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- SKETCH OF THE STORY.
- INTRODUCTION.
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The findings illustrate the importance of inclusive care and adequate follow-up routines for both expectant parents following a prenatal diagnosis. This includes the initial emotional shock, the decisional process, and depending on decision reached, the termination or continuation of the pregnancy. Expectant fathers presented with a fetal anomaly need adequate follow-up routines to address worries about risk of recurrence.
SKETCH OF THE STORY.
Hydrogeology is the foundation of subsurface site characterization for evaluations of monitored natural attenuation MNA. Three case studies are presented. Examples of the potentially detrimental effects of drilling additives on ground-water samples from monitoring wells are d Congenital abnormalities of the inferior vena cava presenting clinically in adolescent males. Congenital anatomic abnormality of the inferior vena cava IVC is an important risk factor for the development of spontaneous proximal lower extremity deep vein thrombosis DVT in young adults.
This study reports a series of five adolescent males with spontaneous lower extremity DVTs and underlying congenital IVC abnormalities. Cases were identified by searching the institutional database of patients treated with anticoagulation for venous thromboembolism at a tertiary children's hospital.
The demographics, clinical presentations , imaging findings, treatment courses, and outcomes are described. All cases occurred in males , and accounted for approximately twenty percent of adolescent males presenting with DVT. IVC abnormality is likely an under-recognized risk factor for DVT in this age group, and detailed vascular imaging should be pursued in adolescents with spontaneous proximal lower extremity DVT when initial ultrasonography does not delineate the proximal clot extent. Management requires individual risk-benefit assessment in the context of providing developmentally appropriate care.
Further research is required to establish long-term outcomes and determine optimal treatment strategies. All rights reserved. Male ductal carcinoma in situ presenting as bloody nipple discharge: a case report and literature review. Pure ductal carcinoma in situ in men is extremely rare. Unfortunately, male breast cancer is often diagnosed at a late stage because of the minimal awareness of presenting symptoms by the patient and sometimes by the health care provider.
Because of this late presentation , the overall prognosis is less favorable. This case is presented to emphasize the importance of recognizing bloody nipple discharge as a clinical sign of male ductal carcinoma in situ and an opportunity for early diagnosis. Male factor infertility: a twin study. There is a considerable body of literature on the causes of female infertility, but far less is known about male factor infertility.
We conducted a classical twin study to estimate the genetic influence on month male factor infertility. The current analyses comprised complete pairs in which both twins were married only once. Proband-wise concordance rates, tetrachoric correlations, and a bivariate probit model were used to calculate estimates of familial clustering and heritability for male factor infertility.
The tetrachoric correlations for male infertility were 0. The current study identified that month male factor infertility clustered within families. However, results suggest that factors unique to individual twins may play a more prominent role in male infertility than additive genetic effects or the common environment. PubMed Central. Introduction: Fetal microchimerism has been implicated in the etiology of autoimmune diseases.
This study was done to test the hypothesis that male fetal microchimerism is present in eutopic and ectopic endometrium EM obtained from women with endometriosis but not in eutopic EM from women without endometriosis. Double-blind, controlled, clinical trial planned in germany to investigate the efficacy of psychotherapy combined with triptorelin in adult male patients with severe pedophilic disorders: presentation of the study protocol.
INTRODUCTION.
The treatment of paraphilias, especially of pedophilia, centers upon cognitive-behavioral psychotherapy and pharmacologic interventions. Two open, uncontrolled clinical studies using the synthetic LHRH-agonist triptorelin suggested that, combined with psychotherapy, antiandrogen treatment reduced deviant sexual fantasies, urges, and behaviors in paraphilic patients. There is a need for further research using controlled, randomized trials to examine the effectiveness of sexual offender treatment including psychotherapeutic and pharmacologic interventions.
The aim of this pilot study is to evaluate the efficacy and tolerability of cognitive-behavioral psychotherapy together with intramuscular IM 3-monthly injections of triptorelin in adult men with severe pedophilia.
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This is a pilot study , therefore exploratory data analyses will be carried out of three different target parameters: 1. Changes in psychosexual characteristics using the Multiphasic Sex Inventory scale: sexual abuse of children 2. Changes in the risk of violent sexual behavior using the Sexual Violence Risk total score 3.
Changes in serum testosterone concentration Treatment effects will be assessed by comparing baseline values with those at the final examination month The absence of real-life stimulants to test for actual recidivism limits possible findings. The study will be conducted in agreement with the European GCP-guideline, all relevant legal requirements, and the legal framework for voluntary treatment of convicted sexual offenders in Germany.
