, Olepa Watson, 1980 from India along with the discovery of a new subspecies. Earlier the genus was thought to have restricted distribution range in South and South-East Asia until the report of O. schleini Witt, Müller, Kravchenko, Miller, Hausmann & Speidel from the Mediterranean Coastal Plain of Israel in 2005. The species identification and the new subspecies is proposed based on the combination of morphological studies, available literature comparisons, geographical distribution, DNA barcoding and its phylogeny. Morphological character crypticity and genital structure variations are well documented in the genus with ‘bio-species’ groups. DNA Barcoding data of mt COI has provided some resolution in sorting the problems of ‘bio-species’ groups of the genus in the past studies. In the present study, with the available mt DNA COI barcodes and newly generated barcodes genetic identity is confirmed for the species O. ricini, O. schleini, O. toulgoeti and Olepa schleini chandrai ssp. nov., with their phylogenetic relationships. Morphological variations within the O. schleini species complex are discussed with a new record of the species for India and a new subspecies description. With the first mt COI barcode phylogeny for the genus, comments are made on the taxonomic identity of the mt COI DNA barcodes available in the GenBank for the Olepa species from India.
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Naji, Hassan. "Monkeypox Virus: Transmission, Signs and Symptoms, Prevention, and Epidemiology". European Journal of Medical and Health Sciences 4, n.º 5 (19 de octubre de 2022): 30–34. http://dx.doi.org/10.24018/ejmed.2022.4.5.1422.
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Monkeypox virus causes a zoonotic disease that is similar to smallpox-like illness. This review focuses on the overall epidemiology of monkeypox infection along with the transmission, signs and symptoms, treatment and prevention of the infection among humans. The early symptoms of the infection are flu-like and include fever, malaise, headache, papulopustular rash, sore throat and enlarged lymph nodes. Previously, it was reported in African countries only, with majority of the reported cases in Democratic Republic of Congo (DRC). Later in 2003, the first case of monkeypox infection was reported outside Africa in the U.S. with additional cases in the UK, Israel and Singapore. The transmission of monkeypox virus occurs primarily from animal to human and secondarily from human to human by contact with respiratory secretions or lesions of infected persons. Moreover, monkeypox virus can also be transmitted sexually from male to male and results in rashes and lesions around the genital or anal area of the infected person. Currently, there is no specific treatment for monkeypox infection. However, anti-viral treatment for smallpox, cytomegalovirus retinitis in AIDS patients, and the vaccine vaccinia virus intravenous immunoglobulins are the choice of therapeutics for treating the infection. This review focuses on the overall epidemiology of monkeypox infection along with the transmission, signs and symptoms, treatment and prevention of the infection among humans.
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Fu, Leiwen, Tian Tian, Kai Yao, Xiang-Feng Chen, Ganfeng Luo, Yanxiao Gao, Yi-Fan Lin et al. "Global Pattern and Trends in Penile Cancer Incidence: Population-Based Study". JMIR Public Health and Surveillance 8, n.º 7 (6 de julio de 2022): e34874. http://dx.doi.org/10.2196/34874.
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Background Penile cancer is a relatively rare genital malignancy whose incidence and mortality are rising in many countries. Objective This study aims to assess the recent incidence and mortality patterns and incidence trends of penile cancer. Methods The age-standardized incidence and mortality rates (ASIR and ASMR, respectively) of penile cancer in 2020 were estimated from the Global Cancer Registries (GLOBOCAN) database. Incidence trends of penile cancer from 1973 to 2012 were assessed in 44 populations from 43 countries using the Cancer Incidence in Five Continents plus (CI5plus) and the Nordic Cancer Registries (NORDCAN) databases. Average annual percentage change was calculated to quantify trends in ASIR using joinpoint regression. Results Globally, the estimated ASIR and ASMR of penile cancer were 0.80 (per 100,000) and 0.29 (per 100,000) in 2020, equating to 36,068 new cases and 13,211 deaths in 2020, respectively. There was no significant correlation between the ASIR (P=.05) or ASMR (P=.90) and Human Development Index. In addition, 15 countries saw increasing ASIR for penile cancer, 13 of which were from Europe (United Kingdom, Lithuania, Norway, Estonia, Finland, Sweden, Cyprus, Netherlands, Italy, Croatia, Slovakia, Russia, and the Czech), and 2 from Asia (China and Israel). Conclusions Although the developing countries still bear the higher incidence and mortality of penile cancer, the incidence is on the rise in most European countries. To mitigate the disease burden resulting from penile cancer, measures to lower the risk for penile cancers, including improving penile hygiene and male human papillomavirus vaccination, may be warranted.
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Yulevitch, Aviva, Johanna Czamanski-Cohen, David Segal, Izhak Ben-Zion y Talma Kushnir. "The Vagina Dialogues: Genital Self-Image and Communication with Physicians About Sexual Dysfunction and Dissatisfaction Among Jewish Patients in a Women's Health Clinic in Southern Israel". Journal of Sexual Medicine 10, n.º 12 (diciembre de 2013): 3059–68. http://dx.doi.org/10.1111/jsm.12322.
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Flensner, Karin K. "Teaching Controversial Issues in Diverse Religious Education Classrooms". Religions 11, n.º 9 (10 de septiembre de 2020): 465. http://dx.doi.org/10.3390/rel11090465.
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In educational contexts, certain issues are perceived as controversial, since they reflect conflicts of interest and reveal divergent views. This is especially evident in debates related to religion in societies regarding themselves as secular but whose population is multi-religious. The aim of this article is to analyse how some issues that are considered controversial in the public debate are represented in the teaching of non-denominational and integrative Religious Education in a Swedish multicultural classroom practice, where the majority of students have a Muslim cultural background. The ethnographic empirical material consists of classroom observations of Religious Education lessons in upper secondary school. The analysis is based on the debate about how controversial issues ought to be taught—as empirically or politically open/settled or in a directive/non-directive way. The results indicate that a number of issues—divergent interpretations of religious narratives and religiously motivated rules, holidays, views of forgiveness, the Israeli–Palestinian conflict and abortion—were regarded as open political issues in classroom practice and these were taught in an open, non-directive way. Issues represented as settled were value-oriented issues related to female genital mutilation, forced marriage and child marriage and gender equality. The arguments supporting these values were mainly rooted in religion.
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Gupta, Vikas, Gunjan Dwivedi, P. Sengupta, Shailendra Tripathi, Sunil Goyal, Manoj Kumar y Amit Sood. "A rare case of sinonasal actinomycosis – enigmatic presentation". International Journal of Otorhinolaryngology and Head and Neck Surgery 4, n.º 3 (26 de abril de 2018): 863. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20181889.
