Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 170
Filtrar
1.
Am J Phys Anthropol ; 170(3): 418-432, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31381133

RESUMO

INTRODUCTION: Along the Mesoamerican western margin, the Zacapu basin has yielded a large number of human remains demonstrating usage of artificial cranial modification (ACM). However, at the onset of the Middle Postclassic (1200-1400 AD) only few individuals still exhibit clear signs of ACM. Some authors have suggested that, rather than disappearing entirely, ACM may have become less visible anatomically, making it difficult to identify based on simple visual analyses. Here, we used 3D geometric morphometric methods to investigate the extent to which ACM persisted during the Postclassic in this region. MATERIALS AND METHODS: We measured the 3D vault's shape changes in a sample of surface-scanned human crania: 55 individuals from the Postclassic Zacapu basin and a control group of 31 individuals from a Huichol Mexican Indian sample and a French medieval series from La Granède. We used a principal component analysis to explore the shape variation within the sample and employed the neighbor joining method to identify morphological groups. Finally, we quantified each individual's asymmetry. RESULTS: We identified three groups displaying shape features diverging from those of the control group. The first group is characterized by marked fronto-obelionic ACM, whereas the other two show mild forms of ACM. The individuals in all three groups display moderate to high degrees of asymmetry compared to the control group. DISCUSSION: The marked fronto-obelionic modification is clear evidence of a specific ACM technique. The two types of mild ACM most likely result from different techniques but their moderate degree of modification brings into question the intentions behind their production.


Assuntos
Modificação Corporal não Terapêutica/história , Índios Norte-Americanos , Crânio/anatomia & histologia , Arqueologia , História Medieval , Humanos , México
2.
PLoS One ; 14(6): e0218992, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31251774

RESUMO

BACKGROUND: Prisoners in French Guiana, a French territory located in South America, have a HIV and hepatitis B prevalence of 4%. Body modifications such as penile implants, tattoos, and body piercings are common among detainees, increasing the risk of blood-borne virus transmission. METHODS: We conducted a cross-sectional randomised survey in which the primary objective was to estimate the prevalence of high risk 'bloody practices' (penile implants, tattoos, body piercings) in French Guiana's only correctional facility. The secondary objective was to describe the risk factors for penile implants, the procedures and motivations for insertion, the reported complications, their risk factors and adverse impact on condom use. RESULTS: Of the 221 male inmates interviewed, 19% had tattoos or body piercings while incarcerated, and 68% had penile implants, of which, 85% had been inserted inside the correctional facility. Addictive behaviors such as cannabis use and alcohol addiction (positive AUDIT-C score), early age at first sexual intercourse, and the number of incarcerations correlated positively with having inserted one or more penile implants while incarcerated. In contrast, having reported previous psychiatric hospitalizations and having a high knowledge score for HIV/AIDS and sexually transmitted infections (STIs) were negatively correlated with the insertion of penile implants while incarcerated. Penile implants were inserted in poor hygienic conditions, usually using the sharp lid of a canned food container, with 18% of early complications, mostly haemorrhage and edema. Condom use was negatively impacted for 52% of men with penile implants. CONCLUSIONS: Our results highlight the need for prevention interventions which should aim at increasing knowledge levels and at implementing comprehensive risk-reduction measures.


Assuntos
Modificação Corporal não Terapêutica/estatística & dados numéricos , Infecções por HIV/transmissão , Prótese de Pênis , Doenças Sexualmente Transmissíveis/transmissão , Adolescente , Adulto , Piercing Corporal , Estudos Transversais , Guiana Francesa , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Prisioneiros , Prisões , Fatores de Risco , Assunção de Riscos , Inquéritos e Questionários , Tatuagem , Adulto Jovem
3.
Am J Phys Anthropol ; 169(4): 747-756, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31237364

