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Sample records for aparato genital masculino

  1. Pseudohermafroditismo masculino

    Directory of Open Access Journals (Sweden)

    David Vargas González

    2014-08-01

    Full Text Available El pseudohermafroditismo masculino dentro de las alteraciones de la diferenciación sexual (ADS constituye un grupo complejo de entidades. Su frecuencia en nuestro medio es muy escasa. Se presenta el caso de una adolescente, remitida a consulta por aumento del tamaño del clítoris, con erecciones del mismo. Al examen físico se encontró: presencia de falo, rodetes labioescrotales sin testes y vagina corta. En el estudio ultrasonográfico se descartó la presencia de útero y ovarios y se constató la presencia de testículos en cavidad abdominal. La cromatina sexual de células en interfase de la mucosa oral reveló la presencia de 0% de cuerpo Barr y el estudio cromosómico mostró un cariotipo masculino normal (46XY

  2. Estructura del aparato reproductor masculino de Uca uruguayensis (Decapoda, Ocypodidae)

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    Cuartas,Elena Irene; Petriella,Ana María

    2010-01-01

    The structure of the male reproductive tract was described in Uca uruguayensis Nobili, 1901, by using histological methods, scanning electron microscopy techniques, and stereoscopic observations of fresh material. The aim of this work was to establish the functional changes associated with sexual maturation. The morphology of the first (G1) and second (G2) pair of gonopods was described. The male reproductive tract consists of paired organs: testes, and tubular and convoluted vas deferens (VD...

  3. Morfología del aparato reproductor del picoroco Austromegabalanus psittacus (Molina, 1782) (Cirripedia, Balanidae)

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    Catalina Contreras; Nicolás Luna; Enrique Dupré

    2015-01-01

    Descripción morfológica de las estructuras reproductivas de Austromegabalanus psittacus en dos periodos de maduración sexual. Se determinó que es un organismo hermafrodita que transfiere sus espermatozoides mediante un órgano intromitente o pene. El aparato reproductor masculino consta de testículos organizados en acinos que se distribuyen arboriformemente, dos conductos deferentes que se unen en la base del pene para formar el conducto eyaculador. El aparato reproductor femenino consiste pri...

  4. Morfologia dos órgãos genitais masculinos do Jurará Kinosternon scorpioides (Chelonia: Kinosternidae Morphology of the male genital organs of the Scorpion Mud Turtle Kinosternon scorpioides (Chelonia: Kinosternidae

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    Rafael Cardoso Carvalho

    2010-04-01

    shell. The constitutive elements of the male genital organs were studied, aiming to provide morphological data of the species which could be used in reproductive biology aimed at actions towards its preservation in captivity. The sample was composed of 10 adult males, captured by IBAMA-MA (Proc. nº 020.12.002400/99-31, license nº 002/01, euthanized, following rules from the Ethics Committee of UEMA's Veterinary Medicine School. The choelomic cavity was opened and the organs were fixed in formaldehyde 10% and subsequently dissected. The testis of K. scorpioides had ovoid shape and golden yellow coloration. The cylindrical epididymidis adhered dorsal-wise to the medial surface of the testis, ending in a small deferent duct. The deferent ducts did not form distinct blister and opened inside cloaca. The furrowed penis, located in the base of the cloaca, extending itself until the tail and it was composed by root, body and free part. The morphology data of the reproductive organs of these animals was similar to other turtles such as the sea turtle, suggesting a conservative morphological presentation among turtles.

  5. A microestrutura e o desenvolvimento dos órgãos genitais masculinos de preás (Galea spixii criados em cativeiro The microstructure and development of male genital organs of Spix's yellow-toothed cavy (Galea spixii bred in captivity

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    Paulo R.S. Santos

    2012-12-01

    Full Text Available O preá do semiárido nordestino (Galea spixii é um roedor pertencente à família Caviidae. São encontrados nas regiões da Caatinga e do Cerrado Brasileiro e se reproduz ao longo do ano, apresentando um período de gestação de 48 dias e uma ninhada de 2 a 4 crias. O objetivo deste estudo foi caracterizar histologicamente os componentes estruturais dos órgãos genitais de preás machos relacionando com a evolução cronológica destes órgãos na espécie. Foram utilizados para análise animais ao nascimento e aos 15, 30, 45, 60, 75, 90, 105, 120 e aos 150 dias de idade. Fragmentos do epidídimo, ducto deferente, pênis e glândulas sexuais acessórias foram coletados, fixados e processados para descrição em microscopia de luz. O epidídimo apresentou epitélio colunar simples e em cada fase sexual notou-se diferença quanto ao tamanho do lúmen tubular e à presença de espermatozóides no lúmen aos 45 dias de idade. O epitélio do ducto deferente no preá mostrou-se pseudo-estratificado colunar com crescente presença de estereocilios com o avanço da idade. A glândula vesicular no preá apresentou uma mucosa com pregueamento variado, de acordo com a fase do desenvolvimento sexual. A próstata mostrou-se pouco desenvolvida, com lúmen pequeno nos preás ao nascimento e aos 15 dias de idade; aos 45 dias mostrou-se com um pregueamento do epitélio variável. Os órgãos genitais masculinos do preá passaram por transformações morfológicas no decorrer da idade e com o desenvolvimento sexual, isso colaborou para a determinação do início da fase da puberdade, que na espécie em estudo foi aos 45 dias de idade.The Spix's yellow-toothed cavy (Galea spixii from the Brazilian northeastern semi-arid is a rodent that does belong to the family Caviidae. They are found in regions of the Caatinga and Cerrado, and reproduces throughout the year, with a gestation period of 48 days and a litter of 2 to 4 pups. The aim of this study was to

  6. Morfología del aparato reproductor del picoroco Austromegabalanus psittacus (Molina, 1782 (Cirripedia, Balanidae

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    Catalina Contreras

    2015-07-01

    Full Text Available Descripción morfológica de las estructuras reproductivas de Austromegabalanus psittacus en dos periodos de maduración sexual. Se determinó que es un organismo hermafrodita que transfiere sus espermatozoides mediante un órgano intromitente o pene. El aparato reproductor masculino consta de testículos organizados en acinos que se distribuyen arboriformemente, dos conductos deferentes que se unen en la base del pene para formar el conducto eyaculador. El aparato reproductor femenino consiste principalmente en un ovario sacular que rodea al resto del cuerpo y se encuentra adherido a través de musculatura a la base de las placas operculares. Se organiza internamente en sacos acinares elongados que contienen ovogonias y ovocitos previtelogénicos adheridos a su pared y vitelogénicos y maduros libres dentro del lumen. Se observaron diferencias notorias en los ovarios entre los organismos recolectados en septiembre y octubre. En septiembre presentaron coloración amarillenta y en su interior se encontraron dos estructuras compactas denominadas lamelas ovígeras en cuyo interior se observaron ovocitos fecundados, embriones en diferentes estados de desarrollo y nauplius libres en la cavidad corporal; en octubre los ovarios son gruesos, blanquecinos y con gran cantidad de fluido lechoso en su interior.

  7. Genital Herpes

    Science.gov (United States)

    ... less often and the symptoms become milder. The virus stays in your body for life. There are tests that can diagnose genital herpes. There is no cure. However, medicines can help lessen symptoms, decrease ... risk of passing the virus to others. Correct usage of latex condoms can ...

  8. Genital Herpes

    Science.gov (United States)

    ... best way to prevent genital herpes is abstinence. Teens who do have sex must properly use a latex condom every time ... Date reviewed: February 2016 previous 1 • ... Boyfriend Has an STD Before We Have Sex? Telling Your Partner You Have an STD Contact ...

  9. Genital warts

    Science.gov (United States)

    ... warts URL of this page: //medlineplus.gov/ency/article/000886.htm Genital warts To use the sharing ... They may be found on the penis , vulva , urethra, vagina , cervix , and around ... in the cervix , or to cervical cancer . These are called high-risk types of HPV. ...

  10. Especie nueva de Scybalocanthon (Coleoptera: Scarabaeinae: Canthonini y descripción de la variación del órgano genital masculino A new species of Scybalocanthon (Coleoptera: Scarabaeinae: Canthonini and description of the variation of the male genitalia

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    Fredy Molano Rendón

    2010-12-01

    Full Text Available Se describe Scybalocanthon arcabuquensis Molano y Medina, sp.nov. La distribución de esta especie se encuentra restringida a los bosques de roble del municipio de Arcabuco, Departamento de Boyacá, sobre la cordillera Oriental de los Andes en Colombia. El órgano genital del macho se describe e ilustra, se discute la variación de las estructuras del saco interno de varias especies del género, y se proponen algunas estructuras del órgano genital como posibles caracteres únicos que definen el género.Scybalocanthon arcabuquensis Molano y Medina, sp. nov. is described. The species is restricted to the oak forest at Arcabuco municipality, department of Boyacá, Eastern Cordillera of the Colombian Andes. The male genitalia is described and illustrated, the variation of structures of the internal sac is discussed for various species of the genus and some structures from the internal male genitalia are proposed as possible unique characters useful for defining the genus.

  11. Anatomía del Aparato Locomotor, 2010-11

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    Juanes Méndez, Juan Antonio

    2010-01-01

    I. Materiales de clase: 1.Sistema Oseo. Las Articulaciones: definición, clasificaciones; 2.Esqueleto Axial; 3.Esqueleto Apendicular; 4. Organización del sistema nervioso periférico. Inervación del Aparato Locomotor; 5. Sistema muscular. II. Bibliografía y atlas Establecer la correlación morfofuncional del aparato locomotor necesaria para la deducción deficitaria derivada de las alteraciones de la dinámica osteoarticular. Esta asignatura se imparte en el primer curso del Grado en Terapia Oc...

  12. El aparato urogenital del pecarí de collar (Pecari tajacu Chordata: Artiodactyla: un estudio anatómico

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    María Vargas García

    2015-01-01

    Full Text Available la finalidad de incrementar la información sobre la fisiología reproductiva del pecarí de collar (Pecari tajacu se realizó una descripción anatómica del aparato urogenital (au de esta especie. Se utilizaron ocho hembras y cinco machos que fueron anestesiados y perfundidos con solución de McKormik. Se realizaron disecciones para extraer el au y se describieron sus componentes. El au del pecarí de collar es característico del mamífero pero presenta similitudes con el au del cerdo. Este trabajo es el primer reporte donde se describe un seno urogenital, las glándulas vestibulares y la musculatura estriada asociada a la vulva. Es también, el primer reporte del au masculino del pecarí de collar, encontrándose algunas características exclusivas de esta especie.

  13. Estudio Post mortem del aparato genital de perras en la ciudad de México

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    Cruz María Mariño Munguía; Rosa Ma. Páramo Ramírez; Francisco J. Trigo Tavera

    2003-01-01

    A post mortem study was conducted on 180 stray dogs at the Pathology Department of the College of Veterinary Medicine at the Universidad Nacional Autonoma de Mexico. Fifty bitches were in a follicular phase and 75 in a luteal one; the rest were discarded. A gross and microscopic study was conducted on each selected bitch. The presence of lesions was recorded, as well as the type, frequency and possible relationship with the estrus cycle. Lesions were classified as: cystic, neoplasic, of hormo...

  14. Genital Warts (HPV)

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    ... A Week of Healthy Breakfasts Shyness Genital Warts (HPV) KidsHealth > For Teens > Genital Warts (HPV) A A ... HPV infection. How Do People Know They Have HPV? Most HPV infections have no signs or symptoms. ...

  15. Genital herpes - self-care

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    Herpes - genital -self-care; Herpes simplex - genital - self-care; Herpesvirus 2 - self-care; HSV-2 - self-care ... genital herpes can be treated. Follow your health care provider's instructions for treatment and follow-up.

  16. Pregnancy Complications: Genital Herpes

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    ... can get an STD from vaginal, anal or oral sex. Most people get genital herpes from having sex with an infected person, but ... Genital herpes is caused by two viruses called herpes simplex viruses (also called ... and fever blisters on the mouth and lips. The virus spreads from the mouth ...

  17. Noninfectious genital ulcers.

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    Kirshen, Carly; Edwards, Libby

    2015-12-01

    Noninfectious genital ulcers are much more common than ulcers arising from infections. Still, it is important to take a thorough history of sexual activity and a sexual abuse screen. A physical exam should include skin, oral mucosa, nails, hair, vulva, and vaginal mucosa if needed. The differential diagnosis of noninfectious genital ulcers includes: lipschütz ulcers, complex aphthosis, Behçet's syndrome, vulvar metastatic Crohn's disease, hidradenitis suppurativa, pyoderma gangrenosum, pressure ulcers, and malignancies. It is important to come to the correct diagnosis to avoid undue testing, stress, and anxiety in patients experiencing genital ulcerations.

  18. Estructura del aparato reproductor masculino de Uca uruguayensis (Decapoda, Ocypodidae Structure of the male reproductive tract of Uca uruguayensis (Decapoda, Ocypodidae

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    Elena Irene Cuartas

    Full Text Available El objetivo de este trabajo es describir las estructuras del sistema reproductor de machos de Uca uruguayensis Nobili, 1901 y estudiar los cambios relacionados con la madurez sexual. Se trabajó con observación estereoscópica de material fresco, técnica histológica de rutina y observaciones en Microscopio Electrónico de Barrido. Se incluyó la caracterización de los gonopodos 1 (G1 y 2 (G2. El tracto reproductor del macho se compone de un par de testículos (T, un vaso deferente (VD tubular y sinuoso y una ampolla terminal (AT. El VD tiene tres secciones, la anterior (VDA, la media (VDM y la posterior (VDP. El VDA y VDM están conformadas por un epitelio simple de células cúbicas. El epitelio del VDP es columnar y con núcleos basales y alongados. El diseño tubular se modifica al ocuparse el lumen del VDP con líquido espermático durante el verano y la musculatura circular se hace más evidente. La porción terminal del VDP se ensancha formando una ampolla (AT que comprende cuatro cámaras interconectadas. Todas las estructuras están rodeadas de una capa de tejido conectivo de poco espesor. Se identifican las modificaciones observadas en la histología de T y VD, definiendo como mas relevantes las observadas desde el mes de noviembre hasta marzo. Estas modificaciones sugieren que U. uruguayensis tiene, en la localidad estudiada, una única estación reproductiva durante el verano en esta latitud. La AT, tal como es descripta, es una estructura que hasta el momento no ha sido mencionada para los Brachyura.The structure of the male reproductive tract was described in Uca uruguayensis Nobili, 1901, by using histological methods, scanning electron microscopy techniques, and stereoscopic observations of fresh material. The aim of this work was to establish the functional changes associated with sexual maturation. The morphology of the first (G1 and second (G2 pair of gonopods was described. The male reproductive tract consists of paired organs: testes, and tubular and convoluted vas deferens (VD ending with a terminal ampoule (TA.The (VD is composed of three parts: anterior (AVD, medial (MVD and posterior (PVD. The AVD and MVD are lined by a single layer of cubical cells. The PVD epithelial cells are columnar with elongated nuclei. The terminal ampoule comprises four interconnecting chambers and is externally surrounded by connective tissue. The study of testes and vas deferens at different times along the year suggests that U. uruguayensis has a single and continuous reproductive season from December to March. The TA has not been described in other brachyurans and this structure is novel to Brachyura.

  19. CARACTERIZACIÓN MACROSCÓPICA Y MICROSCÓPICA DE LAS GLÁNDULAS ANEXAS DEL APARATO REPRODUCTOR MASCULINO DE LA LLAMA (Lama glama).

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    Mendoza T., Galy; Laboratorio de Anatomía, Facultad de Veterinaria y Zootecnia, Universidad Peruana Cayetano Heredia, Lima, Perú.; Castro, Alejandra; Laboratorio de Anatomía, Facultad de Ciencias Veterinarias, Universidad Nacional del Centro de la Provincia de Buenos Aires (UNCPBA), Campus Universitario, (7000) Tandil, Provincia de Bs. As., Argentina; Lupidio, María; Laboratorio de Histología, Facultad de Ciencias Veterinarias, Universidad Nacional del Centro de la Provincia de Buenos Aires (UNCPBA), Campus Universitario, (7000) Tandil, Provincia de Bs. As., Argentina; Domínguez, María; Laboratorio de Anatomía, Facultad de Ciencias Veterinarias, Universidad Nacional del Centro de la Provincia de Buenos Aires (UNCPBA), Campus Universitario, (7000) Tandil, Provincia de Bs. As., Argentina; Gómez, Susana; Laboratorio de Histología, Facultad de Ciencias Veterinarias, Universidad Nacional del Centro de la Provincia de Buenos Aires (UNCPBA), Campus Universitario, (7000) Tandil, Provincia de Bs. As., Argentina; Ghezzi, Marcelo; Laboratorio de Anatomía, Facultad de Ciencias Veterinarias, Universidad Nacional del Centro de la Provincia de Buenos Aires (UNCPBA), Campus Universitario, (7000) Tandil, Provincia de Bs. As., Argentina

    2012-01-01

    Se caracterizó la estructura macroscópica y microscópica de las glándulas sexuales anexas del tracto reproductor de la llama macho empleando ocho animales adultos. Se hizo el estudio macroscópico in situ y de órganos aislados, y se colectaron muestras de los órganos para la evaluación histológica. El estudio macroscópico reveló la presencia de dos ampollas en el conducto deferente, ausencia de glándulas seminales, próstata con cuerpo lobulado, istmo y porción diseminada, y dos glándulas bulbo...

  20. El aparato ultrasónico del IETcc

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    Tobío, J. M.

    1965-11-01

    Full Text Available A description is given of ultrasonic equipment developed at the I.E.T.c.c. (Instituto Eduardo Torroja de la Construcción y del Cemento laboratory. This equipment is an addition to the facilities which the Metrology Department of the I.E.T.c.c. possessed, to undertake non destructive tests. The most significant features of this new equipment are: the possibility to work with varying frequencies (20 to 200 kc/sec; the use of both barium titanate and ferrite transducers; heterodyne auditive control of the marking frequency; and optional possibility of observing the incoming impulse both in the form of a damped high frequency wave, and as a low frequency, highly precise differentiated impulse. A revision of the theoretical basis involved in the impulse method has been carried out, and improvements have been also introduced in the more current applications in connection with mass and structural concrete, and even laboratory specimens. The revised method of testing has inherent limitations typical of these non destructive systems. These limitations have already been mentioned in earlier papers.En este trabajo se da la descripción de un nuevo aparato ultrasónico desarrollado en los laboratorios del I.E.T.C.C. (Instituto Eduardo Torroja de la Construcción y del Cemento, que viene a completar los equipos para ensayos no destructivos de que dispone la División de Metrología. Como características más destacadas de este aparato se señalan: la posibilidad de trabajar a frecuencias diferentes (20 a 300 kc/seg, empleando transductores tanto de titanato de bario como de ferrita (Ferroxcube; control auditivo heterodino de la frecuencia de mareaje, y facultad opcional de observar el impulso recibido tanto en forma de onda amortiguada de alta frecuencia como de impulso diferenciado de baja frecuencia y elevada exactitud. También se revisan los fundamentos teóricos del método de impulsos, así como las aplicaciones más usuales del mismo en cuanto se

  1. Corrosión en soldaduras de aparatos de ortodoncia

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    Vázquez, S. M.

    1997-10-01

    Full Text Available The study of corrosion-related problems of dental materials has undergone a considerable development in recent years in order to avoid the use of materials with insufficient corrosion resistance in patients' mouth. The subject of the present work was to study a particular type of corrosion: galvanic corrosion. One of the most common case of galvanic couples in patients' mouth are the orthodontic appliances. The materials studied in the present work were stainless steel strips and silver-copper wires, isolated and welded between them. The electrochemical tests were performed in a NaCl 0.1M and Lactic Acid 0.1M solution (pH 2.3, and after test, the specimens were observed using the optical and scanning electron microscope. The results show that when stainless steel is coupled with a silver solder, the last is the anode of the galvanic couple. As a consequence of this, the silver solder undergone a severe attack. Stainless steel orthodontic appliances with silver solder are feasibly destroyed due to a severe attack on the filler metal disjoining the welded parts.

    En los últimos años se ha desarrollado considerablemente el estudio de los problemas relacionados con la corrosión de aleaciones dentales a efectos de evitar la utilización de materiales con una deficiente resistencia a la corrosión en la boca de los pacientes. El objetivo del presente trabajo fue estudiar la corrosión de aparatos de ortodoncia fabricados con acero inoxidable con soldadura por punto o por aporte de aleación de plata. Los resultados obtenidos mostraron que cuando el acero inoxidable contiene aportes de soldadura de material de base plata, ésta actúa como ánodo disolviéndose preferencialmente a una velocidad considerable. Los aparatos de ortodoncia construidos con acero inoxidable soldado con aporte de material de base plata, corren el riesgo de destrucción debido a un ataque intenso en el cordón de soldadura con el consiguiente despegue de las piezas

  2. UN NUEVO MECANISMO DE DEFENSA DEL APARATO URINARIO.

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    Pablo Gómez Martinez

    1984-07-01

    Full Text Available

    Son muchos los trabajos publicados que explican la resistencia natural del aparato urinario a la infección y las maneras como se defiende. Basta citar unos cuantos para demostrar que ninguno de ellos es plenamente satisfactorio: la naturaleza del epitelio, la evacuación completa del sistema excretor, el factor intrínseco vesical, el lavado hacia el exterior (wash
    out de Hinman, los mucoproteídos, la resistencia del paciente, la virulencia del germen infectante, son mecanismos comúnmente citados como factores en contra del proceso infeccioso.

    Sin embargo, hay que tener en cuenta que la infección no se produce si el organismo es inmune a agentes microbianos, y que si se desarrolla, es porque este mecanismo humoral está disminuido o ausente o alterado, o porque otros, posiblemente existentes, no han sido capaces de vencer el ataque infeccioso al individuo.

    Una vez establecida la infección, los mismos agentes bacterianos obran como antígenos capaces de producir anticuerpos, es decir, de desencadenar el proceso inmunológico que permitirá al paciente salir airoso de la lucha, o modificar la evolución clínica de la
    enfermedad.

    Ya sea natural o adquirida, generala local, la inmunidad es la que en esencia y básicamente, juega un papel de primera magnitud en la defensa del aparato urinario.

    Mecanismo inmunológico local. Hasta hace poco tiempo, la inmunología se ocupaba principalmente de la respuesta serológica a la infección, tanto en el hombre como en los animales y trataba de producir su inmunidad administrando una gran variedad de antígenos
    cuya respuesta se mide por el título de los anticuerpos producidos en el suero, como prueba de la eficacia del proceso. Nadie puede negar que la vacunación ha sido uno de los grandes triunfos de la humanidad en su lucha contra las epidemias.

    Sin embargo, estudios más recientes han demostrado que, aunque puede existir una relaci

  3. Genital soft tissue tumors.

    Science.gov (United States)

    Schoolmeester, John K; Fritchie, Karen J

    2015-07-01

    Mesenchymal neoplasms of the vulvovaginal and inguinoscrotal regions are among the most diagnostically challenging specimens in the pathology laboratory owing largely to their unique intersection between general soft tissue tumors and relatively genital-specific mesenchymal tumors. Genital stromal tumors are a unique subset of soft tissue tumors encountered at this location, and this group includes fibroepithelial stromal polyp, superficial (cervicovaginal) myofibroblastoma, cellular angiofibroma, mammary-type myofibroblastoma, angiomyofibroblastoma and aggressive angiomyxoma. Aside from the striking morphologic and immunophenotypic similarity that is seen with these entities, there is evidence that a subset of genital stromal tumors may be linked genetically. This review will focus on simplifying this group of tumors and provide the pathologist or dermatopathologist with practical management information. Smooth muscle tumors of the external genitalia will also be discussed.

  4. Genital injuries in adults.

    Science.gov (United States)

    White, Catherine

    2013-02-01

    The examination of the rape victim should focus on the therapeutic, forensic and psychological needs of the individual patient. One aspect will be an examination for ano-genital injuries. From a medical perspective, they tend to be minor and require little in the way of treatment. They must be considered when assessing the risk of blood-borne viruses and the need for prophylaxis. From a forensic perspective, an understanding of genital injury rates, type of injury, site and healing may assist the clinician to interpret the findings in the context of the allegations that have been made. There are many myths and misunderstandings about ano-genital injuries and rape. The clinician has a duty to dispel these.

  5. Compromiso genital en un paciente con lepra lepromatosa Involvement of genitals in e patient with lepromatous leprosy

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    I Soto

    2007-03-01

    Full Text Available El compromiso de los órganos genitales masculinos en la lepra, se observa con mayor frecuencia en el transcurso de los cuadros reaccionales. Sin embargo, fuera de estos episodios agudos, la piel y mucosa de los genitales externos pueden estar comprometidas por lesiones específicas. Se comunica el caso de un paciente hanseniano que recidivó, lepromatoso con lesiones infiltradas y nodulares en prepucio y lóbulo auricular, como únicas manifestaciones de la enfermedad.The involvement of male genitals in leprosy appears more frecuently in the immunologic reactions. Although, the genital skin and mucous can be affected, by specific lesions too. We report a case of relapsed lepromatous leprosy with infiltrated lesions and nodules in prepuce and earlobe as the only disease manifestation.

  6. Genital/Vulvovaginal Candidiasis (VVC)

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    ... experience genital itching, burning, and sometimes a "cottage cheese-like" vaginal discharge. Men with genital candidiasis may ... number of Candida organisms are present. A fungal culture may not always be useful because Candida species ...

  7. Nonspecific genital ulcers.

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    Sehgal, Virendra N; Pandhi, Deepika; Khurana, Ananta

    2014-01-01

    Recent intervention of nonspecific genital ulcers has added refreshing dimensions to genital ulcer disease. It was considered pertinent to dwell on diverse clinical presentation and diagnostic strategies. It seems to possess spectrum. It includes infective causes, Epstein Bar Virus, tuberculosis, Leishmaniasis, HIV/AIDS related ulcers and amoebiasis. Noninfective causes are immunobullous disorders, aphthosis, Behcet's disease (BD), inflammatory bowel disease, lichen planus and lichen sclerosis et atrophicus, drug reactions, premalignant and malignant conditions, pyoderma gangrenosum, and hidradenitis suppurativa. The diagnostic features and treatment option of each disorder are succinctly outlined for ready reference.

  8. Genital lesions following bestiality

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    Mittal A

    2000-01-01

    Full Text Available A 48-year-old man presented with painful genital lesions with history of bestiality and abnor-mal sexual behaviour. Examination revealed multiple irregular tender ulcers and erosions, with phimosis and left sided tender inguinal adenopathy. VDRL, TPHA, HIV-ELISA were negative. He was treated with ciprofloxacin 500mg b.d. along with saline compresses with complete resolution.

  9. Female genital mutilation.

    Science.gov (United States)

    Ladjali, M; Rattray, T W; Walder, R J

    1993-08-21

    Female genital mutilation, also misleadingly known as female circumcision, is usually performed on girls ranging in from 1 week to puberty. Immediate physical complications include severe pain, shock, infection, bleeding, acute urinary infection, tetanus, and death. Longterm problems include chronic pain, difficulties with micturition and menstruation, pelvic infection leading to infertility, and prolonged and obstructed labor during childbirth. An estimated 80 million girls and women have undergone female genital mutilation. In Britain alone an estimated 10,000 girls are currently at risk. Religious, cultural, medical, and moral grounds rationalize the custom which is practiced primarily in sub-Saharan Africa, the Arab world, Malaysia, Indonesia, and among migrant populations in Western countries. According to WHO it is correlated with poverty, illiteracy, and the low status of women. Women who escape mutilation are not sought in marriage. WHO, the UN Population Fund, the UN Children's Fund, the International Planned Parenthood Federation, and the UN Convention on the Rights of the Child have issued declarations on the eradication of female genital mutilation. In Britain, local authorities have intervened to prevent parents from mutilating their daughters. In 1984, the Inter-African Committee Against Harmful Traditional Practices Affecting Women and Children was established to work toward eliminating female genital mutilation and other damaging customs. National committees in 26 African countries coordinate projects run by local people using theater, dance, music, and storytelling for communication. In Australia, Canada, Europe, and the US women have organized to prevent the practice among vulnerable migrants and refugees.

  10. Genital herpes: Heisenberg revisited

    OpenAIRE

    Goldmeier, D

    1998-01-01

    In the confirmation of recurrences of genital herpes, patient defined disease reactivation and virological data hold the scientific high ground. The influence of the psyche on recurrence rates and perception of recurrences has been largely neglected and marginalised up to the present, possibly because research work in that area has been and continues to be of poor calibre. However, neglected psychological variables may render otherwise relevant clinical trials uninterpretable. Psycholog...

  11. TRANSPORTE DE UDP-GALACTOSA EN EL APARATO DE GOLGI DE CELULAS VEGETALES.

    OpenAIRE

    NORAMBUENA MORALES, LORENA

    2004-01-01

    En vegetales, el aparato de Golgi existe en un gran número de organelos por célula, distribuyéndose homogéneamente por todo el citoplasma. La abundancia de este organelo está en directa relación con la necesidad de depósito de componentes de pared celular 106p.

  12. Um aparato experimental para o estudo do princípio de Arquimedes

    OpenAIRE

    Barbosa,Valmar Carneiro; Breitschaft,Ana Maria Senra

    2006-01-01

    Neste trabalho apresentamos um aparato experimental para o estudo do princípio de Arquimedes, assim como a experiência realizada com ele e uma sugestão de roteiro para esta experiência que pode ser usado em aulas de física experimental.

  13. Intersexual stages. Ambiguous genitals.

    Directory of Open Access Journals (Sweden)

    Salvador G. Carrillo Soriano

    2005-12-01

    Full Text Available It is considered that every newborn that presents a confused aspect of external genitalia, that does not permit to define his phenotypic sex, has Ambiguous Genitals. It includes real cases of intersex abnormalities, or those with severe hypospadia and bilateral chryptorchidism. In spite of the large advances in genetic, hormonal regulation and molecular biology studies in intersex abnormalities, today continues being motive of confussion when a doctor found a newborn with ambiguous genitalia. We presented the Good Clinical Practices Guideline for Intersex and ambiguos genitalia, approved by consensus in the 4th National Good Clinical Practices Workshop in Pediatric Surgery (Las Tunas, Cuba, March, 2005.

  14. Genital herpes: Heisenberg revisited

    Science.gov (United States)

    Goldmeier, D.

    1998-01-01

    In the confirmation of recurrences of genital herpes, patient defined disease reactivation and virological data hold the scientific high ground. The influence of the psyche on recurrence rates and perception of recurrences has been largely neglected and marginalised up to the present, possibly because research work in that area has been and continues to be of poor calibre. However, neglected psychological variables may render otherwise relevant clinical trials uninterpretable. Psychological aspects of counselling before testing for serum herpes simplex type 2 antibodies are also discussed. 




 PMID:9849561

  15. Acute genital ulcers.

    Science.gov (United States)

    Delgado-García, Silvia; Palacios-Marqués, Ana; Martínez-Escoriza, Juan Carlos; Martín-Bayón, Tina-Aurora

    2014-01-28

    Acute genital ulcers, also known as acute vulvar ulcers, ulcus vulvae acutum or Lipschütz ulcers, refer to an ulceration of the vulva or lower vagina of non-venereal origin that usually presents in young women, predominantly virgins. Although its incidence is unknown, it seems a rare entity, with few cases reported in the literature. Their aetiology and pathogenesis are still unknown. The disease is characterised by an acute onset of flu-like symptoms with single or multiple painful ulcers on the vulva. Diagnosis is mainly clinical, after exclusion of other causes of vulvar ulcers. The treatment is mainly symptomatic, with spontaneous resolution in 2 weeks and without recurrences in most cases. We present a case report of a 13-year-old girl with two episodes of acute ulcers that fit the clinical criteria for Lipschütz ulcers.

  16. Paracoccidioidomicose genital feminina. Descrição de um caso clínico

    Directory of Open Access Journals (Sweden)

    E. P. Campos

    1986-02-01

    Full Text Available A paracoccidioidomicose é doença sistêmica que atinge mais o sexo masculino do que o feminino. Modelos experimentais mostram maior sensibilidade dos machos do que as fêmeas à dsseminação da doença. A literatura médica é rica em relatos de casos de Pbmicose do trato genital masculino. A raridade da Pbmicose sistêmica na mulher devido à ação hormonal tornou inusitada a descrição de um caso com envolvimneto genital. Paciente de 57 anos, branca, procedente de Conchas (SP, queixando-se de dor abdominal há 10 anos, difusa, seguida de eólica periumbelical periódica, com diarréia e obstipação alternadas. Piorou desse quadro e evoluiu para abdome agudo cirúrgico. O anátomo patológico revelou Pbmicose no epiplon e ovário direito. A biópsia do endométrio mostrou endometrite crônica granulomatosa. A radiologia e a planigrafia revelaram nódulo parahilar direito. Os achados clínicos e laboratoriais permitiram explicar a provável origem do envolvimento genital.

  17. Peritonitis due to genital tuberculosis

    DEFF Research Database (Denmark)

    Svendsen, Jesper Hastrup; Mikkelsen, A L; Siemssen, O J

    1985-01-01

    A case of genital tuberculosis is presented. The diagnosis was made by laparotomy and histological examination of biopsies from peritoneum and the Fallopian tube. The literature is reviewed and the diagnostic approach and treatment discussed....

  18. Genital burns and vaginal delivery.

    Science.gov (United States)

    Pant, R; Manandhar, V; Wittgenstein, F; Fortney, J A; Fukushima, C

    1995-07-01

    Obstetric complications may result from burn scarring in the genital area. Women in developing countries typically squat around cooking fires, and burns are common. This recent case in Nepal describes obstructed labor in a young woman whose genital area had extensive scarring from a cooking fire injury. Proper antenatal assessment by health care providers can reduce the risk to mothers and infants of the consequences of a birth canal damaged or obstructed by burn scarring.

  19. Open Ensis FSM : Aparato señalador de esgrima basado en LPC1769

    OpenAIRE

    2013-01-01

    Este proyecto desarrolla un aparato señalizador de esgrima o FSM (un dispositivo electrónico capaz de determinar si el arma de un esgrimista ha tocado la superficie válida del otro deportista en las condiciones de tiempo preestablecidas por el reglamento de esgrima), basado en la placa LPC1769 que permite la integración con un software de control remoto mediante un módulo WiFly RN-XV. Aquest projecte desenvolupa un aparell senyalitzador d'esgrima o FSM (un dispositiu electrònic capaç de de...

  20. ESTUDIO DE LA AFECCIÓN AL APARATO RESPIRATORIO EN LA CARPINTERÍA ANDOLA.

    OpenAIRE

    Lizarraga-Gómez, Maite

    2012-01-01

    El trabajo que se presenta a continuación tiene por objeto aplicar las enseñanzas adoptadas respecto a la especialidad de Higiene Industrial en el Máster realizado en Prevención de Riesgos Laborales. Por ello, se va a realizar un estudio de las afecciones al aparato respiratorio y por tanto los riesgos por inhalación en un puesto de trabajo, en este caso en el de carpintero. Se ha optado por analizar un taller real, se trata de la Carpintería Andola, situada en el polígono industrial de Bu...

  1. Aparato respiratorio y patologías asociadas a la función respiratoria : asma

    OpenAIRE

    Arce Diego, Yaiza

    2014-01-01

    El asma es una enfermedad crónica que afecta a muchas personas y que logra un gran impacto sobre la calidad de vida de las mismas. En este trabajo se expone en primer lugar una vision básica de la anatomía y la fisiología del aparato respiratorio, así como, una descripción histológica del mismo, para poder comprender más claramente cada una de las enfermedades que afectan a este sistema. El asma es la patología central que hemos abordado en este trabajo. De ella, realizamos una breve descripc...

  2. Efecto del virus de artritis encefalitis caprina en el aparato reproductor de machos caprinos

    OpenAIRE

    Humberto Alejandro Martínez Rodríguez; Hugo Ramírez Álvarez; Jorge Tórtora Pérez; Álvaro Aguilar Setién; Germán Isauro Garrido Fariña; Juan Antonio Montaraz Crespo

    2005-01-01

    Se evaluó el efecto del virus de artritis encefalitis caprina (AEC) en el aparato reproductor de machos caprinos. Catorce machos se dividieron en 4 grupos de estudio: I) testigos no infectados (n=3), II) infectados experimentalmente con la cepa FES-C.UNAM (n=3), III) naturalmente infectados (n=5) y IV) infectados experimentalmente con una cepa de referencia de la colección americana de tipos de cultivo (ATCC) (n=3). Cada 30 días durante todo el experimento (10 meses), se colectó sangre y s...

  3. Identidad de género masculino y paternidad

    Directory of Open Access Journals (Sweden)

    María Alejandra Salguero Velásquez

    2008-01-01

    Full Text Available El objetivo del presente trabajo fue analizar el proceso de construcción de la identidad de género masculino y la paternidad en varones de nivel socioeconómico medio-alto. Al efecto, se llevaron a cabo entrevistas con treinta sujetos de entre 20 y 45 años de edad. Los resultados muestran cómo los varones elaboran sus procesos de construcción como hombres y padres en el ámbito familiar, donde se resalta la relación vivida con otros de sus miembros. También refieren el ámbito social, donde se integra la influencia de los compañeros de escuela, los amigos y la información recibida a través de los diferentes medios de comunicación, mediante las cuales se señala su papel como hombres y padres. Se encuentran diferencias generacionales importantes entre los entrevistados.

  4. [Genital ulcers--what's new?].

    Science.gov (United States)

    Abu Raya, Bahaa; Bamberger, Ellen; Srugo, Isaac

    2013-08-01

    The most common infectious causes of genital ulcers are herpes simplex virus and syphilis. However, mixed infections can occur and genital ulcer may increase the risk of acquiring human immunodeficiency virus. Although the history and physical examination can narrow the differential diagnosis, there is a need for initial routine laboratory testing for the most common pathogens that includes: for syphilis: serologic screening and dark field examination of the lesion; for herpes simplex virus: serology, vial culture and/or polymerase chain reaction. Human immunodeficiency testing is mandatory. Recently, some clinical laboratories adapted the reverse screening algorithm for syphilis (initial treponemal test, and, if positive, followed by non-treponemal test) that may potentially lead to overtreatment. Early and prompt therapy may decrease the risk of transmission of the infectious agent to others. This article reviews the infectious pathogens causing genital ulcers, their unique clinical manifestation, diagnosis and treatment.

  5. Female genital mutilation in Djibouti.

    Science.gov (United States)

    Martinelli, M; Ollé-Goig, J E

    2012-12-01

    The practice of female genital mutilation (we will use the latest definition adopted by WHO/UNFP: female genital mutilation/cutting or FGM/C) is still widespread in 28 African countries. The World Health Organisation (WHO) estimates that more than two million females undergo some form of genital mutilation every year. Its negative health impact and its ethical and human rights aspects have been discussed and attempts to eliminate it have been the objectives of several meetings promoted by national and international organisations thanks to an increased awareness related to FGM/C in those countries practicing it and also, maybe due to the number of Africans migrating to industrialized countries. We review the present situation in Djibouti, a small country in the Horn of Africa, where 98 % of the female population has suffered different forms of FGM/C.

  6. Male genital trauma in sports.

    Science.gov (United States)

    Hunter, Stanley R; Lishnak, Timothy S; Powers, Andria M; Lisle, David K

    2013-04-01

    Male genital trauma is a rare but potentially serious sports injury. Although such an injury can occur by many different mechanisms, including falls, collisions, straddle injuries, kicks, and equipment malfunction, the clinical presentation is typically homogeneous, characterized by pain and swelling. Almost all sports-related male genital injury comes from blunt force trauma, with involvement of scrotal structures far more common than penile structures. Most injuries can be treated conservatively, but catastrophic testicular injury must first be ruled out. Despite being relatively uncommon compared with other sports injuries, more than half of all testicular injuries are sustained during sports.

  7. Female genital cosmetic surgery.

    Science.gov (United States)

    Shaw, Dorothy; Lefebvre, Guylaine; Bouchard, Celine; Shapiro, Jodi; Blake, Jennifer; Allen, Lisa; Cassell, Krista; Leyland, Nicholas; Wolfman, Wendy; Allaire, Catherine; Awadalla, Alaa; Best, Carolyn; Dunn, Sheila; Heywood, Mark; Lemyre, Madeleine; Marcoux, Violaine; Menard, Chantal; Potestio, Frank; Rittenberg, David; Singh, Sukhbir; Shapiro, Jodi; Akhtar, Saima; Camire, Bruno; Christilaw, Jan; Corey, Julie; Nelson, Erin; Pierce, Marianne; Robertson, Deborah; Simmonds, Anne

    2013-12-01

    Objectif : Fournir aux gynécologues canadiens des directives factuelles en matière de chirurgie esthétique génitale chez la femme, en réponse au nombre grandissant de demandes (et d’interventions) de chirurgie vaginale et vulvaire se situant bien au-delà des reconstructions traditionnellement indiquées sur le plan médical. Résultats : La littérature publiée a été récupérée par l’intermédiaire de recherches menées dans PubMed ou MEDLINE, CINAHL et The Cochrane Library en 2011 et en 2012 au moyen d’un vocabulaire contrôlé et de mots clés appropriés (« female genital cosmetic surgery »). Les résultats ont été restreints aux analyses systématiques, aux essais comparatifs randomisés / essais cliniques comparatifs et aux études observationnelles. Aucune restriction n’a été appliquée en matière de date ou de langue. Les recherches ont été mises à jour de façon régulière et intégrées à la directive clinique jusqu’en mai 2012. La littérature grise (non publiée) a été identifiée par l’intermédiaire de recherches menées dans les sites Web d’organismes s’intéressant à l’évaluation des technologies dans le domaine de la santé et d’organismes connexes, dans des collections de directives cliniques, dans des registres d’essais cliniques et auprès de sociétés de spécialité médicale nationales et internationales. Valeurs : La qualité des résultats est évaluée au moyen des critères décrits dans le rapport du Groupe d’étude canadien sur les soins de santé préventifs (Tableau). Recommandations 1. Un des rôles importants des obstétriciens-gynécologues devrait consister à aider les femmes à comprendre leur anatomie et à en respecter les variantes qui leur sont propres. (III-A) 2. Lorsqu’une femme demande la tenue d’interventions esthétiques vaginales, une anamnèse médicale, sexuelle et gynécologique exhaustive devrait être obtenue et l’absence de tout dysfonctionnement

  8. Priorización multicriterio de un residuo de aparato eléctrico y electrónico

    Directory of Open Access Journals (Sweden)

    José de Jesús Casas

    2015-01-01

    Full Text Available Se presenta una aplicación de la metodología AHP para la selección de un residuo de aparato eléctrico y electrónico que se va a considerar en el diseño de una red de logística inversa para la gestión integral de los residuos sólidos generados por dichos aparatos. Este trabajo es el primer paso en el diseño de la red logística y se ha abordado desde la perspectiva multicriterio debido a la importancia que revisten dichos residuos tanto desde el punto de vista de su impacto ambiental como económico. Este trabajo incluye una caracterización amplia y detallada de los aparatos eléctricos y electrónicos de mayor presencia en los hogares colombianos. La metodología presentada puede ser replicada fácilmente para cualquier otro tipo de aparato o residuo sólido en el proceso de configuración de la cadena de suministro inversa. Para el caso particular presentado fueron seleccionados los televisores de rayos catódicos y monitores de cristal líquido.

  9. Apuntes acerca del aparato fiscal en el estado de Santander: aguardientes y clientelas

    Directory of Open Access Journals (Sweden)

    Nectalí Ariza Ariza

    2012-01-01

    Full Text Available Este artículo trata aspectos del aparato fiscal agenciado por los liberales en el Estado de Santander durante la época federal (1857 – 1886 y de la realidad social que trasluce dicha fiscalidad. En ese tiempo los gravámenes no producían lo suficiente para cubrir los gastos de la administración y los liberales gobernaron con un constante déficit. Al indagar por las causas, entre otras aparecen: pobreza generalizada, inexistencia de cultura fiscal, incertidumbre acerca de los volúmenes de riqueza; además, los mecanismos de recaudo y gasto estaban mediados por un exacerbado clientelismo.

  10. Female Genital Mutilation in Egypt

    Directory of Open Access Journals (Sweden)

    Nissrin Hoffmann

    2013-07-01

    Full Text Available Female Genital Mutilation is widely practiced in Egypt as well as in big sections of the African continent. The tradition of mutilation of the female genital areas has been practiced over the course of many years in the country and has been attributed to being promoted by the Islamic religion in Egypt. The Islamic religion is the most widely practiced religion within Egypt and therefore is linked to being the main reason why the country possesses one of the highest prevalence rates of the practice within Africa, according to many surveys performed by many leading agencies and nongovernmental organizations that advocate for the abolition of the practice within the country. FGM as a social health concern has been realized as not possessing any health benefits for the women and young girls who are taken through the practice.

  11. Female genital cutting.

    Science.gov (United States)

    Perron, Liette; Senikas, Vyta; Burnett, Margaret; Davis, Victoria

    2013-11-01

    Objectif : Renforcer le cadre national des soins offerts aux adolescentes et aux femmes affectées par l’excision génitale féminine (EGF) au Canada en fournissant aux professionnels de la santé : (1) des renseignements ayant pour but d’approfondir leur compréhension de cette pratique et leurs connaissances à ce sujet; (2) des consignes quant aux aspects légaux liés à cette pratique; (3) des directives cliniques pour la gestion des soins obstétricaux et gynécologiques, y compris la prise en charge des complications liées à l’EGF; et (4) des conseils quant à l’offre de soins compétents au plan culturel aux adolescentes et aux femmes ayant subi une EGF. Résultats : La littérature publiée a été récupérée par l’intermédiaire de recherches menées dans PubMed, CINAHL et The Cochrane Library en septembre 2010 au moyen d’un vocabulaire contrôlé (p. ex. « Circumcision », « Female ») et de mots clés (p. ex. « female genital mutilation », « clitoridectomy », « infibulation ») appropriés. Nous avons également mené des recherches dans Social Science Abstracts, Sociological Abstracts, Gender Studies Database et ProQuest Dissertations and Theses en 2010 et en 2011. Aucune restriction n’a été appliquée en matière de date ou de langue. Les recherches ont été mises à jour de façon régulière et intégrées à la directive clinique jusqu’en décembre 2011. La littérature grise (non publiée) a été identifiée par l’intermédiaire de recherches menées dans les sites Web d’organismes s’intéressant à l’évaluation des technologies dans le domaine de la santé et d’organismes connexes, dans des collections de directives cliniques, dans des registres d’essais cliniques et auprès de sociétés de spécialité médicale nationales et internationales. Valeurs : La qualité des résultats a été évaluée au moyen des critères décrits dans le rapport du Groupe d’étude canadien sur les soins

  12. A cloudy bag and genital ulcers.

    Science.gov (United States)

    Liesker, J; van Elsacker-Niele, A M; Blanken, R; Halma, C

    2006-05-01

    A 30-year-old patient treated with CCPD presented with genital ulcers and a culture-negative peritonitis. Herpes simplex virus type 2 (HSV-2) was cultured from the effluent and the genital lesions. Primary HSV-2 infection was diagnosed by serology. This is the first documented case of PD peritonitis caused by HSV-2. We speculate that cases of culture-negative PD peritonitis may be due to recurrences of genital herpes.

  13. Can You Get Genital Herpes from a Cold Sore?

    Science.gov (United States)

    ... Lucy* Yes — it is possible to get genital herpes from oral sex. Genital herpes is caused by the herpes ... Genital herpes is usually caused by HSV-2; oral herpes (cold sores) is usually caused by HSV-1. ...

  14. Leishmaniasis in the genital area

    Directory of Open Access Journals (Sweden)

    CABELLO Ismery

    2002-01-01

    Full Text Available Two patients from the gold mines of Bolivar State, Venezuela, presenting cutaneous leishmaniasis in the genital region, an unusual location, are described. The first patient showed an ulcerated lesion of the glans penis. Leishmanin skin test was positive. A biopsy specimen revealed a granulomatous infiltrate containing Leishmania parasites. In the second patient, Leishmanin skin test was positive, HIV and VDRL were negative. Leishmania parasites were present in a biopsy of an ulcerated lesion in the scrotum, with an indurated base, infiltrative borders with an yellowish exudate. Patients were treated with meglumine antimoniate and the lesions healed.

  15. Review of Genital Wart Treatment

    Institute of Scientific and Technical Information of China (English)

    TIAN Hongqing(田洪清); DU Donghong(杜东红)

    2002-01-01

    Although many traditional therapies areavailable for genital warts(GW), one of the major problemsin the treatment of GW is a high recurrenence rate. Inorder to resolve the problem of recurrence, new theraputicapproaches have been investigated. New approaches beingexplored include 5-fiuorouracil/epinephrine injectablecollagen gel, 5% imiguimod cream and humanpapillomavirus vaccine. Fluorouracil /epinephrine injectable collagen gel achieves high concentration of fiuorouracilat the site of injection. Imiguimod is a novelimmune-respones modifier, giving good clearance rates andtolerable side effects. Although the use of an HPV vaccine isfar away, preliminary studies show that it may be possibleto develop suitable prophylactic and therapeutic vaccines togenital warts.

  16. Quando Será Eficiente? Uma Análise dos Aparatos Administrativos Públicos no Século XX

    OpenAIRE

    NEVES, LEANDRO ROBERTO

    2012-01-01

    Este artigo apresenta uma discussão, a priori, da etiologia do Estado na sociedade brasileira, apontando a constituição do Estado brasileiro elencada com a génese dos aparatos públicos, centrado nos objetivos do Departamento de Administração do Serviço Público, criado em meados da década de 1930. A elaboração dos aparatos públicos pela administração pública central brasileira, ora apresentou-se como tentativa de melhorar o serviço público, ora explicitou a constituição do projeto deopolítico ...

  17. Priorización multicriterio de un residuo de aparato eléctrico y electrónico

    OpenAIRE

    José de Jesús Casas; Katherine Cerón; Carlos Julio Vidal; Claudia Cecilia Peña; Juan Carlos Osorio

    2015-01-01

    Se presenta una aplicación de la metodología AHP para la selección de un residuo de aparato eléctrico y electrónico que se va a considerar en el diseño de una red de logística inversa para la gestión integral de los residuos sólidos generados por dichos aparatos. Este trabajo es el primer paso en el diseño de la red logística y se ha abordado desde la perspectiva multicriterio debido a la importancia que revisten dichos residuos tanto desde el punto de vista de su impacto ambiental como econó...

  18. Estudio epidemiológico de la infecciones que afectan al aparato respiratorio y gastrointestinal de los corzos en Galicia

    OpenAIRE

    Pato Rivero, Francisco Javier

    2012-01-01

    En este trabajo nos hemos propuesto avanzar en el estudio de las infecciones ocasionadas por nematodos gastrointestinales y broncopulmonares así como determinar la prevalencia de infección por Mycobacterium bovis, Mycobacterium avium paratuberculosis y pestivirus, que son los agentes que se pueden localizar en el aparato respiratorio y gastrointestinal de estos animales. Para ello, se recogieron 218 muestras de corzos abatidos en Galicia. En el análisis de los datos se tuvieron en cuenta vari...

  19. COEFICIENTES DE PRESIÓN INTERSTICIAL EN EL APARATO DE CORTE SIMPLE

    Directory of Open Access Journals (Sweden)

    Galindo-Aires, Rubén Ángel

    2013-06-01

    Full Text Available La actuación de cargas sobre un suelo saturado, produce, en función de la naturaleza de la solicitación, del tipo de suelo y de las condiciones de drenaje del terreno, un incremento de la presión sobre el agua de los intersticios. Se ha abordado el estudio de la generación de dicha presión intersticial a partir de muestras de suelo blando, normalmente consolidadas, procedentes del subsuelo del Puerto de Barcelona; para ello, se han utilizado los datos de una completa campaña experimental utilizando la máquina de ensayo de corte simple, y tras la adecuada interpretación del ensayo, se identifican los aspectos que se consideran clave para el proceso de generación de presión intersticial en el suelo, según las diferentes situaciones de carga actuante. Como conclusión, se plantea la generalización de la clásica ecuación que Skempton formuló hace casi 60 años y que permite interpretar la generación de presión intersticial para el aparato de ensayo triaxial.

  20. Representação do masculino nas artes visuais : performance, pintura, fotografia

    OpenAIRE

    Afrahi, Shahram

    2012-01-01

    Esta tese estuda representações imagéticas do sexo masculino que não se enquadram no modelo tradicional de homem. Este modelo tradicional se consolida pela figura que domina em sua relação com a mulher, estabelecendo desigualdade entre os gêneros. O masculino investigado aqui recusa representação que assinale para o domínio por meio da exposição do próprio corpo. As linguagens artísticas tornam visível um corpo que tende a transformar-se. Performances, pinturas e fotografias das últimas três ...

  1. O corpo docente masculino: suas variações e (inconformidades

    Directory of Open Access Journals (Sweden)

    Rogério Machado Rosa

    2013-01-01

    Full Text Available http://dx.doi.org/10.5902/198464444824 Nesse texto buscamos cartografar, a partir de uma interlocução com autores como Deleuze e Guattari e Nietzsche, o processo de variação-deslocamento-multiplicação do corpo masculino docente, a estética das sensibilidades e os agenciamentos corporais que os encontros pedagógicos inspiram. O corpo-docente-masculino, suas variações e (inconformidades, será tomado como plano de inscrição e veículo das forças afectivas e vibratórias que por ele passa e o coloca em movimento de territorialização, desterritorialização e reterritorialização. Problematizaremos, assim, o lugar do encontro pedagógico como possível dispositivo maquínico, apontando para a ideia de que os agenciamentos produzidos a partir daí operam na criação de experimentações corporais que deslocam o corpo masculino dos lugares consagrados pela norma e o aproxima do corpo-masculino-marginal, prenhe de devires e (desorganizado: corpo sem orgãos. Palavras-chave: corpo, docência, masculinidades, criação.

  2. Laser hair removal for genital gender affirming surgery

    OpenAIRE

    Zhang, William R.; Garrett, Giorgia L.; Arron, Sarah T.; Garcia, Maurice M.

    2016-01-01

    Genital gender affirming surgery (GAS) involves reconstruction of the genitals to match a patient’s identified sex. The use of hair-bearing flaps in this procedure may result in postoperative intra-vaginal and intra-urethral hair growth and associated complications, including lower satisfaction with genital GAS. Despite the significant increase in genital GAS within the past 50 years, there is limited data regarding hair removal practices in preparation for genital GAS and notable variation i...

  3. Genital ulcers: their diagnosis and management.

    Science.gov (United States)

    Sacks, S L

    1987-08-01

    THIS ARTICLE OFFERS SOME BACKGROUND INFORMATION ON DIAGNOSIS AND TREATMENT OF THREE MAJOR CAUSES OF GENITAL ULCERS: syphilis, herpes simplex virus (HSV), and chancroid. The author also discusses differential diagnoses and suggests an approach to treatment.

  4. Neonatal genital prolapse: A case report

    Directory of Open Access Journals (Sweden)

    Sindu Saksono

    2015-04-01

    Full Text Available Neonatal genital prolapse without congenital spinal abnormality is rare. Several treatment modalities are known to manage this condition. Our management consists of manually reducing the prolapsed mass and applying purse string suture technique.

  5. The medicalisation of female genital mutilation

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    Pierre Foldes

    2015-05-01

    Full Text Available The ‘medicalisation’ of female genital mutilation should be denounced on two counts.Firstly, it is usually anatomically more damaging and, secondly, it goes against the ethical basis of the medical profession.

  6. Is oral contraceptive associated with genital warts?

    OpenAIRE

    Ross, J. D.

    1996-01-01

    OBJECTIVE: To measure the association between oral contraceptive use and the prevalence of genital warts in women. METHODS: Cross sectional case control study comparing oral contraceptive use in women with and without genital warts attending a city centre genitourinary medicine clinic controlling for recent sexual activity, the presence of other sexually transmitted infections, socio-economic class and history of pregnancy using a multivariate logistic regression model. RESULTS: After control...

  7. Diagnosis and management of genital ulcers.

    Science.gov (United States)

    Roett, Michelle A; Mayor, Mejebi T; Uduhiri, Kelechi A

    2012-02-01

    Herpes simplex virus infection and syphilis are the most common causes of genital ulcers in the United States. Other infectious causes include chancroid, lymphogranuloma venereum, granuloma inguinale (donovanosis), secondary bacterial infections, and fungi. Noninfectious etiologies, including sexual trauma, psoriasis, Behçet syndrome, and fixed drug eruptions, can also lead to genital ulcers. Although initial treatment of genital ulcers is generally based on clinical presentation, the following tests should be considered in all patients: serologic tests for syphilis and darkfield microscopy or direct fluorescent antibody testing for Treponema pallidum, culture or polymerase chain reaction test for herpes simplex virus, and culture for Haemophilus ducreyi in settings with a high prevalence of chancroid. No pathogen is identified in up to 25 percent of patients with genital ulcers. The first episode of herpes simplex virus infection is usually treated with seven to 10 days of oral acyclovir (five days for recurrent episodes). Famciclovir and valacyclovir are alternative therapies. One dose of intramuscular penicillin G benzathine is recommended to treat genital ulcers caused by primary syphilis. Treatment options for chancroid include a single dose of intramuscular ceftriaxone or oral azithromycin, ciprofloxacin, or erythromycin. Lymphogranuloma venereum and donovanosis are treated with 21 days of oral doxycycline. Treatment of noninfectious causes of genital ulcers varies by etiology, and ranges from topical wound care for ulcers caused by sexual trauma to consideration of subcutaneous pegylated interferon alfa-2a for ulcers caused by Behçet syndrome.

  8. PERFIL DE USUÁRIOS MASCULINOS ATENDIDOS EM UM SERVIÇO DE REFERÊNCIA PARA DOENÇAS SEXUALMENTE TRANSMISSÍVEIS

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    Adriano Rodrigues de Souza

    2012-01-01

    Full Text Available El objetivo del estudio fue trazar el perfil epidemiológico de los usuarios masculinos portadores de enfermedades de transmisión sexual, atendidos en Centro Especializado en estas enfermedades, en Fortaleza-CE, Brasil. Estudio exploratorio, cuantitativo, llevado a cabo en octubre de 2008, con 137 registros médicos de pacientes atendidos en 2007. Se utilizó encuesta de investigación con datos socioeconómicos y clínicos. Se detectó que 95,6% residían en Fortaleza; 51% llegaron por demanda espontánea; 49,6% tenían entre 20 y 29 años; 46% refirieron tener 10 años o más de estudio; el litoral apareció con mayor incidencia de los casos; 65% tuvieron de una a cinco consultas; 4% tomaron medicamento; y 57,7% tuvieron la verruga genital como principal diagnóstico. El perfil trazado señaló hombres jóvenes, en mayoría con enseñanza media concluida, habitantes de barrios pobres.

  9. Masculino inclusivo, masculino no inclusivo y femenino en la denominación del sujeto de derecho en fueros y documentos

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    Belén Almeida

    2012-06-01

    Full Text Available En este trabajo se examinan las fórmulas de masculino más femenino que aparecen en textos legales medievales, especialmente fueros y documentos notariales, y su relación con los contextos en que aparecen masculinos inclusivos para denominar la totalidad de seres humanos de determinado grupo. Se analizan los factores a los que obedece el empleo de la doble forma y las diferencias en el uso de esta construcción entre unos pares de términos y otros.Ce travail examine les formules associant terme masculin et terme féminin qui apparaissent dans les textes légaux médiévaux, surtout dans les documents des fueros et documents notariaux, et leur rapport avec les contextes où ce sont des masculins inclusifs qui nomment la totalité des personnes d’un certain groupe. Les facteurs auxquels obéit l’emploi de la double forme ainsi que les différences d’usage de cette construction sont analysés.

  10. Consumo e idoneidad de las prescripciones para aparato respiratorio en pediatría de atención primaria

    OpenAIRE

    Suárez Castañón, Cristina María

    2016-01-01

    Introducción: Aproximadamente la mitad de las consultas que se realizan en pediatría de atención primaria corresponden a enfermedades del aparato respiratorio. En su mayoría se trata de procesos benignos y autolimitados que precisan únicamente tratamiento sintomático. A pesar de ello, se siguen empleando muchos fármacos, gran parte con eficacia y perfil de seguridad dudosos. Por otro lado están los procesos crónicos, como el asma, que suponen múltiples visitas y prescripciones y tiempo dedica...

  11. Laser hair removal for genital gender affirming surgery.

    Science.gov (United States)

    Zhang, William R; Garrett, Giorgia L; Arron, Sarah T; Garcia, Maurice M

    2016-06-01

    Genital gender affirming surgery (GAS) involves reconstruction of the genitals to match a patient's identified sex. The use of hair-bearing flaps in this procedure may result in postoperative intra-vaginal and intra-urethral hair growth and associated complications, including lower satisfaction with genital GAS. Despite the significant increase in genital GAS within the past 50 years, there is limited data regarding hair removal practices in preparation for genital GAS and notable variation in hair removal techniques among dermatologists and other practitioners. We present a literature review, recommendations from our experience, and a practical laser hair removal (LHR) approach to hair removal prior to genital GAS.

  12. Homicidio masculino en Ciudad Juárez. Costos de las masculinidades subordinadas

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    Salvador Cruz

    2011-01-01

    Full Text Available El homicidio masculino agudizado en Ciudad Juárez en los años 2008 y 2009, con casi cuatro mil asesinatos, constituye la expresión más evidente de la violencia urbana. Dicha violencia ha tomado rostro en hombres, en su mayoría jóvenes y marginados. Los datos muestran un comportamiento del homicidio doloso asimilado a significados relacionados con la masculinidad más tradicional, cuyo costo recae en la vida misma. Se observa a través de los escenarios, los horarios en que ocurren los eventos y las formas de ejecución, que esta práctica delictiva puede ser comprendida como una actividad masculina que explota una subjetividad proclive a la violencia y que reproduce las asimetrías de género y significados asociados a la dicotomía masculino-femenino.

  13. Compra impulsiva en el homosexual masculino en Barranquilla (Colombia: un estudio descriptivo

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    Vanya Guadalupe Alvarado López

    2005-01-01

    Full Text Available Esta investigación se basa en estudios realizados por Luna-Aroca en España y Denegri en Chile, mediante la aplicación de la escala de consumo de Luna-Aroca (2000, para describir las características de compra impulsiva del homosexual masculino en Barranquilla, Colombia. Los resultados indican que la compra impulsiva en los homosexuales masculinos en Barranquilla (Colombia se centra en la búsqueda de novedad, exclusividad y la relación hedónica entre el producto y la compra. Las áreas del self que más se relacionan con la compra impulsiva son la económica, la física (peso y la belleza.

  14. Relación entre quimerismo xx/xy y el fenotipo pseudohermafrodita masculino en porcinos.

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    Reinartz E. Mónica

    2001-09-01

    Full Text Available La causa genética del pseudohermafroditismo no está bien dilucidada, sin embargo se han reportado distintos casos de pseudohermafroditas masculinos los cuales en la mayoría de los casos se han tratado de explicar por efectos hormonales sobre las gónadas en formación durante el desarrollo embrionario. Además se ha explorado poco la relación de este fenotipo con la constitución genómica de los organismos que presentan la disfunción sexual. En el presente trabajo se encontró una fuerte relación entre el quimerismo cromosómico XX/XY y el fenotipo pseudohermafrodita masculino exhibido por dos ejemplares de porcinos Landrace X Largewhite similar a lo encontrado en freemartinismo de bovinos.

  15. Cuerpo masculino: un análisis para la salud pública

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    Giovane Mendieta-Izquierdo

    2015-02-01

    Full Text Available Objetivo: describir algunas reflexiones teóricas y empíricas sobre el cuerpo masculino como categoría de análisis para su estudio desde la salud pública. Metodología: revisión que incluyó 57 documentos entre libros, artículos y capítulos de libros sobre el cuerpo y cuerpo masculino. La búsqueda no se limitó por fecha, se hizo en idioma español e inglés, se desarrolló un procedimiento en cuatro etapas: búsqueda bibliográfica, sistematización de datos, elección de documentos, análisis y evaluación final. No se excluyeron estudios por la calidad de su metodología. Resultados: 57 documentos. 20 libros de teoría, método y aplicación de cuerpo, 16 capítulos de libro resultado de trabajos empíricos, dos libros manual de masculinidad y 19 artículos empíricos y de reflexión. Encontrando aspectos sobre teorías, métodos y la comprensión de la categoría cuerpo y cuerpo masculino analizado desde la salud. Discusión: se reconocen teorías sobre el cuerpo desde la sociología, antropología y filosofía en particular la fenomenología, como teoría y método. El cuerpo masculino se ha estudiado desde la salud, enfermedad, género y masculinidad. Es un tema de interés de estudio desde la salud, se sugiere un enfoque holístico para su análisis desde la salud pública.

  16. "Um campo de refugiados sem cercas": etnografia de um aparato de governo de populações refugiadas

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    Vanessa Perin

    2014-06-01

    Full Text Available Através do trabalho etnográfico realizado em um dos programas assistenciais da Cáritas Arquidiocesana de São Paulo, o Centro de Acolhida para Refugiados (CAR, o presente artigo procura descrever a malha de relações estabelecidas pelo aparato de governo das populações refugiadas no Brasil. Conectado a organizações como o Alto Comissariado das Nações Unidas para Refugiados, o Comitê Nacional para Refugiados, dentre outras organizações, o trabalho do CAR é parte de um dispositivo institucional mais amplo, que envolve, além da assistência humanitária, ações simultâneas de administração e controle que perpassam essa população. Procuro, assim, compreender como tal aparato coloca em operação um mecanismo de governo - aqui denominado olho do Estado - e como este produz um sujeito que lhe seja apreensível, a partir da análise das relações estabelecidas entre os refugiados e as diversas organizações com as quais entram em contato ao solicitarem refúgio: o "campo de refugiados sem cercas".

  17. Os blogs pró-Ana e a experiência da anorexia no sexo masculino

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    Thamires Citadini de Almeida

    2015-09-01

    Full Text Available Este artigo analisa os blogs pró-anorexia, ou blogs pró-ana, produzidos por indivíduos do sexo masculino, para entender o comportamento anoréxico masculino e o espaço que os blogs ocupam na vida desses sujeitos. Nosso objetivo foi explorar elementos relacionados com a cultura de magreza disponível nos blogs, tendo em vista analisar a questão da anorexia em homens, bem como compreender como os mesmos vivenciam essa experiência. Trata-se de pesquisa qualitativa, realizada em blogs brasileiros e estrangeiros cujos autores das páginas eram homens. Os resultados sugerem que essa população faz da internet uma rede de apoio, com características de ajuda mútua e de produção de autonomia. Por meio dos blogs, os homens discutem alternativas para ludibriar a família e socializam estratégias entre os pares para atingir o objetivo da manutenção do baixo peso. Percebemos que os profissionais da saúde devem prestar atenção para esta "rede informal" de apoio mútuo, uma vez que os blogs pró-ana têm contribuído para a promoção do comportamento anoréxico no sexo masculino.