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Actinomycosis is most commonly seen in cervico-facial, abdominal, genital and thoracic regions as discharging sinuses. Most common organism implicated is <em>Actinomyces israelli, </em>gram positive anaerobic commensal bacteria of aero-digestive tract. Actinomycosis of paranasal sinuses is an extremely rare entity with isolated case reports and small case series published in literature. Among all sinuses maxillary sinus is most commonly afflicted by this disease. Pathogenesis involves inoculation of the bacteria into the tissues through breach in mucosa by trauma or surgical procedure. It requires anaerobic environment to grow into soft tissues and invade bone. It warrants treatment in form of surgical debridement and long term antibiotic therapy. Here, we present one such rare case of sinonasal actinomycosis in a 60 year old diabetic male who earlier had been treated as a case of sinonasal mucormycosis about one year back. This case was managed successfully with debridement encompassing infrastructure maxillectomy followed by a long course of Penicillin group of antibiotic. Preoperatively there was a diagnostic dilemma whether we were dealing with chronic invasive fungal sinusitis or actinomycosis. Actinomycosis was confirmed postoperatively on histopathology and microbiology. <p> </p>
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Yacobovich, Joanne, Neta Aviran Dagan, Tracie Goldberg, Orna Steinberg Shemer y Hannah Tamary. "Autoimmune Neutropenia of Infancy- Unexpected Prevalence of Pseudomonas Skin Infections". Blood 132, Supplement 1 (29 de noviembre de 2018): 4940. http://dx.doi.org/10.1182/blood-2018-99-113408.
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Abstract Background: Autoimmune neutropenia of infancy (AIN), the most frequent type of severe neutropenia in young children, occurs due to recognition of membrane antigens by anti-neutrophil antibodies, resulting in peripheral neutrophil destruction. Despite the often severe and prolonged neutropenia, serious infectious complications are less frequent in AIN compared with other etiologies of severe neutropenia. Objectives and methods: The purpose of this historical prospective study was to describe the demographics and clinical course of AIN with a focus on the incidence of infectious events, the pathogens involved and assessment of contributing factors. Data was extracted from the medical records of AIN patients treated at the pediatric hematology clinic in Schneider Children's Medical Center of Israel between 2001-2016. Results: One hundred and one patients diagnosed with AIN were included in the study, representing a total of 175 patient-years of follow-up, with a mean of 1.9 years per patient. Mean age at presentation was 0.8 years and at resolution 2.8 years; 90% were healthy by the age 3.8 years. The reason for performing a blood count was febrile infection in 56.3% while nearly 20% were diagnosed by the routine blood count performed between ages 9-12 months in the well-baby clinic. Prophylactic antibiotic use did not correlate with the number of infectious events or days of fever. At least one microbiologically proven bacterial infection was identified in 26% of the patients including acute otitis, urinary tract infections, skin lesions and bacteremia. Bacterial isolates were mostly gram negative, predominantly Pseudomonas species (13/32, 40.6% of isolates) (Figure 1). Prevalence of significant skin infections, especially in the genital region, was very high (20% of infections). There were only 3 episodes of bacteremia out of 559 total febrile illnesses (0.5%). Discussion and conclusions: A standard treatment protocol for AIN is lacking, possibly due to a paucity of data in the literature. Severe bacterial infections in AIN are less common than in severe congenital neutropenia or chemotherapy induced neutropenia. The prevalence of bacteremia in AIN is not well defined in the post-pneumococcal vaccine era. In our cohort bacteremia was uncommon, while bacterial skin infections were much more prevalent, especially involving the genital area, with a high isolation rate of gram negative bacteria, especially Pseudomonas sp. This finding was surprising as ecthymal lesions are more commonly associated with hypoproductive neutropenias. The common practice of treating febrile illnesses in AIN with broad spectrum antibiotics may be unnecessary for a proportion of patients, while a subset of patients seems to be susceptible to gram negative skin infections and should be covered with anti-pseudomonal antibiotics. We recommend that patients with AIN and a febrile illness undergo a careful daily physical examination in addition to laboratory studies including blood counts and cultures of blood, urine and any other suspected sites of infection. Antibiotic therapy should be prescribed according to the clinical picture and the laboratory results. Disclosures No relevant conflicts of interest to declare.
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Álvarez-Reguera, C., G. Suárez Amorín, A. Herrero-Morant, L. Sanchez-Bilbao, D. Martínez-López, J. L. Martín-Varillas, R. Fernández-Ramón, R. Demetrio-Pablo y R. Blanco. "AB1514 EPIDEMIOLOGY OF BEHÇET’S DISEASE IN NORTHERN SPAIN". Annals of the Rheumatic Diseases 82, Suppl 1 (30 de mayo de 2023): 1988.2–1989. http://dx.doi.org/10.1136/annrheumdis-2023-eular.2432.
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BackgroundThe prevalence of Behçet’s disease (BD) has a considerable geographical and temporal variability. Data regarding epidemiology in Spain are limited. (1,2)ObjectivesTo assess the epidemiology and clinical domains of BD in a population-based cohort from northern Spain and to compare the results with other geographical areas.MethodsWe conducted a cross-sectional study of a well-defined population in Northern Spain. Cases of suspected BD between January 1980 and December 2018 were identified. The diagnosis of BD was established according to the International Study Group (ISG) for Behçet’s Disease. The incidence of BD between 1999 and 2018 was estimated by sex, age, and year of diagnosis.ResultsOf 120 patients with probable BD, 59 patients met ISG criteria and were finally included in the study, with a male/female ratio of 0.97; mean age 49.7±14.7 years. Incidence during the period of study was 0.492 per 100,000 people, observing an increase from January 1999 to December 2018. Prevalence was 10.14 per 100,000 in 2018. Figure 1. Clinical manifestations were relapsing aphthous stomatitis (100%), genital ulcers (78%), skin involvement (84.7%), joint involvement (64.4%), uveitis (55.9%), central nervous system (16.9%), vascular (10.2%), and gastrointestinal manifestations (6.8%). Table 1.ConclusionThe prevalence of BD in Cantabria is higher than in other Southern-European countries. This difference may reflect a combination of geographic, genetic, or methodological variations, as well as the free accessibility to the Spanish Public Health System. Clinical phenotypes observed are similar to those described in other world regions.References[1]Davatchi F et al. Expert Rev Clin Immunol. 2017 Jan;13(1):57-65.[2]Peñafiel Burkhardt R et al.Med Clin (Barc). 