RESUMO

OBJECTIVES: Intentional cranial modification (ICM) was a long-established tradition used to reshape the head. Unfortunately, motivation of the act is unclear. It has been found in recent and contemporary human populations throughout the Old and New Worlds, yet the drawback of the quest into the origin, diffusion, and meanings of ICM is the lack of early materials for scientific examination. This study reports the discovery of ICM from the Neolithic Houtaomuga Site in Northeast China and the importance in deepening our knowledge of this intriguing tradition. MATERIALS AND METHODS: Twenty-five skeletons unearthed from the Neolithic cultural Phases 1-4 in the Houtaomuga Site were visually screened for ICM features. Cranial measurements were conducted to quantify the degree of variation in the modified skulls and typical ones were computer tomography (CT) scanned to obtain a diploë structure and 3D model. RESULTS: Eleven skulls carrying signs of ICM from both sexes varying in age from juveniles to full adults were identified ranging from 12,000 BP to 5,000 BP. Three types of modification patterns were observed and most of them were of typical fronto-occipital modification pattern. In particular, there were remarkable variations in the curvature of the crania along the sagittal direction. DISCUSSION: Overall, the antiquity as well as the cultural and genetic continuity of the population in Houtaomuga Site demonstrated the earliest confirmed ICM cases from the easternmost Old World, and the longest in situ duration of ICM practice at one single Neolithic site. This circumstance largely contributes to our understanding of the origins and distribution of ICM in Eurasia and the American continent.


Assuntos
Modificação Corporal não Terapêutica/história , Crânio/patologia , Adolescente , Adulto , Antropologia Física , Grupo com Ancestrais do Continente Asiático/etnologia , Grupo com Ancestrais do Continente Asiático/história , Criança , Pré-Escolar , China/etnologia , Feminino , História Antiga , Humanos , Imageamento Tridimensional , Masculino , Crânio/diagnóstico por imagem
4.
Lasers Surg Med ; 51(9): 757-759, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31215051

RESUMO

BACKGROUND AND OBJECTIVES: Laser vaginal tightening (LVT) outpatient procedures have become increasingly popular for cosmetic reasons, for enhancement of sexual functioning and to treat vaginal laxity, mild pelvic organ prolapsed (POP), and urinary incontinence, although scientific short- and long-term evidence is lacking. STUDY DESIGN/MATERIALS AND METHODS: Report of three patients with vaginal laxity who previously underwent LVT procedures. RESULTS: Three premenopausal women who previously underwent LVT for vaginal laxity but had no improvement. On subsequent posterior vaginal repair procedures, their vaginal mucosa was found to be scarred or friable, making surgery and dissection more difficult. CONCLUSIONS: LVT procedures lack scientific evidence of safety and efficacy regarding management of mild POP and vaginal laxity, and healthcare providers should counsel and educate their patients of the potential risks, some of which is still unreported. Lasers Surg. Med. © 2019 The Authors. Lasers in Surgery and Medicine Published by Wiley Periodicals, Inc.


Assuntos
Terapia a Laser , Vagina/cirurgia , Adulto , Modificação Corporal não Terapêutica , Feminino , Procedimentos Cirúrgicos em Ginecologia/métodos , Humanos , Pessoa de Meia-Idade
6.
J Surg Res ; 241: 72-77, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31009888

RESUMO

BACKGROUND: Microdermal implants are an increasingly popular form of body jewelry. The potential for electrical conduction burn at the site of metal jewelry left in situ during electrosurgery has prompted surgical societies to recommend routine removal before surgery. To date, however, there is a lack of evidence to support this practice. We assessed in vivo thermal effect and tissue damage around implants during and after electrocautery. MATERIALS AND METHODS: Stainless steel microdermal anchors were surgically implanted into four swine. After allowing for initial healing, negative controls were excised and evaluated. An electrocautery grounding pad was placed 2 cm caudal to the implant. Continuous electrocautery (coagulation/30 W) for 30 s was applied to the skin 2 cm cranial to the implant. Surface skin temperature was recorded during electrocautery using thermal imaging. Tissue damage was assessed by gross examination and histologic evaluation. The same procedure was then performed to the contralateral nonimplanted side as a sham control. RESULTS: Electrocoagulation raised skin temperature around the electrocautery tip 27.7°C (Tmax 64.8°C). Skin temperature around the dermal implant rose 1.58°C (Tmax 38.6°C) compared with 2.03°C (Tmax 39.2°C) in the nonimplanted control skin (P = 0.627). Skin temperatures at implanted and control sites showed no statistical difference at any recorded time interval. Histologic review of excised tissue samples showed no evidence of thermal injury. CONCLUSIONS: Metallic implants appear to have no effect on skin temperature during the use of electrocautery even when in close proximity to both the electrocautery pen and return pad. Aggressive steps to remove microdermal implants before surgery may be unnecessary.


