MedWorm: Circumcision

Circumcision drive in a financial fix

IOL: Health — Thu, 18 Mar 2010 15:03:40 +0100

The massive circumcision drive in KwaZulu-Natal as espoused by Zulu King Goodwill Zwelithini last year is not likely to get off the ground any time soon. (Source: IOL: Health)

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Perioperative cardiac arrest in a patient with previously undiagnosed Becker's muscular dystrophy after isoflurane anaesthesia for elective surgery

British Journal of Anaesthesia — Fri, 12 Mar 2010 16:46:22 +0100

A previously fit 12-yr-old boy, who had no previous history of anaesthesia, underwent general anaesthesia using isoflurane for an elective circumcision. After uneventful surgery and anaesthesia, he suffered a cardiorespiratory arrest in the recovery room. Prompt oxygenation and cardiopulmonary resuscitation (CPR) were instituted. The initial serum potassium was >13 mmol litre–1 and prolonged CPR was required while potassium levels were reduced. Further investigation demonstrated a creatine kinase (CK) >70 000 U litre–1 which was consistent with a diagnosis of rhabdomyolysis. Despite requiring CPR for 1 h 45 min and a prolonged intensive care admission for multi-organ failure, the child has made an excellent recovery, including normal cognitive function. Subsequent genetic...

Circumcision May Not Cut HIV Spread Among Gay Men in the West

Medscape Urology Headlines — Wed, 10 Mar 2010 17:09:11 +0100

Although studies in Africa have shown that circumcision can lower the spread of HIV among heterosexuals, it may not do much to prevent infections among gay and bisexual men in Western countries, a new study suggests. Reuters Health Information (Source: Medscape Urology Headlines)

Imiquimod use in the genital area and development of lichen sclerosus and lichen planus

International Journal of STD and AIDS — Tue, 09 Mar 2010 21:06:05 +0100

We report two cases here where imiquimod induced florid lichen sclerosus in one patient and lichen planus in another. In both patients the condition was so aggressive and unresponsive to steroid treatment that circumcision was necessary. (Source: International Journal of STD and AIDS)

Male circumcision for HIV prevention: Developments From Sub-Saharan Africa

Medscape Hiv-Aids Headlines — Tue, 09 Mar 2010 19:48:31 +0100

Global health agencies have endorsed male circumcision for inclusion in HIV prevention programs in Africa and other areas where HIV is prevalent and male circumcision rates are low but are countries embracing this advice? Expert Review of Anti-Infective Therapy (Source: Medscape Hiv-Aids Headlines)

Circumcision may not cut HIV spread among gay men

Reuters: Health — Tue, 09 Mar 2010 19:16:22 +0100

NEW YORK (Reuters Health) - Although studies in Africa have shown that circumcision can lower the spread of HIV among heterosexuals, it may not do much to prevent infections among gay and bisexual men in Western countries, a new study suggests. (Source: Reuters: Health)

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Circumcision May Not Cut HIV Spread among Gay Men

MedlinePlus Health News — Tue, 09 Mar 2010 19:16:22 +0100

Although studies in Africa have shown that circumcision can lower the spread of HIV among heterosexuals, it may not do much to prevent infections among gay and bisexual men in Western countries, a new study suggests. Source: Reuters Health Related MedlinePlus Pages: AIDS, Circumcision, Gay, Lesbian and Transgender Health (Source: MedlinePlus Health News)

Circumcision: Pros and cons

Indian Journal of Urology — Tue, 09 Mar 2010 16:12:01 +0100

Berk Burgu, Ozgu Aydogdu, Semih Tangal, Tarkan SoygurIndian Journal of Urology 2010 26(1):12-15Circumcision is possibly the most frequently performed elective surgical procedure in men. It can simply be described as the excision of the preputium. There have been several studies about the association between circumcision and urinary tract infections (UTI). Many studies have demonstrated that the frequency of UTI increase in uncircumcised males, especially in the first year of life. This review discusses the embryology of the preputium, epidemiology, indications, complications and benefits of circumcision, as well as operation and anesthesiology techniques. It especially examines the association between UTI and circumcision and the importance of circumcision in congenital urinary system anom...

CDC Resources on Male Circumcision and HIV

CDC HIV/AIDS Prevention — Mon, 08 Mar 2010 20:00:00 +0100

A compilation of the Centers for Disease Controls and Prevention’s (CDC’s) resources on male circumcision for HIV prevention in the United States. (Source: CDC HIV/AIDS Prevention)

Zimbabwe: HIV Infection - Positive Benefits of Male Circumcision

AllAfrica News: HIV-Aids and STDs — Mon, 08 Mar 2010 06:53:27 +0100

I must confess, at the outset, my initial reservations about the enthusiastic, and sometimes irrational, adoption of adult male circumcision as a strategy against the worldwide threat, especially the threat in our country, Zimbabwe, posed by HIV infection. (Source: AllAfrica News: HIV-Aids and STDs)

Hospital circumcision procedures a success

IOL: Health — Sun, 07 Mar 2010 09:46:58 +0100

A trial circumcision programme in KwaZulu-Natal has got off to a positive start with 35 men being circumcised in the first few weeks. (Source: IOL: Health)

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Also In Global Health News: U.S. Ambassador To U.N.; Male Circumcision; River Blindness In Ecuador; Nursing Shortage In Caribbean; Maternal Health

Health News from Medical News Today — Thu, 04 Mar 2010 14:00:00 +0100

U.S. Ambassador To U.N. In Geneva Assumes Position, Ending 13 Month Vacancy Betty King reported to her new position as U.S. ambassador to the U.N. in Geneva on Wednesday, the Associated Press reports. "Washington's Geneva mission had been without an ambassador since Warren W. Tichenor left his post on Jan. 20, 2009 - when Barack Obama was sworn in as president," according to the news service (3/3)... (Source: Health News from Medical News Today)

Also In Global Health News: U.S. Ambassador To U.N.; Male Circumcision; River Blindness In Ecuador; Nursing Shortage In Caribbean; Maternal Health

Sexual Health / STDs News From Medical News Today — Thu, 04 Mar 2010 14:00:00 +0100

U.S. Ambassador To U.N. In Geneva Assumes Position, Ending 13 Month Vacancy Betty King reported to her new position as U.S. ambassador to the U.N. in Geneva on Wednesday, the Associated Press reports. "Washington's Geneva mission had been without an ambassador since Warren W. Tichenor left his post on Jan... (Source: Sexual Health / STDs News From Medical News Today)

Group Asks To Ban Infant Male Circumcision

Wed, 03 Mar 2010 22:07:12 +0100

Massachusetts lawmakers are being asked to outlaw infant male circumcision. (Source: WBZ-TV - Breaking News, Weather and Sports for Boston, Worcester and New Hampshire)

Africa: Tracking the Male Circumcision Rollout

AllAfrica News: HIV-Aids and STDs — Tue, 02 Mar 2010 20:24:13 +0100

Medical male circumcision is now widely recognized as an important HIV prevention tool, and several African countries have included it in their national HIV strategies. (Source: AllAfrica News: HIV-Aids and STDs)

Kenya: Surgeons Warn on Knife Sharing

AllAfrica News: Health and Medicine — Tue, 02 Mar 2010 19:43:32 +0100

Circumcisers have been advised to use one knife per person in this year's circumcision exercise scheduled to begin in April. (Source: AllAfrica News: Health and Medicine)

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Circumcision (male)

MayoClinic.com Full Feed — Mon, 01 Mar 2010 02:45:01 +0100

Circumcision — Overview covers definition, risks, results of removing the foreskin from the penis. (Source: MayoClinic.com Full Feed)

Circumcision.

The British Journal of General Practice — Mon, 01 Mar 2010 00:00:00 +0100

Authors: Peters J PMID: 20202371 [PubMed - in process] (Source: The British Journal of General Practice)

Circumcision.