2007;128(18):717.Table 1.Epidemiological phenotypes of Behçet’s disease in other geographic areas.Author, yearRegionOral/genital ulcers (%)Skin lesions (%)Ocular involvement (%)Joint involvement (%)Neuro-Behçet (%)Vascular involvement (%)Gastrointestinal tract involvement (%)Deligny et al., 2012Caribbean Islands (Martinique)100/ NRNR2555.6283019.4Calamia et al., 2009North America(Minnesota, USA)100/ 628562462323NRTüzün et al., 1996Middle East(Çamaş, Turkey)100/ 73.7NR047.4NRNRNRAl-Rawi et al., 2003Middle East(Saqlawia, Irak)100/ 83.3504033.3NRNR16.6Azizlerli et al., 2003Middle East(Istambul, Turkey)100/ 70.2NR27.7NRNRNRNRKrause et al., 2007Middle East(Galilee, Israel)NR/ 6841587011.6NRNRBaş et al. 2016Middle East (Northern Anatolian, Turkey)100/ 71NR2814NRNRNRDavatchi et al., 2019Middle East (Iran)97.5/ 64.462.255.638.13.98.96.8Chamberlain, 1977Northern Europe(Yorkshire County, UK)100/ 9166256325259Jankowski et al., 1992Northern Europe(Scotland, UK)100/ 73.386.693.4NR20NR53.3Zouboulis et al., 1997Northern Europe(Berlin, Germany)99/ 7576595912.8NRNRAltenburg et al., 2006Northern Europe(Berlin, Germany)98.5/ 63.762.558.15310.922.711.6Mohammad et al., 2019Northern Europe(Skane County, Sweden)100/ 80885340020NRAmbresin et al., 2002Central Europe(Lausanne, Switzerland)86/ 316071602020NRKanecki et al., 2017Central Europe(Poland, Nationwide)NRNRNRNRNRNRNRMahr et al., 2014Southern Europe(Seine-Saint-Denis County, France)100/ 8090515910NR10Salvarani et al., 2007Southern Europe(Reggio Emilia, Italy)100/ 781005650116NRPeñafiel et al., 2007Southern Europe(Granada, Spain)NR86.465.968.21065.9NRGonzález-Gay et al., 2000Southern Europe(Lugo-Galicia, Northwestern Spain)100/ 87.587.543.862.531.343.718.8Abbreviations: ISG: International Study Group; ICBD: International Criteria for Behçet’s Disease; NR: Not Reported; SD: Standard Deviation.Figure 1.Annual incidence of Behçet’s disease in our series.Acknowledgements:NIL.Disclosure of InterestsCarmen Álvarez-Reguera: None declared, Guillermo Suárez Amorín: None declared, Alba Herrero-Morant: None declared, Lara Sanchez-Bilbao: None declared, David Martínez-López: None declared, José Luis Martín-Varillas Grant/research support from: José L. Martín-Varillas received grants/research support from AbbVie, Pfizer, Lilly, Janssen, and Celgene., Raúl Fernández-Ramón: None declared, Rosalía Demetrio-Pablo: None declared, Ricardo Blanco Speakers bureau: AbbVie, Pfizer, Roche, Bristol-Myers, Lilly, Janssen, and MSD, Paid instructor for: AbbVie, Pfizer, Roche, Bristol-Myers, Lilly, Janssen, and MSD., Grant/research support from: AbbVie, MSD, and Roche.
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Rubinstein, Amnon. "The Decline, but not Demise, of Multiculturalism". Israel Law Review 40, n.º 3 (2007): 763–810. http://dx.doi.org/10.1017/s0021223700013558.
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This article discusses the decline of the multicultural doctrine that has governed Western political philosophy and practice in the last part of the 20thcentury. This decline is felt in the USA as well as in EU countries and manifests itself in new cultural restrictions on immigration policy, in stricter loyalty tests for immigrants who seek naturalization and in statutes regulating behavior in public places (such as the anti-veil acts in Europe) and proscribing deviant acts based on religious tradition (such as the American law criminalizing female genital circumcision). This decline is also accompanied by rethinking the theoretical foundations of the multicultural approach. This rethinking was accelerated by the onset of the Islamist—as distinct from Moslem—crisis, but started before the 9/11 events.The article surveys the state of multiculturalism in a number of Western countries and pays special attention to the cases of the USA, Britain, France, and the Netherlands. The case of Israel is discussed separately because of its unique features as a society plagued by a national conflict. In all these countries the principal issue is how to tolerate intolerant communities, how to treat religious communities whose tenets clash with the democratic and liberal values of the host country and how to balance the rights of the individual against the rights of the cultural group to which that individual belongs.The author challenges the notion that all cultures are entitled to equal treatment and excludes from this ambit cultures that clash with the values of democracy and human rights. The author denies the notion that consent of the sufferer validates such cultural practices and demonstrates this by referring to the former Hindu practice of Seti—burning a widow alive, with her consent. Such consent is irrevocable and is always subject that it was given under social and cultural duress.The main brunt of this article is that the norms of democracy, equality, and human rights are not a culture in the ordinary sense of the word, as they are distinct from all traditional cultures and are the result of an intellectual construct founded upon the autonomy of the individual and on a rejection of traditional culture. This is the reason why these liberal norms should supersede any custom, even when based on cultural tradition, when there is a clash between the two. When there is no such clash, a compromise solution ought to be reached resorting to traditional judicial means of balancing contradictory values.
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Vasilescu, Alin Mihai, Eugen Târcoveanu, Cristian Lupascu, Mihaela Blaj, Corina Lupascu Ursulescu y Costel Bradea. "Abdominopelvic Actinomycosis—The Diagnostic and Therapeutic Challenge of the Most Misdiagnosed Disease". Life 12, n.º 3 (17 de marzo de 2022): 447. http://dx.doi.org/10.3390/life12030447.
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Abdominopelvic actinomycosis is a rare chronic or subacute bacterial infection caused by Actinomyces israelii, a Gram-positive anaerobic bacterium that normally colonizes the digestive and genital tracts, clinically presented as an inflammatory mass or abscess formation. Methods: We reviewed the medical records of the patients from our clinic with abdominopelvic actinomycosis who underwent surgery between 2002 and 2022. In this period, 28 cases (9 men and 19 women) were treated. The mean age was 43.36 years and they were hospitalized for abdominopelvic tumors or inflammatory tumors in 15 cases and inflammatory disease in 13 cases. Results: Causes of actinomycosis in the studied group were an intra-uterine contraceptive device in 17 cases, foreign bodies in 2 cases, diabetes in 4 cases, stenting of the bile duct in 1 case, and immunodepression. For 6 patients, we performed surgery by open approach and for 21 patients by a laparoscopic approach. For nine patients, abdominopelvic actinomycosis had been mimicking a colon malignancy (cecum and ascending colon, four cases; transverse colon, two cases; and on the greater omentum, three cases) and for six patients, a pelvic tumor (advanced ovarian cancer). After surgery the patients underwent specific treatment with antibiotics, with good results. In two cases we discovered and treated hepatic actinomycosis, one case by a laparoscopic approach and one case by a percutaneous approach. In our lot we noticed three recurrences that required reintervention in patients who had had short-term antibiotics due to non-compliance with treatment out of four such cases. Conclusions: For abdominopelvic malignancies, actinomycosis should be included in the differential diagnosis, as well as for inflammatory bowel diseases and bowel obstructions. We have a wide range of patients considering the rarity of this condition. Long-term antibiotics are necessary to prevent recurrence.
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Alkhawam, H., S. Lee, R. Sogomonian, N. Vyas, A. Al-khazraji y A. Ashraf. "ID: 50: PERFORATED DIVERTICULOSIS COMPLICATED WITH ACTINOMYCOSIS INFECTION AND PRESENTED AS PELVIC MALIGNANCY". Journal of Investigative Medicine 64, n.º 4 (22 de marzo de 2016): 955.1–955. http://dx.doi.org/10.1136/jim-2016-000120.90.