  18. Hormônios, sexualidade e envelhecimento masculino: um estudo de imagens em websites

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    Cristiane da Costa Thiago

    2016-03-01

    Full Text Available Este trabalho tem como foco a construção do declínio hormonal masculino relacionado ao envelhecimento, como parte de um processo mais geral de medicalização da sexualidade e envelhecimento masculinos. A fim de atingir esse objetivo, foram pesquisados 14 websites de laboratórios farmacêuticos que comercializam drogas para a saúde sexual masculina e sete websites de associações médico-científicas voltadas para a saúde sexual masculina. Utilizamos as imagens encontradas em tais sites como material de análise. A partir do que foi analisado, discutimos a existência de uma parceria entre as associações médico-científicas e a indústria farmacêutica, que tende a apresentar o envelhecimento masculino como um problema médico, promovendo a terapia de reposição hormonal (TRH com testosterona como tratamento. Tal terapia é também apresentada como um meio para recuperar a felicidade, a produtividade, a ‘qualidade de vida’ e o bem-estar.

  19. Optimal management of genital herpes: current perspectives

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    Sauerbrei A

    2016-06-01

    Full Text Available Andreas Sauerbrei Institute of Virology and Antiviral Therapy, German Consulting Laboratory for Herpes Simplex Virus and Varicella-Zoster Virus, Jena University Hospital, Friedrich-Schiller University of Jena, Jena, Germany Abstract: As one of the most common sexually transmitted diseases, genital herpes is a global medical problem with significant physical and psychological morbidity. Genital herpes is caused by herpes simplex virus type 1 or type 2 and can manifest as primary and/or recurrent infection. This manuscript provides an overview about the fundamental knowledge on the virus, its epidemiology, and infection. Furthermore, the current possibilities of antiviral therapeutic interventions and laboratory diagnosis of genital herpes as well as the present situation and perspectives for the treatment by novel antivirals and prevention of disease by vaccination are presented. Since the medical management of patients with genital herpes simplex virus infection is often unsatisfactory, this review aims at all physicians and health professionals who are involved in the care of patients with genital herpes. The information provided would help to improve the counseling of affected patients and to optimize the diagnosis, treatment, and prevention of this particular disease. Keywords: herpes simplex virus, epidemiology, infection, antiviral therapy, laboratory diagnosis, prevention

  20. International efforts on abandoning female genital mutilation

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    E. Edouard

    2013-09-01

    Full Text Available Female genital mutilation (FGM, sometimes referred to as female circumcision or female genital cutting, is a harmful cultural practice without any known health benefit. Its short-term and long-term health risks have led to numerous initiatives toward its eradication at international and local levels, over the last two decades. While major challenges remain and millions of girls and women are still at risk of being subjected to FGM, there is growing evidence that interventions that take into account the social dynamics that perpetuate FGM are yielding positive results toward its reduction. Well-recognized as a human rights violation in international treaties, the elimination of female genital mutilation requires ongoing interventions through cross-sectoral approaches that address attitudinal, cultural and behavioral change.

  1. Attitudes towards female genital mutilation: an integrative review

    OpenAIRE

    Reig Alcaraz, María; Siles González, José; Solano Ruiz,María del Carmen

    2013-01-01

    Background: Immigration and globalization processes have contributed to the international dissemination of practices such as female genital mutilation. Between 100 and 400 million girls and women have been genitally mutilated, and every year 3 million girls are at risk of being subjected to female genital mutilation. Objectives: The objective of this study was to describe the attitudes towards the practice of female genital mutilation in relation to different health systems and the factors th...

  2. Female Genital Mutilation - the Importance of Recognition and Management

    OpenAIRE

    Campos, AC

    2010-01-01

    Female genital mutilation, also named female genital cutting or female circumcision, refers to all practices involving total or partial removal of female external genitalia, or causing other lesions without an established health benefit. The World Health Organization estimates that 130 million women have been submitted to genital mutilation and 3 million are annually exposed to such risk in Africa. It has classified the practice of female genital mutation in four types. Portugal is considered...

  3. Non-infectious inflammatory genital lesions.

    Science.gov (United States)

    Andreassi, Lucio; Bilenchi, Roberta

    2014-01-01

    The genitalia may be the site of non-infectious inflammatory lesions that are generally manifested as balanoposthitis and vulvovaginitis. In men, these forms constitute 50% of all balanoposthitis forms, and in women, vulvovaginitis frequency is even higher. They consist of genital locations of general skin diseases, such as psoriasis, lichen planus, lichen sclerosus, and other clinical entities with their own physiognomy, such as Zoon's balanitis-vulvitis. Diagnosis of genital non-infectious inflammatory lesions is usually made on clinical criteria. A biopsy is only necessary for the identification of clinical conditions that may simulate inflammatory form but are actually premalignant processes.

  4. LEPROMATOUS LEPROSY PRESENTING AS GENITAL ULCER

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    Arunkumar

    2015-06-01

    Full Text Available Mycobacterium leprae can invade almost any part of the skin but most commonly affects the cooler parts rather than the warmer areas. Involvement of the male external genitalia although not very common due to the relatively higher temperature caused by the occlusive undergarments, can still be affected in leprosy. Most of the genital lesions seen on the leprosy patients are either nodules, patches, plaques, papules and or swelling of external genitalia. Herewith we are presenting a lepromatous leprosy patient presenting as genital ulcers in this era of syndromic management of Sexually Transmitted Infections (STI.

  5. Female genital mutilation: medico-legal issues.

    Science.gov (United States)

    Mswela, Maureen

    2010-12-01

    The rising prevalence and severe impact of HIV/AIDS in relation to women still persists in South Africa. Both economically and socially the HIV/AIDS pandemic strikes women the hardest, with disadvantaged black women mainly at risk of higher infection. The theoretical framework of this paper focuses on the connection between HIV/AIDS, sexual inequalities and sexual violence, and more precisely, female genital mutilation, a cultural practice and custom which amplifies women's exposure to HIV. Pertinent to this focus is inescapably an analysis of apparent threats to precise essential human rights as a result of the continued use of the practice of female genital mutilation in South Africa.

  6. Female genital mutilation and reporting duties for all clinical personnel.

    Science.gov (United States)

    Cropp, Gabrielle; Armstrong, Jane

    2016-07-01

    Female genital mutilation is illegal. It is now mandatory for health-care professionals to report female genital mutilation to the police. Professionals caring for women and girls of all ages must understand how female genital mutilation presents, and what action to take.

  7. Current approach to metastasis of extra-genital system malignancies to the female genital tract

    Directory of Open Access Journals (Sweden)

    Kemal Güngördük

    2015-12-01

    Full Text Available Metastases to the female genital tract from extra-genital malignancies are very uncommon and have a poor prognosis. The most common extra-genital primary sites are breast and gastrointestinal system. The ovaries are frequent targets of metastasis for malignant tumors. Distinction between primary and metastatic tumors is important because misinterpretation of a metastatic tumor as primary tumor may lead to inappropriate management and suboptimal treatment outcome. The routes of tumor spread to the genital system are variable such as lymphatic and hematogenous metastasis or direct extension. Multidisciplinary approach is required to management and follow-up for these patients. J Clin Exp Invest 2015; 6 (4: 406-413

  8. Mutilação genital e psicose Genital mutilation and psychosis

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    David Souza Lima

    2005-01-01

    Full Text Available A automutilação em pacientes psiquiátricos não é incomum, podendo estar relacionada a crenças religiosas, impulsividade, abuso de substâncias e sintomas psicóticos. Relatos de mutilação genital em pacientes esquizofrênicos são encontrados na literatura médica. Encontra-se aqui descrito um caso de automutilação genital em um paciente de 42 anos de idade, portador de esquizofrenia.Self-mutilation in psychiatric patients is not uncommon, and may result from religious beliefs, impulsivity, substance abuse and psychotic symptoms. Reports of genital mutilation among patients with schizophrenia can be found in medical literature. We described a case of genital self-mutilation in a 42-year-old schizophrenic patient.

  9. [Medical and legal aspects of genital mutilation and circumcision part I: female genital mutilation (FGM)].

    Science.gov (United States)

    Dettmeyer, Reinhard; Laux, Johannes; Friedl, Hannah; Zedler, Barbara; Bratzke, Hansjürgen; Parzeller, Markus

    2011-01-01

    Female genital mutilation (FGM) is considered to be against the law and against morality not only in Western countries, although a woman of age and able to consent may sometimes think differently. The procedure may have serious physical and emotional consequences for the girl or woman. Nevertheless there are attempts to justify the procedure with medical and hygienic pseudoarguments, ideology, freedom of religion, cultural identity and social adequacy. Outside the Western world, some people claim that religion and culture alone justify the practice. In Germany, parents can lose the right to determine the residence of their daughter, if she is faced with the risk of genital mutilation in order to prevent that the child or girl is taken to her home country. Genital mutilation as a gender-specific threat is recognized as a reason to grant asylum or prevent deportation. Proposals to make genital mutilation a separate punishable offence are presently discussed by the legislator.

  10. Genital HPV infection progression to external genital lesions: The HIM Study

    Science.gov (United States)

    Sudenga, Staci L.; Ingles, Donna J.; Pierce Campbell, Christine M.; Lin, Hui-Yi; Fulp, William J.; Messina, Jane L.; Stoler, Mark H.; Abrahamsen, Martha; Villa, Luisa L.; Lazcano-Ponce, Eduardo; Giuliano, Anna R.

    2015-01-01

    Background Human papillomavirus (HPV) causes two types of external genital lesions (EGLs) in men: genital warts (condyloma) and penile intraepithelial neoplasia (PeIN). Objective The purpose of this study was to describe genital HPV progression to a histopathologically confirmed HPV-related EGL. Design, Setting and Participants A prospective analysis nested within the HPV Infection in Men (HIM) Study was conducted among 3033 men. At each visit, visually distinct EGLs were biopsied, subjected to pathological evaluation, and categorized by pathological diagnoses. Genital swabs and biopsies were used to identify HPV types using the Linear Array genotyping method for swabs and INNO-LiPA for biopsies. Outcome Measurements EGL incidence was determined among 1788 HPV-positive men, and cumulative incidence rates at 6, 12, and 24 months were estimated. The proportion of HPV infections that progressed to EGL was also calculated, along with median time to EGL development. Results and Limitations Among 1788 HPV-positive men, 92 developed an incident EGL during follow-up (9 PeIN and 86 condyloma). During the first 12 months of follow-up, 16% of men with a genital HPV6 infection developed a HPV6-positive condyloma, and 22% of genital HPV11 infections progressed to an HPV11-positive condyloma. During the first 12-months of follow-up, 0.5% of men with a genital HPV16 infection developed an HPV16-positive PeIN. Although we expected PeIN to be a rare event, the sample size for PeIN (n=10) limited the types of analyses that could be performed. Conclusions Most EGLs develop following infection with HPV 6, 11, or 16, all of which could be prevented with the 4-valent HPV vaccine. Patient Summary In this study, we looked at genital HPV infections that can cause lesions in men. The HPV that we detected within the lesions could be prevented through a vaccine. PMID:26051441

  11. Large inclusion cyst complicating female genital mutilation

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    Abdel Aziem AbdAllah Ali

    2011-12-01

    Full Text Available We report a case of an inclusion cyst, resulting from female genital mutilation (FGM, which enlarged to such a degree that it restricted the patient’s movement. This report aims to raise the awareness of the medical community to the dangers that arise from a common remote complication of FGM.

  12. Bacterial Flora of the Female Genital Tract

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    Pongsakdi Chaisilwattana

    1995-01-01

    Full Text Available Objective: The purpose of this study was to analyze the ability of septicemic and nonsepticemic isolates of group B streptococci (GBS to inhibit in vitro the principal bacterial groups found in the normal bacterial flora of the female genital tract.

  13. Mothers' Perceptions of Female Genital Mutilation

    Science.gov (United States)

    Ahanonu, E. L.; Victor, O.

    2014-01-01

    The practice of female genital mutilation (FGM) is widespread in Nigeria. This study was conducted to assess the perceptions of FGM among mothers at a primary healthcare centre in Lagos, Nigeria. A convenience sample of 95 mothers completed the pre-tested, semi-structured questionnaires. Data analysis was carried out using descriptive statistics…

  14. Female genital mutilation : Conditions of decline

    NARCIS (Netherlands)

    Caldwell, JC; Orubuloye, IO; Caldwell, P

    2000-01-01

    Female genital mutilation (or female circumcision) has been experienced by over 100 million women in sub-Saharan Africa and the Nile valley Efforts to suppress the practice were made in the earlier decades of the present century, especially by missionaries in Kenya in the 1920s and early 1930s. Succ

  15. Ritual genital cutting of female minors.

    Science.gov (United States)

    Davis, Dena S

    2010-05-01

    The traditional custom of ritual cutting and alteration of the genitalia of female infants, children, and adolescents, referred to as female genital mutilation or female genital cutting (FGC), persists primarily in Africa and among certain communities in the Middle East and Asia. Immigrants in the United States from areas in which FGC is common may have daughters who have undergone a ritual genital procedure or may request that such a procedure be performed by a physician. The American Academy of Pediatrics believes that pediatricians and pediatric surgical specialists should be aware that this practice has life-threatening health risks for children and women. The American Academy of Pediatrics opposes all types of female genital cutting that pose risks of physical or psychological harm, counsels its members not to perform such procedures, recommends that its members actively seek to dissuade families from carrying out harmful forms of FGC, and urges its members to provide patients and their parents with compassionate education about the harms of FGC while remaining sensitive to the cultural and religious reasons that motivate parents to seek this procedure for their daughters.

  16. Genital evolution: why are females still understudied?

    Science.gov (United States)

    Ah-King, Malin; Barron, Andrew B; Herberstein, Marie E

    2014-05-01

    The diversity, variability, and apparent rapid evolution of animal genitalia are a vivid focus of research in evolutionary biology, and studies exploring genitalia have dramatically increased over the past decade. These studies, however, exhibit a strong male bias, which has worsened since 2000, despite the fact that this bias has been explicitly pointed out in the past. Early critics argued that previous investigators too often considered only males and their genitalia, while overlooking female genitalia or physiology. Our analysis of the literature shows that overall this male bias has worsened with time. The degree of bias is not consistent between subdisciplines: studies of the lock-and-key hypothesis have been the most male focused, while studies of cryptic female choice usually consider both sexes. The degree of bias also differed across taxonomic groups, but did not associate with the ease of study of male and female genital characteristics. We argue that the persisting male bias in this field cannot solely be explained by anatomical sex differences influencing accessibility. Rather the bias reflects enduring assumptions about the dominant role of males in sex, and invariant female genitalia. New research highlights how rapidly female genital traits can evolve, and how complex coevolutionary dynamics between males and females can shape genital structures. We argue that understanding genital evolution is hampered by an outdated single-sex bias.

  17. Genital evolution: why are females still understudied?

    Directory of Open Access Journals (Sweden)

    Malin Ah-King

    2014-05-01

    Full Text Available The diversity, variability, and apparent rapid evolution of animal genitalia are a vivid focus of research in evolutionary biology, and studies exploring genitalia have dramatically increased over the past decade. These studies, however, exhibit a strong male bias, which has worsened since 2000, despite the fact that this bias has been explicitly pointed out in the past. Early critics argued that previous investigators too often considered only males and their genitalia, while overlooking female genitalia or physiology. Our analysis of the literature shows that overall this male bias has worsened with time. The degree of bias is not consistent between subdisciplines: studies of the lock-and-key hypothesis have been the most male focused, while studies of cryptic female choice usually consider both sexes. The degree of bias also differed across taxonomic groups, but did not associate with the ease of study of male and female genital characteristics. We argue that the persisting male bias in this field cannot solely be explained by anatomical sex differences influencing accessibility. Rather the bias reflects enduring assumptions about the dominant role of males in sex, and invariant female genitalia. New research highlights how rapidly female genital traits can evolve, and how complex coevolutionary dynamics between males and females can shape genital structures. We argue that understanding genital evolution is hampered by an outdated single-sex bias.

  18. [Genital actinomycosis in women wearing IUD].

    Science.gov (United States)

    Brittig, F; Bánlaki, S

    1980-12-14

    The authors describe genital actinomycosis in 5 women using the IUD. They call attention to the relationship between the IUD and actinomycosis. They think it necessary to examine tissues and fluids adhering to the IUD coil upon removal. And they recommend that this be supplemented by regular cytological examination of the coil, with this data being associated with data from screening.

  19. GÊNERO, DISCURSO E SENTIDO: O MASCULINO E O FEMININO NO LIVRO DIDÁTICO

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    Florisbete de Jesus Silva

    2016-12-01

    Full Text Available O objetivo deste artigo é discutir os sentidos do masculino e do feminino no livro didático, objetivando identificar se os discursos acerca de gênero que ali aparecem são afetados por ideologias que ainda posicionam homens e mulheres em espaços desiguais ou se apresentam marcas ideológicas que apontam para lugares onde a paridade, o respeito e a valorização são compreendidos como um direito que perpassa tanto a vida deles quanto a vida delas.

  20. CALIDAD DE VIDA EN PAREJAS DURANTE LAS ETAPAS DE CLIMATERIO FEMENINO Y MASCULINO

    OpenAIRE

    SALAZAR MOLINA, ALIDE A.

    2011-01-01

    Objetivo: Determinar factores que inciden en la calidad de vida relacionada con salud de las parejas durante las etapas de climaterio femenino y masculino. Metodología: Diseño descriptivo, comparativo y correlacional. La muestra estuvo integrada por 142 parejas formadas por mujeres entre 40-60 años, beneficiaria del sistema público de salud y sus parejas hombres entre 40-65 años. Instrumentos recolectores de datos: Cuestionario específico de Calidad de Vida en la Menopausia, Escal...

  1. Violência conjugal: vivências expressas em discursos masculinos

    OpenAIRE

    Diniz,Normélia Maria Freire; Lopes,Regina Lúcia Mendonça; Gesteira, Solange Maria dos Anjos; Alves,Sandra Lúcia Belo; Gomes, Nadirlene Pereira

    2003-01-01

    Tendo como objeto a vivência de violência na relação conjugal, este estudo descritivo, de abordagem quali-quantitativa, teve como objetivo identificar a violência conjugal no discurso masculino. A população foi composta por 50 homens residentes na comunidade do Calafate, em San Martin, bairro localizado em Salvador/Ba. Para coleta de dados, utilizou-se entrevista com formulário semi-estruturado. A amostra caracterizou-se por homens, na faixa etária entre 20 a 40 anos (74,0%); convivendo conju...

  2. Actividad sexual y uso del preservativo masculino en jóvenes universitarios gallegos

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    MARÍA LAMEIRAS FERNÁNDEZ

    2005-01-01

    El preservativo masculino es el anticonceptivo más utilizado. En los chicos, la variable que influye en el uso del preservativo es la capacidad para comunicar su ausencia de deseo. En el caso de las chicas, las variables que influyen en el uso del preservativo son la utilización de algún método anticonceptivo en la primera relación sexual, uso de la píldora, actitudes frente a la sexualidad y tiempo que llevan con la pareja. Las implicaciones de los resultados son discutidas en el marco de la pandemia de VIH/SIDA.

  3. PARÂMETROS HEMODINÂMICOS DE ATLETAS ADULTOS MASCULINOS DE ANDEBOL

    OpenAIRE

    NUNES, Volmar

    2013-01-01

    O objetivo deste estudo foi determinar os parâmetros hemodinâmicos de atletas adultos do sexo masculino de alto nível da modalidade de Andebol. Estudou-se 16 atletas pertencentes a Seleção Brasileira de Andebol, que preparava-se para os Jogos Pan-Americanos em setembro de 1994, na cidade de Santa Maria (RS). Os atletas foram avaliados no Setor de Fisiologia do Exercício do LAPEM/CEFD/UFSM, os quais foram submetidos ao protocolo do teste de Bruce para esteira rolante, onde obteve-se o consumo ...

  4. Masculino/femenino: estereotipos e inversiones en la caricatura española (sigloXIX)

    OpenAIRE

    Mornat, Isabelle

    2014-01-01

    A lo largo del siglo XIX, el discurso normativo, basado en gran medida en el discurso de la domesticidad, fue instaurando y definiendo los contornos de lo masculino y de lo femenino en una oposición complementaria y exclusiva. El cuerpo, la conducta, la sociabilidad, las responsabilidades hacia la sociedad y la familia estuvieron polarizados por el concepto de división de las esferas. Cada parcela del individuo y de su actuación social se relaciona con las demás para fortalecer el conjunto. A...

  5. Generización del cuidado en situación de desempleo masculino

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    Silvia Martín Prieto

    2016-11-01

    Full Text Available En este trabajo presentamos un diseño de investigación enmarcado en la epistemología feminista. Nos proponemos estudiar los impactos del desempleo masculino en la repartición de tareas domésticas y de cuidados, en un barrio de la ciudad de Barcelona. Entendiendo la complejidad que este tipo de diseños de investigación tiene, hemos realizado un marco teórico que nos permite entender lo mejor posible todos los elementos que tenemos que conocer para llevar a cabo esta investigación. ¿El desempleo —involuntario— masculino hace que ellos se involucren más en el ámbito doméstico? ¿Las crisis económicas obligan a cambiar los roles de género, basados en el binomio breadwinner/caregiver? Desde diversas investigaciones, utilizadas como soporte para este diseño, se da cuenta de que las negociaciones en el ámbito del hogar muchas veces exceden el monto del ingreso económico.

  6. EcPV2 DNA in equine genital squamous cell carcinomas and normal genital mucosa.

    Science.gov (United States)

    Bogaert, Lies; Willemsen, Anouk; Vanderstraeten, Eva; Bracho, Maria A; De Baere, Cindy; Bravo, Ignacio G; Martens, Ann

    2012-07-01

    Squamous cell carcinoma (SCC) represents the most common genital malignant tumor in horses. Similar to humans, papillomaviruses (PVs) have been proposed as etiological agents and recently Equine papillomavirus type 2 (EcPV2) has been identified in a subset of genital SCCs. The goals of this study were (1) to determine the prevalence of EcPV2 DNA in tissue samples from equine genital SCCs, penile intraepithelial neoplasia (PIN) and penile papillomas, using EcPV2-specific PCR, (2) to examine the prevalence of latent EcPV2 infection in healthy genital mucosa and (3) to determine genetic variability within EcPV2 and to disentangle phylogenetic relationships of EcPV2 among PVs. EcPV2 DNA was detected in all but one penile SCC (15/16), in all PIN lesions (8/8) and penile papillomas (4/4). Additionally, EcPV2 DNA was demonstrated in one of two metastasized lymph nodes, one contact metastasis in the mouth, two vaginal and one anal lesion. In healthy horses, EcPV2 DNA was detected in 10% (4/39) of penile swabs but in none of vulvovaginal swabs (0/20). This study confirms the presence of EcPV2 DNA in equine genital SCCs and shows its involvement in anal lesions, a lymph node and contact metastases. Latent EcPV2 presence was also shown in normal male genital mucosa. We found that different EcPV2 variants cocirculate among horses and that EcPV2 is related to the Delta+Zeta PVs and is only a very distant relative of high-risk human PVs causing genital cancer. Thus, similar viral tropism and similar malignant outcome of the infection do not imply close evolutionary relationship.

  7. A CASE REPORT OF GIANT GENITAL WARTS

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    L. Grimaldi

    2014-12-01

    Full Text Available Giant genital warts (GGW represent a rare form of sexually transmitted disease caused by the human papillomavirus, arising more frequently in the vulvar and perianal regions as large exophytic cauliflower-like mass. Estimated rate of recurrence is 60 to 66%, while malignant transformation is possible and it has been reported in 30 to 56% of cases. A 45- years-old woman was admitted to our Structure of Plastic and Reconstructive Surgery, Siena, Italy with an extensive cauliflower- like masses diffused on vulvar and perianal region. The patient was treated in general anaesthesia, with a wide en bloc excision up to free clinical edges and immediate reconstruction of the vulvar continuity. Buschke Lowenstein tumour or giant genital warts is a sporadic tumour with an elevate local recurrence rate. In some cases, surgery can be very difficult and it must be associated to other strategies. An accurate follow-up is always necessary

  8. In defence of genital autonomy for children.

    Science.gov (United States)

    Earp, Brian D

    2016-03-01

    Arora and Jacobs (2016) assume that liberal societies should tolerate non-therapeutic infant male circumcision, and argue that it follows from this that they should similarly tolerate-or even encourage-what the authors regard as 'de minimis' forms of female genital mutilation (as defined by the World Health Organization). In this commentary, I argue that many serious problems would be likely to follow from a policy of increased tolerance for female genital mutilation, and that it may therefore be time to consider a less tolerant attitude toward non-therapeutic infant male circumcision. Ultimately, I suggest that children of whatever sex or gender should be free from having healthy parts of their most intimate sexual organs either damaged or removed, before they can understand what is at stake in such an intervention and agree to it themselves.

  9. Surgical reconstruction in female genital mutilation.

    Science.gov (United States)

    Gültekin, İsmail Burak; Altınboğa, Orhan; Dur, Rıza; Kara, Osman Fadıl; Küçüközkan, Tuncay

    2016-06-01

    Female genital mutilation (FGM) is an unusual condition for our country. However, an increase in FGM in future days can be predicted with the increasing numbers of exchange students coming from African countries, migration of refugees and socioeconomic relations with the African countries. We want to share our experience of two FGM victims admitted to our clinic with the request of reconstructive vulvar surgery before their marriage. Both women had WHO Type III FGM. Physical examination findings and surgical reconstruction techniques were presented.

  10. Clinical Presentation of Atypical Genital Herpes

    Institute of Scientific and Technical Information of China (English)

    李俊杰; 梁沛杨; 罗北京

    2002-01-01

    Objective: To make a clinical analysis on the basis of 36cases of atypical genital herpes (GH) patients. Methods: Thirty-six cases of atypical GH were diagnosedclinically, and their case histories, symptoms and signs wererecorded in detail and followed up. Polymerase chain reaction(PCR) was adopted for testing HSV2-DNA with cotton-tippedswabs. Enzyme-linked immuno sorbent assay (ELISA) forserum anti-HSV2-IgM was done to establish a definfiivediagnosis. Other diagnoses were excluded at the same time bytesting for related pathogens including fungi, Chlamydia,Mycoplasma, Treponema pallidum, gonococci, Trichomonas,etc. Results: The main clinical manifestations of atypical GHwere: (1) small genital ulcers; (2) inflammation of urethralmeatus; (3) nonspecific genital erythema; (4) papuloid noduleson the glands; (5) nonspecific vaginitis. Twenty-three cases(64%) tested by PCR were HSV2-DNA sera-positive, and 36cases (100 %) anti-HSV2-IgM sera-positive by ELISA. Conclusion: atypical HSV is difficult to be diagnosed. Butthe combination of PCR and ELIAS will be helpful to thediagnosis of atypical HSV.

  11. STUDY OF GENITAL TUBERCULOSIS IN INFERTILE WOMEN

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    Shrikant

    2016-06-01

    Full Text Available AIM To determine the incidence of female Genital Tuberculosis (GTB and to analyse clinicopathological features for GTB and comparison of Polymerase Chain Reaction (PCR, Acid Fast Bacillus (AFB staining and Histopathology (HPR. STUDY SETTING A prospective study conducted on 50 infertile patients in the Department of Obstetrics and Gynaecology at Krishna Hospital, Karad, for a period of 2 years between December 2013 and December 2015. METHODS Patients were investigated for the presence of Mycobacterium Tuberculosis (MTB on samples collected by endometrial curettage by PCR, AFB and HPR. Additional tests like Hysterosalpingography (HSG Laparoscopic chromopertubation and hysteroscopy were performed if not done earlier. RESULT PCR demonstrated MTB DNA in 9 patients, and 2 were positive with AFB and HPR. Within positive patients HSG findings were suggestive of TB in 3 cases and laparoscopy in 5 cases and hysteroscopy in 4 cases. Two MTB PCR positive patients conceived spontaneously after 6 months of anti-tubercular treatment. CONCLUSION Genital tuberculosis is a diagnostic challenge if untreated it is chronic, progressive and destructive disease. Early diagnosis is crucial because once the infection damages the tubes, reverting tubal patency is very difficult. Molecular tests like DNA PCR have enabled us to detect the organism in its latent stage and initiation of treatment early in the disease can prevent many irreversible changes in the female genital tract.

  12. Anatomy and physiology of genital organs - women.

    Science.gov (United States)

    Graziottin, Alessandra; Gambini, Dania

    2015-01-01

    "Anatomy is destiny": Sigmund Freud viewed human anatomy as a necessary, although not a sufficient, condition for understanding the complexity of human sexual function with a solid biologic basis. The aim of the chapter is to describe women's genital anatomy and physiology, focusing on women's sexual function with a clinically oriented vision. Key points include: embryology, stressing that the "female" is the anatomic "default" program, differentiated into "male" only in the presence of androgens at physiologic levels for the gestational age; sex determination and sex differentiation, describing the interplay between anatomic and endocrine factors; the "clitoral-urethral-vaginal" complex, the most recent anatomy reading of the corpora cavernosa pattern in women; the controversial G spot; the role of the pelvic floor muscles in modulating vaginal receptivity and intercourse feelings, with hyperactivity leading to introital dyspareunia and contributing to provoked vestibulodynia and recurrent postcoital cystitis, whilst lesions during delivery reduce vaginal sensations, genital arousability, and orgasm; innervation, vessels, bones, ligaments; and the physiology of women's sexual response. Attention to physiologic aging focuses on "low-grade inflammation," genital and systemic, with its impact on women sexual function, especially after the menopause, if the woman does not or cannot use hormone replacement therapy.

  13. Propriedades psicométricas da Escala de Atitudes Alimentares Transtornadas para adultos do sexo masculino

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    Marle dos Santos Alvarenga

    2013-12-01

    Full Text Available OBJETIVO: Avaliar as propriedades psicométricas da Escala de Atitudes Alimentares Transtornadas (EAAT para o sexo masculino. MÉTODOS: Duzentos e vinte e oito universitários (18-39 anos responderam à EAAT, originalmente desenvolvida e validada para o sexo feminino. A consistência interna foi avaliada pelo Alpha de Cronbach e a validade convergente, por meio do coeficiente de correlação de Pearson comparando os escores da EAAT, do Teste de Atitudes Alimentares (EAT e da Escala de Restrição (RS. A reprodutibilidade foi avaliada aplicando a escala numa subamostra (n = 38 com um mês de intervalo utilizando o coeficiente de correlação intraclasse (CCI. A validade known-groups foi obtida comparando o escore dos universitários na EAAT com o escore de homens com diagnóstico de transtornos alimentares (TA (n = 28. RESULTADOS: A consistência interna da escala foi de 0,63. O escore da EAAT foi correlacionado com a EAT (r = 0,65 e RS (r = 0,51, e o CCI entre o teste e o reteste foi de 0,948. A análise known-groups diferenciou pacientes com TA de estudantes universitários (p < 0,001. CONCLUSÕES: A escala apresentou propriedades psicométricas adequadas e pode ser utilizada em estudos com homens adultos - uma vez que o constructo é pouco explorado em homens. Recomenda-se, de qualquer forma, uma revisão da escala e desenvolvimento de instrumentos específicos para o público masculino.

  14. OBSTETRICAL MORBIDITIES IN GENITAL TRACT INFECTION S

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    Sapna

    2013-05-01

    Full Text Available ABSTRACT: INTRODUCTION- Sub clinical ascending infections through the lower female genital tract are predominant worldwide. Important morbidit ies related to poor perinatal outcome both for the mother and for the fetus and new born compr ise preterm birth, prelabor rupture of membranes, post partum sepsis and maternal anaemia. In the fetus, sepsis and intrauterine growth retardation are suspected to be the consequences of ascending maternal infection. Both the direct effect of the infection and the maternal immune r esponse contribute to these eventualities. This study was done to identify antenatal women with va rious genital infections and to know the outcome of pregnancy in presence of these infection s. OBJECTIVES- Diagnosis treatment and preventive measures in genital infections in Antena tal period to improve the pregnancy out come . MATERIAL AND METHODS- One thousand women were studied for lower genital tract infection by ELISA KITS for chlamydia trachomatis, hanging dr op preparation of vaginal discharge for trichomoniasis and mycelia of candida albicans can be seen by wet mount of vaginal dischage in 10% KOH. Gardnerella vaginal infection was diagnose d by Amsel's criteria . RESULT- out of thousand women 53% were positive for single or mult iple infections (gp-1, 47% women had no infection (gp-11 . Labour outcome was studied in 4 15 antenatal women of gp -1 &395 antenatal women of gp -11 . In gp-1 51.80% had no effect ,7.7 1% had abortions and 40.48% had pre term labour and/or PROM .Which was significantly higher than in non infected group . IN INFECTED GROUP- 41.92% neonates had no effect others had some effec t in terms of LBW, birth asphyxia, neonatal death & IUD. Which was significantly highe r than in non infected group. P=0.00 CONCLUSION- The study showed significantly higher incidence of obstetrical morbidities in women with lower genital tract infection,since geni tal infections are the root cause of these obstetrical

  15. Sexually Monomorphic Maps and Dimorphic Responses in Rat Genital Cortex.

    Science.gov (United States)

    Lenschow, Constanze; Copley, Sean; Gardiner, Jayne M; Talbot, Zoe N; Vitenzon, Ariel; Brecht, Michael

    2016-01-11

    Mammalian external genitals show sexual dimorphism [1, 2] and can change size and shape upon sexual arousal. Genitals feature prominently in the oldest pieces of figural art [3] and phallic depictions of penises informed psychoanalytic thought about sexuality [4, 5]. Despite this longstanding interest, the neural representations of genitals are still poorly understood [6]. In somatosensory cortex specifically, many studies did not detect any cortical representation of genitals [7-9]. Studies in humans debate whether genitals are represented displaced below the foot of the cortical body map [10-12] or whether they are represented somatotopically [13-15]. We wondered what a high-resolution mapping of genital representations might tell us about the sexual differentiation of the mammalian brain. We identified genital responses in rat somatosensory cortex in a region previously assigned as arm/leg cortex. Genital responses were more common in males than in females. Despite such response dimorphism, we observed a stunning anatomical monomorphism of cortical penis and clitoris input maps revealed by cytochrome-oxidase-staining of cortical layer 4. Genital representations were somatotopic and bilaterally symmetric, and their relative size increased markedly during puberty. Size, shape, and erect posture give the cortical penis representation a phallic appearance pointing to a role in sexually aroused states. Cortical genital neurons showed unusual multi-body-part responses and sexually dimorphic receptive fields. Specifically, genital neurons were co-activated by distant body regions, which are touched during mounting in the respective sex. Genital maps indicate a deep homology of penis and clitoris representations in line with a fundamentally bi-sexual layout [16] of the vertebrate brain.

  16. Campilobacteriose genital bovina e tricomonose genital bovina: epidemiologia, diagnóstico e controle

    Directory of Open Access Journals (Sweden)

    T.M. Alves

    2011-04-01

    Full Text Available A presente atualização trata de duas das mais importantes doenças sexualmente transmitidas de bovinos, a campilobacteriose genital bovina e a tricomonose genital bovina. São abordados aspectos relacionados à epidemiologia destas doenças, principalmente em relação a sua distribuição no Brasil. Também são revisados aspectos importantes de diagnóstico, incluindo as técnicas e interpretação dos resultados, além de medidas de controle para ambas as doenças.

  17. Modificaciones en la articulación de fones en pacientes con aparato ortodóncico fijo lingual Speech changes in lingual orthodontic appliances patients

    Directory of Open Access Journals (Sweden)

    Pía Villanueva

    2007-12-01

    Full Text Available OBJETIVO: el presente trabajo pretende evaluar el efecto de los aparatos ortodóncicos fijos linguales en la articulación de los fones, en pacientes que hablen español chileno, y la adaptación a estos efectos dentro del primer mes de uso de los aparatos. MÉTODOS: la muestra consistió en 13 pacientes que acudieron para instalación de aparato ortodóncico fijo lingual. Se realizó un examen fonoarticulatorio en condiciones estandarizadas, en 5 momentos diferentes: previo a la instalación de los aparatos fijos (E0, inmediatamente después de realizada esta (E1, a las 24 horas posteriores (E2, a los 7 días (E3 y un mes después de la instalación (E4. Se determinaron los fones afectados en los distintos momentos de examen respecto a la línea base dada por el examen previo, y se analizó su resolución. RESULTADOS: se observaron cambios significativos en el punto de articulación de los fones [d], [s] y [r] Los fones [d] y [s] mostraron una resolución favorable dentro del primer mes de uso de los aparatos. El fone vibrante múltiple [r] no mostró una recuperación de la alteración una vez cumplido un mes de uso de los aparatos ortodóncicos. CONCLUSIONES: la instalación de aparato ortodóncico fijo lingual produce modificaciones en el punto de articulación de los fones consonánticos, las cuales tienden a mejorar dentro del primer mes de uso de los aparatos, con excepción del fone vibrante múltiple [r].PURPOSE: this study evaluated the effect of lingual orthodontics appliances on speech performance in native Chilean spanish speakers, and their adaptation to these effects during the first month. METHODS: phone production was recorded in a standardized test, in 13 patients with lingual orthodontic brackets, in 5 different times: before (E0, immediately after (E1, within 24 hours after (E2, within 7 days after (E3 and 1 month after (E4 the placement of fixed orthodontic lingual appliances, for assessment by speech professionals. RESULTS

  18. Histophilus somni (Haemophilus somnus) aislado en casos de problemas del aparato reproductor de ganado lechero. Primer informe en México

    OpenAIRE

    Francisco Aguilar Romero; Francisco José Trigo Tavera; Enrique Herrera López; Jorge Ávila García; Francisco Suárez Güemes

    2005-01-01

    Histophilus somni (Haemophilus somnus) es reconocido como un patógeno importante de los bovinos, asociado a desórdenes reproductivos como vaginitis, endometritis, infertilidad y aborto. El objetivo del presente trabajo fue determinar si H. somni se encuentra presente en vacas lecheras con enfermedades del aparato reproductor. Se realizó un muestreo de conveniencia en seis establos de la zona central de México, en donde se colectaron muestras de exudado vaginal de 67 vacas enfermas del tracto ...

  19. Cómo hacer ciencia con aparatos. Un enfoque materialista de la física cuántica

    Directory of Open Access Journals (Sweden)

    CARLOS MADRID

    2009-01-01

    Full Text Available El énfasis en la práctica científica, procedente originariamente de la sociología de la ciencia y, más recientemente, de la historia y la filosofía de la ciencia, está produciendo una concepción de la ciencia dramáticamente nueva. La práctica científica dibuja dentro de la órbita de la ciencia no sólo teorías y modelos, sino también hechos, instrumentos, aparatos, máquinas y seres humanos. El objetivo de este artículo es analizar la perspectiva experimentalista de pensar la física cuántica. Explico tres puntos de vista: el sociológico de Andrew Pickering, el epistemológico de Ian Hacking y el ontológico de Gustavo Bueno; quienes buscan moverse de la representación a la experimentación y la manipulación. Lo que distingue estas concepciones de la tradicional es que no comprenden la ciencia como una construcción en términos conceptuales y lingüísticos sino como una actividad social y material.

  20. Urinary and genital tract obstruction as a complication of female genital mutilation: case report and literature review.

    Science.gov (United States)

    Okwudili, Obi Anselm; Chukwudi, Onoh Robinson

    2012-01-01

    Female genital mutilation (FGM) is the partial or total removal of the female external genitalia or other deliberate injury to the female genital organs, either for cultural or non-therapeutic reasons. This barbaric act is accompanied by a variety of complications ranging from hemorrhage, fracture, infective complications, gynetresia, with its attendant sexual and obstetric difficulties, and death. A 23-year-old girl, with urinary and genital tract obstruction following female genital mutilation(infibulation) is presented. She was managed by elective defibulation, with a satisfactory outcome. Robust health education strategies are needed for the eradication of FGM.

  1. Cutaneous metastases presenting as genital ulcer disease

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    S Vasuki

    2014-01-01

    Full Text Available Cutaneous metastasis from an internal organ malignancy is rare and as, the presenting sign of malignancy is an uncommon phenomenon. Their presence, signals a poor prognosis. We report a case of 50-year-old female who was referred to sexually transmitted diseases - out patient department, with complaints of multiple genital ulcers to rule out sexually transmitted infections. After thorough evaluation, she was found to be a case of carcinoma cervix with metastatic squamous cell carcinomatous deposits on external genitalia. This case was unique because of relatively asymptomatic nature of internal malignancy and atypical presentation of carcinoma cervix as cutaneous metastasis.

  2. Managing recurrent genital herpes with acyclovir

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    Bedi T

    1995-01-01

    Full Text Available Seventy five patients of recurrent genital herpes (RGH treated with oral or topical acyclovir and placebo were compared and followed for periods ranging 4 to 8 years in a prospective study. Oral acyclovir definitely helps RGH patients; it shortens healing time; postpones recurrences and instills confidence in the patients. There is sufficient evidence that RGH dies a natural death with time as seen after 8 years follow up in placebo group patients. Topical use of acyclovir cream is not as useful as believed.

  3. The Emergence of the "s"-Genitive in Danish

    Science.gov (United States)

    Perridon, Harry

    2013-01-01

    The -"s" genitives of English and Swedish play an important role in grammaticalization theory, as they are often used as counterexamples to the main tenet of that theory, viz. that grammatical change is unidirectional. In this paper I look at the emergence of the -"s" genitive in Danish, hoping that it may shed some new light on the evolution of…

  4. Bipolar aphthosis presenting as mutilating genital ulcers in women.

    Science.gov (United States)

    Gupta, Somesh; Ajith, C; Malhotra, S; Kumar, Bhushan

    2004-01-01

    Three women with large, mutilating genital ulcers of long duration, destroying almost the lower half of the external genitalia, are reported. They had a history of recurrent oral ulcers as well. All patients had been diagnosed as having 'genital ulcer syndrome' in the past and had been treated with antimicrobials. Histopathology of the biopsy from the margin of the ulcer revealed features of leukocytoclastic vasculitis. Considering the history, clinical features and histology, a diagnosis of bipolar aphthosis was made in all patients. All patients responded well to immunosuppressive therapy. The cases are reported because of the presence of genital ulcers of an unusually large size, mutilating character and their close similarity to genital ulcers due to sexually transmitted diseases, especially genital herpes and donovanosis.

  5. Bipolar aphthosis presenting as mutilating genital ulcers in women

    Directory of Open Access Journals (Sweden)

    Gupta Somesh

    2004-01-01

    Full Text Available Three women with large, mutilating genital ulcers of long duration, destroying almost the lower half of the external genitalia, are reported. They had a history of recurrent oral ulcers as well. All patients had been diagnosed as having ′genital ulcer syndrome′ in the past and had been treated with antimicrobials. Histopathology of the biopsy from the margin of the ulcer revealed features of leukocytoclastic vasculitis. Considering the history, clinical features and histology, a diagnosis of bipolar aphthosis was made in all patients. All patients responded well to immunosuppressive therapy. The cases are reported because of the presence of genital ulcers of an unusually large size, mutilating character and their close similarity to genital ulcers due to sexually transmitted diseases, especially genital herpes and donovanosis.

  6. Idiopathic genital ulcers in women infected with human immunodeficiency virus.

    Science.gov (United States)

    Anderson, J; Clark, R A; Watts, D H; Till, M; Arrastia, C; Schuman, P; Cohn, S E; Young, M; Bessen, L; Greenblatt, R; Vogler, M; Swindells, S; Boyer, P

    1996-12-01

    A national survey of investigators caring for human immunodeficiency virus (HIV)-infected women was undertaken to describe the clinical presentation of idiopathic genital ulcer disease. Patients with negative syphilis and herpes simplex testing and/or negative genital ulcer biopsy were included in this study. Study participants (n = 29) were generally severely immunocompromised (median CD4 cell count was 50/mm3, and 68% had an acquired immunodeficiency syndrome [AIDS]-defining opportunistic process). Thirty-seven percent had coexistent oral ulcers and 19% had their genital ulcer progress to fistula formation (four rectovaginal and one vaginal-perineal). There was generally a favorable response to topical, systemic, and intralesional steroid treatment. This study suggests that idiopathic or probable aphthous genital ulcers in women have similar clinical characteristics to aphthous oroesophageal ulcers. Although infrequent, these genital ulcers can cause severe morbidity. Further research is warranted to better define the pathophysiology and optimal management.

  7. Bipolar aphthosis presenting as mutilating genital ulcers in women

    Directory of Open Access Journals (Sweden)

    Gupta Somesh

    2004-11-01

    Full Text Available Three women with large, mutilating genital ulcers of long duration, destroying almost the lower half of the external genitalia, are reported. They had a history of recurrent oral ulcers as well. All patients had been diagnosed as having ′genital ulcer syndrome′ in the past and had been treated with antimicrobials. Histopathology of the biopsy from the margin of the ulcer revealed features of leukocytoclastic vasculitis. Considering the history, clinical features and histology, a diagnosis of bipolar aphthosis was made in all patients. All patients responded well to immunosuppressive therapy. The cases are reported because of the presence of genital ulcers of an unusually large size, mutilating character and their close similarity to genital ulcers due to sexually transmitted diseases, especially genital herpes and donovanosis.

  8. Labial hair tourniquet: unusual complication of an unrepaired genital laceration.

    Science.gov (United States)

    Dua, Anahita; Jamshidi, Ramin; Lal, Dave R

    2013-07-01

    Hair tourniquet syndrome has been recognized as a medical entity since the 1600 s. Appendages develop acute ischemia from tightening of hair strands circumferentially wrapped around them. Most commonly affected sites are fingers, toes, and penis, but limited reports have described involvement of the female genitalia. Although hair strangulation involving the labia minora or clitoris has been described, it typically occurs in young children. We present a case of an adolescent girl with a labial appendage hair tourniquet resulting from a previous unrepaired genital laceration. This is one of the oldest patients in whom a genital hair tourniquet has been reported, as well as description of a posttraumatic genital appendage. Genital hair tourniquets are medical emergencies that require prompt diagnosis and treatment to avoid tissue necrosis and possible amputation. Genital trauma in general requires surgical evaluation.

  9. Conhecimento de universitários do sexo masculino sobre aborto provocado

    Directory of Open Access Journals (Sweden)

    Rosineide Santana de Brito

    2000-06-01

    Full Text Available O estudo teve o objetivo de verificar o conhecimento de estudantes universitários do sexo masculino sobre o aborto provocado. A amostra foi constituída por 70% da população de cada curso da área biomédica totalizando 71 respondentes. Os dados foram coletados através de questionário elaborado a partir de pesquisas exploratórias e aplicados nos locais de aula, nos meses de agosto e outubro de 1998. Os resultados estão divididos em duas partes: a primeira caracteriza a amostra e a segunda trata das questões relativas ao aborto provocado. A maior parte dos estudantes encontra-se na faixa etária de 17-22 anos, são católicos, solteiros e são dependentes financeiramente. Um percentual representativo sabe o que é aborto provocado, os métodos utilizados e suas conseqüências. São de opinião contrária ao aborto e responsabilizam o casal pela decisão de deixar ou não a gravidez evoluir, em menor percentual além da mulher, outras pessoas como amigos e familiares são apontados também como responsáveis.

  10. Perfil do Consumidor Masculino Gay Carioca: Um Mapeamento com Base na POF

    Directory of Open Access Journals (Sweden)

    Irene Raguenet Troccoli

    2016-06-01

    Full Text Available Por meio da aplicação de três questionários da Pesquisa de Orçamentos Familiares (POF, o presente artigo, de abordagem quantitativa e exploratório quanto aos fins, traz o mapeamento do perfil de consumo do público homossexual (ou gay masculino morador da zona sul da cidade do Rio de Janeiro. Os aspectos visados foram as aquisições fora do domicílio, a ocupação e o rendimento individual mensal, e as condições de vida familiar. A pesquisa primária ocorreu no período 2013/14, junto a amostra de 54 homens com renda média mensal entre R$ 2 mil e R$ 4 mil. Dentre outros achados, verificou-se que esse consumidor não costuma morar sozinho, prefere os restaurantes de refeições a peso, procura boates, danceterias e discotecas quando quer se divertir, e tem nos óculos escuros um objeto de desejo. Como resultado prático se espera que esse maior conhecimento possa ser vetor de impulso aos segmentos produtivos que já atendem ou que pretendam atingir estes consumidores.

  11. Poder, cuerpos y representaciones sobre lo masculino, entre policías y jugadores de rugby

    Directory of Open Access Journals (Sweden)

    Juan Bautista Branz

    2013-06-01

    Full Text Available En estas páginas, a través de un diálogo comparativo entre dos objetos y sujetos de investigación diferentes, reflexionaremos sobre representaciones corporales y nociones de lo masculino Proponemos comparar los resultados de dos trabajos etnográficos uno entre hombres que juegan al rugby en la ciudad de La Plata y el otro entre hombres y mujeres policías de la provincia de Buenos Aires. Nuestro objetivo es analizar cómo diferentes agentes del mundo social producen y reproducen, a través del cuerpo, nociones de género. Nuestro recorrido analítico nos lleva, primero a ver las representaciones del cuerpo, en cada uno de estos mundos relacionales para luego analizar cómo se usan estas representaciones. Nos motiva reflexionar las formas en que lo corporal se constituye en referente de nociones de masculinidad, y cómo estas son, al fin y al cabo, recursos utilizables según los contextos sociales

  12. Diferenças entre adolescentes do sexo feminino e masculino na vulnerabilidade individual ao HIV

    Directory of Open Access Journals (Sweden)

    Renata Holanda Dutra dos Anjos

    2012-08-01

    Full Text Available O objetivo deste estudo foi analisar comparativamente a vulnerabilidade ao HIV/AIDS de homens e mulheres adolescentes, baseada em seus conhecimentos, valores e práticas. Trata-se de um estudo exploratório-descritivo com abordagem quantitativa. Os estudantes responderam a um questionário do qual foram selecionadas questões relevantes para análise. Totalizaram 207 adolescentes, sendo 43,5% do sexo masculino e 56,5% do feminino. A maior parte dos adolescentes declara já ter tido sua primeira relação sexual até o momento do estudo. Observaram-se déficits de conhecimento sobre transmissão do HIV e práticas sexuais seguras. Embora haja conhecimento declarado das técnicas de uso do preservativo, isso não reflete em seu uso constante. Observaram-se valores ligados às representações de gênero, mas percebe-se uma evolução quanto à autonomia e poder de negociação das meninas sobre o uso do preservativo.

  13. [Carcinosarcomas in female genital tracts: general review].

    Science.gov (United States)

    Guy, Jean-Baptiste; Trone, Jane-Chloé; Casteillo, François; Forest, Fabien; Pacaut, Cécile; Moncharmont, Coralie; Espenel, Sophie; Vallard, Alexis; Langrand Escure, Julien; Collard, Olivier; Peoc'h, Michel; Magné, Nicolas

    2014-01-01

    Carcinosarcoma, also known as mixed mesodermal tumor or malignant mixed Mullerian tumor (MMMT) is a pathological entity combining a sarcomatous and a carcinomatous component. Found in thoracic, digestive, genitourinary, liver or skin locations, the most common location is the female genital tract. In gynecological tumors, carcinosarcoma accounts for about 2-5% of endometrial cancers, and 1% of ovarian cancers. To date, there is no consensus on the therapeutic strategy. It relies mostly on maximum cytoreductive surgery. Adjuvant therapy remains controversial, and few prospective studies investigating its interest. Retrospective studies show the benefits of adjuvant chemotherapy based on platinum in most cases. Radiation therapy has a place in the adjuvant situations of endometrial and cervical carcinosarcoma. A more detailed pathological knowledge, and the use of targeted therapies may be promising in this histological subtype whose prognosis remains very poor. The objective of this study is to present the main principles of carcinosarcoma management in female genital tracts, describing pathological and prognostic features at the same time.

  14. Female sexual dysfunction in female genital mutilation.

    Science.gov (United States)

    Elneil, Sohier

    2016-01-01

    Female genital mutilation (FGM), otherwise known as female genital cutting (FGC), is currently very topical and has become a significant global political issue. The impact of FGM on the lives of women and girls is enormous, as it often affects both their psychology and physical being. Among the complications that are often under-reported and not always acknowledged is female sexual dysfunction (FSD). FSD presents with a complex of symptoms including lack of libido, arousability and orgasm. This often occurs in tandem with chronic urogenital pain and anatomical disruption due to perineal scarring.To treat FSD in FGM each woman needs specifically directed holistic care, geared to her individual case. This may include psychological support, physiotherapy and, on occasion, reconstructive surgery. In many cases the situation is complicated by symptoms of chronic pelvic pain, which can make treatment increasingly difficult as this issue needs a defined multidisciplinary approach for its effective management in its own right. The problems suffered by women with FGM are wholly preventable, as the practice need not happen. The current global momentum to address the social, cultural, economic and medical issues of FGM is being supported by communities, governments, non-governmental agencies (NGOs) and healthcare providers. It is only by working together that the practice can be abolished and women and girls may be free from this practice and its associated consequences.

  15. Langerhans cell histiocytosis of the female genital tract.

    Science.gov (United States)

    Axiotis, C A; Merino, M J; Duray, P H

    1991-03-15

    Langerhans cell histiocytosis (LCH) of the female genital tract is rare. Four new cases are reported, and there is a review of the 38 cases in the literature. This disease may involve the vulva, vagina, cervix, endometrium, and ovary. Four distinct patient groups, segregated on the basis of initial presentation and subsequent anatomic extent of disease, were categorized as follows: (1) "pure" genital LCH, (2) genital LCH with subsequent multi-organ involvement, (3) oral or cutaneous LCH with subsequent genital and multi-organ involvement, and (4) diabetes insipidus with subsequent genital and multi-organ disease. Although involvement of the genital tract can occur at any age, it is most common in young adulthood. Clinically, LCH may mimic either primary neoplasia or various inflammatory lesions; the major pathologic differential diagnosis is venereal and other inflammatory diseases. The pure genital form may have a distinct nosologic position in the spectrum of LCH similar to the "pure," self-limited cutaneous histiocytosis seen in infants. There is no correlation between histologic findings and the outcome of the genital lesions. There is also no correlation between clinical presentation and/or the extent of involvement and outcome of genital lesions; complete regression, partial improvement, persistent lesions, and recurrences were seen in all four groups of patients. The treatment of genital LCH is not well defined and is highly individualized. Therapy has included surgery, radiation, topical corticosteroids, topical nitrogen mustard, systemic chemotherapy, and combination therapy; mixed results were obtained with all treatment modalities. Although no modality has been shown to yield a superior outcome, complete surgical excision is advocated as initial therapy.

  16. Female Genital Dialogues: Female Genital Self-Image, Sexual Dysfunction, and Quality of Life in Patients With Vitiligo With and Without Genital Affection.

    Science.gov (United States)

    Sarhan, Deena; Mohammed, Ghada F A; Gomaa, Amal H A; Eyada, Moustafa M K

    2016-01-01

    Vitiligo has a major effect on sexual health because of the disfiguring skin lesions affecting self-image and self-esteem. However, this topic has not explored. This article aimed to assess the effect of vitiligo on genital self-image, sexual function, and quality of life in female patients. This cross-sectional study included 50 sexually active women with vitiligo and 25 women without vitiligo. All participants subjected to full history taking and examination. Extent of vitiligo was assessed with the Vitiligo Area Scoring Index score, sexual function with the Female Sexual Function Index, genital self-image with Female Genital Self-Image Score and quality of life with the Dermatology Life Quality Index questionnaires. The main outcome measures were correlation between Vitiligo Area Scoring Index, Female Genital Self-Image Score, Female Sexual Function Index, and Dermatology Life Quality Index domains was determined using t test and Pearson correlation. This study revealed a negative correlation between the Vitiligo Area Scoring Index score and sexual satisfaction. Vitiligo Area Scoring Index and Dermatology Life Quality Index score was significantly correlated with Arabic Version of the Female Genital Self-Image Score alone and with Arabic Version of the Female Sexual Functioning Index alone and with both the Arabic Version of the Female Genital Self-Image Score and the Arabic Version of the Female Sexual Functioning Index (p vitiligo is imperative to improve outcomes and increase patients' compliance with treatment.

  17. NEUROPATÍA PERIFÉRICA POR PORFIRIA EN PACIENTE MASCULINO VIH POSITIVO

    Directory of Open Access Journals (Sweden)

    Ariana Baptista Da Cunha

    2013-07-01

    Full Text Available La Porfiria Intermitente Aguda es una enfermedad metabólica rara ocasionada por una mutación genética que produciendo defectos enzimáticos en la formación del grupo Hemo. Entre todos los tipos de porfiria, es la de mayor incidencia, con una prevalencia global de 5/100.000 habitantes con cúmulos de casos en zonas como Escandinavia, Gran Bretaña, Murcia (España caracterizada por clínica neurológica, gastrointestinal y psiquiátrica. Afecta principalmente a mujeres en edad reproductiva. Se describe el caso de un paciente masculino de 38 años con inicio de clínica 14 meses antes dolor abdominal, deposiciones abundantes y asociado cuadriparesia con un mes de evolución. Reporte de serología VIH positivo y valoración neurológica considera diagnóstico de neuropatía periférica asociada a VIH. Por antecedente familiar de porfiria se estudia caso en el Instituto Venezolano de Investigaciones Científicas y se obtiene diagnóstico definitivo de Porfiria Intermitente Aguda en crisis, tratado con Hermaginato con mejoría significativa de la clínica a los siete días sin signos de crisis porfírica. Por ser de baja incidencia, esta patología no destaca entre los principales diagnósticos diferenciales en casos de disminución de la fuerza muscular y difiere en el abordaje específico. Si no es detectada a tiempo la debilidad muscular progresa a parálisis bulbar y muerte. Palabras Clave: Porfiria Intermitente Aguda; Cuadriparesia; VIH

  18. NEUROPATÍA PERIFÉRICA POR PORFIRIA EN PACIENTE MASCULINO VIH POSITIVO

    Directory of Open Access Journals (Sweden)

    Ariana Baptista Da Cunha

    2013-01-01

    Full Text Available La Porfiria Intermitente Aguda es una enfermedad metabólica rara ocasionada por una mutación genética que produciendo defectos enzimáticos en la for- mación del grupo Hemo. Entre todos los tipos de porfiria, es la de mayor incidencia, con una prevalencia global de 5/100.000 habitantes con cúmulos de ca- sos en zonas como Escandinavia, Gran Bretaña, Murcia (España caracterizada por clínica neurológica, gastrointestinal y psiquiátrica. Afecta principalmente a mujeres en edad reproductiva. Se describe el caso de un paciente masculino de 38 años con inicio de clínica 14 meses antes dolor abdominal, deposiciones abundantes y asociado cuadriparesia con un mes de evolución. Reporte de serología VIH positivo y valoración neurológica considera diagnóstico de neu- ropatía periférica asociada a VIH. Por antecedente familiar de porfiria se estudia caso en el Instituto Venezolano de Investigaciones Científicas y se obtiene diagnóstico definitivo de Porfiria Intermitente Aguda en crisis, tratado con Hermaginato con mejoría significativa de la clínica a los siete días sin signos de crisis porfírica. Por ser de baja incidencia, esta patología no destaca entre los principales diagnósticos diferenciales en casos de disminución de la fuerza mus- cular y difiere en el abordaje específico. Si no es detectada a tiempo la debilidad muscular progresa a parálisis bulbar y muerte. Palabras Clave: Porfiria Intermitente Aguda; Cuadriparesia; VIH.

  19. Hipogonadismo masculino: Causas, genética, diagnóstico y tratamiento

    Directory of Open Access Journals (Sweden)

    William Jubiz

    2007-03-01

    Full Text Available El hipogonadismo masculino representa una disminución de la función testicular, con una baja producción de testosterona e infertilidad. El hipogonadismo puede deberse a un problema intrínseco de los testículos (primario, a una falla del eje hipotálamo-hipófisis (secundario o a una respuesta disminuida o ausente de los órganos blanco a los andrógenos (resistencia androgénica. Los síntomas del hipogonadismo incluyen la caída del vello corporal, disminución de la función sexual y cambios en la voz. De acuerdo con la edad de aparición puede presentarse atrofia testicular, hábito eunucoide, y ginecomastia. A largo plazo se presenta osteoporosis. El diagnóstico se sospecha clínicamente y se establece con la demostración de concentraciones bajas de testosterona sanguínea. Si existe un aumento concomitante de las gonadotropinas circulantes (FSH y LH se trata de un hipogonadismo primario o hipergonadotrópico. Pero si la FSH y LH están disminuidas el hipogonadismo es secundario o hipogonadotrópico. Existen numerosas formas de testosterona para el tratamiento de los pacientes con hipogonadismo. La más común, es la testosterona de depósito (enantato o cipionato que se inyecta por vía intramuscular. La terapia más moderna consiste en administrar testosterona por vía transdérmica en forma de parches escrotal o no escrotal, geles, implantación de semillas cutáneas, o absorción por la mucosa oral.

  20. [Secondary non-Hodgkin lymphoma of female genital tract].

    Science.gov (United States)

    Kovachev, S; Nacheva, A; Ganovska, A; Ivanov, A; Gigov, P; Vassilev, N

    2014-01-01

    Non-Hodgkin Lymphomas (NHL) are a separate group of blood diseases, which includes all types of lymphomas, without Hodgkin lymphomas. The incidence of NHL in the female genital system is 0.5% of all the NHL. They develop in the female genital organs primary or affect them secondary. Secondary development of the genital non-Hodgkin's lymphoma we have when the biopsy of a lymph node that precedes the diagnosis of the disease is before the development of a genital tumor or we can find a genital tumor--along with simultaneous involvement of the lymph nodes or extra genital authority. We present a clinical case of 56 years patient with non-Hodgkin's lymphoma with secondary genital involvement. From ultrasonography, computed axial tomography and Tu markers that were maiden we have suspicion for ovarian tumor with mechanical pressure over pyelocalix system due to left hidroureter and left hydronephrosis II degree. That was the only reason for urgent surgical treatment with intraoperative histologic diagnosis of NHL. The postoperative chemotherapy in combination with surgical treatment in our case had a good and long-lasting disease survivor effect. One year after the operation and the chemotherapy in the patient, there is no evidence of relapse.

  1. Female genital mutilation/cutting: an update.

    Science.gov (United States)

    Rouzi, A A; Alturki, F

    2015-01-01

    Female genital mutilation/cutting (FGM/C) is a cultural practice involving several types of external female genitalia cutting. FGM/C is known to occur in all parts of the world but is most prevalent in 28 countries in Africa and the Middle East and among immigrant communities in Europe, Australia, New Zealand, Canada, and the United States. Studies of FGM/C suffer from many methodological problems including inadequate analysis and an unclear reporting of results. The evidence to link FGM/C to infertility is weak. The management of epidermal clitoral inclusion cysts includes expensive investigations like comprehensive endocrinology tests and MRI resulting in unnecessary anxiety due to delay in surgical treatment. Similarly, unnecessary cesarean sections or rupture of the infibulation scar continue to occur because of the inadequate use of intrapartum defibulation. A significant amount of efforts is required to improve and correct the inadequate care of FGM/C women and girls.

  2. Difficulties in Preventing Repeated Genital Self-Mutilation

    Directory of Open Access Journals (Sweden)

    Djuricic Katarina Nikic

    2016-09-01

    Full Text Available Self-mutilation is self-inflicted and intentional damage done to one’s body or one’s body parts without a conscious suicidal intention. The first case of genital self-mutilation was published in 1846, and the first scientific description of genital self-mutilation was written by Stroch in 1901. Since the first case has been described, there have been a relatively small number of described cases of genital self-mutilation in both genders; there have been an even smaller number of cases of repeated genital self-mutilation and only a few descriptions of repetitive forms of male genital self-mutilation in the literature. The aim of our study is to present difficulties in preventing repeated male genital self-mutilation of a patient with an intellectual disability who was diagnosed and treated for epilepsy and psychosis in early adult life and had a previous history of self-destructive behaviour during childhood. Previous literature does not contain many repeated cases of male genital self-mutilation. After evaluating the contribution of each individual factor in the aetiology of self-mutilation, we concluded that every individual factor is significant in the aetiology of self-mutilation; however, no single factor, as well as all the factors put together, is not enough for prevention of self-mutilation. Our conclusion is that all the presented factors in our research (intellectual disability, epilepsy, psychosis, self-destructive tendencies in childhood have their place in the aetiology of male genital self-mutilation, but none of them are determining factors. This confirms that it is necessary to conduct further research in the field of aetiology of male genital self-mutilation, which would contribute towards more adequate prevention.

  3. Female genital mutilation (FGM): Australian midwives' knowledge and attitudes.

    Science.gov (United States)

    Ogunsiji, Olayide

    2015-01-01

    Female genital mutilation (FGM) is a women's health and human rights issue attracting global interest. My purpose in this qualitative study was to report the knowledge and attitudes of Australian midwives toward FGM. Verbatim transcription and thematic analysis of semistructured interviews with 11 midwives resulted in these themes: knowledge of female genital mutilation and attitude toward female genital mutilation. Significant gaps in knowledge about FGM featured prominently. The midwives expressed anger toward FGM and empathy for affected women. Recommendations include increased information on FGM and associated legislation among midwives and other health providers in countries where FGM may be encountered.

  4. Evolución en el diseño de los aparatos telefónicos: 1937, el teléfono universal

    OpenAIRE

    Romeo Lopez, Jose M.

    2010-01-01

    Los primeros aparatos telefónicos que las compañías telefónicas ofrecieron a sus abonados, utilizaban receptores muy similares al construido por su inventor Bell. Por su parte el micrófono era un dispositivo que se basaba en la teoría del contacto microfónico del profesor Hughes utilizando un conjunto de barras puntiagudas de carbón sobre las que una lamina, muy fina, de madera de pino hacia las veces de diafragma. Esta lámina solía estar decorada con dibujos y durante algún tiempo...

  5. Recuperación de materias primas secundarias procedentes de residuos de aparatos eléctricos y electrónicos (RAEES)

    OpenAIRE

    Giménez San Andrés, Gerard

    2016-01-01

    Estudiar la viabilidad técnica y económica de la recuperación de materias primas secundarias, procedentes de los residuos de aparatos eléctricos y electrónicos. Para ello el proyecto se centrara en unos determinados tipos de RAEES y en la recuperación de ciertos materiales empleando unas tecnologías determinadas. Algunos de los factores que se tendrán en cuenta para realizar el análisis técnico y económico son el grado de recuperación, los recursos necesarios para lograrlo y la diferencia de ...