The British Journal of General Practice — Mon, 01 Mar 2010 00:00:00 +0100

Authors: House J PMID: 20202369 [PubMed - in process] (Source: The British Journal of General Practice)

Circumcision.

The British Journal of General Practice — Mon, 01 Mar 2010 00:00:00 +0100

Authors: Joseph A PMID: 20202368 [PubMed - in process] (Source: The British Journal of General Practice)

Editorial Comment

Urology — Mon, 01 Mar 2010 00:00:00 +0100

The authors performed a well-designed, randomized, double-blinded study demonstrating decreased postoperative need for analgesia in 8- to 12-year-old boys after circumcision under local anesthesia with 5% tramadol (2 mg/kg) plus epinephrine, compared with those receiving prilocaine (1.5 mg/kg) plus epinephrine. The authors noted that a higher percentage of patients in the tramadol group required additional injections (45% vs 30%) for analgesia during the procedure. Although this difference did not reach statistical significance, the study is limited by the relatively small number of only 20 patients in each group. I would like to see the authors continue this study with a larger number of patients, so as to feel comfortable accepting that the immediate analgesic effect with tramadol is equ...

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South Africa: Lining Up for the Cut - Living With Aids

AllAfrica News: HIV-Aids and STDs — Thu, 25 Feb 2010 12:25:56 +0100

Young men in Orange Farm, a sprawling township south of Johannesburg, are taking to medical circumcision in large numbers, ahead of government policy making circumcision a method to reduce HIV infection in men. (Source: AllAfrica News: HIV-Aids and STDs)

South Africa: KZN Male Circumcision to Start in Winter

AllAfrica News: Health and Medicine — Thu, 25 Feb 2010 09:50:39 +0100

A programme to revive the practice of male circumcision in KwaZulu-Natal will kick off this winter, says Premier Dr Zweli Mkhize. (Source: AllAfrica News: Health and Medicine)

The high rate of familial lichen sclerosus suggests a genetic contribution: an observational cohort study

Journal of the European Academy of Dermatology and Venereology — Thu, 25 Feb 2010 00:00:00 +0100

Conclusion Our data from a large cohort of patients with LS provide evidence of an increased risk for family members to develop LS. This indicates a likely genetic component in the aetiology of LS. (Source: Journal of the European Academy of Dermatology and Venereology)

Why circumcision reduces HIV risk

Fogarty International Center News Releases — Thu, 25 Feb 2010 00:00:00 +0100

GHM Newsletter Article (Source: Fogarty International Center News Releases)

[Severe hypoxia in a 2-year-old child undergoing circumcision under general anaesthesia with laryngeal mask.]

Annales Francaises d'Anesthesie et de Reanimation — Tue, 23 Feb 2010 00:00:00 +0100

Authors: Desmonts JM PMID: 20185268 [PubMed - as supplied by publisher] (Source: Annales Francaises d'Anesthesie et de Reanimation)

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To Circumcise or Not?

Dr. Weil Q&A — Fri, 19 Feb 2010 16:32:44 +0100

I'm pregnant. The baby is a boy so a family debate about circumcision has begun. What are your thoughts on the pros and cons? What argument do you consider strongest? (Source: Dr. Weil Q&A)

How Safe is Circumcision

Disabled World — Thu, 18 Feb 2010 22:28:12 +0100

Neonatal and infant circumcision: Safe in the right hands... (Source: Disabled World)

Circumcision safe in young, in right hands

Health News - UPI.com — Thu, 18 Feb 2010 06:37:26 +0100

LONDON, Feb. 18 (UPI) -- Neonatal and infant circumcision by trained staff rarely results in problems, but there are risks in older boys, a British review of studies found. (Source: Health News - UPI.com)

AP Examines Male Circumcision Efforts In Africa, Including Adult Circumcision Devices

HIV / AIDS News From Medical News Today — Wed, 17 Feb 2010 11:00:00 +0100

AP Examines Male Circumcision Efforts In Africa, Including Adult Circumcision Devices

Health News from Medical News Today — Wed, 17 Feb 2010 11:00:00 +0100

The Associated Press examines efforts to prevent the spread of HIV by circumcising "about 50 million men across Africa - where 70 percent of the world's HIV-infected population lives." The procedure has been shown to lower a man's risk of HIV infection through heterosexual sex, prompting "[c]ountries with high HIV rates, including Botswana, Kenya, Rwanda, Namibia and Zambia," to include male circumcision in their HIV prevention plans, the news service writes... (Source: Health News from Medical News Today)

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A Japanese view on circumcision: Nonoperative management of normal and abnormal prepuce - Abstract

UroToday — Tue, 16 Feb 2010 23:00:00 +0100

Department of Nephro-urology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Aichi, Japan. (Source: UroToday)

Neonatal And Infant Circumcision: Safe In The Right Hands

Health News from Medical News Today — Tue, 16 Feb 2010 10:00:00 +0100

How safe is circumcision? A systematic review, published in the open access journal BMC Urology has found that neonatal and infant circumcision by trained staff rarely results in problems. Risks can be higher among older boys, especially when undertaken by untrained providers with inappropriate equipment. Dr Helen Weiss, from the London School of Hygiene & Tropical Medicine, UK, studied the medical literature relating to circumcision... (Source: Health News from Medical News Today)

Neonatal And Infant Circumcision: Safe In The Right Hands

Pediatrics News From Medical News Today — Tue, 16 Feb 2010 10:00:00 +0100

How safe is circumcision? A systematic review, published in the open access journal BMC Urology has found that neonatal and infant circumcision by trained staff rarely results in problems. Risks can be higher among older boys, especially when undertaken by untrained providers with inappropriate equipment... (Source: Pediatrics News From Medical News Today)

Neonatal and infant circumcision: Safe in the right hands

EurekAlert! - Social and Behavioral Science — Tue, 16 Feb 2010 05:00:00 +0100

(London School of Hygiene & Tropical Medicine) How safe is circumcision? A systematic review, published in the open-access journal BMC Urology has found that neonatal and infant circumcision by trained staff rarely results in problems. Risks can be higher among older boys, especially when undertaken by untrained providers with inappropriate equipment. (Source: EurekAlert! - Social and Behavioral Science)

Complications of circumcision in male neonates, infants and children: a systematic review

BMC Urology - Latest articles — Tue, 16 Feb 2010 00:00:00 +0100

Conclusions: Studies report few severe complications following circumcision. However, mild or moderate complications are seen, especially when circumcision was undertaken at older ages, by inexperienced providers or in non-sterile conditions. Pediatric circumcision will continue to be practiced for cultural, medical and as a long-term HIV/STI prevention strategy. Risk-reduction strategies including improved training of providers, and provision of appropriate sterile equipment, are urgently needed. (Source: BMC Urology - Latest articles)

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Experts explore new ways to fight AIDS epidemic

CTV Health — Mon, 15 Feb 2010 19:59:20 +0100

Researchers have developed a new, ring-shaped device that makes circumcision almost painless, in an attempt to encourage more men in Africa to be circumcised in the fight against AIDS. (Source: CTV Health)

Rwanda: New Hope - Can African First Ladies Intervene in FGM Fight

AllAfrica News: Health and Medicine — Mon, 15 Feb 2010 10:29:38 +0100

Female Genital Mutilation (FGM) also called Female Genital Cutting, is beyond what some people normally call circumcision. (Source: AllAfrica News: Health and Medicine)

Uganda: Circumcision and HIV/Aids; Time to Cut Losses

AllAfrica News: HIV-Aids and STDs — Mon, 15 Feb 2010 09:16:31 +0100

First it was a woman called Yoanina Nanyonga who, in 1991, sent thousands flocking to Sembabule District, somewhere in mid-western Uganda, and made them eat soil, claiming it could cure HIV/Aids. Folks ate soil with more passion than Yankees eat burgers, or Germans drink beer...or Russians sip vodka. (Source: AllAfrica News: HIV-Aids and STDs)