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Case PresentationA 48-year-old female with no significant past medical history who presented with fatigue, and lower abdominal pain, unintentionally weight lost and yellowish vaginal discharge. Physical examination was remarkable for a palpable mass extending from supra-pubic to supra-umbilical area and vaginal examination remarkable for foul-smelling vaginal discharge. Initial laboratory studies indicated Hemoglobin 5.8 mg/dl and white blood counts 15,000/µL. Computerized tomography of Abdomen/Pelvis CT with contrast which demonstrating an infiltrative process or mass like structure involving the pelvis measuring 10×12×6 cm. The initial impression was Gynecological cancer which could be uterine/cervix/ovarian cancer. However, Pap-smear was negative. Biopsy was obtained which showed acute inflammatory exudates fragments of benign appearing smooth muscle proliferation and fibro-adipose tissue infiltrated with histiocytes. The decision for exploratory laparotomy was made which revealed a large pelvic abscess. The surgery resulted in modified radical hysterectomy, resection of left and right tubo-ovarian abscess complexes, recto-sigmoid resection with end-sigmoid colostomy and Hartmann's pouch, and ileo-colic resection with a primary anastomosis. Pathology examination revealed a segment of colon with perforated diverticulosis and a tubo-ovarian complex with acute and chronic inflammations, granulation tissue formation and bacterial colonies morphologically suggestive of Actinomyces. Patient started on Intra-venous Penicillin-G. After 4 weeks, CT abdomen/Pelvic repeated which showed post-surgical changes and decreased in size of abscess/fluid collections.DiscussionActinomycosis is a rare and insidious disease. The most common etiologic organism is the anaerobic, Gram-positive bacterium, Actinomyces israelii. Actinomycetes are prominent among the normal flora of the oral cavity but less prominent in the lower gastrointestinal and female genital tract. Because these microorganisms are not virulent, they require a break in the integrity of the mucous membranes and the presence of devitalized tissue to invade deeper body structures and to cause human illness.Cervicofacial actinomycosis is the most common type of the infections followed by Thoracic actinomycosis and less common in abdomen and pelvis. The most common cause of abdominal/pelvic actinomycosis is acute perforated appendicitis. Also, most of Abdomen/Pelvis cases have a history of recent or remote bowel surgery (e.g.perforated appendicitis, perforate colonic diverticulitis). Pelvic actinomycosis has become more common in females who use an Intra-Uterine Devices, which may increase the risk of infection through injury to the normal uterine mucosa. Diagnosis of Abdomen/Pelvic actinomycosis is usually established postoperatively, following exploratory laparotomy for a suspected malignancy. Involvement of any abdominal organ, including the abdominal wall, can occur by direct spread, with eventual formation of draining sinuses.Abstract ID: 50 Figure 1
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Herrero Morant, A., G. Suárez Amorín, L. Sanchez Bilbao, C. Álvarez Reguera, D. Martínez-López, J. L. Martín-Varillas, P. Setien Preciados et al. "AB1215 EPIDEMIOLOGY AND CLINICAL PHENOTYPE OF BEHÇET’S DISEASE IN A WELL-DEFINED POPULATION OF NORTHERN SPAIN". Annals of the Rheumatic Diseases 79, Suppl 1 (junio de 2020): 1898.2–1899. http://dx.doi.org/10.1136/annrheumdis-2020-eular.4694.
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Background:Considerable epidemiological variations in prevalence of Behçet’s disease (BD) have been reported. These disparities may either reflect geographical differences, methodological artifacts, changes over time or random fluctuations. In Spain, published BD’s epidemiological studies are scarce.Objectives:To study epidemiological and clinical domains of BD in a well-defined population of Northern Spain, as well as, to compare results with other regions.Methods:We included all consecutive 111 patients, diagnosed of definitive or possible BD by expert rheumatologists between 1980 and 2019. Two Classification criteria were applied: a) International Study Group (ISG) for BD(Lancet. 1990; 335:1078-80), and b) International Criteria for BD (ICBD)(J Eur Acad Dermatol Venereol. 2014; 28:338-47). In addition, a literature review of Medline publications was carried out.Results:In our study, prevalence was higher than in most European populations regardless of the diagnostic criteria applied. Incidence was low (expert opinion: 0.021, ICBD: 0.016, ISG: 0.012). Mean age at onset (36.8±13.2) and gender distribution (55.9% females) were similar to other countries. Pathergy test was performed in 9% of patients giving low results (25.2%). Clinical domains’ frequency was in line with other regions except vascular and gastrointestinal involvement, which were lower. (TABLE)Conclusion:BD’s prevalence in Northern Spain is higher than in most European populations. These differences likely reflect a combination of true geographic variation, methodological artifacts as well as the easy access to Public Health System and its efficiency. In contrast, clinical phenotypes are similar to other regions.TABLEDiagnostic criteria and study periodn cases / population sizeMean age at onset and sex (%females)Prevalence (over 100000) / incidenceOral / genital ulcers (%)Skin lessions/ pathergy test (%)Ocular involvement (%)Joint involvement (%)Neurobehcet/ Vascular/ Gastrointestinal involvement (%)Herrero, A et al. Southern Europe (Cantabria, Spain)Expert opinion, ISG, ICBD / 1980-2019111 (expert opinion) / 86 (ICBD) / 65 (ISG) / 58107836.8±13.2/ 55.919.1 (expert opinion), 14.8 (ICBD), 11.2 (ISG) / 0.021 (expert opinion), 0.016 (ICBD), 0.012 (ISG)99 / 53.168.4 / 25. 235.168.518 / 10 / 4.5Calamia, K. T. et al. North America (Minnesota, USA)ISG / 1960-200513 / NR31 / 305.2 / 0.38100 / 6285 / NR624623 / 23 / NRAltenburg, A. et al. Northern Europe (Berlin, Germany)ISG and ABD classification tree / 1961-2005590 / 339134426 / 584.9 / 1 (estimated)98.5 / 63.762.5 / 33.758.15310.9 / 22.7 / 11.6Mohammad, A. et al. Northern Europe (Skane County, Sweden)ISG / 1997-201040 / 80931730.5 / 334.9 / 0.2100 / 8088 / NR53400 / 20 / NRMahr, A. et al. Southern Europe (Seine-Saint-Denis County, France)ISG / 200379 / 109441227.6 / 437.1 / NR100 / 8090 / 20515910 / NR / 10Salvarani, C. et al. Southern Europe (Reggio Emilia, Italy)ISG, 1988-200518 / 48696133 / 503.7 / 0.24100 / 78100 / NR565011 / 6 / NRAzizlerli, G. et al. Middle East (Istambul, Turkey)ISG / prevalence study101 / 23986NR / 48.542 / NR100 / 70.2Not globally reported / 69.327.7Not globally reportedNR / Not globally reported / NRDavatchi, F. et al. Middle East (Iran nationwide)Expert opinion / 1975-20187641 / NR25.6 / 44.280 / NR97.5 / 64.462.2 / 50.455.638.13.9 / 8.9 / 6.8Krause, I. et al. Middle East (Galilee, Israel)ISG / 15 years (not specific years have been reported)112 / 73700030.6 / 4715.2 / NRNR / 6841 / 44.4587011.6 / Not globally reported / NRNishiyama, M. et al. Asia (Japan nationwide)1987 JCBD / 19913316 / NR35.7 / 50.6NR / NR98.2 / 73.287.1 / 43.869.156.911 / 8.9 / 15.5Disclosure of Interests:Alba Herrero Morant: None declared, Guillermo Suárez Amorín: None declared, Lara Sanchez Bilbao: None declared, Carmen Álvarez Reguera: None declared, David Martínez-López: None declared, José Luis Martín-Varillas Grant/research support from: AbbVie, Pfizer, Janssen and Celgene, Speakers bureau: Pfizer and Lilly, Patricia Setien Preciados: None declared, M. Cristina Mata Arnaiz: None declared, Rosalía Demetrio-Pablo: None declared, Miguel Ángel Gordo Vega: None declared, Miguel Á. González-Gay Grant/research support from: AbbVie, MSD and Roche, Speakers bureau: AbbVie, MSD and Roche, Ricardo Blanco Grant/research support from: Abbvie, MSD and Roche, Consultant of: Abbvie, Pfizer, Roche, Bristol-Myers, Janssen and MSD, Speakers bureau: Abbvie, Pfizer, Roche, Bristol-Myers, Janssen, Lilly and MSD
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Sanchez-Bilbao, L., G. Suárez-Amorín, C. Álvarez-Reguera, A. Herrero-Morant, D. Martínez-López, J. L. Martín-Varillas, M. C. Mata Arnaiz, R. Demetrio-Pablo, M. A. González-Gay y R. Blanco. "AB0399 EPIDEMIOLOGY OF BEHÇET DISEASE IN A NORTHERN SPANISH HEALTH REGION". Annals of the Rheumatic Diseases 80, Suppl 1 (19 de mayo de 2021): 1227.2–1228. http://dx.doi.org/10.1136/annrheumdis-2021-eular.3577.