Assuntos
Modificação Corporal não Terapêutica/efeitos adversos , Procedimentos Cirúrgicos Dermatológicos/efeitos adversos , Eletrocoagulação/efeitos adversos , Complicações Intraoperatórias/prevenção & controle , Animais , Modificação Corporal não Terapêutica/instrumentação , Complicações Intraoperatórias/etiologia , Modelos Animais , Sus scrofa , Suínos
7.
Estilos clín ; 24(1): 134-146, Jan.-Apr. 2019. ilus
Artigo em Português | LILACS, Index Psicologia - Periódicos técnico-científicos | ID: biblio-1039842

RESUMO

Tatuagens, piercings e alargadores tornaram-se comuns entre os adolescentes na contemporaneidade. Essas práticas de modificação corporal, embora tenham sido historicamente relacionadas a culturas exóticas e, mais recentemente, a grupos marginalizados, têm adquirido um novo status social. Além da questão estética, é necessário problematizar essas práticas e o que elas desvelam da adolescência moderna. O objetivo deste artigo é, então, discutir tais transformações corporais na adolescência a partir da psicanálise de Freud e Lacan. Considera-se que essas transformações corporais podem funcionar como estratégia pra lidar com as mudanças corporais decorrentes da puberdade e constituir um corpo que possa circular socialmente, ao mesmo tempo que diferencia o eu e do outro.


Los tatuajes, piercings y alargadores se volvieron comunes entre los adolescentes en la contemporaneidad. Aunque estas prácticas de modificación corporal han sido históricamente relacionadas a culturas exóticas y, más recientemente, a grupos marginales, estas transformaciones corporales han adquirido un nuevo status social. Además de la cuestión estética, es necesario problematizar esas prácticas y lo que ellas desvelan en la adolescencia moderna. El objetivo de este artículo es discutir estas transformaciones corporales en la adolescencia a partir del psicoanálisis de Freud y de Lacan. Se considera que estas transformaciones pueden funcionar como una estrategia para lidiar con los cambios corporales de la pubertad y constituir un cuerpo que pueda circular socialmente, al mismo tiempo que diferencia yo y otro.


Tattoos, piercings and tapers have become common among teenagers in contemporary times. Although these forms of body modification have been historically related to exotic cultures and, more recently, to marginalized groups, these body transformations have acquired a new social status. Beyond the aesthetic matter, it is necessary to problematize these practices and what they reveal of modern adolescence. The aim of this article is to discuss body transformations in adolescence from the perspective of the psychoanalysis of Freud and Lacan. It is considered that such transformations can act as a strategy to deal with the changes in the body resulting from puberty and to constitute a body that can circulate socially, whilst it differentiates the self from the other.


Assuntos
Humanos , Adolescente , Psicanálise , Modificação Corporal não Terapêutica/psicologia , Adolescente
8.
Personal Disord ; 10(2): 154-162, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30113185

RESUMO

Little is known about the connection between body modification and borderline personality disorder (BPD). This study investigated the relation between a wide range of body modification practices (piercing, tattooing, scarification, pubic hair removal, and cosmetic surgery) and BPD features, with a special focus on identity and identity dysfunction, in an adult community sample (N = 330). Results indicated BPD features were positively correlated with total number of body modifications and breadth of body modification practices endorsed, as well as, specifically, increased piercings, tattoos, and scarifications. Furthermore, identity problems (i.e., identity diffusion and low self-concept clarity) were associated with body modifications. Implications of these findings are discussed, including their heuristic value in understanding body modification in light of its connection to BPD (and particularly identity/self-concept functions). (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Assuntos
Modificação Corporal não Terapêutica , Transtorno da Personalidade Borderline/fisiopatologia , Autoimagem , Adulto , Modificação Corporal não Terapêutica/estatística & dados numéricos , Piercing Corporal/estatística & dados numéricos , Transtorno da Personalidade Borderline/epidemiologia , Feminino , Remoção de Cabelo/estatística & dados numéricos , Humanos , Masculino , Tatuagem/estatística & dados numéricos , Adulto Jovem
9.
Body Image ; 28: 6-15, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30447417