  6. Estudio evolutivo de la eficacia de materiales de resina autograbadores usados como selladores de fosas y fisuras en niños portadores de aparatos de ortodoncia

    OpenAIRE

    Sotoca Tobarra, Aitor

    2016-01-01

    El objetivo de esta tesis doctoral es comparar la eficacia in vivo como sellador de fosas y fisuras, en niños portadores de aparatos de ortodoncia, entre los materiales autograbadores de resina compuesta y los selladores tradicionales de resina. Hemos estudiado 225 selladores realizados a 51 niños, de entre 6 y 16 años de edad, portadores de aparatología fija de ortodoncia. Los selladores se colocaron en 81 molares (primeros y segundos molares) y 144 premolares (primeros y segundos premola...

  7. Evaluación tecnológica de alternativas para el reciclado de residuos de aparatos eléctricos y electrónicos

    OpenAIRE

    Prada Quiroga, Gemma

    2003-01-01

    El objetivo de este Proyecto de Final de Carrera es dar una visión global de las alternativas posibles en la gestión del reciclado de los residuos de aparatos eléctricos y electrónicos (RAEE), cuya generación está aumentando de forma considerable. Este estudio se centra sobre todo en el ámbito europeo, y en especial en la situación española y sus experiencias pioneras en el tratamiento de estos residuos. Actualmente prácticamente el 90% de los RAEE se depositan en vertederos, s...

  8. Referencias al aparato digestivo en los textos de materia médica impresos en España durante el Renacimiento y recuperados en bibliotecas digitales.

    OpenAIRE

    León Molina, Joaquín

    2013-01-01

    La tesis pretende identificar referencias al aparato digestivo en textos de materia médica impresos en España durante el Renacimiento. Describe el marco histórico, incluyendo la medicina de la época. Partiendo de la bibliografía se identifican autores y textos impresos en los albores de la imprenta y se intenta recuperar en bibliotecas digitales. Se estima, a priori, que al menos el 75% de los textos identificados deberían poder ser recuperados en la Red Informática Mundial y que al menos el ...

  9. La imposible modernidad: desarrollo y pautas de persistencia en los estereotipos masculinos andaluces en el cine franquista

    Directory of Open Access Journals (Sweden)

    Inmaculada Sánchez-Alarcón

    2012-01-01

    Full Text Available Este trabajo define los modelos de masculinidad relacionados con Andalucía en las películas españolas del franquismo y su continuidad. En contraste con la exaltación de valores viriles dominante en el cine de la época,estos personajes masculinos se definen por su vulnerabilidad y se convierten en símbolo persistente de tradición.

  10. MASCULINO DE 55 AÑOS CON MENINGOENCEFALITIS POR FLAVIVIRUS, POLIRRADICULOPATÍA INFLAMATORIA Y EVC ISQUÉMICO

    OpenAIRE

    Quesada Aguilar, Carlos I.

    2011-01-01

    We present a young patient with untreated hypertension, who complained of acute loss of muscular strength on the left side of his body. He hadfever and the diagnostic work up showed lymphocytic meningitis. He also presented withgeneralized weakness in his four extremities anda neurophysiologic study showed an inflammato-ry poliradiculoneuropathy. The PCR analysis ofthe cerebrospinal fluid was positive for flavivirusinfection. Se describe el caso de un paciente masculino joven, hipertenso s...

  11. Presentes que o público jovem masculino não gosta de ganhar

    Directory of Open Access Journals (Sweden)

    Gabriel Henrique Pimenta Isboli

    2015-01-01

    Full Text Available Presentear é um costume muito forte no cotidiano das pessoas, mas apesar de comum, a prática é bastante complexa, pois envolve uma série de escolhas que podem ou não levar ao ato de presentear bem sucedido. O sucesso nesta prática costuma residir no agradar o presenteado. Embora o ato de presentear seja um tema já explorado em algumas pesquisas dentre elas (BELK, 1979; DALAKAS; SHOHAM, 2010; PÉPECE, 2000; SHERRY, 1993 estudos que tratem dos desagrados ligados ao ato de presentear ainda não foram muito explorados. Neste intuito, o presente estudo teve como objetivo principal entender as situações nas quais um presente não é bem recebido pelo público jovem masculino. Para tanto, foram investigados os tipos de presentes que desagradam este público; se existe diferença na percepção de uma mesma categoria de presente quando ofertada por um presenteador de grau de relacionamento diferente e; quais as emoções emanadas dos presentes que desagradam. A coleta de dados ocorreu via formulário respondido on-line. Foi inicialmente identificado que 84% do público investigado não gosta de receber itens de decoração, porém esse desagrado pode sofrer interpretações diferentes conforme o presenteador que oferta o presente. Itens de decoração: quando dado pelos pais, provocam o embaraço no jovem, ao passo que receber o mesmo presente da(o companheira(o, o faz se sentir desprezado. As informações aqui levantadas podem auxiliar o varejo a orientar adequadamente suas ofertas de produtos a serem comercializados em datas específicas tais como dia dos pais e Natal no intuito de satisfazerem seus consumidores evitando que presentes inadequados sejam adquiridos e ofertados podendo prejudicar futuras vendas pela insatisfação gerada.

  12. Genital rhabdomyoma of the urethra in an infant girl.

    Science.gov (United States)

    Lu, David Y; Chang, Sue; Cook, Heather; Alizadeh, Yalda; Karam, Amer K; Moatamed, Neda A; Dry, Sarah M

    2012-04-01

    Extracardiac rhabdomyomas are rare benign entities that usually occur in the head and neck region. Although genital rhabdomyoma is known to occur in the lower genital tract of young and middle-aged women, involvement of the anatomically adjacent urethra by rhabdomyoma is exceedingly rare. We present a case of genital rhabdomyoma arising from the urethra of an infant girl. The tumor was characterized by the submucosal presence of mature-appearing rhabdomyoblastic cells containing conspicuous cross-striations, with the cells set in a collagenous stroma. Necrosis and mitoses were absent. Skeletal muscle differentiation of the tumor cells was supported by positive immunohistochemical staining for desmin and myogenin. To our knowledge, this is the first case of urethral genital-type rhabdomyoma in a child.

  13. Genital Herpes Vaccine Shows Promise in Animal Trials

    Science.gov (United States)

    ... 163137.html Genital Herpes Vaccine Shows Promise in Animal Trials Two-pronged approach tested on lab monkeys, guinea ... vaccines have not shown very robust protection in animal and human trials. Friedman and his colleagues decided that an effective ...

  14. Association of cutis laxa and genital prolapse: a case report.

    Science.gov (United States)

    Paladini, Dario; Di Spiezio Sardo, Attilio; Mandato, Vincenzo Dario; Guerra, Germano; Bifulco, Giuseppe; Mauriello, Silvana; Nappi, Carmine

    2007-11-01

    Cutis laxa (CL) is an extremely inherited or acquired connective tissue disorder characterised by a markedly reduced systemic elastin content. Genital abnormalities in patients with CL have been rarely reported. We report such a case in a 48-year-old CL patient affected by genital prolapse, focusing on immunohistological and molecular biology assessment of elastin and collagen type I, III, VI content in the main uterine ligaments. The woman was referred to our department for the onset of a rapidly progressing genital prolapse and urinary incontinence. The patient underwent total abdominal hysterectomy with bilateral salpingo-oophorectomy and sacrocolpopexy. Punch biopsies from both cardinal and uterosacral ligaments revealed a dramatic reduction in elastin and an increase in collagen type VI content. The present report seems to underline the central role exerted primarily by elastin in the supportive connective tissue and might contribute to the knowledge of extracellular matrix abnormalities at the basis of genital abnormalities in CL patients.

  15. Genital donovanosis with malignant transformation: An interesting case report

    Directory of Open Access Journals (Sweden)

    K Navya Sri

    2014-01-01

    Full Text Available Donovanosis is a chronic indolent sexually transmitted granulomatous ulceration of genito-inguinal region, caused by Calymmatobacterium granulomatis. It became uncommon due to indiscriminate use of broad spectrum antibiotics. In recent years, much interest is being focused on this condition because genital ulcers facilitate HIV infection. We report an interesting episode of genital donovanosis complicated with squamous cell carcinoma in a middle aged female for its rarity and clinical interest.

  16. Genital self mutilation in alcohol withdrawal state complicated with delirium

    Directory of Open Access Journals (Sweden)

    Sri Hari Charan

    2011-01-01

    Full Text Available Genital self mutilation is a rare and a severe form of self-injurious behavior usually described in psychotic disorders, with delusions and hallucinations. It has been ascribed to sexual conflicts, Body image distortions, Internalized aggression, and suicidal intent. This phenomenon has been described in schizophrenia, affective psychosis, alcohol intoxication, and personality disorders. The present case genital self mutilation in a case of alcohol withdrawal state complicated by delirium is reported.

  17. Genital chlamydia, genital herpes, Trichomonas vaginalis and gonorrhea prevalence, and risk factors among nearly 70,000 randomly selected women in 4 Nordic countries

    DEFF Research Database (Denmark)

    Faber, Mette Tuxen; Nielsen, Ann; Nygård, Mari

    2011-01-01

    The aim of this study was to assess the prevalence of women reporting ever having genital chlamydia, genital herpes, Trichomonas vaginalis, and gonorrhea, and to identify factors associated with each of these sexually transmitted infections (STIs).......The aim of this study was to assess the prevalence of women reporting ever having genital chlamydia, genital herpes, Trichomonas vaginalis, and gonorrhea, and to identify factors associated with each of these sexually transmitted infections (STIs)....

  18. Various hysterosalpingography findings of female genital tuberculosis: A case series

    Directory of Open Access Journals (Sweden)

    Nargess Afzali

    2013-01-01

    Full Text Available Background: Genital tuberculosis is a chorionic disease and mostly occurs by haematogenous spread from extra genital source like lungs, peritoneum, lymph nodes and bones. Transmission through a sexual intercourse is also possible. Since the majority of patients are in reproductive ages, involvement of fallopian tubes and endometrium cause infertility in patients. Cases: Reviewing 4 cases of female genital tuberculosis, which referred to an infertility treatment center with various symptoms, we encountered various appearances on hysterosalpingography (HSG. Conclusion: The genitourinary tract is the most common site of extra pulmonary TB. The primary focus of genital tuberculosis is fallopian tubes, which are almost always affected bilaterally but not symmetrically. Because of common involvement of fallopian tubes and endometrial cavity, disease causes infertility. Diagnosis is not easy because genital tuberculosis has a wide range of clinical and radiological manifestations with slow growing symptoms. Detailed hysterosalpingography finding may be helpful in better diagnosis of the disease. This case series aims to depict the various hystrosalpingographic appearances and pathology produced by tuberculosis and related literatures are reviewed in order to establish a better diagnostic evaluation of genital tuberculosis

  19. Condilomatosis genital y embarazo asociada a corioamnionitis y parto prematuro Genital condylomatosis and pregnancy associated with chorioamnionitis and premature delivery

    Directory of Open Access Journals (Sweden)

    I. Martínez Montero

    2004-12-01

    Full Text Available Los condilomas genitales están producidos por el virus del papiloma humano. En muchas ocasiones se asocian a otras infecciones genitales (hongos, tricomonas y vaginosis. El embarazo favorece la aparición de condilomas en la región anogenital. A propósito de un caso de condilomatosis genital asociada a corioamnionitis y que desencadenó un parto prematuro realizamos una revisión de la literatura.Genital condylomas are produced by the human papilloma virus. On many occasions they are associated with other genital infections (fungi, trichomonas and vaginosis. Pregnancy favours the appearance of condylomas in the anogenital region. On the occasion of a case of genital condylomatosis associated with chorioamnionitis that resulted in a premature delivery, we carry out a review the literature.

  20. Abdominal sacral colpopexy for massive genital prolapse.

    Science.gov (United States)

    Powell; Joseph

    1998-07-01

    Objective: A retrospective study to determine the success and complications of abdominal sacral colpopexy in correcting massive genital prolapse over an 8-year period between September 1989 and January 1997.Methods: The charts were reviewed for 3 patients with massive procidentia and 15 patients with symptomatic posthysterectomy vaginal vault prolapse, who desired preservation of sexual function and underwent abdominal sacral colpopexy with Marlex mesh at two community teaching hospitals.Results: In 16 of the 18 patients, one or more concurrent procedures were performed at the same time, including three Burch colpocystourethropexies and one Raz bladder neck suspension, which successfully controlled urinary stress incontinence. In three cases, staging procedures were done for ovarian neoplasia. There were no intraoperative complications. One patient developed a superficial abdominal wound infection, one patient had a deep venous thrombosis in her left leg 7 days postoperatively, and one patient experienced a 1 cm area of graft erosion 10 months postoperative requiring partial resection. Duration of follow-up has varied from 8 months to 5 years. One patient died 43 months after surgery of unrelated causes. No patients developed recurrent prolapse.Conclusions: Abdominal sacral colpopexy is a successful operation for the correction of prolapse. Serious complications are infrequent. Photographs of the technique and a review of the literature are presented.

  1. Egyptian court overturns ban on genital mutilation.

    Science.gov (United States)

    1997-07-04

    The ban on female genital mutilation (FGM) performed by health professionals in Egypt was overturned by a June 24 [1997] ruling of Judge Abdul Aziz Hamade of a mid-level administrative court in Cairo. The judge determined that the ministerial decree, which had been implemented last July by Health Minister Ismail Sallam, inappropriately restricted the practice of doctors. According to news reports, the court cited research purporting to show that failure to perform FGM harmed children, as well as quotes from Mohammed, which FGM advocates said endorsed the procedure under Islamic law. Although the court overturned the ministerial decree, it did acknowledge that Parliament could outlaw the practice; however, human rights groups believe the practice is too popular for Parliament to do so. The suit against the ban had been filed by Sheik Youssef al-Badry, a conservative Islamic cleric, and Munir Fawzi, a Cairo gynecologist. In May, Egypt's highest court had recommended to the mid-level court that FGM should be legal. The decision does not effect a ban on the performance of surgery by those without a medical license, including barbers and midwives. It is estimated that 80% of girls in Egypt undergo FGM. Egypt's highest Sunni Moslem authority contests the endorsement of FGM under Islamic law.

  2. Major traumatic and septic genital injuries.

    Science.gov (United States)

    McAninch, J W; Kahn, R I; Jeffrey, R B; Laing, F C; Krieger, M J

    1984-04-01

    Major injuries to the testicles, penis, and genital skin from trauma and infection were seen in 62 patients over a 6-year period (1977 to 1983). Urethral injuries were excluded. In the past blunt testicle injuries were infrequently diagnosed and surgically ignored because of large surrounding hematomas. With the use of real-time ultrasound, 17 of 18 cases of testicle rupture were correctly diagnosed preoperatively. Surgical repair resulted in testicle salvage in 16 patients. Penetrating testicle injuries resulted in a high orchiectomy rate secondary to the infrequently described but recognized entity of self-emasculation in transsexuals. Penile rupture from blunt injuries (8) was successfully repaired and complete function was recovered. Penetrating penile injuries (4) were extensive and involved the urethra in two cases; full function returned after reconstruction. Major skin loss of the penis and/or scrotum (19) occurred from necrotizing fasciitis, burns, avulsion and penetrating injuries. Early debridement, bowel and urinary diversion followed by penile skin grafting, thigh pouches to protect testicles, and scrotal reconstruction resulted in acceptable cosmetic and functional results in all cases of major skin loss.

  3. Genital Culture: Exploring the Cultural Importance of Genital Surgeru in the West

    Directory of Open Access Journals (Sweden)

    Alexa Dodge

    2014-11-01

    Full Text Available The assumed importance of genital surgery for intersex children as well as the rising popularity of cosmetic surgery for one’s genitals (namely for women exemplify the importance placed on gender distinction in Western culture. This paper will explore how these genital surgeries are tied to the idealized conception of the gender binary that exists in our culture. Despite the reality that genitals, especially the vulva, vary widely in appearance (size, shape, colour, the belief that there are norms of genital appearance that need to be adhered to continues to be propagated within Western culture. I will posit that genital surgeries in the West are a culturally imbued practice. This will be argued in light of Leti Volpp’s assertion that people in the West need to recognize how our own culture promotes patriarchal/normative practices that can be dangerous and degrading to individuals. For instance, Western discourse vilifies cultures that engage in female genital mutilation (FGM without realizing how Western culture itself pressures women to ‘mutilate’ their genitals through cosmetic surgery or intersex surgery. The cultural influence of the West must be acknowledged so that we can better perceive how the agency of Western subjects is also directed and confined by our cultural context. Western culture also acts upon its subjects and, in this case, pushes gender binaries and the ideal of the perfect ‘normal’ vagina. This paper will utilize queer theory to question the necessity of gender binaries and to reveal the way that binary gender is privileged in our society. L'importance majeure de la chirurgie génitale pour les enfants intersexués ainsi que la popularité croissante de la chirurgie esthétique pour les organes génitaux, particulièrement pour les femmes, illustrent l'importance accordée à la distinction entre les sexes dans la culture occidentale. Cet article examine comment ces interventions chirurgicales génitales sont

  4. Nonoverlapping Clinical and Mutational Patterns in Melanomas from the Female Genital Tract and Atypical Genital Nevi.

    Science.gov (United States)

    Yélamos, Oriol; Merkel, Emily A; Sholl, Lauren Meldi; Zhang, Bin; Amin, Sapna M; Lee, Christina Y; Guitart, Gerta E; Yang, Jingyi; Wenzel, Alexander T; Bunick, Christopher G; Yazdan, Pedram; Choi, Jaehyuk; Gerami, Pedram

    2016-09-01

    Genital melanomas (GM) are the second most common cancer of the female external genitalia and may be confused with atypical genital nevi (AGN), which exhibit atypical histological features but have benign behavior. In this study, we compared the clinical, histological, and molecular features of 19 GM and 25 AGN. We described chromosomal copy number aberrations and the mutational status of 50 oncogenes and tumor suppressor genes in both groups. Our study showed that a pigmented lesion occurring in mucosal tissue, particularly in postmenopausal women, was more likely to be a melanoma than a nevus. GM had high levels of chromosomal instability, with many copy number aberrations. Furthermore, we found a completely nonoverlapping pattern of oncogenic mutations when comparing GM and AGN. In GM, we report somatic mutations in KIT and TP53. Conversely, AGN had frequent BRAF V600E mutations, which were not seen in any of the GM. Our results show that GM and AGN have distinct clinical and molecular changes and that GM have a different mutational pattern compared with AGN.

  5. Most important etiologic factors in the development of genital prolapse

    Directory of Open Access Journals (Sweden)

    Mladenović-Segedi Ljiljana

    2010-01-01

    Full Text Available Introduction The incidence of genital prolapse depends on numerous factors. The contribution of race, gender and genetic factors is significant. However, additional factors of initiation, promotion and decomposition are necessary if a person with the genetic predisposition to genital prolapse begins to suffer from it. At least 50% of parous women are believed to suffer from genital prolapse of various degrees. Moreover, the prevalence of genital prolapse increases with age. The prevalence of genital prolapse is expected to be even higher in the future due to the extension of the lifespan of women worldwide. Objective The aim of this study was to determine the most common etiologic factors in the development of genital prolapse in the population of Serbia. Methods The study was conducted as prospective and included 50 women who underwent surgical treatment due to the problems caused by genital prolapse. Results Mean age of the women was 58.74 years. Twenty percent of the women had the menstrual cycle, while 80% were in menopause. Mean menopause period was 8.88 years. None of the women used hormone replacement therapy. Mean BMI was 27.395 kg/m2. Twenty-eight percent of the women were of normal weight, while 72% of the women were obese (42% were obese and 30% were severely obese. Ninety-eight percent of the women were parous, and mean parity was 2.08. Mean birth weight of neonates was 3682.77 g. Sixty-four percent of the women did physical labour and lifted heavy objects. Conclusion Vaginal childbirth is one of the most important initiating factors. The most significant promoting factor is obesity and heavy labour. Ageing and entering menopause are the most important factors of decomposition as well as the occurrence of clinical manifestations of the pelvic floor dysfunction. .

  6. Transnodal Lymphangiography in the Diagnosis and Treatment of Genital Lymphedema

    Energy Technology Data Exchange (ETDEWEB)

    Gomez, F. M., E-mail: gomez_fermun@gva.es; Martinez-Rodrigo, J.; Marti-Bonmati, L. [Hospital Universitario y Politecnico La Fe, Servicio de Radiologia (Spain); Santos, E. [University of Pittsburgh, Department of Radiology (United States); Forner, I. [Hospital Universitario y Politecnico La Fe, Servicio de Medicina Fisica y Rehabilitacion (Spain); Lloret, M.; Perez-Enguix, D.; Garcia-Marcos, R. [Hospital Universitario y Politecnico La Fe, Servicio de Radiologia (Spain)

    2012-12-15

    Purpose: To report the success of groin nodal lymphography in the diagnosis and treatment of genital lymphedema. Methods and Materials: We present one female (8 years old [patient no. 1]) and two male (69 and [patient no. 2] 31 years old [patient no. 3], respectively) patients with genital lymphedema in whom conservative treatment failed. The girl also had lymphorrhagia. Genital lymphedema was caused by radical cystectomy (patient no. 2), lymphatic hyperplasia (patient no. 1), and idiopathic lymphangitis (patient no. 3). All of them underwent ultrasound-guided bilateral groin lymph node puncture. Afterward, 4-8 ml Lipiodol Ultra-Fluide (Guerbet) were injected at a rate of 0.2 ml/s. Lipiodol progression was assessed by fluoroscopy. Computed tomography scan of the abdomen and pelvis was performed immediately after and again at 24 h after the procedure to confirm the leak. The follow-up period was 15, 13, and 9 months, respectively. Technical success was considered as bilateral pelvic and abdominal filling of lymphatic vessels. Therapeutic success was considered as improvement or disappearance of genital lymphedema and/or lymphorrhagia. Results: Lipiodol leak to the scrotum was observed in patients no. 2 and 3. Lymphaticopelvic fistula and genital lymphatic hyperplasia were seen in patient no. 1. Genital lymphedema diminished within 1 week and almost disappeared in two cases (patients no. 1 and 3) or significantly improved (patient no. 2). lymphorrhagia also resolved in patient no. 1. No recurrence or worsening was detected during follow-up. Conclusion: Therapeutic lymphangiography by lymph node injection seems to be effective to treat genital lymphedema. Lymph node puncture lymphangiography is feasible and less cumbersome than pedal lymphangiography.

  7. Percepción de los hombres y sus parejas sobre la calidad de vida en el climaterio masculino

    OpenAIRE

    Salazar M,Alide; Paravic K,Tatiana; BARRIGA,OMAR A

    2012-01-01

    Objetivo: Determinar si existen diferencias entre la percepción de los hombres y de sus parejas sobre la calidad de vida relacionada con salud en la etapa de climaterio masculino. Método: Diseño descriptivo y correlacional. Población del estudio integrada por 49 parejas, formadas por hombres entre 40-65 años y sus parejas mujeres entre 40-60 años de un Centro de Salud de Concepción, Chile. Las parejas fueron entrevistadas en sus hogares previo consentimiento informado. Ambos respondieron de f...

  8. El trabajo petrolero, un trabajo masculino: reflexiones a partir de un estudio de caso de carreras laborales de varones

    OpenAIRE

    Muñiz Terra, Leticia Magali

    2016-01-01

    En este artículo nos proponemos analizar si la transformación organizacional ocurrida entre los años 90 y 2000 en la empresa argentina Yacimientos Petrolíferos Fiscales (YPF) estuvo acompañada de cambios en clave de género. En particular, nos preguntamos si junto al cambio organizacional se produjo una modificación del perfil tradicionalmente masculino de firma y, si las nuevas carreras laborales impulsadas por la empresa se vieron acompañadas de cambios en la interacción que los varones tien...

  9. El trabajo petrolero, un trabajo masculino : reflexiones a partir de un estudio de caso de carreras laborales de varones

    OpenAIRE

    Muñiz Terra, Leticia

    2015-01-01

    Background of INCASI Project H2020-MSCA-RISE-2015 GA 691004. WP1: Compilation En este artículo nos proponemos analizar si la transformación organizacional ocurrida entre los años 90 y 2000 en la empresa argentina Yacimientos Petrolíferos Fiscales (YPF) estuvo acompañada de cambios en clave de género. En particular, nos preguntamos si junto al cambio organizacional se produjo una modificación del perfil tradicionalmente masculino de firma y, si las nuevas carreras laborales impulsadas por ...

  10. Masculino de 18 años con Leucemia Linfocitica aguda y Artritis de Rodilla por Candida Tropicalis

    OpenAIRE

    Sánchez Benavides, Marvin; Bonilla Trejos, Eduardo

    2013-01-01

    Paciente masculino de 18 años, con antecedente dede Leucemia Linfoblástica Aguda B común desde hace 8 meses, quien abandonó su control y tratamiento. Consultó por cuadro hemorrágico agudo, asociado a sensación febril no cuantificada. Se documentó bicitopenia con neutropenia absoluta, motivo por el que ingresó al Servicio de Hematología, donde se consignó leucemia aguda en recaída y se inició nuevo esquema quimioterapéutico. Durante el internamiento inició con gonalgia izquierda súbita, asocia...

  11. Changing cultural attitudes towards female genital cutting.

    Science.gov (United States)

    Vogt, Sonja; Mohmmed Zaid, Nadia Ahmed; El Fadil Ahmed, Hilal; Fehr, Ernst; Efferson, Charles

    2016-10-27

    As globalization brings people with incompatible attitudes into contact, cultural conflicts inevitably arise. Little is known about how to mitigate conflict and about how the conflicts that occur can shape the cultural evolution of the groups involved. Female genital cutting is a prominent example. Governments and international agencies have promoted the abandonment of cutting for decades, but the practice remains widespread with associated health risks for millions of girls and women. In their efforts to end cutting, international agents have often adopted the view that cutting is locally pervasive and entrenched. This implies the need to introduce values and expectations from outside the local culture. Members of the target society may view such interventions as unwelcome intrusions, and campaigns promoting abandonment have sometimes led to backlash as they struggle to reconcile cultural tolerance with the conviction that cutting violates universal human rights. Cutting, however, is not necessarily locally pervasive and entrenched. We designed experiments on cultural change that exploited the existence of conflicting attitudes within cutting societies. We produced four entertaining movies that served as experimental treatments in two experiments in Sudan, and we developed an implicit association test to unobtrusively measure attitudes about cutting. The movies depart from the view that cutting is locally pervasive by dramatizing members of an extended family as they confront each other with divergent views about whether the family should continue cutting. The movies significantly improved attitudes towards girls who remain uncut, with one in particular having a relatively persistent effect. These results show that using entertainment to dramatize locally discordant views can provide a basis for applied cultural evolution without accentuating intercultural divisions.

  12. Therapeutic options for external genital warts.

    Science.gov (United States)

    Vender, Ronald; Bourcier, Marc; Bhatia, Neal; Lynde, Charles

    2013-12-01

    The primary goal of treatment for external genital warts (EGWs) is to eradicate visible lesions and address symptoms that may accompany them, but it does not address the underlying virus. Left untreated, warts may grow, remain the same, or spontaneously regress as a result of being cleared by the immune system. However, recurrence is common with or without treatment and may occur within 3 months of ending treatment in one-quarter to two-thirds of cases. Treatment options fall into two categories: provider or patient applied. Provider-based therapies include cryotherapy, trichloroacetic and bichloroacetic acid, electrocautery, surgical excision, and CO2 laser therapy. Patient-applied therapy choices include imiquimod and podophyllotoxin. Imiquimod 3.75% is a fairly new, patient-administered topical cream approved by Health Canada in 2011. Another recently approved patient-applied choice is sinecatechins, a green tea extract with immunomodulatory effects. Self-treatment options are attractive to patients because they offer privacy, convenience, and autonomy. In contrast, provider-administered therapies may boast increased precision (especially for areas that are hard to reach) and closer monitoring, which can be augmented by patient education and counseling. Available topical and surgical therapies vary widely in terms of cost, efficacy, adverse effects, dosage/frequency, and length of treatment. No one treatment is ideally suited to all patients or constitutes a gold standard. Treatment regimens must be tailored to each patient's needs and preferences. The health care provider's skills and experience will also factor into treatment decisions. In addition, the size, number, and location of lesions and whether the infection is new or recurrent will help guide the decision process toward the best treatment for a given patient.

  13. Stopping female genital mutilation. An update.

    Science.gov (United States)

    Gamble, A

    1995-01-01

    There is widespread consensus among many individuals, countries, and organizations that female genital mutilation (FGM) is a human rights abuse. France, Britain, Sweden, and Switzerland have passed legislation forbidding medical personnel from performing FGM, eighteen African countries have made official statements against FGM, and FGM was an issue in the 1993 World Health Assembly, the 1993 World Human Rights Conference, and the 1994 International Conference on Population and Development. True change, however, depends upon a transformation in the informal economic, social, and political structures which perpetuate women's dependency upon marriage and men. The Research Action Information Network for the Bodily Integrity of Women (RAINBOW) and the Development Law and Policy Unit of the Columbia University School of Public Health introduced the Global Action Against FGM (GAAFGM) Project in June 1994. The project is designed to integrate action against FGM into existing health and human rights programs and to pool available resources against FGM. GAAFGM has also coordinated an interagency working group comprised of international agencies, in-country grassroots organizations, and women's groups, which met for the first time in November 1994. The project should provide considerable information and leadership on the issue. On another front, participants in the most recent preparatory meeting for the upcoming Beijing Conference noted the existence of a strong recognition that FGM is a problem upon which the international community should act. The author notes recent litigation brought by the Egyptian Organization for Human Rights against the grand sheik of Al-Azhar University for issuing a fatwa declaring female circumcision an Islamic duty. In addition, a Ghanaian may be granted refugee status in Canada on the basis of her efforts to avoid mutilation if deported to her country of origin.

  14. Genital ulcers in women: clinical, microbiologic and histopathologic characteristics.

    Science.gov (United States)

    Gomes, Christiane Maria Moreira; Giraldo, Paulo César; Gomes, Francis de Assis Moraes; Amaral, Rose; Passos, Mauro Romero Leal; Gonçalves, Ana Katherine da Silveira

    2007-04-01

    Female genital ulcer is a disease that affects a large number of women, and its etiologic diagnosis can be difficult. The disease may increase the risk of acquiring HIV. Genital ulcer may be present in sexually transmitted diseases (STD)--syphilis, chancroid, genital herpes, donovanosis, lymphogranuloma venereum; and other non-STD disorders (NSTD)--Behçet's syndrome, pemphigus, Crohn's disease, erosive lichen planus and others. This study evaluated the clinical-histopathologic-microbiologic characteristics of female genital ulcers. A cross-sectional descriptive prospective study was conducted during a six-month period to investigate the first 53 women without a definitive diagnosis, seeking medical care for genital ulcers at a genital infections outpatient facility in a university hospital. A detailed and specific history was taken, followed by a dermatologic and gynecologic examination. In addition to collecting material from the lesions for microbiologic study, a biopsy of the ulcer was performed for histopathologic investigation. The average age of the patients was 32.7 years, 56.6% had junior high school education and higher education. The most frequent etiology was herpetic lesion, followed by auto-immune ulcers. At the time of their first consultation, around 60% of the women were using inadequate medication that was inconsistent with the final diagnosis. Histologic diagnosis was conclusive in only 26.4% of the patients (14/53). Cure was obtained in 99% of the cases after proper therapy. The female genital ulcers studied were equally distributed between sexually transmitted and non-sexually transmitted causes. Herpes was the most frequent type of genital ulcer, affecting women indiscriminately, mostly between the ages of 20 and 40 years. The etiologic diagnosis of herpetic ulcers is difficult to make even when various diagnostic methods are applied. It is imperative that NSTD should be included in the differential diagnoses of female genital ulcers. The

  15. Genital ulcers in women: clinical, microbiologic and histopathologic characteristics

    Directory of Open Access Journals (Sweden)

    Christiane Maria Moreira Gomes

    2007-04-01

    Full Text Available Female genital ulcer is a disease that affects a large number of women, and its etiologic diagnosis can be difficult. The disease may increase the risk of acquiring HIV. Genital ulcer may be present in sexually transmitted diseases (STD - syphilis, chancroid, genital herpes, donovanosis, lymphogranuloma venereum and other non-STD disorders (NSTD - Behçet's syndrome, pemphigus, Crohn's disease, erosive lichen planus and others. This study evaluated the clinical-histopathologic-microbiologic characteristics of female genital ulcers. A cross-sectional descriptive prospective study was conducted during a six-month period to investigate the first 53 women without a definitive diagnosis, seeking medical care for genital ulcers at a genital infections outpatient facility in a university hospital. A detailed and specific history was taken, followed by a dermatologic and gynecologic examination. In addition to collecting material from the lesions for microbiologic study, a biopsy of the ulcer was performed for histopathologic investigation. The average age of the patients was 32.7 years, 56.6% had junior high school education and higher education. The most frequent etiology was herpetic lesion, followed by auto-immune ulcers. At the time of their first consultation, around 60% of the women were using inadequate medication that was inconsistent with the final diagnosis. Histologic diagnosis was conclusive in only 26.4% of the patients (14/53. Cure was obtained in 99% of the cases after proper therapy. The female genital ulcers studied were equally distributed between sexually transmitted and non-sexually transmitted causes. Herpes was the most frequent type of genital ulcer, affecting women indiscriminately, mostly between the ages of 20 and 40 years. The etiologic diagnosis of herpetic ulcers is difficult to make even when various diagnostic methods are applied. It is imperative that NSTD should be included in the differential diagnoses of female

  16. Correlates of HIV-1 genital shedding in Tanzanian women.

    Directory of Open Access Journals (Sweden)

    Clare Tanton

    Full Text Available BACKGROUND: Understanding the correlates of HIV shedding is important to inform strategies to reduce HIV infectiousness. We examined correlates of genital HIV-1 RNA in women who were seropositive for both herpes simplex virus (HSV-2 and HIV-1 and who were enrolled in a randomised controlled trial of HSV suppressive therapy (aciclovir 400 mg b.i.d vs. placebo in Tanzania. METHODOLOGY: Samples, including a cervico-vaginal lavage, were collected and tested for genital HIV-1 and HSV and reproductive tract infections (RTIs at randomisation and 6, 12 and 24 months follow-up. Data from all women at randomisation and women in the placebo arm during follow-up were analysed using generalised estimating equations to determine the correlates of cervico-vaginal HIV-1 RNA detection and load. PRINCIPAL FINDINGS: Cervico-vaginal HIV-1 RNA was detected at 52.0% of 971 visits among 482 women, and was independently associated with plasma viral load, presence of genital ulcers, pregnancy, bloody cervical or vaginal discharge, abnormal vaginal discharge, cervical ectopy, Neisseria gonorrhoeae, Chlamydia trachomatis, Trichomonas vaginalis, an intermediate bacterial vaginosis score and HSV DNA detection. Similar factors were associated with genital HIV-1 RNA load. CONCLUSIONS: RTIs were associated with increased presence and quantity of genital HIV-1 RNA in this population. These results highlight the importance of integrating effective RTI treatment into HIV care services.

  17. Determining the cost of genital warts: a study from Ireland.

    LENUS (Irish Health Repository)

    Dee, A

    2009-09-01

    OBJECTIVES: To determine the average cost of a case of genital warts, for both males and females, with a view to informing the current debate as to which Human papillomavirus vaccine would have maximum cost-effectiveness in the Irish population. METHODS: Contact time between patients and healthcare professionals was prospectively measured at five genitourinary medicine clinics in the south-west of Ireland, over a period of 3 weeks. By identifying all those with genital warts, it was possible to calculate the proportion of total time taken by patients with this condition, and from this to calculate a cost per incident case, by gender. RESULTS: A total of 25.5% of attendances were for genital warts, and these patients used 26.2% of total clinic time (CI 25.4 to 27.0%). The average cost calculated for genital warts was 335 euros per incident case, and by gender 300 euros per male case and 366 euros per female case. CONCLUSIONS: There are considerable costs associated with the treatment of genital warts, with female cases representing a higher cost than males. By vaccinating with the quadrivalent HPV vaccine, there are significant savings to be made.

  18. Female genital mutilation in Iraqi Kurdistan: description and associated factors.

    Science.gov (United States)

    Saleem, Rozhgar A; Othman, Nasih; Fattah, Fattah H; Hazim, Luma; Adnan, Berivan

    2013-01-01

    The high prevalence of female genital mutilation has been a concern in Iraqi Kurdistan. This study was undertaken to estimate its prevalence and describe factors associated with its occurrence. A cross-sectional survey was undertaken from March to April 2011 of females aged up to 20 years using interviews and clinical examination. The survey included 1,508 participants with mean age of 13.5 years (SD 5.6). Overall female genital mutilation prevalence was 23%, and the mean age at which it had been performed was 4.6 years (SD 2.4). Type I (partial or total removal of the clitoris) comprised 76% of those who had had female genital mutilation; in 79% of cases the decision to perform it was made by the mother; and in 54% of cases it was performed by traditional birth attendants/midwives. Women aged 16 years and over were more likely to have had female genital mutilation compared to children aged below 6 years (OR 11.9, p Kurdistan region were more likely to have been circumcised. The study results show that female genital mutilation is a frequent practice in Iraqi Kurdistan. Attention and intervention is needed to address this aspect of the well-being of girls and women.

  19. Conhecimento de preservativo masculino entre adolescentes: estudo de base populacional no semiárido nordestino, Brasil

    Directory of Open Access Journals (Sweden)

    Juliana Mano Hartmann

    2013-11-01

    Full Text Available Buscou-se determinar a prevalência e identificar fatores associados ao não conhecimento de preservativo masculino entre adolescentes, em dois municípios do semiárido piauiense, Brasil, em meados de 2008. Entrevistadores treinados aplicaram questionário padronizado a todos adolescentes (13-19 anos, nos domicílios. Investigaram-se características demográficas, socioeconômicas e conhecimento sobre contracepção e doenças de transmissão sexual (DST. O desfecho foi o não conhecimento de preservativo masculino. Na análise multivariada, utilizou-se regressão de Poisson com ajuste robusto da variância. Dos 2.241 adolescentes, 18,8% disseram não conhecer preservativo. A prevalência de não conhecimento variou de 4% para os com nove anos ou mais de escolaridade a 74% entre os que não conheciam DST. Na análise ajustada, ser do sexo feminino, ter pouca idade, baixa escolaridade, não ter namorada, desconhecer contracepção oral e DST aumentava a probabilidade de não conhecer preservativo em relação às demais categorias. Os dados mostram a urgente necessidade de intervenção entre adolescentes desses municípios.

  20. Evolución de la ultraestructura del aparato de Golgi durante la meyosis y la espermiogénesis en el hamster (Mesocricetus auratus)

    OpenAIRE

    Ureña, Francisco; Malavasi, Jollyana

    2016-01-01

    Las transformaciones ultraestructurales del aparato de Golgi fueron estudiadas durante la meyosis y la espermiogénesis, período en el cual sufre la mayor variación morfológica y fisiológica. Durante la meyosis se presenta como una organela de gran tamaño, formada por dictiosomas y dos tipos de vesículas: unas en la zona central (200-500 nm de diámetro) y otras, en la parte externa (40-100 nm de diámetro).Durante la espermiogénesis temprana, las vesículas de la zona central se fusionan, dando ...

  1. Los estereotipos judíos europeos en el cine posterior a la Segunda Guerra Mundial como aparato ideológico de representación

    OpenAIRE

    Sarmiento Castaño, María Fernanda

    2010-01-01

    El presente trabajo de investigación hace un análisis sobre los estereotipos de los judíos en el cine posterior a la Segunda Guerra Mundial. Esta investigación se realizó a partir de la selección 8 filmes que permiten identificar la noción de Holocausto que ha determinado la construcción de un estereotipo de los judíos europeos que vivieron la Segunda Guerra Mundial, esto ha permitido la formación de imaginarios que a través del cine funcionan como aparato ideológico de representación. Los di...

  2. “Tratamiento de la Displasia Acetabular Pura mediante cojín de Frejka y aparato abductor tipo Rhino R”

    OpenAIRE

    Islas Picazo, José Luís

    2012-01-01

    La Displasia del desarrollo de la cadera tiene una incidencia de 1 x 1000 nacidos, lo cual la hace uno de los problemas más comunes del aparato locomotor en los niños. Su comportamiento es dinámico, razón ésta para que su término médico actual sea Displasia de la cadera en desarrollo (DCD) (1-5). El mejor pronóstico lo hace su detección temprana, lo cual motiva a divulgar e instruir ampliamente a nivel primario de atención, acerca de una excelente evaluación clínica y el rec...

  3. OBSERVACIÓN METEOROLÓGICA SIN APARATOS. PROPUESTA DIDÁCTICA DE GEOGRAFÍA PARA EL ALUMNADO DEL PROGRAMA DE DIVERSIFICACIÓN CURRICULAR (PDC

    Directory of Open Access Journals (Sweden)

    Luis Alfonso Cruz Naïmi

    2006-12-01

    Full Text Available La observación meteorológica sin aparatos puede ser una buena forma de enseñar geografía (en particular la climatología, a la vez que es una actividad donde se potencian una serie de aspectos educativos especialmente interesantes desde el punto de vista de la atención a la diversidad, y en concreto, para los alumnos de los Programas de Diversificación Cunicular. El componente procedimental de esta actividad y la necesaria implicación de los alumnos para su realización hacen que esta propuesta sea válida para ser llevada a cabo con este tipo de alumnos.

  4. Prevalence of Genital Human Papillomavirus among Men in Europe

    DEFF Research Database (Denmark)

    Hebnes, Julie B; Olesen, Tina B; Duun-Henriksen, Anne Katrine;

    2014-01-01

    INTRODUCTION: Human papillomavirus (HPV) is the commonest sexually transmitted infection worldwide and causes substantial morbidity in both sexes. Most European countries offer HPV vaccination for girls, but vaccine recommendations for boys are warranted. AIMS: The aims of this study were...... contribute knowledge that may be useful as a baseline measure before the introduction of HPV vaccination for boys in Europe, and add to understanding of the epidemiology of HPV infection in men. Hebnes JB, Olesen TB, Duun-Henriksen AK, Munk C, Norrild B, and Kjaer SK. Prevalence of genital human...... to investigate the prevalence of genital HPV, identify parameters that affect the prevalence, and describe the type-specific prevalence among men in Europe. METHODS: A systematic review and meta-analysis of the published literature in PubMed and Embase. MAIN OUTCOME MEASURES: Genital HPV prevalence and factors...

  5. Female genital circumcision/mutilation: implications for female urogynaecological health.

    Science.gov (United States)

    Teufel, Katharina; Dörfler, Daniela Marianne

    2013-12-01

    "Female genital circumcision" or "female genital mutilation", as it is called more often, is an operation that is primarily carried out in Africa. Owing to migration, physicians are increasingly confronted with this issue in Western countries as well. A range of negative effects may result from this operation and this article aims to address consequences for female pelvic health. Special emphasis is placed on urogynaecological health consequences; in particular, on "voiding difficulties", "recurrent urinary tract infections" and "vesicovaginal fistula". All of these occur mostly in infibulated women, i.e. in women whose genitalia are sealed by the most severe form of circumcision. Some of the problems that may emerge as a result of the operation can be resolved by defibulation (i.e. surgical reopening of the sealed vulva). Female genital circumcision is a sensitive topic even in the area of research and reliable data are therefore scarce.

  6. Female genital mutilation. Council on Scientific Affairs, American Medical Association.

    Science.gov (United States)

    1995-12-06

    Female genital mutilation is the medically unnecessary modification of female genitalia. Female genital mutilation typically occurs at about 7 years of age, but mutilated women suffer severe medical complications throughout their adult lives. Female genital mutilation most frequently occurs in Africa, the Middle East, and Muslim parts of Indonesia and Malaysia, and it is generally part of a ceremonial induction into adult society. Recent political and economic problems in these regions, however, have increased the numbers of students and refugees to the United States. Consequently, US physicians are treating an increasing number of mutilated patients. The Council on Scientific Affairs recommends that US physicians join the World Health Organization, the World Medical Association, and other major health care organizations in opposing all forms of medically unnecessary surgical modification of the female genitalia.

  7. Management of oral and genital herpes in the emergency department.

    Science.gov (United States)

    Mell, Howard K

    2008-05-01

    The epidemiology of oral and genital herpes has dramatically changed over the past decade. Herpes simplex virus-1, traditionally associated with oral herpes, is now implicated in an increasing percentage of genital herpes cases. The possibility of "autoinoculation" (or self-infection) of anatomic sites other than that of the primary infection has been recognized. New methods of suppression therapy are being examined. These changes have led to a revision in the recommendations by the Centers for Disease Control and Prevention (CDC). This review discusses herpes infections of the oral and genital mucosa and the suggested approach to the infected patient who presents in the emergency department. Specific attention is given to the CDC's 2006 guidelines for the treatment of sexually transmitted diseases.

  8. Mucosal immunity in the female genital tract, HIV/AIDS.

    Science.gov (United States)

    Reis Machado, Juliana; da Silva, Marcos Vinícius; Cavellani, Camila Lourencini; dos Reis, Marlene Antônia; Monteiro, Maria Luiza Gonçalves dos Reis; Teixeira, Vicente de Paula Antunes; Miranda Corrêa, Rosana Rosa

    2014-01-01

    Mucosal immunity consists of innate and adaptive immune responses which can be influenced by systemic immunity. Despite having been the subject of intensive studies, it is not fully elucidated what exactly occurs after HIV contact with the female genital tract mucosa. The sexual route is the main route of HIV transmission, with an increased risk of infection in women compared to men. Several characteristics of the female genital tract make it suitable for inoculation, establishment of infection, and systemic spread of the virus, which causes local changes that may favor the development of infections by other pathogens, often called sexually transmitted diseases (STDs). The relationship of these STDs with HIV infection has been widely studied. Here we review the characteristics of mucosal immunity of the female genital tract, its alterations due to HIV/AIDS, and the characteristics of coinfections between HIV/AIDS and the most prevalent STDs.

  9. Mucosal Immunity in the Female Genital Tract, HIV/AIDS

    Directory of Open Access Journals (Sweden)

    Juliana Reis Machado

    2014-01-01

    Full Text Available Mucosal immunity consists of innate and adaptive immune responses which can be influenced by systemic immunity. Despite having been the subject of intensive studies, it is not fully elucidated what exactly occurs after HIV contact with the female genital tract mucosa. The sexual route is the main route of HIV transmission, with an increased risk of infection in women compared to men. Several characteristics of the female genital tract make it suitable for inoculation, establishment of infection, and systemic spread of the virus, which causes local changes that may favor the development of infections by other pathogens, often called sexually transmitted diseases (STDs. The relationship of these STDs with HIV infection has been widely studied. Here we review the characteristics of mucosal immunity of the female genital tract, its alterations due to HIV/AIDS, and the characteristics of coinfections between HIV/AIDS and the most prevalent STDs.

  10. Os limites do funcionamento interpretante do aparato psíquico The limits of the interpretative function of the psychic apparatus

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    Anna Carolina Lo Bianco

    2001-06-01

    Full Text Available De início, o artigo identifica uma função interpretante na conceituação do aparato psíquico realizada por Freud. Esta função encontra-se melhor explicada no desenvolvimento da "Interpretação dos Sonhos", os quais operam, por sua vez, a mesma função interpretante. Em seguida, argumenta que, desde 1900, Freud conceitua um limite e uma exceção no funcionamento da interpretação nos sonhos, localizando-os, no entanto, em duas tópicas diferentes. A visão de Lacan vem introduzir uma nova inteligibilidade à interpretação ao ressituar os seus limites no lugar mesmo do funcionamento do aparato. Esse instante de impossibilidade, presente em toda interpretação, é examinado tendo em vista a sua conseqüência clínica de apontar para a necessidade do ato analítico, como a intervenção que faz advir o sujeito da análise.Firstly the article identifies an interpretative function in the conceptualization of the psychic apparatus, by Freud. This function is best explained in "The Interpretation of Dreams". These are understood to operate in their turn the same interpretative function as the apparatus. Secondly it is argued that since 1900 Freud conceptualizes a limit and an exception in the function of dream-interpretation. However, he localizes these limits in two different explanations of the apparatus. Lacan introduces a new way of understanding the matter by affirming that the limits are comprehended in one and the same explanation of the functioning of the apparatus. A moment of impossibility which is present in all interpretations is examined in view of its clinical consequences, since it points to a necessary analytical act. This is the intervention that makes it possible for the analytical subject to exist.

  11. [Female genital mutilations, forced marriages, and early pregnancies].

    Science.gov (United States)

    Henrion, Roger

    2003-01-01

    Female genital mutilations, as well as forcible childhood marriage and their correlate adolescent pregnancies are traditional practices which, not only violate the dignity, but also jeopardize the health, and even the life, of women and their children. The complications of genital mutilations are frequent for a number of reasons: the fact that the clitoris is highly vascularized, the nature of the mutilations, excision or infibulation, and the poor conditions of hygiene. The short term complications are pain, hemorrhage, shock, and urinary retention. Medium term complications include gangrene, septicemia, tetanus, pelvic inflammatory disease, HIV/AIDS, and hepatitis B or C infections. Serious sequelae may occur, including infertility and gynecologic disorders, and sexual life is invariably altered. The main obstetrical complications of genital mutilations are genital lacerations involving the labia minor and the perineum, which can lead to hemorrhage and sequelae such as urinary or anal incontinence, recto-vaginal and vesico-vaginal fistulas. The role of doctors, which is delicate because these customs are entrenched, is to detect genital mutilations, repair them and prevent them, by participating in health education programs. The consequences of forcible childhood marriage are serious, besides the fact that this is a disguised form of rape. The obstetrical risks favored by the underdevelopment of the uterus and the pelvis, include uterine rupture, preeclampsia and eclampsia, and obstetrical hemorrhage. The fetus/neonate are jeopardized by these complications, which can result in perinatal asphyxia and death, as well as the high rates of intrauterine growth retardation and preterm delivery. The impact of genital mutilations on delivery are compounded in childhood pregnancies for anatomical reasons, but also because these adolescents or children are extremely vulnerable and have poor access to perinatal care. In France, as well as in Africa, non-governmental and

  12. Elevated tumor markers in coccidiomyocosis of the female genital tract

    Directory of Open Access Journals (Sweden)

    Wu Y

    2014-03-01

    Full Text Available The female genital tract is rarely involved by coccidioidomycosis. We describe a woman with disseminated coccidioidomycosis involving the female pelvic organs associated with elevated tumor markers CA 125 and CA 19-9. She had no fevers and the initial clinical suspicion was a malignancy because of the elevated tumor markers. At exploratory laparotomy a total abdominal hysterectomy and bilateral salpingo-oophorectomy were performed because of the suspicion of a malignancy. Subsequent pathology demonstrated coccidioidomycosis involving the female genital tract and no malignancy. The abnormal CA 125 and CA 19-9 returned to normal after surgical resection and treatment of the coccidioidomycosis.

  13. Simultaneous genital ulcer and meningitis: a case of EBV infection

    Science.gov (United States)

    Nunes, Jairo Tavares; Lopes, Leonardo da Costa; Prokopowitsch, Aleksander Snioka

    2016-01-01

    The Epstein-Barr virus (EBV) is associated with a broad spectrum of diseases, mainly because of its genomic characteristics, which result in different latency patterns in immune cells and infective mechanisms. The patient described in this report is a previously healthy young man who presented to the emergency department with clinical features consistent with meningitis and genital ulcers, which raised concern that the herpes simplex virus was the causative agent. However, the polymerase chain reaction of cerebral spinal fluid was positive for EBV. The authors highlight the importance of this infection among the differential diagnosis of central nervous system involvement and genital ulceration. PMID:27547743

  14. Genital ulcers associated with Epstein-Barr virus.

    Science.gov (United States)

    Jerdan, Kimberly; Aronson, Iris; Hernandez, Claudia; Fishman, Patricia M; Groth, John V

    2013-06-01

    Genital ulcerations are a rare clinical finding of Epstein-Barr virus (EBV) infection. We present the case of a 16-year-old adolescent girl who reported the onset of diarrhea, headaches, dysuria, and vaginal discharge along with vulvar ulcerations with edema. Laboratory studies revealed a high-quantitative EBV IgG and early antigen as well as a positive IgM antibody for EBV. Although the association between EBV and genital ulcerations is rare, physicians should be aware of this clinical presentation to exclude other infectious entities, to be reassured to accept negative testing, and to quell patient distress or concerns of abuse.

  15. Health Care Personnel challenges encountering patients with Female Genital Mutilation

    OpenAIRE

    Nilsson, Raili

    2015-01-01

    Background: People are moving more and it demands more of health care in the countries receiving people from cultures and countries different from their own. I wanted to write this essay to try to answer what are the challenges for healthcare staff, and how to solve those problems when it comes to female genital-mutilation which is a widespread practice in Africa and in Islam. Aim: Female genital mutilation is an important issue because it affects a woman's life, both mentally and physical...

  16. Female genital mutilation in the world today: a global review.

    Science.gov (United States)

    Hosken, F P

    1981-01-01

    Extensive research and field work have established that more than 74 million women and female children are mutilated by female genital operations in Africa alone. The operations are also practiced in many parts of the Middle East and, with Moslemization, were introduced into Indonesia and Malaysia where they are preformed at the present time in a less damaging form. This paper lists the countries where instances of excision and infibulation have been reported and includes case reports from Sudan, Egypt, Ethiopia, Kenya, Somalia, Nigeria, Mali, Upper Volta, and Senegal. The ethical issues posed by genital mutilation are also discussed.

  17. Genital Infection as a First Sign of Acute Myeloid Leukemia

    Directory of Open Access Journals (Sweden)

    Naoki Oiso

    2010-02-01

    Full Text Available Fournier’s gangrene is a life-threatening disorder caused by aerobic and anaerobic bacterial infection. We report a case of genital infection as the initial warning sign of acute myeloid leukemia. We were able to prevent progression to Fournier’s gangrene in our patient by immediate intensive therapy with incision, blood transfusions and intravenous administration of antibiotics. This case suggests that hematologists and dermatologists should keep in mind that genital infection can be a first sign of hematologic malignancy.

  18. [Genital actinomycosis. Diagnostic and therapeutic difficulties. Report of three cases].

    Science.gov (United States)

    Atallah, D; Lizee, D S; Van den Akker, M; Gadonneix, P; Tranbaloc, P; Villet, R

    1999-01-01

    Genital actinomycosis is a rare bacterial infection affecting women of child-bearing age, which is sometimes related to the use of an IUD or an intra-vaginal pessary. Nevertheless, this relationship is at best tenous and actinomycosis is not the only bacterial infection caused by IUD use. Genital actinomycosis often occurs as a pelvic tumour which is sometimes difficult to correctly diagnose and consequently treat accordingly. Rapid diagnosis is essential in order to avoid any irreparable tissue damage. Treatment of this condition consists of a combination of antibiotics and surgery to achieve complete recovery. Three cases are described.

  19. Evaluation and management of acute genital ulcers in sexually active patients.

    Science.gov (United States)

    Kraus, S J

    1984-02-01

    The causes of genital ulcers vary with the age of the patient. Although sexually related genital ulcers can be seen at any age, they are most common between the ages of 15 and 30. The differential diagnosis includes syphilis, chancroid, genital herpes, lymphogranuloma venereum, granuloma inguinale, fixed drug reactions, and traumatic ulcers.

  20. Female genital mutilation/cutting type IV in Cambodia: a case report.

    Science.gov (United States)

    Abdulcadir, Jasmine; Irion, Olivier; de Tejada, Begoña Martinez

    2015-12-01

    Nontherapeutic female genital modifications can cause short- and long-term consequences. Caregivers should promote women's self knowledge on genitals' anatomy and physiology, and psychophysical and sexual health. They should also inform on possible negative consequences of vulvar nontherapeutic alterations requested and avoid the medicalization of female genital mutilation.

  1. Genital ulcer as a new clinical clue to PFAPA syndrome.

    Science.gov (United States)

    Scattoni, R; Verrotti, A; Rinaldi, V E; Paglino, A; Carelli, A; D'Alonzo, R

    2015-04-01

    Vaginal ulcers can be associated with a number of different diseases. We describe two girls who presented genital ulcers as a persistent symptom of PFAPA (periodic fever, aphthous stomatitis, pharyngitis, cervical adenitis) syndrome. The possibility of considering this clinical manifestation as a clue for the diagnosis of PFAPA is discussed.

  2. The MAGIC syndrome (mouth and genital ulcers with inflamed cartilage).

    Science.gov (United States)

    Orme, R L; Nordlund, J J; Barich, L; Brown, T

    1990-07-01

    We describe a 42-year-old man with features of both Behçet's disease and relapsing polychondritis. The term MAGIC syndrome (mouth and genital ulcers with inflamed cartilage) has previously been used to describe similarly affected patients. We discuss the diagnostic criteria and pathogenetic mechanisms.

  3. Newer trends in the management of genital herpes

    Directory of Open Access Journals (Sweden)

    Nath Amiya

    2009-01-01

    Full Text Available Management of genital herpes is complex. Apart from using the standard antivirals, an ideal management protocol also needs to address various aspects of the disease, including the psychological morbidity. Oral acyclovir, valacyclovir or famciclovir are recommended for routine use. Long-term suppressive therapy is effective in reducing the number of recurrences and the risk of transmission to others. Severe or disseminated disease may require intravenous therapy. Resistant cases are managed with foscarnet or cidofovir. Genital herpes in human immunodeficiency virus-infected individuals usually needs a longer duration of antiviral therapy along with continuation of highly active anti retroviral therapy (HAART. Genital herpes in late pregnancy increases the risk of neonatal herpes. Antiviral therapy and/or cesarean delivery are indicated depending on the clinical circumstance. Acyclovir appears to be safe in pregnancy. But, there is limited data regarding the use of valacyclovir and famciclovir in pregnancy. Neonatal herpes requires a higher dose of acyclovir given intravenously for a longer duration. Management of the sex partner, counseling and prevention advice are equally important in appropriate management of genital herpes. Vaccines till date have been marginally effective. Helicase-primase inhibitors, needle-free mucosal vaccine and a new microbicide product named VivaGel may become promising treatment options in the future.

  4. Voluntary Genital Ablations: Contrasting the Cutters and Their Clients

    Directory of Open Access Journals (Sweden)

    Robyn A. Jackowich, BA

    2014-08-01

    Conclusions: This study may help identify individuals who are at risk of performing illegal castrations. That information may help healthcare providers protect individuals with extreme castration ideations from injuring themselves or others. Jackowich RA, Vale R, Vale K, Wassersug RJ, and Johnson TW. Voluntary genital ablations: Contrasting the cutters and their clients. Sex Med 2014;2:121–132.

  5. Mothers' Perceptions of Female Genital Mutilation

    Science.gov (United States)

    Ahanonu, E. L.; Victor, O.

    2014-01-01

    The practice of female genital mutilation (FGM) is widespread in Nigeria. This study was conducted to assess the perceptions of FGM among mothers at a primary healthcare centre in Lagos, Nigeria. A convenience sample of 95 mothers completed the pre-tested, semi-structured questionnaires. Data analysis was carried out using descriptive statistics…

  6. Task Force: Routine Genital Herpes Screening Not Recommended

    Science.gov (United States)

    ... page: https://medlineplus.gov/news/fullstory_160205.html Task Force: Routine Genital Herpes Screening Not Recommended Unless someone ... Aug. 2, 2016 (HealthDay News) -- A U.S. federal task force is prepared to recommend that teens, adults and ...

  7. A geração criada por mulheres: o pai e o masculino no Clube da Luta

    Directory of Open Access Journals (Sweden)

    Charles Elias Lang

    2011-01-01

    Full Text Available El presente trabajo discute cuestiones relativas a la paternidad y lo masculino. Freud empezó su práctica clínica en un momento marcado por un modelo particular de família, en lo cual existia un discurso que delineaba la masculinidad y la paternidad y estas se ligaban al discurso religioso. En el discurso religioso, había un modelo consistente de lo que se esperaba y un lugar determinado para el hombre y para el padre, en la família y en la sociedad. Hasta 1938, Lacan ha resaltado la degradación del papel de padre, y há caracterizado nuestro tiempo como marcado por la declinación de la función paterna. Partiendo de la idea que la crisis contemporánea tiene como punto basilar la declinación de la función paterna, se hace necesário investigar la diferencia entre los conceptos que son utilizados en esta via, como los conceptos de imagen, imago, papel y función paternas. Además, buscamos alcanzar el núcleo de nuestra investigación verificando el modo como son trabajadas la cuestiones relativas a la paternidad, lo masculino y lo viril en la película El club de la pelea, de 1999. La película fue basada en la novela homónima escrita por Chuck Palahniuk y publicada em 1996, en lo cual el protagonista narra su historia y los eventos que llevaram a criación de Clubs de pelea.

  8. Hematopoietic tumors of the female genital system: imaging features with pathologic correlation.

    Science.gov (United States)

    Salem, Usama; Menias, Christine O; Shaaban, Akram; Bhosale, Priya R; Youssef, Ayda; Elsayes, Khaled M

    2014-08-01

    Various hematopoietic neoplasms can involve the female genital system. The most common hematological malignancy that involves the female genital system is lymphoma and secondary involvement is more common than primary genital lymphoma. Rarely, leukemic infiltration and extramedullary plasmacytomas of the female genital tract may also occur. Being infrequent, these lesions are commonly misdiagnosed radiologically. Therefore, understanding these malignancies of the female genital system and recognizing their imaging features are of utmost clinical importance. Although definitive diagnosis can be made only by histological analysis, imaging of these tumors plays an important role in detecting lesion extensions, guiding biopsies, staging disease, planning therapy, and detecting recurrence.

  9. Adhesion Molecules Associated with Female Genital Tract Infection.

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    Jamal Qualai

    Full Text Available Efforts to develop vaccines that can elicit mucosal immune responses in the female genital tract against sexually transmitted infections have been hampered by an inability to measure immune responses in these tissues. The differential expression of adhesion molecules is known to confer site-dependent homing of circulating effector T cells to mucosal tissues. Specific homing molecules have been defined that can be measured in blood as surrogate markers of local immunity (e.g. α4β7 for gut. Here we analyzed the expression pattern of adhesion molecules by circulating effector T cells following mucosal infection of the female genital tract in mice and during a symptomatic episode of vaginosis in women. While CCR2, CCR5, CXCR6 and CD11c were preferentially expressed in a mouse model of Chlamydia infection, only CCR5 and CD11c were clearly expressed by effector T cells during bacterial vaginosis in women. Other homing molecules previously suggested as required for homing to the genital mucosa such as α4β1 and α4β7 were also differentially expressed in these patients. However, CD11c expression, an integrin chain rarely analyzed in the context of T cell immunity, was the most consistently elevated in all activated effector CD8+ T cell subsets analyzed. This molecule was also induced after systemic infection in mice, suggesting that CD11c is not exclusive of genital tract infection. Still, its increase in response to genital tract disorders may represent a novel surrogate marker of mucosal immunity in women, and warrants further exploration for diagnostic and therapeutic purposes.

  10. Violência conjugal: vivências expressas em discursos masculinos Violencia entre cónyuges: experiencias expresas en discursos masculinos Conjugal violence: experiences expressed in male discourses

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    Normélia Maria Freire Diniz

    2003-06-01

    Full Text Available Tendo como objeto a vivência de violência na relação conjugal, este estudo descritivo, de abordagem quali-quantitativa, teve como objetivo identificar a violência conjugal no discurso masculino. A população foi composta por 50 homens residentes na comunidade do Calafate, em San Martin, bairro localizado em Salvador/Ba. Para coleta de dados, utilizou-se entrevista com formulário semi-estruturado. A amostra caracterizou-se por homens, na faixa etária entre 20 a 40 anos (74,0%; convivendo conjugalmente (98,0%. Com relação à violência conjugal, o índice encontrado foi de 80%. Quanto às formas de violência, destacam-se a violência emocional e a violência física.Teniendo como objeto la experiencia de violencia en la relación entre cónyuges, este estudio descriptivo, de abordaje cuali-cuantitativo, tuvo como objetivo identificar la violencia entre cónyuges en los discursos masculinos. La población fue compuesta por 50 hombres residentes en la comunidad del Calafate, en San Martin, barrio ubicado en Salvador/Ba. Para colecta de los datos, se utilizó entrevista con formulario semi-estructurado. La muestra se caracterizó por hombres de edad de 20 a 40 años (74,0%, viviendo con la pareja (98,0%0. Con relación a violencia entre cónyuges, el índice encontrado fue de 80,0%. Cuanto a las formas de violencia, se destacan la violencia emocional y la violencia física.Aiming the research of violence experiences in conjugal relation, this descriptive study, of qualitative and quantitative approach, aimed to identify conjugal violence in male discourse. Population was composed of 50 men residing in Calafate community, San Martin, a quarter in Salvador/Ba. In order to collect data, one utilized the interview with semi-structured formulary. Sample was caracterized by men between 20 and 40 years old (74% cohabiting. Concerning to conjugal violence, we found an 80% index. Relating to the forms of violence, we've distinguished emotional and

  11. Esquemas maladaptativos tempranos y creencias irracionales en un grupo de homosexuales masculinos, de la ciudad de Santa Marta, Colombia

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    Fernando Robert Ferrel Ortega

    2013-01-01

    Full Text Available Esta investigación tuvo como objetivo establecer la presencia y grado de relación que existe entre dos factores cognitivos disfuncionales: Creencias Irracionales y Esquemas Maladaptativos Tempranos (EMT, en un grupo de homosexuales masculinos de la ciudad de Santa Marta, Colombia. Se utilizó un tipo de investigación correla- cional en una muestra de 196 homosexuales masculinos, de 25 a 40 años de edad, con una media de 28,2 años, quienes fueron seleccionados mediante el procedimiento de “bola de nieve”, pues se desconocía la población total. Se aplicaron dos Pruebas: el IBT (Irracional Beliefs Test, de Jones, R. G. (1968; el Young Schema Questionnaire Long Form – 2nd edition (YSQ-L2, de Young (1990, validado para población colombiana (Cas- trillón, Cháves, Ferrer, Londoño, Maestre, Marín & Schnitter, 2005; y una entrevista diseñada por los autores a cuatro de ellos. Se tomó como significativas aquellas creencias que prevalecieron sobre el 50% de la población. No se halló presencia significativa de creencias irracionales, y la creencia influencia del pasado fue la que más se aproximó al 50%, con un 44% en el límite superior. Se hallaron dos EMT que prevalecen: entrampamiento (43% e inhibición emocional (35%. Se estableció que la creencia irracional mayoritaria y los dos EMT encontrados no se asocian. Se concluye que personas o hechos del pasado que han sido importantes o determinantes para definir su orientación sexual no lo atan necesariamente a ellas, pueden buscar su felicidad y apoyo en otros grupos, como en la comunidad gay que frecuentan. Estos resultados son similares a los hallados por otros estudios relacionados. Se sugiere seguir investigando con otras variables y pruebas.