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Background:Behçet disease (BD) is a systemic and potentially severe disease. Its incidence varies widely worldwide. In Spain, published BD’s epidemiological studies are scarce.Objectives:In a well-defined Northern Spanish population-based cohort, the aim of this study was a) to estimate epidemiological variations, b) clinical domains and c) to compare our results with other regions.Methods:Study of unselected all consecutive patients diagnosed with definitive or possible BD by expert rheumatologists between 1980 and 2020 in our health region. Two classification criteria were applied: a) International Study Group (ISG) for BD [1], and b) International Criteria for BD (ICBD) [2]. In addition, a literature review of Medline publications was carried out.Results:In this study, from a total of 120 patients diagnosed with BD by expert opinion (58 women/62 men), 96 met ICBD and 59 ISG criteria. Mean age of the cohort at diagnosis was 37.6±13.8 years similar to other countries, as well as sex distribution.Prevalence was higher than in most European populations regardless the diagnostic criteria applied: expert opinion (20.6), ICBD (16.5) or ISG (10.1) (TABLE 1). Incidence was lower (expert opinion: 0.022, ICBD: 0.018, ISG: 0.011). Clinical domains’ frequency was in line with other regions except vascular and gastrointestinal involvement, which were lower.TABLE 1.Diagnostic criteria and study periodn cases / population sizeMean age at onset and sex (%female)Prevalence (over 100000) / incidenceOral / genital ulcers (%)Skin lessions/ pathergy test (%)Ocular involve ment (%)Joint involve ment (%)Neurobehcet/ Vascular/ Gastrointestinalinvolvement (%)Sánchez. L et al. Southern Europe (Cantabria, Spain)Expert opinion, ISG, ICBD / 1980- 2020120 (expert opinion) / 96 (ICBD) / 59 (ISG) / 58164137.6 ±13.8/ 48.320.6 (expert opinion), 16.5 (ICBD), 10.1 (ISG) / 0.022 (expert opinion), 0.018 (ICBD), 0.011 (ISG)94.2 / 59.263.3 / 25. 241.66510.8 / 11.6 / 6.6Calamia, K. T. et al. North America (Minnesota, USA)ISG / 1960-200513 / NR31 / 305.2 / 0.38100 / 6285 / NR624623 / 23 / NRAltenburg, A. et al. Northern Europe (Berlin, Germany)ISG and ABD classification tree / 1961-2005590 / 339134426 / 584.9 / 1 (estimated)98.5 / 63.762.5 / 33.758.15310.9 / 22.7 / 11.6Mohammad, A. et al. Northern Europe (Skane County, Sweden)ISG / 1997-201040 / 80931730.5 / 334.9 / 0.2100 / 8088 / NR53400 / 20 / NRMahr, A. et al. Southern Europe (SeineSaint-Denis County, France)ISG / 200379 / 109441227.6 / 437.1 / NR100 / 8090 / 20515910 / NR / 10Salvarani, C. et al. SouthernEurope (Reggio Emilia, Italy)ISG, 1988-200518 / 48696133 / 503.7 / 0.24100 / 78100 / NR565011 / 6 / NRAzizlerli, G. et al. Middle East (Istambul, Turkey)ISG / prevalence study101 / 23986NR / 48.542 / NR100 / 70.2Not globally reported / 69.327.7Not globally reportedNR / Not globally reported / NRDavatchi, F. et al. Middle East (Iran nationwide)Expert opinion / 1975-20187641 / NR25.6 / 44.280 / NR97.5 / 64.462.2 / 50.455.638.13.9 / 8.9 / 6.8Krause, I. et al. Middle East (Galilee, Israel)ISG / 15 years (not specific years have been reported)112 / 73700030.6 / 4715.2 / NRNR / 6841 / 44.4587011.6 / Not globally reported / NRNishiyama, M. et al. Asia (Japan nationwide)1987 JCBD / 19913316 / NR35.7 / 50.6NR / NR98.2 / 73.287.1 / 43.869.156.911 / 8.9 / 15.5JCBD: Japanese diagnostic Criteria of Behçet’s Disease; n: number of cases; NR: Not ReportedConclusion:BD’s prevalence in Northern Spain is higher than in most European populations. These differences likely reflect a combination of true geographic variation, methodological artifacts as well as the easy access to Public Health System and its efficiency. In contrast, clinical phenotypes are similar to other regions.References:[1]Lancet. 1990; 335:1078-80[2]J Eur Acad Dermatol Venereol. 2014; 28:338-47Disclosure of Interests:Lara Sanchez-Bilbao: None declared, Guillermo Suárez-Amorín: None declared, Carmen Álvarez-Reguera: None declared, Alba Herrero-Morant: None declared, David Martínez-López: None declared, José Luis Martín-Varillas: None declared, M. Cristina Mata Arnaiz: None declared, Rosalía Demetrio-Pablo: None declared, Miguel A González-Gay Speakers bureau: AbbVie, Pfizer, Roche, Sanofi, Celgene and MSD., Grant/research support from: AbbVie, MSD, Jansen and Roche, Ricardo Blanco Speakers bureau: AbbVie, Pfizer, Roche, Bristol-Myers, Janssen, Lilly and MSD., Grant/research support from: AbbVie, MSD and Roche.