Neonatal and infant circumcision: Safe in the right hands

EurekAlert! - Social and Behavioral Science — Mon, 15 Feb 2010 05:00:00 +0100

(BioMed Central) How safe is circumcision? A systematic review, published in the open access journal BMC Urology has found that neonatal and infant circumcision by trained staff rarely results in problems. Risks can be higher among older boys, especially when undertaken by untrained providers with inappropriate equipment. (Source: EurekAlert! - Social and Behavioral Science)

Late complications of newborn circumcision: a common and avoidable problem

Pediatric Surgery International — Sun, 14 Feb 2010 06:50:22 +0100

Conclusions Our results indicate the need to undertake a collaborative study to define the incidence of complications following newborn circumcisions, which should be performed by practitioners with adequate training in the technique of their choice and its post-operative care. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00383-010-2566-9Authors Rafael V. Pieretti, Massachusetts General Hospital Section of Pediatric Urology Boston USAAllan M. Goldstein, Massachusetts General Hospital Department of Pediatric Surgery Boston USARafael Pieretti-Vanmarcke, Massachusetts General Hospital Department of Surgery Boston USA Journal Pediatric Surgery InternationalOnline ISSN 1437-9813Print ISSN 0179-0358 (Source: Pediatric Surgery International)

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Zimbabwe: Govt Completes Circumcision Pilot Project - Health Official

AllAfrica News: Health and Medicine — Fri, 05 Feb 2010 07:45:12 +0100

Government has completed the male circumcision pilot project and will soon release results of the evaluation exercise as it prepares for a national rollout, a senior health official has said. (Source: AllAfrica News: Health and Medicine)

Also In Global Health News: GSK's Interest In NTDs; Kenya's Male Circumcision Drive; Dengue Fever; HIV Prevention In Jamaica; Food Shortages In Zimbab

Sexual Health / STDs News From Medical News Today — Thu, 04 Feb 2010 13:00:00 +0100

GSK Head Discusses Company Interest In NTDs The Associated Press features a Q&A with GlaxoSmithKline (GSK) CEO Andrew Witty, who "is pushing to sell more products in fast-growing 'emerging markets' such as Brazil, Russia, India and China" while simultaneously "increasing efforts to bring medicines for tropical diseases to the poorest countries, at minimum profit... (Source: Sexual Health / STDs News From Medical News Today)

Also In Global Health News: GSK's Interest In NTDs; Kenya's Male Circumcision Drive; Dengue Fever; HIV Prevention In Jamaica; Food Shortages In Zimbab

Health News from Medical News Today — Thu, 04 Feb 2010 13:00:00 +0100

Epidemiology and pathology of HPV disease in males.

Gynecologic Oncology — Thu, 04 Feb 2010 00:00:00 +0100

Authors: Giuliano AR, Anic G, Nyitray AG It is currently recognized that besides the significant impact of human papillomavirus (HPV) infection in females, HPV causes substantial disease in men as well. Genital warts are a common manifestation of male infection with HPV. Genital warts are highly infectious and approximately 65% of people who have sex with an infected partner will develop warts themselves. More than 90% of genital warts are caused by non-oncogenic HPV types 6 and 11. In addition, recurrent respiratory papillomatosis is a rare disease most often associated with HPV types 6 and 11. Several cancers of the anogenital tract and upper aero-digestive tract, and their precursor lesions in men are now understood to be caused by infection with sexually transmitted HPV. For exampl...

Nigeria: 150 Itsekiri Indigenes Get Free Surgeries

AllAfrica News: Health and Medicine — Tue, 02 Feb 2010 12:07:10 +0100

MORE than 150 Itsekiri indigenes have undergone free surgeries for hernia, appendicitis, lymphoma and fibroid as well as circumcision and other cases in the on-going free health medical programme of Delta State Oil Producing Areas Development Commission (DESOPADEC) for Itsekiri communities. (Source: AllAfrica News: Health and Medicine)

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Circumcision.

The British Journal of General Practice — Mon, 01 Feb 2010 00:00:00 +0100

Authors: Wilson P PMID: 20132716 [PubMed - in process] (Source: The British Journal of General Practice)

Circumcision.

The British Journal of General Practice — Mon, 01 Feb 2010 00:00:00 +0100

Authors: Mayor V PMID: 20132715 [PubMed - in process] (Source: The British Journal of General Practice)

Circumcision.

The British Journal of General Practice — Mon, 01 Feb 2010 00:00:00 +0100

Authors: Fitton J PMID: 20132711 [PubMed - in process] (Source: The British Journal of General Practice)

Health Buzz: One Fifth of U.S. Kids Have High Cholesterol

U.S. News - Health — Fri, 22 Jan 2010 16:44:00 +0100

The flap over circumcision heats up; don't rely on marketing hype when picking a diet program. (Source: U.S. News - Health)

Also In Global Health News: Counterfeit Condoms; Health Systems In Gaza; Malaria Parasite; SA Male Circumcision Program; MDGs In Botswana

Health News from Medical News Today — Fri, 22 Jan 2010 10:00:00 +0100

China's Counterfeit Condoms Have Health Officials Worried The Los Angeles Times examines how an increase in counterfeit condoms in China has health officials fearing the worst - the products "may in fact spread infectious diseases, tarnishing the axiom that condoms mean safe sex." The newspaper continues, "Authorities estimate that up to a third of the contraceptives used in some parts of China are counterfeits, despite improvements in state food and drug oversight... (Source: Health News from Medical News Today)

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Also In Global Health News: Counterfeit Condoms; Health Systems In Gaza; Malaria Parasite; SA Male Circumcision Program; MDGs In Botswana

HIV / AIDS News From Medical News Today — Fri, 22 Jan 2010 10:00:00 +0100

Circumcision: The Flap Over Foreskin Continues

U.S. News - Health — Thu, 21 Jan 2010 21:18:00 +0100

Circumcision's health benefits are getting new scrutiny. (Source: U.S. News - Health)

Circumcising Newborn Males Cost Effective Strategy For HIV Prevention, Rwandan Study Finds

Pediatrics News From Medical News Today — Thu, 21 Jan 2010 12:00:00 +0100

Circumcising Newborn Males Cost Effective Strategy For HIV Prevention, Rwandan Study Finds

Health News from Medical News Today — Thu, 21 Jan 2010 12:00:00 +0100

Performing circumcisions on newborn boys to lower their risk for HIV infection later in life is more cost-effective than adolescent or adult circumcision, according to researchers at Rwanda's health ministry, Reuters reports. The findings, published in the journal PLoS Medicine, suggest that "the operation, which has been shown to cut dramatically the virus' transmission from women to men, is quicker, simpler and more cost-effective in newborns," the news service writes... (Source: Health News from Medical News Today)

Circumcision drive 'confusing'

IOL: Health — Wed, 20 Jan 2010 14:15:25 +0100

King Goodwill Zwelithini needs to clarify whether the government's male circumcision drive will be part of an initiation-like process, says the Young Communist Party. (Source: IOL: Health)

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More for less: Study addresses cost-saving of male circumcision programs

Scientific American - Official RSS Feed — Tue, 19 Jan 2010 22:05:00 +0100

Reports in the past several years have shown that male circumcision can reduce HIV transmission risk by up to 60 percent, so some African governments have since been trying to promote the procedure among young adults. But could governments working to establish circumcision programs actually save money--and possibly be more effective--by shifting their focus to newborn and adolescent boys? [More] (Source: Scientific American - Official RSS Feed)

More for less: Study addresses cost-saving of male circumcision programs

Scientific American Topic - Biotechnology — Tue, 19 Jan 2010 22:05:00 +0100

Circumcising Babies Could Help Africa AIDS Fight

MedlinePlus Health News — Tue, 19 Jan 2010 18:12:43 +0100

Circumcising newborn boys to stop them becoming infected with the AIDS virus in later life is more cost-effective than circumcising adult men, Rwandan health experts said on Tuesday. Source: Reuters Health Related MedlinePlus Topics: AIDS, Circumcision, International Health (Source: MedlinePlus Health News)