RESUMO

Based on objectification theory and the consumer culture impact model, this study examined psychological predictors of cosmetic surgery consideration in 314 Chinese adolescent girls. Path analyses revealed several findings. First, both interpersonal sexual objectification and materialism contributed to internalized appearance ideals, which in turn related to body surveillance, body shame, and facial appearance concerns. Second, the association between materialism and internalized appearance ideals was independent of the association between materialism and interpersonal sexual objectification. Third, internalized appearance ideals were linked to cosmetic surgery consideration via body surveillance and facial appearance concerns. Fourth, while internalized appearance ideals were associated with body shame, body shame did not mediate its association with cosmetic surgery consideration. Fifth, instead of body shame, facial appearance concerns mediated that link between body surveillance and cosmetic surgery consideration as well as the link between internalized appearance ideals and cosmetic surgery consideration. This study provides support to the basic tenets of objectification theory and the consumer culture impact model as applied to Chinese adolescent girls' willingness to consider cosmetic surgery. It suggests that using a measure that is more sensitive to salient cultural concerns is important when attempting to understand body image issues in different cultural contexts.


Assuntos
Imagem Corporal/psicologia , Modificação Corporal não Terapêutica/psicologia , Cultura , Procedimentos Cirúrgicos Reconstrutivos/psicologia , Comportamento Sexual/etnologia , Valores Sociais , Adolescente , China/etnologia , Feminino , Humanos , Masculino
11.
Rev Int Androl ; 17(3): 101-109, 2019.
Artigo em Espanhol | MEDLINE | ID: mdl-30245179

RESUMO

OBJECTIVES: Due to the scarcity of scientific articles that review the technical alternatives available for aesthetic modifications in the penis that are the cause of subsequent uro-andrological problems, the existing literature is reviewed after the assistance of a penile infection by injection of subcutaneous hyaluronic acid with aesthetic purposes. MATERIAL AND METHODS: A 38-year-old male patient with no medical or psychiatric remarkable reports who came to the emergency room due to inflammation and abscess in penile skin after injection of hyaluronic acid. Surgical treatment was required and degloving and excision of affected skin was performed, with subsequent satisfactory evolution. The psychological analysis showed a narcissistic personality possibly secondary to traumas in childhood. We have reviewed the literature present in medical databases as well as information available on-line. RESULTS: Enlargement of the penis is an important cultural and social concern, so that there are different devices in the market to meet this demand, among them: herbal medicine, stretching exercises, weights, vacuum pumps or extensor devices. Among the surgical techniques, there have been described the pubic liposuction, the section of the suspensory ligament of the penis or the injection of autologous material or synthetic substances among others. As for the aesthetic modifications of the penis, there is a wide variety of genital piercings, tattoos and subcutaneous implants also called "pocketing" or "3D implants". All of these techniques or modifications are described in this article along with their possible associated more frequent urological complications. CONCLUSIONS: Aesthetic manipulations in the penis are becoming increasingly popular, and both its terminology and its medical implications should be known by urologists and andrologists. community.


Assuntos
Modificação Corporal não Terapêutica/efeitos adversos , Modificação Corporal não Terapêutica/psicologia , Doenças do Pênis/etiologia , Doenças do Pênis/cirurgia , Pênis/cirurgia , Adulto , Estética , Humanos , Masculino , Procedimentos Cirúrgicos Reconstrutivos/métodos , Procedimentos Cirúrgicos Urológicos Masculinos/métodos
12.
Eur Urol Focus ; 5(5): 894-898, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30007541