  12. Investigación experimental de la dinámica del accionamiento del aparato trozador de la cosechadora de caña

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    Juan Rafael Pérez Pupo

    2008-01-01

    Full Text Available El trabajo de los accionamientos hidráulicos en régimen permanente (establecido solo puede asumirse de forma condicional, con ayuda de una gran idealización, debido a que el régimen establecido puede verse solamente como algo instantáneo. La irregularidad de la carga en los órganos de trabajo de las cosechadoras en condiciones de trabajo real conlleva a la existencia de acciones perturbadoras del tipo variación de la carga y del tipo oscilaciones del caudal en el sistema hidráulico. Por todo lo anterior se hace necesario estudiar la reacción del sistema (accionamiento hidráulico ante la acción de las influencias de entrada (cargas de explotación, que poseen carácter estocástico. Como resultado del trabajo se realizó el análisis espectral de la presión en el sistema hidráulico del aparato trozador de la cosechadora de caña, se cuantificaron los parámetros relacionados con la calidad del corte (longitud del corte de los trozos, calidad del troceado y el coeficiente de seguridad tecnológica.

  13. AUTORÍA MEDIATA A TRAVÉS DE APARATOS ORGANIZADOS DE PODER. TRAS LA SOMBRA DEL MANDO FUGITIVO: DEL DOMINIO Y LA INSTRUMENTALIZACIÓN DEL DELITO.

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    Omar Huertas Díaz

    2013-05-01

    Full Text Available La figura de la autoría mediata surge, en principio, por la necesidad de llenar vacíos en el derecho penal alemán como consecuencia de una visión restrictiva del concepto de autor, por lo que esta figura fue desarrollándose de forma paulatina, pues más allá de los derroteros conceptuales y doctrinales se evidenció como una construcción jurídicamente viable para determinar la responsabilidad penal de los mediadores en el régimen nazi, a través de la teoría de la autoría mediata en aparatos organizados de poder. En este sentido, la referencia que de ella se hace dentro de las disposiciones del ordenamiento jurídico colombiano se evidencia en el artículo 29 del actual Código Penal, en el sentido de que se estipula que es autor quien realice la conducta punible utilizando a otro como instrumento. Con ello, esta teoría, planteada en principio por Claux Roxin, se aplica como una necesidad de abordar problemas como la determinación de la responsabilidad penal de los diversos mandos directivos de una estructura jerárquica y organizada para la comisión de crímenes.

  14. High prevalence of genital HPV infection among long-term monogamous partners of women with cervical dysplasia or genital warts-Another reason for HPV vaccination of boys.

    Science.gov (United States)

    Rob, Filip; Tachezy, Ruth; Pichlík, Tomáš; Rob, Lukáš; Kružicová, Zuzana; Hamšíková, Eva; Šmahelová, Jana; Hercogová, Jana

    2017-01-01

    We conducted a cross-sectional study on the occurrence of a specific type of genital human papillomavirus (HPV) among long-term monogamous male partners of women with cervical dysplasia and genital warts. The purpose of the study was to improve knowledge with regards to the management of these couples. The presence of genital HPV-DNA was detected by PCR with broad spectrum primers followed by hybridization. 82 males met the study criteria, 41 in each group. Genital HPV-DNA prevalence was 67.5% in the genital warts group and 72.2% in the cervical dysplasia group. The prevalence of high risk HPVs was higher in the cervical dysplasia group, while low risk HPVs were more prevalent in the genital warts group (p HPV in males was independent of the duration of the relationship (73.5% for 6-24 months and 66.7% for longer relationships). In conclusion, our results suggest that the prevalence of the genital HPV infection in both groups of male partners is comparable and very high, but the spectrum of HPV types varies significantly. The presence of the genital HPV infection in male sexual partners seems to be independent of the duration of the relationship. Applying the HPV vaccination to boys may prevent this phenomenon.

  15. A microbiological study of genital ulcers in Kuala Lumpur.

    Science.gov (United States)

    Zainah, S; Cheong, Y M; Sinniah, M; Gan, A T; Akbal, K

    1991-09-01

    The microbial aetiology of genital ulcers was studied in 249 patients (241 men and 8 women) attending a Sexually Transmitted Disease Clinic in Kuala Lumpur, Malaysia. Herpes simplex virus type 2 was isolated in 48 (19.2%) patients, Haemophilus ducreyi from 22 (8.8%), Neisseria gonorrhoeae from seven (2.8%) and Chlamydia trachomatis from four (1.6%). Syphilis was diagnosed in 18 (7.2%) patients on the basis of dark field microscopy. Two (0.8%) patients were found to have both chancroid and syphilis and one (0.5%) had both gonorrhoea and syphilis. No organism was isolated in the remaining 151 (61.5%) patients. Overall, the accuracy of clinical diagnosis was 58% for single infection, 67% for herpes, 63% for syphilis, 47% for chancroid and 0% for lymphogranuloma venereum. Therefore, our study confirms the need for laboratory tests to diagnose accurately the aetiology of genital ulcer disease.

  16. Immunohistochemical investigations of genital ulcers caused by Haemophilus ducreyi.

    Science.gov (United States)

    Abeck, D; Freinkel, A L; Korting, H C; Szeimis, R M; Ballard, R C

    1997-09-01

    To gain information on the specific composition of the inflammatory infiltrate of genital ulcers caused by Haemophilus ducreyi, biopsies of 6 genital ulcers which were diagnosed as chancroid on clinical and microbiological grounds were subjected to immunohistochemical investigations after conventional haematoxylineosin staining. A variety of antibodies reactive against B- and T-cells, plasma cells and granulocytes were used with each tissue sections. The lymphocytic infiltrate of chancroid ulcers consisted of both B- and T-lymphocytes and showed a cluster-like formation. B-lymphocytes were preferentially localized perivascularly in the middle layer, T-lymphocytes mainly in the deep layer of the inflamed oedematous tissue. Results stress the importance of both B- and T-cell mediated immune responses in Haemophilus ducreyi infection.

  17. Genital ulcers and transmission of HIV among couples in Zimbabwe.

    Science.gov (United States)

    Latif, A S; Katzenstein, D A; Bassett, M T; Houston, S; Emmanuel, J C; Marowa, E

    1989-08-01

    Seventy-five married men found to be positive for HIV-1 in Harare, Zimbabwe, were interviewed in order to define behaviours associated with acquisition of infection and to determine factors associated with transmission of infection to their wives. The majority of infected men reported sexual intercourse with multiple heterosexual partners and female prostitutes, and gave a history of sexually transmitted diseases (STDs). All subjects denied homosexual activity and parenteral drug abuse. Serological testing of the wives of seropositive men showed that 45 (60%) were HIV-antibody-positive. Wives of men with AIDS and AIDS-related complex (ARC) and wives of men who gave a history of genital ulcer disease were more likely to be seropositive. The study demonstrates that HIV-1 infection in Zimbabwe occurs through heterosexual intercourse and is associated with other STDs. In addition, the study shows that male to female transmission of HIV-1 is facilitated by the presence of genital ulcers in infected men.

  18. The School Nurse's Role in Addressing Female Genital Mutilation.

    Science.gov (United States)

    Nowak, Barbara

    2016-09-01

    Female genital mutilation/cutting (FGM/C) is the practice in some immigrant populations of cutting or causing injury to the female genital organs for non-medical reasons. The incidence of FGM/C has increased by 314% in school-aged children according to a study published in 2016. The school nurse is in an optimal position to identify children at risk and build collaborative relationships to treat the students affected by the practice. FGM/C is child abuse and carries both federal and state legal consequences. It is important for the school nurse to understand the cultural context, legal guidance, and social consequences of this practice within the greater community. The school nurse should work to develop interagency guidelines to provide safe processes for the child and the family. The most effective programs use a combination of educational strategies for families and communities along with law enforcement to help abolish the practice.

  19. Female genital mutilation - postcircumcision vulval complications in Nigerians.

    Science.gov (United States)

    Adekunle, A O; Fakokunde, F A; Odukogbe, A A; Fawole, A O

    1999-11-01

    Female genital mutilation is a cultural practice that can adversely affect the health of women. Vulval complications of female circumcision in 39 patients managed at the University College Hospital, Ibadan, Nigeria over a period of 10 years were reviewed. The complications were: labial adhesions of varying degrees (51.3%) and clitoral retention cysts (48.7%). However, both types of complications occurred concurrently in two (5.1%) patients. All patients were treated surgically with good outcome. The only immediate complication of treatment was secondary haemorrhage in one patient with clitoral cyst. Regrettably, one patient with labial adhesion required a repeat surgical procedure 2 months later. The histological examination of all the retention cysts revealed epidermal inclusion cysts. Emphasising the reproductive health implications of female genital mutilation may prove an effective strategy towards eradication of the practice.

  20. A rat uterine horn model of genital tract wound healing.

    Science.gov (United States)

    Schlaff, W D; Cooley, B C; Shen, W; Gittlesohn, A M; Rock, J A

    1987-11-01

    A rat uterine horn model of genital tract wound healing is described. Healing was reflected by acquisition of strength and elasticity, measured by burst strength (BS) and extensibility (EX), respectively. A tensiometer (Instron Corp., Canton, MA) was used to assess these characteristics in castrated and estrogen-supplemented or nonsupplemented animals. While the horn weights (HW), BS, and EX of contralateral horns were not significantly different, the intra-animal variation of HW was 7.2%, BS was 17.7% and EX was 38.2%. In a second experiment, one uterine horn was divided and anastomosed, and the animal given estrogen supplementation or a placebo pellet. Estrogen administration was found to increase BS and EX of anastomosed horns prior to 14 days, but had no beneficial effect at 21 or 42 days. The data suggest that estrogen may be required for optimal early healing of genital tract wounds.

  1. Female genital cosmetic surgery: a review of techniques and outcomes.

    Science.gov (United States)

    Iglesia, Cheryl B; Yurteri-Kaplan, Ladin; Alinsod, Red

    2013-12-01

    The aesthetic and functional procedures that comprise female genital cosmetic surgery (FGCS) include traditional vaginal prolapse procedures as well as cosmetic vulvar and labial procedures. The line between cosmetic and medically indicated surgical procedures is blurred, and today many operations are performed for both purposes. The contributions of gynecologists and reconstructive pelvic surgeons are crucial in this debate. Aesthetic vaginal surgeons may unintentionally blur legitimate female pelvic floor disorders with other aesthetic conditions. In the absence of quality outcome data, the value of FGCS in improving sexual function remains uncertain. Women seeking FGCS need to be educated about the range and variation of labia widths and genital appearance, and should be evaluated for true pelvic support disorders such as pelvic organ prolapse and stress urinary incontinence. Women seeking FGCS should also be screened for psychological conditions and should act autonomously without coercion from partners or surgeons with proprietary conflicts of interest.

  2. Chlamydia trachomatis antigen in female genital tract infection

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    Badrinath S

    1996-01-01

    Full Text Available Thirty cases of female genital tract infection were investigated for the presence of Chlamydia trachomatis antigen. Endocervical swabs obtained were subjected to antigen detection by enzyme immunoassay. Rabbit antiserum to chlamydial lipopolysaccharide was used in a card test. Anti rabbit immunoglobulin G conjugated to alkaline phosphatase with a chromogenic substrate 5 bromo-4 chloro-3-indolyl phosphate and nitro blue tetrazolium were used for the enzymatic reaction. Chlamydial antigen could be detected in four out of thirty samples (13.3%. In contrast direct immunofluorescence detected 5 cases (16.6%. Although less sensitive, enzyme immunoassay can be used as a rapid diagnostic tool in detecting Chlamydia trachomatis antigen in genital infections.

  3. Human immunodeficiency virus infection and female lower genital tract malignancy.

    Science.gov (United States)

    Kuhn, L; Sun, X W; Wright, T C

    1999-02-01

    The risk of lower genital tract neoplasia is increased in women infected with HIV. This has been best demonstrated in cervical squamous intraepithelial lesions, but has also been observed in vulvar and perianal intraepithelial lesions in some studies. Alterations in the prevalence and natural history of human papillomavirus infections of the lower genital tract appear to account for much of the increase. HIV-infected women are approximately four times more likely to be infected with human papillomavirus (including infection with high oncogenic risk human papillomavirus types) than are HIV-uninfected women, and these infections are more likely to be persistent. Human papilomavirus-associated lesions may be more difficult to treat in HIV-infected women. These data highlight the need to develop effective cervical cancer prevention programs for HIV-infected women.

  4. Is incidence of multiple HPV genotypes rising in genital infections?

    Science.gov (United States)

    Sohrabi, Amir; Hajia, Masoud; Jamali, Firouzeh; Kharazi, Faranak

    2017-02-16

    Frequency of cervical cancer related to Human Papilloma Virus (HPV) has increased remarkably in less-developed countries. Hence, applying capable diagnostic methods is urgently needed, as is having a therapeutic strategy as an effective step for cervical cancer prevention. The aim of this study was to investigate the prevalence of various multi-type HPV infection patterns and their possible rising incidence in women with genital infections. This descriptive study was conducted on women who attended referral clinical laboratories in Tehran for genital infections from January 2012 until December 2013. A total of 1387 archival cervical scraping and lesion specimens were collected from referred women. HPV genotyping was performed using approved HPV commercial diagnostic technologies with either INNO-LiPA HPV or Geno Array Test kits. HPV was positive in 563 cases (40.59%) with mean age of 32.35±9.96. Single, multiple HPV genotypes and untypable cases were detected in 398 (70.69%), 160 (28.42%) and 5 (0.89%) cases, respectively. Multiple HPV infections were detected in 92 (57.5%), 42 (26.2%), 17 (10.6%) and 9 (5.7%) cases as two, three, four and five or more genotypes, respectively. The prevalence of 32 HPV genotypes was determined one by one. Seventeen HPV genotypes were identified in 95.78% of all positive infections. Five dominant genotypes, HPV6, 16, 53, 11 and 31, were identified in a total of 52.35%of the HPV positive cases. In the present study, we were able to evaluate the rate of multiple HPV types in genital infections. Nevertheless, it is necessary to evaluate the role of the dominant HPV low-risk types and the new probably high-risk genotypes, such as HPV53, in the increasing incidences of genital infections.

  5. Doctoring the Genitals: Towards Broadening the Meaning of Social Medicine.

    Science.gov (United States)

    Shweder, Richard A

    2015-01-01

    Doctoring the genitals is compatible with a recognizable conception of social medicine. This commentary critically examines the distinction between medical and nonmedical procedures; presents an alternative account of Sohaila Bastami's personal reaction to the anonymous caller's request for referral information concerning hymen reconstruction surgery; and makes use of Yelp to simulate the caller's procedure for locating a helpful practitioner. Yelp is a very useful informational search engine that does not subject its users to a moral examination.

  6. Ano-Genital Warts and HIV Status– A Clinical Study

    Science.gov (United States)

    Sharma, Shimpa; Gulbake, Arvind

    2017-01-01

    Introduction Ano-Genital Warts (AGW) like other Sexually Transmitted Diseases (STD) is associated with Human Immunodeficiency Virus (HIV) infection. This study of AGW was done in HIV positive and HIV negative patients. Aim To study the risk factors and clinical presentations of ano-genital warts in HIV positive and negative patients. Materials and Methods A comparative, cross-sectional, descriptive study of 25 HIV positive and 25 HIV negative (n=50) AGW patients between 15-60 years of both sex was conducted in Dr. D. Y. Patil Hospital and Research Centre from July 2014 to July 2016. Results Significant association of HIV positivity (phomosexuality (p0.05). No patient presented with changes of malignancy. Four were adolescents below 19 years. Two patients had atypical presentations of giant condylomata i.e., Buschke-Lowenstein Tumour (BLT). Conclusion HIV positivity was significantly associated with the risk factors of age below 30 years, homo sexuality and multiple sexual partners. Anal warts were significantly common in HIV positive patients. Four adolescents with AGW underline the need for high risk behaviour counselling. No patient had malignant ano-genital warts. Follow up of these patients with Human Papilloma Virus (HPV) sub-typing is necessary. PMID:28274028

  7. Management of Retained Genital Piercings: A Case Report and Review

    Science.gov (United States)

    2017-01-01

    The prevalence of genital piercing among women is increasing. As the popularity increases, the number of complications from infection, injury, and retained jewelry is likely to rise. Techniques to remove embedded jewelry are not well described in the literature. The purpose of this report was to describe a case of a patient with a retained clitoral glans piercing, discuss a simple technique for outpatient removal, and review current evidence regarding associated risks of clitoral piercings. A 24-year-old female presented to the emergency department with an embedded clitoral glans piercing. Local anesthetic was injected into the periclitoral skin and a small superficial vertical incision was made to remove the ball of the retained barbell safely. In conclusion, among patients with retained genital piercing, outpatient removal of embedded jewelry is feasible. While the practice of female genital piercing is not regulated, piercing of the glans of the clitoris is associated with increased injury to the nerves and blood supply of the clitoris structures leading to future fibrosis and diminished function compared to piercing of the clitoral hood. PMID:28299217

  8. The subject genitive in the standard Serbian language

    Directory of Open Access Journals (Sweden)

    Antonić Ivana

    2005-01-01

    Full Text Available The paper presents a review of syntactic-semantic structures with the so-called subject genitive, it describes and in a specific way compares all syntactic-semantic models with this type of genitive and discusses the necessary syntactic-semantic conditions which influence its appearance with the comment on the necessary pragmatic conditions where it is relevant. In comparison with the interpretations existing so far, this category is somewhat extended, and the appearance of genitive in specific models mentioned by other authors, too - is explicitly classified into this category, which has not been the case before. Subject genitive, as an exponent of the grammatical subject in the deep predication (full verbal lexeme [condensed by the deverbal noun] or copulative with the adjective as a semantic core [condensed by the deadjectival noun], or the predication of the reduced relative clause in the function of the restrictive identifier of the basic noun of the type nomina loci and nomina collectiva or as a denotator of the semantic subject, in both cases with the meaning of agent - the direct performer of the activity or an intermediary, but also a pseudo-agent, e.g. the indicator of a characteristic, of existence, objects instrument, of the entity created in the process of the verb activity possessor, causer, indicator of a state or feeling, disponent (temporary possessor - is realized equally in nominal and verbal structures, and in a particular instance also in the occasional variant of the sentence with one type of modal particles (evo, eto, eno, gle in a specific pragmatic situation. In the Standard Serbian Language the subject genitive is the element of the secondary syntactic-semantic structures - generated from the basic deep, prototypical, structures (all models except the model with the personal and the model with the medial predication, or the element of the basic syntactic-semantic structures but so-called converse structures (the model

  9. Adolescentes do sexo masculino: trabalho remunerado e construção da identidade Adolescentes del sexo masculino: trabajo remunerado y la construcción de la identidad Male teenagers: paid work and identity construction

    Directory of Open Access Journals (Sweden)

    Felipe Watarai

    2010-09-01

    Full Text Available O objetivo deste trabalho é analisar o modo como adolescentes trabalhadores do sexo masculino vivenciam o ingresso no mercado de trabalho, o significado que atribuem às atividades aí desempenhadas e como estas contribuem para a construção de suas identidades. A coleta de dados foi feita a partir de entrevistas semiestruturadas com dez adolescentes que frequentavam o Ensino Médio, de idade entre 16 e 18 anos, pertencentes às camadas populares de Ribeirão Preto-SP. A análise dos dados enfocou a construção da identidade como um processo psicológico, mas também atrelado ao contexto social. A identidade de trabalhador apresentou maior relevância em relação a outras identidades sociais, sendo associada pelos sujeitos à conquista de maior maturidade e autonomia. Assim, a aquisição dessa identidade contribui para estruturar representações e práticas também em esferas como a família e a escola.El objetivo de este trabajo es analizar la manera como trabajadores adolescentes del sexo masculino viven el ingreso en el mercado de trabajo, el significado que les atribuyen a las actividades desempeñadas en este ambiente, y como ellas contribuyen para la construcción de sus identidades. El levantamiento de datos fue hecha a partir de entrevistas parcialmente estructuradas con diez jóvenes del "Ensino Médio", entre 16 y 18 años, pertenecientes a las clases populares de Ribeirão Preto-SP. El análisis de esos datos enfocó la construcción de la identidad como un proceso psicológico, y además, referente al contexto social. La identidad del trabajador se presentó más relevante en relación a otras identidades sociales, estando asociada a conquista de mayor madurez y autonomía. De ese modo, la adquisición de esa identidad contribuye para estructurar representaciones y prácticas, incluso en ámbitos, como la familia y la escuela.The aim of this study is to analyze the way male teenager workers experience their entrance into the

  10. Genital Mycoplasma and Chlamydia trachomatis infections in patients with genital tract infections attending a tertiary care hospital of North India

    Directory of Open Access Journals (Sweden)

    Karnika Saigal

    2016-01-01

    Full Text Available Limited data are available on the prevalence of genital mycoplasmas and Chlamydia trachomatis (CT among Indian patients with genital tract infections. The objectives of the study were to determine the prevalence of Ureaplasma urealyticum (UU, Mycoplasma hominis (MH, Mycoplasma genitalium (MG, and CT in patients with genital tract infections. The antimicrobial susceptibilities of UU and MH were also assessed. Endocervical swabs/urethral swabs and first void urine samples of patients (n = 164 were collected. UU and MH were detected by culture and multiplex polymerase chain reaction (PCR. MG and CT were identified by PCR. Ureaplasma isolates were further biotyped and serotyped. Antimicrobial susceptibility was done by microbroth dilution method. UU, MH, MG, and CT were detected in 15.2%, 5.4%, 1.2%, and 6% patients, respectively. Ureaplasma parvum serovar 3/14 was the most prevalent. All isolates of UU and MH were uniformly susceptible to doxycycline and josamycin. Routine screening for these pathogens and antimicrobial susceptibility testing is warranted to prevent sequel of infections and formulate treatment guidelines.

  11. masculino de alto nivel

    Directory of Open Access Journals (Sweden)

    Ricardo de la Vega Marcos

    2014-01-01

    Full Text Available El presente estudio, valiéndose de un diseño ex post facto retrospectivo, analizó la relación entre los estados de ánimo precompetitivos yel rendimiento deportivo de un equipo de doce jugadores de voleibol durante el campeonato del mundo de Brasil-2011, categoría masculina sub-20.Para la medición de los estados de ánimo se utilizó el instrumento Profile of Moods States(POMS. La medición del rendimiento deportivo se llevó acabo a partir de dos instrumentos: por una parte, una escala de valoración o percepción de los entrenadores a propósito del rendimiento de sus jugadoresy, por otra, el software Data Voley System. Se procedió con estadística descriptiva y estadística inferencial no paramétrica. Los participantes mostraronun perfil anímico de alto vigor, moderada tensión, baja cólera, y mínima fatiga y depresión. Se detalla la relación entre las variables estudiadas y sediscute cómo el hecho de perder un partido que tuvo como consecuencia la exclusión del equipo a la opción de ganar medalla, influyó hacia una menortensión y vigor de los jugadores, a la vez que aumentó la depresión y la fatiga.

  12. Limited evidence of the effect of prophylactic pelvic floor training on genital prolapse

    DEFF Research Database (Denmark)

    Boie, Sidsel; Jeppesen, Ulla; Bor, Isil Pinar

    2012-01-01

    Abstract A growing number of women are bothered by genital prolapse. The treatment of genital prolapse includes pelvic floor exercise in variable extent, but only few data are published. Variations in interventions, follow-up time, outcome etc. complicates a comparison. Because of the very limited...... material it is difficult to conclude if pelvic floor exercises have any effect on genital prolapse. There is need for studies concerning the clinical relevance and a cost-benefit analysis....

  13. The World Health Organization work and experiences in combating female genital mutilation in Addis Ababa, Ethiopia

    OpenAIRE

    Mladonova, Anna

    2007-01-01

    This thesis is dedicated to a better understanding of World Health Organization contribution to process of combating female genital mutilation in Addis Ababa, Ethiopia. The World Health Organization is well known all over the world for their work in public health. This organization is dealing with many issues concerning health and well being of people, the one of these issues is combating female genital mutilation. The practice of female circumcision/female genital mutilation is practic...

  14. THALIDOMIDE: A THERAPEUTIC BOON IN THE MANAGEMENT OF RECURRENT GENITAL APHTHOUS ULCERATION IN AN IMMUNOCOMPROMISED INDIVIDUAL

    Directory of Open Access Journals (Sweden)

    Madhubabu

    2016-06-01

    Full Text Available Genital lesions are common in Human Immunodeficiency Virus (HIV positive patients. Aetiology of the genital lesions are mainly due to Herpes Simplex Virus (HSV, Human Papilloma Virus (HPV and non-specific genital ulcers. They usually respond to the antiviral and antibacterial agents. We are presenting a young unmarried HIV positive and Hepatitis-B positive patient who presented with non-healing genital ulcer lesions while on antiretroviral therapy and showed variable response and challenges to treatment with antivirals, steroids, antibacterials and change of ART and finally dramatic response with Thalidomide therapy which is rarely described in the literature.

  15. The development of the genital peritoneum in domestic mammals. An analysis of the literature and nomenclature.

    Science.gov (United States)

    Martin, E

    1995-12-01

    This review presents and discusses the reasons for the currently employed anatomical terminology relating to the genital peritoneum of various domestic species, based upon its prenatal development. When reviewing the development of genital organs, attention must be paid to changes in the related peritoneum in order to define currently used terminology more clearly. The relevance of some terms such as Caudal genital ligament, Plica gubernaculi, Plica iguinalis and genital fold is considered. A system of serosal folds, the Plica gonadoinguinalis or genitoinguinalis, seems to be a useful term to be added to the Nomina Embryologica Veterinaria.

  16. Positive Perceptions of Genital Appearance and Feeling Sexually Attractive: Is It a Matter of Sexual Esteem?

    Science.gov (United States)

    Amos, Natalie; McCabe, Marita

    2016-07-01

    The present study examined the relationship between perceptions of genital appearance and self-perceived sexual attractiveness. The study sample included men and women (aged 18-45 years, M = 23.7, SD = 4.98) who identified as heterosexual (n = 1017), gay or lesbian (n = 1225), or bisexual (n = 651). Participants responded to an online survey assessing their self-perceived sexual attractiveness, genital self-image, genital self-consciousness during sexual activity, and sexual esteem. Based on previous findings, we hypothesized a positive link between genital self-perceptions and self-perceived sexual attractiveness, with sexual esteem acting as a mediator. We tested this hypothesis using structural equation modeling. Analyses revealed a significant association between both genital self-image and genital self-consciousness and self-perceived sexual attractiveness. However, these relationships were at least partially mediated by sexual esteem, across both gender and sexual orientation. The findings suggest that, regardless of gender or sexual orientation, individuals who maintain a positive genital self-image or lack genital self-consciousness, are more likely to experience greater sexual esteem, and in turn, feel more sexually attractive. The findings have implications for the importance of genital appearance perceptions and improving individuals' sexual esteem and self-perceived sexual attractiveness.

  17. Intersex (ix) mutations of Drosophila melanogaster cause nonrandom cell death in genital disc and can induce tumours in genitals in response to decapentaplegic (dppdisk) mutations

    Indian Academy of Sciences (India)

    R. N. chatterjee; P. Chatterjee; S. Kuthe; M. Acharyya-Ari; R. Chatterjee

    2015-06-01

    In Drosophila melanogaster, the intersex (ix) is a terminally positioned gene in somatic sex determination hierarchy and function with the female specific product of double sex (DSXF) to implement female sexual differentiation. The null phenotype of ix is to transform diplo-X individuals into intersexes while leaving haplo-X animals unaffected. This study on the effect of different intersex mutations on genital disc development provides the following major results: (i) similar range of a characteristic array of morphological structures (from almost double sex terminalia to extreme reduction of terminal appendages) was displayed by the terminalia of XX ix1/ix1, XX ix2/ix2 and XX ix5/ix5 individuals; (ii) an increased number of apoptotic cells were found to occur in a localized manner in mature third instar larval genital discs of ix individuals; (iii) ix mutations can induce high frequency of neoplastic tumours in genitals in the presence of decapentaplegic (dppdisk) mutations; and (iv) heteroallelic combinations of dppdisk mutations can also induce tumours in intersex genitals with variable expressivity. On the basis of these findings, we suggest that: (i) loss of function of ix causes massive cell death in both male and female genital primordia of genital discs, resulting phenotype mimicking in male and female characteristics in genitals; and (ii) at the discs, the apoptotic cells persist as ‘undead’ cells that can induce oncogenic transformation in the neighbouring disc cells when dpp signalling is blocked or reduced by dppdisk mutations.

  18. Modelos in vivo más usados para la identificación de disrupción endocrina potencial del aparato reproductor

    Directory of Open Access Journals (Sweden)

    Balia Pardo Acosta

    2009-01-01

    Full Text Available Actualmente, existe gran preocupación científica debido a los efectos que puede causar la exposición a sustancias químicas que tienen el potencial de provocar disrupción endocrina en la vida silvestre y los seres humanos. Diferentes organismos internacionales han propuesto diversas baterías de ensayos toxicológicos y bioensayos in vitro e in vivo para la identificación de disruptores endocrinos. El presente trabajo, por tanto, pretendió divulgar la metodología para realizar los ensayos in vivo que permiten identificar las sustancias que puedan conducir a la disrupción endocrina del aparato reproductor y que cumplen la condición de estar validados por la Organización para la Cooperación y Desarrollo Económico. El ensayo uterotrófico ha sido empleado para evaluar la actividad estrogénica o antiestrogénica en diferentes especies, principalmente en roedores tales como ratas hembras inmaduras y adultas ovariectomizadas. El ensayo de Hershberger es uno de los ensayos validados para determinar disruptores endocrinos potenciales en ratas machos castradas, en el cual la acción de un agonista o un antagonista androgénico puede ser identificada por el aumento o disminución significativo del peso de los órganos y tejidos sexuales de los animales tratados versus los controles. Los ensayos uterotrófico y de Hershberger son de fácil realización, sensibles y reproducibles, siendo muy útiles en la evaluación del potencial tóxico de nuevas sustancias.

  19. Transgenitalização masculino / feminino: experiência do Hospital Universitário da UFRJ

    Directory of Open Access Journals (Sweden)

    Talita Franco

    2010-12-01

    Full Text Available OBJETIVO: Mostrar a experiência do tratamento cirúrgico do transgenitalismo (masculino/feminino realizado no Programa de Transgenitalização do Hospital Universitário Clementino Fraga Filho, - UFRJ. MÉTODOS: A seleção dos pacientes para operação de transgenitalismo obedeceu à avaliação de equipe multidisciplinar, atendendo aos critérios definidos, após dois anos de acompanhamento conjunto: diagnóstico médico de transexualismo; paciente maior de 21 anos; ausência de características físicas inapropriadas para a mudança; apoio de pelo menos um familiar próximo. RESULTADOS: De 1997 a 2004 foram atendidas dezessete, pessoas quinze confirmaram a condição transexual, uma foi afastada por ter trazido exames falsos. Do total de dezesseis transexuais, foram realizadas seis operações. As pacientes operadas situavam-se na faixa de 25 a 40 anos com média de 31 anos. O procedimento cirúrgico foi concluído sem dificuldades técnicas em todas as pacientes . Uma paciente apresentou estenose do neo meato e em outra foi necessário encurtar um pouco mais a uretra. CONCLUSÃO: A técnica operatória não oferece maiores dificuldades em sua execução, mas pode depender das condições locais e da criatividade do cirurgião. A dificuldade maior está em preparar estes pacientes para que não haja frustrações ou expectativas demasiadas.

  20. Rasgos instrumentales (masculinos y expresivos (femeninos, normativos (típicos e ideales en México

    Directory of Open Access Journals (Sweden)

    Rolando Díaz Loving

    2001-01-01

    Full Text Available Diversas investigaciones han demostrado reiteradamente que los rasgos instrumentales (masculinos y expresivos (femeninos, asignados tradicionalmente de manera diferencial a hombres y mujeres, en realidad se derivan de procesos de socialización y endoculturación que en la actualidad y en algunas culturas ha hecho que estos rasgos.se presenten intensiva e indistintamente en ambos sexos. El desarrollo de instrumentos de medición de estas características y su validación en diversas culturas ha mostrado lo robusto de un constructo teórico multidimensional y dualista que permite no sólo describir de manera clara a las personas, sino que además, demuestra el papel central que juega la normatividad sociocultural en el desarrollo de dichas características. Estos conocimientos y la teoría que los sustenta, han permitido el desarrollo de medidas nuevas de masculinidad y feminidad, que por demostrar el predominio de factores sociales sobre los genéticos, pudieran manifestarse a través de distintas definidoras al ir de una cultura a otra. Con el objeto de identificar los atributos instrumentales y expresivos que describen a hombres y mujeres mexicanas, se realizaron una serie de grupos de enfoque de donde se derivaron 323 adjetivos correspondientes a estas dos dimensiones. Posteriormente, para obtener la normatividad de cada atributo, se aplicó un inventario en el que se pidió a 856 sujetos divididos por sexo y nivel educativo que indicaran qué tan típico e ideal era que hombres y mujeres poseyeran dichos rasgos. Los resultados muestran listados de características expresivas e instrumentales típicas e ideales que fueron reportadas como socialmente deseables o indeseables tanto para hombres como para mujeres. Las listas obtenidas se discuten en términos de género y cultura.

  1. Estudo da expressão da albumina no desenvolvimento pós-natal do trato reprodutor masculino de murinos

    OpenAIRE

    Mainara Ferreira Barbieri

    2014-01-01

    A origem da albumina nos órgãos do trato reprodutor masculino tem sido questionada ao longo dos anos sendo sua presença tecidual constantemente atribuída a um mecanismo de extravasamento do plasma sanguíneo para o espaço extravascular intersticial, atribuindo-se ao fígado o papel de sítio de síntese desta proteína no período pós-natal. O padrão de distribuição da proteína albumina nos tecidos epiteliais de órgãos do trato reprodutor masculino reserva questionamentos quanto à veracidade de seu...

  2. The Laboratory Diagnosis of Genital Human Papillomavirus Infections

    Directory of Open Access Journals (Sweden)

    François Coutlee

    2005-01-01

    Full Text Available Human papillomaviruses (HPVs are the etiological agents of several genital cancers, including cancer of the uterine cervix. The detection of HPV infection in genital samples may increase the sensitivity of primary and secondary screenings of cervical cancer. HPV testing may also improve the specificity of screening programs, resulting in the avoidance of overtreatment and cost savings for confirmatory procedures. The major determinants of clinical progression of HPV infection include persistence of HPV infection, involvement of high-risk HPV types, high HPV viral load, integration of viral DNA and presence of several potential cofactors. Signal amplification HPV-DNA detection techniques (Hybrid Capture II, Digene Corporation, USA are standardized, commercially available, and capable of detecting several high-risk HPV types. They also increase the sensitivity of screening for high-grade lesions in combination with cytology. The sensitivity of these techniques to detect high-grade lesions is higher than that of cytology, but the referral rate for colposcopy is greater. These techniques are approved for the triage to colposcopy of women with cervical smears interpreted as atypical squamous cells of undetermined significance. Triage and screening for cervical cancer using HPV will probably be restricted to women aged 30 years or older because of the high prevalence of infection in younger women. Amplification techniques are ideal for epidemiological studies because they minimize the misclassification of HPV infection status. These techniques can detect low HPV burden infections. Consensus primers amplify most genital types in one reaction, and the reverse hybridization of amplicons with type-specific probes allows for the typing of HPV-positive samples. Consensus PCR assays are currently under evaluation for diagnostic purposes. HPV testing is currently implemented for the clinical management of women.

  3. MASCULINO DE 15 AÑOS CON OTITIS MEDIA AGUDA PURULENTA, PARÁLISIS DEL SEXTO PAR Y MENINGITIS: SÍNDROME DE GRADENIGO

    OpenAIRE

    Chavarría Campos, Javier; Quesada Aguilar, Carlos I.

    2011-01-01

    The case of a young male patient, previouslyhealthy, attended at the Hospital San Juan deDios in San Jose, Costa Rica is presented. Hecomplained of fever, headache, diplopia, earacheand otorrhea. Meticilin Resistant Staphylococcusaureus (MRSA) was isolated in the ear secretionas well as in two blood cultures. CT scan showedinflammatory changes at the petrous portion ofthe temporal bone. Se presenta el caso de un paciente masculino joven, sin antecedentes médicos conocidos,  quien consultó ...

  4. Facts and controversies on female genital mutilation and Islam.

    Science.gov (United States)

    Rouzi, Abdulrahim A

    2013-02-01

    Female genital mutilation (FGM) is a very ancient traditional and cultural ritual. Strategies and policies have been implemented to abandon this practice. However, despite commendable work, it is still prevalent, mainly in Muslim countries. FGM predates Islam. It is not mentioned in the Qur'an (the verbatim word of God in Islam). Muslim religious authorities agree that all types of mutilation, including FGM, are condemned. 'Sensitivity' to cultural traditions that erroneously associate FGM with Islam is misplaced. The principle of 'do no harm', endorsed by Islam, supersedes cultural practices, logically eliminating FGM from receiving any Islamic religious endorsement.

  5. What nurses need to know about female genital mutilation.

    Science.gov (United States)

    Momoh, Comfort; Olufade, Olamide; Redman-Pinard, Patrice

    Female genital mutilation, also known as female circumcision (FGM/C) is a deep-rooted practice in some countries that needs to be addressed if the health needs of women and girls are to be met. FGM/C has no medical or health benefits. This article will discuss the different types of FGM/C, the law and legal implications and urological complications. Urology nurses need to be aware of what their medical roles and legal responsibilities are so that they are able to sensitively and holistically care for girls and women living with or at risk of FGM/C.

  6. Surfactant protein D in the female genital tract

    DEFF Research Database (Denmark)

    Leth-Larsen, Rikke; Floridon, C; Nielsen, O;

    2004-01-01

    Surfactant protein D (SP-D) plays a role in innate immunity against various pathogens and in vivo studies have demonstrated that SP-D also has anti-inflammatory properties. SP-D was originally demonstrated in alveolar type II cells, but recent studies have shown extrapulmonary expression of SP......-D indicating a systemic role for the protein. This study describes the presence of SP-D in the female genital tract, the placenta and in amniotic fluid using immunohistochemistry and enzyme-linked immunosorbent assay. SP-D was observed in cells lining surface epithelium and secretory glands in the vagina...

  7. For the sake of purity (and control). Female genital mutilation.

    Science.gov (United States)

    Gilbert, D

    1993-01-01

    In 1973 approximately 1 million girls will be victimized by female genital mutilation (FGM), widely practiced in more than 20 African nations from Mauritania to the Ivory Coast in the west, to Egypt and North Tanzania in the east, as well as in Oman, Bahrain, North and South Yemen, and the United Arab Emirates. FGM takes place among the Moslem populations of the Philippines, Indonesia, and Malaysia and the Jewish Falashas in Ethiopia. FGM is practiced on babies just a few days old to girls right before marriage or young women pregnant with their first child. The most extreme mutilation is called infibulation. In Somalia, almost 100% of the women are infibulated, and so are more than 80% of the women in north and central Sudan. In Ethiopia/Eritrea, Mali, and Sierra Leone, 90% of the women have undergone some form of genital mutilation. The rate reaches 70% in Burkina Faso; 60% in Kenya, Gambia, and the Ivory Coast; and 50% in Senegal, Egypt, Guinea Bissau, and Nigeria. The mutilation often results in accumulation of menstrual blood and pelvic inflammatory disease often leading to infertility. Between 20% and 25% of infertility in Sudan has been attributed to female genital mutilation. The practice of FGM has existed for centuries, and some claim it originated in the Nile Valley during the Pharaonic era. On the other hand, Muslim countries like Iraq, Syria, and Tunisia do not practice FGM. The London Black Women's Health Action Project set up an educational network to prevent mutilations and to dispel the myth of religion about FGM. FORWARD convened the First Study Conference on Genital Mutilation of Girls in Europe in 1992 and deemed FGM a form of child abuse. Local campaigns in Africa, Asia, and the Arab world educate against FGM. The Inter-Africa Committee on Traditional Practices Affecting the Health of Women and Children, based in Addis Ababa, Ethiopia, has offices in more than 20 African nations to sensitize the public about the harmful effects of FGM. In

  8. An Overview of Female Genital Mutilation in Nigeria

    OpenAIRE

    Okeke, TC; Anyaehie, USB; Ezenyeaku, CCK

    2012-01-01

    Nigeria, due to its large population, has the highest absolute number of female genital mutilation (FGM) worldwide, accounting for about one-quarter of the estimated 115–130 million circumcised women in the world. The objective of this review is to ascertain the current status of FGM in Nigeria. Pertinent literature on FGM retrieved from internet services [Google search on FGM in Nigeria, www.online Nigeria, PubMed of the national library of medicine www.medconsumer. Info/tropics/fgm.htm, Bio...

  9. A Case of Genital Self-mutilation Committed Before Suicide

    Directory of Open Access Journals (Sweden)

    S. Yadukul

    2015-06-01

    Full Text Available Male genital self-mutilation (GSM is a rare, but serious phenomenon. Some of the risk factors for this act are: presence of religious delusions, command hallucinations, low self-esteem and feelings of guilt associated with sexual offences. Other risk factors include failures in the male role, problems in the early developmental period, such as experiencing difficulties in male identification and persistence of incestuous desires; depression and having a history of GSM. We present a case of a suicide wherein the deceased before committing the suicidal act had GSM.

  10. Typical and unusual cases of female genital tuberculosis.

    Science.gov (United States)

    Kulchavenya, E; Dubrovina, S

    2014-01-01

    Tuberculosis is a disease with myriad presentations and manifestations; it can affect any organ or tissue, excluding only hair and nails. Doctors who are not familiar with extrapulmonary tuberculosis often overlook this disease. Urogenital tuberculosis (UGTB) is the second most common form of TB in countries with severe epidemic situation and the third most common form in regions with low incidence of TB. The term "Urogenital tuberculosis" includes kidney tuberculosis; male and female tuberculosis and urinary tract tuberculosis as complication of kidney tuberculosis. We describe rarest case of tuberculosis of a placenta in young woman, suffered from genital tuberculosis, which was overlooked before delivery, as well as typical tubo-ovarian tuberculomas.

  11. [The effect of spermicides on physiological and pathogenic genital flora].

    Science.gov (United States)

    Thurner, J; Poitschek, C; Kopp, W

    1983-05-31

    In vitro-studies concerning the influence of commercially available spermicides on lactobacillus acidophilus as well as on pathogenic organisms of the genital tract revealed, that the preparations had only weak antimicrobial effect on Döderlein's bacteria and pathogenic fungi. However, all four preparations tested, revealed a good inhibition effect on neisseria gonorrhoeae, treponema pallidum and trichomonas vaginalis. Irreversible damage to gonococci and trichomonas vaginalis. Irreversible damage to gonococci and trichomonas was subject to considerable variation, probably due to the different chemical composition of the commercially in Austria available spermicides.

  12. A escuta do masculino na clínica psicanalítica contemporânea: singularidades de um padecer

    Directory of Open Access Journals (Sweden)

    Fernanda Cesa Ferreira da Silva

    Full Text Available Este estudo aborda as especificidades de padecimento psíquico masculino no espaço da clínica psicanalítica contemporânea. Foram entrevistados 10 psicanalistas e os dados obtidos foram analisados qualitativamente por meio da técnica de Análise de Conteúdo. Foi possível explorar os efeitos que as demandas contemporâneas produzem nos campos intrapsíquico e intersubjetivo, viabilizando a compreensão de padecimentos masculinos atuais. Foram também aprofundados conceitos relativos ao trabalho analítico, reconhecendo na Psicanálise um recurso ético e vigente na clínica contemporânea do masculino. A escuta analítica como exercício ético, ao situar-se na contramão das imposições contemporâneas, dá espaço para um trabalho com a singularidade do sujeito.

  13. Tratamiento de una maloclusión clase II división 1 utilizando un aparato expansor y exodoncias de 4 primeras premolares / Tratamiento de una maloclusión clase II división 2 tipo B utilizando un aparato distalizador / Tratamiento de camuflaje de una maloclusión clase III con exodoncia de un incisivo central inferior / Tratamiento de una maloclusión clase I por biprotrusión y DAD con exodoncias de 4 primeras premolares / Tratamiento de una maloclusión clase I por DAD con extracciones asimétricas

    OpenAIRE

    González Torres, Carlos Rodrigo

    2015-01-01

    Describe el tratamiento de cinco casos clínicos de ortodoncia, atendidos en la Clínica Especializada de la Facultad de Odontología de la Universidad de San Martín de Porres durante el periodo Agosto 2009 - Marzo 2012, tratándose de: 1. Tratamiento de una maloclusión clase II división 1 utilizando un aparato expansor y exodoncias de 4 primeras premolares. 2. Tratamiento de una maloclusión clase II división 2 tipo B utilizando un aparato distalizador. 3. Tratamiento de camuflaje de una...

  14. Peripheral Female Genital Arousal as Assessed by Thermography Following Topical Genital Application of Alprostadil vs Placebo Arousal Gel: A Proof-of-Principle Study Without Visual Sexual Stimulation

    Directory of Open Access Journals (Sweden)

    Sue W. Goldstein, BA, CCRC, IF

    2016-09-01

    Conclusion: Topical alprostadil administered to healthy premenopausal women induced statistically significant, sustained increases in genital temperatures of the vestibule, clitoris, and vulva within 20 minutes compared with OTC lubricant.

  15. Persistent Genital Hyperinnervation Following Progesterone Administration to Adolescent Female Rats1

    OpenAIRE

    Liao, Zhaohui; Smith, Peter G.

    2014-01-01

    Provoked vestibulodynia, a female pelvic pain syndrome affecting substantial numbers of women, is characterized by genital hypersensitivity and sensory hyperinnervation. Previous studies have shown that the risk of developing provoked vestibulodynia is markedly elevated following adolescent use of oral contraceptives with high progesterone content. We hypothesized that progesterone, a steroid hormone with known neurotropic properties, may alter genital innervation through direct or indirect a...

  16. Human immunodeficiency virus, genital ulcers and the male foreskin: synergism in HIV-1 transmission.

    Science.gov (United States)

    Jessamine, P G; Plummer, F A; Ndinya Achola, J O; Wainberg, M A; Wamola, I; D'Costa, L J; Cameron, D W; Simonsen, J N; Plourde, P; Ronald, A R

    1990-01-01

    Epidemiologic studies in Nairobi and elsewhere in Africa, have shown that men infected with HIV-1 more commonly have a history of genital ulcer disease compared to uninfected men. In one study, HIV infected men were three times as likely to have a recent history of genital ulcers. In a prospective study of seronegative men, those presenting with chancroid had a five-fold risk of seroconversion during follow-up compared to men presenting with urethritis. Uncircumcised men had an increased risk of seroconversion which was independent of their risk of genital ulcer disease. Over 95% of attributable risk in men with STD was either genital ulceration or the presence of a foreskin. Genital ulcers are a major risk factor for HIV infection among prostitutes. The increased risk is about 10-fold among prostitutes with ulcers compared to a cohort who did not. We hypothesize from these studies that genital ulcers are the major portals of entry for HIV infection and also increased shedding of virus infected cells into the vaginal secretions. HIV seropositive prostitutes are more susceptible to chancroid with a two-fold increase in the prevalence of genital ulcers as compared to HIV negative women. The use of condoms by their clients prevents both genital ulcer disease and HIV acquisition among prostitutes. Chancroid is more difficult to treat in HIV infected men with one-third of patients failing single dose treatment regimens as compared to less than five percent of men without HIV infection.(ABSTRACT TRUNCATED AT 250 WORDS)

  17. Impact of genital warts on emotional and sexual well-being differs by gender.

    Science.gov (United States)

    Vriend, Henrike J; Nieuwkerk, Pythia T; van der Sande, Marianne A B

    2014-11-01

    To assess gender-specific impact of genital warts on health-related quality of life (HRQoL), and to explore to what extent sexual characteristics and clinical symptoms influenced the impact on emotional and sexual well-being of both sexes. We conducted a survey of sexual and clinical characteristics from persons diagnosed with genital warts at STI clinics. HRQoL was measured using two measurement tools: 1) the generic EQ-5D; and 2) the genital warts-specific CECA-10 including an emotional well-being and a sexual activity dimension. The EQ-5D scores were compared with scores of the general population. Descriptive analyses were used to explore characteristics associated with HRQoL scores stratified for gender. The HRQoL-measurement tools showed that genital warts have especially an emotional impact. The impact of genital warts on HRQoL was greater for women than for men. In addition, the CECA-10 showed that in women the impact of genital warts on sexual activity was influenced by age, relationship status and number of warts. No related factors were seen in men. Genital warts have a greater impact on women than on men. In women, sexual and clinical factors influenced the impact of genital warts on well-being, whereas in men no such factors were found.

  18. In Their Own Words: A Qualitative Content Analysis of Women's and Men's Preferences for Women's Genitals

    Science.gov (United States)

    Mullinax, Margo; Herbenick, Debby; Schick, Vanessa; Sanders, Stephanie A.; Reece, Michael

    2015-01-01

    Research increasingly shows that genital attitudes have an impact on sexual well-being and health-seeking behaviours. This study explored what women and men like and dislike about women's genitals. Data are from open-ended items, part of a cross-sectional internet-based survey anonymously completed by 496 women and 198 men. Overall, both women and…

  19. Proteomic profiling of epididymis and vas deferens: identification of proteins regulated during rat genital tract development.

    NARCIS (Netherlands)

    A. Umar (Arzu); M.P. Ooms (Marja); T.M. Luider (Theo); J.A. Grootegoed (Anton); A.O. Brinkmann (Albert)

    2003-01-01

    textabstractEpididymis and vas deferens form part of the male internal genital tract and are dependent on androgens for their growth and development. To better understand the molecular action of androgens during male genital tract development, protein expression profiles were gener

  20. The prevalence and practice of female genital mutilation in Nnewi, Nigeria: the impact of female education.

    Science.gov (United States)

    Igwegbe, A O; Egbuonu, I

    2000-09-01

    Three hundred and twenty-five consecutive live female deliveries at Nnamdi Azikiwe University Teaching Hospital, Nnewi were followed up for 9 months for evidence of any genital mutilation. Their mothers were examined for genital mutilation and a questionnaire based on face-to-face interview of the mothers was also administered. There was no genital mutilation observed among the 200 female babies whose mothers completed the 9 months follow up, The prevalence of genital mutilation among the mothers was 48%. The prevalence of female genital mutilation among the mothers increased with age. The circumcision index C.I. was zero and 3.0 at 16-20 years and 31-35 years age groups, respectively. Also the prevalence decreased with increasing level of education. The circumcision index was 1.0 for mothers at primary level education and least 0.33 at tertiary level of education. There was no relationship with parity. None of the mothers was willing to allow genital mutilation to be performed on her baby but 36% applied local treatment to the clitoris especially powder (28%). Dystocia was the commonest complication in the mothers and the knowledge about female genital mutilation was acquired informally from fellow women. Female education is paramount in the campaign and advocacy against female genital mutilation.

  1. Prevalence of Human Papillomavirus in Anal and Oral Sites Among Patients with Genital Warts

    DEFF Research Database (Denmark)

    Kofoed, Kristian; Sand, Carsten; Forslund, Ola;

    2014-01-01

    Genital warts are caused by human papillomavirus (HPV). HPV is a leading cause of anogenital malignancies and a role of HPV in the aetiology of oro-pharyngeal cancers has been demonstrated. The frequency of oral HPV infection in patients with genital warts and the association between concomitant...

  2. Female genital mutilation : a hidden epidemic (statement from the European Academy of Paediatrics)

    NARCIS (Netherlands)

    Sauer, Pieter J. J.; Neubauer, David

    2014-01-01

    Female genital mutilation or female circumcision is frequently performed worldwide. It is estimated by the World Health Organisation that worldwide, 100-140 million girls and women currently have to live with the consequences of female genital mutilation. The article argues that the tradition is one

  3. Case report: symptomatic oral herpes simplex virus type 2 and asymptomatic genital shedding.

    Science.gov (United States)

    Olin, Laura; Wald, Anna

    2006-05-01

    A 42-year-old bisexual man with a history of recurrent oral herpes and no history of genital herpes was noted to have antibody to herpes simplex virus type 2 (HSV-2) only. During a symptomatic oral recurrence, HSV-2 was found in a perioral lesion as well as in the genital area.

  4. [Long-lasting disease after serious genital actinomycosis in a former IUD user].

    Science.gov (United States)

    Ravn, Pernille; Staer-Jensen, Jette E; Antonsen, Annemarie

    2002-09-23

    A previous IUD user underwent surgery on suspicion of ovarian cancer. No malignancy was found and genital actinomycosis was diagnosed on the histology and a history of previously verified, but inadequately treated, actinomycosis of the internal genitals. Actinomycosis is a rare disease with a potentially high morbidity. Diagnosis is difficult, as symptoms are non-specific and culture is often negative.

  5. Retocele posterior em paciente do sexo masculino: qual o significado Posterior rectocele in a male patient: what does it mean?

    Directory of Open Access Journals (Sweden)

    Marcos Soares Campos

    2008-12-01

    Full Text Available A retocele é uma projeção sacular anormal da parede retal, de etiologia multifatorial e uma causa muito significativa de sintomas anorretais como plenitude retal, sensação de peso anal durante a defecação, evacuação incompleta e dor retoanal. Muito tem se discutido sobre retoceles em mulheres, mas poucas publicações têm mencionado a presença de retocele em pacientes do sexo masculino e somente um artigo discute os detalhes da retocele em homens com distúrbios de defecação. A retocele posterior em homens, em especial, é uma disfunção incomum e possivelmente apresenta como causas a constipação intestinal, o esforço evacuatório longo e excessivo, a síndrome do descenso perineal, a fraqueza do assoalho pélvico e a contração paradoxal do músculo puborretal. É apresentado o caso de um paciente com história de dor anorretal crônica e defecação obstruída associadas à retocele posterior, doença hemorroidária, prolapso e intussuscepção retal.Rectocele is an abnormal sac-like projection of the rectum wall with multiple etiologies and an important cause of anorectal symptoms like rectoanal weight sensation during evacuation, incomplete evacuation and anorectal pain. Many reports have discussed rectoceles in women, but few have mentioned rectoceles in male patients and only one report has discussed the details of rectoceles in men with defecation disorders. Posterior rectocele in men, in particular, is an unusual disturb and possible causes are intestinal constipation, long and excessive straining, descending perineum syndrome, weakness of the pelvic floor and puborectalis muscle syndrome. We report a case of a male patient with chronic anorectal pain and outlet obstruction associated with posterior rectocele, hemorrhoidal disease, rectal mucous prolapse and intussusception.

  6. Genital ulcers, other sexually transmitted diseases, and the sexual transmission of HIV.

    Science.gov (United States)

    Piot, P; Laga, M

    1989-03-11

    There is increasing evidence that genital ulceration, including syphilis, chancroid, and herpes simplex type 2, increases susceptibility to HIV infection. It may be that the HIV penetrates more easily through ulcerated membranes or that the lymphocytes associated with the inflammatory response present target cells for HIV infection. There is also evidence that HIV-infected women with genital ulcers are themselves more infective due to shedding of the virus in the genital tract. Nonulcerative sexually-transmitted diseases have also been associated as cofactors of HIV infection. Programs for the control of sexually transmitted diseases should be strengthened and should focus on eliminating chancroid, which is easily treated with antibiotics. Patients with genital ulcer disease should receive counseling, so that they will know that untreated genital ulcers increase the risk of HIV infection.

  7. Clinical and microbiologic studies of genital ulcers in Kenyan women.

    Science.gov (United States)

    Plummer, F A; D'Costa, L J; Nsanze, H; Karasira, P; MacLean, I W; Piot, P; Ronald, A R

    1985-01-01

    The etiology of genital ulcers in women in tropical regions is poorly understood. Eighty-nine women, presenting to a sexually transmitted disease clinic in Nairobi (Kenya) with a primary complaint of genital ulcers, were evaluated prospectively in a clinical and laboratory study. A final etiologic diagnosis was possible for 60 (67%) of the women. Culture for Haemophilus ducreyi was positive for 43 women, eight had secondary syphilis with ulcerated condyloma latum, three had primary syphilis, one had both chancroid and syphilis, two had moniliasis, two had herpetic ulceration, and one had a traumatic ulcer. The clinical characteristics that best distinguished chancroid from secondary syphilis were ulcer excavation and a rough ulcer base. No etiologic diagnosis was established for 29 patients. However, the clinical and epidemiologic features of these patients suggested that they were similar if not identical to the patients with H. ducreyi culture-positive chancroid. Further studies are necessary to determine the etiology of ulcers in females in whom no pathogen was identified.

  8. Mental health problems associated with female genital mutilation

    Science.gov (United States)

    Knipscheer, Jeroen; Vloeberghs, Erick; van der Kwaak, Anke; van den Muijsenbergh, Maria

    2015-01-01

    Aims and method To study the mental health status of 66 genitally mutilated immigrant women originating from Africa (i.e. Somalia, Sudan, Eritrea and Sierra Leone). Scores on standardised questionnaires (Harvard Trauma Questionnaire-30, Hopkins Symptom Checklist-25, COPE-Easy, Lowlands Acculturation Scale) and demographic and psychosocial correlates were analysed. Results A third of the respondents reported scores above the cut-off for affective or anxiety disorders; scores indicative for post-traumatic stress disorder were presented by 17.5% of women. Type of circumcision (infibulation), recollection of the event (a vivid memory), coping style (avoidance, in particular substance misuse) and employment status (lack of income) were significantly associated with psychopathology. Clinical implications A considerable minority group, characterised by infibulated women who have a vivid memory of the circumcision and cope with their symptoms in an avoidant way, reports to experience severe consequences of genital circumcision. In terms of public healthcare, interventions should target these groups as a priority. PMID:26755984

  9. Vulvar Epidermoid Cyst and Type 2 Radical Genital Mutilation

    Science.gov (United States)

    Birge, Ozer; Ozbey, Ertugrul Gazi; Arslan, Deniz; Erkan, Mustafa Melih; Demir, Feyza; Akgor, Utku

    2015-01-01

    About 100 million women are estimated to be circumcised globally. Various rates of complications have been encountered, especially after circumcision, such as bleeding, infection, shock, menstrual irregularity, difficulty in urination or common urinary tract infections, inguinal pain, difficulty in sexual intercourse, and genital circumcision scar especially at the vulvar region, and cystic or solid character mass in short and long term. Furthermore, the maternal-fetal morbidity and mortality increase due to bleeding and fistula, which develop after prolonged labor, travail, and difficult labors. Our aim in this paper was to discuss a 42-year-old multiparous female case who had undergone type 2 radical genital mutilation (circumcision) when she was 7 years of age, along with the literature, which has been evaluated for the gradually growing mass at the left inguinal canal region in the last 10 years and diagnosed as epidermoid inclusion cyst developing secondary to postcircumcision surgical ground trauma, since there was no other case found in the literature search that had been circumcised at such an early age and developing after circumcision at such advanced age, and, therefore, this is suggested to be the first case on this subject. PMID:26682078

  10. Vulvar Epidermoid Cyst and Type 2 Radical Genital Mutilation

    Directory of Open Access Journals (Sweden)

    Ozer Birge

    2015-01-01

    Full Text Available About 100 million women are estimated to be circumcised globally. Various rates of complications have been encountered, especially after circumcision, such as bleeding, infection, shock, menstrual irregularity, difficulty in urination or common urinary tract infections, inguinal pain, difficulty in sexual intercourse, and genital circumcision scar especially at the vulvar region, and cystic or solid character mass in short and long term. Furthermore, the maternal-fetal morbidity and mortality increase due to bleeding and fistula, which develop after prolonged labor, travail, and difficult labors. Our aim in this paper was to discuss a 42-year-old multiparous female case who had undergone type 2 radical genital mutilation (circumcision when she was 7 years of age, along with the literature, which has been evaluated for the gradually growing mass at the left inguinal canal region in the last 10 years and diagnosed as epidermoid inclusion cyst developing secondary to postcircumcision surgical ground trauma, since there was no other case found in the literature search that had been circumcised at such an early age and developing after circumcision at such advanced age, and, therefore, this is suggested to be the first case on this subject.

  11. Long term health consequences of Female Genital Mutilation (FGM).

    Science.gov (United States)

    Reisel, Dan; Creighton, Sarah M

    2015-01-01

    Female Genital Mutilation (FGM) comprises various procedures which remove or damage the external female genital organs for no medical reason. FGM has no health benefits and is recognised to cause severe short and long term damage to both physical and psychological health. Although FGM is primarily performed in Africa, Asia and the Middle East, migration of FGM practising communities means that the health complications of FGM will have a global impact. It is important that health professionals world wide are aware of the damage FGM causes to long term health. In some cases it may be possible to offer interventions that will alleviate or improve symptoms. However whilst there is some high quality research on FGM and pregnancy outcomes, little is known about the effects on gynaecological, psychological and sexual function. Research is hampered by the problems of data collection on such a sensitive topic as well as the practical difficulties of analysis of studies based mainly on retrospect recall. Well planned hospital based studies of the impact of FGM on physical and psychological health are urgently need but are currently absent from the medical literature. Such studies could generate robust evidence to allow clinicians to benchmark clinical effectiveness and high quality medical care for survivors of FGM.

  12. Interrelationships Within the Bacterial Flora of the Female Genital Tract

    Directory of Open Access Journals (Sweden)

    Henry J. Carson

    1997-01-01

    Full Text Available Analysis of 240 consecutive vaginal swabs using the compatibility profile technique revealed that only 2 bacteria have the ability to be a sole isolate and as such a candidate to be a major aerobic regulator of the bacterial flora of the female genital tract (BFFGT. Compatibility profiles of Lactobacillus and Gardnerella vaginalis have shown that these organisms shared compatibility profiling for the majority of the normal bacterial constituents of the female genital tract. Dominance disruption appears to come from the addition of compatible co-isolates and presumed loss of numerical superiority. These phenomena appear to be the keys to reregulation of BFFGT. Lactobacillus appears to be the major regulator of both G. vaginalis and anaerobic bacteria. When additional organisms are added to the bacterial flora, they may add to or partially negate the inhibitory influence of Lactobacillus on the BFFGT. Inhibitor interrelationships appear to exist between coagulase-negative staphylococci and Staphylococcus aureus and the group B streptococci (GBS and other beta hemolytic streptococci. Facilitating interrelationships appear to exist between S. aureus and the GBS and selected Enterobacteriaceae.

  13. Campaigning against female genital mutilation in Ethiopia using popular education.

    Science.gov (United States)

    Spadacini, B; Nichols, P

    1998-07-01

    In Ethiopia, the Italian Association for Women in Development (AIDOS) has been working with Ethiopia's National Committee on Traditional Practices Affecting the Health of Women and Children for 5 years. AIDOS began working on female genital mutilation in the early 1980s and rejects charges of cultural imperialism that are applied to Northern organizations attempting to help African organizations address this violation of universal human rights. In Ethiopia, 85% of women are mutilated, with most undergoing Sunna, or removal of the prepuce of the clitoris. The joint project seeks to increase awareness about the health consequences of female genital mutilation in the target group. The primary technique used is provision of training of trainers courses and presentation of four modular units and audiovisual materials specifically designed for use with socially influential women, male and female secondary school students, community leaders, and health workers. In addition, an information/education campaign uses videos and sound and slide shows with accompanying story books. A second category of communication tools was developed for a mass information campaign, including radio spots, posters, information leaflets, and a newsletter. When the project was ready for expansion into the southern region of the country, it became clear that a new participatory communication strategy was required to stimulate discussion, such as the use of role playing and theater. Working together, the two organizations have successfully confronted project constraints such as the difficulty in assessing project impact, scheduling problems, and gender-biased assess to information.

  14. RELACIONES ENTRE EL APARATO DE GOLGI Y LA MITOSIS: PAPEL DE LA GOLGINA P115 EN LA ACTIVACION DE CDK1 Y EL PUNTO DE CONTROL G2/M D ELA MITOSIS EN DROSOPHILA

    OpenAIRE

    Ibar ValenZuela, MARÍA CONSUELO

    2013-01-01

    Las células eucariontes tienen organelos derivados de membrana dentro de los cuales se encuentra el retículo endoplasmático y el aparato de Golgi, los cuales les permiten separar y organizar las distintas funciones celulares. Estos organelos tienen que ser mantenidos en las células hijas durante la división celular, generando las preguntas: ¿qué ocurre cuando las células se dividen? ¿se dividen los organelos existentes o nuevas copias son generadas? ¿cómo esto se encuentra acop...

  15. Regulación de la quinasa VRK1 por Plk3 y su implicación en la dinámica del aparato de Golgi en división celular

    OpenAIRE

    López-Sánchez, Inmaculada

    2010-01-01

    [ES] Esta tesis identificar y caracteriza subpoblaciones intracelulares de la quinasa humana VRK1 y estudia la relación de la quinasa Plk3 con VRK1. Además analiza su implicación en la dinámica del aparato de Golgi en división celular. [EN] his thesis subpopulations identified and characterized human intracellular kinase VRK1 and analyzes the relationship with VRK1 kinase Plk3. Also discusses his involvement in the dynamics of the Golgi apparatus in cell division.

  16. Ayuda del Campus Virtual en la creación por los alumnos de un juego-simulación sobre la fisiología del aparato digestivo

    OpenAIRE

    2007-01-01

    El objetivo docente fue: • Motivar a los alumnos para facilitar el aprendizaje de una parte de la fisiología. • Ayudar a integrar las funciones y mecanismos de control del aparato digestivo. • Facilitar la comunicación entre alumnos y el trabajo en grupo. • Realizar una práctica de simulación de la digestión con las normas generadas. El juego consistiría en mover, digerir (cortar) y absorber un trozo de comida artificial que iría pasando sucesivamente desde la...

