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[PMID]: 29297217 [Au] Autor: Musajo-Somma L; Musajo-Somma A [Ti] Título: Medical Rejuvenation in Georgia in the past: the Sukhumi Station. [So] Source: Vesalius;22(2 Suppl):59-66, 2016 Dec. [Is] ISSN: 1373-4857 [Cp] País de publicação: Belgium [La] Idioma: eng [Ab] Resumo: If youth and body appearance enhancement is as old as Homo Sapiens, reliable medical technology for such activities is only about 100 years old. At the dawn of the 20th century, surgical operations performed under the Voronoff's treatment plan (monkey gonads' tissue grafting into humans) or the Steinach's technique (vasoligation) offered a promise of longevity, beauty and therefore youth restoration. The many links with a newly recognized discipline, endocrinology, offer a critical insight on the strong interactions between medicine and surgery in the promise of successful antiaging. On the front-line of scientific research, the Institute of Experimental Endocrinology's primate station in Sukhumi (West Georgia, now Abkhazia, on the Black Sea coast) developed a leadership role in the medical research, including rejuvenation with testis' tissues. Authors focus their attention to the everlasting commitment to experimental and clinical research as developed by Sukhumi scholars and the related moral, practical and ideological implications. [Mh] Termos MeSH primário: Fisiologia/história Rejuvenescimento [Mh] Termos MeSH secundário: Animais Endocrinologia/história República da Geórgia Gônadas/cirurgia Gônadas/transplante Haplorrinos/cirurgia História do Século XX História do Século XXI Seres Humanos Masculino Primatas/fisiologia Primatas/cirurgia Testículo/fisiologia Testículo/cirurgia U.R.S.S. Vasectomia/história [Pt] Tipo de publicação: BIOGRAPHY; HISTORICAL ARTICLE; JOURNAL ARTICLE; PORTRAITS [Ps] Nome de pessoa como assunto: Ivanov I; Koltsov NK [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180212 [Lr] Data última revisão: 180212 [Sb] Subgrupo de revista: QIS [Da] Data de entrada para processamento: 180104 [St] Status: MEDLINE

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[PMID]: 28934280 [Au] Autor: Ma X; Kuete M; Gu X; Zhou H; Xiong C; Li H [Ad] Endereço: Family Planning Research Institute/Center of Reproductive Medicine, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China. [Ti] Título: Recurrent deletions of the X chromosome linked CNV64, CNV67, and CNV69 shows geographic differences across China and no association with idiopathic infertility in men. [So] Source: PLoS One;12(9):e0185084, 2017. [Is] ISSN: 1932-6203 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: A recent study found that three recurrent deletions of X chromosome linked copy number variations (CNVs), CNV64, CNV67 and CNV69 were associated with idiopathic male infertility in Spanish and Italian populations, especially CNV67 resembling the azoospermia factor deletions. That merits further investigations among different populations. This study was conducted to examine the prevalence of the three CNVs deletions and their associations with idiopathic male infertility in Chinese Han population. The present study included a large population of 1550 Chinese Han subjects recruited between 2014 and 2016. In total, 714 infertile participants were diagnosed as idiopathic infertility with different conditions (288 with non-obstructive azoospermia, 210 oligozoospermia and 216 asthenospermia) and 836 fertile participants (vasectomized men). The fertile participants were recruited from the representative areas: the north (Hebei and Shanxi), center (Hubei and Jiangsu), and south (Guangdong) of China. All patients were recruited from Hubei province. A multiplex PCR system was established to screen the deletion of the three CNVs, and deletion was confirmed by general PCR. Similar rates of these deletions were observed in infertile men and fertile participants (Hubei), and among the different conditions of infertility. Moreover, CNV64 and CNV67 map distribution geographically differed across China. The three CNVs in fertile groups of other regions were similar, except for Guangdong. No association between the three CNVs deletions and idiopathic male infertility was observed. CNV67 is rare in central China, albeit large sample size study for confirmation is warranted. It seems that the association between these CNVs deletions and idiopathic male infertility is ethnic dependent. There is still need to screen the CNVs deletions in other ethnicities. We suggested to consider the stratification patterns and geographic differences when prescribing CNVs deletions screening as a test in male infertility. [Mh] Termos MeSH primário: Cromossomos Humanos X Variações do Número de Cópias de DNA Infertilidade Masculina/genética Deleção de Sequência [Mh] Termos MeSH secundário: Adulto Idoso Idoso de 80 Anos ou mais Grupo com Ancestrais do Continente Asiático/genética China Mapeamento Cromossômico Doenças Genéticas Ligadas ao Cromossomo X/etnologia Doenças Genéticas Ligadas ao Cromossomo X/genética Seres Humanos Infertilidade Masculina/etnologia Masculino Meia-Idade Vasectomia Adulto Jovem [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171024 [Lr] Data última revisão: 171024 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170922 [St] Status: MEDLINE [do] DOI: 10.1371/journal.pone.0185084