RESUMO

Penile paraffinoma is a rare cause of penile mass that can occur following injection of liquid paraffin, performed illicitly for penile augmentation. Over the past 2 yr, we have observed an increasing number of cases presenting with the complications of penile paraffinoma; three patients of central European origin have required inpatient treatment at our institution and posed a significant management dilemma. This mini-review aims to review the literature on the aetiopathogenesis, clinical features, diagnosis, and management of penile paraffinoma. A systematic search of PubMed and Scopus was performed with 10 case series and 26 case reports identified between 1956 and 2017. A total of 124 cases, with a mean age of 36.29 yr, were identified. The majority originated in Korea, and the most common injected material was liquid paraffin (80.6%). Patients presented with pain/swelling, ulceration/fistulae, and penile deformity. The majority required surgical excision of paraffinoma followed by reconstruction with a variety of procedures including split skin grafting, scrotal skin flap reconstruction, and prepuce grafting. Mean duration of follow-up was 15.8 mo. Penile paraffinoma remains a rare presentation; however, it can present management difficulties. We have had an increase in cases, with three patients presenting with complications following injection of paraffin in our unit in the past 2 yr. Definitive management includes surgical excision and reconstruction as required with early involvement of plastic surgeons. There may be a role for conservative management; however, long-term outcomes are unclear. There may be a need for targeted preventative measures through public health agencies in communities where the practice is more prevalent. PATIENT SUMMARY: Penile paraffinoma can occur following injection of liquid paraffin or similar substances, generally used by non-healthcare personnel for the purpose of penile augmentations, and can cause significant pain, ulceration, and penile deformity. Definitive management includes surgical excision with reconstruction as required. Prevention of its use through awareness and education may be required in communities where the practice is more common.


Assuntos
Modificação Corporal não Terapêutica/efeitos adversos , Corpos Estranhos/etiologia , Parafina/efeitos adversos , Doenças do Pênis/etiologia , Humanos , Injeções , Masculino , Parafina/administração & dosagem
13.
Rio de Janeiro; s.n; 2019. 179 f p. fig, il, tab, graf.
Tese em Português | LILACS | ID: biblio-1016416

RESUMO

O desejo pela amputação de membros saudáveis tem sido chamado de apotemnophilia, transability, body integrity Identity disorder e xenomelia. Nessa condição rara, o indivíduo considerado saudável física e mentalmente apresenta um desejo intenso e duradouro de amputação. Ao relacionar esse fenômeno com outras formas de transformação corporal, como a body modification, tatuagem, piercing, cirurgias plásticas estéticas e cirurgias com fins médicos, verifica-se que o desejo pela amputação voluntária representa um caso único, singular. Ainda sem uma nosologia médico-psiquiátrica, esse fenômeno tem sido capturado por diversas áreas de saber em uma tentativa de conhecer sua etiologia, compreender sua fenomenologia e propor critérios diagnósticos e de tratamento adequados. Enquanto as formas de tratamento medicamentoso e psicoterapêutico têm se mostrado ineficazes, a cirurgia cada vez mais emerge como a única solução viável mas ainda não possível legalmente. A autonomia dos corpos é regulada pelas leis e pelo dispositivo médico que, até o momento, consideram essa demanda uma forma de agressão à integralidade do corpo e uma possível expressão de um transtorno mental ou neurológico. Devido ao estigma que essa condição recebe, os indivíduos preferem se manter no anonimato e esconder seu desejo. Suas causas são ainda desconhecidas, mas sabemos que é na infância que esse desejo se instala. A quantidade de membros a ser amputados varia, chegando a casos extremos de quádrupla amputação. A linha de amputação pode ser exata, mas o desejo pode migrar de membro. Esse desejo, mesmo sempre presente, pode apresentar variações em sua intensidade. A simulação da deficiência desejada e a automutilação são algumas práticas realizadas pelos que não sustentam a angústia desse desejo. Nesse contexto, as demandas por cegueira, surdez e paralisia também devem ser contempladas. Ao desejarem voluntariamente representar um corpo fora da normalidade, esses indivíduos questionam e desafiam as definições de autonomia, normalidade, integridade corporal, deficiência e incapacidade