  17. A low cost apparatus for measuring the xylem hydraulic conductance in plants Um aparato de baixo custo para medição da condutância hidráulica do xilema em plantas

    Directory of Open Access Journals (Sweden)

    Luciano Pereira

    2012-01-01

    Full Text Available Plant yield and resistance to drought are directly related to the efficiency of the xylem hydraulic conductance and the ability of this system to avoid interrupting the flow of water. In this paper we described in detail the assembling of an apparatus proposed by TYREE et al. (2002, and its calibration, as well as low cost adaptations that make the equipment accessible for everyone working in this research area. The apparatus allows measuring the conductance in parts of roots or shoots (root ramifications or branches, or in the whole system, in the case of small plants or seedlings. The apparatus can also be used to measure the reduction of conductance by embolism of the xylem vessels. Data on the hydraulic conductance of eucalyptus seedlings obtained here and other reports in the literature confirm the applicability of the apparatus in physiological studies on the relationship between productivity and water stress.A produtividade das plantas e a capacidade de resistência à seca estão diretamente relacionadas com a eficiência da condutância hidráulica do xilema e a capacidade desse sistema em evitar a interrupção do fluxo de água. No presente trabalho, detalha-se a montagem de um aparato proposto por TYREE et al. (2002, e sua calibração, bem como adaptações com peças de menor custo que tornam o aparelho acessível a qualquer um trabalhando nesta linha de pesquisa. Esse aparato possibilita medir a condutância de partes do sistema radicular ou da parte aérea (ramificações radiculares ou ramos, ou em todo o sistema, no caso de plantas de porte pequeno ou plântulas. O aparato também pode ser usado para medir a redução da condutância pela embolização dos vasos do xilema. Medições de condutância hidráulica feitas em plântulas de eucalipto e outros trabalhos encontrados na literatura confirmaram a aplicabilidade desse aparato em estudos fisiológicos de produtividade relacionada ao estresse hídrico.

  18. Dosis única de ciclofosfamida disminuye la calidad espermática y el epitelio germinal masculino en ratones

    Directory of Open Access Journals (Sweden)

    Láyonal Acosta

    2012-11-01

    Full Text Available Ciclofosfamida (CP es un agente alquilante comúnmente utilizado como fármaco antineoplásico e inmunosupresor. El uso de CP, en el tratamiento de cáncer es limitado debido a su severa toxicidad. El objetivo del presente estudio fue determinar el efecto de una única dosis de CP (220 mg/kg peso corporal administrada intraperitonealmente después de 7 días, sobre parámetros espermáticos y el epitelio germinal masculino en ratones. Se utilizó machos maduros de la cepa C57BL divididos en 2 grupos (n= 10, Grupo Control (C: NaCl 0,9 % y Grupo Tratamiento (T: CP a 220 mg/kg pc en dosis única y después de 8 días fueron eutanizados. Se registró el peso corporal y de órganos reproductivos: testículos, epidídimos y conducto deferente, se evaluaron la concentración, movilidad y morfología espermática e histología testicular. Se encontraron diferencias significativas (Prueba t- student p<0,05 en el peso corporal (T: 20,18±1,9 g vs C: 23,35±1,2 g; peso testicular (T: 59,71±5,40 mg vs C: 72,90±2,8 mg, cola del epidídimo (T: 9,83±1,54 mg vs C: 14,30±2,20mg, conducto deferente (T: 8,27±0,80 mg vs C: 10,61±0,76 mg respectivamente, concentración (T: 9,2±1,9 vs C: 14,4±3,3 x 106 espermatozoides/mL, Movilidad progresiva (T: 25,98±6,4% vs C: 42,96±5,2%. En la morfología espermática no se observó diferencias significativas (Prueba t- student p<0,05, sin embargo en anomalías de la cola y espermatozoides inmaduros se observó un aumento significativo (T vs. C: 36,24±7,8% vs 31.73±9,1%; 27,44±2,1% vs 18,51±8,6%; respectivamente y a su vez se observó severos daños en los túbulos seminíferos. Concluimos que una dosis única de CP (220mg/kg pc disminuye la calidad reproductiva de ratones macho.

  19. Female genital cutting in Hargeisa, Somaliland: is there a move towards less severe forms?

    Science.gov (United States)

    Lunde, Ingvild Bergom; Sagbakken, Mette

    2014-05-01

    According to several sources, little progress is being made in eliminating the cutting of female genitalia. This paper, based on qualitative interviews and observations, explores perceptions of female genital cutting and elimination of the phenomenon in Hargeisa, Somaliland. Two main groups of participants were interviewed: (1) 22 representatives of organisations whose work directly relates to female genital cutting; and (2) 16 individuals representing different groups of society. It was found that there is an increasing use of medical staff and equipment when a girl undergoes the procedure of female genital cutting; the use of terminology is crucial in understanding current perceptions of female genital cutting; religion is both an important barrier and facilitator of elimination; and finally, traditional gender structures are currently being challenged in Hargeisa. The findings of this study suggest that it is important to consider current perceptions on practices of female genital cutting and on abandonment of female genital cutting, in order to gain useful knowledge on the issue of elimination. The study concludes that elimination of female genital cutting is a multifaceted process which is constantly negotiated in a diversity of social settings.

  20. Genital and subjective sexual arousal in postmenopausal women: influence of laboratory-induced hyperventilation.

    Science.gov (United States)

    Brotto, Lori A; Gorzalka, Boris B

    2002-01-01

    The current study was aimed at comparing genital and subjective sexual arousal in pre- and postmenopausal women and exploring the effects of heightened sympathetic nervous system (SNS) activity on these parameters. Seventy-one women (25 young and premenopausal, 25 postmenopausal, and 21 age-matched premenopausal women) participated in two counterbalanced sessions consisting of genital arousal assessment with vaginal photoplethysmography and subjective arousal assessment with self-report questionnaires. SNS activity was enhanced using laboratory-induced hyperventilation. Results demonstrated no significant differences between pre- and postmenopausal women on genital and subjective measures of arousal in response to neutral and erotic films. SNS manipulation increased genital excitement only in young, premenopausal women. These data suggest that prior SNS enhancement can differentiate pre- from postmenopausal genital arousal. Data also revealed significant correlations between genital and subjective sexual arousal in older pre- and postmenopausal women, but not in young premenopausal women. These data are the first to directly compare genital-subjective correlations between pre- and postmenopausal women.

  1. Family planning services in developing countries: an opportunity to treat asymptomatic and unrecognised genital tract infections?

    Science.gov (United States)

    Wilkinson, D; Ndovela, N; Harrison, A; Lurie, M; Connolly, C; Sturm, A W

    1997-12-01

    This is a study of 189 women attending a family planning clinic in rural South Africa to determine the prevalence of asymptomatic and unrecognized genital tract infections. Genital samples were taken from these women to diagnose infection with Neisseria gonorrhoeae, Chlamydia trachomatis, Trichomonas vaginalis, Candida albicans, Treponema pallidum, and HIV, and to diagnose bacterial vaginosis. Among the 189 women, 41 (22%) reported having had an STD treated in the preceding 12 months. By direct questioning, 74 women stated the following symptoms: genital itch -- 38 (20%); vaginal discharge -- 56 (30%); dysuria -- 33 (18%); dyspareunia -- 22 (12%); and genital ulcers -- 4 (2%). 45 (24%) women had more than one symptom. 119 (63%) women had at least one genital infection, and 49 (26%) had multiple infections. Most of the infections were asymptomatic; while those that were symptomatic, were unrecognized or not reported. Results showed a high prevalence of genital tract infection among the participating women, with most of their infections remaining asymptomatic or unrecognized. Thus, strategies to detect and treat genital tract infections in rural South Africa need to be developed.

  2. [Phantoms for the collection of genital secretions in stallions].

    Science.gov (United States)

    Klug, E; Brinkhoff, D; Flüge, A; Scherbarth, R; Essich, G; Kienzler, M

    1977-10-01

    Practical experiences of the phantom method for collection of genital secretions from stallions are reported. Taking a phantom used in the Richard-Götze-Haus Tierärztliche Hochschule Hannover as a prototype two further models slightly modified have been constructed, baring a flat hollow in the right side of the caudal phantom body for manual inserting of the Artificial Vagina. These three models fulfill four important conditions for routine use: (1) sufficient sexual attractivity for the stallions; 80-85% successful collections of presecretions out of a total of 1050 using the dummy and 70% successful semen collections from more than 240 in total; (2) solid and resistant construction; (3) easy cleaning and desinfection of the surface of the phantom to get representative samples; (4) firm installation on a hygienic floor.

  3. [Melatonin effects on the female genital system: a brief review].

    Science.gov (United States)

    Maganhin, Carla C; Carbonel, Adriana Aparecida Ferraz; Hatty, Juliana Halley; Fuchs, Luiz Fernando Portugal; Oliveira-Júnior, Itamar Souza de; Simões, Manuel de Jesus; Simões, Ricardo S; Baracat, Edmund C; Soares-Jr, José Maria

    2008-01-01

    Melatonin is secreted by the pineal gland and this is linked to the day/night cycle. It is an antioxidant and plays a fundamental role in the regulation of the jet-lag stage, in several physiological reactions and in control of the biologic rhythm. Human melatonin has an important influence on the female genital system. In fact, melatonin may influence production and action of steroids, modifying cellular signalization on the target tissue. There are many evidences that the melatonin therapy may be interfering with neoplasia development, mainly of the estrogen-dependent tumor. This paper aims to analyze the actions of melatonin on the neuroendocrine, immunological and cardiovascular systems, as well as on the reproductive function.

  4. Standard Operating Procedures for Female Genital Sexual Pain

    DEFF Research Database (Denmark)

    Fugl-Meyer, Kerstin S; Bohm-Starke, Nina; Damsted Petersen, Christina

    2012-01-01

    Introduction.  Female genital sexual pain (GSP) is a common, distressing complaint in women of all ages that is underrecognized and undertreated. Definitions and terminology for female GSP are currently being debated. While some authors have suggested that GSP is not per se a sexual dysfunction......, but rather a localized genial pain syndrome, others adhere to using clearly sexually related terms such as dyspareunia and vaginismus. Aim.  The aims of this brief review are to present definitions of the different types of female GSP. Their etiology, incidence, prevalence, and comorbidity with somatic...... therapeutic interventions. However, this international expert group will recommend guidelines for management of female GSP. Conclusions.  GSP disorders are complex. It is recommended that their evaluation and treatment are performed through comprehensive somato-psychological multidisciplinary approach. Fugl...

  5. The theoretical basis of stigma as applied to genital herpes.

    Science.gov (United States)

    Breitkopf, Carmen Radecki

    2004-04-01

    This paper defines stigma and its characteristics, outlines strategies and consequences of stigma management, describes the theoretical basis of stigma, and offers methodological considerations for those applying stigma theory to the domain of genital herpes. Stigma is an interactional process, defined within societies, in which particular social identities are collectively devalued. The subjective experience of stigma may vary due to features associated with the stigmatizing condition (e.g. concealability, course, strain, aesthetic qualities, cause and peril). The interpersonal management of stigma may include secrecy, withdrawal, covering, informing or disclosing. Future research addressing herpes-associated stigma should benefit from theoretical frameworks including attribution theory, social-cognitive theory, preoccupation model of secrecy and the illness intrusiveness framework, although the difficulty in identifying and recruiting stigmatized individuals and the lack of domain-specific measures of herpes-related stigma remain barriers to progress.

  6. Triple independent primaries of female genital tract: A rare event

    Directory of Open Access Journals (Sweden)

    Suprio Ray Chaudhury

    2014-01-01

    Full Text Available The synchronous presence of endometrioid carcinoma of ovary and uterus in a single patient is an uncommon occurrence; but, finding a patient having a third simultaneous primary in cervix along with carcinoma ovary and endometrium is an extremely rare entity. In this article we describe a 40-year-old female who presented with gradual distension of abdomen, and underwent extended radical hysterectomy operation following diagnosis of an ovarian tumor on ultrasonography. On examination of the specimen, it was found to harbor endometrioid carcinoma of uterus and endometrioid carcinoma of ovary along with a small focus of well-differentiated squamous cell carcinoma of cervix. The presence of three coexistent primary tumors in female genital tract is an extremely rare event. Further molecular and genetic studies may throw light on the probable etiology of such rare cases.

  7. Characterisation of an unusual bacterium isolated from genital ulcers.

    Science.gov (United States)

    Ursi, J P; van Dyck, E; Ballard, R C; Jacob, W; Piot, P; Meheus, A Z

    1982-02-01

    The preliminary characterisation of an unusual gram-negative bacillus isolated from genital ulcers in Swaziland is reported. Like Haemophilus ducreyi, it is an oxidase positive, nitrate-reductase-positive gram-negative rod that forms streptobacillary chains in some circumstances; it was therefore called the "ducreyi-like bacterium" (DLB). Distinguishing features of DLB are production of alpha-haemolysis on horse-blood agar, stimulation of growth by a microaerophilic atmosphere and by a factor produced by Staphylococcus aureus, a strongly positive porphyrin test, and a remarkable ability to undergo autolysis. DLB had a guanine + cytosine value of c. 50 mole% but it cannot be classified, even at the genus level, until more taxonomic data are obtained.

  8. [Microbiological study of male genital ulcers. Apropos of 75 cases].

    Science.gov (United States)

    Casin, I; Bianchi, A; Ramel, F; Lajoie, C; Chastang, C; Scieux, C; Ferchal, F; Janier, M; Morel, P; Perol, Y

    1990-09-01

    Between November 1986 and June 1987, the microbial aetiology of genital ulcers was assessed in 75 male patients attending the Sexually Transmitted Disease (STD) clinic in Hôpital Saint-Louis, Paris. Evidence of Haemophilus ducreyi was found in 18 patients (24%), Herpes simplex virus in 19 (25.3%). Syphilis was diagnosed on the basis of dark field microscopy and/or positive serology test in 19 patients (25.3%). Lymphogranuloma venereum was not diagnosed in any patient. Primary pathogens were not identified from the remaining 19 (25.3%) men. Neisseria gonorrhoea was isolated in five patients, from the ulcer in three cases, from the urethra in two. Asymptomatic urethral carriage of Chlamydia trachomatis was culture proven in seven cases. The presence of IgM antibodies to C. trachomatis at a titre greater than 40 found in 17 patients was a indication of a current chlamydial infection. Three patients (4%) were discovered to be HIV-1 positive.

  9. Management of female uro-genital fistulas: Framing certain guidelines

    Directory of Open Access Journals (Sweden)

    Singh R

    2010-01-01

    Full Text Available Background: The study was carried out to discuss the pathogenesis and management protocol of seven different varieties of female uro-genital fistulas (FUGFs. Patients and Methods: During 2000-2007, total of 15 FUGFs were operated, which belonged to seven different varieties requiring different routes and surgical procedures for their repair. Different fistulas with different pathophysiological factors required specific examinations and investigations preoperatively. Results: The results of the repaired FUGFs, following the general surgical principles, were acceptable with formation of only one residual fistula. Conclusions: Successful correction of FUGFs is a surgical challenge. Detailed history, through examination and planning, atraumatic tissue handling, routine use of the interposition or onlay reinforcement flaps and vigilant postoperative care were found the key factors in successful outcome of the repaired fistulas.

  10. Existential Anxiety in Diagnostic Process of Genital Cancer

    Directory of Open Access Journals (Sweden)

    Saliha Hallac

    2011-12-01

    Full Text Available Learning to have a cancer diagnosis is a concrete threat and a stressful life experience for individuals. Cancer is interpreted as fatal, painful, frightening and scary disease by the patients and makes them realize the presence of death and their own mortality. Facing the reality of death brings an existential questioning of self. This questioning is directly related to the interpretation and biopsychosocial characteristics of the individual and clearly influenced by the patients’ previous experiences and type of cancer involved. The occurrence of a genital organ cancer would lead patient to evaluate the meaning of being human and review his life, his values and his routine habits. This process has significant effect upon the patient’s response and coping mechanisms with cancer. Nurses have a unique position among medical team members for helping such patients to find a meaning in their life by providing necessary support at every stage of the cancer.

  11. Egyptian Activism against Female Genital Cutting as Catachrestic Claiming

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    An Van Raemdonck

    2013-08-01

    Full Text Available This paper deals with questions of the politics of location in knowledge and norm production within the context of Egyptian feminist activism for abandoning female genital cutting practices. It seeks to determine underlying schemes of international campaigning discourse and analyzes how these predicate and complicate Egyptian postcolonial activism. It draws on a broad literature study in addition to fieldwork in Cairo consisting of in-depth interviews with activists and policy makers. My focus is on the national Task Force against FGM from 1994 until 1999 and its subsequent cooptation by the National Council of Childhood and Motherhood. I argue through the concept of catachresis that location matters in setting the terms of anti-FGC discourse and its relation to religion.

  12. The Jewish and Christian view on female genital mutilation

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    I. El-Damanhoury

    2013-09-01

    Full Text Available Female genital mutilation (FGM is a practice involving the removal of all or parts of the female external genitalia. It has been documented in 28 African countries and in some countries in Asia and the Middle East, but due to increasing immigration from these countries to the western world, FGM has become a worldwide human rights and health issue. Contrary to the belief that it is a practice carried out by Muslims only, it is also practiced by Christians and a minority group of Ethiopian Jews. However, FGM is neither mentioned in the Torah, nor in the Gospels, and – like in Islam – bodily mutilation is condemned by both religions. In fact, FGM is a mix of mainly cultural and social factors which may put tremendous pressure on the members of the society in question.

  13. Female genital mutilation: what every paediatrician should know.

    Science.gov (United States)

    Creighton, Sarah M; Hodes, Deborah

    2016-03-01

    Female genital mutilation (FGM) is almost always performed on children and consequently paediatricians should have a central role in the detection and prevention of FGM. FGM has no health benefits and can cause lifelong damage to physical and psychological health. Extensive migration of FGM practising communities means that FGM is now a global problem. Paediatricians worldwide need to be familiar with the identification and classification of FGM and its impact upon health as well as current trends in practice. However information about FGM is hampered by the secrecy surrounding the procedure and a lack of rigorous evidence based research. This review summarises what is currently known about the health aspects of FGM and how paediatricians should manage children with FGM in their clinical practice.

  14. Female genital mutilation: what do we know so far?

    Science.gov (United States)

    Siddig, Israa

    2016-09-08

    Female genital mutilation (FGM) is a practice that is now familiar to UK health professionals. It continues to be a problem in high-risk populations and affects girls and women throughout their lives. Complications related to FGM are poorly reported and documented. Health professionals, therefore, must be aware of the adverse effects and how they affect obstetric, gynaecological and sexual function and general quality of life. They must also be sensitive towards the psychological and emotional issues relating to FGM. Sociocultural barriers make research and data-collection difficult in a cohort of women who prefer not to discuss or disclose such intimate issues. New guidelines on the management of health consequences in FGM have been published, but evidence is of poor quality.

  15. Female genital mutilation: A tragedy for women's reproductive health

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    Hamid Rushwan

    2013-09-01

    Full Text Available Female genital mutilation/cutting (FGM/FGC constitutes a tragic health and human rights issue of girls and women in a number of countries, mainly in Africa. The practice has serious health consequences, both physical and psychological. Attempts to eradicate the practice have not been successful over the past few decades. Medicalisation of the practice has added to its propagation, and this is not valid from ethical and professional standpoints. Further efforts need to be exerted to eliminate the practice and alleviate the sufferings that millions of girls and women worldwide are unnecessarily subjected to. This article reviews the problem and discusses the consequences to health for women and girls, and suggests ways to eradicate the practice.

  16. Intrauterine device and upper-genital-tract infection.

    Science.gov (United States)

    Grimes, D A

    2000-09-16

    Concern about upper-genital-tract infection related to intrauterine devices (IUDs) limits their wider use. In this systematic review I summarise the evidence concerning IUD-associated infection and infertility. Choice of an inappropriate comparison group, overdiagnosis of salpingitis in IUD users, and inability to control for the confounding effects of sexual behaviour have exaggerated the apparent risk. Women with symptomless gonorrhoea or chlamydial infection having an IUD inserted have a higher risk of salpingitis than do uninfected women having an IUD inserted; however, the risk appears similar to that of infected women not having an IUD inserted. A cohort study of HIV-positive women using a copper IUD suggests that there is no significant increase in the risk of complications or viral shedding. Similarly, fair evidence indicates no important effect of IUD use on tubal infertility. Contemporary IUDs rival tubal sterilisation in efficacy and are much safer than previously thought.

  17. Spatial distribution of female genital mutilation in Nigeria.

    Science.gov (United States)

    Kandala, Ngianga-Bakwin; Nwakeze, Ngozi; Kandala, Shadrack Ngianga I I

    2009-11-01

    The harmful effects of female genital mutilation (FGM) on women are recognized worldwide. Although it is practiced by persons of all socioeconomic backgrounds, there are differences within countries and between communities. The aim of this study was to use the 2003 Nigeria Demographic and Health Survey data to determine the spatial distribution of the prevalence of FGM and associated risk factors. Data were available for 7,620 women; 1,673 (22.0%) interviewed had had FGM and 2,168 women had living children, of whom 485 (22.4%) daughters had undergone FGM. Unmarried women were more likely to report a lower prevalence of FGM. Modernization (education and high socioeconomic status) had minimal impact on the likelihood of FGM, but education plays an important role in the mother's decision not to circumcise her daughter. It follows from these findings that community factors have a large effect on FGM, with individual factors having little effect on the distribution of FGM.

  18. Condylomatous genital lesions in cynomolgus macaques from Mauritius.

    Science.gov (United States)

    Harari, Ariana; Wood, Charles E; Van Doorslaer, Koenraad; Chen, Zigui; Domaingue, Marie Claire; Elmore, David; Koenig, Patricia; Wagner, Janice D; Jennings, Ryan N; Burk, Robert D

    2013-08-01

    Genital condyloma-like lesions were observed on male and female cynomolgus macaque monkeys (Macaca fascicularis) originating from the island of Mauritius. Cytobrush and/or biopsy samples were obtained from lesions of 57 affected macaques. Primary histologic features included eosinophilic, neutrophilic, and lymphoplasmacytic penile and vulvar inflammation, epidermal hyperplasia with acanthosis, and increased collagenous stroma. Polymerase chain reaction-based assays to amplify viral DNA revealed the presence of macaque lymphocryptovirus (LCV) DNA but not papillomavirus or poxvirus DNA. Subsequent DNA analyses of 3 genomic regions of LCV identified isolates associated with lesions in 19/25 (76%) biopsies and 19/57 (33%) cytology samples. Variable immunolabeling for proteins related to the human LCV Epstein Barr Virus was observed within intralesional plasma cells, stromal cells, and epithelial cells. Further work is needed to characterize the epidemiologic features of these lesions and their association with LCV infection in Mauritian-origin macaques.

  19. Typical and unusual cases of female genital tuberculosis

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    E. Kulchavenya

    2014-01-01

    Full Text Available Tuberculosis is a disease with myriad presentations and manifestations; it can affect any organ or tissue, excluding only hair and nails. Doctors who are not familiar with extrapulmonary tuberculosis often overlook this disease. Urogenital tuberculosis (UGTB is the second most common form of TB in countries with severe epidemic situation and the third most common form in regions with low incidence of TB. The term “Urogenital tuberculosis” includes kidney tuberculosis; male and female tuberculosis and urinary tract tuberculosis as complication of kidney tuberculosis. We describe rarest case of tuberculosis of a placenta in young woman, suffered from genital tuberculosis, which was overlooked before delivery, as well as typical tubo-ovarian tuberculomas.

  20. Genital lichen planus: update on diagnosis and treatment.

    Science.gov (United States)

    Zendell, Kathleen

    2015-12-01

    Lichen planus (LP) is an inflammatory autoimmune disease that affects both glabrous and mucosal skin. Although pathophysiology has not yet been fully defined, LP is a T-cell mediated disorder that demonstrates an increased Th1 cytokine expression as well as T-cell reactivity against basement membrane zone components. In males, genital LP often takes its more classic form as pink, shiny, flat-topped papules on the glans and coronal sulcus. In women, erosive disease is most common and often leads to significant scarring and sexual dysfunction. Therapeutic management is challenging, and control rather than cure is the goal. Topical corticosteroids remain first-line therapy, but some women will require systemic immunosuppressants to achieve remission. Surgery is less common for women with significant scarring who wish to resume sexual activity. Further research is needed on pathogenesis, and randomized controlled trials are necessary to better define best treatments for this chronic disease.

  1. The quality of life of patients with genital warts: a qualitative study

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    Larsen Helle K

    2010-03-01

    Full Text Available Abstract Background Genital warts, which are caused by infection with human papillomavirus (HPV, are one of the most common sexually transmitted diseases in Europe. Although genital warts are commonly perceived as a non-serious condition, treatment is often long, of varying effectiveness and the recurrence rate is high. Very few studies have been performed on the personal consequences of genital warts. The aim of this qualitative study, set in Denmark, was to examine the ways in which genital warts may affect patients' quality of life. Methods To obtain an in-depth understanding of patients' perceptions of genital warts, we used qualitative focus-group interviews with five men and five women aged between 18 and 30 years who had genital warts. The interview guide was based on a literature review that identified important issues and questions. The data were analysed using a medical anthropological approach. Results Patients' experiences were related to cultural conceptions of venereal diseases and the respective identities and sexuality of the sexes. The disease had negative psychological and social effects both for men and for women and it affected their sex and love lives, in particular. The psychological burden of the disease was increased by the uncertain timeline and the varying effectiveness of treatment. We identified a need for more patient information about the disease and its psycho-sexual aspects. Conclusions The men and women participating in this study considered their quality of life to be significantly lowered because of genital warts. The experiences described by the participants give insights that may be valuable in treatment and counselling. The quadrivalent HPV vaccine that has now been added to the childhood vaccination programme for girls in Denmark for the prevention of cervical cancer can also prevent 90% of cases of genital warts. Our results suggest that HPV vaccination could considerably reduce the largely unacknowledged

  2. Epidemiology Of Genital Ulcers And Prevalence Of Seropositivity For Syphilis

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    Hazra B. R

    1997-01-01

    Full Text Available The study assesses the prevalence of seropositivity for syphilis amongst cases presenting with genital ulcer to STD Clinic, Medical College, Calcutta during July 1994 to January 1995, and their epidemiological characteristics. Of the 157 cases studied, 142 (90.9% were males and 15 (9.1% were females. Prevalence of seropositivity for syphilis was in 22.93% cases of genital ulcers. In the age distribution of males, 9% were below 21 years, 33.8% between 21-25 years and 23.9% between 26-30 years. In females, the highest proportion (33.3% was in the age range 16-20 years. While all the female patients were Hindus, 87.3% of males were Hindus and 12.7% were Muslims. Large Majority (70% of the cases were literate. Amongst male patients, unskilled labourers constituted the highest proportion (35.2%, and majority in females (53.3% were from middle income group and 16.6% from high income group. 90.1% of males were unmarried single against 87.9% in females. The type of family for both male and female patients was overwhelmingly nuclear (86.6% to 87.3% and 2.8% of the males and 13.3% of the females were orphans. Amongst the seropositive patients, primary syphilis was present in 71.4% males and 62.5% females and the figures for secondary syphilis were 28.6% in males and 30.6% in females, 42% males and 26.7% females had knowledge about source of infection. While 85.9% males got infection from prostitutes, 66.7% females got it from clients. In females, 20% had been infected by friends and neighbours and 13.3% by casual contact.

  3. [Vaginal microscopic evidence in women with symptoms of genital infection].

    Science.gov (United States)

    Cerbini, S; Greco, M; Lalli, P; Santucci, A; Pitzurra, M

    1985-01-01

    Vaginal living organisms have been defined as the most complete in human ecology. As many as 100 million colonies of microorganisms can live in a single ml of vaginal liquid. More common are the anaerobic types, particularly the lactobacillus and bacteroides. The low pH of the vagina, normally 4, is due to the high lactic acid content of the lactobacillus. Pathogenic bacteria is inhibited at 4.5 pH. Conversely, it proliferates at a high pH. The slightest alteration of this delicate equilibrium allows potentially pathogenic bacteria to grow to a concentration high enough to produce symptoms. Researchers have sought to identify new pathological microorganisms, due to the increase in reported cases of vaginal infection in recent years. New strains such as microplasmas and chlamydia are assuming greater importance. Evidence of the numerous vaginal microbes comes from anamnestic, symptomatological data and from simple laboratory tests conducted in gynecological clinics with microscopes and Gram coloration. 663 women were examined in 6 laboratories. The computerized data revealed that only 29, or 4.37%, showed no symptoms at all and had gone to the lab for a mere check up; 175, or 26.40%, complained of pain, burning and itching; 361, or 54.45%, revealed symptoms associated with leukorrhea; 98, or 14.78%, showed only leukorrhea. The epidemiological study shows the importance of candida albicans in the infectious pathology of the female genital organ. Trichomonas vaginalis and grambacteria infection have been detected particularly when an IUD is used. The negative result of numerous bacterioscopic exams has shown the necessity of more in-depth study of genital infections, using analytical cultural methodology.

  4. The specifities of the HPV-genital infections in males

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    Mihael Skerlev

    2010-08-01

    Full Text Available Anogenital infections caused by Human papillomavirus (HPV are the most frequently diagnosed sexually transmitted infections of viral origin and up to 150 HPV DNA types have been recognized so far. Anogenital warts (condylomata acuminata are the most common lesions presented in men, however, during the last decade the other HPV-associated exaggerated lesions such as condylomata plana, penile,scrotal, and anal intraepithelial neoplasias, as well as the penile, urine bladder and prostate cancer have been studied somewhat more extensively. The clinical variations might range from clinically invisible, asymptomatic lesions to the bizarre forms of giant condyloma of Buschke-Löwenstein type, including Bowenoid papulosis,Mb. Bowen, different kinds of eryhtroplasia both in men and women and a large spectrum of HPV-induced dermatovenereological entities in genital region including high-grade intraepithelial genital neoplasias, such as penile, anal, scrotal, vulvar, vaginal etc. (thus not only cervical, and, last but not least - the anogenital warts. A prophylactic vaccine that targets these types should thus substantially reduce the burden of HPV-associated clinical diseases. Ultimately, within the spectrum of therapeutic options for condylomata, no method is really superior to others; recurrences occurred in 30-70% of cases. We definitely need the HPV vaccination programme to eliminate one of the oldest and up to now unsolved problems of the mankind. Since HPV is transmitted by sexual intercourse, treatment of both partners is necessary in order to eliminate the virus from the population. Approaches to this include prophylactic vaccines such as quadrivalent HPV vaccine for both men and women

  5. CASO 22-2015:Masculino 54 años con ascitis maligna refractaria: uso del catéter venoso central

    OpenAIRE

    2015-01-01

    Paciente masculino de 54 años vecino de Pérez Zeledón con antecedente de etilismo y tabaquismo y portador de una Hepatitis B y un cistoadenoma de la vía biliar. Asocio una ascitis maligno que requería una paracentesis cada 3-4 días por lo que se le coloco un catéter venoso central fenestrado para el drenaje domiciliar de su ascitis con lo que logro mejorar su calidad de vida.

  6. Fatores preditivos da reincidência : análise de uma amostra aleatória de reclusos portugueses do sexo masculino

    OpenAIRE

    2012-01-01

    Dissertação mestrado integrado Psicologia (área de especialização em Psicologia da Justiça) O desenvolvimento de qualquer investigação pressupõe a existência de algo que nos inquieta e nos induz curiosidade e este trabalho não constitui uma exceção. Assim sendo, formulou-se como questão de investigação: quais os fatores preditivos da reincidência criminal, tendo como base a análise retrospetiva de uma amostra aleatória de reclusos portugueses do sexo masculino. Propusemos como principai...

  7. MASCULINO 21 AÑOS CON CUADRO SÚBITO DE DEBILIDAD, MIALGIAS Y CPK MAYOR A 400.000 UI/L

    OpenAIRE

    Méndez Rodríguez, Juan Diego

    2011-01-01

    Paciente masculino 21 años de edad, oficial depolicía, quien después de un esfuerzo físicopresentó cuadro de dolor muscular en miembrossuperiores y debilidad, asociado a pigmenturia.En el hospital se documentó elevación de creatinfosfoquinasa (CPK), en un rango de 400 000UI/l. Al completar la anamnesis, se recogió elantecedente de haber ingerido suplementonutricional con vitaminas y creatina.Se analiza la rabdomiolisis como posiblecomplicación de ejercicio físico intenso así comosus complicac...

  8. Morfologia e desenvolvimento do sistema reprodutor masculino de carrapatos do gênero Amblyomma (Acari, Ixodidae): uma análise comparativa

    OpenAIRE

    Sampieri, Bruno Rodrigues

    2016-01-01

    Os carrapatos do gênero Amblyomma possuem importância médica e veterinária devido ao seu parasitismo em vertebrados de interesse econômico, silvestres e inclusive em humanos. A sistemática deste grupo foi, por muito tempo, bastante controversa quanto à taxonomia e às relações filogenéticas dentro do gênero e deste com outros grupos de carrapatos. O estudo da morfologia do sistema reprodutor masculino de carrapatos, tem se mostrado valioso, principalmente quando da obtenção de informações sobr...

  9. [Genital ulcers in French Guyana. Apropos of 231 cases screened in 2 years].

    Science.gov (United States)

    Crenn, Y; Zeller, H; Pradinaud, R; Sainte-Marie, D

    1988-01-01

    In fight against Sexually Transmitted Diseases (STD), 231 cases of genital ulcers were observed, in 1985 and 1986, in Cayenne (French Guiana) according to a clinical and laboratory study protocol described by the authors. The diagnosis shown, in 146 cases, one STD agent, with a high frequency of chancroid, herpes genitalis and primary syphilis. In addition, 18 cases of mixed genital infections are described: emphasis is laid on the great diversity of these associated diseases. 67 genital ulcers had not been caused by a STD agent, however in each case a complete laboratory investigation was done, and each patient received a treatment according to the diagnosis.

  10. Epstein-Barr virus-associated genital ulcers: an under-recognized disorder.

    Science.gov (United States)

    Barnes, Cheryl J; Alió, Alessandra B; Cunningham, Bari B; Friedlander, Sheila Fallon

    2007-01-01

    Infectious mononucleosis is the best-known syndrome associated with primary Epstein-Barr virus infection. Although a variety of cutaneous and mucosal manifestations are recognized in infectious mononucleosis, genital ulcers have only rarely been described. We describe an otherwise healthy 14-year-old girl in whom painful genital ulcers developed during an episode of serologically-confirmed primary Epstein-Barr virus infection. Clinical, serologic, and histopathologic evaluation failed to disclose evidence of any other etiologic explanation for her lesions. The patient remains well, without recurrence. To date, only 13 instances of genital ulceration in females attributable to Epstein-Barr virus infection have been reported.

  11. Genital self-mutilation in an attempt of suicide by a patient with a borderline personality

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    Rachid Aalouane

    2013-01-01

    Full Text Available Self-mutilation acts are known to characterize the borderline personality disorders. However, voluntary cutting of the male genital organ remains extremely rare. The present paper reports a case of a 25-years-old young male with a borderline personality. The patient committed a genital self-mutilation (GSM targeting suicide during incarceration stage in jail. In addition, a discussion of the epidemiological and psychopathological aspects of the self-mutilation of borderline patients was been conducted. A particular interest is attributed to the genital self-mutilation and a review of the literature is presented.

  12. Orthodontic-logaoedic treatment using a modified Hawley device. Tratamiento ortodóncico – logopédico utilizando un aparato de Hawley modificado.

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    Yordanis Boza Mejias

    . Objetivo : Comprobar la utilidad del aparato de Hawley modificado en pacientes con maloclusiones dentarias producidas por hábitos deformantes y portadores de dislalias. Métodos : Estudio observacional, analítico, comparativo, realizado en la escuela primaria ¨Guerrillero Heroico¨ del municipio de Cienfuegos. Se tomó una muestra no probabilística de 32 pacientes a los cuales se les realizaron dos mediciones. Se estudiaron las siguientes variables: Número de historia clínica, expediente, anomalías dentomaxilofaciales, hábitos como succión digital, deglusión atípica, análisis de la pronunciación y niveles de articulación. Se colocó Hawley con perforación en forma ovalada, a nivel de las rugosidades palatinas, lo que cambia la forma tradicional de la rejilla. Resultados : Prevaleció la maloclusión de Clase I. Las anomalías dentomaxilofaciales más frecuentes fueron la vestíbuloversión ( 87,5 %, resalte aumentado (84,4 % y el cierre bilabial anormal (68,8 %, las dislalias se redujeron durante el tratamiento de 81,2 % al comienzo hasta 28, 1 % al final de este.

  13. Aparato, procedimiento y sistema para el registro ambulatorio y el análisis de la presión intracraneal, así como para la detección automática de patologías asociadas.

    OpenAIRE

    Martín Láez, Rubén; Pérez Oria, Juan María; Viadero Rueda, Fernando; Alonso Rentería, Luciano; Vázquez Barquero, Alfonso; Santamaría Covarrubias, Lorena

    2009-01-01

    Sistema autónomo para el registro ambulatorio de la presión intracraneal de un paciente, que comprende un sensor de presión intracraneal que transmite la señal de presión intracraneal a un aparato portátil que puede controlar la captura de la señal y almacenarla. El aparato portátil comprende un dispositivo de memoria para almacenar las muestras de presión intracraneal, un microcontrolador para controlar los parámetros de muestreo de la presión intracraneal y unos medios para programar dicho ...

  14. La dinámica de lo femenino y lo masculino en la psicología analítica junguiana

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    Fabio Andrés Ramírez Gómez

    2014-01-01

    Full Text Available El presente artículo pretende mostrar, a la luz de la psicología de orientación junguiana, cómo se concibe lo femenino y lo masculino en el psiquismo humano, para lo cual se abordan los elementos conceptuales más significativos de dicha teoría, en donde se hace una minuciosa diferenciación entre los diferentes niveles psíquicos. A partir de allí se distinguen las características, el dinamismo y la influencia, tanto colectiva e individual que tiene la simbología femenino/masculino y la importancia que de allí se desprende para un abordaje terapéutico. Con la riqueza de los elementos que aporta esta perspectiva, este artículo pretende servir como un referente conceptual para sustentar, a mediano plazo, un modelo de intervención en el ámbito grupal, familiar y de pareja.

  15. Condom use prevents genital ulcers in women working as prostitutes. Influence of human immunodeficiency virus infection.

    Science.gov (United States)

    Cameron, D W; Ngugi, E N; Ronald, A R; Simonsen, J N; Braddick, M; Bosire, M; Kimata, J; Kamala, J; Ndinya-Achola, J O; Waiyaki, P G

    1991-01-01

    Control of genital ulcer disease (GUD) is a proposed intervention to slow the dissemination of human immunodeficiency virus (HIV) infection. Programs for the control of sexually transmitted diseases (STD) should focus on groups of high-frequency transmitters, such as prostitutes and their clientele. This study illustrates the interaction between the prevalence of chancroid, use of barrier prophylaxis against STDs, and HIV infection in a population of female prostitutes in Nairobi. Four hundred and twenty three women were evaluated. Despite the increased use of condoms, the prevalence of genital ulcers remained constant between 1986-87 and 1987-88. Genital ulcer disease was simultaneously associated with HIV infection (adjusted odds ratio: 3.7, P less than .01) whereas it was independently and inversely associated with more consistent condom use (P less than .01). The authors conclude that genital ulcer disease can be controlled in these populations but concurrent HIV infection increases the difficulty of this intervention.

  16. Excessive bleeding from genital ulcers of Behçet's disease.

    Science.gov (United States)

    Bostankolu, A; Aksungur, V L; Aksungur, E H; Ozpoyraz, M; Yücel, A; Memisoglu, H R

    1997-09-01

    Although genital ulcers are a common manifestation of Behçet's disease, bleeding from these lesions is unusual. In this report, a patient with excessive bleeding from genital ulcers is presented. A 22-year-old man with recurrent oral and genital ulcers, erythema nodosum, folliculitis, positive pathergic reaction, uveitis, superior vena cava syndrome, and generalized lymphadenopathy fulfilled the diagnostic criteria of Behçet's disease. Three years after presenting he was admitted to our clinic with excessive bleeding from large ulcers on the scrotum and upper thighs and with a leg ulcer. Bleeding was controlled with compresses. Examination of a biopsy specimen obtained from the leg ulcer showed findings consistent with Kaposi-like acroangiodermatitis. Results of various radiologic investigations showed thrombosis of the inferior vena cava, peritesticular varicosities, and venous insufficiency of the lower extremities. We suggest that the bleeding was secondary to the extension of genital ulcers to the varicose veins.

  17. Human immunodeficiency virus type 1 seroconversion in women with genital ulcers.

    Science.gov (United States)

    Plourde, P J; Pepin, J; Agoki, E; Ronald, A R; Ombette, J; Tyndall, M; Cheang, M; Ndinya-Achola, J O; D'Costa, L J; Plummer, F A

    1994-08-01

    Genital ulcers are implicated as a risk factor enhancing susceptibility to human immunodeficiency virus type 1 (HIV-1) infection. A prospective study to determine the incidence of and risk factors associated with acquisition of HIV-1 in women with genital ulcers was done. HIV-1-seronegative women with genital ulcers attending a clinic for sexually transmitted diseases in Nairobi were followed to HIV-1 seroconversion over a 6-month period. Of 81 women, 10 seroconverted to HIV-1. The crude 6-month incidence of HIV-1 infection was 12%. Risk factors associated with seroconversion included cervical ectopy (rate ratio [RR], 4.9; 95% confidence interval [CI], 1.5-15.6) and pelvic inflammatory disease (RR, 6.3; 95% CI, 1.9-20.4). Thus, cervical ectopy and pelvic inflammatory disease may increase susceptibility to HIV-1 in women with genital ulcers.

  18. Genital ulcers, stigma, HIV, and STI control in sub-Saharan Africa.

    Science.gov (United States)

    O'Farrell, N

    2002-04-01

    HIV associated stigma is still prevalent throughout Africa despite the spread of the epidemic. Stigma is also attached to sexually transmitted infections (STIs). Despite the importance of STIs, particularly genital ulceration in facilitating heterosexual HIV transmission, policymakers continue to focus mainly on other priorities. It would appear that this lack of public health initiative in tackling genital ulcers is itself an example of stigmatisation. Possible explanations for this include geographical variation in the data and a perception that genital ulcers are not a topic that can be discussed freely and openly. HIV policymakers in countries worst affected by HIV in Africa should examine their own opinions for bias when determining public health priorities for HIV prevention. The importance of genital ulcers should be reassessed and publicised.

  19. Intravenous Foscarnet With Topical Cidofovir for Chronic Refractory Genital Herpes in a Patient With AIDS.

    Science.gov (United States)

    Usoro, Agnes; Batts, Alfreda; Sarria, Juan C

    2015-01-01

    Few case reports have documented the use of topical cidofovir for refractory genital herpes simplex virus (HSV) ulcers in human immunodeficiency virus (HIV) infected patients. This drug formulation lacks a standardized concentration or even a procedural outline as to how it should be compounded. We aim to discuss the utilization of topical cidofovir in addition to presenting a procedural means of compounding it for treatment of refractory genital HSV ulcers. Our patient completed 21 days of intravenous foscarnet and 13 days of topical cidofovir with clinical improvement in the penile and scrotal ulcers. Genital herpes is a concern in patients with HIV because it generally manifests as a persistent infection. Physicians should be aware that when patients fail to respond to the conventional treatment regimens for genital HSV in a timely manner, other options are available, such as topical cidofovir as an adjuvant to systemic antivirals.

  20. Intravenous Foscarnet With Topical Cidofovir for Chronic Refractory Genital Herpes in a Patient With AIDS

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    Agnes Usoro BSN

    2015-12-01

    Full Text Available Few case reports have documented the use of topical cidofovir for refractory genital herpes simplex virus (HSV ulcers in human immunodeficiency virus (HIV infected patients. This drug formulation lacks a standardized concentration or even a procedural outline as to how it should be compounded. We aim to discuss the utilization of topical cidofovir in addition to presenting a procedural means of compounding it for treatment of refractory genital HSV ulcers. Our patient completed 21 days of intravenous foscarnet and 13 days of topical cidofovir with clinical improvement in the penile and scrotal ulcers. Genital herpes is a concern in patients with HIV because it generally manifests as a persistent infection. Physicians should be aware that when patients fail to respond to the conventional treatment regimens for genital HSV in a timely manner, other options are available, such as topical cidofovir as an adjuvant to systemic antivirals.

  1. Genital chlamydia trachomatis infection among female undergraduate students of University of Port Harcourt, Nigeria

    Directory of Open Access Journals (Sweden)

    A Ugboma Henry Arinze

    2014-01-01

    Full Text Available Background: Genital Chlamydia trachomatis infection is a common bacterial sexually transmitted infection worldwide. There is little information about this infection in Nigeria. This study determined the prevalence of genital Chlamydia trachomatis infection among female undergraduates of University of Port Harcourt and identify the various associated risk factors. Materials and Methods: A cross-sectional prospective study of 354 female students was done. Their socio-demographic characteristics and pattern of sexual behaviour was noted followed by collection of endocervical swab which was analysed with a Chlamydia Rapid Test Device. Data management was done by SPSS version 17.0 statistical package. Result: The prevalence of genital Chlamydia trachomatis infection was 30.2%. First coital exposure at14 years or less had the highest prevalence of the disease. Multiple sexual partners, tribe and inconsistent use of condom were significantly related with Chlamydia trachomatis infection. Conclusion: Genital Chlamydia trachomatis is prevalent among female undergraduates of the University of Port Harcourt.

  2. Towards a clean slit: how medicine and notions of normality are shaping female genital aesthetics.

    Science.gov (United States)

    McDougall, Lindy Joan

    2013-01-01

    In the West, a specific ideal has emerged for female genitalia. The ideal is one of absence, a clean slit that can be attained through the removal of pubic hair and, increasingly, through female genital cosmetic surgery. This ideal is largely created in the media, which generates contradictory messages for women. The popular press, backed by medical opinion, explicitly acknowledges that a wide range of variation is normal--female genitals vary in appearance 'about as much as snowflakes'--but by showing only altered minimalist clean slits, it carries an implicit message that women should be worried if their genitals do not match up to this exacting ideal. Consequently, some women feel their genitals are not satisfactory and choose surgery. Using biomedicine to fix normal body parts in order to fashion desirable femininity, releases medicine from its rigid scientific underpinnings exposing it as an increasingly cultural and commercial pursuit.

  3. A review of the human vs. porcine female genital tract and associated immune system in the perspective of using minipigs as a model of human genital Chlamydia infection

    DEFF Research Database (Denmark)

    Lorenzen, Emma; Follmann, Frank; Jungersen, Gregers;

    2015-01-01

    predictive non-rodent model is needed for the study of genital chlamydia in women. The pig has become an increasingly popular model for human diseases due to its close similarities to humans. The aim of this review is to compare the porcine and human female genital tract and associated immune system...... in cycle length and source of luteolysing hormone. The epithelium and functional layers of the endometrium show similar cyclic changes. The immune system in pigs is very similar to that of humans, even though pigs have a higher percentage of CD4(+)/CD8(+) double positive T cells. The genital immune system......Sexually transmitted diseases constitute major health issues and their prevention and treatment continue to challenge the health care systems worldwide. Animal models are essential for a deeper understanding of the diseases and the development of safe and protective vaccines. Currently a good...

  4. A review of the human vs. porcine female genital tract and associated immune system in the perspective of using minipigs as a model of human genital Chlamydia infection.

    Science.gov (United States)

    Lorenzen, Emma; Follmann, Frank; Jungersen, Gregers; Agerholm, Jørgen S

    2015-09-28

    Sexually transmitted diseases constitute major health issues and their prevention and treatment continue to challenge the health care systems worldwide. Animal models are essential for a deeper understanding of the diseases and the development of safe and protective vaccines. Currently a good predictive non-rodent model is needed for the study of genital chlamydia in women. The pig has become an increasingly popular model for human diseases due to its close similarities to humans. The aim of this review is to compare the porcine and human female genital tract and associated immune system in the perspective of genital Chlamydia infection. The comparison of women and sows has shown that despite some gross anatomical differences, the structures and proportion of layers undergoing cyclic alterations are very similar. Reproductive hormonal cycles are closely related, only showing a slight difference in cycle length and source of luteolysing hormone. The epithelium and functional layers of the endometrium show similar cyclic changes. The immune system in pigs is very similar to that of humans, even though pigs have a higher percentage of CD4(+)/CD8(+) double positive T cells. The genital immune system is also very similar in terms of the cyclic fluctuations in the mucosal antibody levels, but differs slightly regarding immune cell infiltration in the genital mucosa - predominantly due to the influx of neutrophils in the porcine endometrium during estrus. The vaginal flora in Göttingen Minipigs is not dominated by lactobacilli as in humans. The vaginal pH is around 7 in Göttingen Minipigs, compared to the more acidic vaginal pH around 3.5-5 in women. This review reveals important similarities between the human and porcine female reproductive tracts and proposes the pig as an advantageous supplementary model of human genital Chlamydia infection.

  5. MOTHERS PERSPECTIVES OF FEMALE GENITAL MUTILATION : AMONG THE MAASAI COMMUNITY IN KENYA

    OpenAIRE

    Jane Malaso, Oleleparakuo

    2011-01-01

    The purpose of this study was to find out mothers perspectives on female genital mutilation (FGM) among the Maasai community in Kenya. The aim of the study can be used in utilizing the research result when planning education programs in preventing female genital mutilation. The research was carried out in co-operation with a local village which is situated in South-West Kenya, and West from Nairobi, the Kenyan capital city. Qualitative method was used to implement this study. Data was ...

  6. Genital chlamydia trachomatis infection among female undergraduate students of University of Port Harcourt, Nigeria

    OpenAIRE

    A Ugboma Henry Arinze; Nwagwu Victor Onyebuchi; Jeremiah Isreal

    2014-01-01

    Background: Genital Chlamydia trachomatis infection is a common bacterial sexually transmitted infection worldwide. There is little information about this infection in Nigeria. This study determined the prevalence of genital Chlamydia trachomatis infection among female undergraduates of University of Port Harcourt and identify the various associated risk factors. Materials and Methods: A cross-sectional prospective study of 354 female students was done. Their socio-demographic characteristics...

  7. {sup 18}F-Fluorodeoxyglucose PET/CT in a Patient with Esophageal and Genital Leiomyomatosis

    Energy Technology Data Exchange (ETDEWEB)

    An, Young Sil; Kim, Deog Yoon [Kyung Hee University, Seoul (Korea, Republic of)

    2009-12-15

    Diffuse esophageal leiomyomatosis is a rare benign tumor, which can be associated with leiomyoma in female genital tracts involving the uterus, vagina, and vulva. Alport syndrome, an inherited disorder that includes the kidneys, eyes, and sensorineural hearing loss, is also rarely associated with these multiple leiomyomatosis. In our case, {sup 18}F-fluoroseoxyglucose positron emission tomography/ computed tomography was used to distinguish esophageal and genital leiomyomatosis from malignant masses.

  8. Factors associated with Genital Hygiene Behaviours in pregnant and non-pregnant women in Turkey

    Directory of Open Access Journals (Sweden)

    Seyhan Çankaya

    2015-03-01

    Full Text Available Purpose: This descriptive study was conducted to determine the factors associated with genital hygiene behaviours in pregnant and non-pregnant women.Method and material: Seventy pregnant women and 70 non-pregnant women, aged between 25 and 45 years, who were in the third trimester of pregnancy and presented to the Gynecology and Obstetrics Clinic at the Faculty of Medicine in Konya Province, Turkey, were included in the study. The data were gathered using a questionnaire with 26 questions designed by the researcher using the Genital Hygiene Behavior Inventory (GHBI.Results: There was no significant difference between the GHBI scores of the pregnant and non-pregnant women (p>0.05. Therefore, both groups were combined, and it was aimed to discover the factors associated with genital hygiene behaviours more effectively. A positive correlation between the GHBI scores and the monthly income was found, whereas there was a negative correlation between the GHBI scores and age, marriage age, number of pregnancies, and birth (p<0.05. There was a significant difference between the GHBI scores and the educational status of the women and their husbands, the employment status of the women and the perceived income status (p<0.05. A statistically significant difference was found between the groups in terms of GHBI scores and the women’s pain and/or bleeding experience during sexual intercourse, vaginal douching, and training on the hygiene of the genital area (p<0.05.Conclusion: There was no significant difference in genital hygiene behaviours between the pregnant and non-pregnant women. This may be attributed to the fact that the genital hygiene practices of women who did not have sufficient knowledge of genital hygiene before they became pregnant did not change during pregnancy. Therefore, we suggest that midwives provide both pregnant and non-pregnant women with training on genital hygiene.

  9. Targeted interventions required against genital ulcers in African countries worst affected by HIV infection.

    Science.gov (United States)

    O'Farrell, N

    2001-01-01

    It remains unclear why there is such marked variation in the severity of the human immunodeficiency virus (HIV) epidemic between African countries. The prevalence of HIV infection has reached high levels in many parts of southern Africa but in most countries of West Africa the levels are much lower. Although there is good evidence that sexually transmitted infections (STIs) and genital ulcers in particular facilitate heterosexual transmission of HIV, there is little comparative STI data from the African countries worst affected by HIV infection. A MEDLINE search covering the period 1966 to August 2000 using the keywords "sexually transmitted diseases", "genital ulcers" and "Africa" was performed to identify factors that might be relevant to the spread of HIV infection in countries with the highest prevalences of the virus. In the countries worst affected by HIV infection, the proportions of men and women with STI who had genital ulcers lay in the ranges 45-68% and 13-68%, respectively. The proportions were much lower in countries of West Africa than in those of southern Africa. The African countries worst affected by HIV infection should adopt a more specialized approach to STI control than hitherto and specifically target the high incidence of genital ulceration. Locally, technical STI committees should draw up country-specific guidelines taking into account the prevalence of the various causes of genital ulceration. In these countries, national AIDS control programmes and donor agencies should develop a specific focus for decreasing the incidence of genital ulcer disease.

  10. No evidence for external genital morphology affecting cryptic female choice and reproductive isolation in Drosophila.

    Science.gov (United States)

    LeVasseur-Viens, Hélène; Polak, Michal; Moehring, Amanda J

    2015-07-01

    Genitalia are one of the most rapidly diverging morphological features in animals. The evolution of genital morphology is proposed to be driven by sexual selection via cryptic female choice, whereby a female selectively uptakes and uses a particular male's sperm on the basis of male genital morphology. The resulting shifts in genital morphology within a species can lead to divergence in genitalia between species, and consequently to reproductive isolation and speciation. Although this conceptual framework is supported by correlative data, there is little direct empirical evidence. Here, we used a microdissection laser to alter the morphology of the external male genitalia in Drosophila, a widely used genetic model for both genital shape and cryptic female choice. We evaluate the effect of precision alterations to lobe morphology on both interspecific and intraspecific mating, and demonstrate experimentally that the male genital lobes do not affect copulation duration or cryptic female choice, contrary to long-standing assumptions regarding the role of the lobes in this model system. Rather, we demonstrate that the lobes are essential for copulation to occur. Moreover, slight alterations to the lobes significantly reduced copulatory success only in competitive environments, identifying precopulatory sexual selection as a potential contributing force behind genital diversification.

  11. Male genital morphology and its influence on female mating preferences and paternity success in guppies.

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    Clelia Gasparini

    Full Text Available In internally fertilizing species male genitalia often show a higher degree of elaboration than required for simply transferring sperm to females. Among the hypotheses proposed to explain such diversity, sexual selection has received the most empirical support, with studies revealing that genital morphology can be targeted by both pre-and postcopulatory sexual selection. Until now, most studies have focused on these two episodes of selection independently. Here, we take an alternative approach by considering both components simultaneously in the livebearing fish, Poecilia reticulata. We allowed females to mate successively (and cooperatively with two males and determined whether male genital length influenced the female's propensity to mate with a male (precopulatory selection, via female choice and whether male genital size and shape predicted the relative paternity share of subsequent broods (postcopulatory selection, via sperm competition/cryptic female choice. We found no evidence that either episode of sexual selection targets male genital size or shape. These findings, in conjunction with our recent work exposing a role of genital morphology in mediating unsolicited (forced matings in guppies, further supports our prior speculation that sexual conflict may be an important broker of genital evolution in this species.

  12. Natural selection and genital variation: a role for the environment, parasites and sperm ageing?

    Science.gov (United States)

    Reinhardt, Klaus

    2010-01-01

    Male genitalia are more variable between species (and populations) than other organs, and are more morphologically complex in polygamous compared to monogamous species. Therefore, sexual selection has been put forward as the major explanation of genital variation and complexity, in particular cryptic female choice for male copulatory courtship. As cryptic female choice is based on differences between males it is somewhat paradoxical that there is such low within-species variation in male genitalia that they are a prime morphological identification character for animal species. Processes other than sexual selection may also lead to genitalia variation but they have recently become neglected. Here I focus on pleiotropy and natural selection and provide examples how they link genitalia morphology with genital environments. Pleiotropy appears to be important because most studies that specifically tested for pleiotropic effects on genital morphology found them. Natural selection likely favours certain genital morphology over others in various environments, as well as by reducing re-infection with sexually transmitted diseases or reducing the likelihood of fertilisation with aged sperm. Both pleiotropy and natural selection differ locally and between species so may contribute to local variation in genitalia and sometimes variation between monogamous and polygamous species. Furthermore, the multitude of genital environments will lead to a multitude of genital functions via natural selection and pleiotropy, and may also contribute to explaining the complexity of genitalia.

  13. Condition dependence of male and female genital structures in the seed beetle Callosobruchus maculatus (Coleoptera: Bruchidae).

    Science.gov (United States)

    Cayetano, L; Bonduriansky, R

    2015-07-01

    Theory predicts that costly secondary sexual traits will evolve heightened condition dependence, and many studies have reported strong condition dependence of signal and weapon traits in a variety of species. However, although genital structures often play key roles in intersexual interactions and appear to be subject to sexual or sexually antagonistic selection, few studies have examined the condition dependence of genital structures, especially in both sexes simultaneously. We investigated the responses of male and female genital structures to manipulation of larval diet quality (new versus once-used mung beans) in the bruchid seed beetle Callosobruchus maculatus. We quantified effects on mean relative size and static allometry of the male aedeagus, aedeagal spines, flap and paramere and the female reproductive tract and bursal spines. None of the male traits showed a significant effect of diet quality. In females, we found that longer bursal spines (relative to body size) were expressed on low-quality diet. Although the function of bursal spines is poorly understood, we suggest that greater bursal spine length in low-condition females may represent a sexually antagonistic adaptation. Overall, we found no evidence that genital traits in C. maculatus are expressed to a greater extent when nutrients are more abundant. This suggests that, even though some genital traits appear to function as secondary sexual traits, genital traits do not exhibit heightened condition dependence in this species. We discuss possible reasons for this finding.

  14. Frequency of Genital Involvement in Women with Oral Lichen Planus in Southern Iran

    Directory of Open Access Journals (Sweden)

    M. Davarmanesh

    2012-01-01

    Full Text Available Background. Lichen Planus is a chronic mucocutaneous disease of immunological basis and unknown etiology. women with oral lichen planus may have concomitant manifestations in vulvovaginal areas. Objective. To determine the frequency and risk factors of genital involvement in a group of Iranian women affected by oral lichen planus. Methods. Thirty-six women with clinical and histopathological diagnosis of oral lichen planus were evaluated for demographic, historical, and clinical parameters of the oral disease. All the patients were referred for careful vulvovaginal examination, as well as histopathological assessment upon clinical indication. Results. Nineteen patients complained from genital symptoms but the number of women with the final diagnosis of genital lichen planus (=2 was too small to show any correlation with the parameters evaluated. Conclusion. In spite of low genital involvement possibly due to inadequate patient population, lack of follow-up visits, and contribution of genetic or ethnic factors, for conservative patient care, women with the oral lichen planus in particular those having some relevant genital symptoms, should preferably be referred for careful vulvovaginal examination. Multicenter cohort studies on women of different geographical regions or ethnicities who have genital lichen planus alone or in combination with other common sites are encouraged.

  15. Health complications of female genital mutilation in Sierra Leone

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    Bjälkander O

    2012-07-01

    Full Text Available Owolabi Bjälkander,1 Laurel Bangura,2 Bailah Leigh,3 Vanja Berggren,1 Staffan Bergström,1 Lars Almroth11Division of Global Health, Department of Public Health, Karolinska Institutet, Stockholm, Sweden; 2Inter Africa Committee, Sierra Leone; 3Department of Community Health, College of Medicine and Allied Health Sciences, University of Sierra Leone, Sierra LeoneAbstract: Sierra Leone has one of the highest rates of female genital mutilation (FGM in the world, and yet little is known about the health consequences of the practice.Purpose: To explore whether and what kind of FGM-related health complications girls and women in Sierra Leone experience, and to elucidate their health care-seeking behaviors.Patients and methods: A feasibility study was conducted to test and refine questionnaires and methods used for this study. Thereafter, a cross-section of girls and women (n = 258 attending antenatal care and Well Women Clinics in Bo Town, Bo District, in the southern region and in Makeni Town, Bombali District, in the northern region of Sierra Leone were randomly selected. Participants answered interview-administrated pretested structured questionnaires with open-ended-questions, administrated by trained female personnel.Results: All respondents had undergone FGM, most between 10 and 14 years of age. Complications were reported by 218 respondents (84.5%, the most common ones being excessive bleeding, delay in or incomplete healing, and tenderness. Fever was significantly more often reported by girls who had undergone FGM before 10 years of age compared with those who had undergone the procedure later. Out of those who reported complications, 187 (85.8% sought treatment, with 89 of them visiting a traditional healer, 75 a Sowei (traditional circumciser, and 16 a health professional.Conclusion: The high prevalence rate of FGM and the proportion of medical complications show that FGM is a matter for public health concern in Sierra Leone. Girls who

  16. Female genital mutilation: an injury, physical and mental harm.

    Science.gov (United States)

    Utz-Billing, I; Kentenich, H

    2008-12-01

    This article gives an overview over the huge topic of 'female genital mutilation' (FGM). FGM means non-therapeutic, partial or complete removal or injury of each of the external female genitals. It concerns about 130 million women around the world. FGM is performed in about 30 countries, most of which are located in Africa. Four types of FGM are distinguished: type I stands for the removal of the clitoral foreskin, type II means the removal of the clitoris with partial or total excision of the labia minora. Type III is the extreme type of FGM. Not only the clitoris but also the labia minora and majora were removed. The orificium vaginae is sewn up, leaving only a small opening for urine or menstruation blood. Other types like pricking, piercing of clitoris or vulva, scraping of the vagina, etc. were defined as type IV of FGM. The mentioned reasons for FGM are: encouragement of the patriarchal family system, method for birth control, guarantee of moral behaviour and faithfulness to the husband, protection of women from suspicions and disgrace, initiation ritual, symbol of feminity and beauty, hygienic, health and economic advantages. Acute physical consequences of FGM include bleeding, wound infections, sepsis, shock, micturition problems and fractures. Chronic physical problems like anemia, infections of the urinary tract, incontinence, infertility, pain, menstruation problems and dyspareunia are frequent. Women also have a higher risk for HIV infections. During pregnancy and delivery, examinations and vaginal application of medicine are more difficult. Women have a higher risk for a prolonged delivery, wound infections, a postpartum blood loss of more than 500 mL, perineal tears, a resuscitation of the infant and an inpatient perinatal death. Mental consequences after FGM include the feelings of incompleteness, fear, inferiority and suppression. Women report chronic irritability and nightmares. They have a higher risk for psychiatric and psychosomatic diseases

  17. Cervical Intraepithelial Neoplasia Is Associated With Genital Tract Mucosal Inflammation

    Science.gov (United States)

    Mhatre, Mohak; McAndrew, Thomas; Carpenter, Colleen; Burk, Robert D.; Einstein, Mark H.; Herold, Betsy C.

    2013-01-01

    Background Clinical studies demonstrate increased prevalence of human papillomavirus (HPV)-associated disease in HIV-infected individuals and an increased risk of HIV acquisition in HPV-infected individuals. The mechanisms underlying this synergy are not defined. We hypothesize that women with cervical intraepithelial neoplasia (CIN) will exhibit changes in soluble mucosal immunity that may promote HPV persistence and facilitate HIV infection. Methods The concentrations of immune mediators and endogenous anti-Escherichia coli activity in genital tract secretions collected by cervicovaginal lavage were compared in HIV-negative women with high-risk HPV-positive (HRHPV+) CIN-3 (n = 37), HRHPV+ CIN-1 (n = 12), or PAP-negative control subjects (n = 57). Results Compared with control subjects, women with CIN-3 or CIN-1 displayed significantly higher levels of proinflammatory cytokines including interleukin (IL)-1α, IL-1β, and IL-8 (P < 0.002) and significantly lower levels of anti-inflammatory mediators and antimicrobial peptides, including IL-1 receptor antagonist, secretory leukocyte protease inhibitor (P < 0.01), and human β defensins 2 and 3 (P < 0.02). There was no significant difference in endogenous anti-E. coli activity after controlling for age and sample storage time. Conclusion HRHPV+ CIN is characterized by changes in soluble mucosal immunity that could contribute to HPV persistence. The observed mucosal inflammation suggests a mechanism that may also contribute to the epidemiologic link between persistent HPV and HIV. PMID:22801340

  18. Managing external genital warts: practical aspects of treatment and prevention.

    Science.gov (United States)

    Bourcier, Marc; Bhatia, Neal; Lynde, Charles; Vender, Ronald

    2013-12-01

    Rising rates of human papillomavirus (HPV) infections in recent decades, including external genital warts (EGWs), underscore the need for effective management of this common sexually transmitted disease. Although treatment is a vital aspect that aims primarily to resolve physical symptoms, health care providers must also address the psychosocial burden that typically accompanies diagnosis, treatment, remission, and recurrence. Education and counseling are integral components of care to address the cascade of negative emotional reactions that follow diagnosis, which often include anger, shame, stigma, frustration, and fear. Health care providers should offer patient information that is clear and simple, both verbally and in written form. Research to date has shown that information is most helpful when it is conveyed in a supportive tone and avoids stigmatization. Treatment decisions should consider the patient's preferences and the clinician's ability to offer certain therapies. A locally relevant algorithm and an individualized treatment approach are recommended by various treatment guidelines to improve the chances of compliance and treatment success. Given that success rates are variable, monitoring treatment is also necessary to gauge the patient's response to treatment, local reactions, and the potential need to switch treatments. Patients diagnosed with EGWs should also be screened for other sexually transmitted diseases because coinfection is common. Vaccination is becoming an increasingly important aspect of prevention strategies for HPV infections and should be considered for eligible patients.