Traditional leaders discuss circumcision

IOL: Health — Tue, 19 Jan 2010 09:15:55 +0100

More than 100 traditional heads and government leaders gathered at Pietermaritzburg's Royal Show Grounds to discuss reviving the custom of male circumcision to prevent the spread of HIV. (Source: IOL: Health)

Debate on circumcision heightened as CDC evaluates surgery

washingtonpost.com - Health — Tue, 19 Jan 2010 05:00:00 +0100

Circumcision, long one of the most emotionally charged surgical procedures performed in the United States, has become the focus of yet another intense debate as leading health authorities are about to issue major new evaluations of the potential health benefits of the operation. (Source: washingtonpost.com - Health)

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Debate on circumcision heightened as CDC evaluates surgery

Wash Post Health — Tue, 19 Jan 2010 01:04:05 +0100

Male Circumcision at Different Ages in Rwanda: A Cost-Effectiveness Study

PLoS Medicine — Tue, 19 Jan 2010 00:00:00 +0100

Agnes Binagwaho and colleagues predict that circumcision of newborn boys would be effective and cost-saving as a long-term strategy to prevent HIV in Rwanda. (Source: PLoS Medicine)

Neonatal Circumcision for HIV Prevention: Cost, Culture, and Behavioral Considerations

PLoS Medicine — Tue, 19 Jan 2010 00:00:00 +0100

Seth Kalichman discusses a new study that finds neonatal circumcision in Rwanda to be a cost-saving HIV prevention strategy. (Source: PLoS Medicine)

Male Circumcision at Different Ages in Rwanda: A Cost-Effectiveness Study

PLoS Medicine — Tue, 19 Jan 2010 00:00:00 +0100

Agnes Binagwaho and colleagues predict that circumcision of newborn boys would be effective and cost-saving as a long-term strategy to prevent HIV in Rwanda. (Source: PLoS Medicine)

Neonatal Circumcision for HIV Prevention: Cost, Culture, and Behavioral Considerations

PLoS Medicine — Tue, 19 Jan 2010 00:00:00 +0100

Seth Kalichman discusses a new study that finds neonatal circumcision in Rwanda to be a cost-saving HIV prevention strategy. (Source: PLoS Medicine)

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South Africa: Province to Scale Up Circumcision Services

AllAfrica News: HIV-Aids and STDs — Mon, 18 Jan 2010 07:41:32 +0100

The KwaZulu-Natal Government will be engaging with Amakhosi on the provincial's plan to scale-up the circumcision services at public health facilities. (Source: AllAfrica News: HIV-Aids and STDs)

Botswana: Maintain Support for Male Circumcision - MoH

AllAfrica News: Health and Medicine — Fri, 15 Jan 2010 12:10:51 +0100

The Ministry of Health has urged the public to keep the safe male circumcision campaign alive and to encourage men to go for the operation in large numbers. (Source: AllAfrica News: Health and Medicine)

Updated Parental Viewpoints on Male Neonatal Circumcision in the United States

Clinical Pediatrics — Fri, 15 Jan 2010 07:34:31 +0100

Through a questionnaire, the authors sought to elicit information about initial attitudes concerning circumcision after reading a summary of the American Academy of Pediatrics (AAP) Policy Statement and, again, after reading a description of recent HIV/HPV studies. Predictors of increased support for circumcision included having a prior circumcised boy and being US born. Predictors of decreased support included being of Hispanic ethnicity and believing that the uncircumcised penis was more culturally normal. After reading the AAP statement, 86% of respondents remained favorable of elective circumcision, whereas 13% viewed it less favorably. After reading the passage about the HIV/HPV studies, the majority maintained their initial level of support. Certain characteristics were associated wi...

Clean-Cut: Study Finds Circumcision Helps Prevent HIV and Other Infections

Scientific American Topic - Medical Technology — Wed, 13 Jan 2010 22:00:00 +0100

The World Health Organization declared three years ago that circumcision should be part of any strategy to prevent HIV infection in men. The organization based its recommendation on three randomized clinical trials in Africa that found the incidence of HIV was 60 percent lower in men who were circumcised. Although this " research evidence is compelling ," wrote the WHO panel assigned to the topic, there was little evidence explaining how circumcision might reduce a man's risk of acquiring HIV. [More] (Source: Scientific American Topic - Medical Technology)

Clean-Cut: Study Finds Circumcision Helps Prevent HIV and Other Infections

Scientific American - Official RSS Feed — Wed, 13 Jan 2010 22:00:00 +0100

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Rwanda: King Faisal Hospital in Infant Circumcision Drive

AllAfrica News: Health and Medicine — Tue, 12 Jan 2010 07:16:40 +0100

With the intended goal of having all males circumcised as one way of curbing the transmission HIV, King Faisal Hospital (KFH) recently introduced a circumcision drive for newly born baby boys. (Source: AllAfrica News: Health and Medicine)

Clinical Benefits of Circumcision Remain Unclear

Modern Medicine — Tue, 12 Jan 2010 00:00:00 +0100

Although strong evidence shows that circumcision can prevent HIV infection in sub-Saharan African men, it's unclear if the procedure is associated with an overall reduced risk of sexually transmitted infections, urinary tract infections or penile cancer, according to a study in the January/February issue of the Annals of Family Medicine. (Source: Modern Medicine)

To Circumcise or Not?

MedlinePlus Health News — Mon, 11 Jan 2010 22:00:00 +0100

Reviews offer differing views on value and risks of procedure Source: HealthDay Related MedlinePlus Topic: Circumcision (Source: MedlinePlus Health News)

Rwanda: Circumcision Should Be Embraced As an Extra Measure Against HIV

AllAfrica News: HIV-Aids and STDs — Mon, 11 Jan 2010 07:26:05 +0100

A massive male circumcision campaign is set to begin soon, according to information from the National Aids Control Commission (CNLS). (Source: AllAfrica News: HIV-Aids and STDs)

This week on Thrive: Jan. 4 – 8

Thrive, Children's Hospital Boston — Sun, 10 Jan 2010 13:00:17 +0100

Here’s a quick look at what Thrive was up to last week. Children’s obesity expert gives tips on how to change your eating habits for the better. Mark Alexander, MD explores the question of whether or not high school athletes should be screened for heart disease. Children’s injury prevention expert gives tips on how to avoid a winter sports injury. Claire McCarthy, MD lists great resolutions for your family to live by. Do later bedtimes increase risk of teenage suicide and depression? A group of doctors is pushing for routine circumcision. Our Mediatrician discusses teenage boys and first-person shooter video games. (Source: Thrive, Children's Hospital Boston)

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Circumcision: there goes the microbial neighbourhood

New Scientist - HIV and AIDS — Sat, 09 Jan 2010 14:12:59 +0100

A census of microbes on the penis reveals a whole new community arrives after circumcision – perhaps that's why the snip cuts the risk of getting HIV (Source: New Scientist - HIV and AIDS)

Circumcision: there goes the microbial neighbourhood

New Scientist - Health — Fri, 08 Jan 2010 14:49:24 +0100

A census of microbes on the penis reveals a whole new community arrives after circumcision – perhaps that's why the snip cuts the risk of getting HIV (Source: New Scientist - Health)

Also In Global Health News: Afghan Waste Management, Social Issues; Male Circumcision In Kenya; Somalia, WFP; HIV/AIDS Fight In Malawi

Public Health News From Medical News Today — Fri, 08 Jan 2010 12:00:00 +0100

Also In Global Health News: Afghan Waste Management, Social Issues; Male Circumcision In Kenya; Somalia, WFP; HIV/AIDS Fight In Malawi

Health News from Medical News Today — Fri, 08 Jan 2010 12:00:00 +0100

$60M USAID Waste Management Project In Afghanistan USAID will spend $60 million through 2012 on "waste management, drainage channels and roadside ditches, the rehabilitation of city parks and sports fields, and other greenery programmes in Kabul," Afghanistan, IRIN reports. The article also looks at the health effects of unmanaged waste in the city and the sustainability of the management program (1/7). International Efforts To Stabilize Afghanistan Must Emphasize Social Issues, U.N... (Source: Health News from Medical News Today)

Framing Male Circumcision to Promote its Adoption in Different Settings

AIDS and Behavior — Fri, 08 Jan 2010 09:13:23 +0100

Abstract The effectiveness of male circumcision in preventing transmission of HIV from females to males has been established. Those who are now advocating its widespread use face many challenges in convincing policy-makers and the public of circumcision’s value. We suggest that frames are a useful lens for communicating public health messages that may help promote adoption of circumcision. Frames relate to how individuals and societies perceive and understand the world. Existing frames are often hard to shift, and should be borne in mind by advocates and program implementers as they attempt to promote male circumcision by invoking new frames. Frames differ across and within societies, and advocates must find ways of delivering resonant messages that take into account pri...