The desire for amputation of healthy limbs has been called apotemnophilia, transability, body integrity identity disorder and xenomelia. In this rare condition, the individual considered physically and mentally healthy presents an intense and lasting desire for amputation. By relating this phenomenon to other forms of body transformation, such as body modification, tattooing, piercing, aesthetic plastic surgeries and medical surgeries, the desire for voluntary amputation represents a unique, singular case. Even without a medical-psychiatric nosology, this phenomenon has been captured by several areas of knowledge in an attempt to know its etiology, to understand its phenomenology and to propose adequate diagnostic and treatment criteria. While forms of drug and psychotherapeutic treatment have proved to be ineffective, surgery increasingly emerges as the only viable solution but not yet legally possible. The autonomy of bodies is regulated by the laws and medical devices that, to date, consider this demand as a form of aggression to the integrality of the body and a possible expression of a mental or neurological disorder. Because of the stigma that this condition receives, individuals prefer to remain anonymous and hide their desire. Its causes are still unknown, but we know that it is in childhood that this desire is installed. The number of limbs to be amputated varies, reaching extreme cases of quadruple amputation. The amputation line may be exact, but the desire may migrate from limb. Even this desire, which is always present, may vary in its intensity. The simulation of the desired deficiency and self-mutilation are some practices performed by those who do not sustain the anguish of this desire. In this context, the demand for blindness, deafness and paralysis should also be addressed. When representing a not-normal body, these individuals question and challenge the definitions of autonomy, normalcy, bodily integrity, disability and disability


Assuntos
Humanos , Automutilação , Saúde Mental , Modificação Corporal não Terapêutica , Transtornos Dismórficos Corporais , Amputação
14.
PLoS One ; 13(9): e0204808, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30261063

RESUMO

PURPOSE: Penile implants or nodules are objects inserted beneath the skin of the penis mostly for erotic purposes. The procedure is painful and there may be complications. It is often associated with prison. Our objectives were to describe the prevalence of penile nodules among inmates in French Guiana, and to study factors associated with this practice, notably psychiatric diagnoses. METHODS: The study was cross-sectional. All consenting new adult prisoners incarcerated between 01/01/2014 and 31/12/2014 at the penitentiary centre of French Guiana were included. The Mini International Neuropsychiatric Interview (MINI) was used to screen for psychiatric diagnoses. RESULTS: Of 492, 29.6% declared having penile nodules. The median number was 4 (IQR = 2-7). The number of nodules correlated with age. There was no statistical link between the presence of penile nodules and the reasonforincarceration. Multivariate analysis showed that persons <45years with prior incarcerations, with substance addiction, and those with a history of death in the family were more likely to have penile nodules. Those with psychosis and those with suicidal risk were less likely to have penile nodules. Prisoners speaking English or Maroon languages seemed more likely to have penile implants in the multivariate model. CONCLUSIONS: Overall, 29.6% of arriving inmates had penile nodules. The practice was linked to drug addiction and was less frequent among those with psychosis and suicidal risk. Given the high HIV prevalence in prison, penile nodule may be an obstacle to condom-based prevention.


Assuntos
Modificação Corporal não Terapêutica , Pênis , Prisioneiros , Prisões , Adulto , Estudos Transversais , Guiana Francesa , Humanos , Masculino , Prevalência
15.
J Am Board Fam Med ; 31(4): 653-657, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29986993

RESUMO

On physical examination, refugees from countries in Africa, Asia, and the Middle East often present with findings that are unfamiliar to primary health care providers in the West. Previous traditional practices that may have left their mark include scarification and burning of the skin, excision of body parts, and subcutaneous insertion of foreign material. The descriptions detailed here introduce providers to some of the signs that result from body modification practices commonly encountered on physical examination of refugees.


Assuntos
Modificação Corporal não Terapêutica , Características Culturais , Medicina Tradicional/métodos , Refugiados , Amputação , Queimaduras/diagnóstico , Queimaduras/etnologia , Cicatriz/diagnóstico , Cicatriz/etnologia , Países em Desenvolvimento , Corpos Estranhos/diagnóstico , Corpos Estranhos/etnologia , Humanos , Exame Físico
16.
Eur Urol Focus ; 4(3): 329-332, 2018 04.
Artigo em Inglês | MEDLINE | ID: mdl-30007543

RESUMO

There is an abundance of devices for adolescent and adult male circumcision (MC). It has been shown that the safety and efficacy of device-assisted MC are equal to or better than those for MC via conventional surgery. MC devices have the potential to simplify the procedure and increase the acceptability of circumcision among patients.