  19. Female genital mutilation in African and African American women's literature

    Directory of Open Access Journals (Sweden)

    Darja Marinšek

    2007-12-01

    Full Text Available The article builds on the existing dispute between African and African American women writers on the competence of writing about female genital mutilation (FGM, and tries to determine the existence and nature of the differences between the writings of these two groups. The author uses comparative analysis of two popular African and African American novels, comparing their ways of describing FGM, its causes and consequences, the level ob objectivity and the style of the narrations.This is followed by a discussion on the reasons for such differences, incorporating a larger circle of both African and African American women authors, at the same time analysing the deviance within the two groups. While the differences between African American writers are not that great, as they mostly fail to present the issue from different points of view, which is often the result of their lack of direct knowledge of the topic, African authors' writing is in itself discovered to be ambivalent and not at all invariable. The reasons for such ambivalence are then discussed in greater context, focusing on the effect of the authors' personal contact with circumcision as well as their knowledge and acceptance of Western values. The author concludes by establishing the African ambivalent attitude towards FGM, which includes different aspects of the issue, as the most significant difference between their and African American writers' description of this practice.

  20. The ongoing violence against women: Female Genital Mutilation/Cutting.

    Science.gov (United States)

    Muteshi, Jacinta K; Miller, Suellen; Belizán, José M

    2016-04-18

    Female Genital Mutilation/Cutting (FGM/C) comprises different practices involving cutting, pricking, removing and sometimes sewing up external female genitalia for non-medical reasons. The practice of FGM/C is highly concentrated in a band of African countries from the Atlantic coast to the Horn of Africa, in areas of the Middle East such as Iraq and Yemen, and in some countries in Asia like Indonesia. Girls exposed to FGM/C are at risk of immediate physical consequences such as severe pain, bleeding, and shock, difficulty in passing urine and faeces, and sepsis. Long-term consequences can include chronic pain and infections. FGM/C is a deeply entrenched social norm, perpetrated by families for a variety of reasons, but the results are harmful. FGM/C is a human rights issue that affects girls and women worldwide. The practice is decreasing, due to intensive advocacy activities of international, national, and grassroots agencies. An adolescent girl today is about a third less likely to be cut than 30 years ago. However, the rates of abandonment are not high enough, and change is not happening as rapidly as necessary. Multiple interventions have been implemented, but the evidence base on what works is lacking. We in reproductive health must work harder to find strategies to help communities and families abandon these harmful practices.

  1. An overview of female genital mutilation in Nigeria.

    Science.gov (United States)

    Okeke, Tc; Anyaehie, Usb; Ezenyeaku, Cck

    2012-01-01

    Nigeria, due to its large population, has the highest absolute number of female genital mutilation (FGM) worldwide, accounting for about one-quarter of the estimated 115-130 million circumcised women in the world. The objective of this review is to ascertain the current status of FGM in Nigeria. Pertinent literature on FGM retrieved from internet services [Google search on FGM in Nigeria, www.online Nigeria, PubMed of the national library of medicine www.medconsumer. Info/tropics/fgm.htm, Biomedcentral and African Journal Online (AJOL) (FGM)] and textbooks, journals, and selected references for proper understanding of the topic was included in this review. The national prevalence rate of FGM is 41% among adult women. Evidence abound that the prevalence of FGM is declining. The ongoing drive to eradicate FGM is tackled by World Health Organization, United Nations International Children Emergency Fund, Federation of International Obstetrics and Gynecology (FIGO), African Union, The economic commission for Africa, and many women organizations. However, there is no federal law banning FGM in Nigeria. There is need to eradicate FGM in Nigeria. Education of the general public at all levels with emphasis on the dangers and undesirability of FGM is paramount.

  2. Female genital mutilation: new laws, programs try to end practice.

    Science.gov (United States)

    Chalkley, K

    1997-10-01

    A new US law criminalizes female genital mutilation (FGM) and requires notification of this fact to immigrants from Africa and the Middle East. In addition, US representative to international financial institutions are directed to oppose issuance of foreign aid to countries that lack established educational programs to eradicate FGM. FGM involves a range of procedures characterized by the amount of tissue removed and may be carried out in infants, adolescents, or new mothers. Complications include death, debilitating illness, and increased risk during child birth. FGM is firmly entrenched in countries in sub-Saharan Africa and parts of the Arab peninsula and extends to a few groups in Asia and immigrant populations in developed countries. Most women in an Egyptian study had undergone FGM and justified the practice as a way of reducing sexual desire and, thus, preserving premarital virginity. Many women also consider FGM a religious requirement, but this claim is unsubstantiated. Successful eradication campaigns in Kenya have preserved the social and coming-of-age ritual aspects of the practice while rejecting the physical mutilation, and efforts in Nigeria have focuses on health education. A New York-based group working to eradicate FGM has criticized the new US law because it requires education of affected communities without allocating the necessary funding. The group charges that the new law needs revision to remove criminal liability from family members who may object to a proposed FGM procedure but fail to report or stop it.

  3. Coevolution of male and female genital morphology in waterfowl.

    Directory of Open Access Journals (Sweden)

    Patricia L R Brennan

    Full Text Available Most birds have simple genitalia; males lack external genitalia and females have simple vaginas. However, male waterfowl have a phallus whose length (1.5->40 cm and morphological elaborations vary among species and are positively correlated with the frequency of forced extra-pair copulations among waterfowl species. Here we report morphological complexity in female genital morphology in waterfowl and describe variation vaginal morphology that is unprecedented in birds. This variation comprises two anatomical novelties: (i dead end sacs, and (ii clockwise coils. These vaginal structures appear to function to exclude the intromission of the counter-clockwise spiralling male phallus without female cooperation. A phylogenetically controlled comparative analysis of 16 waterfowl species shows that the degree of vaginal elaboration is positively correlated with phallus length, demonstrating that female morphological complexity has co-evolved with male phallus length. Intersexual selection is most likely responsible for the observed coevolution, although identifying the specific mechanism is difficult. Our results suggest that females have evolved a cryptic anatomical mechanism of choice in response to forced extra-pair copulations.

  4. A mouse model for Chlamydia suis genital infection.

    Science.gov (United States)

    Donati, Manuela; Di Paolo, Maria; Favaroni, Alison; Aldini, Rita; Di Francesco, Antonietta; Ostanello, Fabio; Biondi, Roberta; Cremonini, Eleonora; Ginocchietti, Laura; Cevenini, Roberto

    2015-02-01

    A mouse model for Chlamydia suis genital infection was developed. Ninety-nine mice were randomly divided into three groups and intravaginally inoculated with chlamydia: 45 mice (group 1) received C. suis purified elementary bodies (EBs), 27 (group 2) were inoculated with C. trachomatis genotype E EBs and 27 mice (group 3) with C. trachomatis genotype F EBs. Additionally, 10 mice were used as a negative control. At seven days post-infection (dpi) secretory anti-C. suis IgA were recovered from vaginal swabs of all C. suis inoculated mice. Chlamydia suis was isolated from 93, 84, 71 and 33% vaginal swabs at 3, 5, 7 and 12 dpi. Chlamydia trachomatis genotype E and F were isolated from 100% vaginal swabs up to 7 dpi and from 61 and 72%, respectively, at 12 dpi. Viable C. suis and C. trachomatis organisms were isolated from uterus and tubes up to 16 and 28 dpi, respectively. The results of the present study show the susceptibility of mice to intravaginal inoculation with C. suis. A more rapid course and resolution of C. suis infection, in comparison to C. trachomatis, was highlighted. The mouse model could be useful for comparative investigations involving C. suis and C. trachomatis species.

  5. Incapacidad laboral por patología del aparato locomotor en la Comunidad Foral de Navarra: Aspectos epidemiológicos Occupational disability due to locomotor pathology in the Foral Community of Navarra: Epidemiological aspects

    Directory of Open Access Journals (Sweden)

    E. Sáinz de Murieta

    2005-04-01

    Full Text Available Introducción. La discapacidad producida por la patología del aparato locomotor ocasiona una pérdida de horas de trabajo y unos costes indirectos que están aumentando a un ritmo creciente. Los objetivos de este estudio son estimar los costes en horas de trabajo totales perdidas ocasionadas por la patología del aparato locomotor en 2 áreas sanitarias de Navarra con 441.600 habitantes, obtener estándares de duración e incidencia de bajas y estudiar la relación entre duración media de las bajas y variables como la accesibilidad geográfica a los servicios de rehabilitación, vivir en entorno rural o urbano y entre diferentes áreas sanitarias. Material y métodos. Se han estudiado todos los procesos de incapacidad temporal por patología del aparato locomotor en las Áreas Sanitarias I y III de Navarra en 1997 y 1998, recogiendo diferentes variables. Se ha realizado un estudio descriptivo de las patologías, contabilizando las jornadas laborales perdidas. Calculamos la incidencia anual de bajas por patologías. Comparamos duración media con otras variables. Resultados. La discapacidad producida por la patología del aparato locomotor supone pérdidas de 221.054 jornadas de trabajo/año. La lumbalgia, el esguince de tobillo son los procesos más frecuentes. Encontramos un aumento en la incidencia de incapacidad temporal por lumbalgia y lumbociatalgia en las zonas básicas rurales de la zona media. No existen diferencias estadísticamente significativas con una pIntroduction. Disability produced by locomotor pahtology causes a loss in working hours and indirect costs that are increasing at a growing rate. The aims of this study are to estimate the costs in total working hours lost caused by this pathology in two health areas of Navarra with 441,600 inhabitants, to obtain standards for the duration and incidence of sick leave and to study the relation between the average duration of sick leave and variables such as the geographical

  6. Genital panics: constructing the vagina in women's qualitative narratives about pubic hair, menstrual sex, and vaginal self-image.

    Science.gov (United States)

    Fahs, Breanne

    2014-06-01

    An emerging body of research targets women's relationship to their genitals, particularly as pubic hair removal and the promotion of female genital surgeries increase in popularity and visibility. This study asked women to discuss their subjective feelings about three related but distinct genital attitudes: pubic hair grooming, sex during menstruation, and genital/vaginal self-image. Specifically, this study applied thematic analysis to qualitative interviews with a community sample of 20 women (mean age=34, SD=13.35) from diverse ages, races, and sexual identity backgrounds to illuminate seven themes in women's narratives about their vaginas: (1) "dirty" or "gross"; (2) needing maintenance; (3) unknown or frustrating; (4) unnatural; (5) comparative; (6) ambivalent; (7) affirmative. Overwhelmingly, women used strong emotional language when discussing their genitals, often evoking descriptions of anxiety, excess, and need for control. Fusions between sexuality and body image, and connections between "genital panics" and internalized racism, sexism, and homophobia, also appeared.

  7. Uso del preservativo masculino en las relaciones con coito vaginal de jóvenes españoles entre catorce y veinticuatro años

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    María Lameiras Fernández

    2008-01-01

    Full Text Available en la actualidad, el preservativo masculino continúa siendo el principal método para prevenir enfermedades de transmisión sexual, incluido el VIviH/SIDAsida. Eel objetivo de este estudio transversal analítico-descriptivo es evaluar la frecuencia de uso de dicho preservativo en las relaciones sexuales coito-vaginales de jóvenes españoles con edades entre 14 y 24 años, e identificar las variables relacionadas con los factores que predisponen, facilitan y refuerzan su utilización. Lla muestra estuvo integrada por 2.171 jóvenes de las comunidades de Ggalicia, Madrid y Aandalucía. 50,4% de los jóvenes encuestados manifestaron haber tenido relaciones coitovaginales en los últimos seis meses. Sse encontró que ser mayor de 18 años y tener más actividad sexual se asocia a menor frecuencia de uso del preservativo. tomó como referencia el modelo Precede; los análisis de regresión logística identificaron como predictores confiables: la intención de conducta de no riesgo y la habilidad autopercibida para usar el preservativo masculino con la pareja habitual (dentro del grupo de factores predisponentes; uso del preservativo masculino la primera vez que mantuvo relaciones coito-vaginales, hablar con la pareja sobre las prácticas sexuales por llevar a cabo, hablar con la pareja sobre los métodos de prevención que se van a utilizar y la baja frecuencia de relaciones con penetración vaginal (dentro del grupo de factores facilitadores; y haber sentido agobio, culpa o arrepentimiento por no tomar precauciones tras alguna práctica coito-vaginal (dentro del grupo de factores reforzantes. Los resultados de este estudio confirman la utilidad del modelo Precede para efectuar el diagnóstico de la conducta sexual.

  8. El efecto de las lágrimas como fator de cambio de sexo masculino -un estúdio de algunos cuentos de Mia Couto

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    Sueder S de Souza

    2015-01-01

    Full Text Available El presente trabajo trata de cuestiones "llorosas" encontradas en algunos cuentos de Mia Couto: la cuestión de la analogía establecida por el sentido común, entre el llanto y la figura de la mujer, indisolublemente ligada a la hembra sexo imagen social. Una lágrima es um símbolo asignado socialmente a la sensibilidad femenina y por lo tanto excluidos del universo masculino - porque "los hombres no lloran" - antes de que el contexto social es la ausencia del factor lacrimógeno que garantiza la sexualidad masculina y la virilidad. Por lo tanto, la imagen masculina resulta no ser parte de este símbolo, pues se se toma como inferior y débil. Es en este contexto que el autor operacionalizar la deconstrucción de los supuestos patriarcales.

  9. Risk factors, healthcare-seeking and sexual behaviour among patients with genital ulcers in Zambia

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    Makasa Mpundu

    2012-06-01

    Full Text Available Abstract Background Genital ulcers (GU are associated with an increased risk of HIV transmission. Understanding risk factors for genital ulcers and sexual behaviour patterns after onset of symptoms and health seeking behaviour among GU-patients can provide useful information to aid design effective prevention strategies for genital ulcers. We investigated risk factors of self-reported GUs and care-seeking in the general population, and assessed GU patients regarding past care-seeking, recent sexual behaviour and partner awareness of the disease. Methods We analysed national data on genital ulcers from the 2007 Zambia Demographic and Health Survey, and data from a cross-sectional survey of genital ulcer patients from primary health care facilities in Lusaka, Zambia. Results The prevalence of GU in 2007 in the general population of Lusaka was 3.6%. Important predictors for genital ulcers were age 25–29 years, being widowed/separated/divorced and having a high number of life-time sexual partners. No differences in care-seeking were observed by residence, wealth and gender, and 60% of the respondents sought care from public health facilities. Among patients with GUs in Lusaka, 14% sought care >2 weeks after symptom onset. Forty-two percent were not aware of their HIV status, 57% reported sex after onset of symptoms and only 15% reported consistent condom use. Conclusions Low awareness of HIV status despite high probability of being infected and low condom use after onset of genital ulcer symptoms leads to a high potential for transmission to sexual partners. This, combined with the fact that many patients with GUs delayed seeking care, shows a need for awareness campaigns about GUs and the importance of abstinence or use of condoms when experiencing such symptoms.

  10. Acute genital ulcers in nonsexually active young girls: case series, review of the literature, and evaluation and management recommendations.

    Science.gov (United States)

    Rosman, Ilana S; Berk, David R; Bayliss, Susan J; White, Andrew J; Merritt, Diane F

    2012-01-01

    Acute genital ulcers rarely occur in nonsexually active young girls. When present, they can cause significant physical and emotional distress for the patient and her parents, and prompt an evaluation for sexual abuse and sexually transmitted diseases. With this review, we aim to further characterize acute genital ulcers in nonsexually active young girls by reviewing the medical records of patients with this disorder and to offer an approach to the diagnosis, evaluation, and treatment of acute genital ulcers based on our understanding and knowledge of this condition. We retrospectively review our understanding and knowledge of acute genital ulcers in nonsexually active girls at a pediatric hospital. A review of the recent literature on acute genital ulcers and a multidisciplinary approach to the diagnosis, evaluation, and treatment of acute genital ulcers are also presented. Twelve patients presented with acute genital ulcers, 11 of which were hospitalized for evaluation and pain management. Extensive work-up failed to reveal a specific infectious or autoimmune etiology in all but one patient, who was diagnosed with acute mycoplasma pneumonia. Acute genital ulcers in nonsexually active young girls likely represent a form of idiopathic vulvar aphthosis. Evaluation of a first episode of acute genital ulcers with mild prodromal symptoms should be limited. Treatment consists primarily of supportive care and symptom relief.

  11. The risk of transmission of genital Chlamydia trachomatis infection is less than that of genital Neisseria gonorrhoeae infection.

    Science.gov (United States)

    Lycke, E; Löwhagen, G B; Hallhagen, G; Johannisson, G; Ramstedt, K

    1980-01-01

    A total of 211 men with 237 female sexual partners and a total of 155 women with 156 male consorts were examined for genital infection with Chlamydia trachomatis and Neisseria gonorrhoeae. The index patients had either single chlamydial or gonococcal infections or dual infections with both microorganisms. Analysis of recovery rates for groups of sexual consorts indicated that gonorrhea was contracted more frequently than chlamydial infection. Thus, when index patients had dual infections, 45% and 28% of their female and male consorts, respectively, had chlamydial infection, but 64% and 77%, respectively, had gonorrhea. When index patients had single infections with C. trachomatis or N. gonorrhoeae, chlamydial infections were observed in consorts of 45% (women) and 28% (men), but gonococcal infections were observed in 80% (women) and 81% (men). Moreover, a significantly larger proportion of consorts of patients with chlamydial infection eluded infection than did partners of patients with gonorrhea. Women who used an intrauterine contraceptive device had chlamydial and gonococcal infections more often than those who used other forms of contraception, or no contraceptive.

  12. Atividade física e sintomas do envelhecimento masculino em uma população do sul do Brasil

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    Leandro Quadro Corrêa

    2011-08-01

    Full Text Available O objetivo deste estudo foi verificar a associação dos sintomas do envelhecimento masculino com o nível de atividade física no lazer e no deslocamento em homens de 40 anos ou mais da cidade de Pelotas, RS. MÉTODOS: Foi realizado um estudo transversal de base populacional incluindo 421 homens que residissem na zona urbana do município. Para avaliar os sintomas do envelhecimento masculino foi utilizada a escala AMS-The Aging Male's Symptoms Scale e para verificar o nível de atividade física foi utilizado o International Physical Activity Questionnaire (IPAQ na versão longa. Para ser considerado ativo, era necessário atingir 150 min de atividade física por semana. RESULTADOS: A prevalência de sedentarismo nos domínios da atividade física do lazer e do deslocamento foi de 82,9% (IC95% 78,9-86,4. Os sintomas psicológicos e somáticos, além do escore geral do envelhecimento, diferiram significativamente entre os sedentários e os ativos (p < 0,05; p = 0,001; p = 0,02, respectivamente. A gravidade do escore geral também foi mais prevalente entre os sujeitos sedentários (p = 0,01, sendo que 90% destes apresentaram sintomas graves. CONCLUSÃO: A presença dos sintomas psicológicos e somáticos e, consequentemente do escore geral, bem como sua gravidade, foram menores entre aqueles sujeitos que atingiram as recomendações atuais de atividade física no lazer e no deslocamento.

  13. Monopólio masculino do xamanismo amazônico: o contra-exemplo das mulheres xamã shipibo-conibo

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    Anne-Marie Colpron

    2005-04-01

    Full Text Available A literatura etnológica sobre os Shipibo-Conibo da Amazônia ocidental atribui o papel prestigioso de xamã apenas aos homens. A pesquisa etnográfica nessa sociedade permitiu descobrir, porém, uma dúzia de mulheres xamãs que exercem atividades comparáveis a de seus confrades. Essas mulheres intervêm em domínios correntemente considerados masculinos na área amazônica: o controle da sexualidade, a caça e o xamanismo ofensivo/defensivo. Apresentando brevemente seus poderes xamânicos, este artigo procura nuançar as categorias sexuais típicas, próprias do estudo do xamanismo amazônico, visando demonstrar como as relações de gênero não são aqui necessariamente concebidas de maneira dicotômica e como a idéia de um xamanismo por essência masculino ocultou a existência de mulheres xamãs entre os Shipibo-Conibo.The ethnographic literature on the Shipibo-Conibo of Western Amazonia attributes the prestigious role of shaman to men only. However, my recent ethnographic research into this society has revealed at least a dozen female shamans who perform activities comparable to those of their male colleagues. These women intervene in what are typically considered to be male domains in Amazonia: the control of sexuality, hunting and offensive/defensive shamanism. Starting with a brief overview of their shamanic powers, this article looks to develop a more nuanced analysis of the sexual categories typical to the study of Amazonian shamanism, demonstrating how gender relations are not necessarily conceived here in a dichotomous fashion and how the idea of an essentially male shamanism has obscured the existence of female shamans among the Shipibo-Conibo.

  14. INFLUENCIA DEL USO DE REGULADORES DE CRECIMIENTO SOBRE BROTES VEGETATIVOS Y NÚMERO DE ESTRÓBILOS MASCULINOS EN Pinus pinea L. EN CHILE

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    Alejandro Venegas-González

    2016-01-01

    Full Text Available La utilización de reguladores de crecimiento o fitorreguladores, es una alternativa para aumentar la floración en la familia Pinaceae. En este estudio se analizaron los efectos de la aplicación de reguladores de crecimiento (fitorreguladores sobre brotes vegetativos y estróbilos masculinos de Pinus pinea L. Los productos seleccionados fueron: giberelina cuatro más siete (GA 4+7 , ácido naftalenacético (NAA y bencilaminopurina (BAP, distribuidos en siete tratamientos, incluido el control. Estos fitorreguladores se emplearon en una plantación de Pinus pinea de 16 años de edad ubicada en Toconey, comuna de Pencahue, región del Maule-Chile. Los tratamientos se aplicaron en cinco fechas, cada dos semanas (fin de agosto a inicio de noviembre. Al final de las aplicaciones se evaluaron las variables: estróbilos masculinos, número de brotes vegetativos y de nuevas brotes, y longitud de brotes apicales . Los principales resultados indicaron que la aplicación de 1.000 mg L -1 de GA 4+7 , fue el tratamiento que indujo la mayor floración masculina, presentando un 99,6 % más de estróbilos con respecto a las ramas testigo y también tuvo un efecto significativo en la longitud de los brotes apicales, aumentando más del doble la longitud respecto al testigo. En el número de brotes vegetativos, la aplicación de 500 mg L -1 BAP mostró diferencias significativas, obteniendo un incremento de 414,3 % con respecto al tratamiento control.

  15. Genital impacts Genital impacts

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    Luiz Felipe G Soares

    2008-04-01

    Full Text Available I propose to analyze three images of genitalia from three different films that do not have sex as their central subject: (1 Lígia’s (Leona Cavalli’s vulva in Claudio Assis’s Amarelo Manga (Brazil, 2002, (2 Stoffer’s (Jens Albinus’s erect penis in Lars von Trier’s The Idiots (Denmark, 1998, and (3 transsexual Dil’s (Jaye Davidson’s penis in Neil Jordan’s The Crying Game (USA, 1992. All three images are explicit and surprising enough to provoke impact, both in diegetic and extra-diagetic spaces. intend to compare the three images and investigate the nature of their impacts, not directly in terms of morality, but in their relation with two theoretical assumptions: (1 the intense way in which, according to Linda Nicholson (1999, so many cultures insist in interpreting bodies and genitalia as still capable of defining gender characters, and (2 the notion of image, not as representation, but as image itself, as “what it is”, or as “the place of every transformation in the universe”, as suggested first by Bergson (2005, and then by Deleuze (1983-5, Rancière (2001 and Agamben (1995. The Deleuzean retard may indicate the way in which genitalia, as image, turn into enigma, in the very passage from nature to culture. The three shots give back to those clear images of genitalia the property they have always had: their character of central pieces in the game of such passage. The contrast between such simple and clear images and all those complex games corresponds to the nature of the impact I want to investigate. film; genitalia; narrative. I propose to analyze three images of genitalia from three different films that do not have sex as their central subject: (1 Lígia’s (Leona Cavalli’s vulva in Claudio Assis’s Amarelo Manga (Brazil, 2002, (2 Stoffer’s (Jens Albinus’s erect penis in Lars von Trier’s The Idiots (Denmark, 1998, and (3 transsexual Dil’s (Jaye Davidson’s penis in Neil Jordan’s The Crying Game (USA, 1992. All three images are explicit and surprising enough to provoke impact, both in diegetic and extra-diagetic spaces. intend to compare the three images and investigate the nature of their impacts, not directly in terms of morality, but in their relation with two theoretical assumptions: (1 the intense way in which, according to Linda Nicholson (1999, so many cultures insist in interpreting bodies and genitalia as still capable of defining gender characters, and (2 the notion of image, not as representation, but as image itself, as “what it is”, or as “the place of every transformation in the universe”, as suggested first by Bergson (2005, and then by Deleuze (1983-5, Rancière (2001 and Agamben (1995. The Deleuzean retard may indicate the way in which genitalia, as image, turn into enigma, in the very passage from nature to culture. The three shots give back to those clear images of genitalia the property they have always had: their character of central pieces in the game of such passage. The contrast between such simple and clear images and all those complex games corresponds to the nature of the impact I want to investigate. film; genitalia; narrative.

  16. O significado atribuído ao papel masculino e feminino por adolescentes de periferia El significado que los adolescentes de la periferia le atribuyen al rol masculino y femenino Meanings attributed to the masculine and feminine roles by socially-excluded adolescents

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    Maria Aparecida Baggio

    2009-12-01

    Full Text Available Trata-se de pesquisa-ação cujo objetivo foi compreender os significados atribuídos ao papel masculino e feminino pelos adolescentes/jovens integrantes de um projeto de inclusão social. Participaram 27 sujeitos vinculados aos grupos da Gastronomia, Estética e Nova Descoberta. Os dados derivam da oficina "conhecimento do corpo humano", desenvolvida nos três grupos em momentos distintos, por meio da construção de cartazes, atividades de recorte, colagem, desenho, escrita; utilização de manequim e abordagem dialógica do tema. Os dados foram analisados conforme o método de análise temática de conteúdo. Os resultados apontam duas categorias: "a fortaleza e o poder masculino" e "o papel contraditório do gênero feminino". Conclui-se que as diferenças dos papéis masculino e feminino, relacionadas ao contexto sócio-político-cultural no qual os adolescentes/jovens estão inseridos, tem repercussões importantes na forma que vivem a sua sexualidade, e, acima de tudo, na construção do seu viver saudável e de sua cidadania.Se trata de investigación -acción cuyo objetivo fue comprender los significados que los adolescentes de un grupo de inclusión social le atribuyen al papel masculino y femenino Participaron 27 sujetos vinculados a los grupos da Gastronomía, Estética y Nueva Descubierta. Los datos derivan del taller "conocimiento del cuerpo humano", desarrollado en los 3 grupos, en momentos distintos, a través de la creación de carteles , actividades para hacer collagede recorte , diseño, escritura; utilización de maniquí y abordaje dialógica del tema. Los datos fueron analizados con el método de análisis temático de contenido. Los resultados evidencian dos categorías: "la fortaleza y el poder masculino" y "el papel contradictorio del género femenino". Se concluye que las diferencias de papeles masculino y femenino, relacionadas al contexto socio-político-cultural en el cual los adolescentes/jóvenes están inseridos

  17. Female genital mutilation: Survey of paediatricians' knowledge, attitudes and practice.

    Science.gov (United States)

    Sureshkumar, Premala; Zurynski, Yvonne; Moloney, Susan; Raman, Shanti; Varol, Nesrin; Elliott, Elizabeth J

    2016-05-01

    The study objective was to determine paediatricians' experience with female genital mutilation (FGM) in Australian children and adolescents. A cross-sectional, pilot-tested national survey of paediatricians practising in Australia and contributing to the Australian Paediatric Surveillance Unit was conducted. Clinicians' knowledge, attitudes and clinical experience with FGM, awareness of clinical guidelines and education/training needs were recorded. Of 1311 paediatricians surveyed, 497 (38%) responded. Fifty-seven percent were aged 50 years or more, and 51.3% were males. Over half believed that FGM was performed in children in Australia and most were aware of its complications, but few asked about or examined for FGM. Fifty (10.3%) had seen at least one case of FGM in girls aged <18 years during their clinical career, including 16 (3.3%) in the past 5 years. Most were aware that FGM is illegal in Australia (93.9%), agreed all types of FGM were harmful (97.4%) and agreed that FGM violated human rights (98.2%). Most (87.6%) perceived FGM as a traditional cultural practice, although 11.6% thought it was required by religion. The majority (81.8%) knew notification of FGM to child protection authorities was mandatory. Over half (62.0%) were aware of the WHO Statement on FGM, but only 22.0% knew the WHO classification of FGM. These novel data indicate a minority of paediatricians in Australia have clinical experience with or education about FGM. Educational programs, best-practice clinical guidelines and policies are required to address knowledge gaps and help paediatricians identify, manage and prevent FGM in children.

  18. Cryopreservation Causes Genetic and Epigenetic Changes in Zebrafish Genital Ridges.

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    Marta F Riesco

    Full Text Available Cryopreservation is an important tool routinely employed in Assisted Reproduction Technologies (ARTs and germplasm banking. For several years, the assessment of global DNA fragmentation seemed to be enough to ensure the integrity of genetic material. However, cryopreservation can produce molecular alterations in key genes and transcripts undetectable by traditional assays, such modifications could interfere with normal embryo development. We used zebrafish as a model to study the effect of cryopreservation on key transcripts and genes. We employed an optimized cryopreservation protocol for genital ridges (GRs containing primordial germ cells (PGCs considered one of the best cell sources for gene banking. Our results indicated that cryopreservation produced a decrease in most of the zebrafish studied transcripts (cxcr4b, pou5f1, vasa and sox2 and upregulation of heat shock proteins (hsp70, hsp90. The observed downregulation could not always be explained by promoter hypermethylation (only the vasa promoter underwent clear hypermethylation. To corroborate this, we used human spermatozoa (transcriptionally inactive cells obtaining a reduction in some transcripts (eIF2S1, and LHCGR. Our results also demonstrated that this effect was caused by freezing/thawing rather than exposure to cryoprotectants (CPAs. Finally, we employed real-time PCR (qPCR technology to quantify the number of lesions produced by cryopreservation in the studied zebrafish genes, observing very different vulnerability to damage among them. All these data suggest that molecular alterations caused by cryopreservation should be studied in detail in order to ensure the total safety of the technique.

  19. Hysterosalpingographic Appearances of Female Genital Tract Tuberculosis: Part I. Fallopian Tube

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    Firoozeh Ahmadi

    2014-01-01

    Full Text Available Female genital tuberculosis (TB remains as a major cause of tubal obstruction leading to infertility, especially in developing countries. The global prevalence of genital tuberculosis has increased during the past two decades due to increasing acquired immunodeficiency syndrome (AIDS. Genital TB is commonly asymptomatic, and it is diagnosed during infertility investigations. Despite of recent advances in imaging tools, such as computerized tomography (CT scan, magnetic resonance imaging (MRI and ultrasongraphy, hysterosalpingography is still the standard screening test for evaluation of tubal infertility and a valuable tool for diagnosis of female genital tuberculosis. Tuberculosis gives rise to various appearances on hysterosalpingography (HSG from non-specific changes to specific findings. The present pictorial review illustrates and describes specific and non-specific radiographic features of female genital tuberculosis in two parts. Part I presents specific findings of tuberculosis related to tubes such as "beaded tube", "golf club tube", "pipestem tube", "cobble stone tube" and "leopard skin tube". Part II describes adverse effects of tuberculosis on structure of endometrium and radiological specific findings such as "dwarfed" uterus with lymphatic intravasation and occluded tubes, "T-shaped" tuberculosis uterus, "pseudounicornuate" uterus and "Collar-stud abscess", which have not been encountered in the majority of non-tuberculosis cases.

  20. A novel mucosal orthotopic murine model of human papillomavirus-associated genital cancers.

    Science.gov (United States)

    Decrausaz, Loane; Gonçalves, Ana-Rita; Domingos-Pereira, Sonia; Pythoud, Christelle; Stehle, Jean-Christophe; Schiller, John; Jichlinski, Patrice; Nardelli-Haefliger, Denise

    2011-05-01

    Cervical cancer results from infection with high-risk type human papillomaviruses (HPV). Therapeutic vaccines aiming at controlling existing genital HPV infections and associated lesions are usually tested in mice with HPV-expressing tumor cells subcutaneously implanted into their flank. However, effective vaccine-induced regression of these ectopic tumors strongly contrasts with the poor clinical results of these vaccines produced in patients with HPV-associated genital neoplasia. To assess HPV therapeutic vaccines in a more relevant setting, we have, here, established an orthotopic mouse model where tumors in the genital mucosa (GM) develop after an intravaginal instillation of HPV16 E6/E7-expressing tumor cells transduced with a luciferase-encoding lentiviral vector for in vivo imaging of tumor growth. Tumor take was 80-90% after nonoxynol-9 induced damage of the epithelium. Tumors remained localized in the genital tract, and histological analysis showed that most tumors grew within the squamous epithelium of the vaginal wall. Those tumors induced (i) E7-specific CD8 T cells restricted to the GM and draining lymph nodes, in agreement with their mucosal location and (ii) high Foxp3+ CD4+ infiltrates, similarly to those found in natural non-regressing HPV lesions. This novel genital HPV-tumor model by requiring GM homing of vaccine-induced immune responses able to overcome local immuno-suppression may be more representative of the situation occurring in patients upon therapeutic vaccination.

  1. Isolation of human immunodeficiency virus from genital ulcers in Nairobi prostitutes.

    Science.gov (United States)

    Kreiss, J K; Coombs, R; Plummer, F; Holmes, K K; Nikora, B; Cameron, W; Ngugi, E; Ndinya Achola, J O; Corey, L

    1989-09-01

    Recent epidemiologic studies have implicated genital/anorectal ulcer disease as an important cofactor for acquisition and transmission of human immunodeficiency virus (HIV) during sexual intercourse. To better understand the mechanism for the association between genital ulcers and HIV, exudates from 62 genital ulcers of 56 HIV-seropositive prostitutes in Nairobi (Kenya) were cultured for HIV. Twenty-six ulcer cultures could not be evaluated for the presence of HIV because of bacterial or fungal contamination. HIV was isolated from 4 (11%) of the 36 remaining uncontaminated ulcer cultures (2 introital, 1 vaginal, and 1 cervical) from 4 separate women. HIV was isolated from the cervical os from only 2 of the 4 women. HIV p24 antigen was detected in exudate from 1 of the 4 culture-positive ulcers and 0 of 32 culture-negative ulcers. Genital ulcers in seropositive patients should be regarded as potential sources of HIV, which could be important in transmission of HIV during intercourse. Public health measures aimed at controlling sexually transmitted genital ulcer diseases should be an integral part of acquired immunodeficiency syndrome (AIDS) prevention programs.

  2. The Etiology of Genital Ulcer Disease among Patients Attending Sexually Transmitted Disease Clinics in Guangzhou, China

    Institute of Scientific and Technical Information of China (English)

    GU Jin(谷进); ZENG Zhirong(曾志荣); CHEN Rongzhang(陈荣章); ZHU Huilan(朱慧兰); QIU Xiaoshan(邱晓珊)

    2002-01-01

    Objectives: To investigate the etiology of genital ulcerdisease (GUD) among patients attending sexuallytransmitted disease (STD) clinics in Guangzhou, China.Methods: Between September 8, 1998, and August 9,2001, 267 patients with a genital ulcer were clinicallyassessed. Clinical etiology of GUD was dependent onphysical appearance and microbiologic examination,including the following: dark field microscopy and serologyfor Treponema pallidum (TP), swabs of genital ulcer forHerpes simplex virus (HSV), processed quantitativefluorescent polymerase chain reaction (QF-PCR) forsimultaneous detection of HSV, TP, Haemophilus ducreyi(HD), Human papillomavirus (HPV), and serology for HIVinfection.Results: Two hundred thirty men and thirty-sevenwomen with a median age of 33.4 (range 16-74 years) wereanalyzed. The etiology of GUD was syphilis (26.59%)(71/267), genital herpes (17.60%) (47/267), condylomataacuminata (4.87%) (13/267), candidiasis (3.37%) (9/267),bacterial infection (3.75%) (10/267), and multiple infection(6.74%) (18/267). The seroprevalence of HIV was 0.75%(2/267). No etiology was identified in 50.56% (135/267).Conclusion: The etiology of GUD among STD patients inour area was multifactorial with a predominance of syphilisand genital herpes. Based on this limited data obtained atSTD clinics, HIV infection was not common.

  3. Genital ulcers during treatment with ALL-trans retinoic acid for acute promyelocytic leukemia.

    Science.gov (United States)

    Fukuno, Kenji; Tsurumi, Hisashi; Goto, Hideko; Oyama, Masami; Tanabashi, Shinobu; Moriwaki, Hisataka

    2003-11-01

    Scrotal ulcer is a unique adverse effect of all-trans retinoic acid (ATRA) in patients with acute promyelocytic leukemia (APL). The pathogenesis of scrotal ulceration remains unknown. We describe genital ulcers that developed in four patients with APL who were undergoing ATRA therapy (45 mg/m2 per day p.o.). Two of the patients were female, in whom this condition is quite rare. Genital ulcers with concomitant fever appeared between 17 and 32 days of therapy in all four patients. Genital ulcers healed in three of the patients while another patient developed Fournier's gangrene and underwent left testectomy. Ulcer healing was brought by either local or intravenous corticosteroids. Intravenous dexamethasone actually enabled continued ATRA administration in one patient, while ATRA was discontinued in other two patients. If corticosteroids cannot control progression of genital ulcers nor concomitant fever, ATRA administration should be discontinued so as not to induce Fournier's gangrene nor retionic acid syndrome. Our experience indicates the importance of recognizing genital ulcers associated with ATRA in order that appropriate countermeasures can be taken.

  4. [Vaginal colonization by genital mycoplasmas in pregnant and non-pregnant women].

    Science.gov (United States)

    Castellano-González, Maribel; Ginestre-Pérez, Messaria; Perozo-Mena, Armindo; Alaña, Freddy; Fernández-Bravo, Marisol; Rincón-Villalobos, Gresleida

    2007-12-01

    To compare vaginal colonization by genital micoplasmas in pregnant and non pregnant women and to determine the association between pregnancy and colonization by these microorganisms, samples of exocervix an endocervix from pregnant (n = 80) and non pregnant (n = 65) women, from two health centers of Maracaibo, Zulia State, Venezuela were processed. The Mycoplasma-Lyo kit (bioMérieux laboratories) was used for the culture and identification of genital micoplasmas. In pregnant women, prevalences of 10% for M. hominis and 26.25% for Ureaplasma spp. were found; 35.38% for M. hominis and 20% for Ureaplasma spp. in non-pregnant, were obtained. Among the pregnant, Ureaplasma spp. was the most frequently isolated micoplasma, in symptomatic and asymptomatic; while in the non pregnant group, M. hominis was more common among the symptomatic patients; only one case (1.54%) was an asymptomatic carrier of Ureaplasma spp. The highest positivity percentages were obtained in primigravidas (48.71%) and during the second gestational trimester (34.21%). No statistically significant differences were found between vaginal colonization by genital micoplasmas according to age, number of pregnancy and gestational trimester; but they were found between the presented symptomatology and vaginal colonization by genital micoplasmas. Genital micoplasmas were isolated from gravid women at approximately the same recovery rate as in non-pregnant women; being M. hominis the most frequently isolated in non-pregnant women and Ureaplasma spp. in the pregnant group.

  5. Prevalence and Associated Factors of Genital and Sexually Transmitted Infections in Married Women of Iran

    Science.gov (United States)

    Ahmadnia, Elahe; Kharaghani, Roghieh; Maleki, Azam; Avazeh, Azar; Mazloomzadeh, Saeideh; Sedaghatpisheh, Tahereh; Jalilvand, Ahmad; Molae, Behnaz

    2016-01-01

    Objectives This study aimed to determine the prevalence of genital and sexually transmitted infections and its related factors in married women in Iran. Methods We conducted a cross-sectional study of 4 274 married women living in urban and rural areas of the Zanjan province from 2012 to 2013. We used stratified cluster sampling to select the participants. Data collection included demographic characteristics, reproductive status, and cervical cytology results. Results The prevalence of lower genital infections and sexually transmitted infections were 20.1% and 7.4%, respectively. The most common vaginal infection was bacterial vaginosis with a prevalence of 8.5%, and the most common sexually transmitted infection was Trichomonas vaginalis (1.4%). The use of the intrauterine device (IUD) as a contraceptive, living in an urban area, and experiencing vaginal discharge were significantly related to genital tract and sexually transmitted infections. Conclusions There was a high prevalence of genital infection among women living in Zanjab. Screening and treatment of genital infection are necessary to prevent adverse consequences in women who use an IUD or live in urban areas. PMID:27974960

  6. Prevalence and Associated Factors of Genital and Sexually Transmitted Infections in Married Women of Iran

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    Elahe Ahmadnia

    2016-11-01

    Full Text Available Objectives: This study aimed to determine the prevalence of genital and sexually transmitted infections and its related factors in married women in Iran. Methods: We conducted a cross-sectional study of 4 274 married women living in urban and rural areas of the Zanjan province from 2012 to 2013. We used stratified cluster sampling to select the participants. Data collection included demographic characteristics, reproductive status, and cervical cytology results. Results: The prevalence of lower genital infections and sexually transmitted infections were 20.1% and 7.4%, respectively. The most common vaginal infection was bacterial vaginosis with a prevalence of 8.5%, and the most common sexually transmitted infection was Trichomonas vaginalis (1.4%. The use of the intrauterine device (IUD as a contraceptive, living in an urban area, and experiencing vaginal discharge were significantly related to genital tract and sexually transmitted infections. Conclusions: There was a high prevalence of genital infection among women living in Zanjab. Screening and treatment of genital infection are necessary to prevent adverse consequences in women who use an IUD or live in urban areas.

  7. Detoxified Haemophilus ducreyi cytolethal distending toxin and induction of toxin specific antibodies in the genital tract.

    Science.gov (United States)

    Lundqvist, Annika; Fernandez-Rodrigues, Julia; Ahlman, Karin; Lagergård, Teresa

    2010-08-16

    Haemophilus ducreyi causes genital ulceration (chancroid), a sexually transmitted infection and still an important factor which contributes to the spread of HIV in developing countries. The bacterium produces a cytolethal distending toxin (HdCDT) causing cell cycle arrest and apoptosis/necrosis of human cells and contributes to the aggravation of ulcers. The aim of the study was to induce toxin-neutralizing antibodies in the genital tract of mice. Repeated subcutaneous (sc) immunisations with 5-10microg active HdCDT induced low levels of serum anti-HdCDT IgG without neutralizing capacity. High levels of specific IgG1 antibodies in serum and genital tract were generated after sc immunisations with 10microg formaldehyde detoxified HdCDT toxoid alone and the addition of aluminium salts or RIBI (based on the lipid A moiety) as adjuvant further increased the level of serum antibodies. A high correlation was found between elevated levels of anti-HdCDT IgG in sera, the level of neutralizing activity and the antibody level in genital tract (r=0.8). Thus, induction of high antibody levels specific to HdCDT in the genital tissue can be achieved by parenteral immunisation with the toxoid. The HdCDT toxoid can be considered as a candidate component in vaccine against chancroid.

  8. 170 Years of “Lock-and-Key”: Genital Morphology and Reproductive Isolation

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    John P. Masly

    2012-01-01

    Full Text Available The divergent genital morphology observed among closely related animal species has long been posited as a mechanism of reproductive isolation. Despite the intuitive appeal that rapidly evolving genitalia might cause speciation, evidence for its importance—or even its potential—in reproductive isolation is mixed. Most tests of genital structural isolation between species often fail to find convincing evidence that differences in morphology prevent copulation or insemination between species. However, recent work suggests that differences in genital morphology might contribute to reproductive isolation in less obvious ways through interactions with sensory mechanisms that result in lowered reproductive fitness in heterospecific matings. In this paper, I present a brief history of the “lock-and-key” hypothesis, summarize the evidence for the involvement of genital morphology in different mechanisms of reproductive isolation, discuss progress in identifying the molecular and genetic bases of species differences in genital morphology, and discuss prospects for future work on the role of genitalia in speciation.

  9. A Protective Vaccine against Chlamydia Genital Infection Using Vault Nanoparticles without an Added Adjuvant

    Science.gov (United States)

    Jiang, Janina; Liu, Guangchao; Kickhoefer, Valerie A.; Rome, Leonard H.; Li, Lin-Xi; McSorley, Stephen J.; Kelly, Kathleen A.

    2017-01-01

    Chlamydia trachomatis genital infection is the most common sexually transmitted bacterial disease, causing a significant burden to females due to reproductive dysfunction. Intensive screening and antibiotic treatment are unable to completely prevent female reproductive dysfunction, thus, efforts have become focused on developing a vaccine. A major impediment is identifying a safe and effective adjuvant which induces cluster of differentiation 4 (CD4) cells with attributes capable of halting genital infection and inflammation. Previously, we described a natural nanocapsule called the vault which was engineered to contain major outer membrane protein (MOMP) and was an effective vaccine which significantly reduced early infection and favored development of a cellular immune response in a mouse model. In the current study, we used another chlamydial antigen, a polymorphic membrane protein G-1 (PmpG) peptide, to track antigen-specific cells and evaluate, in depth, the vault vaccine for its protective capacity in the absence of an added adjuvant. We found PmpG-vault immunized mice significantly reduced the genital bacterial burden and histopathologic parameters of inflammation following a C. muridarum challenge. Immunization boosted antigen-specific CD4 cells with a multiple cytokine secretion pattern and reduced the number of inflammatory cells in the genital tract making the vault vaccine platform safe and effective for chlamydial genital infection. We conclude that vaccination with a Chlamydia-vault vaccine boosts antigen-specific immunities that are effective at eradicating infection and preventing reproductive tract inflammation. PMID:28106821

  10. Lissencephaly, abnormal genitalia and refractory epilepsy: case report of XLAG syndrome Lisencefalia, genitália ambígua e epilepsia refratária: relato de caso da síndrome XLAG

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    Mônica Jaques Spinosa

    2006-12-01

    Full Text Available INTRODUCTION: X-linked lissencephaly with ambiguous genitalia (XLAG is a recently described genetic disorder caused by mutation in the aristaless-related homeobox (ARX gene (Xp22.13. Patients present with lissencephaly, agenesis of the corpus callosum, refractory epilepsy of neonatal onset, acquired microcephaly and male genotype with ambiguous genitalia. CASE REPORT: Second child born to healthy nonconsanguineous parents, presented with seizures within the first hour of life that remained refractory to phenobarbital, phenytoin and midazolam. Examination identified microcephaly, axial hypotonia, pyramidal signs and ambiguous genitalia. EEG showed disorganized background activity and seizures starting at the right midtemporal, central and occipital regions. MRI showed diffuse pachygyria, moderate thickening of the cortex, enlarged ventricles, agenesis of the corpus callosum and septum pellucidum. Karyotype showed a 46,XY genotype. Additional findings were hypercalciuria, vesicoureteral reflux, patent ductus arteriosus and chronic diarrhea.INTRODUÇÃO: Lisencefalia com genitália ambígua ligada ao X (XLAG é doença genética recentemente descrita, causada por mutação no gene aristaless-related homeobox (ARX (Xp22.13. Os pacientes apresentam lisencefalia, agenesia de corpo caloso, epilepsia refratária com início no período neonatal, microcefalia adquirida e genótipo masculino com genitália ambígua. RELATO DE CASO: Segundo filho de pais não-consangüíneos, apresentou crises na primeira hora de vida que permaneceram refratárias a fenobarbital, fenitoína e midazolam. Apresentava microcefalia, hipotonia axial, sinais de liberação piramidal e genitália ambígua. EEG demonstrou atividade de base desorganizada, crises convulsivas com início nas regiões temporal-média, central e occipital direitas. RNM demonstrou paquigiria difusa, moderado espessamento do córtex, ventrículos aumentados, agenesia de corpo caloso e septo pel

  11. Morphology of accessory genital glands of spotted paca (Agouti paca Linnaeus, 1766).

    Science.gov (United States)

    Borges, Edson Moreira; Branco, Érika; de Lima, Ana Rita; Leal, Leonardo Martins; Martins, Leandro Luiz; Reis, Ana Carolina Gonçalves; Cruz, Claudinei; Machado, Márcia Rita Fernandes; Miglino, Maria Angelica

    2014-02-01

    The spotted paca is the second largest rodent in Brazil, where it is of great economic interest in impoverished regions in view of its prominence as a low-cost source of protein. Little is known about the morphology of the accessory genital glands of this species. Thus, we studied the position and morphology of the genitals in ten adult male spotted pacas. The animals were divided into two groups, five animals were used for fixing of samples in 10% aqueous formaldehyde for macroscopic studies and the other five animals were designated for microscopic analysis. These were arranged in pairs and had the vesicular, prostate, coagulating and bulbourethral glands identified, being structured as mucous glands, which lead into the pelvic urethra. It was concluded that the accessory genital glands found in the paca are the same as those found in most rodents, showing similar histological aspects.

  12. Lipschutz ulcers: evaluation and management of acute genital ulcers in women.

    Science.gov (United States)

    Huppert, Jill S

    2010-01-01

    Acute genital ulcers are painful and distressing to women and perplexing to the providers who care for them. The differential diagnosis includes sexually and nonsexually transmitted infections, autoimmune conditions, drug reactions, and local manifestations of systemic illness. However, in many cases, no causative agent is identified, and lesions are classified as idiopathic aphthosis. In the setting of fever and acute onset of genital ulcers in girls and women, the term Lipschutz ulcers has been used to describe ulcers associated with an immunologic reaction to a distant source of infection or inflammation. The aims of this article are to review the differential diagnosis and pathogenesis of acute genital ulcers, to offer an evaluation and classification scheme, and to discuss treatment options for the dermatologist who cares for women and girls with vulvar ulcers.

  13. Clear cell carcinoma of the female genital tract (not everything is as clear as it seems).

    Science.gov (United States)

    Offman, Saul L; Longacre, Teri A

    2012-09-01

    Clear cell carcinoma has a storied history in the female genital tract. From the initial designation of ovarian clear cell adenocarcinoma as "mesonephroma" to the linkage between vaginal clear cell carcinoma and diethylstilbestrol exposure in utero, gynecologic tract clear cell tumors have puzzled investigators, posed therapeutic dilemmas for oncologists, and otherwise presented major differential diagnostic challenges for pathologists. One of the most common errors in gynecologic pathology is misdiagnosis of clear cell carcinoma, on both frozen section and permanent section. Given the poor response to platinum-based chemotherapy for advanced-stage disease and increased risk of thromboembolism, accurate diagnosis of clear cell carcinoma is important in the female genital tract. This review (1) presents the clinical and pathologic features of female genital tract clear cell carcinomas; (2) highlights recent molecular developments; (3) identifies areas of potential diagnostic confusion; and (4) presents solutions for these diagnostic problems where they exist.

  14. Female genital mutilation: an analysis of 522 cases in South-Western Nigeria.

    Science.gov (United States)

    Dare, F O; Oboro, V O; Fadiora, S O; Orji, E O; Sule-Odu, A O; Olabode, T O

    2004-04-01

    This study was conducted at three teaching hospitals in South-Western Nigeria. Paturients were examined to find out if they had had female genital mutilation. Those who did were given a self-administered questionnaire. Results show that all the patients had either Type I (69%) or Type II (31%) mutilation (using WHO classification). The average age at which the procedure was performed was 6.9+/-2.9 years, with 4% of women having the procedure performed in pregnancy. The majority of the procedures were performed by medically untrained personnel (89%). Up to 67% of the women reported complications following the procedure. Severe pain and bleeding were the most common (69%) of the complications reported. The most common reason given for the procedure is cultural/traditional (63%). About a fifth of the women want their female child to undergo female genital mutilation. This study highlights the need for further interventions aimed at discouraging the practice of female genital mutilation.

  15. Asymptomatic Genital Infection of Human Papillomavirus in Pregnant Women and the Vertical Transmission Route

    Institute of Scientific and Technical Information of China (English)

    DENG Dongrui; WEN Liangzhen; CHEN Wen; LING Xiazhen

    2005-01-01

    Summary: To further investigate the vertical transmission route of human papillomavirus (HPV) and the indication for the choice of mode of delivery, the infective status of 152 asymptomatic pregnant wemen and the maternal-fetal transmission were studied. By using general primers in polymerase chain reaction (GP-PCR) combined with restriction fragment length polymorphism analysis, HPV DNA positive rate in cervical secretions and venous blood in asymptomatic pregnant women was 36.21 % and 52.78 %, respectively, and the identified genotypes were mainly HPV16 and 18. The maternal-fetal transmission rate of HPV via genital tract as well as blood was 40.91 % and 57.89 %, respectively. It was concluded that besides the transmission route of genital tract and amniotic fluid, there was also transplacental transmission of HPV in utero. Therefore,in our opinion, it is not an absolut indication to perform a cesarean delivery for the pregnant women with HPV asymtomatic genital infection.

  16. Ultrastructural morphology of the male and female genital tracts of Psoroptes spp. (Acari: Astigmata: Psoroptidae).

    Science.gov (United States)

    Lekimme, Mireille; Leclercq-Smekens, Michèle; Devignon, Chantal; Leclipteux, Thierry; Poumay, Yves; Losson, Bertrand

    2005-01-01

    The structure of the male and female genital systems of the astigmatid mite Psoroptes ovis (Hering) is described. The male genital system is composed of a paired testis, fused at its proximal part, two vasa deferentia, an ejaculatory duct, into which a single accessory gland opens, and a copulatory organ. The testis is characterized by a peripheric syncytial cell surrounding spermatogonia, spermatocytes, spermatids and spermatozoa which are distributed regularly in the gonad according to the sequence of spermatogenesis. The female genital system consists of a copulatory pore (the bursa copulatrix), a seminal receptacle, paired ovaries and oviducts, a glandular uterus and an ovipositor which leads to the oviporus. Ovaries are composed of somatic cells, germ cells and a central cell, with a multilobular nucleus, connected to oocytes by a stalk. Similarities with other astigmatic mites belonging to Psoroptidia and Acaridia are also discussed.

  17. Mycophenolate mofetil in erosive genital lichen planus: a case and review of the literature.

    Science.gov (United States)

    Deen, Kristyn; McMeniman, Erin

    2015-03-01

    Erosive genital lichen planus is a disabling, inflammatory mucocutaneous condition that can cause significant patient morbidity and loss of function. Treatment initially involves topical corticosteroids but some patients can have severe treatment-resistant courses requiring systemic immunosuppression. With potentially unfavorable adverse effect profiles and subsequent intolerance of these agents by patients, erosive lichen planus can ultimately be a challenging condition to treat effectively. We present a case of a 66-year-old woman with treatment-resistant erosive genital lichen planus who was successfully managed with mycophenolate mofetil. Although there is only weak evidence for this agent in this condition, its role in dermatology is growing due to its efficacy and advantageous adverse effect profile and should therefore be considered in patients with treatment-resistant erosive genital lichen planus.

  18. Genital trauma during a complicated domiciliary childbirth assisted by a non-expert midwife

    Directory of Open Access Journals (Sweden)

    Ada Arleny Pérez Mayo

    2015-06-01

    Full Text Available The study presents the case of a 20-year-old puerpera seen at San Pedro Necta National Hospital of the Department of Huehuetenango, Guatemala, due to a persisting vaginal bleeding and genital tear. The clinical picture was determined as a genital trauma by domiciliary childbirth assisted by a midwife. As there was no abdominal echography and there were signs of hypovolemia, a gynecological checkup was performed at the operating room, having circulatory support with intravenous crystalloid solutions. A careful preoperative preparation was carried out which included local antisepsis with tincture of iodine and hydrogen peroxide, as well as the administration of ceftriaxone as a prophylactic antibiotic for the infection. The surgical intervention consisted in repairing the cervical tears, as well as the traumatic lesions caused by an inadequate manipulation of the external genitals, with absorbable suture material. No complications were reported and the patient progressed satisfactorily, with a 5-day hospital stay.

  19. A comparative analysis of polymerase chain reaction and direct fluorescent antibody test for diagnosis of genital herpes

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    Vrushali Patwardhan

    2017-01-01

    Conclusion: PCR was found to be better in the detection of HSV in recurrent genital herpes patients. It is a better modality, especially when genital herpes clinically presents with ulcerative or crusted lesions, and is also a cheaper alternative as compared to DFA.

  20. Valaciclovir versus aciclovir in patient initiated treatment of recurrent genital herpes: A randomised, double blind clinical trial

    NARCIS (Netherlands)

    N.J. Bodsworth; R.J. Crooks; S. Borelli; G. Vejlsgaard; J. Paavonen; A.M. Worm; N. Uexkull; J. Esmann; A. Strand; A.J. Ingamells; A. Gibb (A.); S.E. Barton (Simon); C. Beylot (C.); J. Bingham (J.); G. Bojs (G.); D. Cheetham (D.); E. Curless (E.); B. Czarnetzki (B.); S. Davies (S.); A. Eichmann (A.); B. Goh; D. Goldmeir (D.); G. Gross; U.F. Haustein; G. Kinghorn (G.); J. Lauharanta; C. Law; G. Luzzi (G.); A. McMillan (A.); J. Meaden (J.); U. Montemagno (U.); P. Morel; M. Negosanti; J.E. Nielsen (Jorgen); A. Nilsen; E-K. Ong; J.P. Ortonne; R. Patel; J. Patten; D. Petzold; T. Rufli; S. Saari; M. Shahmanesh; A. Simpanen (A.); J. Soltz-Szots; J.P. Stahl; E. Stolz (Ernst); I. Thelin; N. von Uexkull; A. Wikstrom; P. Woolley

    1997-01-01

    textabstractObjective: To compare the efficacy and safety of twice daily valaciclovir with five times daily aciclovir in the treatment of an episode of recurrent genital herpes simplex virus (HSV) infection in immunocompetent individuals. Methods: 739 patients with a history of recurrent genital HSV

  1. Unilateral sacrospinous ligament fixation for treatment of genital prolapse

    Institute of Scientific and Technical Information of China (English)

    PENG Ping; ZHU Lan; LANG Jing-he; WANG Wen-yan; SHI Hong-hui

    2010-01-01

    Background Genital prolapse affects 30% of middle-aged and older women and is becoming a major public health concern. Sacrospinous ligament fixation is an effective and safe procedure for vaginal vault prolaps with a low recurrence and complication rate. This study aimed to investigate the efficacy and safety of unilateral sacrospinous ligament fixation (SSLF) for the management of pelvic organ prolapse (POP).Methods Forty patients with severe prolapse of pelvic organ undergoing unilateral SSLF were retrospectively studied.In this study, all patients were staged by the value of POP-Q. All procedures were performed by a senior physician. The characteristics of these patients and their immediate and short-term post-operative outcome were recorded. All patients were seen six weeks and six months after the surgery. The evaluation included standardized questionnaire and site-specific vaginal examination by one physician.Results The average operation time was 65-92 minutes. The average blood loss was 83-188 ml. The average hospitalization time was 6.1 days. The average cost was 5885 yuan. The average day of urethral catheter removal after the operation was 2.1 days. The incidence of postoperative morbidity was 17.1%. One (2.4%) patient had hematoma in the right pelvic. The mean length of postoperative follow-up for 35 patients was 13.1 months. The rate of follow-up was 87.5%. One (2.9%) patient showed recurrent vaginal vault prolapse six months after the surgery. The objective success rate of pelvic organ prolapse was 85% (34/40). There was significant difference between the POP-Q of Aa, Ba, Ap, Bp,and D before and after operation (P <0.001 ). Five (14.3%) patients complained lower back pain, gluteal pain or right groin pain. Three (8.6%) patients developed de novo stress incontinence. Vaginal disabsorbable sutures were found in three (8.6%) patients. One (2.9%) patient had de novo urge incontinence.Conclusions Unilateral SSLF was both cost and treatment effective

  2. Research gaps in the care of women with female genital mutilation: an analysis.

    Science.gov (United States)

    Abdulcadir, J; Rodriguez, M I; Say, L

    2015-02-01

    Female genital mutilation (FGM) includes procedures involving the partial or total removal of the external female genitals for non-therapeutic reasons. They can have negative psychosexual and health consequences that need specific care. In this paper, we review some key knowledge gaps in the clinical care of women with FGM, focusing on obstetric outcomes, surgical interventions (defibulation and clitoral reconstruction), and the skills and training of healthcare professionals involved in the prevention and management of FGM. We identify research priorities to improve the evidence necessary to establish guidelines for the best multidisciplinary care, communication, and prevention, and to improve health-promotion measures for women with FGM.

  3. Genital Involvement In Pre-Pubertal Pediatric Population: A Rare Aspect of Crohn’s Disease

    Directory of Open Access Journals (Sweden)

    Qurratul Ann Warsi

    2016-09-01

    Full Text Available Crohn’s disease is an inflammatory bowel disease (IBD, characterized by chronic intestinal inflammation that causes the loss of immune tolerance leading to bizarre inflammatory signals and disruption of mucosal barriers. Environmental triggers and interaction of genetic determinants also play an indispensible role. In this case report, we present a pre-pubertal girl with intermittent and refractory genital swelling. We emphasize that Crohn’s disease must be considered in the differential diagnosis of recurrent, non-tender, erythematous and edematous lesions of the genital area. We conclude with future directions for diagnosing and managing vulvar Crohn’s disease in pediatric population.

  4. Percepciones de los hombres sobre las complicaciones asociadas a la mutilación genital femenina

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    Ismael Jiménez-Ruiz

    2016-07-01

    Conclusiones: Los participantes procedentes de países donde se realiza la mutilación genital femenina, contrarios a mantener esta práctica, muestran un mayor conocimiento de las consecuencias negativas que los que se manifiestan a favor. El diseño de herramientas y programas de sensibilización destinados a la lucha contra la mutilación genital femenina debe visibilizar las complicaciones sobre la salud de las mujeres y las niñas, e incluir intervenciones familiares que impliquen a los hombres en el proceso de erradicación de esta práctica.

  5. Correction of Free Radical Lipid Oxidation in Internal Female Genital Inflammatory Diseases

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    A. D. Belyaevsky

    2008-01-01

    Full Text Available The paper descries a specific view on the mechanism responsible for development of the resistance of an inflammatory process in the female genital tract to drugs and on the role of a free radical process activation factor in the pathogenesis of the disease. Emphasis is laid on the importance of measures to diminish cell membrane permeability, by correcting their structural and functional states with antioxidants. Key words: inflammatory processes in the female genital organs, lipid peroxidation, antioxidative defense, cell membrane structural and functional state.

  6. Genital examination and exposure experienced as nosocomial sexual abuse in childhood.

    Science.gov (United States)

    Money, J; Lamacz, M

    1987-12-01

    Three pediatric cases of girls, one with idiopathic precocious puberty and two with a birth defect of the sex organs, exemplify the proposition that genital exposure and the physical examination of the genitals may be experienced subjectively as nosocomial sexual abuse. Negative sequelae persisted into adulthood. The dogma of the new victimology industry is that children never lie about sexual abuse. Consequently providers of pediatric and ephebiatric (pubertal and adolescent) sexual health care already are progressively at risk of being falsely accused of nosocomial (from the Greek nosokomeion, from nosos, disease, + komeion, to take care of: pertaining to or originating in a hospital, as nosocomial disease) sexual abuse.

  7. The modulatory role of M2 muscarinic receptor on apomorphine-induced yawning and genital grooming.

    Science.gov (United States)

    Gamberini, Maria Thereza; Bolognesi, Maria Laura; Nasello, Antonia Gladys

    2012-12-01

    The interaction between dopaminergic and cholinergic pathways in the induction of behavioral responses has been previously established. In the brain, M2 receptors are found predominantly in presynaptic cholinergic neurons as autoreceptors, and in dopaminergic neurons as heteroceptors, suggesting a control role of acetylcholine and dopamine release, respectively. Our aim was to investigate the role of M2 receptors on the yawning and genital grooming of rats induced by apomorphine, a dopaminergic receptor agonist, focusing on the interaction between cholinergic and dopaminergic pathways. Initially, the effect of atropine, a non-selective muscarinic antagonist, on yawning and genital grooming induced by apomorphine (100 μg/kg s.c.) was analyzed. Atropine doses of 0.5, 1 and 2 mg/kg i.p. were administered to Wistar rats 30 min before induction of the behavioral responses by apomorphine. Number of yawns and time spent genital grooming were quantified over a 60 min period. Apomorphine-induced yawning was increased by low dose (0.5 mg/kg i.p.) but not by high doses (1 and 2 mg/kg, i.p.) of atropine. Genital grooming was antagonized by 2 mg/kg i.p. of atropine and showed no changes at the other doses tested. Tripitramine, a selective M2 cholinergic antagonist, was used as a tool for distinguishing between M2 and all other muscarinic receptor subtypes in yawning and genital grooming. Tripitramine doses of 0.01, 0.02 and 0.04 μmol/kg i.p. were administered to Wistar rats 30 min before apomorphine (100 μg/kg s.c.). Number of yawns and time spent genital grooming were also quantified over a 60 min period. Tripitramine 0.01 μmol/kg increased all parameters. Higher doses, which possibly block all subtypes of muscarinic receptor, did not modify the response of apomorphine, suggesting a non-selective effect of tripitramine at these doses. Given that low doses of tripitramine increased the behavioral responses induced by apomorphine and that the main distribution of the M2

  8. Etiology of genital ulcers and prevalence of human immunodeficiency virus coinfection in 10 US cities. The Genital Ulcer Disease Surveillance Group.

    Science.gov (United States)

    Mertz, K J; Trees, D; Levine, W C; Lewis, J S; Litchfield, B; Pettus, K S; Morse, S A; St Louis, M E; Weiss, J B; Schwebke, J; Dickes, J; Kee, R; Reynolds, J; Hutcheson, D; Green, D; Dyer, I; Richwald, G A; Novotny, J; Weisfuse, I; Goldberg, M; O'Donnell, J A; Knaup, R

    1998-12-01

    To determine the etiology of genital ulcers and to assess the prevalence of human immunodeficiency virus (HIV) infection in ulcer patients in 10 US cities, ulcer and serum specimens were collected from approximately 50 ulcer patients at a sexually transmitted disease clinic in each city. Ulcer specimens were tested using a multiplex polymerase chain reaction assay to detect Haemophilus ducreyi, Treponema pallidum, and herpes simplex virus (HSV); sera were tested for antibody to HIV. H. ducreyi was detected in ulcer specimens from patients in Memphis (20% of specimens) and Chicago (12%). T. pallidum was detected in ulcer specimens from every city except Los Angeles (median, 9% of specimens; range, 0%-46%). HSV was detected in >/=50% of specimens from all cities except Memphis (42%). HIV seroprevalence in ulcer patients was 6% (range by city, 0%-18%). These data suggest that chancroid is prevalent in some US cities and that persons with genital ulcers should be a focus of HIV prevention activities.

