Evaluation of Epididymo-Orchtis-A Study of 100 Cases

Background: Acute epididymo-orchitis is a common clinical problem in urological practice. It is not an uncommon disease in our country to cause work loss particularly in active group of people. Aim of the study: The aim of this study was to see the predisposing factors involved, aetiopathology and progression of disease process.Methods:This prospective study was conducted in department of surgery, Kumudini Women’s Medical College Hospital, Tangail from April 2008 to March 2009. Hundred patients of inflammation of epididymis and testis were included in this study.Results:Out of 100 patients, majority (48%) were in monogamous relationship. All patients (100%) had scrotal pain, 22% had scrotal swelling, 59% had fever, 32% had dysuria and 11% had urethral discharge. All patients presented with tenderness of the testis and epididymis and 82% cases had both epididymal and testicular swelling. Thirty two percent cases had urinary tract infection, trauma and promiscuous sexual contact were associated with the disease in 2% and 18% cases, respectively. History of masturbation was noted in 18% cases. By urine routine microscopy 28% had pus cell and 03% had RBC in urine, 16 cases were positive in urine culture, among 15% were E.coll and 01% were found Klebsiela. Forty patients were tested Chlamydial CFT and 16(40%) were found positive, out of 12 Filarial CFT tested 01(8.33 %) was found positive, Gram staining of urethral discharge revealed Neisseria gonorhhoae in 02(18.18%) cases. In maximum cases no actiological factor was found. Majority cases under 35 years were infected with Chlamydia and patients older than 35 years were mostly infected with E.coli.Conclusion:This study reflects that maximum of our study patients report to hospital nearly at right time with relatively better health status and outcome of available treatment facilities are satisfactory.

The End of Monogamy? An Exploration of Non-monogamous Relationship Dynamics

Although monogamy is the dominant relationship style in the Western world, there are alternative options for non-monogamous relationship dynamics. This paper works to explore how the roots of how monogamy became the dominant structure, the hidden drawbacks of monogamy, how those who assert monogamy to be compulsory hold a stigma against those who partake in other dynamics, and how this stigma can work to oppress. It also explores what those dynamics are, who participates in them, and a myriad of benefits that non-monogamous relationships can have. Overall coming to the conclusion that everyone should be able to make an informed decision, free of societal judgment, to partake in whatever dynamic they may choose.

Structural, Dosing, and Risk Change Factors Affecting Discontinuation of Pre-exposure Prophylaxis (PrEP) in a Large Urban Clinic

Understanding why clients stop taking pre-exposure prophylaxis (PrEP) is critical to improve PrEP delivery and ultimately reduce HIV incidence. We analyzed data from a programmatic evaluation conducted at the Los Angeles LGBT Center from February to May 2018. Of 180 respondents to the emailed survey, 91 had stopped taking PrEP and 11 never started. Among former PrEP users, most common reasons for stopping were entering a monogamous relationship (43%) and side effects (40%). Ten of 11 who never started PrEP reported access barriers (e.g., cost, insurance problems). A quarter of inactive clients re-engaged with PrEP services following the survey and 15% restarted PrEP by October 2018. Improving PrEP retention may require multifaceted interventions—e.g., tailored discussions about stopping and restarting PrEP safely as HIV risk changes, ensuring consistent access to affordable PrEP, and alternative dosing strategies. An emailed survey may be a simple, effective strategy to reengage some PrEP clients.

Moral psychology of sex robots: An experimental study − how pathogen disgust is associated with interhuman sex but not interandroid sex

The idea of sex with robots seems to fascinate the general public, raising both enthusiasm and revulsion. We ran two experimental studies (Ns = 172 and 260) where we compared people’s reactions to variants of stories about a person visiting a bordello. Our results show that paying for the services of a sex robot is condemned less harshly than paying for the services of a human sex worker, especially if the payer is married. We have for the first time experimentally confirmed that people are somewhat unsure about whether using a sex robot while in a committed monogamous relationship should be considered as infidelity. We also shed light on the psychological factors influencing attitudes toward sex robots, including disgust sensitivity and interest in science fiction. Our results indicate that sex with a robot is indeed genuinely considered as sex, and a sex robot is genuinely seen as a robot; thus, we show that standard research methods on sexuality and robotics are also applicable in research on sex robotics.