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Macit, B., K. Akyuz, S. N. Esatoglu y G. Hatemi. "AB0634 Variability in Phenotype Clusters in Behçet’s Syndrome: A Systematic Review". Annals of the Rheumatic Diseases 81, Suppl 1 (23 de mayo de 2022): 1444.1–1444. http://dx.doi.org/10.1136/annrheumdis-2022-eular.3907.
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BackgroundThe presence of distinct clinical phenotypes with clustering of certain organ manifestations is well-recognized Behçet’s syndrome (BS). Differences in demographic features, treatment response, and possibly inflammatory pathways involved in the pathogenesis of different phenotypes have been proposed. However, studies from different BS cohorts have shown variability in the phenotypes that were defined.ObjectivesWe aimed to explore the causes of variability in clinical phenotype clustering across different countries and cohorts.MethodsAn electronic search was carried out in PubMed to find articles published in or before November 2021, using the keywords of Behcet, cluster and factor analysis. Two reviewers independently performed a screening of titles, abstracts, and full-texts .ResultsAmongst 496 articles searched, 30 full-texts were assessed, and 10 studies were relevant for data extraction. Ten articles studied 12 different cohorts, 3 from China, 3 from Turkey, 2 from Japan, 1 from South Korea, 1 from Israel, 1 from Greece, and 1 from Italy. 9 out of 10 studies demonstrated clustering of organ manifestations (11 cohorts). There were important differences between the clusters that were identified in these studies (Table 1). Clusters including skin and mucosa manifestations were present in all cohorts, but the skin and mucosa manifestations that clustered together differed from cohort to cohort. Uveitis stood by itself in some studies, whereas it clustered with vascular and central nervous system (CNS) involvement in some cohorts, and certain skin and mucosa lesions in another. Papulopustular lesions (PPL) and arthritis showed a positive correlation in 4 cohorts whereas these manifestations were negatively correlated in 1 cohort. Moreover, no clusters were identified in 1 study. Potential causes of differences in clusters that we have identified in these studies were: study design (database vs multicenter vs single-centre cohort), statistical analysis method (hierarchical cluster vs factor analysis) patient population (pediatric vs adult vs late onset), setting (dermatology vs rheumatology), diagnostic criteria (ISG vs ICBD), disease duration, definition of organ involvement (such as PPL vs folliculitis, or CNS involvement vs dural sinus thrombosis, ascertainment of manifestations (confirmed gastrointestinal involvement vs any diarrhea, lack of ascertainment in diagnosis of nodular lesions as erythema nodosum vs superficial thrombophlebitis), time interval (manifestations throughout the disease course vs manifestations that were active during the last 3 months), and change in the natural history of BS over decades.Table 1.Clinical phenotype clustering across cohortsAuthor, yearnCluster 1Cluster 2Cluster 3Cluster 4Cluster 5Cluster 6Zou,202169MC (G, EN, PPL)U, V, NBSGIZou ,2021860MC (G, EN, PPL)UGIJCVS, NBSZou ,2021152MC (G, EN, PPL)U, V, NBSGIJSoejima, 2021657MC(O, G and Skin) w/o JUNegative correlation of GI &UMC (O, G and Skin inv.), JNBSSoejima, 20216754MC (O, G and Skin) w/ o JU, O, G and Skin inv.Negative correlation of GI &UMC (O, G and Skin), JNBSU, O, SkinKrause 199968MC(G, PPL)Negative correlation of STM and ENGI, PPLJDVT, NBSChung 2021338EN dominantMixt EN and PPLPPL dominantKaraca 2012186MC(G, EN)USTM, DVTJ, PPL, OKaraca 2012221MC(O, G, EN)USTM, DVTJ, PPLTunc, 2002272MC (O, G, EN)USTM DVTJ, PPLSota, 2020396MC (O, G, EN, PF)UNegative correlation of J and PPLArida, 2009142No cluster was foundCVS: Cardiovascular, DVT: deep vein thrombosis; EN: erythema nodosum; G: genital ulcers; GI: gastrointestinal J: joint; MC: mucocutaneous; NBS: Neuro-Behçet syndrome, O: oral ulcers; PF: pseudofolliculitis; PPL: papulopustular lesions; STM: superficial thrombophlebitis; U: uveitis; V: vascularConclusionDifferences in phenotype clusters may result from differences in study characteristics rather than real geographic or ethnic differences. A large multi-national study with uniform inclusion criteria is needed to better understand phenotype clusters and their implication towards management strategies in BS.Disclosure of InterestsBetul Macit: None declared, Kevser Akyuz: None declared, Sinem Nihal Esatoglu Speakers bureau: Dr Esatoglu received honorariums for presentations from UCB Pharma, Roche, Pfizer, and Merck Sharp Dohme., Gulen Hatemi Speakers bureau: Dr Hatemi served as a speaker for AbbVie, Celgene, Novartis, and UCB Pharma., Grant/research support from: Dr Hatemi has received grant/research support from Celgene.
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"The evening prayer for weekdays according to early Palestinian siddurim from the Genizah". Ginzei Qedem 17, n.º 17 (5 de septiembre de 2021): 41–100. http://dx.doi.org/10.35623/gque20tu.
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Ehrlich’s article deals with evening prayers (‘arvit) on weekdays according to ancient siddurim from the Land of Israel preserved in the Genizah. In his article he presents to the reader fourteen fragments of siddurim according to the ancient custom of the Land of Israel, to which he attaches for comparison and discussion another three Genizah fragments, in which the custom is a mixture of the custom of Babylonia and the custom of the Land of Israel. In his discussion, he comes to new conclusions about the structure of prayer and its development over the years.
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Gendler, Yulia y Ayala Blau. "Exploring Cultural and Religious Effects on HPV Vaccination Decision Making Using a Web-Based Decision Aid: A Quasi-experimental Study". Medical Decision Making, 10 de abril de 2024. http://dx.doi.org/10.1177/0272989x241240466.