  9. Conocimiento del personal de salud sobre la mutilación genital femenina Knowledge of health personnel about female genital mutilation

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    Ivanny Cambronero-Aguilar

    2008-12-01

    Full Text Available Justificación y objetivo: La mutilación genital femenina genera consecuencias psicológicas, sexuales, sociales y médicas a corto y largo plazo, es una práctica común en países no occidentales; sin embargo, a medida que las poblaciones se dispersan se está convirtiendo en un problema a tratar dondequiera que los grupos practicantes se establezcan. El objetivo de este trabajo es determinar el grado de conocimiento de médicos y enfermeras obstétricas sobre mutilación genital femenina, sus consecuencias y manejo clínico. Materiales y método: Se realizó un cuestionario compuesto por preguntas abiertas y cerradas, el cual se aplicó a 70 médicos y 30 enfermeras, entre octubre y noviembre de 2006, en cuatro hospitales nacionales de la Caja Costarricense de Seguro Social, específicamente: San Juan de Dios, México, de la Mujer, y Calderón Guardia. Resultados: El 81% respondió que conocía acerca de la mutilación genital femenina, sin embargo 63% ignoraba que la mutilación genital femenina puede producir complicaciones obstétricas y 97% dijo desconocer el método de deinfibulación. El 60% de los médicos manifestó no estar preparado para manejar un caso de mutilación genital femenina. Discusión: Se refleja falta de conocimiento sobre este tema, explicado porque no es un diagnóstico común en la práctica médica en Costa Rica. No obstante, el hecho de que estas poblaciones estén migrando a nuevos territorios y que sí se haya documentado este diagnóstico en el país, justifica la necesidad de mayor información al personal de salud, sobre todo en el posible manejo que se le daría a una de estas pacientes. En este sentido es relevante el papel de la educación médica continua.Background and aim: Nowadays, the short and long-term consequences in psychological, sexual, social and medical areas of female genital mutilation are known. It is a common practice in non occidental countries. However because of globalization and

  10. Venous angioarchitecture of the bovine female genital organ Angioarquitetura venosa do órgão genital da fêmea bovina

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    M.M. Gioso

    2005-12-01

    Full Text Available The venous angioarchitecture of the non-pregnant female genital organs from five cattle obtained from a slaughterhouse was studied for possible anastomoses of the vulva and vagina vasa and the uterus-ovary vein, with the aid of the X-ray technique. In the laboratory, a branch of the caudal vaginal vein was injected with radiographic contrast. Vaginal vein formed and anastomotic network in the ventral surface of the uterus between the right and left sides. The genitals present anastomoses of the vulvar and vaginal veins with vasa of cervix, body and uterine horns and suggest that a portion of luteolytic agents injected through intravulvosubmucosal route can be transported directly to the ovary through a local route before reaching the systemic circulation.Investigou-se a angioarquitetura venosa da genitália de fêmeas bovinas não prenhes, para avaliar a presença de possíveis anastomoses dos vasos provenientes da região da vulva e da vagina com a veia útero-ovariana, usando-se cinco peças obtidas em abatedouros. No laboratório, um ramo da veia vaginal caudal, infundido com contraste radiográfico intravascular, foi submetido à radiografia. Observou-se que a veia vaginal forma intensa rede de anastomoses na superfície ventral do útero, entre os antímeros direito e esquerdo. As genitálias apresentaram anastomoses dos vasos vulvares e vaginais com vasos da cérvice, corpo e cornos uterinos, sugerindo que parte de um agente luteolítico administrado via intravulvosubmucosa pode ser transportado diretamente aos ovários por uma rota local, sem atingir a circulação sistêmica.

  11. Isolation and identification of pathogenic bacteria from genital tract of the Arabian mares affected with genital tract infection and antimicrobial sensitivity

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    H. F. AL-Abidy

    2010-01-01

    Full Text Available This study was conducted for isolation and identification of the pathogenic bacteria presented in the genital tract infectionof the Arabian mares, and shows the anti microbial sensitivity. The study included 75 samples taken from infected maressuffering from genital tract infection diagnosed on the basis of case history and clinical signs which included bloody purulentdischarge ranched from yellow to green in colure, fetid oder with congested and oedematous vagina and from some abortioncases, and from mares suffered from tetanus disease symptoms during the period between October 2007 to April 2008 in studfarms breeding mares in Mosul. The samples were collected by swabs from the clitoris, clitorial fossa and the vagina. Isolationof bacteria was performed using aerobic and anaerobic culture techniques. Results of the present study showed a total ofisolation 75% from all samples taken with a high percentage isolation of Clostridium tetani (16.6%, followed by Archanobacterium pyogenes (10.6%, and Pseudomonas aeruginosa (8%, (6.7% for each Enterobacter aerogenes, Klebsiellapneumonia, Streptococcus dysagalactiae subsp equisimilis, and (5.3% for each bacteria Actinobacillus equilli, Streptococcuszooepidemicus, Staphylococcus aureus, then Proteus vulgaris (2.6%, and Escherichia coli (1.3%. The most bacterial isolateswere resistant to amoxicillin (100%, ampicillin (90.9 %, and erythromycin (65.9%, while the most isolates were sensitive tokanamycin (70.4%. It could be concluted that the most important bacteria causing genital tract infection of mares could beClostridium tetani and Archanobacterium pyogenes, Pseudomonas aeruginosa. The most bacterial isolates were resistant toamoxicillin, ampicillin and erythromycin.

  12. New publication on female genital mutilation. Interviews with Nahid Toubia and Anika Rahman, co-authors of Female Genital Mutilation: a Guide to Laws and Policies Worldwide.

    Science.gov (United States)

    Grossman, S

    2000-09-01

    Female circumcision/female genital mutilation (FC/FGM) is the collective name given to several different traditional practices that involve the cutting of female genitals. The WHO has grouped them in four categories: type 1: Clitoridectomy; type 2: Excision; type 3: Infibulation; and type 4: Unclassified. Reports indicate that an estimated 130 million girls and women have undergone FC/FGM and that it is practiced in 28 countries in the sub-Saharan and northeastern regions of Africa. As part of the growing movement to stop this human rights violation, numerous UN bodies and nongovernmental organizations such as the Center for Reproductive Law and Policy (CRLP) and RAINBO work together to monitor government responses. Presented in a questionnaire form, two authors Anika Rahman, CRLP's International Program Director, and Nahid Toubia, Director of RAINBO, discuss their recent book collaboration, "Female Genital Mutilation: A Guide to Laws and Policies Worldwide". The issues covered in the interview include the purpose of the book, reasons why FC/FGM is considered a human rights violation rather than a threat to women's health, role of international agencies in the eradication of the practice, and the effects of formal laws and policies in eliminating FC/FGM.

  13. Pornografías de los cuerpos (masculinos/femeninos: una mirada desde la prensa escrita sensacionalista a los jóvenes excluidos de Cali, Colombia

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    Víctor Hugo Valencia Giraldo

    2013-01-01

    Full Text Available En este escrito se dará cuenta del avance del proyecto de investigación La juventud y el honor: representaciones mediáticas de jóvenes populares en Cali, Colombia, en el cual se ha realizado revisión, sistematización y análisis de registros noticiosos de los cuatro periódicos principales de Cali, Colombia, entre 1985 y 2009. Estos años se han caracterizado por la escalada de la violencia (social, pero también mediática entre jóvenes de distintos sectores populares de la ciudad. El artículo enfatiza en la manera como aparecen registrados los cuerpos masculinos y femeninos en los periódicos sensacionalistas El Caleño y Q’Hubo, e intenta aportar respuestas al problema sobre la relación (expresiva, simbólica, estilística, etc. entre el cuerpo y la ciudad en la configuración de la identidad caleña.

  14. Algumas implicações da percepção dos valores simbólicos das roupas: gênero masculino em foco

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    Lia Davidovitsch

    2010-02-01

    Full Text Available Pesquisas ligadas à área de moda podem ter muito a contribuir com o entendimento do processo de consumo de bens simbólicos. Visando auxiliar o polo criador a buscar maior sintonia com as expectativas do consumidor, este trabalho objetivou analisar como a percepção dos valores simbólicos das roupas pode afetar o envolvimento do consumidor com vestuário e influir na percepção da importância dos diferentes atributos do produto. A pesquisa de campo, contando com 233 participantes, se restringiu ao consumidor masculino residente no Rio de Janeiro. A técnica da modelagem de equações estruturais testou um modelo teórico relacionando os principais conceitos e indicou bons índices de ajuste geral. O teste encontrou a percepção dos valores simbólicos exercendo uma influência significativa sobre os níveis de envolvimento com vestuário e apontou tal envolvimento como um mediador da relação entre a percepção dos valores simbólicos e a percepção da importância dos diferentes atributos das roupas.

  15. Análisis comparativo de la fase ofensiva entre los equipos medallistas en los campeonatos absolutos de balonmano masculino de Europa y Asia

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    Manuel Montoya Fernández

    2015-09-01

    Full Text Available El objetivo de este estudio fue determinar si existieron diferencias estadísticamente significativas en la fase ofensiva entre los tres primeros equipos nacionales clasificados en el Campeonato Absoluto de Europa (ECh y los tres primeros equipos nacionales clasificados en el Campeonato Absoluto de Asia (ACh de balonmano masculino celebrados, ambos, en 2014. La investigación se centró en un análisis cuantitativo que comparó las fases de ataque (posicional y contraataque, las zonas en las que finalizaron los ataques (9 m, 6 m, 7 m y extremo y la efectividad ofensiva de estos equipos. Los datos fueron registrados mediante los software específicos diseñados a tal efecto concretamente el PHMS. Pictorial Handball Match Statistics IHF Official (ACh y el Swiss Timing Handball EURO (ECh.Las conclusiones de esta investigación confirman la existencia de diferencias estadísticamente significativas (p<0,05 entre los grupos de estudio en las acciones ejecutadas desde las zonas de finalización de 9 m, de 6 m y de extremo tanto en lo que hace referencia a lanzamientos como a goles conseguidos, así como en la categoría de lanzamientos de 7 m. Asimismo, se comprobó la existencia de diferencias de significancia estadística en cuanto a la efectividad de ambos grupos en los porcentajes obtenidos correspondientes a las zonas de 9 m y de 6 m.

  16. Prevalencia de microorganismos asociados a secreción genital femenina, Argentina Prevalence of associated microorganisms in genital discharge, Argentina

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    Susana Di Bartolomeo

    2002-10-01

    Full Text Available OBJETIVO: Hay un aumento significativo de pacientes con Secreción Genital Femenina, en el Sector Público del gran Buenos Aires. Fue necesario actualizar la prevalencia de los microorganismos asociados a los efectos de revisar el apoyo necesario de laboratorio y ajustar las medidas de prevención y control. MÉTODOS: Se incorporan a este estudio, la totalidad de los casos atendidos (1997-1998: 84 adolescentes (15 a 19 años y 784 adultas (20 a 60 años sintomáticas. El protocolo incluye (secreción vaginal y endocervical detección de Neisseria gonorrhoeae, Streptococcus agalactiae, Trichomonas vaginalis, Candida spp y vaginosis bacteriana. Aplicando métodos específicos directos y cultivo, Chlamydia trachomatis (detección de antígeno, Ureaplasma urealitycum y Mycoplasma hominis (cultivos fueron estudiados en parte de la población total. RESULTADOS: El aumento de la demanda de consulta fue continuo desde 1997 y aumentó 2.10 veces del primero al último semestre de 1998. En las mujeres adultas se encontró: vaginosis bacteriana, 23,8%; Candida spp 17,8%; S. agalactiae 5,6%; T. vaginalis 2,4%. En 50,3% no se detecto ninguno. En adolescentes se detectó: vaginosis bacteriana, 17,8%; Candida spp 29,7%; S. agalactiae 3,6%, T. vaginalis 2,4%: En 46,4% de los casos el resultado fue negativo. En el grupo de mujeres adultas sintomáticas, no en la totalidad, se detectó: C. trachomatis (7/400 1,76%, U. urealyticum (209/340 61,4% y M. hominis (45/272 16,5%. CONCLUSIONES: El aumento significativo de consultas se debe a problemas sociales en la población, no al aumento de ninguna patología en especial. Impacta como problema clínico concreto la prevalencia de vaginosis bacteriana y Candida spp. Llama la atención, la nula incidencia de N. gonorrhoeae y la baja circulación de T. Vaginalis y C. trachomatis, en este tipo de población. La prevalencia de U. urealyticum y M. hominis es alta, pero su real participación en la patología genital de

  17. PATOLOGIAS DO SISTEMA GENITAL FEMININO DE CATETOS (Tayassu tajacu CRIADOS EM CATIVEIRO

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    Jael Soares Batista

    2007-01-01

    Full Text Available The aim of this work is to approach the prevalence of pathological alterations of the genital system of anestrous females of collared peccaries (Tayassu tajacu. The genital systems of 14 matrices proceeding from the Centro de Multiplicação de Animais Silvestres - CEMAS, of the Universidade Federal Rural do Semi-Árido - UFERSA , that were without activity breeding for a period above of one year had been studied. After it abates of the animals had been collected the agencies that compose the genital system and lead to the Laboratory of Animal Pathology of the Institution for pathological alterations evaluation. The joined pathologys had been hydrosalpinges and ovarian hypoplasia with four cases each (28.6%,one (6.7% case of persistent corpus luteum associate to mucometra and 2 (14.3% cases of ovarian cysts. The pathologys of the genital system of collares peccaries can, in changeable way, to compromise temporary or the fertility permanently, diminishing the reproductive effectiveness, with consequent reduction of the breeding, generating economic losses .

  18. Prevalence of Various Reproductive Disorders and Economic Losses Caused by Genital Prolapse in Buffaloes

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    Rasheed A. Rabbani, I. Ahmad*, L. A. Lodhi, N. Ahmad and G. Muhammad1

    2010-01-01

    Full Text Available The present study was conducted to investigate the prevalence of various reproductive disorders and to estimate the economic losses due to genital prolapse in buffaloes in Sir Shamir area of District Faisalabad, Pakistan. The survey was conducted in 8 villages during the 12 months period from June 2005 to May 2006 and the data from 400 farmers (50 farmers from each village were collected. The total buffalo population of this area was 7,785, out of which 2,135 (27.42% animals were included in the study. The overall prevalence of reproductive disorders in buffaloes was recorded as 46.18%. Among all the reproductive disorders, repeat breeding showed the highest prevalence (15.69%, followed by anestrous (9.74%, genital prolapse (7.73%, abortion (5.99%, retained placenta (2.58%, uterine torsion (2.39% and dystocia (2.06%. The total economic losses due to genital prolapse in buffaloes in eight villages during the period of study were estimated to be Rs. 4,59,500/- Among these, the highest losses were due to mortality of dam (39.17%, followed by milk losses (25.14%, service charges (21.33% and medicine cost (14.36%. Thus, repeat breeding, anoestrus and genital prolapse seem to be the major reproductive problems in buffaloes in the study area.

  19. Polymorphisms in Chlamydia trachomatis tryptophan synthase genes differentiate between genital and ocular isolates

    Science.gov (United States)

    Caldwell, Harlan D.; Wood, Heidi; Crane, Debbie; Bailey, Robin; Jones, Robert B.; Mabey, David; Maclean, Ian; Mohammed, Zeena; Peeling, Rosanna; Roshick, Christine; Schachter, Julius; Solomon, Anthony W.; Stamm, Walter E.; Suchland, Robert J.; Taylor, Lacey; West, Sheila K.; Quinn, Tom C.; Belland, Robert J.; McClarty, Grant

    2003-01-01

    We previously reported that laboratory reference strains of Chlamydia trachomatis differing in infection organotropism correlated with inactivating mutations in the pathogen’s tryptophan synthase (trpBA) genes. Here, we have applied functional genomics to extend this work and find that the paradigm established for reference serovars also applies to clinical isolates — specifically, all ocular trachoma isolates tested have inactivating mutations in the synthase, whereas all genital isolates encode a functional enzyme. Moreover, functional enzyme activity was directly correlated to IFN-γ resistance through an indole rescue mechanism. Hence, a strong selective pressure exists for genital strains to maintain a functional synthase capable of using indole for tryptophan biosynthesis. The fact that ocular serovars (serovar B) isolated from the genital tract were found to possess a functional synthase provided further persuasive evidence of this association. These results argue that there is an important host-parasite relationship between chlamydial genital strains and the human host that determines organotropism of infection and the pathophysiology of disease. We speculate that this relationship involves the production of indole by components of the vaginal microbial flora, allowing chlamydiae to escape IFN-γ–mediated eradication and thus establish persistent infection. PMID:12782678

  20. Molecular diagnosis of lymphogranuloma venereum in patients with genital ulcer disease.

    NARCIS (Netherlands)

    Sturm, P.D.J.; Moodley, P.; Govender, K.; Bohlken, L.; Mali, T. van; Sturm, A.W.

    2005-01-01

    The detection of herpes, chancroid, and syphilis in genital ulcers is done by PCR. This is not so for lymphogranuloma venereum (LGV). We report on the use of a PCR with digestion that differentiates the LGV biovar from the trachoma biovar. Our findings suggest that the clinical description of LGV in

  1. Paracoccidioidomycosis of the male genital tract. Report of eleven cases and a review of Brazilian literature

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    SEVERO Luiz Carlos

    2000-01-01

    Full Text Available Eleven cases of involvement of the genital tract in paracoccidioidomycosis were collected in a retrospective study of the clinical records of 683 patients seen in Porto Alegre, Rio Grande do Sul, Brazil. These cases are herein summarily reported. Eighteen similar cases were gathered in review of the Brazilian literature. Obtained data are discussed.

  2. Rwandan female genital modification: elongation of the Labia minora and the use of local botanical species

    NARCIS (Netherlands)

    Koster, M.; Price, L.L.

    2008-01-01

    The elongation of the labia minora is classified as a Type IV female genital mutilation by the World Health Organization. However, the term mutilation carries with it powerful negative connotations. In Rwanda, the elongation of the labia minora and the use of botanicals to do so is meant to increase

  3. Female Genital Mutilation: Proposals for Change. Minority Rights Group International Report. [Revised].

    Science.gov (United States)

    Dorkenoo, Efua; Elworthy, Scilla

    In Africa today, women's voices are being raised against female genital mutilation. Inspired by the United Nations Decade for Women, this report seeks to present information in a logical, coherent manner to stimulate support for eradication of the practice. It describes steps African governments, Western states, and international agencies can take…

  4. Impact of psychological disorders after female genital mutilation among Kurdish girls in Northern Iraq

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    Jan Ilhan Kizilhan

    2011-06-01

    Full Text Available Background and Objectives: This study investigated the mental health status of young girls after genital mutilation in Northern Iraq. Although experts assume that circumcised girls are more prone to psychiatric illnesses than non-circumcised girls, little research has been conducted to confirm this claim. For the purpose of this study, it was assumed that female genital mutilation is connected with a high rate of posttraumatic stress disorders (PTSD. Methods: The psychological impact of female genital mutilation was assessed in Northern Iraq with 79 circumcised Kurdish girls who were between 8 and 14 years of age. Thirty uncircumcised girls from the above area and thirty-one uncircumcised girls from other areas of Iraq served as comparison subjects. A psychological interview and further questionnaires were used to assess traumatization and psychiatric illnesses. Results: The circumcised girls showed a significantly higher prevalence of PTSD (44.3%, depression disorder (33.6%, anxiety disorder (45.6% and somatic disturbance (36.7% than the uncircumcised girls. We could not find any significant differences between the two control groups. Conclusions: Within the circumcised group, a mental health problem can be diagnosed that may constitute the first evidence for the severe psychological consequences of juvenile girls´ genital mutilation.

  5. Epidemiology and Natural History of Human Papillomavirus Infections in the Female Genital Tract

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    2006-01-01

    Full Text Available Human papillomavirus (HPV is the most common newly diagnosed sexually transmitted infection in the United States. Although the majority of sexually active adults will be infected with HPV at least once in their lives, it is sexually active women less than 25 years of age who consistently have the highest rates of infection. Besides youth and gender, common risk factors for HPV infection and clinical sequelae of infection include high number of sexual partners and coinfection with Chlamydia trachomatis or herpes simplex virus. Most HPV infections are cleared by the immune system and do not result in clinical complications. Clinical sequelae in cases of low-risk HPV infection consist of genital warts, and clinical manifestations of high-risk HPV infection include abnormal Pap test results, low-grade squamous intraepithelial lesions (LSIL, high-grade squamous intraepithelial lesions (HSIL, and cervical cancer. LSIL, HSIL, and cervical cancer carry significant morbidity and/or mortality; genital warts and abnormal Pap test results are often significant sources of psychosocial distress. Currently, there are neither effective means of preventing HPV transmission nor cures for clinical manifestations: infection can only be prevented via complete sexual abstinence, while treatment for clinical sequelae such as genital warts and cytologic abnormalities consists of removing the problematic cells and watching for recurrence; this method consumes significant health care resources and is costly. New prophylactic HPV vaccines promise to dramatically reduce the incidence of HPV infection, genital warts, and cytologic abnormalities.

  6. Towards a solution concerning female genital mutilation? An approach from within according to Islamic legal opinions

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    Jens Kutscher

    2011-01-01

    Full Text Available Female circumcision is a tradition that is widespread and not restricted to predominantly Muslim countries. It is prevalent among all religious groups in many parts of Africa and Western Asia, whether they are Coptic Christians, Ethiopian Jews, or Arab Muslims. Female genital cutting or—more to the point—female genital mutilation (FGM, generally referred to as circumcision, occurs in at least five different forms. Circumcision is essentially a powerful bodily sign of the human—male and female—covenant with God. In the Quran it is reaffirmed in sura al-Nahl and quoted as example in the fatwas endorsing circumcision. It seems to be true that men are hardly involved in the actual decision in favour of female genital cutting. A man should not interfere in the decision of women to be circumcised. It is practiced and transmitted among women and midwives. Only sometimes is a (male or female physician involved. On the basis of Islamic normativity, mirrored in fatwas, this paper aims to examine a very ambivalent approach concerning female genital mutilation.

  7. Regulation of male sex determination: genital ridge formation and Sry activation in mice.

    Science.gov (United States)

    Tanaka, Satomi S; Nishinakamura, Ryuichi

    2014-12-01

    Sex determination is essential for the sexual reproduction to generate the next generation by the formation of functional male or female gametes. In mammals, primary sex determination is commenced by the presence or absence of the Y chromosome, which controls the fate of the gonadal primordium. The somatic precursor of gonads, the genital ridge is formed at the mid-gestation stage and gives rise to one of two organs, a testis or an ovary. The fate of the genital ridge, which is governed by the differentiation of somatic cells into Sertoli cells in the testes or granulosa cells in the ovaries, further determines the sex of an individual and their germ cells. Mutation studies in human patients with disorders of sex development and mouse models have revealed factors that are involved in mammalian sex determination. In most of mammals, a single genetic trigger, the Y-linked gene Sry (sex determination region on Y chromosome), regulates testicular differentiation. Despite identification of Sry in 1990, precise mechanisms underlying the sex determination of bipotential genital ridges are still largely unknown. Here, we review the recent progress that has provided new insights into the mechanisms underlying genital ridge formation as well as the regulation of Sry expression and its functions in male sex determination of mice.

  8. Magnetic resonance imaging of male and female genitals during coitus and female sexual arousal

    NARCIS (Netherlands)

    Schultz, WW; van Andel, P; Sabelis, [No Value; Mooyaart, E

    1999-01-01

    Objective To find out whether taking images of the male and female genitals during coitus is feasible and to find out whether former and current ideas about the anatomy during sexual intercourse and during female sexual arousal are based on assumptions or on facts. Design Observational study Setting

  9. Cross-Cultural Adaptation of the Male Genital Self-Image Scale in Iranian Men

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    Mohsen Saffari

    2016-03-01

    Conclusion: The MGSIS-I is a useful instrument to assess genital self-image in Iranian men, a concept that has been associated with sexual function. Further investigation is needed to identify the applicability of the scale in other cultures or populations.

  10. External Genital Anomaly and Phimosis Prevalence in Male School Children in Sakarya Province

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    Salih Budak

    2014-03-01

    Full Text Available Aim: The goal of the study was to determine external genital anomaly types in children attending primary school (6-15 years old in Sakarya. Material and Method: 1573, 6-15 years old student randomly selected from 8 schools inside the province. The students were examined in an appropriate room in the school, and external genital anomalies were identified and noted. Results: In this study, a total of 106 (6,7 % anomalies were identified in 1573 students. The most common anomalies were phimosis 3,6 % (56 and undescended testis 2,6 % (41. Discussion: This study shows that the ratio of the external genital anomaly that needs to be cured before primary school is high. Socioeconomic differences and environmental factors can affect anomaly prevalence. Health care workers all over the country should be trained regarding the issue. In addition to these, to identify genital anomalies before children start primary school, specific training programs should be prepared for parents.

  11. Impacto de la mutilación genital femenina en los objetivos del milenio

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    Ismael Jiménez Ruiz

    Full Text Available RESUMEN Objetivo Relacionar la Mutilación Genital Femenina como factor negativo para la consecución de los Objetivos de Desarrollo del Milenio 1, 3, 4, 5 y 6. Métodos Se ha realizado la recogida de datos a través de una revisión integradora de la literatura en los años 2014 y 2015. Se consultaron las bases de datosMedline/PubMed, Web of Science , LILACS, SCIELO, Tesis Doctorales TESEO y en las webs de WOK, UNICEF, UNAF y WHO utilizando los descriptores: circuncisión femenina, objetivos de desarrollo del milenio y mutilación genital femenina. Se incluyeron artículos publicados entre los años de 2010 y 2015, y se seleccionaron finalmente 24 artículos. Resultados La Mutilación Genital Femenina es una práctica basada en discriminaciones de género que refuerza e incentiva el círculo de la pobreza. Provoca complicaciones físicas que pueden repercutir en la mortalidad y morbilidad infantil, así como en complicaciones en el embarazo y el parto y en la adquisición del virus de la inmunodeficiencia humana. Conclusión La lucha contra la Mutilación Genital Femenina contribuye a la consecución de cinco de los ocho Objetivos del Milenio.

  12. Leptospira interrogans serovar hardjo in the kidneys and genital tracts of naturally infected sheep.

    Science.gov (United States)

    Cerri, D; Nuvoloni, R; Ebani, V; Pedrini, A; Mani, P; Andreani, E; Farina, R

    1996-04-01

    A bacteriological study was carried out to identify possible renal and/or genital carriers of Leptospira interrogans serovar hardjo. L. hardjo was found at slaughter in the kidneys of three seropositive ewes, but not in uterus or salpinges of these animals.

  13. Actinomyces israelii in the genital tract of women with and without intra-uterine contraceptive devices.

    Science.gov (United States)

    Persson, E; Holmberg, K; Dahlgren, S; Nilsson, L

    1983-01-01

    Actinomycosis involving the female genital tract is more common among IUD users than others. The diagnosis is difficult and often delayed. It has been suggested that the finding of Actinomyces-like organisms or A. israelii in cervical smears indicates a risk of developing actinomycosis. A. israelii has not been regarded as a part of the indigenous genital flora. A group of IUD users without symptoms of genital tract infections were compared with a control group without IUDs. No Actinomyces-like organisms were found on cytological examination of cervical smears. Immunofluorescent staining and cultures identified A. israelii in 4% of the IUD users and in 3% of the non-users. Serologic precipitin tests for actinomycosis were negative in all women. None developed actinomycosis on follow-up of positive cases. The study indicates that A. israelii is a commensal of the female genital tract. The identification of A. israelii alone does not indicate that the patient risks developing actinomycosis. Other methods such as a serology test should be useful in defining the clinical significance of the findings.

  14. Fatores de risco para o prolapso genital em uma população brasileira Risk factors for genital prolapse in a Brazilian population

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    Andrea Moura Rodrigues

    2009-01-01

    Full Text Available OBJETIVO: avaliar os fatores de risco para o desenvolvimento de prolapso genital na população brasileira. MÉTODOS: estudo caso-controle envolvendo 316 pacientes que foram submetidas a estadiamento de prolapso, utilizando-se o sistema de quantificação de prolapso dos órgãos pélvicos. As pacientes foram divididas em dois grupos. No Grupo Caso, foram incluídas 107 pacientes com prolapso nos estádios III ou IV, e no Controle, 209 mulheres com estádios 0 ou I. As mulheres selecionadas respondiam à anamnese na qual eram questionadas sobre a presença de possíveis fatores de risco para prolapso genital, tais como: idade, idade da menopausa, paridade, tipos de parto (vaginal, cesariana ou fórcipe, ocorrência de macrossomia fetal, história familiar em parentes de primeiro grau de distopia genital, tosse crônica e constipação intestinal. RESULTADOS: as variáveis que se mostraram diferentes entre os grupos foram: idade, índice de massa corpórea, paridade, número de partos vaginais, de cesarianas, de partos fórcipe, peso do recém-nascido e história familiar positiva para prolapso. Raça, idade da menopausa, tosse crônica e constipação intestinal não se mostraram diferentes entre os grupos. Após a regressão logística, somente três variáveis se apresentaram como fatores de risco independentes: presença de pelo menos um parto vaginal, macrossomia fetal e história familiar positiva. A cesariana se mostrou como fator protetor. CONCLUSÕES: na população brasileira, os fatores de risco independentes para prolapso foram a presença de pelo menos um parto normal, macrossomia fetal e história familiar positiva para distopia.PURPOSE: to evaluate risk factors for the development of genital prolapse in the Brazilian population. METHODS: case-control study involving 316 patients submitted to prolapse staging, according to the pelvic organ prolapse quantification system. The patients were divided into two groups: in the Case Group

  15. Genotype-specific concordance of oral and genital human papillomavirus infections among marital couples is low.

    Science.gov (United States)

    Kero, K; Rautava, J; Louvanto, K; Syrjänen, K; Grenman, S; Syrjänen, S

    2016-04-01

    Data on genotype-specific concordance of oral-oral and genital-oral HPV infections among marital couples are key to understand HPV transmission between spouses. Genotype-specific concordance of HPV infections (oral/genital) and their co-variates among 131 marital couples were determined during 6-year follow-up (FU). Seven oral scrapings were taken from both spouses, accompanied by six genital samplings from the women and one (at baseline) from the male partners. HPV-genotyping was performed by nested PCR and a Luminex®-based Multimetrix Assay. Demographic data were collected with questionnaires at baseline and study conclusion. Prevalence of oral HPV varied from 10.3 to 27.0 % and 15.8 to 31.3 % in women and men, respectively. At baseline, 37.6 % of the male genital samples were HPV-positive while in female genital samples, HPV prevalence varied from 13.3 to 59.4 %. Only 15 couples had HPV genotype-specific concordance (oral-oral n = 7; male oral-female genital n = 9; female oral-male genital n = 2). In the nested case-control setting, higher number of deliveries (OR 0.145, 95%CI 0.030-0.706, p = 0.017) and higher number of intercourse (OR 0.488, 95%CI 0.243-0.978, p = 0.043) decreased the likelihood of concordant HPV infections while practicing oral sex increased the risk (OR 0.299, 95%CI 0.120-0.748, p = 0.010). In multivariate analysis, the likelihood of concordance was decreased by higher number of pregnancies of the female partner (p = 0.020) and by higher frequency of intercourse reported by the male spouse (p = 0.027). To conclude, asymptomatic HPV infections were common in both spouses while genotype-specific concordance was low. This supports the view that HPV profile of the spouses has been established before the current marital relationship.

  16. Alterações radiográficas do aparato podotroclear de equinos da Polícia Militar de Minas Gerais sem sinais clínicos de doença do osso navicular

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    D.S.D. Azevedo

    2015-08-01

    Full Text Available Os objetivos deste experimento foram identificar e associar alterações radiográficas do aparato podotoclear de equinos do Regimento de Cavalaria Alferes Tiradentes da Policia Militar do estado de Minas Gerais sem histórico e sinais clínicos de doença do osso navicular. Foi avaliado um total de 33 equinos, de ambos os sexos, com idade entre 10 e 20 anos. Os dígitos torácicos foram radiografados de forma padronizada nas projeções lateromedial (LM, dorsoproximal palmarodistal 65º (DPPD e palmaroproximal palmarodistal (SK. A radiopacidade medular aumentada em projeção SK foi a principal alteração radiográfica detectada. Essa alteração foi associada a maior número de invaginações sinovais, a maior espessura de cortical em relação à medular em exposição SK e a maior relação corticomedular em exposição LM (P<0,05. Esses achados indicam uma predisposição da população equina para desenvolver a síndrome do osso navicular, possivelmente associada ao trauma repetitivo promovido pelo constante trabalho em piso duro.

  17. Aspectos ergonômicos relacionados com o ambiente e equipamentos hospitalares Aspectos ergonómicos relacionados con el ambiente y aparatos hospitalarios Ergonomic aspects of the hospital working environment and equipment

    Directory of Open Access Journals (Sweden)

    Neusa Maria Costa Alexandre

    1998-10-01

    Full Text Available A ergonomia tem sido difundida como uma das mais importantes estratégias para reduzir os problemas originados por situações de trabalho que causam lesões no sistema músculo-esquelético. O presente trabalho discute determinados aspectos do ambiente como espaço de trabalho, altura da superfície de trabalho, limites de alcance e equipamentos, relacionando-os com as atividades ocupacionais da enfermagem.La ergonomía ha sido difundida como una de las más importantes estratégias para disminuir los problemas originados por situaciones de trabajo que causan lesiones en el sistema musculosquelético. El presente trabajo discute determinados aspectos del ambiente como espacio de trabajo, altura de la superficie de trabajo, limites del alcance y aparatos, relacionándolos con las actividades ocupacionales de enfermería.Ergonomics has been one of the most important strategies for reducing musculoskeletal injuries caused by working conditions. The present report discusses particular aspects of the working environment such as work space, working heights, as well as the limits of reach and of the equipment used, and attempts to relate these to the occupational activities in nursing.

  18. Genome-Wide Association Study on Male Genital Shape and Size in Drosophila melanogaster.

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    Baku Takahara

    Full Text Available Male genital morphology of animals with internal fertilization and promiscuous mating systems have been one of the most diverse and rapidly evolving morphological traits. The male genital morphology in general is known to have low phenotypic and genetic variations, but the genetic basis of the male genital variation remains unclear. Drosophila melanogaster and its closely related species are morphologically very similar, but the shapes of the posterior lobe, a cuticular projection on the male genital arch are distinct from each other, representing a model system for studying the genetic basis of male genital morphology. In this study, we used highly inbred whole genome sequenced strains of D. melanogaster to perform genome wide association analysis on posterior lobe morphology. We quantified the outline shape of posterior lobes with Fourier coefficients obtained from elliptic Fourier analysis and performed principal component analysis, and posterior lobe size. The first and second principal components (PC1 and PC2 explained approximately 88% of the total variation of the posterior lobe shape. We then examined the association between the principal component scores and posterior lobe size and 1902142 single nucleotide polymorphisms (SNPs. As a result, we obtained 15, 14 and 15 SNPs for PC1, PC2 and posterior lobe size with P-values smaller than 10(-5. Based on the location of the SNPs, 13, 13 and six protein coding genes were identified as potential candidates for PC1, PC2 and posterior lobe size, respectively. In addition to the previous findings showing that the intraspecific posterior shape variation are regulated by multiple QTL with strong effects, the present study suggests that the intraspecific variation may be under polygenic regulation with a number of loci with small effects. Further studies are required for investigating whether these candidate genes are responsible for the intraspecific posterior lobe shape variation.

  19. Analysis of genital Candida albicans infection by rapid microsatellite markers genotyping

    Institute of Scientific and Technical Information of China (English)

    SHI Wei-min; MEI Xing-yu; GAO Fei; HUO Ke-ke; SHEN Liang-liang; QIN Hai-hong; WU Zhou-wei; ZHENG Jie

    2007-01-01

    Background Candida albicans (C. albicans) infection, often occurring in genital candidiasis, has increased dramatically recently. Developing an efficient C. albicans typing method may contribute to understanding its epidemiological characteristics and guiding efficient treatment. We used rapid microsatellite genotyping assay for interstrain differentiation of C. albicans isolates and explored some characteristics of its spread.Methods DNA was extracted from C. albicans isolates from gentalia, recta and mouths of 39 female cases and 27 male cases of genital candidiasis. Three fluorescent primers for the microsatellite markers in conserved genes (CDC3, EF3and HIS3) of C. albicans were used to amplify the isolates DNA by PCR. Fluorescent signals were read with an automatic sequencer and analyzed with GeneScan software.Results Analysis of the three microsatellites markers showed 18 gene allelic associations in genital C. albicans infected patients: 10 allelic associations in female and 11 allelic associations in male, of which 3 allelic associations shared by both genders covered 71% of infections. The most dominant allele association of pathogenic strains for both genders was 116:124, 122:131,160:200 that covered about 50% of infection. Gentalia and recta shared the same strains in 80%of female patients, but in only 3.8% of male patients. There were 2.7% female patients, but no males, with same strain in both gentalia and mouths. Five of seven genital C. albicans infected couples had the same allelic associations of which 4were the dominant pathogenic C. albicans susceptible for both genders.Conclusions The predominant allelic association of the pathogenic strain in genital C. albicans infection is 116:124,122:131, 160:200. Vaginal pathogenic strains are probably maintained from the rectal reservoir. Pathogenic strains of male patients are probably from frequent sexual intercourse. The aggressiveness of some strains varies with gender.

  20. Anatomy and arterial vascularization of female genital system of margay (Leopardus weidii

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    Andrezza Braga Soares Silva

    2016-02-01

    Full Text Available The margay (Leopardus wiedii belongs to Carnivora order and present’s nocturnal habits. There are few studies using this specie, whereas it is between feline species vulnerable to extinction. Thus, we propose a descriptive study about female genital system and behavior of the arteries responsible for the blood supply to these organs in margay. It used one exemplary victim of poaching that to death. The animal was stored in freezer. Subsequent to defrost at room temperature, it proceeded with the solution injection Leoprene Latex ‘650’ colored in red for better identification of vessels before the adjacent strutures. The specimen was fixed using an aqueous 10% formaldehyde with subsequent immersion in the same fixative solution. The genital system were dissected and the organs and arterial branches were identified and photodocumented. The female genital system of margay consists of a pair of ovaries, uterus with a pair of uterine horns, vagina and vulva. The arterial distribution of female system have a common vessel to iliac artery which branches and leads to internal pudendal artery sends a branch along the pudendal nerve pathway, urogenital artery. This, we performed divided into two branches, cranial and caudal. The cranial branch irrigates laterally cervix and uterine horns and caudal branch, vagina and vulva. The ovarian arteries, peers, originate from abdominal aorta only vascularization the ovaries. The female genital system and vascularization of the genitals organs of margay resembles of domestic carnivores including cats and some wild felines like the ocelot and find differences with the same description held in other domestic and wild species.

  1. EL PRINCIPIO DE VARIABILIDAD COMO FACTOR DETERMINANTE EN LA TÁCTICA INDIVIDUAL DEL SAQUE EN VOLEIBOL MASCULINO DE NIVEL INTERNACIONAL

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    A. Oña

    2010-09-01

    Full Text Available

     

    RESUMEN

    La investigación en el voleibol masculino de alto nivel en los últimos años otorga al saque una gran importancia en la evolución de este deporte. La técnica de saque empleada se revela como un factor decisivo, sin embargo no conocemos si el rendimiento de esta acción se mantiene de manera uniforme o varía conforme transcurre el encuentro. De este modo el objetivo del presente estudio es conocer la evolución del rendimiento en el transcurso de la competición, diferenciando las mediciones por sets.
    Se tomó como población objeto de estudio a los jugadores de los Juegos Olímpicos de Atlanta en 1996, último acontecimiento de la máxima relevancia en el voleibol internacional. Un total de doce equipos nacionales masculinos, confrontados en 42 encuentros, distribuidos en 149 sets. Para seleccionar la muestra se recurrió a 33 sets de la competición masculina, de entre 14 encuentros, de los que se registraron 2030 casos de cambio de saque.
    Se encontró que la variable set influye, de manera altamente significativa, en el rendimiento de recepción, lo que nos sugiere determinadas exigencias en el planteamiento estratégico del saque.
    PALABRAS CLAVE: voleibol, saque, recepción, alto rendimiento, variabilidad.

     

    ABSTRACT

    The research in male volleyball of high level in the last years grants to serve a great importance in the evolution of this sport. The technique of serving employee is revealed as a decisive factor, however we don’t know if the performance of this action stays in an uniform way or it varies as the encounter lapses. In this way the objective of the present study is to know the evolution of the performance in the course of the competition

  2. Concepções e práticas de adolescentes do sexo masculino sobre sexualidade Meanings and practices of male adolescents about sexuality

    Directory of Open Access Journals (Sweden)

    Maria Juracy Filgueiras Toneli

    2003-12-01

    Full Text Available Este trabalho resulta de pesquisa realizada em Florianópolis, que investigou as significações atribuídas por adolescentes do sexo masculino à vida sexual e reprodutiva. Com o objetivo de aprofundar os temas abordados mediante questionário (n = 241, na etapa inicial foram entrevistados doze estudantes de escolas públicas e privadas do nível médio. As entrevistas semiestruturadas obedeceram aos seguintes eixos temáticos: relacionamento familiar, representações de gênero, sexualidade, prevenção Dsts/Aids/gravidez. O material obtido foi submetido à análise de conteúdo temático e os resultados indicaram a manutenção de posições conservadoras quanto às representações de gênero, homossexualidade, gravidez na adolescência e valores familiares.This work is based on a research accomplished at Florianópolis, which aims to investigate the meanings that adolescents attributes to the sexual and reproductive life. To make more intensive study of the themes investigated by questionnaire (n = 241 in the preliminary survey, twelve male adolescent students (private and public high schools were interviewed. The main themes investigated were familiar relationship, gender representations, sexual life, STD/SIDA/pregnancy prevention. By a thematic content analysis (longitudinal and transversal the results suggested a maintenance of traditional positions concerning with gender representations, homosexuality, pregnancy in adolescence and familiar values.

  3. Gênero e super-heróis: o traçado do corpo masculino pela norma Gender and superheroes: the masculine body traced by the norm

    Directory of Open Access Journals (Sweden)

    Adriano Beiras

    2007-12-01

    Full Text Available As Histórias em Quadrinhos de super-heróis ganham vida na imaginação dos leitores, estabelecendo fortes ligações com seu cotidiano. Um corpo musculoso e viril vem historicamente se tornando o referencial de corporeidade masculina, enquanto corpos que desviam desse modelo são comumente satirizados ou excluídos da mídia. Este ensaio objetiva discutir as formas de representação do corpo masculino nas HQs da DC Comics, especificamente nas histórias de Superman e de Batman, conforme a caracterização de personagens como "heróis", "vilões" ou "coadjuvantes". Nossa premissa é a de que estas caracterizações remetem a tendências distintas de representação dos corpos, (reproduzindo normas sociais e valores de estética sobre as corporeidades.Superhero comic books gain life in the reader's imagination, establishing strong connections to their daily life. A muscular and virile body has historically become the reference for male corporeality, while bodies that deviate from this are commonly satirized or excluded from the media. This essay intends to discuss the forms of representation of the male body in DC comic books, specifically Superman and Batman, according to the portrayal of characters as 'heroes', 'villains' or 'supporting characters'. Our premise is that these roles relate to distinct tendencies for the depiction of bodies, (reproducing social norms and aesthetic values upon corporealities.

  4. Higiene e cuidados com a genitália em mulheres com vulvovaginites = : Hygiene and genital care of women with vulvovaginitis

    OpenAIRE

    Marcela Grigol Bardin

    2014-01-01

    INTRODUÇÃO: A vaginose bacteriana (VB) e a candidíase vaginal (CV) são as vulvovaginites (VV) mais frequentemente encontradas em mulheres durante o ciclo reprodutivo. Embora os tratamentos dessas VV estejam esclarecidos, a prevenção ainda é pouco estudada. Os hábitos de higiene e cuidados diários com a genitália feminina são fatores que podem influenciar o ecossistema vulvovaginal, facilitando a instalação dessas VV. OBJETIVO: Verificar os hábitos de lavagem, uso de absorventes higiênicos, pr...

  5. Interruption of CXCL13-CXCR5 axis increases upper genital tract pathology and activation of NKT cells following chlamydial genital infection.

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    Janina Jiang

    Full Text Available BACKGROUND: Regulation of immune responses is critical for controlling inflammation and disruption of this process can lead to tissue damage. We reported that CXCL13 was induced in fallopian tube tissue following C. trachomatis infection. Here, we examined the influence of the CXCL13-CXCR5 axis in chlamydial genital infection. METHODOLOGY AND PRINCIPAL FINDINGS: Disruption of the CXCL13-CXCR5 axis by injecting anti-CXCL13 Ab to BALB/c mice or using Cxcr5-/- mice increased chronic inflammation in the upper genital tract (UGT; uterine horns and oviducts after Chlamydia muridarum genital infection (GT. Further studies in Cxcr5-/- mice showed an elevation in bacterial burden in the GT and increased numbers of neutrophils, activated DCs and activated NKT cells early after infection. After resolution, we noted increased fibrosis and the accumulation of a variety of T cells subsets (CD4-IFNγ, CD4-IL-17, CD4-IL-10 & CD8-TNFα in the oviducts. NKT cell depletion in vitro reduced IL-17α and various cytokines and chemokines, suggesting that activated NKT cells modulate neutrophils and DCs through cytokine/chemokine secretion. Further, chlamydial glycolipids directly activated two distinct types of NKT cell hybridomas in a cell-free CD1d presentation assay and genital infection of Cd1d-/- mice showed reduced oviduct inflammation compared to WT mice. CXCR5 involvement in pathology was also noted using single-nucleotide polymorphism analysis in C. trachomatis infected women attending a sub-fertility clinic. Women who developed tubal pathology after a C. trachomatis infection had a decrease in the frequency of CXCR5 SNP +10950 T>C (rs3922. CONCLUSIONS/SIGNIFICANCE: These experiments indicate that disruption of the CXCL13-CXCR5 axis permits increased activation of NKT cells by type I and type II glycolipids of Chlamydia muridarum and results in UGT pathology potentially through increased numbers of neutrophils and T cell subsets associated with UGT pathology

  6. CTA1-DD is an effective adjuvant for targeting anti-chlamydial immunity to the murine genital mucosa.

    Science.gov (United States)

    Cunningham, Kelly A; Carey, Alison J; Lycke, Nils; Timms, Peter; Beagley, Kenneth W

    2009-07-01

    Chlamydia trachomatis is a significant human pathogen with potentially severe disease sequelae in the genital tract, including infertility. A successful vaccine will need to effectively target immunity to the genital mucosa. Intranasal immunisation with cholera toxin (CT) can target immunity to the genital tract, but has the potential to cause neurological side effects. CTA1-DD is a non-toxic potent mucosal adjuvant which combines the enzymatic properties of CT, with a B cell targeting moiety. Here, we demonstrate that intranasal immunisation with CTA1-DD and chlamydial Major Outer Membrane Protein (MOMP) results in the induction of neutralising systemic and mucosal antibodies, and reduces the level of chlamydial shedding following intravaginal challenge with Chlamydia muridarum. Thus, CTA1-DD is an effective adjuvant for vaccine development against Chlamydia trachomatis, and possibly also a range of other genital pathogens.

  7. Genital ulcers after treatment with all-trans-retinoic acid in a child with acute promyelocytic leukemia.

    Science.gov (United States)

    Unal, Selma; Gümrük, Fatma; Cetin, Mualla; Hiçsönmez, Gönül

    2005-01-01

    All-trans-retinoic acid (ATRA) has been shown to improve the outcome of patients with acute promyelocytic leukemia (APL). However, various adverse effects of ATRA treatment have been noted, such as scrotal and genital ulcers in adult patients. The authors report genital ulcers that developed in a child with APL after ATRA treatment. An 8-year-old girl with APL was treated with ATRA for 21 days and after discontinuation of ATRA treatment she developed genital ulcers. Systemic and local antibiotic pomades were applied and the lesions improved within 15 days. In conclusion, genital ulcers may develop in children with APL as a complication of ATRA treatment and physicians should be alert to this possibility.

  8. Pathogenic microbial flora of genital ulcers in Sheffield with particular reference to herpes simplex virus and Haemophilus ducreyi.

    Science.gov (United States)

    Kinghorn, G R; Hafiz, S; McEntegart, M G

    1982-12-01

    The pathogenic microbial flora of genital ulcers in 161 (80 men and 81 women) unselected patients was studied prospectively. In only one case was Treponema pallidum responsible whereas herpes simplex virus was considered to be the cause of 130 (80.8%) genital ulcers. H ducreyi was isolated from 46 (28.6%) patients, most commonly as a secondary pathogen in herpetic lesions. Two or more pathogens were isolated from the ulcers in 67 (41.6%) patients, and in 21 (13%) patients no pathogens were isolated. Our results indicate an urgent need for antiviral treatment to reduce the local reservoir of genital herpes, challenge traditional concepts about the prevalence of H ducreyi in Britain, and call for a reappraisal of its role in the causation of genital ulcers.

  9. Cockroaches of genus Muzoa: morphology of the male genital sclerites and description of one new species (Dictyoptera, Blattodea, Ectobiidae, Nyctiborinae).

    Science.gov (United States)

    Vélez-Bravo, Andrés H

    2013-01-01

    The male genital sclerites of cockroaches of genus Muzoa Hebard 1921 are described for first time and the new species Muzoa curtalata sp. n. is described and ilustrated. A dichotomous key to identify the species of genus Muzoa is given.

  10. Linfangite granulomatosa de genitália infantil: relato de caso e revisão da literatura

    OpenAIRE

    Martins,Ana Paula Camargo; Souza, Camila Deneka Arantes; Ianaguihara,Fabiana Massae; MONTEMÓR NETTO,MÁRIO RODRIGUES; de Noronha, Lúcia

    2008-01-01

    Linfangite granulomatosa de genitália não-infecciosa é causa rara de linfedema genital autolimitado e idiopático em crianças(4, 6, 9). A maioria dos casos de linfedema com granuloma não-infeccioso de genitália em pacientes jovens ocorre em associação à doença de Crohn subseqüente ou concomitante(1, 3, 4, 9). O caso relatado é de um menino de 14 anos que apresentava história de linfedema genital principalmente em região dorsal do corpo do pênis, poupando prepúcio, parte distal do pênis e saco ...

  11. Parental occupational exposure to endocrine disrupting chemicals and male genital malformations: A study in the Danish National Birth Cohort study

    DEFF Research Database (Denmark)

    Morales-Suarez-Varela, Maria M; Toft, Gunnar V; Jensen, Morten S

    2011-01-01

    Sex hormones closely regulate development of the male genital organs during fetal life. The hypothesis that xenobiotics may disrupt endogenous hormonal signalling has received considerable scientific attention, but human evidence is scarce....

  12. "The first cut is the deepest": a psychological, sexological and gynecological perspective on female genital cosmetic surgery.

    Science.gov (United States)

    Barbara, Giussy; Facchin, Federica; Meschia, Michele; Vercellini, Paolo

    2015-09-01

    In recent years increased numbers of healthy women and girls have been seeking female genital cosmetic surgery for esthetic reasons and/or to enhance sexual functioning. This phenomenon is associated with the development of a new vulvovaginal standard due to Internet pornography and the increased exposure of female genitalia. This strict standard may negatively affect women's psychological health and cause increased insecurity, which may drive even teenagers to seek female genital cosmetic surgery. Psychological counseling is recommended to inform women that surgery is not a definitive solution to treat psychologically based pain or dysfunction. Moreover, there is no robust evidence supporting the effectiveness of female genital cosmetic surgery, especially regarding sexual enhancement, as underlined by major scientific societies. The importance of a definite regulation of female genital cosmetic surgery should be emphasized and be based on an ethically oriented, multidisciplinary model aimed at providing exhaustive information on all gynecological, sexological, and psychological concerns raised by this type of surgery.

  13. Bases teóricas del estigma, aproximación en el cuidado de personas con herpes genital Theoretical approaches of stigma, analysis in persons with genital herpes

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    Abdul Hernández Cortina

    2011-09-01

    Full Text Available Objetivo principal: analizar las diferentes perspectivas teóricas sobre el estigma y su aplicación en el dominio del herpes genital. Metodología: se realizó una revisión bibliográfica de la literatura enfocada en una búsqueda de artículos en las bases datos EBSCO, CINHAL, SCIELO, MEDLINE y Social Science full text. Resultados principales: se encuentran escasos estudios en la revisión bibliográfica realizada donde validen intervenciones educativas basadas en los marcos teóricos sobre el estigma en personas con herpes genital. Conclusión principal: los diferentes marcos teóricos revisados sobre el estigma pueden ser útiles como marco de referencia en investigaciones de personas que padecen herpes genital.Objective: the aim of this manuscript is to analyze different stigma's theories in the context of persons with genital herpes. Methods: reviews of the literature were searched in the EBSCO, CINHAL, SCIELO, MEDLINE and Social Science full text databases. Results: there is a little evidence in the literature review about educational intervention in patient with genital herpes base on stigma's theories. Conclusions: stigma's theories can be useful as a framework in the researches of persons with genital herpes.

  14. Parenteral is more efficient than mucosal immunization to induce regression of human papillomavirus-associated genital tumors.

    Science.gov (United States)

    Decrausaz, Loane; Domingos-Pereira, Sonia; Duc, Mélanie; Bobst, Martine; Romero, Pedro; Schiller, John T; Jichlinski, Patrice; Nardelli-Haefliger, Denise

    2011-08-01

    Cervical cancer is a public health concern as it represents the second cause of cancer death in women worldwide. High-risk human papillomaviruses (HPV) are the etiologic agents, and HPV E6 and/or E7 oncogene-specific therapeutic vaccines are under development to treat HPV-related lesions in women. Whether the use of mucosal routes of immunization may be preferable for inducing cell-mediated immune responses able to eradicate genital tumors is still debated because of the uniqueness of the female genital mucosa (GM) and the limited experimentation. Here, we compared the protective activity resulting from immunization of mice via intranasal (i.n.), intravaginal (IVAG) or subcutaneous (s.c.) routes with an adjuvanted HPV type 16 E7 polypeptide vaccine. Our data show that s.c. and i.n. immunizations elicited similar frequencies and avidity of TetE71CD81 and E7-specific Interferon-gamma-secreting cells in the GM, whereas slightly lower immune responses were induced by IVAG immunization. In a novel orthotopic murine model, both s.c. and i.n. immunizations allowed for complete long-term protection against genital E7-expressing tumor challenge. However, only s.c. immunization induced complete regression of already established genital tumors. This suggests that the higher E7-specific systemic response observed after s.c. immunization may contribute to the regression of growing genital tumors, whereas local immune responses may be sufficient to impede genital challenges. Thus, our data show that for an efficiently adjuvanted protein-based vaccine, parenteral vaccination route is superior to mucosal vaccination route for inducing regression of established genital tumors in a murine model of HPV-associated genital cancer.

  15. Survey of Women's Opinions on Female Genital Mutilation (FGM) in Southeast Nigeria: Study of Patients Attending Antenatal Clinic

    OpenAIRE

    Ezenyeaku, CC; Okeke, TC; Chigbu, CO; Ikeako, LC

    2011-01-01

    Background: Female genital mutilation is known to exist especially in many third world countries including Nigeria with many women being victims of this harmful practice and its complications. The practice is rife in Southeast Nigeria and efforts have been made to discourage it. Objective: To determine women's views on aspects of female genital mutilation and the prevalence among the study population. Method: Women attending the antenatal clinics of two university teaching hospitals in Southe...

  16. Female genital mutilation and monandry in an orb-web spider.

    Science.gov (United States)

    Nakata, Kensuke

    2016-02-01

    Monandry, in which a female has only one mating partner during the reproductive period, is established when a female spontaneously refrains from re-mating, or when a partner male interferes with the attempts of a female to mate again. In the latter case, however, females often have countermeasures against males, which may explain why polyandry is ubiquitous. Here, I demonstrate that the genital appendage, or scape, of the female orb-web spider (Cyclosa argenteoalba) is injured after her first mating, possibly by her first male partner. This female genital mutilation (FGM) permanently precludes copulation, and females appear to have no countermeasures. FGM is considered to confer a strong advantage to males in sexual conflicts over the number of female matings, and it may widely occur in spiders.

  17. HIV-1 DNA shedding in genital ulcers and its associated risk factors in Pune, India.

    Science.gov (United States)

    Gadkari, D A; Quinn, T C; Gangakhedkar, R R; Mehendale, S M; Divekar, A D; Risbud, A R; Chan-Tack, K; Shepherd, M; Gaydos, C; Bollinger, R C

    1998-07-01

    HIV infection status was determined in 302 consecutive patients with genital ulcer disease (GUD) presenting to two sexually transmitted disease (STD) clinics in Pune, India. Of the 71 (24%) individuals with HIV infection, 67 (94%) were HIV antibody-positive, and 4 (6%) were HIV antibody-negative but p24 antigen-positive at the time of presentation. HIV-1 DNA was detected in 24 (34%) specimens. The genital ulcers of all four acutely infected p24-antigenemic subjects were HIV-1 DNA-positive by polymerase chain reaction (PCR) assay, compared with 20 of 67 (30%) seropositive patients (p = .01). Presence of chancroid, GUD symptoms for > 10 days, and concurrent diagnosis of cervicitis or urethritis were significantly associated risk factors for HIV-1 DNA shedding in ulcers. Early GUD diagnosis and aggressive treatment of HIV-infected patients may significantly reduce secondary transmission of HIV to other sex partners.

  18. Genital ulcers associated with Epstein-Barr virus infection (ulcus vulvae acutum).

    Science.gov (United States)

    Sárdy, Miklós; Wollenberg, Andreas; Niedermeier, Andrea; Flaig, Michael J

    2011-01-01

    Epstein-Barr virus (EBV) infection may rarely be associated with genital ulcers (ulcus vulvae acutum), a very painful manifestation. The aetiopathogenesis of the disease is not fully understood. We describe here a case of an adolescent virgin with multiple, deep genital ulcers associated with acute infectious mononucleosis. The diagnosis was supported by the clinical symptoms, atypical lymphocytosis, elevated circulating levels of liver enzymes, positive EBV serology, and the detection of EBV in a swab sample and a biopsy specimen by PCR. The virus could not be detected by immunohistochemistry or in situ hybridization. After a short course of methylprednisolone as a supportive treatment, the ulcers healed within one month. No relapse occurred during the 2-year follow-up. Available data relating to the aetiopathogenesis of this condition are reviewed, and we speculate that it may have been caused by percutaneous autoinoculation through cervicovaginal fluid.

  19. Prevalence of genital, oral, and anal HPV infection among STI patients in Italy.

    Science.gov (United States)

    Ciccarese, Giulia; Herzum, Astrid; Rebora, Alfredo; Drago, Francesco

    2016-12-09

    Human papillomavirus (HPV) is a carcinogenic agent responsible for tumor development in many sexually involved tissues. We present a survey on the prevalence of HPV infection in a risk population for sexually transmitted infections (STIs). The studied population was formed by 125 STI clinic attendees, who took part in a screening program on STIs. To be included in the study, the patients had to show no overt clinical signs of HPV infection. Genital (cervical in women, urethral in men), anal, and oral samples were collected with ThinPrep liquid based cytology preparation system. Overall, of the screened population, 56% proved positive for genital HPV, 37% for oral HPV, and 42% for anal HPV infection. Our data indicate that in STI patients, HPV infection is more prevalent, than previously estimated. Further studies are needed to better understand the epidemiological burden of HPV in sexually involved tissues, especially in the oral mucosa.

  20. Patterned genital injury in cases of rape - A case-control study

    DEFF Research Database (Denmark)

    Astrup, Birgitte Schmidt; Ravn, Pernille; Thomsen, Jørgen Lange

    2013-01-01

    A pattern of genital injury that separates trauma seen in sexual assault cases from trauma seen following consensual sexual intercourse has been a matter of debate. This study aimed at clarifying the question by eliminating as many confounders as possible in a prospective, case-control setup. A t...... for detection of genital lesions using the three most commonly used techniques is provided. These results will aid in the interpretation of findings seen when examining sexual assault victims........ A total of 98 controls and 39 cases were examined using the naked eye, the colposcope and toluidine blue dye followed by colposcopy. The overall frequency of having at least one lesion was strikingly similar in the two groups, but cases had significantly more abrasions, a trend towards more haematomas...

  1. Do Ureaplasma urealyticum infections in the genital tract affect semen quality?

    Institute of Scientific and Technical Information of China (English)

    Yan Wang; Cui-Ling Liang; Jun-Qing Wu; Chen Xu; Shi-Xiao Qin; Er-Sheng Gao

    2006-01-01

    Aim: To investigate the relationship between Ureaplasma urealyticum (UU) infection and semen quality. Methods:From 2001 to 2003, 346 eligible patients aged 20-45 years were invited from two hospitals in Shanghai, China, to participate in an investigation which included questionnaires about general and reproductive health, an external genital tract examination, UU culture and semen analysis. Multiple linear regression models were used to examine whether UU had a significant effect on semen quality after adjustment for confounding factors. Results: Findings suggested that UU infection was associated with higher semen viscosity and lower semen pH value. Sperm concentration was lower in UU positive subjects than that in UU negative subjects (54.04 × 106/mL vs.70.58 × 106/mL). However, Uudid not significantly affect other semen quality indexes. Conclusion: UU infection of the male genital tract could negatively influence semen quality.

  2. A rare cause of infertility: A late complication of female genital mutilation

    Directory of Open Access Journals (Sweden)

    Ferjaoui Mohamed Aimen

    2016-05-01

    Full Text Available Female genital mutilation is a cultural practice in many African and Asian societies based usually on religious beliefs. This practice made by a non medical and traditional practitioner with non sterile instruments is a source of many complications such as infection, acute and chronic pain, life-threatening hemorrhage, sexual dysfunction, and rarely epidermal inclusion cysts. We report a case of a large epidermal inclusion cyst in a 36-year-old patient, 30 years after a female genital mutilation (FGM. The patient complains of a two-year-secondary infertility with a self-imaging alteration and a sexual dysfunction. The managment of this complication was based on surgery with a psychological support and sexual therapies.

  3. A Case of Chronic Abdominal Neuropathic Pain and Burning after Female Genital Cutting

    Directory of Open Access Journals (Sweden)

    Vicky Hadid

    2015-01-01

    Full Text Available Introduction. Female genital cutting is prevalent in the Middle Eastern and African countries. This ritual entails not only immediate complications such as infection, pain, and haemorrhage, but also chronic ones including dysmenorrhea and dyspareunia. However, there is limited data on neuropathic pain secondary to female genital mutilation when searching the literature. Case. This case discusses a 38-year-old female with a history of infibulation who presented with a chronic burning abdominal and anterior vulvar pain including the related investigations and treatment. Discussion. This case brings to light the additional delayed complication of this ritual: sensory neuropathy. Our goal is to educate health professionals to be aware of these complications and to appropriately investigate and treat them in order to find a solution to relieve the patients’ symptoms.

  4. FGMReview: design of a knowledge management tool on female genital mutilation.

    Science.gov (United States)

    Martínez Pérez, Guillermo; Turetsky, Risa

    2015-11-01

    Web-based literature search engines may not be user-friendly for some readers searching for information on female genital mutilation. This is a traditional practice that has no health benefits, and about 140 million girls and women worldwide have undergone it. In 2012, the website FGMReview was created with the aim to offer a user-friendly, accessible, scalable, and innovative knowledge management tool specialized in female genital mutilation. The design of this website was guided by a conceptual model based on the use of benchmarking techniques and requirements engineering, an area of knowledge from the computer informatics field, influenced by the Transcultural Nursing model. The purpose of this article is to describe this conceptual model. Nurses and other health care providers can use this conceptual model to guide their methodological approach to design and launch other eHealth projects.

  5. A case study of female genital self-mutilation in schizophrenia.

    Science.gov (United States)

    Krasucki, C; Kemp, R; David, A

    1995-06-01

    A case of deliberate genital self-mutilation in a woman with familial schizophrenia is presented. Such behaviour, though well recognized in females with severe personality disorders, is extremely rare in female psychotics. The genital mutilation may be partially understood as a consequence of delusionally motivated action against a background of low self-esteem, premorbid body-image preoccupation, forced early sexual activity and hence profound ambivalence towards adult sexuality. Dealing with this constructively was hampered by a cognitive style characterized by impaired reasoning and reality testing. Tests of reasoning, judgement and reality testing showed deficits, and computed tomography revealed dilatation of the left frontal ventricular system. Both neuropsychological and psychodynamic factors appeared to be of relevance in this case.

  6. The first step toward diagnosing female genital schistosomiasis by computer image analysis

    DEFF Research Database (Denmark)

    Holmen, Sigve Dhondup; Kleppa, Elisabeth; Lillebø, Kristine

    2015-01-01

    Schistosoma haematobium causes female genital schistosomiasis (FGS), which is a poverty-related disease in sub-Saharan Africa. Furthermore, it is co-endemic with human immunodeficiency virus (HIV), and biopsies from genital lesions may expose the individual to increased risk of HIV infection. How...... statistics, we estimate that the computer color analysis yields a sensitivity of 80.5% and a specificity of 66.2% for the diagnosis of FGS........ However, microscopy of urine and hematuria are nonspecific and insensitive predictors of FGS and gynecological investigation requires extensive training. Safe and affordable diagnostic methods are needed. We explore a novel method of diagnosing FGS using computer color analysis of colposcopic images....... In a cross-sectional study on young women in an endemic area, we found strong associations between the output from the computer color analysis and both clinical diagnosis (odds ratio [OR] = 5.97, P

  7. Intramuscular Priming and Intranasal Boosting Induce Strong Genital Immunity Through Secretory IgA in Minipigs Infected with Chlamydia trachomatis

    Science.gov (United States)

    Lorenzen, Emma; Follmann, Frank; Bøje, Sarah; Erneholm, Karin; Olsen, Anja Weinreich; Agerholm, Jørgen Steen; Jungersen, Gregers; Andersen, Peter

    2015-01-01

    International efforts in developing a vaccine against Chlamydia trachomatis have highlighted the need for novel immunization strategies for the induction of genital immunity. In this study, we evaluated an intramuscular (IM) prime/intranasal boost vaccination strategy in a Göttingen Minipig model with a reproductive system very similar to humans. The vaccine was composed of C. trachomatis subunit antigens formulated in the Th1/Th17 promoting CAF01 adjuvant. IM priming immunizations with CAF01 induced a significant cell-mediated interferon gamma and interleukin 17A response and a significant systemic high-titered neutralizing IgG response. Following genital challenge, intranasally boosted groups mounted an accelerated, highly significant genital IgA response that correlated with enhanced bacterial clearance on day 3 post infection. By detecting antigen-specific secretory component (SC), we showed that the genital IgA was locally produced in the genital mucosa. The highly significant inverse correlation between the vaginal IgA SC response and the chlamydial load suggests that IgA in the minipig model is involved in protection against C. trachomatis. This is important both for our understanding of protective immunity and future vaccination strategies against C. trachomatis and genital pathogens in general. PMID:26734002

  8. Intramuscular priming and intranasal boosting induce strong genital immunity through secretory IgA in minipigs infected with Chlamydia trachomatis

    Directory of Open Access Journals (Sweden)

    Emma eLorenzen

    2015-12-01

    Full Text Available International efforts in developing a vaccine against Chlamydia trachomatis have highlighted the need for novel immunization strategies for the induction of genital immunity. In this study, we evaluated an intramuscular prime/intranasal boost vaccination strategy in a Göttingen Minipig model with a reproductive system very similar to humans. The vaccine was composed of C. trachomatis subunit antigens formulated in the Th1/Th17 promoting CAF01 adjuvant. Intramuscular priming immunizations with CAF01 induced a significant cell-mediated IFN-ɣ and IL-17A response and a significant systemic high-titered neutralizing IgG response. Following genital challenge, intranasally boosted groups mounted an accelerated, highly significant genital IgA response that correlated with enhanced bacterial clearance on day 3 post infection. By detecting antigen-specific secretory component (SC, we showed that the genital IgA was locally produced in the genital mucosa. The highly significant inverse correlation between the vaginal IgA SC response and the chlamydial load suggest that IgA in the minipig model is involved in protection against C. trachomatis. This is important both for our understanding of protective immunity and future vaccination strategies against C. trachomatis and genital pathogens in general.