Assuntos
Modificação Corporal não Terapêutica/instrumentação , Circuncisão Masculina/instrumentação , Pênis/cirurgia , Adolescente , Adulto , Modificação Corporal não Terapêutica/tendências , Circuncisão Masculina/tendências , Prepúcio do Pênis/cirurgia , Humanos , Masculino , Satisfação do Paciente/estatística & dados numéricos , Segurança , Resultado do Tratamento
17.
Med Sante Trop ; 28(2): 176-181, 2018 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-29997076

RESUMO

BACKGROUND: Traditional uvulectomy in children, a very common and dangerous practice, remains poorly documented in the Democratic Republic of Congo (DRC). The aim of this study was to establish the epidemiological and clinical profile of children after a traditional uvulectomy and to determine their outcome of the children after this practice in 2 pediatric emergency unities in South Kivu province, DRC. METHOD: This was a cross-sectional study took place conducted in 2 pediatric emergency unities in Bukavu town, in South Kivu province, throughout from January to December 2016. It included all children from 0 to 15 years of age. The usual statistical measures (frequenciesy, percentages, means, and medians) were used. Differences in group proportions and categorical variables were assessed withusing the chi-square test. These different tests were considered statistically significant at P < 0.05. FINDINGS: In all, A total of 1078 children were admitted to these pediatric emergency departments during the study period, including 202 cases of traditional uvulectomy, forgiving a prevalence of 18.7% among admissions. The median age of the children was 11 (1-168) months. Of the mothers who resorted to this practice, 153 One hundred fifty-three (75.7%) mothers who resorted to this practice had a low level of education. The main reasons for this practice were fever (50%), vomiting (15.8%), and refusal to suckle (12.4%). The mortality rate after uvulectomy was 11.9%. Risk factors associated with mortality following traditional uvulectomy were HIV infection ([OR (95 % CI) 3.16, 95% CI (1.28-7.79); P = 0.040] and acute malnutrition ([OR (95% CI) 2.87, 95% CI (1.28 - 6.43); P = 0.024)]. CONCLUSION: The prevalence of traditional uvulectomy and the mortality rate after traditional uvulectomy both remain high. Information, education, and communication campaigns on this practice must be developed in order to reduce this scourge.


Assuntos
Modificação Corporal não Terapêutica/estatística & dados numéricos , Cultura , Úvula/cirurgia , Adolescente , Criança , Pré-Escolar , Estudos Transversais , República Democrática do Congo , Feminino , Humanos , Lactente , Masculino , Complicações Pós-Operatórias/epidemiologia , Prevalência , Estudos Retrospectivos
18.
Am J Phys Anthropol ; 166(1): 156-169, 2018 05.
Artigo em Inglês | MEDLINE | ID: mdl-29399780

RESUMO

OBJECTIVES: The arrival of the Huns into Europe in the fourth century AD increased the occurrence of intentional cranial modification among European nomads. It has been postulated that the Huns used a two-bandage cranial binding technique to differentiate themselves from surrounding nomadic groups, including those from Georgia. This study examines this hypothesis by comparing Migration Period (4th to 7th century AD) juvenile crania, which retain strong impressions of bindings, with adult modified crania from Hungary and Georgia. MATERIALS AND METHODS: Twelve surface landmarks and 251 semi-landmarks were used to study ontogenetic trajectories in 9 juvenile and 16 adult modified skulls from 8 Hungarian sites and 21 adult skulls from two Georgian sites. Generalized Procrustes analysis, linear regression of Procrutes distance on dental age and log centroid size, and warping the principal components (PCs) in shape space helped to identify cranial shape changes. RESULTS: The PCs provide significant separation of the juvenile and adult groups from Georgia and Hungary. Variation in modified cranial shape was limited in Hungary compared to Georgia. There was stronger correlation between juvenile and adult modified cranial shape in Hungary than in Georgia. Warping along the first axis reveals the trajectory from marked flattening of the frontal and occipital regions in juveniles to diminished flattening in the same regions in adult crania, corresponding with one binding. Another depression extending from the post-bregmatic region to the temporal region, similarly strong in juveniles but diminishing in adults, marks the second binding. DISCUSSION: Hungarian crania were modified with two bindings with limited shape variation, whereas the Georgian crania had greater variation in shape being also modified with antero-posterior bindings. The findings from this study alongside contemporary historical sources help to understand the role of intentional cranial modification as a mark of social identity among nomads in the Migration Period of Europe.