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Background Human papillomavirus (HPV) poses a significant public health concern, as it is linked to various serious health conditions such as cancer and genital warts. Despite the vaccine’s safety, efficacy, and availability through national school programs, HPV vaccination rates remain low in Israel, particularly within the ultra-Orthodox community due to religious and cultural barriers. Decision aids have shown promise in facilitating shared decision making and promoting informed choices in health care. This study aimed to assess the impact of a novel Web-based decision aid on HPV vaccination intentions, knowledge, decision self-efficacy, and decisional conflict among Israeli parents and young adults, with a specific focus on exploring differences between religious groups. Methods Two Web-based decision aids were developed for parents of children aged 10 to 17 y ( n = 120) and young adults aged 18 to 26 y ( n = 160). A quasi-experimental study was conducted among Hebrew-speaking parents and young adults eligible for HPV vaccination. Participants completed pre- and postintervention questionnaires assessing vaccination intentions, knowledge about HPV, decision self-efficacy, and decisional conflict. Results The decision aid significantly improved intentions toward HPV vaccination among most religious groups, except the Jewish ultra-Orthodox community. Ultra-Orthodox participants exhibited reluctance to vaccinate themselves or their children (odds ratio [OR] = 0.23, P < 0.001 for parents’ group; OR = 0.43, P < 0.001 for young adults’ group). Parental preference for vaccinating girls over boys (OR = 2.66, P < 0.001) and increased inclination for vaccination among Muslim-Arabs were observed (OR = 3.12, P < 0.001). Knowledge levels improved among ultra-Orthodox participants but not decisional conflict and self-efficacy. Conclusions The Web-based decision aid positively influenced the quality of HPV vaccination decision making among various religious groups in Israel, except for the ultra-Orthodox community. Culturally tailored approaches that address specific community concerns are essential for informed decision making. Highlights Human papillomavirus (HPV) vaccination rates in Israel are substantially lower than those of other routine vaccinations, particularly among religious and ultra-Orthodox communities, largely due to sociocultural beliefs and misinformation. A newly developed Web-based decision aid was implemented in a study involving parents and young adults to evaluate its impact on vaccination intent, knowledge about HPV, decision self-efficacy, and decisional conflict. While the decision aid significantly enhanced vaccination intention, knowledge, and perceived behavioral control among various religious groups, it did not yield the same outcomes within the ultra-Orthodox Jewish community. This study highlights the vital role of cultural adaptation in HPV vaccine decision aids within Israel, revealing significant disparities in vaccination perceptions and decisions among diverse religious and cultural groups.
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KRAKOWSKI, EVE y SACHA STERN. "Note of further research". Journal of the Royal Asiatic Society, 7 de mayo de 2021, 1–2. http://dx.doi.org/10.1017/s1356186321000249.
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Our article in this issue, “The ‘oldest dated document of the Cairo Genizah’ (Halper 331): The Seleucid era and sectarian Jewish calendars,” examines a fragment of parchment bearing a short text dated to the year 870/1 ce. One of the article's arguments concerns the protective formulas that appear in this fragment—“With a good sign for us and for all Israel, at a good hour, with an upright horn, (under) a high constellation, (so) may it be for us and for all Israel!” Similar formulas appear at the start of later Jewish marriage contracts (ketubbot) preserved in the Genizah (and later, elsewhere). But we suggest that in the ninth century, such formulas were not necessarily distinctive to ketubbot, and that Halper 331 may contain the text of some other type of legal document. In support of this suggestion, we noted two other non-ketubbah texts from the tenth century that feature similar formulas, including an inscription within a lectionary containing readings from the Prophets (haftarot) that was written in 924.
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Bitzilekis, Eleftherios, Katerina Vardinoyannis y Moisis Mylonas. "A new species of Metafruticicola (Gastropoda, Hygromiidae) from the Aegean Archipelago and new anatomical and distributional data on some congeneric species". European Journal of Taxonomy 879 (4 de julio de 2023). http://dx.doi.org/10.5852/ejt.2023.879.2155.
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Metafruticicola is a diverse land snail genus inhabiting the north-eastern Mediterranean region from S Albania to Israel. In this study, we describe Metafruticicola kavafis sp. nov., a new species for science from Kasos Island. We also focus on the reproductive system of steno-endemic species and subspecies of the genus from small islands of the Aegean Archipelago, whose anatomy was previously completely unknown. These species are M. crassicosta, M. pieperi, M. coartata gemina and M. nicosiana conciliatrix. For the latter subspecies, only the outlines of the genitalia were previously given. Additionally, we investigated in detail for the first time the genital anatomy of M. nicosiana nicosiana from Cyprus. Hitherto, information on the genital apparatus of this subspecies was based on sparse data derived from sexually immature specimens. These new anatomical data contribute to a plethora of controversies concerning the subgeneric division of Metafruticicola, which was based solely on conchological features and especially the microsculpture of the teleoconch. We suggest that the current subgeneric division of the genus should be abandoned.
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Rugwiji, Temba T. "REREADING CIRCUMCISION AS AN IDENTITY MARKER (GN 17:9-14): CONTEMPORARY PERSPECTIVES ON MALE GENITAL MUTILATION AMONGST XHOSA COMMUNITIES IN SOUTH AFRICA". Journal for Semitics 23, n.º 1 (22 de junio de 2017). http://dx.doi.org/10.25159/1013-8471/2813.
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During biblical times in the Near Eastern world, circumcision was a common practice. Reasons for conducting the operation varied. In biblical times, only males were circumcised. This essay attempts to answer the following questions: (1) What was the significance of circumcision in the ancient Near East? (2) Can one say with certainty that circumcision amongst Xhosa communities was influenced by the biblical text? This article commences by examining circumcision in the ancient Near East. The study will then explore the rise of circumcision in ancient Israel when Yahweh commanded Abraham to circumcise all males in his household as a sign of keeping the covenant with Yahweh (cf. Gn 17:9-14). Next, the ideology of excluding women from being circumcised during biblical times is discussed. Thereafter, circumcision conducted in our modern postbiblical world - contemporary perspectives on circumcision, also known as male genital mutilation (hereafter, MGM) - is examined in terms of the following four themes: (1) the role of culture amongst Xhosa communities in motivating MGM, (2) the emergence of female genital mutilation (hereafter, FGM) in Africa, (3) the theory that circumcision reduces transmission of HIV which causes AIDS, and (4) the theory that a circumcised penis enhances orgasm during sex. Next, MGM in South Africa is explained as a violation of human rights. Lastly, this research concludes with possible solutions towards mitigating fatalities of MGM amongst Xhosa communities in South Africa.
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Rugwiji, Temba T. "Circumcision and prevention of HIV and AIDS in Zimbabwe: Male genital cutting as a religio-cultural rite". HTS Teologiese Studies / Theological Studies 74, n.º 1 (26 de julio de 2018). http://dx.doi.org/10.4102/hts.v74i1.4848.
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Circumcision originated from ancient religious (biblical) and cultural societies. Study has shown that in both the biblical (Israelite) context and among the Karanga people in Zimbabwe circumcision emerged as a rite of passage for a boy child’s entry into manhood. Modern societies promulgate circumcision as a preventive method against HIV and AIDS. The present study argues that circumcision tends to promote irresponsible sexual behaviour and trivialises the sacredness of sex. (1) To safeguard societies against the belief that circumcision prevents HIV and AIDS. (2) To sensitise societies that abstinence and condom usage will serve as preventive methods against HIV and AIDS. The study utilises two complimentary methods: (1) comparative literary method which examines both biblical and cultural initiation procedures and (2) qualitative research method in which an interview forms part of the data pool. The potential of a scientific contribution towards transforming both the mind and lifestyle can be guaranteed. The number of individuals opting to be circumcised will decline, and abstinence and condom usage should be promoted towards the prevention of HIV and AIDS. In both ancient Israel and among the Karanga people of Zimbabwe, circumcision was performed as a religious and cultural procedure. In both contexts circumcision was regarded as a rite of passage to prepare a boy child for entry into manhood. The article argued that circumcision does not prevent HIV and AIDS. To the contrary, circumcision tends to endorse promiscuity and unprotected sex, with a potential of increasing HIV and AIDS prevalence.