Astaxanthin AST is a carotenoid with a strong antioxidant activity and has many biological functions, such as anti-inflammation, immune regulation, anti-tumor, anti-oxidation, anti-aging, and anti-apoptosis. Recent studies show that AST can effectively regulate the dynamic balance between oxidation and antioxidants in the male reproductive system, protect sperm mitochondrial function, ameliorate testicular heat stress and reproductive poison damage, promote the occurrence of sperm capacitation and acrosome reaction, regulate reproductive endocrine hormone balance, and act favorably on primary infertility or metabolic syndrome-related infertility.
It also helps the treatment of late-onset hypogonadism and prostate health care. This review updates the studies of AST in male reproductive health and provides some new ideas for the prevention and treatment of male reproductive problems. Tuberculous cold abscess of breast: an unusual presentation in a male patient.
Tuberculosis TB of breast is a rare condition especially presentation as a cold abscess. We present a case of male patient with TB of lung and meninges with a cold abscess in the breast. The abscess was incidental finding on the computed tomography CT scan. This was further managed by a combination of anti-tuberculous chemotherapy treatment and surgical drainage. We reviewed the current literature related to mammary TB, its presentations and treatment.
This article critically reviews the literature about adolescent males ' sexuality in order to describe the state of the science and to identify promising concepts and research designs that have the potential to guide the next generation of research. A critique was conducted on 94 peer-reviewed studies of sexual behaviors that included a sample of…. Male gender identity in children with 46,XX DSD with congenital adrenal hyperplasia after delayed presentation in mid-childhood. Girls with congenital adrenal hyperplasia CAH diagnosed at birth have some masculine behaviors but rarely convert to male gender.
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In developing countries, however, diagnosis and treatment with secondary androgen suppression are delayed. We aimed to assess effect of delayed treatment of CAH on gender identity. As part of a cross-sectional, case-control study of children with disorders of sex development DSD , there were 11 patients with CAH. Patients and caregivers answered a questionnaire about gender identity, and behavior was assessed by observing toy play. Patients were examined for Prader score and gender identity. Of the remaining 8 patients, one 4-year-old Prader 2 had a male gender identity score.
The remaining girls years, mean 8. Although social and cultural factors are important in developing countries, this result suggests that delayed treatment may trigger male gender identity, and delayed female genital surgery may be unwise. This paper reports on the findings related to the possible selves of males who participate in choir. It focuses on the perceptions of participants' past, present and future identities and the way these interact to influence decisions about choir. The paper is derived from a larger study , set in Australia, which investigated the perceptions of….
The emotional male victim: effects of presentation mode on judged credibility. The emotional victim effect EVE, i. In this article, we investigate the EVE with a male assault complainant. In addition, we vary the presentation mode via which the complainant is shown to the assessors. The complainant behaved either in an emotional or a neutral manner.
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Result showed that the presentation mode but not the EVE affected the assessors' credibility assessments: The complainant was perceived as more truthful when communicating live, as opposed to via video. Practical implications, as well as the generality of the EVE, are discussed. More and more study on the epididymal function and sperm maturation has shown that epididymis will be one of the best target organs of male contraception, although at present there is not a male contraceptive medicine based on epididymis for clinical practice.
The promoting research aspects in epididymal contraception in animal included affecting directly epididymis such as Sulpasalazine , interfering energy metabolism and sperm mobility such as Chlorinated Glycerol , altering the internal environment of epididymis such as copper particles and TW The epididymal specific proteins could bring out some new target antigens for immunological contraception, to produce contraceptive vaccine.
Some special genes, which expressed distinctively in epididymis such as SC, bin1, have been cloned and studied on their function. These works would be helpful not only for clinical diagnosis and treatment of epididymitis and male infertility, but also for male contraceptive research and progress. Unilateral purpura annularis telangiectodes of majocchi in an elderly male : an atypical presentation.
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Purpura annularis telangiectodes PAT , also known as Majocchi purpura, is a rare form of pigmented purpuric dermatosis characterized by non-palpable red-brown, occasionally pruritic patches which progress to hyperpigmented halos. Purpura annularis telangiectodes usually presents in female adolescents as benign symmetric lesions with a predilection for the lower extremities. We present an atypical case of unilateral PAT in an elderly male.
To our knowledge, our patient at years-old is the oldest PAT and first unilateral purpura annularis telangiectodes case described in the literature. Visual perceptions of male obesity: a cross-cultural study examining male and female lay perceptions of obesity in Caucasian males. Obesity is now common and this may have altered visual perceptions of what constitutes a 'normal' and therefore healthy weight. The present study examined cross-cultural differences in male and female participants' ability to visually identify the weight status of photographed Caucasian males. Five hundred and fifty three male and female young adults from the US high obesity prevalence , UK and Sweden lower obesity prevalence participated in an online study.