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Does circumcision really lower STD risk?

Thrive, Children's Hospital Boston — Thu, 07 Jan 2010 21:18:42 +0100

A group of doctors from the National Institute of Health and Johns Hopkins are pushing the case for neonatal circumcision. They argue that recent studies show that circumcision is an effective method for reducing the risk of catching certain sexually transmitted diseases. The American Acadamy of Pediatrics’ stance has been that there isn’t enough evidence to recommend routine circumcision. However, they are reviewing evidence this year to decide whether or not to update their policy on circumcision recommendation. Children’s Hiep Nguyen, MD, co-director of the Center for Robotic Surgery, director of Robotic Surgery Research and Training, and associate in Urology answer common questions about circumsion. What are your reasons for choosing to or opting not to have your son ...

Study Suggests Why Circumcised Men Less Likely To Become Infected With HIV

Health News from Medical News Today — Thu, 07 Jan 2010 12:00:00 +0100

A PLoS One study published Tuesday sheds new light on why men who have been circumcised are less likely to become infected with HIV, ANI/Times of India reports (1/6). Pooling data from "three randomized-control trials in sub-Saharan Africa, where the circumcision rate is relatively low and the HIV infection rate is relatively high," the researchers from the Translational Genomics Research Institute (TGen) and Johns Hopkins University found "for the first time that circumcision significantly changes the bacterial community of the penis," according to a TGen press release... (Source: Health News from Medical News Today)

Study Suggests Why Circumcised Men Are Less Likely To Become Infected With HIV

Health News from Medical News Today — Thu, 07 Jan 2010 08:00:00 +0100

Circumcision, which substantially lowers HIV risk in men, also dramatically changes the bacterial communities of the penis, according to a study led by scientists at the Translational Genomics Research Institute (TGen) and Johns Hopkins University and published Jan. 6 in the scientific journal PLoS ONE. And these bacterial changes may also be associated with earlier observations that women whose male partners are circumcised are less likely to develop bacterial vaginosis, an imbalance between good and harmful bacteria... (Source: Health News from Medical News Today)

Study Suggests Why Circumcised Men Are Less Likely To Become Infected With HIV

HIV / AIDS News From Medical News Today — Thu, 07 Jan 2010 08:00:00 +0100

Kenya: The Fringe Benefits of Male Circumcision Rollout

AllAfrica News: HIV-Aids and STDs — Wed, 06 Jan 2010 12:22:35 +0100

James Nango discovered he had syphilis when he visited a clinic in his home town of Kisumu, in western Kenya's Nyanza Province, in 2009, hoping to be circumcised as a way of reducing his HIV risk. (Source: AllAfrica News: HIV-Aids and STDs)

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Why circumcised men are less likely to become infected with HIV: Changes in bacteria within penis microbiome

ScienceDaily Headlines — Wed, 06 Jan 2010 07:00:00 +0100

Circumcision, which substantially lowers HIV risk in men, also dramatically changes the bacterial communities of the penis, according to a new study. (Source: ScienceDaily Headlines)

Circumcision changes penis bacteria

Health News - UPI.com — Wed, 06 Jan 2010 05:34:32 +0100

BALTIMORE, Jan. 6 (UPI) -- Circumcision, which lowers HIV risk in men, also dramatically changes the bacterial communities of the penis, U.S. researchers found. (Source: Health News - UPI.com)

Study suggests why circumcised men are less likely to become infected with HIV

TGen News — Tue, 05 Jan 2010 08:00:00 +0100

Circumcision, which substantially lowers HIV risk in men, also dramatically changes the bacterial communities of the penis, according to a study led by scientists at TGen... (Source: TGen News)

Circumcision associated with significant changes in bacteria

TGen News — Tue, 05 Jan 2010 08:00:00 +0100

Circumcision, which substantially lowers HIV risk in men, also dramatically changes the bacterial communities of the penis, according to a study led by scientists at TGen... (Source: TGen News)

Study suggests why circumcised men are less likely to become infected with HIV

EurekAlert! - Social and Behavioral Science — Tue, 05 Jan 2010 05:00:00 +0100

(The Translational Genomics Research Institute) Circumcision, which substantially lowers HIV risk in men, also dramatically changes the bacterial communities of the penis, according to a study led by scientists at the Translational Genomics Research Institute (TGen) and Johns Hopkins University, and published Jan. 6 in the scientific journal PLoS ONE. (Source: EurekAlert! - Social and Behavioral Science)

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Circumcision associated with significant changes in bacteria

EurekAlert! - Social and Behavioral Science — Tue, 05 Jan 2010 05:00:00 +0100

Kenya: Circumcision Can Save African States Billions

AllAfrica News: HIV-Aids and STDs — Mon, 04 Jan 2010 22:23:56 +0100

East and Central African economies could save up to $20 billion in the cost of Aids programmes over the next 15 years by scaling up the voluntary male circumcision programme. (Source: AllAfrica News: HIV-Aids and STDs)

New Data Support Long-Term Health Benefits of Male Circumcision

Medscape Urology Headlines — Mon, 04 Jan 2010 21:31:41 +0100

Current AAP policy on newborn male circumcision states that data are insufficient to recommend routine neonatal circumcision, but recent data suggest that it is time to revise this policy. Medscape Medical News (Source: Medscape Urology Headlines)

Male Circumcision: New Information About Health Benefits [Advice for Patients]

Archives of Pediatrics — Mon, 04 Jan 2010 20:51:32 +0100

(Source: Archives of Pediatrics)

Male Circumcision for the Prevention of Acquisition and Transmission of Sexually Transmitted Infections: The Case for Neonatal Circumcision [Review Article]

Archives of Pediatrics — Mon, 04 Jan 2010 20:51:31 +0100

The American Academy of Pediatrics (AAP) male circumcision policy states that while there are potential medical benefits of newborn male circumcision, the data are insufficient to recommend routine neonatal circumcision. Since 2005, however, 3 randomized trials have evaluated male circumcision for prevention of sexually transmitted infections. The trials found that circumcision decreases human immunodeficiency virus acquisition by 53% to 60%, herpes simplex virus type 2 acquisition by 28% to 34%, and human papillomavirus prevalence by 32% to 35% in men. Among female partners of circumcised men, bacterial vaginosis was reduced by 40%, and Trichomonas vaginalis infection was reduced by 48%. Genital ulcer disease was also reduced among males and their female partners. These findings are also ...

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Newborn Circumcision: Routine or Not Routine, That Is the Question [Editorial]

Archives of Pediatrics — Mon, 04 Jan 2010 20:51:31 +0100

(Source: Archives of Pediatrics)

Circumcision: a religious obligation or 'the cruellest of cuts'?