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Francos, G., G. Insler y G. Dirksen. "Routine testing for milk beta-hydroxybutyrate for the detection of subclinical ketosis in dairy cows". Bovine Practitioner, 1 de mayo de 1997, 61–64. http://dx.doi.org/10.21423/bovine-vol1997no31.2p61-64.
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The milk beta-hydroxybutyrate (BHB; 3-hydroxybutyric acid) concentrations were determined semi-quantitatively by means of Ketolac BHBR in 284 Israeli-Holstein cows (3 herds) on day 5, 6 or 7 post partum. The prevalence of ketolactia indicating subclinical or clinical ketosis differed markedly between herds as did the incidence in cows calving in summer or in autumn. Cows with milk BHB concentrations in the range ?100 to 199 æmol/litre, in particular those with ?200 æmol/litre were at markedly higher risk to develop clinical ketosis during early lactation than cows having a lower milk BHB content at the time of testing. Relationships between increased milk BHB concentrations at the time of testing and the incidence of genital disorders as well as to impaired reproduction in the following period could be shown. Milk testing for BHB therefore, although performed only at the end of the first week post partum, conveyed valuable information. It seems that routine testing for ketolactia is particularly important in cows under heat stress.
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Erez Ben-Shem, Joseph Menczer. "A Comparison of Israeli Jewish Women with Genital Warts (Condilimata Acuminata) to Cervical Cancer Patients Regarding the Presence of Selected Risk Factors". Gynecology & Obstetrics 03, n.º 05 (2013). http://dx.doi.org/10.4172/2161-0932.1000174.
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Krishnappa, Pramod, Celeste Manfredi, Sneha Jayaramaiah, Francesco Ditonno, Prasanna Matippa, Rupin Shah y Ignacio Moncada. "Unconsummated marriage: a systematic review of etiological factors and clinical management". Journal of Sexual Medicine, 9 de noviembre de 2023. http://dx.doi.org/10.1093/jsxmed/qdad146.
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Abstract Background Unconsummated marriage (UCM) is the inability of the heterosexual married couple to have penovaginal sexual intercourse. Aim The study sought to systematically review current evidence regarding the etiological factors and clinical management of UCM. Methods A comprehensive bibliographic search on the MEDLINE, Scopus, Web of Science, and Cochrane Library databases was performed in June 2023. Studies were selected if they described married couples who never had sexual intercourse in case report or case series evaluating the related causes and/or management and reporting data with qualitative, quantitative, or mixed methods. The review was reported according to PRISMA (Preferred Reporting Items for Systematic Review and Meta-analyses) statement and registered in PROSPERO with ID CRD42023433040. Results A total of 27 studies including 1638 males and 1587 females were selected. Eight (29.6%) articles were case reports involving a single couple and 19 (70.4%) studies were case series. Mean Murad score was 4.1 (range, 1-8) showing low-intermediate overall study quality. All articles had a level of evidence of 4. Most of studies were conducted in Egypt (n = 5 [18.4%]), Israel (n = 4 [14.9%]), and the United States (n = 4 [14.9%]). The mean age of males and females varied between 24.2 and 37.6 years and from 21 to 27.4 years, respectively. The reasons for the medical visit that led to the diagnosis of UCM were inability to consummate in 23 (85.2%) studies, inability to conceive in 1 (3.7%) article, and mixed in 3 (11.1%) articles. The mean duration of UCM varied from 7 days to 3.5 years. Eight studies involving both men and women showed that vaginismus (8.4%-81%) and erectile dysfunction (10.5%-61%) were the most common causes of UCM. Three articles reported that 16.6% to 26% of all UCM cases were due to both male and female factors. Sildenafil, tadalafil, intracavernosal injection, penile plication, female genital reconstructive surgery, vaginal dilators, lubricants, psychosexual therapy, and sex education were the various treatment modalities in 27 studies to achieve consummation rate of 66.6% to 100%. Strengths & Limitations A strength is that this is the first systematic review covering the entire spectrum of UCM. Limitations comprised the low quality of most of the included articles and the large percentage of UCM cases probably not published. Conclusion Erectile dysfunction and vaginismus are the most reported causes of UCM; however, a strong psychological component certainly underlies a significant number of cases. A multidisciplinary approach based on strategic integration of sex education, medical therapy, psychosexual support, and surgical treatment would seem the most suitable option to manage couples with UCM.
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"4.Q. Workshop: Intersex human rights and wellbeing - Part II: From ethics to healthcare approaches and policies". European Journal of Public Health 31, Supplement_3 (1 de octubre de 2021). http://dx.doi.org/10.1093/eurpub/ckab164.315.
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Abstract Intersex newborns, children and adolescents frequently are subjected to not clinically necessary surgeries and other non-consensual treatments. According to the UN Factsheet Intersex, “Intersex people are born with sex characteristics (including genitals, gonads and chromosome patterns) that do not fit typical binary notions of male or female bodies”. Since the 1950s, Western medicine developed a clinical model of early surgeries and other treatments performed on intersex newborns, children and adolescents. In October 2005, an expert meeting elaborated on the Consensus of Chicago, establishing clinical recommendations for intersex healthcare and introducing a new nomenclature: Disorders of Sex Development, a document criticised from activist and academic perspectives. Human rights bodies, intersex activists and allies demand the cessation of not clinically necessary genital surgeries and other treatments performed on intersex children, recommending the postponement of these interventions until the intersex person can give informed consent. Furthermore, they highlight the relevance of providing access to clinical information and medical records, continued healthcare and psychosocial support, if needed. In the clinical field, different approaches for intersex healthcare are currently being discussed, including the elaboration of clinical recommendations. The discussion in the field of intersex studies includes the review of human rights and bioethical principles, clinical and research practices, as well as lived experiences, social circumstances and healthcare needs of intersex people. This workshop is the second part of the workshop series “Intersex human rights and wellbeing”. Part I “From frameworks to ethics and lived experiences” presented theoretical frameworks, ethical aspects in intersex studies and lived experiences of intersex people. Part II “From ethics to healthcare approaches and policies” aims at opening up a shared reflection on clinical practices, health policies and legal frameworks related to intersex health and healthcare needs. The presentations include a review of the right of intersex children to autonomy and informed consent in the Belgian clinical practice and legislation (Presenter: Dr. Pieter Cannoot, Belgium), the presentation of a qualitative research project on the perspectives of intersex people, parents, medical doctors and psychologists regarding intersex healthcare (Presenter: Dr. Ute Lampalzer, Germany), a reflection on the experience of a multidisciplinary team specialised in intersex healthcare in Switzerland (Presenter: Cynthia Kraus, Switzerland), the review of cross-cultural differences in psychosocial intersex healthcare in Germany and Israel (Presenter: Dr. Meoded Danon, Germany), as well as the proposal of an agency-based model of health in intersex healthcare (Presenter: Daniela Crocetti, Italy). Key messages The questioning of not clinically necessary surgeries and other non-consensual treatments performed on intersex children motivates a discussion on new clinical approaches in intersex healthcare. Activists, practitioners and researchers call for clinical recommendations and policies that focus on human rights, informed consent, decisional autonomy, agency and multidisciplinary collaboration.