  9. Selection on an antagonistic behavioral trait can drive rapid genital coevolution in the burying beetle, Nicrophorus vespilloides

    Science.gov (United States)

    Hopwood, Paul E.; Head, Megan L.; Jordan, Eleanor J.; Carter, Mauricio J.; Davey, Emma; Moore, Allen J.; Royle, Nick J.

    2016-01-01

    Male and female genital morphology varies widely across many taxa, and even among populations. Disentangling potential sources of selection on genital morphology is problematic because each sex is predicted to respond to adaptations in the other due to reproductive conflicts of interest. To test how variation in this sexual conflict trait relates to variation in genital morphology we used our previously developed artificial selection lines for high and low repeated mating rates. We selected for high and low repeated mating rates using monogamous pairings to eliminate contemporaneous female choice and male–male competition. Male and female genital shape responded rapidly to selection on repeated mating rate. High and low mating rate lines diverged from control lines after only 10 generations of selection. We also detected significant patterns of male and female genital shape coevolution among selection regimes. We argue that because our selection lines differ in sexual conflict, these results support the hypothesis that sexually antagonistic coevolution can drive the rapid divergence of genital morphology. The greatest divergence in morphology corresponded with lines in which the resolution of sexual conflict over mating rate was biased in favor of male interests. PMID:27144373

  10. Human α-amylase present in lower-genital-tract mucosal fluid processes glycogen to support vaginal colonization by Lactobacillus.

    Science.gov (United States)

    Spear, Gregory T; French, Audrey L; Gilbert, Douglas; Zariffard, M Reza; Mirmonsef, Paria; Sullivan, Thomas H; Spear, William W; Landay, Alan; Micci, Sandra; Lee, Byung-Hoo; Hamaker, Bruce R

    2014-10-01

    Lactobacillus colonization of the lower female genital tract provides protection from the acquisition of sexually transmitted diseases, including human immunodeficiency virus, and from adverse pregnancy outcomes. While glycogen in vaginal epithelium is thought to support Lactobacillus colonization in vivo, many Lactobacillus isolates cannot utilize glycogen in vitro. This study investigated how glycogen could be utilized by vaginal lactobacilli in the genital tract. Several Lactobacillus isolates were confirmed to not grow in glycogen, but did grow in glycogen-breakdown products, including maltose, maltotriose, maltopentaose, maltodextrins, and glycogen treated with salivary α-amylase. A temperature-dependent glycogen-degrading activity was detected in genital fluids that correlated with levels of α-amylase. Treatment of glycogen with genital fluids resulted in production of maltose, maltotriose, and maltotetraose, the major products of α-amylase digestion. These studies show that human α-amylase is present in the female lower genital tract and elucidates how epithelial glycogen can support Lactobacillus colonization in the genital tract.

  11. Relação saque, recepção e ataque no voleibol juvenil masculino Relation service, reception and attack in male junior volleyball

    Directory of Open Access Journals (Sweden)

    Gustavo De Conti Teixeira Costa

    2011-03-01

    Full Text Available Neste texto, O objetivo do presente estudo consistiu em analisar a relação do saque e da recepção com o efeito do ataque em seleções nacionais de voleibol juvenil masculino. Recorreu-se à observação e análise de onze jogos, totalizando 781 ações de ataque. Os resultados demonstraram que o ponto no ataque ocorreu mais do que o esperado após o saque suspensão colocado e após a recepção que permitiu todas as opções de ataque. Contrariamente, este ocorreu menos do que o esperado após o saque suspensão potente e a recepção que não permitiu ataque organizado. O presente estudo permitiu inferir que o saque potente e a recepção com baixos níveis de eficácia reduzem as possibilidades de pontuar no ataque. O fato do saque potente adversário induzir menor ocorrência de ponto no ataque, pode sugerir alguma debilidade na organização ofensiva da equipa perante as dificuldades acrescidas colocadas por este tipo de saque.Tal sugere a necessidade de, desde as categorias de base, ser dada maior atenção no treinamento à capacidade das equipas organizarem as manobras ofensivas em resposta a saques agressivos como é o caso do saque suspensão potente.The purpose of this study was to analyze the relationship between serve and serve reception on the effect of the offensive system in the national junior male volleyball teams. Eleven games were analyzes, totaling 781 attack actions. The results showed that the attack point occurred more than expected after the top spin placed jump serve from the opponent and after the reception that allowed all the attack options. In contrast, to this one and the reception that did not allowed an organized attack occurred less than expected after the power jump service. This study made it possible to infer that powerful service and the reception with low levels of efficiency reduce the chances of scoring in the attack. The fact that the opponent's powerful service results lesser occurrences of the

  12. Occupational exposure and effects on the male reproductive system Exposição ocupacional e efeitos sobre o sistema reprodutor masculino

    Directory of Open Access Journals (Sweden)

    Erika Kaltenecker Retto de Queiroz

    2006-03-01

    , bifenilas policloradas, dibromoetileno, ftalatos, PVC e etanol. Disfunção gonadal e má formação congênita foram as principais alterações descritas como causadas por estas substâncias sobre o aparelho reprodutor masculino. Conclui-se que, apesar da escassez de estudos sobre o tema, a relevância do risco faz com que estes sejam estimulados, assim como que se tomem medidas preventivas para se evitar a exposição de trabalhadores a substâncias que carreiem tais riscos.

  13. O órgão odorífero masculino de uma espécie do gênero Episimus (Lepidoptera, Olethreutidae

    Directory of Open Access Journals (Sweden)

    Rudolf Barth

    1957-05-01

    Full Text Available Nesta comunicação descreve-se o aparelho odorífero masculino de uma espécie do grupo transferranus WLK., pergentcente ao gênero Episimus. Cosntra êle de um conjunto de células glandulares, localizadas na tégula, e de uma área glandular situada no interior de uma dobre na tégula, e de uma área glandular situada no interior de uma dobra membranosa, fortemente enrolada e disposta por baixo da articulação da asa posterior. As secreções dos dois tipos de células, que compõem as referidas formações, penetram num pincel de cerdas rígidas, através das quais se evaporam. A parte apical das referidas cerdas está, quando em repouso, escondida no interior da dobra do metatórax. Pelo fato de possuir duas funções bem marcadas, o dispositivo descrito foi chamado de "pincel irradiador-distribuidor". A ereção das cerdas é possibilitada pela membrana de inserção - bastante comprida - bem como por uma modificação de seu canal de inserção e pedúnculo. A energia necessária para o citado movimetno é fornecida pelo enchimento de dois grandes sacos traqueais do interior da tégula. Entre a tégula e a parede do tórax, encontra-se uma formação intercalada. Por contração muscular, a tégula sofre uma torsão no sentido lateral, de modo que o pincel, saindo do enrolamento indicado entra em contacto com o ar, permitindo a evaporação das secreções. Descreve-se, também, um "aparelho de fixação", formado por uma área provida de ganchos, situada no lado inferior da parte anal da asa anterior. Formação similar encontra-se no escuto do metatórax. Em posição de repouso, os ganchos das duas citadas áreas prendem-se entre si, mantendo fixa a posição das asas e proporcionando, assim, ao delicado aparelho odorífero, localizado por debaixo desta, uma proteção especial.

  14. Existe relacao entre o tipo de piso da quadra de futsal e respostas adaptativas da musculatura em praticantes de futsal masculino?

    Directory of Open Access Journals (Sweden)

    Fernando Juraski Lefchak

    2014-01-01

    Full Text Available INTRODUÇÃO: O futebol de salão (futsal é atualmente o esporte com maior número de praticantes, tanto no Brasil como nos demais países sul-americanos e também na Europa. É derivado do futebol de campo, adaptado pela falta de espaço para se jogar. Pode ser praticado em três tipos distintos de pisos, rigorosamente nivelados, sem declives nem depressões, prevenindo escorregões e acidentes. A movimentação em quadra exige súbita aceleração e desaceleração com bruscas mudanças de direção, expondo as estruturas osteomioarticulares a grandes impactos, aumentando o risco de lesões, que podem dever-se a fatores intrínsecos ou extrínsecos, nos quais se consideram, entre outras coisas, as condições e o tipo do piso utilizado. OBJETIVO: O propósito deste estudo foi analisar as possíveis influências do tipo de piso utilizado no futsal e as respostas adaptativas musculares em praticantes de futsal masculino. MÉTODOS: A amostra foi composta por 10 praticantes de futsal, de 20 a 30 anos de idade. Através da eletromiografia de superfície, foi realizada a captação da atividade elétrica, por meio da raíz quadrada da média (root mean square - RMS em µV e da força dos principais grupos musculares do membro inferior dominante em repouso depois de duas partidas de futsal, em dois tipos de pisos de quadras. RESULTADOS: Os achados deste estudo, que envolveu parâmetros biomecânicos utilizados, mostraram não haver diferença significativa entre a prática de futsal na quadra de madeira e na quadra sintética, com tendência de aumento da atividade elétrica da musculatura anterior na quadra com piso de madeira e depois com o piso sintético. CONCLUSÃO: É necessário que se façam maiores investigações acerca dos possíveis mecanismos osteomusculares adaptativos que possam desvendar as reações a diferentes tipos de pisos das quadras em esportes como o futsal.

  15. Effect of estradiol on chlamydial genital infection of female guinea pigs.

    OpenAIRE

    Rank, R G; White, H. J.; Hough, A. J.; Pasley, J N; Barron, A L

    1982-01-01

    Female guinea pigs were treated daily with 1 mg of beta-estradiol-3-benzoate intramuscularly beginning 14 days before intravaginal inoculation with the chlamydial agent of guinea pig inclusion conjunctivitis and continuing during the course of the infection. Treatment with estradiol was found to markedly influence the course of genital infection with the chlamydial agent of guinea pig inclusion conjunctivitis, producing infections of greater intensity and longer duration than those in control...

  16. Ultrasound of the male genital tract in relation to male reproductive health

    OpenAIRE

    Lotti F; Maggi M

    2015-01-01

    BACKGROUND: Infertility affects ∼7% of all men. Despite much progress, mainly in genetics, its etiology remains obscure in ∼50% of cases. To fill this gap, imaging of the male genital tract (MGT) has progressively expanded, providing useful information in the assessment of MGT abnormalities. METHODS: A critical, systematic review of the available literature was performed using Medline, with no restrictions regarding date of publication (i.e. from inception date until March 2014), a...

  17. Cancer of the genital tract among the Ibo women in Nigeria.

    Science.gov (United States)

    Megafu, U

    1979-11-01

    An analysis of female genital tract cancer among the Ibos of Nigeria has proven to be preponderantly cervical cancer. It is therefore obvious that the practice of ritual circumcision among the Ibo men does not protect the women from cervical cancer. The most important etiological factors contributing to cervical cancer among the Ibo women are early marriage, early age of coitus, and grand multiparity. Corpus cancer is relatively rare among the Ibo women.

  18. Transformation of the genital epithelial tract occurs early in California sea lion development.

    Science.gov (United States)

    Barragán-Vargas, Cecilia; Montano-Frías, Jorge; Ávila Rosales, Germán; Godínez-Reyes, Carlos R; Acevedo-Whitehouse, Karina

    2016-03-01

    An unusually high prevalence of metastatic urogenital carcinoma has been observed in free-ranging California sea lions stranded off the coast of California in the past two decades. No cases have been reported for sea lions in the relatively unpolluted Gulf of California. We investigated occurrence of genital epithelial transformation in 60 sea lions (n=57 pups and 3 adult females) from the Gulf of California and examined whether infection by a viral pathogen previously found to be associated with urogenital carcinoma accounted for such alterations. We also explored the contribution of MHC class II gene expression on transformation. Cellular alterations, such as squamous cell atypia (ASC), atypical squamous cells of undetermined significance (ASCUS) and low-grade squamous intraepithelial lesions were observed in 42% of the pups and in 67% of the adult females. Normal genital epithelium was more common in male than female pups. ASC was five times more likely to occur in older pups. Epithelial alterations were unrelated to infection by the potentially oncogenic otarine type I gammaherpesvirus (OtHV-1), but ASCUS was more common in pups with marked and severe inflammation. Expression of MHC class II DRB loci (Zaca DRB-D) by peripheral antigen-presenting leucocytes showed a slightly 'protective' effect for ASC. We propose that transformation of the California sea lion genital epithelium is relatively common in young animals, increases with age and is probably the result of infection by an unidentified pathogen. Expression of a specific MHC class II gene, suggestive of presentation of specific antigenic peptides to immune effectors, appears to lower the risk of transformation. Our study provides the first evidence that epithelial transformation of the California sea lion genital tract is relatively common, even from an early age, and raises questions regarding differences in sea lion cancer-detection and -repair success between geographical regions.

  19. Evaluation and Treatment of Genital Injuries in Combat Warriors (Artiss Symposium 2012)

    Science.gov (United States)

    2013-05-02

    patient and for the physician. Patients can be reluctant to discuss erectile dysfunction because of embarrassment, shame or ignorance about normal sexual ...discomfort discussing any aspects of their sexual functioning. The physician may have a fear of offending the patient or causing discomfort. They may have a...injuries? How do we instill hope in those with devastating genital injuries? How do we address sexual function and fertility? How do we provide the

  20. Genital self-mutilation in a case of first episode psychosis

    Directory of Open Access Journals (Sweden)

    Anuj Khandelwal

    2016-01-01

    Full Text Available Genital self-mutilation (GSM is a much rare finding and more commonly associated with psychosis when it comes to comparison with self-mutilation as a whole. There have been anecdotal case reports of GSM in psychotic disorders with most of them being in long standing psychoses. We describe herein a case of GSM during the first episode of psychosis where multiple phenomenological variables were seen responsible for the act.

  1. Sharma's Python Sign: A New Tubal Sign in Female Genital Tuberculosis.

    Science.gov (United States)

    Sharma, Jai Bhagwan

    2016-01-01

    Female genital tuberculosis (FGTB) is an important cause of infertility in developing countries. Various type of TB salpingitis can be endosalpingitis, exosalpingitis, interstitial TB salpingitis, and salpingitis isthmica nodosa. The fallopian tubes are thickened enlarged and tortuous. Unilateral or bilateral hydrosalpinx or pyosalpinx may be formed. A new sign python sign is presented in which fallopian tube looks like a blue python on dye testing in FGTB.

  2. Bibliometric analysis of literature on female genital mutilation: (1930 – 2015)

    OpenAIRE

    Sweileh, Waleed M.

    2016-01-01

    Background Female genital mutilation/cutting (FGM/C) is a common harmful traditional practice in many communities in Africa and to a lesser extent in Middle East and other regions in the world. In order to better understand publishing on this topic, we conducted a bibliometric study on FGM/C. Bibliometric analyses can be used as an indicator of the extent of interaction of researchers, health authorities, and communities with a particular health issue. Methods Scopus database was used to retr...

  3. Vulvar Epidermal Inclusion Cyst as a Long-term Complication of Female Genital Mutilation

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    Ana Mercedes Victoria-Martínez; Laura Cubells-Sánchez; Lorena Martínez-Leborans; José Luis Sánchez-Carazo; Víctor Alegre de Miquel

    2016-01-01

    We present a case report of a patient with epidermal inclusion cyst as a late complication of female genital mutilation (FGM). We describe the management of the patient, and a review of the literature. We report the clinical and pathological findings in a 37-year-old female patient from Nigeria, with a clitoral mass of 1 year duration. She declared to have an FGM since she was 5 years. The lesion was excised successfully with good cosmetic results. Histological examination revealed epidermal ...

  4. Persistent Genital Arousal Disorder: Confluent Patient History of Agitated Depression, Paroxetine Cessation, and a Tarlov Cyst

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    Simone Eibye; Hans Mørch Jensen

    2014-01-01

    We report a case of a woman suffering from persistent genital arousal disorder (PGAD) after paroxetine cessation. She was admitted to a psychiatric department and diagnosed with agitated depression. Physical investigation showed no gynaecological or neurological explanation; however, a pelvic MRI scan revealed a Tarlov cyst. Size and placement of the cyst could not explain the patient’s symptoms; thus neurosurgical approach would not be helpful. Her depression was treated with antidepressant ...

  5. Sharma′s python sign: A New tubal sign in female genital tuberculosis

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    Jai Bhagwan Sharma

    2016-01-01

    Full Text Available Female genital tuberculosis (FGTB is an important cause of infertility in developing countries. Various type of TB salpingitis can be endosalpingitis, exosalpingitis, interstitial TB salpingitis, and salpingitis isthmica nodosa. The fallopian tubes are thickened enlarged and tortuous. Unilateral or bilateral hydrosalpinx or pyosalpinx may be formed. A new sign python sign is presented in which fallopian tube looks like a blue python on dye testing in FGTB.

  6. Leflunomide in the Treatment of a Pseudotumoral Genital Herpes Simplex Virus Infection in an HIV Patient

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    Marie R. Roger; Anstead, Gregory M.

    2017-01-01

    The patient is a 52-year-old African American man with a past medical history of HIV infection (on antiretroviral therapy, CD4 count 399 cells/µL, and undetectable HIV viral load) and recurrent genital herpes. While on valacyclovir, the patient presented with four tumorous lesions on the perineum and scrotum. A biopsy specimen stained positively with HSV-1 and HSV-2 immunostains and displayed a lymphoplasmacytic infiltrate. The patient received foscarnet and imiquimod for two weeks with minim...

  7. Genital Self-mutilation in a Case of First Episode Psychosis

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    Khandelwal, Anuj; Chauhan, Khushboo; De Sousa, Avinash; Sonavane, Sushma; Pawar, Alka

    2016-01-01

    Genital self-mutilation (GSM) is a much rare finding and more commonly associated with psychosis when it comes to comparison with self-mutilation as a whole. There have been anecdotal case reports of GSM in psychotic disorders with most of them being in long standing psychoses. We describe herein a case of GSM during the first episode of psychosis where multiple phenomenological variables were seen responsible for the act. PMID:27570352

  8. Women’s attitudes towards discontinuation of female genital mutilation in Egypt

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    Bjarne Jansson; Stephen Lawoko; Koustuv Dalal

    2010-01-01

    Abstract: Background: To examine women's attitude towards discontinuation of female genital mutilation (FGM) in association with their access to information, knowledge of health effects and cultural beliefs concerning FGM in Egypt. Methods: A cross-sectional study of 9159 women, using data from the household survey in Egypt by Demographic and Health survey 2003. A comprehensive questionnaire covering attitudes towards FGM, demographics, and access to information was used. Chi-square analysis ...

  9. Transformation of the genital epithelial tract occurs early in California sea lion development

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    Barragán-Vargas, Cecilia; Montano-Frías, Jorge; Ávila Rosales, Germán; Godínez-Reyes, Carlos R.; Acevedo-Whitehouse, Karina

    2016-01-01

    An unusually high prevalence of metastatic urogenital carcinoma has been observed in free-ranging California sea lions stranded off the coast of California in the past two decades. No cases have been reported for sea lions in the relatively unpolluted Gulf of California. We investigated occurrence of genital epithelial transformation in 60 sea lions (n=57 pups and 3 adult females) from the Gulf of California and examined whether infection by a viral pathogen previously found to be associated with urogenital carcinoma accounted for such alterations. We also explored the contribution of MHC class II gene expression on transformation. Cellular alterations, such as squamous cell atypia (ASC), atypical squamous cells of undetermined significance (ASCUS) and low-grade squamous intraepithelial lesions were observed in 42% of the pups and in 67% of the adult females. Normal genital epithelium was more common in male than female pups. ASC was five times more likely to occur in older pups. Epithelial alterations were unrelated to infection by the potentially oncogenic otarine type I gammaherpesvirus (OtHV-1), but ASCUS was more common in pups with marked and severe inflammation. Expression of MHC class II DRB loci (Zaca DRB-D) by peripheral antigen-presenting leucocytes showed a slightly ‘protective’ effect for ASC. We propose that transformation of the California sea lion genital epithelium is relatively common in young animals, increases with age and is probably the result of infection by an unidentified pathogen. Expression of a specific MHC class II gene, suggestive of presentation of specific antigenic peptides to immune effectors, appears to lower the risk of transformation. Our study provides the first evidence that epithelial transformation of the California sea lion genital tract is relatively common, even from an early age, and raises questions regarding differences in sea lion cancer-detection and -repair success between geographical regions. PMID:27069641

  10. Etiology of genital ulcer disease in a sexually transmitted infection reference center in Manaus, Brazilian Amazon.

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    Felipe Gomes Naveca

    Full Text Available OBJECTIVES: To determine the etiology and factors associated with genital ulcer disease (GUD among patients presenting to a sexually transmitted infections clinic in Manaus, Brazil; and to compare a multiplex polymerase chain reaction (M-PCR assay for the diagnosis of GUD with standard methods. METHODS: Ulcer swabs were collected and used for Tzanck test and processed in an M-PCR to detect herpes simplex virus (HSV-1/2, Treponema pallidum (T. pallidum, and Haemophilus ducreyi (H. ducreyi. Sera were tested for HIV and syphilis antibodies. Multivariable analysis was used to measure the association between clinical aspects and GUD. M-PCR results were compared with syphilis serology and Tzanck tests. RESULTS: Overall, 434 GUD samples were evaluated, 84.8% from men. DNA from HSV-2 was detected in 55.3% of GUD samples, T. pallidum in 8.3%, HSV-1 in 3.2%, and 32.5% of GUD specimens were negative for the DNA of all three pathogens. No cases of H. ducreyi were identified. HIV serology among GUD patients was 3.2%. Treponemal antibodies and Tzanck test positivity for genital herpes was detected in 25 (5.8% and in 125 (30.3% of GUD patients, respectively. In multivariable analysis genital herpes etiology by M-PCR was associated with the vesicular, multiple and recurrent lesions whereas T. pallidum with non-vesicular, non-recurrent lesions. Compared to M-PCR, syphilis serology was 27.8% sensitive and 96.2% specific whereas Tzanck test was 43.8% sensitive and 88.9% specific. CONCLUSIONS: The predominance of genital herpes etiology suggests a revision of existing national syndromic treatment guidelines in Brazil to include antiherpetic treatment for all GUD patients. The use of M-PCR can significantly improve the diagnosis of GUD and provide a greater sensitivity than standard diagnostics.

  11. The Molecular Ecology of Antibiotic Resistance Genes in Genital Tract Pathogens

    OpenAIRE

    Johnson, Alan P.

    2011-01-01

    Genital tract pathogens resistant to antibiotics are now commonly encountered in many parts of the world. The emergence of such strains may clearly be accounted for, at least in part, by the selection of mutant strains which would have a selective advantage in the face of widespread antibiotic usage. Molecular and genetic analysis of antibioticresistant organisms, however, indicates that such an explanation is an over simplification. In many instances genes coding for antibiotic resistance ap...

  12. Sensationalising the female pudenda: an examination of public communication of aesthetic genital surgery.

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    Ashong, Ashong C; Batta, Herbert E

    2012-12-26

    We live in a society where beauty and sensations are important. Advances in medical technologies have brought on waves of new notions of beauty where commercial interests both in the media and the health industry spurred by fashion, advertising and celebrity promotion have tended to popularise body modifications and enhancements. In recent times, through offerings on cable television channels and glossy consumer magazines, medical procedures hitherto only in the precincts of medical schools, gyneacological clinics and medical journals have now pervaded the population. More seriously, on the Internet particularly, medical experts now offer services and graphic details of labiaplasty, clitoral hood reduction or enhancement, vaginal rejuvenation, etc. Here, we examine the public communication of the phenomenon of aesthetic genital surgery and interrogate thus; is it decent, honest, balanced and ethical? Relying on textual analysis, personal observation and literature review for data gathering, we observe that besides tending to commercialise and medicalise the female genitalia, a coalescence of medical, advertising and fashion interests as played out in the media sensationalises the benign science of plastic surgery and robs it of its truthfulness, genuineness, and purposefulness. The conclusion is that in Africa, where the effect of the development crises is telling, the hype surrounding cosmetic or aesthetic genital surgery is a damaging distraction particularly when the continent is waging a battle against female genital mutilation. The recommendations are that media and medical regulatory bodies should impress it upon media and medical industry operators that glaring commercial promotions of cosmetic genital surgery in the public media be checked, and that such communication should bear equal weight of facts related to risks, short comings, complications, and threats; in physical, social, and psychological terms.

  13. Chlamydia trachomatis in women attending a gynaecological outpatient clinic with lower genital tract infection.

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    Svensson, L; Weström, L; Mårdh, P A

    1981-01-01

    In a study of 3794 consecutive women attending a gynaecological outpatient clinic with symptoms of lower genital tract infection (LGTI) 350 (9.2%) harboured Chlamydia trachomatis and 83 (2.2%) Neisseria gonorrhoeae. One hundred and ninety-five patients who were later found to have acute salpingitis and 109 other women in whom the chlamydial cultures were spoiled were excluded from the series. Of the remaining 3490 women, 281 were infected with C trachomatis, 42 with N gonorrhoeae, and 17 with...

  14. External Genital Abnormalities and Inguinal Hernia among Males of Children Nurseries, North West of Iran

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    Hossein Haratipour

    2016-02-01

    Full Text Available Background Abnormalities of external genitalia in male children nurseries and inguinal hernia are the most common congenital disorders in children. We aimed to determine prevalence rate of inguinal hernia and other genital among children nurseries, in Shahrood-Iran. Materials and Methods In this descriptive cross-sectional study, we examined 920 children nurseries boys. Physical examination of children was performed in presence of a parent in a warm room in supine and upright position with and without Valsalva maneuver. A written consent was obtained from parents before examination. Past medical history and history of surgery on inguinal and genital area was taken. Examination was performed 2 interns who were trained about genital system examination.   Results A total of 920 children nurseries boys aged 3 to 6 years were examined which were detected in 88 children and prevalence rate of these abnormalities were 9.6%. The prevalence of abnormalities in the children under study were as follows: Inguinal hernia (5.1%, cryptorchidism (2.1%, Hydrocele (1.5%, hypospadias (0.4%, Varicocele (0.1%, micropenis (0.4%. Conclusion Regarding to relatively high prevalence rate of these abnormalities and low level of people knowledge, seem screening systems for diagnosis and appropriate treatment of these abnormalities to be necessary.

  15. Xanthogranulomatous Inflammation of the Female Genital Tract: Report of Three Cases

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    Xiang-sheng Zhang, Hong-yan Dong, Lei-lei Zhang, Mohamed Mokhtar Desouki, Chengquan Zhao

    2012-01-01

    Full Text Available Purpose and Methods: This is a series of three cases diagnosed with xanthogranulomatous inflammation of the female genital with emphasis on the etiology, clinical-pathologic features and biological behavior. Clinical, pathologic, radiologic and follow up data are reported.Results: The three cases of Xanthogranulomatous inflammation of the female genital tract are the followings: 1 one case affecting the endometrium, 2 one case affecting the fallopian tube, and 3 one case confined to the ovary. The patient's age was 37, 22 and 62 year-old, respectively. Histologic examination revealed extensive infiltration of foamy histiocytes admixed with variable amount of inflammatory cells. The later include plasma cells, lymphocytes, and occasional multinucleated giant cells. Immunohistochemistry showed positive staining for CD68, a histiocytic marker, in foamy histiocytes, CD3, a T cell marker, and CD20, a B cell marker, in the background lymphocytes. The plasma cells were polyclonal with expression of both κ and λ light chains.Conclusion: Xanthogranulomatous inflammation of the female genital tract is an unusual lesion, and clinically forms mass- like lesion in the pelvic cavity that invades the surrounding tissues, which may mimic the tumor clinically and by imaging.

  16. Genital ulcers disease among sexually transmitted disease clinic attendees in Ibadan, Nigeria.

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    Fawole, O I; Okesola, A O; Fawole, A O

    2000-03-01

    Genital ulcer disease (GUD) is a risk factor in the transmission of human immuno deficiency virus (HIV). The goal of this study is to estimate proportion, identify risk factors, and improve prevention and control of GUD. This is a retrospective study of 211 cases of GUD seen between 1993 and 1997 in an urban public sexually transmitted disease (STD) clinic. Genital ulcers form 7.6% of all STDs seen. Overall, genital herpes was commonest (89 or 42.25%). It was the predominant infection (84 or 44.7%) in the males, while lymphogranuloma venereum (52 or 24.7%) was in females. The peak incidence in both sexes occurred in the 20-29 age group. Males out numbered females by a ratio of 8:1. Most of the patients were single 114 (68.3%) and most 70 or 33.3% were students. Risk markers identified were: casual sex (103 or 53.5%) and multiple sexual partners (77 or 36.5%). Both were significantly higher (P < 0.05) in single patients. Self-treatment, use of multiple drugs and incomplete course of antibiotics were also common. The need to intensify STDS education programmes to all occupational groups and to students in particular is highlighted. Commercial sex workers require periodic education, screening and treatment.

  17. Genital Ulcer Disease: How Worrisome Is It Today? A Status Report from New Delhi, India

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    Sumathi Muralidhar

    2013-01-01

    Full Text Available Background and Objectives. Genital ulcer diseases represent a diagnostic dilemma, especially in India, where few STI clinics have access to reliable laboratory facility. The changing STI trends require that a correct diagnosis be made in order to institute appropriate treatment and formulate control policies. The objective of this study was to determine recent trends in aetiology of genital ulcers, by using accurate diagnostic tools. Methods. Specimens from 90 ulcer patients were processed for dark field microscopy, stained smears, culture for H. ducreyi, and real-time PCR. Blood samples were collected for serological tests. Results. Prevalence of GUD was 7.45 with mean age at initial sexual experience as 19.2 years. Use of condom with regular and nonregular partners was 19.5% and 42.1%, respectively. Sexual orientation was heterosexual (92.2% or homosexual (2.2%. There were 8 cases positive for HIV (8.9%. Herpes simplex virus ulcers were the commonest, followed by syphilis and chancroid. There were no cases of donovanosis and LGV. Conclusions. A valuable contribution of this study was in validating clinical and syndromic diagnoses of genital ulcers with an accurate aetiological diagnosis. Such reliable data will aid treatment and better define control measures of common agents and help eliminate diseases amenable to elimination, like donovanosis.

  18. Forced genital cutting in North America: feminist theory and nursing considerations.

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    Antinuk, Kira

    2013-09-01

    This article will examine forced nontherapeutic genital cutting (FNGC) through the lens of feminist theory and in relation to the concept of social justice in nursing. I will address the underlying assumptions of feminism and how they apply to the two currently legal forms of FNGC in North America: male infant circumcision and intersex infant/child genital cutting. Through a literature review and critical analysis of these practices, I will illustrate the challenges they present when considering the role of nurses in promoting social justice. If feminism asserts that bodily integrity, autonomy, and fundamental human rights are essential components of gender equality, it follows that these must be afforded to all genders without discrimination. Historically, there have been few feminists who have made this connection, yet a growing and diverse movement of people is challenging the frameworks in which we consider genital cutting in our society. Nurses are positioned well to be at the forefront of this cause and have a clear ethical duty to advocate for the elimination of all forms of FNGC.

  19. Female genital mutilation/cutting: risk management and strategies for social workers and health care professionals

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    Costello S

    2015-12-01

    Full Text Available Susan Costello School of Global, Urban and Social Studies, RMIT University, Melbourne, VIC, Australia Abstract: Female genital mutilation/cutting (FGM/C is a traditional practice originating in Africa. Its worst forms cause irreparable harm to girls and women and have no medical justification. Based on a literature review of global responses to FGM/C and conversations with Australian women who migrated from FGM/C practicing countries, this paper provides some background on FGM/C and its epidemiology, outlining its prevalence, types, and health risks and complications for women and girls. It discusses risk-prevention strategies, first, for health practitioners in identifying, screening, and supporting women affected by FGM/C and, second, for welfare and social workers and health care professionals to identify, work with, and prevent girls from being cut. Consistent with international trends in addressing the risks of FGM/C, the paper suggests practice responses for coordinated responses between professionals, communities from practicing countries, and governments of different countries. Keywords: female genital mutilation, female genital cutting, female circumcision, child protection, risk management 

  20. Female genital mutilation and the unborn female child in southwest Nigeria.

    Science.gov (United States)

    Ogunlola, I O; Orji, E O; Owolabi, A T

    2003-03-01

    Female genital mutilation, despite efforts to abolish it, is still widely practised in Nigeria. The risk of female genital mutilation to a female child in southwest Nigeria was investigated by interviewing 430 consecutive pregnant women attending the antenatal clinic of Wesley Guild Hospital Ilesa, Nigeria between July 2001 to October 2001. The results show that 60% of the pregnant women studied had a type of genital mutilation. The decision to mutilate a female child is taken before she is born. Seventy-four (17.2%) of the women and 146 (34%) of their husbands would circumcise their female child. The decision to circumcise a female child is made between the husband and wife but the final decision comes mainly from the husband. Because the majority of the women (58.4%) were yet to decide whether or not to circumcise their female children, they could sway the decision either way before the husband makes up his mind. Therefore, every effort should be taken to involve men in the struggle to eradicate this unwholesome practice.

  1. Genital HSV Detection among HIV-1-Infected Pregnant Women in Labor

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    Janna Patterson

    2011-01-01

    Full Text Available Objective. To compare genital HSV shedding among HIV-positive and HIV-negative women. Methods. Women with and without known HIV infection who delivered at the University of Washington Medical Center between 1989–1996 had HSV serologies done as part of clinical care. Genital swabs from HSV-2-seropositive women were evaluated by real-time quantitative HSV DNA PCR. Results. HSV-2 seroprevalence was 71% and 30% among 75 HIV-positive and 3051 HIV-negative women, respectively, (P<.001. HSV was detected at delivery in the genital tract of 30.8% of HIV-seropositive versus 9.5% of HIV-negative women (RR=3.2, 95% CI 1.6 to 6.5, P=.001. The number of virion copies shed per mL was similar (log 3.54 for HIV positive versus 3.90 for HIV negative, P=.99. Conclusions. Our study demonstrated that HIV-, HSV-2-coinfected women are more likely to shed HSV at delivery.

  2. Genital morphology of the male South American fur seal (Arctocephalus australis and biological implications

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    Alex Sander D. Machado

    2012-12-01

    Full Text Available Male capacity for spreading genes to a great number of descendents and to determine population dynamics depend directly on the genital organs. Morphological studies in pinnipeds are scarce and the functional meaning of some characteristics has never been discussed. We hypothesized that Arctocephalus australis (A. australis shows morphophysiological adaptations in order to guarantee the perpetuation of the species in the unique annual mating season. Seven males, dead from natural causes, had their genital organs collected and fixed for morphological description. Some features differ from other described mammalian males and are closely related to the biology and reproductive cycle of this species, as the scrotal epidermis, absence of glandular portion in the ductus deferens and spermatogenic epithelium suggest a recrudescent testis period. The corona glandis exhibits a singular arrangement: its erectile border looks like a formation of petals and its association with the os penis gives a "lily-flower" form to this region. We propose the name margo petaliformis to this particular erectile border of the corona glandis because of its similarity to a flower corola. The male genital organs of A. australis show morphological features compatible with adaptation to environment requirements and reproductive efficiency.

  3. Adverse Psychosexual Impact Related to the Treatment of Genital Warts and Cervical Intraepithelial Neoplasia

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    Adriana Bittencourt Campaner

    2013-01-01

    Full Text Available Objective. To compare the psychosexual impact related to the treatment of genital warts and cervical intraepithelial neoplasia (CIN in women. Methods. 75 patients presenting with HPV-induced genital lesions, belonging to one of two patient groups, were included in the study: 29 individuals with genital warts (GWs and 46 individuals with CIN grades 2 or 3 (CIN 2/3. Initially, medical charts of each woman were examined for extraction of data on the type of HPV-induced infection and treatment administered. Subjects were interviewed to collect sociodemographic data as well as personal, gynecologic, obstetric, and sexual history. After this initial anamnesis, the Sexual Quotient-Female Version (SQ-F questionnaire was applied to assess sexual function. After application of the questionnaire, patients answered specific questions produced by the researchers, aimed at assessing the impact of the disease and its treatment on their sexual lives. Results. It is noteworthy that patients with CIN 2/3 had statistically similar classification of sexual quotient to patients with GWs (P=0.115. However, patients with GWs more frequently gave positive answers to the specific questions compared to patients with CIN 2/3. Conclusion. Based on these findings, it is clear that GWs have a greater impact on sexual behavior compared to CIN 2/3.

  4. Body Dysmorphic Disorder: Contraindication or Ethical Justification for Female Genital Cosmetic Surgery in Adolescents.

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    Spriggs, Merle; Gillam, Lynn

    2016-11-01

    Is Female Genital Cosmetic Surgery for an adolescent with Body Dysmorphic Disorder ever ethically justified? Cosmetic genital surgery (specifically labioplasty) for adolescent girls is one of the most ethically controversial forms of cosmetic surgery and Body Dysmorphic Disorder is typically seen as a contraindication for cosmetic surgery. Two key ethical concerns are (1) that Body Dysmorphic Disorder undermines whatever capacity for autonomy the adolescent has; and (2) even if there is valid parental consent, the presence of Body Dysmorphic Disorder means that cosmetic surgery will fail in its aims. In this article, we challenge, in an evidence-based way, the standard view that Body Dysmorphic Disorder is a contraindication for genital cosmetic surgery in adolescents. Our argument gathers together and unifies a substantial amount of disparate research in the context of an ethical argument. We focus on empirical questions about benefit and harm, because these are ethically significant. Answers to these questions affect the answer to the ethical question. We question the claim that there would be no benefit from surgery in this situation, and we consider possible harms that might be done if treatment is refused. For an adolescent with Body Dysmorphic Disorder, the most important thing may be to avoid harm. We find ourselves arguing for the ethical justifiability of cosmetic labioplasty for an adolescent with Body Dysmorphic Disorder, even though we recognize that it is a counter intuitive position. We explain how we reached our conclusion.

  5. Genital heat stress in men of barren couples: a prospective evaluation by means of a questionnaire.

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    Jung, A; Schill, W-B; Schuppe, H-C

    2002-12-01

    Exposure to genital heat stress among men of barren couples was evaluated in a prospective study. Five hundred and forty-two consecutive patients referred for andrological examination were asked to complete a specific questionnaire at their first visit. For 449 patients who answered all questions, the individual score values could be calculated by scoring each answer with points. Patients with 'idiopathic' oligoasthenoteratozoospermia had significantly higher score values when compared with men showing normozoospermia (P cryptozoospermia (P < 0.01) or other pathological semen profiles (P < 0.05). These data support the hypothesis that patients with 'idiopathic' oligoasthenoteratozoospermia are more exposed to genital heat stress than normozoospermic men. Moreover, in patients with a varicocele impairment semen quality was associated with significantly higher score values compared with the subgroup of men with normal semen profiles (P < 0.05). In contrast, the score values did not significantly differ between equivalent subgroups of men with a history of a retractile testis. Our observations indicate that the questionnaire used in the present study allows an integrative assessment of genital heat stress, which is superior to single factor analysis. Notably, the group of men with 'idiopathic' oligoasthenoteratozoospermia showed the highest mean score values for 10 of the 18 questions compared with the other groups. Prolonged sitting in a vehicle represented the only single factor with significantly different score values in patients with 'idiopathic' oligoasthenoteratozoospermia and those with normozoospermia (P < 0.05).

  6. The immune response against Chlamydia suis genital tract infection partially protects against re-infection.

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    De Clercq, Evelien; Devriendt, Bert; Yin, Lizi; Chiers, Koen; Cox, Eric; Vanrompay, Daisy

    2014-09-25

    The aim of the present study was to reveal the characteristic features of genital Chlamydia suis infection and re-infection in female pigs by studying the immune response, pathological changes, replication of chlamydial bacteria in the genital tract and excretion of viable bacteria. Pigs were intravaginally infected and re-infected with C. suis strain S45, the type strain of this species. We demonstrated that S45 is pathogenic for the female urogenital tract. Chlamydia replication occurred throughout the urogenital tract, causing inflammation and pathology. Furthermore, genital infection elicited both cellular and humoral immune responses. Compared to the primo-infection of pigs with C. suis, re-infection was characterized by less severe macroscopic lesions and less chlamydial elementary bodies and inclusions in the urogenital tract. This indicates the development of a certain level of protection following the initial infection. Protective immunity against re-infection coincided with higher Chlamydia-specific IgG and IgA antibody titers in sera and vaginal secretions, higher proliferative responses of peripheral blood mononuclear cells (PBMC), higher percentages of blood B lymphocytes, monocytes and CD8⁺ T cells and upregulated production of IFN-γ and IL-10 by PBMC.

  7. Conocimiento del personal de salud sobre la mutilación genital femenina

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    Ivanny Cambronero-Aguilar

    2008-12-01

    Full Text Available Justificación y objetivo: La mutilación genital femenina genera consecuencias psicológicas, sexuales, sociales y médicas a corto y largo plazo, es una práctica común en países no occidentales; sin embargo, a medida que las poblaciones se dispersan se está convirtiendo en un problema a tratar dondequiera que los grupos practicantes se establezcan. El objetivo de este trabajo es determinar el grado de conocimiento de médicos y enfermeras obstétricas sobre mutilación genital femenina, sus consecuencias y manejo clínico. Materiales y método: Se realizó un cuestionario compuesto por preguntas abiertas y cerradas, el cual se aplicó a 70 médicos y 30 enfermeras, entre octubre y noviembre de 2006, en cuatro hospitales nacionales de la Caja Costarricense de Seguro Social, específicamente: San Juan de Dios, México, de la Mujer, y Calderón Guardia. Resultados: El 81% respondió que conocía acerca de la mutilación genital femenina, sin embargo 63% ignoraba que la mutilación genital femenina puede producir complicaciones obstétricas y 97% dijo desconocer el método de deinfibulación. El 60% de los médicos manifestó no estar preparado para manejar un caso de mutilación genital femenina. Discusión: Se refleja falta de conocimiento sobre este tema, explicado porque no es un diagnóstico común en la práctica médica en Costa Rica. No obstante, el hecho de que estas poblaciones estén migrando a nuevos territorios y que sí se haya documentado este diagnóstico en el país, justifica la necesidad de mayor información al personal de salud, sobre todo en el posible manejo que se le daría a una de estas pacientes. En este sentido es relevante el papel de la educación médica continua.

  8. Interferon Lambda 4 Genotype Is Not Associated with Recurrence of Oral or Genital Herpes.

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    Lang Kuhs, Krystle A; Kuniholm, Mark H; Pfeiffer, Ruth M; Chen, Sabrina; Desai, Seema; Edlin, Brian R; Peters, Marion G; Plankey, Michael; Sharp, Gerald B; Strickler, Howard D; Villacres, Maria C; Quinn, Thomas C; Gange, Stephen J; Prokunina-Olsson, Ludmila; Greenblatt, Ruth M; O'Brien, Thomas R

    2015-01-01

    IFNL4-ΔG/TT (rs368234815) genotype is associated with hepatitis C virus clearance and may play a role in other infections. IFN-λ4 protein is generated only in individuals who carry the IFNL4-ΔG allele. The IFNL4 rs12979860-T allele, which is in strong linkage disequilibrium with IFNL4-ΔG, was recently reported to be associated with more frequent and severe oral herpes episodes. We investigated the association of IFNL4-ΔG/TT with herpes simplex virus (HSV)-related outcomes among 2,192 African American and European American participants in the Women's Interagency HIV Study (WIHS). WIHS is a prospective cohort study of human immunodeficiency virus (HIV)-infected and at-risk women that began in 1994. This report includes follow-up through 2013. Available data included: HSV-1 and HSV-2 antibodies at study entry; bi-annually ascertained episodes of (self-reported) oral herpes, (self-reported) genital sores and (clinician-observed) genital ulcers; HSV-2 DNA in cervicovaginal lavage (CVL) specimens. IFNL4-ΔG/TT genotyping was determined by TaqMan. We compared women with IFNL4-ΔG/ΔG or IFNL4-TT/ΔG genotypes (i.e., IFNL4-ΔG carriers) to those with the IFNL4-TT/TT genotype, adjusting for age, race and HIV status. For outcomes with repeated measurements, the adjusted odds ratio (aOR), 95% confidence interval [CI] and p-value were determined using a generalized estimating equations approach. Median participant age at enrollment was 36 years; 81% were African American, 74% were HIV-infected. Among 1,431 participants tested for antibodies, 72.8% were positive for HSV-1 and 79.0% were positive for HSV-2. We observed no association between IFNL4-ΔG/TT genotype and any outcome: HSV-1 or HSV-2 antibody prevalence (p>0.1, all comparisons); oral herpes (aOR, 1.2; p = 0.35); genital sores (aOR, 1.0; p = 0.71); genital ulcers (aOR, 1.1; p = 0.53); detectable HSV-2 DNA in CVL (N = 322; aOR, 0.71; p = 0.49); HSV-2 DNA level (p = 0.68). In this large prospective study, IFNL4-

  9. Interferon Lambda 4 Genotype Is Not Associated with Recurrence of Oral or Genital Herpes.

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    Krystle A Lang Kuhs

    Full Text Available IFNL4-ΔG/TT (rs368234815 genotype is associated with hepatitis C virus clearance and may play a role in other infections. IFN-λ4 protein is generated only in individuals who carry the IFNL4-ΔG allele. The IFNL4 rs12979860-T allele, which is in strong linkage disequilibrium with IFNL4-ΔG, was recently reported to be associated with more frequent and severe oral herpes episodes. We investigated the association of IFNL4-ΔG/TT with herpes simplex virus (HSV-related outcomes among 2,192 African American and European American participants in the Women's Interagency HIV Study (WIHS. WIHS is a prospective cohort study of human immunodeficiency virus (HIV-infected and at-risk women that began in 1994. This report includes follow-up through 2013. Available data included: HSV-1 and HSV-2 antibodies at study entry; bi-annually ascertained episodes of (self-reported oral herpes, (self-reported genital sores and (clinician-observed genital ulcers; HSV-2 DNA in cervicovaginal lavage (CVL specimens. IFNL4-ΔG/TT genotyping was determined by TaqMan. We compared women with IFNL4-ΔG/ΔG or IFNL4-TT/ΔG genotypes (i.e., IFNL4-ΔG carriers to those with the IFNL4-TT/TT genotype, adjusting for age, race and HIV status. For outcomes with repeated measurements, the adjusted odds ratio (aOR, 95% confidence interval [CI] and p-value were determined using a generalized estimating equations approach. Median participant age at enrollment was 36 years; 81% were African American, 74% were HIV-infected. Among 1,431 participants tested for antibodies, 72.8% were positive for HSV-1 and 79.0% were positive for HSV-2. We observed no association between IFNL4-ΔG/TT genotype and any outcome: HSV-1 or HSV-2 antibody prevalence (p>0.1, all comparisons; oral herpes (aOR, 1.2; p = 0.35; genital sores (aOR, 1.0; p = 0.71; genital ulcers (aOR, 1.1; p = 0.53; detectable HSV-2 DNA in CVL (N = 322; aOR, 0.71; p = 0.49; HSV-2 DNA level (p = 0.68. In this large prospective study, IFNL4

  10. Interferon Lambda 4 Genotype Is Not Associated with Recurrence of Oral or Genital Herpes

    Science.gov (United States)

    Lang Kuhs, Krystle A.; Kuniholm, Mark H.; Pfeiffer, Ruth M.; Chen, Sabrina; Desai, Seema; Edlin, Brian R.; Peters, Marion G.; Plankey, Michael; Sharp, Gerald B.; Strickler, Howard D.; Villacres, Maria C.; Quinn, Thomas C.; Gange, Stephen J.; Prokunina-Olsson, Ludmila; Greenblatt, Ruth M.; O’Brien, Thomas R.

    2015-01-01

    IFNL4-ΔG/TT (rs368234815) genotype is associated with hepatitis C virus clearance and may play a role in other infections. IFN-λ4 protein is generated only in individuals who carry the IFNL4-ΔG allele. The IFNL4 rs12979860-T allele, which is in strong linkage disequilibrium with IFNL4-ΔG, was recently reported to be associated with more frequent and severe oral herpes episodes. We investigated the association of IFNL4-ΔG/TT with herpes simplex virus (HSV)-related outcomes among 2,192 African American and European American participants in the Women’s Interagency HIV Study (WIHS). WIHS is a prospective cohort study of human immunodeficiency virus (HIV)–infected and at-risk women that began in 1994. This report includes follow-up through 2013. Available data included: HSV–1 and HSV–2 antibodies at study entry; bi-annually ascertained episodes of (self-reported) oral herpes, (self-reported) genital sores and (clinician-observed) genital ulcers; HSV–2 DNA in cervicovaginal lavage (CVL) specimens. IFNL4-ΔG/TT genotyping was determined by TaqMan. We compared women with IFNL4-ΔG/ΔG or IFNL4-TT/ΔG genotypes (i.e., IFNL4-ΔG carriers) to those with the IFNL4-TT/TT genotype, adjusting for age, race and HIV status. For outcomes with repeated measurements, the adjusted odds ratio (aOR), 95% confidence interval [CI] and p-value were determined using a generalized estimating equations approach. Median participant age at enrollment was 36 years; 81% were African American, 74% were HIV-infected. Among 1,431 participants tested for antibodies, 72.8% were positive for HSV–1 and 79.0% were positive for HSV–2. We observed no association between IFNL4-ΔG/TT genotype and any outcome: HSV–1 or HSV–2 antibody prevalence (p>0.1, all comparisons); oral herpes (aOR, 1.2; p = 0.35); genital sores (aOR, 1.0; p = 0.71); genital ulcers (aOR, 1.1; p = 0.53); detectable HSV–2 DNA in CVL (N = 322; aOR, 0.71; p = 0.49); HSV–2 DNA level (p = 0.68). In this large

  11. O pediatra frente a uma criança com ambigüidade genital The role of the pediatrician in the management of children with genital ambiguities

    Directory of Open Access Journals (Sweden)

    Gil Guerra-Júnior

    2007-11-01

    Full Text Available OBJETIVO: Apresentar os critérios diagnósticos de ambigüidade genital, a conduta médica inicial e a postura esperada do pediatra. FONTES DOS DADOS: Revisão de literatura científica por meio de artigos publicados no MEDLINE nos idiomas inglês e português, no período de 1990 a 2007 e na faixa etária pediátrica. SÍNTESE DOS DADOS: O pediatra tem papel fundamental na avaliação da ambigüidade genital, cujo objetivo é obter diagnóstico etiológico preciso no menor tempo possível para definição do sexo e estabelecimento dos procedimentos terapêuticos. Há critérios diagnósticos específicos, porém, de modo geral, uma genitália é ambígua sempre que houver dificuldade para se atribuir o sexo à criança. O pediatra deve informar à família que a definição do sexo dependerá de investigação laboratorial minuciosa, feita preferencialmente por equipe interdisciplinar em serviço terciário. O cariótipo 46,XX ou 46,XY não é suficiente para definir o sexo de criação, porém esse exame é fundamental para direcionar a investigação. Quando não houver gônadas palpáveis, a primeira hipótese deve ser hiperplasia adrenal congênita. Entre as outras causas, estão insensibilidade parcial a andrógenos, deficiência da enzima 5alfa-redutase, disgenesia gonadal parcial e hermafroditismo. A família deve receber apoio e informações durante todo o processo de avaliação, e sua participação é fundamental na decisão sobre o sexo de criação. CONCLUSÕES: Embora casos de ambigüidade genital sejam relativamente raros para o pediatra, este deve estar informado sobre o tema e a conduta adequada a tomar, pois freqüentemente será o responsável pela orientação inicial da família e pela ligação entre esta e a equipe interdisciplinar.OBJECTIVE: To present the diagnostic criteria of genital ambiguity, the initial medical management and the attitude expected of pediatricians. SOURCES: Review of the scientific literature in

  12. Irradiance of phototherapy equipment in maternity wards in Maceió La irradiación de los aparatos de fototerapia en las maternidades de Maceió Irradiância dos aparelhos de fototerapia nas maternidades de Maceió

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    Anne Laura Costa Ferreira

    2009-10-01

    Full Text Available The effectiveness of neonatal hyperbilirubinaemia treatment depends directly on the amount of energy emitted by light (irradiance. This cross-sectional study aimed to determine the irradiance of phototherapy equipment in maternity wards in Maceió, AL, Brazil. All equipment in use in the neonatal units in Maceió was included in the study, totaling 36 devices, except those in maintenance. The measurement of irradiance was carried out with a radiometer. We observed that 72.20% of the equipment presented efficient irradiance and 27.76% were inefficient. The conclusion is that the majority of phototherapy devices are emitting the minimum required irradiance for neonatal jaundice treatment.La eficacia del tratamiento de la hiperbilirrubinemia neonatal depende directamente de la cantidad de energía emitida por la luz (irradiación. Este es un estudio transversal que objetivó determinar la irradiación de los aparatos de fototerapia en las maternidades de Maceió. Es un muestreo por censo, ya que incluyó todos los aparatos en uso en las unidades neonatales de Maceió, en el total de treinta y seis aparatos (36, excluyéndose aquellos que estaban en manutención. La medición de la irradiación fue realizada con un radiómetro. Se observó que 72,20% de los aparatos presentaron irradiación eficaz y 27,76% de los aparatos fueron ineficaces. Se concluye que la mayoría de los aparatos de fototerapia está emitiendo la irradiación mínima terapéutica para el tratamiento de la ictericia neonatal.A eficácia do tratamento da hiperbilirrubinemia neonatal está na dependência direta da quantidade de energia emitida pela luz (irradiância. Este é um estudo transversal que objetivou determinar a irradiância dos aparelhos de fototerapia nas maternidades de Maceió. A amostragem foi censitária, pois incluiu todos os aparelhos em uso nas unidades neonatais de Maceió, no total de trinta e seis aparelhos (36, excluindo-se aqueles que estavam em manuten

  13. Influencia de los aparatos dentales ortodónticos en la producción y percepción del habla: estudio de cinco casos The influence of orthodontic dental apparatus in production and perception of speech: study of five cases

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    Hernán Martínez

    2006-12-01

    Full Text Available OBJETIVO: observar la capacidad de cinco individuos venezolanos que usan aparatos dentales ortodónticos para articular el habla y verificar la influencia de los aparatos en la percepción del habla por parte de sus interlocutores. MÉTODOS: se utilizó un corpus conformado por dos grabaciones de la lectura de un Test de Pares Mínimos realizadas por cinco hablantes antes y después de iniciar el tratamiento con los aparatos. Dichas grabaciones fueron luego expuestas a veinte oyentes adultos con la finalidad de que identificaran lo oído; sirviéndose de un test ad hoc, basado en el de los Pares Mínimos arriba indicado. Cada uno de los oyentes marcó la opción que creyó haber percibido. RESULTADOS: el análisis de los datos arrojados por los dos conjuntos de tests permitió determinar los sonidos, los rasgos distintivos y los puntos articulatorios afectados por el uso de aparatos en los hablantes. Se demuestra que los sonidos mayormente afectados por los aparatos dentales son /t/, /m/, /p/, /f/, /b/, /m/, /k/ y /tò/; los rasgos y oposiciones distintivas afectadas son [grave]: /b - d/, /f - s/, /m -my/, /m - n/ y /p - t/; [sonoro]: /g - k/, /p - b/ y /t - d/ e [interrupto]:/tò - s/ ; por su parte, los lugares de articulación afectados son bilabial, alveolar, palatal, dental e interdental. CONCLUSIONES: la presencia de los aparatos dentales ortodónticos en la cavidad bucal causa serios problemas en la articulación de los sonidos lingüísticos afectando de esa manera la percepción del habla por parte de los interlocutores. Los problemas de articulación con el paso del tiempo van decreciendo.PURPOSE: to observe the capacity to articulate speech in five Venezuelan individuals who use orthodontic dental apparatus and to verify the influence of the apparatus on the perception of speech from their interlocutors. METHODS: the corpus of study consists of two recordings of the lecture of a Minimal Pairs Test done by five speakers before and

  14. LINAJES MASCULINOS Y SU DIVERSIDAD EN COMUNIDADES WICHÍ DE FORMOSA / Male lineages diversity in Wichí communities of Formosa province, Argentina

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    Virginia Ramallo

    2009-12-01

    Full Text Available Normal 0 21 false false false MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Tabla normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman"; mso-ansi-language:#0400; mso-fareast-language:#0400; mso-bidi-language:#0400;}  Durante el año 2005, se realizaron dos viajes de campaña a comunidades Wichí cercanas a las localidades de Ingeniero Juárez y Laguna Yema (provincia de Formosa, Argentina, como parte del proyecto multidisciplinario “De las historias étnicas a la prehistoria en el Gran Chaco”. Partiendo del planteo metodológico de unidad poblacional, se obtuvieron datos genéticos en 93 muestras utilizando marcadores binarios y microsatélites del cromosoma Y, determinando haplogrupos y haplotipos masculinos. El haplogrupo Q1a3a, natural del continente americano, resultó mayoritario en ambas localidades (72,7 % y 81,6 %. Los linajes moleculares se compararon con la diversidad de apellidos registrada y las posibles vinculaciones entre las comunidades Wichís se analizaron  por redes “median joining”, encontrando una variabilidad de linajes coherente con la distribución de las parcialidades del “complejo étnico Wichí” propuesto por Braunstein.   Palabras claves: Herencia genética, cromosoma Y, PCR, SNP, STR   Abstract During the year 2005, as part of the multidisciplinary project “Of the ethnic histories to the prehistory of the Gran Chaco”, two field trips to the wichi communities nearing the locations of Ingeniero Juárez and Laguna Yema (Formosa province, Argentina were made. From the methodological proposal of a population unit, genetic data in 93 samples, employing binary markers and microsatellites of the Y-chromosome were obtained, determining male

  15. Genital ulcers as initial manifestation of Epstein-Barr virus infection: two new cases and a review of the literature.

    Science.gov (United States)

    Halvorsen, Jon Anders; Brevig, Trine; Aas, Torkild; Skar, Anne Grete; Slevolden, Ellen Margrethe; Moi, Harald

    2006-01-01

    Genital ulceration is an uncommon manifestation of primary Epstein-Barr virus (EBV) infection. We present here two cases of genital ulcers probably caused by EBV. The first case is a 12-year-old girl with a genital ulcer appearing before specific EBV serology could identify a primary infection. However, serology was positive 13 days after the ulcer appeared. Polymerase chain reaction for EBV was positive in the biopsy from the ulcer as well. The second case is an 18-year-old female in whom the specific EBV serology was positive 8 days after appearance of the ulcer. The ulcers in both cases healed after 21 days. We reviewed the literature and a total of 26 cases of EBV-associated genital ulcers in females are now published. Median age of the 26 cases is 14.5 years of whom only 6 reports previous sexual contact. Mean healing time for the ulcers is 18 days. Our two cases correspond well with clinical reports of 24 EBV-associated genital ulcers in the literature.

  16. Simple algorithms for the management of genital ulcers: evaluation in a primary health care centre in Kigali, Rwanda.

    Science.gov (United States)

    Bogaerts, J; Vuylsteke, B; Martinez Tello, W; Mukantabana, V; Akingeneye, J; Laga, M; Piot, P

    1995-01-01

    A cross-sectional study was conducted among 395 patients presenting with genital ulcers at a primary health care centre in Kigali, Rwanda. Using clinical data and the results of a rapid plasma reagin (RPR) test, we simulated the diagnostic outcome of two simple WHO flowcharts for the management of genital ulcers. These outcomes and a clinical diagnosis were then compared with the laboratory diagnosis based on culture for genital herpes and Haemophilus ducreyi and serology for syphilis. The prevalence of HIV infection was high (73%) but there was no difference between HIV-positive and HIV-negative patients in the clinical presentation and etiology of genital ulcer disease. The proportion of correctly managed chancroid and/or syphilis cases was 99% using a syndromic approach, 82.1% using a hierarchical algorithm including an RPR test, and 38.3% with a clinical diagnosis. In situations where no laboratory support is available, a simple syndromic approach is preferable to the clinical approach for the management of genital ulcer. If an RPR test can be included in the diagnostic strategy, patients with a reactive RPR test should be treated for both syphilis and chancroid infection.

  17. A mechanism for the induction of type 2 immune responses by a protease allergen in the genital tract

    Science.gov (United States)

    Oh, Ji Eun; Oh, Dong Sun; Jung, Hi Eun

    2017-01-01

    The genital mucosa is a barrier that is constantly exposed to a variety of pathogens, allergens, and external stimuli. Although both allergen exposure and parasite infections frequently occur in the genital area, the mechanism by which immune responses—particularly type 2 immunity—are induced has rarely been studied in the genital mucosa. Here, we demonstrate the induction of T helper type 2 (Th2) immunity in the genital mucosa in response to a model allergen, the protease papain. Intravaginal papain immunization induced type 2 immunity in a manner that was dependent on protease activity and the estrous phase of the mice. In addition, IL-33 was released from the vaginal epithelia after intravaginal papain immunization, leading to the activation of type 2 innate lymphoid cells (ILC2s). Moreover, the IL-33–MyD88 (myeloid differentiation primary response gene 88) signaling pathway was critical for the induction of type 2 immunity. We also found that Th2 differentiation in response to intravaginal papain treatment requires a specific dendritic cell (DC) subset that is controlled by interferon regulatory factor 4 (IRF4). These findings suggest that type 2 immunity is induced by a unique mechanism in the genital tract, which is an important, but often overlooked, barrier surface. PMID:28137851

  18. Simple algorithms for the management of genital ulcers: evaluation in a primary health care centre in Kigali, Rwanda.

    Science.gov (United States)

    Bogaerts, J.; Vuylsteke, B.; Martinez Tello, W.; Mukantabana, V.; Akingeneye, J.; Laga, M.; Piot, P.

    1995-01-01

    A cross-sectional study was conducted among 395 patients presenting with genital ulcers at a primary health care centre in Kigali, Rwanda. Using clinical data and the results of a rapid plasma reagin (RPR) test, we simulated the diagnostic outcome of two simple WHO flowcharts for the management of genital ulcers. These outcomes and a clinical diagnosis were then compared with the laboratory diagnosis based on culture for genital herpes and Haemophilus ducreyi and serology for syphilis. The prevalence of HIV infection was high (73%) but there was no difference between HIV-positive and HIV-negative patients in the clinical presentation and etiology of genital ulcer disease. The proportion of correctly managed chancroid and/or syphilis cases was 99% using a syndromic approach, 82.1% using a hierarchical algorithm including an RPR test, and 38.3% with a clinical diagnosis. In situations where no laboratory support is available, a simple syndromic approach is preferable to the clinical approach for the management of genital ulcer. If an RPR test can be included in the diagnostic strategy, patients with a reactive RPR test should be treated for both syphilis and chancroid infection. PMID:8907769

  19. Utilidade da citologia anal no rastreamento dos homens heterossexuais portadores do HPV genital Anal cytology for screening heterosexual men harboring genital HPV infection

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    Raphael Marianelli

    2010-09-01

    Full Text Available Os papilomavírus humanos (HPV de alto risco estão fortemente relacionados à etiologia do carcinoma espinocelular (CEC anogenital e suas lesões precursoras. O HPV-16 é o tipo mais freqüente, estando presente em até 87% dos CEC do canal anal HPV-positivo. Apesar de ser relativamente raro, vem sendo cada vez mais diagnosticado, nas últimas décadas, sobretudo em indivíduos do sexo masculino. A incidência é ainda mais elevada nos grupos considerados de risco, particularmente, os homens e as mulheres HIV-positivo e os homens que fazem sexo com homens (HSH. Grande parte das pesquisas direcionadas à infecção anal pelo HPV e sua relação com neoplasia intraepitelial-anal (NIA e com o carcinoma esteve focada nos grupos de risco. Pouco interesse vem sendo destinado à investigação dos homens heterossexuais. Estudos epidemiológicos da prevalência da infecção pelo HPV em homens, mostraram que os heterossexuais masculinos apresentavam infecção anal pelo HPV em até 12%. As Sociedades médicas e os especialistas recomendam o rastreamento dos portadores de imunodepressão e dos HSH com citologia do raspado do canal anal. Entretanto, até o momento, não há recomendação de rastreamento para homens que fazem sexo com mulheres.The oncogenic human papillomaviruses (HPV are straightly associated with anogenital cancer and dysplasia. The HPV-16 is the most common type, isolated in 87% of the HPV-positive anal squamous cell carcinoma (SCC. Despite being a rare tumor, the incidence of SCC has increased in the last decades, especially in males. Incidence is particularly high amongst men who have sex with men (MSM and among HIV infected men and women. For decades anogenital HPV researches have largely focused risk groups. Poor interest was intended to men who have sex with women (MSW. Prevalence studies of HPV infection in MSW have demonstrated that anal infection was identified in as far as 12%. Medical societies and specialists recommend anal

  20. Actitudes hacia el sexismo lingüístico en el español : Entrevistas cualitativas sobre el uso del masculino genérico con hispanohablantes en Suecia

    OpenAIRE

    Simon, Brynte

    2015-01-01

    Basándose en entrevistas cualitativas, el trabajo presente estudia las actitudes de hispanohablantes que viven en Suecia hacia el uso del masculino genérico (por ejemplo los trabajadores), y hacia las soluciones para evitarlo (por ejemplo los trabajadores y las trabajadoras, o el personal) en la lengua española. Además, se investiga la influencia de diferentes factores personales –la edad, el sexo, el nivel educativo y el tiempo vivido en Suecia– en las actitudes de los sujetos de investigaci...