The British Journal of General Practice — Fri, 01 Jan 2010 00:00:00 +0100

Authors: Anwar MS, Munawar F, Anwar Q PMID: 20040177 [PubMed - in process] (Source: The British Journal of General Practice)

Safety and efficacy of nontherapeutic male circumcision: a systematic review.

Annals of Family Medicine — Fri, 01 Jan 2010 00:00:00 +0100

CONCLUSIONS: Strong evidence suggests circumcision can prevent human immunodeficiency virus/acquired immune deficiency syndrome acquisition in sub-Saharan African men. These findings remain uncertain in men residing in other countries. The role of adult nontherapeutic male circumcision in preventing sexually transmitted infections, urinary tract infections, and penile cancer remains unclear. Current evidence fails to recommend widespread neonatal circumcision for these purposes. PMID: 20065281 [PubMed - in process] (Source: Annals of Family Medicine)

Review Discusses Anti-HIV Benefits of Male Circumcision

Modern Medicine — Mon, 28 Dec 2009 00:00:00 +0100

Findings from three randomized trials in Africa lend support to the use of adult male circumcision to reduce the incidence of HIV, according to a review published in the January issue of The Journal of Urology. (Source: Modern Medicine)

Editorial Comment

Urology — Thu, 24 Dec 2009 15:25:54 +0100

The authors present an interesting modification of the pluck technique by circumcision of the orifice during or before laparoscopic nephroureterectomy. The intraureteral injection of collagen glue (Tisseel) may occlude the distal ureter and avoid tumor cell spillage. The concept was tested clinically by intraoperative intravenous injection of indigo carmine. After sufficient occlusion, the ureter appears dilated and blue in color. (Source: Urology)

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More boys die at initiation school

IOL: Health — Tue, 22 Dec 2009 12:43:13 +0100

The death toll in the Eastern Cape's summer circumcision season has risen to 23 after the deaths of two boys, according to the provincial health department. (Source: IOL: Health)

Zimbabwe: Minister Launches Male Circumcision As an HIV Preventive Measure

AllAfrica News: HIV-Aids and STDs — Mon, 21 Dec 2009 11:24:03 +0100

HEALTH and Child Welfare Minister, Henry Madzorera last week launched the national male circumcision (MC) policy for HIV prevention with a call for more support from various partners to expand the implementation of the programme. Madzorera said the introduction and subsequent roll out of MC services in the country was an additional HIV prevention mechanism that government was taking seriously. (Source: AllAfrica News: HIV-Aids and STDs)

City to combat initiation deaths

IOL: Health — Sun, 20 Dec 2009 07:31:07 +0100

As more young men in the Eastern Cape continue to die at circumcision schools, plans are under way to improve these schools in Cape Town, and introduce measures to avoid similar incidents here. (Source: IOL: Health)

Health headlines: Playground injuries, a new polio vaccine and the latest anti-soda ad

Thrive, Children's Hospital Boston — Sat, 19 Dec 2009 13:00:24 +0100

Other stories we’ve been reading: Uganda outlaws female circumcision. A new polio vaccine is going to be used in Afghanistan. Researchers have developed an artificial clotting agent to help stop massive bleeding. Playground injuries aren’t about fall – it’s the landing. Fifty million shades have been recalled for strangulation risk. Pregnancy spacing matters in babies’ health and STDs are common among sexually active teen girls in cities. The CDC has a healthy version of the song The 12 Days of Christmas. Watch NYC’s latest anti-soda ad. Related posts:Health headlines: Premature babies, burn injuries and cherry flavored TamifluHealth headlines: Fearless toddlers, Viagra for kids and Santa wants his vaccineHealth headlines: Mozart helps preemies, children’s allergies and te...

Sex Equally Satisfying with Circumcised Men

MedlinePlus Health News — Thu, 17 Dec 2009 18:28:26 +0100

Women find sex just as pleasurable with circumcised men as with men who are uncircumcised, a new study suggests. Source: Reuters Health Related MedlinePlus Topics: AIDS, Circumcision, Sexual Health (Source: MedlinePlus Health News)

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Uganda: Circumcision And HIV - What Was Tegulle's Point?

AllAfrica News: Health and Medicine — Thu, 17 Dec 2009 15:09:24 +0100

In writing the opinion "Unmasking the lie: circumcision, sex and HIV/Aids" on December 12 in the Saturday Monitor, Mr Gawaya Tegulle was exercising his right to freedom of expression. He even acknowledged that while he respected the standpoint of the proponents of medical male circumcision for HIV prevention, he did not believe in this kind of thing. (Source: AllAfrica News: Health and Medicine)

ECape circumcision death toll hits 21

IOL: Health — Thu, 17 Dec 2009 11:21:54 +0100

The death toll in the Eastern Cape's summer circumcision season now stands at 21, the provincial health department has said. (Source: IOL: Health)

Uganda: Sensitise Girls On Female Circumcision

AllAfrica News: Health and Medicine — Wed, 16 Dec 2009 11:13:21 +0100

Female circumcision, has been practiced for centuries in parts of north eastern Uganda, commonly among the Sabinys. Generally, it is a rite of passage preparing young girls for womanhood and marriage. (Source: AllAfrica News: Health and Medicine)

South Africa: Zulu King Revives Male Circumcision

AllAfrica News: HIV-Aids and STDs — Tue, 15 Dec 2009 20:10:56 +0100

Members of the Zulu royal family are meeting with local authorities in South Africa's KwaZulu-Natal Province to discuss making male circumcision services available at public hospitals in a bid to reduce HIV infections. (Source: AllAfrica News: HIV-Aids and STDs)

Uganda: Stamp Out Female Circumcision

AllAfrica News: Health and Medicine — Mon, 14 Dec 2009 14:02:38 +0100

PARLIAMENT has passed the Bill prohibiting Female Genital Mutilation, commonly known as female circumcision. The bill now awaits the assent of the President to become law. This is a landmark bill that has been long overdue. (Source: AllAfrica News: Health and Medicine)

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Uganda: Unmasking the Lie - Circumcision, Sex And HIV/Aids

AllAfrica News: HIV-Aids and STDs — Mon, 14 Dec 2009 09:22:27 +0100

A few days ago I found it necessary to restate my position, calmly and quietly, that my sons - two so far - should under no circumstances be circumcised. Two very simple and I am persuaded, logical reasons. (Source: AllAfrica News: HIV-Aids and STDs)

RIGHTS-TANZANIA: 'I Feel Like Less of a Woman'

IPS Inter Press Service - Health — Sun, 13 Dec 2009 15:15:33 +0100

MUSOMA, Tanzania, Dec 12 (IPS) - In the darkest corner of the room, under the clamour of twelve women’s voices, sits Ghati Chacha*, she can barely be heard. Her newborn suckles as she speaks softly about how she refused female circumcision. (Source: IPS Inter Press Service - Health)

Tanzania: 'I Feel Like Less of a Woman'

AllAfrica News: Health and Medicine — Sat, 12 Dec 2009 21:23:21 +0100

In the darkest corner of the room, under the clamour of twelve women's voices, sits Ghati Chacha*, she can barely be heard. Her newborn suckles as she speaks softly about how she refused female circumcision. (Source: AllAfrica News: Health and Medicine)

R250 000 for circumcision programme in KZN

IOL: Health — Sat, 12 Dec 2009 14:43:02 +0100

A budget of R250 000 has been set aside to identify young boys for male circumcision in the north coast region of KwaZulu-Natal, King Goodwill Zwelethini has announced. (Source: IOL: Health)

Also In Global Health News: Uganda Anti-Gay Bill; Zimbabwe Aid; Male Circumcision; Rural Health In India; HIV/AIDS Health Insurance

Sexual Health / STDs News From Medical News Today — Fri, 11 Dec 2009 13:00:00 +0100