Assuntos
Modificação Corporal não Terapêutica/história , Crânio/anatomia & histologia , Crânio/patologia , Adolescente , Adulto , Antropologia Física , Cefalometria , Criança , Pré-Escolar , Feminino , República da Geórgia/etnologia , História Medieval , Migração Humana/história , Humanos , Hungria/etnologia , Lactente , Recém-Nascido , Masculino , Adulto Jovem
19.
Afr Health Sci ; 18(2): 359-368, 2018 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-30602963

RESUMO

Background: The term Infant Oral Mutilation (IOM) refers to the aggressive cultural rituals where primary canine tooth germs of infants are enucleated for therapeutic reasons. Objectives: To determine the prevalence and risk factors for IOM among inner city pre-school children in Khartoum. Methods: In this cross-sectional study, 212 randomly selected children from twelve government pre-schools in Khartoum were examined for the presence of IOM. Socio-demographic, feeding and teething-related data were collected by self-administered questionnaires. Results: The mean age of the sample was 4.7 years. The prevalence of clinical IOM was 10.8%. Multivariable regression analysis revealed that children who suffered from diarrhea during teething were 7.15 times more likely to have clinical IOM over their counterparts (p<0.0001). Mothers who were educated below elementary school level were 2.69 times more likely to have children showing clinical IOM (p= 0.0369). Conclusion: The present study showed that the practice of IOM is common among inner city children. Certain teething-related symptoms especially diarrhea and maternal education could be strong determinants of the malpractice of IOM.


Assuntos
Modificação Corporal não Terapêutica , Dente Canino/cirurgia , Extração Dentária/estatística & dados numéricos , Germe de Dente/cirurgia , Dente Decíduo/cirurgia , Pré-Escolar , Estudos Transversais , Feminino , Humanos , Masculino , Medicina Tradicional Africana , Prevalência , Fatores Socioeconômicos , Sudão/epidemiologia , Extração Dentária/efeitos adversos
20.
Aesthet Surg J ; 38(7): 770-780, 2018 Jun 13.
Artigo em Inglês | MEDLINE | ID: mdl-29126283

RESUMO

Background: To improve the penile contour, some men choose to undergo implantation or injection of nonbiological materials. Foreign body reactions in penile tissue may produce scarring, deformity, ulceration, necrosis, and even gangrene. Consensus is lacking regarding the most effective surgical procedure for reconstruction of these penile lesions. Objectives: The authors describe one case study and the first systematic review focusing on reconstructive surgical management for penile lesions secondary to foreign body reaction. Methods: PubMed, Medline, and Cochrane databases were queried for publications written in English, French, Portuguese, and Spanish from 1951 to May 2017. Multiple search terms were applied. Results: Of the 3304 articles identified, 51 were included in the systematic review. All were retrospective studies, case series, or case reports. A total of 260 patients underwent surgical procedures, and the complication rate was 37.3%. The scrotal flap technique was performed most frequently (43.4%) and resulted in 65.6% of the total complications observed. One Brazilian case study was also described with an extensive and circumferential ulcer after six mineral oil bolls implant in the penile subcutaneous tissue. Conclusions: Restoration of the penile shape preserving the functionality and maintaining a good physician-patient relationship may be a challenge. The scrotal pouch may be advantageous for patch grafting of penile soft-tissue lesions, owing to its skin laxity and good blood supply. A less aggressive surgical approach has the benefits of shorter healing time and fewer early complications. Penile injuries are best treated by experienced surgeons on a case-by-case basis with care given to identify the most appropriate treatment.


Assuntos
Modificação Corporal não Terapêutica/efeitos adversos , Granuloma de Corpo Estranho/terapia , Óleo Mineral/efeitos adversos , Pênis/cirurgia , Procedimentos Cirúrgicos Reconstrutivos/métodos , Úlcera Cutânea/terapia , Adulto , Brasil , Cloranfenicol/administração & dosagem , Colagenases/administração & dosagem , Desbridamento/métodos , Combinação de Medicamentos , Granuloma de Corpo Estranho/complicações , Granuloma de Corpo Estranho/patologia , Humanos , Masculino , Óleo Mineral/administração & dosagem , Necrose/patologia , Necrose/terapia , Pomadas , Pênis/patologia , Escroto/transplante , Úlcera Cutânea/etiologia , Úlcera Cutânea/patologia , Retalhos Cirúrgicos/transplante , Resultado do Tratamento
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...