Preferences in Information Processing, Marginalized Identity, and Non-Monogamy: Understanding Factors in Suicide-Related Behavior among Members of the Alternative Sexuality Community

Suicide-related behavior (SRB) is a mental health disparity experienced by the alternative sexuality community. We assessed mental health, relationship orientation, marginalized identities (i.e., sexual orientation minority, gender minority, racial minority, ethnic minority, and lower education), and preferences in information processing (PIP) as factors differentiating lifetime SRB groups. An online cross-sectional survey study was conducted in 2018. Members of the National Coalition for Sexual Freedom (NCSF; n = 334) took part. Bivariate analyses identified the following SRB risk factors: female and transgender/gender non-binary identity, sexual orientation minority identity, lower education, suicide attempt/death exposure, Need for Affect (NFA) Avoidance, depression, and anxiety. Monogamous relationship orientation was a protective factor. Multi-nomial regression revealed the following: (1) monogamous relationship orientation was a protective factor for suicidal ideation and attempt; (2) lower education was a risk factor for suicide attempt; (3) anxiety was a risk factor for suicide attempt; and (4) depression was a risk factor for suicidal ideation. A two-way interaction showed that elevated NFA Approach buffered the negative impacts of depression. Relationship orientation, several marginalized identities (i.e., based on gender, sexual orientation, and educational level), and PIP all contributed uniquely to SRB. Further study is necessary to understand the role of relationship orientation with suicide. Health education and suicide prevention efforts with NCSF should be tailored to account for marginalized identity, mental health, and NFA factors.

Variation in Women’s Mate Preferences Over the Development of a Monogamous Relationship Corresponds with Changes in Men’s Life History Strategy (Author's Accepted Version)

Much research has examined how men’s mating strategies change over the development of a relationship consistent with predictions from Life History Theory. Specifically, research shows both physiological and behavioural indicators of mating effort decrease once men are mated, and further once they become fathers, unless they remain engaged in mating effort. This switch from mating to parenting effort is sexually selected, and therefore the corresponding shifts in women should be examined, though to date, women’s short- or long-term mate preferences have been studied as separate entities rather than as a transition from short- to long- term. We examined how women’s mate preferences changed over the development of a relationship, to see if they varied consistently with what is known about variation in men’s mating effort. Vignettes detailed four key milestones in the development of a relationship and women rated the importance of the man at each stage displaying indicators of mating or parenting effort. Women increasingly prioritised indicators of parenting effort in men as the relationship developed, consistent with what is known about men’s reduction in mating effort in favour of parenting effort over the development of a relationship. The results support predictions from Life History Theory and highlight the interacting mutually reinforcing nature of sexually selected behaviours.

HIV: prevention

Tackling the HIV epidemic takes many approaches. Treatment of those with HIV keeps them healthy, with a near-normal life expectancy and reduces onward transmission. The undetectable = untransmissible (U=U) campaign is based on strong evidence that people with sustained undetectable viral load on effective antiretroviral therapy do not pose any risk of transmission within a monogamous relationship. Safer sex using condoms is a mainstay, and sero-sorting and sero-positioning have their role. This chapter details the uses of post-exposure prophylaxis (PEP), how to prescribe and follow up. Pre-exposure prophylaxis (PrEP) is increasingly being recommended and used amongst people at on-going high risk of HIV acquisition. This chapter details benefits, indications and monitoring of people using PrEP

Moral Psychology of Sex Robots: an experimental study -- How Pathogen Disgust is associated with interhuman sex but not interandroid sex

The idea of sex with robots seems to fascinate the general public, raising both enthusiasm and revulsion. We ran two experimental studies (Ns = 172 and 260) where we compared people’s reactions to variants of stories about a person visiting a bordello. Our results show that paying for the services of a sex robot is condemned less harshly than paying for the services of a human sex worker, especially if the payer is married. We have for the first time experimentally confirmed that people are somewhat unsure about whether or not using a sex robot while in a committed monogamous relationship should be considered as infidelity. We also shed light on the psychological factors influencing attitudes towards sex robots, including disgust sensitivity and interest in science fiction. Our results indicate that sex with a robot is indeed genuinely considered as sex, and a sex robot is genuinely seen as a robot; thus, we show that standard research methods on sexuality and robotics are applicable also in research on sex robotics.