Bloomberg Reports Uganda To Drop Death Penalty, Life Sentence From Anti-Gay Bill "Uganda will drop the death penalty and life imprisonment for gays in a refined version of an anti-gay bill expected to be ready for presentation to Parliament in two weeks, James Nsaba Buturo, the minister of ethics and integrity, said" Thursday, Bloomberg reports... (Source: Sexual Health / STDs News From Medical News Today)

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Also In Global Health News: Uganda Anti-Gay Bill; Zimbabwe Aid; Male Circumcision; Rural Health In India; HIV/AIDS Health Insurance

Health News from Medical News Today — Fri, 11 Dec 2009 13:00:00 +0100

Circumcision toll hits 14

IOL: Health — Fri, 11 Dec 2009 11:02:47 +0100

The Eastern Cape health department will be conducting post mortems on all circumcision victims. (Source: IOL: Health)

Incarcerated Amyand’s hernia in a premature infant associated with circumcision: a case report and literature review

Hernia — Fri, 11 Dec 2009 06:52:47 +0100

We present a case of a premature infant who developed systemic symptoms after a circumcision and was eventually diagnosed with an Amyand’s hernia with concurrent appendicitis. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s10029-009-0599-6Authors J. Park, SUNY at Stony Brook School of Medicine Stony Brook NY USAM. Hemani, New York University School of Medicine Department of Urology New York NY USAS. S. Milla, New York University School of Medicine Department of Radiology New York NY USAR. Rivera, New York University School of Medicine Department of Radiology New York NY USAE. Nadler, New York University School of Medicine Department of Surgery New York NY USAJ. P. Alukal, New York University School of Medicine Department of Urology New York NY USA Journal Herni...

The neglected hepatitis C virus genotypes 4, 5 and 6: an international consensus report

Liver International — Fri, 11 Dec 2009 00:00:00 +0100

Hepatitis C virus (HCV) genotypes 4, 5 and 6 represent >20% of all HCV cases worldwide. HCV-4 is mainly seen in Egypt, where it represents 90% of all HCV cases. Antischistosomal therapy was the main cause of contamination there, followed by procedures performed by informal providers and traditional healers such as dental care, wound treatment, circumcision, deliveries, excision and scarification. It is also highly prevalent in sub-Saharan Africa and in the Middle East. In Europe, its prevalence has recently increased particularly among intravenous drug users and in immigrants. HCV-5 is mainly found in South Africa, where it represents 40% of all HCV genotypes, but four pockets of HCV-5 were found in France, Spain, Syria and Belgium and sporadic cases were found elsewhere. The mode of trans...

Kenya: 'Men of the Blood' Come Clean

AllAfrica News: HIV-Aids and STDs — Wed, 09 Dec 2009 16:56:38 +0100

Every December, the village of Kangete, in eastern Kenya's Nyambene District, gears up for yet another season of festivities - not Christmas, however, but the initiation of hundreds of young men into manhood through circumcision. (Source: AllAfrica News: HIV-Aids and STDs)

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Also In Global Health News: Rotavirus Vaccine; Guinea Worm Eradication; Health Systems; Zulu King Calls For Male Circumcision

Health News from Medical News Today — Wed, 09 Dec 2009 12:00:00 +0100

West African Group Calls For Governments To Vaccinate Children Against Rotavirus The West African Rotavirus Advisory Board is calling on governments to vaccinate children against rotavirus, IRIN reports. At a recent meeting in Dakar, Senegal, which was "financed by GlaxoSmithKline, makers of one of two rotavirus vaccines" the board issued a document recommending that governments "immediately recognize the magnitude of the rotavirus problem and make vaccination against the virus a priority" (12/8)... (Source: Health News from Medical News Today)

Also In Global Health News: Rotavirus Vaccine; Guinea Worm Eradication; Health Systems; Zulu King Calls For Male Circumcision

Sexual Health / STDs News From Medical News Today — Wed, 09 Dec 2009 12:00:00 +0100

Interpreting sexually transmissible infection prevention trials by adjusting for the magnitude of exposure.

Clinical Trials — Wed, 09 Dec 2009 00:00:00 +0100

CONCLUSIONS: The implications of this analysis are that common interpretations of clinical trial interventions are insufficient for understanding the true efficacy of an intervention in some circumstances. Estimates of effectiveness in trials may misrepresent effectiveness per exposure event and effectiveness over a lifetime of risk. Care should be taken when designing protocols for analysis of trial results when the expected incidence is high. No change to the current practice of designing randomized control trials is suggested but analysis of trial data could be extended to calculate other statistics of effectiveness. A type of extrapolation and interpolation method for estimating levels of effectiveness is proposed. PMID: 20007407 [PubMed - as supplied by publisher] (Source: Clinica...

Kenya: New Tool Makes Circumcision Safe

AllAfrica News: Health and Medicine — Tue, 08 Dec 2009 23:21:00 +0100

Mr Gibon Ogada, 46, has every reason to smile. His son has just undergone a safe and painless circumcision. (Source: AllAfrica News: Health and Medicine)

Move to tighten circumcision law

IOL: Health — Tue, 08 Dec 2009 14:31:36 +0100

The Eastern Cape Health Department wants fines and jail for parents who let their sons have illegal circumcisions. (Source: IOL: Health)

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South Africa: Zulu King Lauded for Medical Male Circumision Move

AllAfrica News: Health and Medicine — Mon, 07 Dec 2009 15:06:39 +0100

The Congress of South African Trade Unions (COSATU) has welcomed King Goodwill Zwelithini's announcement this weekend that he supports medical male circumcision and will encourage his followers to undergo the procedure which could prevent up to 60% of men acquiring HIV. (Source: AllAfrica News: Health and Medicine)

Circumcise against Aids: Zulu king's old solution to a modern problem

BBC News | Health | UK Edition — Mon, 07 Dec 2009 14:30:51 +0100

The king of South Africa's Zulus proposes reintroducing the traditional practise of circumcision to help fight against HIV/Aids. (Source: BBC News | Health | UK Edition)

GMC criticises circumcision care

BBC News | Health | UK Edition — Mon, 07 Dec 2009 13:52:54 +0100

A disciplinary panel concludes that a doctor in Essex did not provide the expected standard of care when performing circumcisions. (Source: BBC News | Health | UK Edition)

Uganda: Circumcision Raises School Drop-Out Rate

AllAfrica News: Health and Medicine — Mon, 07 Dec 2009 12:41:32 +0100

THE Imbalu (circumcision) period in Bugisu has been found to increase school drop-out rates for the girl child. (Source: AllAfrica News: Health and Medicine)

Fears for boys as circumcisions continue

IOL: Health — Mon, 07 Dec 2009 09:58:36 +0100

Health officials in the Eastern Cape have been sent to investigate reports of botched circumcisions, including one that 16 boys have lost their genitals. (Source: IOL: Health)

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Africa: Male Circumcision - Why the Delay?

AllAfrica News: HIV-Aids and STDs — Thu, 03 Dec 2009 20:38:40 +0100

Countries all over Africa are at various stages of developing and implementing policies to roll out mass male circumcision to prevent HIV, but until recently South Africa has done little more than talk about a strategy of its own. (Source: AllAfrica News: HIV-Aids and STDs)

Uganda: MP Kadaga Warns Kenyan Local Surgeons Over Female Circumcision

AllAfrica News: Health and Medicine — Thu, 03 Dec 2009 09:37:03 +0100

The Deputy Speaker of Parliament, Ms Rebecca Kadaga, has threatened to arrest and prosecute Kenyan traditional surgeons who sneak into Bukwo, Kapchorwa and Amudat districts to circumcise young girls. (Source: AllAfrica News: Health and Medicine)

Africa Fights AIDS With Male Circumcision

Health News: CBSNews.com — Tue, 01 Dec 2009 15:00:06 +0100

Activists Promote an Ancient Tribal Ritual of Manhood to Cut HIV Infections, But Some Fear It Will Reduce Condom Use (Source: Health News: CBSNews.com)

New Products: disease-free keyboard, circumcision device, bilimeter, stethoscope

Modern Medicine Contemporary Pediatrics — Tue, 01 Dec 2009 00:00:00 +0100

Much has changed since the 2008 installment of New Products for Pediatrics. In 2009, the US economy went into a deep recession that prompted government spending of historic proportions. (Source: Modern Medicine Contemporary Pediatrics)

Why Circumcision Reduces HIV Risk

Health News from Medical News Today — Wed, 25 Nov 2009 09:00:00 +0100

The decreased risk of HIV infection in circumcised men cannot be explained by a reduction in sores from conditions such as herpes, according to research published in PLoS Medicine. (Source: Health News from Medical News Today)

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Why Circumcision Reduces HIV Risk

HIV / AIDS News From Medical News Today — Wed, 25 Nov 2009 09:00:00 +0100

South Africa: Male Circumcision Plan Almost There

AllAfrica News: Health and Medicine — Tue, 24 Nov 2009 16:26:06 +0100

South Africa has moved swiftly to develop a male circumcision plan that would have buy-in from all stakeholders and will go beyond being a purely medical intervention, ideally also engaging men on among others HIV prevention, gender issues and alcohol abuse. (Source: AllAfrica News: Health and Medicine)

Effects of Genital Ulcer Disease and Herpes Simplex Virus Type 2 on the Efficacy of Male Circumcision for HIV Prevention: Analyses from the Rakai Trials

PLoS Medicine — Tue, 24 Nov 2009 00:00:00 +0100

Ron Gray and colleagues analyze data from two circumcision trials in Uganda to assess how HSV-2 status and genital ulcer disease affect the procedure's ability to reduce HIV infection. (Source: PLoS Medicine)

Why circumcision reduces HIV risk

EurekAlert! - Social and Behavioral Science — Mon, 23 Nov 2009 05:00:00 +0100

(Public Library of Science) The decreased risk of HIV infection in circumcised men cannot be explained by a reduction in sores from conditions such as herpes, according to research published in PLoS Medicine. (Source: EurekAlert! - Social and Behavioral Science)

Acceptability of Infant Male Circumcision as Part of HIV Prevention and Male Reproductive Health Efforts in Gaborone, Botswana, and Surrounding Areas

AIDS and Behavior — Thu, 19 Nov 2009 07:50:27 +0100

Abstract Adult male circumcision reduces a man’s risk for heterosexual HIV acquisition. Infant circumcision is safer, easier and less costly but not widespread in southern Africa. Questionnaires were administered to sixty mothers of newborn boys in Botswana: 92% responded they would circumcise if the procedure were available in a clinical setting, primarily to prevent future HIV infection, and 85% stated the infant’s father must participate in the decision. Neonatal male circumcision appears to be acceptable in Botswana and deserves urgent attention in resource-limited regions with high HIV prevalence, with the aim to expand services in safe, culturally acceptable and sustainable ways. Content Type Journal ArticleCategory ReportDOI 10.1007/s10461-009-9632-0Authors ...

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Circumcision and Risk of Sexually Transmissible Infections in a Community-Based Cohort of HIV-Negative Homosexual Men in Sydney, Australia.

Herpes — Thu, 19 Nov 2009 05:36:08 +0100

Conclusions. These are the first prospective data obtained from homosexual men to assess circumcision status as a risk factor for STIs. Circumcised men were at reduced risk of incident syphilis but no other prevalent or incident STIs. Circumcision is unlikely to have a substantial public health impact in reducing acquisition of most STIs in homosexual men. PMID: 19911990 [PubMed - as supplied by publisher] (Source: Herpes)

Kenya: The Million Man Cut

AllAfrica News: Health and Medicine — Tue, 17 Nov 2009 13:00:24 +0100

The Kenyan government is expanding services to meet the growing demand for voluntary medical male circumcision after the launch of a national campaign a year ago. (Source: AllAfrica News: Health and Medicine)

Cutting through red tape: non-therapeutic circumcision and unethical guidelines

Clinical Ethics — Tue, 17 Nov 2009 01:45:09 +0100

Current General Medical Council (GMC) guidelines state that any doctor who does not wish to carry out a non-therapeutic circumcision (NTC) on a boy must invoke conscientious objection. This paper argues that this is illogical, as it is clear that an ethical doctor will object to conducting a clinically unnecessary operation on a child who cannot consent simply because of the parents’ religious beliefs. Comparison of the GMC guidelines with the more sensible British Medical Association guidance reveals that both are biased in favour of NTC and subvert standard consent procedures. It is further argued that any doctor who does participate in NTC of a minor may be guilty of negligence and in breach of the Human Rights Act. In fact, the GMC guidance implies that doctors must claim conscie...

Circumcision and Risk of Sexually Transmissible Infections in a Community‐Based Cohort of HIV‐Negative Homosexual Men in Sydney, Australia

The Journal of Infectious Diseases Latest Issue — Fri, 13 Nov 2009 21:40:20 +0100

Conclusions. These are the first prospective data obtained from homosexual men to assess circumcision status as a risk factor for STIs. Circumcised men were at reduced risk of incident syphilis but no other prevalent or incident STIs. Circumcision is unlikely to have a substantial public health impact in reducing acquisition of most STIs in homosexual men. (Source: The Journal of Infectious Diseases Latest Issue)

The Impact of Male Circumcision on HIV Transmission

The Journal of Urology — Fri, 13 Nov 2009 00:00:00 +0100

Conclusions: Safe, high quality, low cost adult male circumcision services should be made available to regions with a high HIV incidence as part of a comprehensive HIV prevention package. (Source: The Journal of Urology)

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Cost‐Effectiveness of Adult Circumcision in a Resource‐Rich Setting for HIV Prevention among Men Who Have Sex with Men

The Journal of Infectious Diseases Latest Issue — Thu, 12 Nov 2009 21:45:27 +0100

Conclusions. Circumcision of adult MSM may be cost‐effective in this resource‐rich setting. However, the intervention costs are high relative to the costs spent on other HIV prevention programs. (Source: The Journal of Infectious Diseases Latest Issue)

Initiate's death blamed on dehydration

IOL: Health — Thu, 12 Nov 2009 14:33:01 +0100

The death of an Estern Cape initiate four days after his circumcision is being blamed on dehydration, the police have said. (Source: IOL: Health)

Does circumcision influence recurrences in herpes genitalis?

Indian Journal of Dermatology, Venereology and Leprology — Thu, 12 Nov 2009 14:01:24 +0100

Conclusions:</b> Six patients and six controls did not follow-up. Seven patients reported no recurrences during 3-18 years, seven patients had two to six recurrences during 11-27 years of postcircumcision follow-up, 0.0080 (average) recurrences per person per year as compared with 0.20 (average) recurrences per person per year recorded before the circumcision. Two patients had first recurrence 11 years after the circumcision. In comparison, 14 controls had 0.17 (average) recurrences per person per year, comparable with the number of recurrences in uncircumcised patients, and frequently at shorter intervals. Despite being a small study, the circumcision appears to reduce the number of recurrences on an average and evidently prolongs the disease-free period in between two...

Larger Foreskin Surface Area Linked to Increased Risk of HIV Infection in Men

Fri, 06 Nov 2009 00:00:00 +0100

“Male circumcision reduces HIV acquisition in men. We assessed whether foreskin surface area was associated with HIV acquisition prior to circumcision….In two randomized trials of male circumcision, the surface area of the foreskin was measured after surgery using standardized procedures. Nine hundred and sixty-five initially HIV-negative men were enrolled in a community cohort who subsequently enrolled in the male circumcision trials, provided 3920.8 person-years of observation prior to circumcision. We estimated HIV incidence per 100 person-years prior to circumcision, associated with foreskin surface area categorized into quartiles….Mean foreskin surface area was significantly higher among men who acquired HIV (43.3 cm2, standard error 2.1) compared with men who remained uninfecte...