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[PMID]: 28834896 [Au] Autor: Guo ZL; Xu JL; Lai RK; Wang SS [Ad] Endereço: aThe Second Clinical College, Guangzhou University of Chinese Medicine bDepartment of Cardiovasology cDepartment of Urology, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China. [Ti] Título: Vasectomy and cardiovascular disease risk: A systematic review and meta-analysis. [So] Source: Medicine (Baltimore);96(34):e7852, 2017 Aug. [Is] ISSN: 1536-5964 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: BACKGROUND: Even though several studies comparing vasectomy and cardiovascular disease (CVD) risk have been reported, most are small series with conflicting results. However, the extent of the risk is still uncertain. We therefore explored whether an association exists between vasectomy and CVD incidence and mortality. METHODS: We searched PubMed, Embase, Web of Science, and Cochrane Library databases for relevant studies published before January 2017. Multivariate adjusted odds ratio (OR) and associated 95% confidence intervals (CIs) and those by subgroups were extracted and pooled using random-effects models. RESULTS: Overall, 12 observational studies (2 cross-sectional studies, 4 case-control studies, and 6 retrospective cohort studies) comprising 299,436 participants were identified. There was no statistically significant relationship between vasectomy and CVD risk (OR: 0.90, 95% CI: 0.81-1.00). Moreover, vasectomy was not associated with CVD mortality (OR: 0.90, 95% CI: 0.81-1.00), coronary heart disease (CHD) incidence (OR: 0.94, 95% CI: 0.88-1.01), stroke incidence (OR: 0.90, 95% CI: 0.72-1.13), and myocardial infarction (MI) incidence (OR: 0.95, 95% CI: 0.88-1.02), with no significant publication bias. In subgroup analyses, the findings on the association between vasectomy and CVD risk were consistent. CONCLUSION: Our findings suggest that vasectomy is not associated with the excess risk of CVD incidence and mortality. Nevertheless, large-volume, well-designed observational studies, with different ethnic populations, low risk of bias, and adjusted confounding factors, are awaited to confirm and update the findings of this analysis. [Mh] Termos MeSH primário: Doenças Cardiovasculares/epidemiologia Vasectomia/estatística & dados numéricos [Mh] Termos MeSH secundário: Doenças Cardiovasculares/mortalidade Doença das Coronárias Estudos Transversais Seres Humanos Incidência Masculino Infarto do Miocárdio/epidemiologia Estudos Observacionais como Assunto Razão de Chances Estudos Retrospectivos Acidente Vascular Cerebral/epidemiologia [Pt] Tipo de publicação: JOURNAL ARTICLE; META-ANALYSIS; REVIEW [Em] Mês de entrada: 1709 [Cu] Atualização por classe: 170912 [Lr] Data última revisão: 170912 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 170824 [St] Status: MEDLINE [do] DOI: 10.1097/MD.0000000000007852

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[PMID]: 28715534 [Au] Autor: Bhindi B; Wallis CJD; Nayan M; Farrell AM; Trost LW; Hamilton RJ; Kulkarni GS; Finelli A; Fleshner NE; Boorjian SA; Karnes RJ [Ad] Endereço: Department of Urology, Mayo Clinic, Rochester, Minnesota. [Ti] Título: The Association Between Vasectomy and Prostate Cancer: A Systematic Review and Meta-analysis. [So] Source: JAMA Intern Med;177(9):1273-1286, 2017 Sep 01. [Is] ISSN: 2168-6114 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Importance: Despite 3 decades of study, there remains ongoing debate regarding whether vasectomy is associated with prostate cancer. Objective: To determine if vasectomy is associated with prostate cancer. Data Sources: The MEDLINE, EMBASE, Web of Science, and Scopus databases were searched for studies indexed from database inception to March 21, 2017, without language restriction. Study Selection: Cohort, case-control, and cross-sectional studies reporting relative effect estimates for the association between vasectomy and prostate cancer were included. Data Extraction and Synthesis: Two investigators performed study selection independently. Data were pooled separately by study design type using random-effects models. The Newcastle-Ottawa Scale was used to assess risk of bias. Main Outcomes and Measures: The primary outcome was any diagnosis of prostate cancer. Secondary outcomes were high-grade, advanced, and fatal prostate cancer. Results: Fifty-three studies (16 cohort studies including 2 563 519 participants, 33 case-control studies including 44 536 participants, and 4 cross-sectional studies including 12 098 221 participants) were included. Of these, 7 cohort studies (44%), 26 case-control studies (79%), and all 4 cross-sectional studies were deemed to have a moderate to high risk of bias. Among studies deemed to have a low risk of bias, a weak association was found among cohort studies (7 studies; adjusted rate ratio, 1.05; 95% CI, 1.02-1.09; P < .001; I2 = 9%) and a similar but nonsignificant association was found among case-control studies (6 studies; adjusted odds ratio, 1.06; 95% CI, 0.88-1.29; P = .54; I2 = 37%). Effect estimates were further from the null when studies with a moderate to high risk of bias were included. Associations between vasectomy and high-grade prostate cancer (6 studies; adjusted rate ratio, 1.03; 95% CI, 0.89-1.21; P = .67; I2 = 55%), advanced prostate cancer (6 studies; adjusted rate ratio, 1.08; 95% CI, 0.98-1.20; P = .11; I2 = 18%), and fatal prostate cancer (5 studies; adjusted rate ratio, 1.02; 95% CI, 0.92-1.14; P = .68; I2 = 26%) were not significant (all cohort studies). Based on these data, a 0.6% (95% CI, 0.3%-1.2%) absolute increase in lifetime risk of prostate cancer associated with vasectomy and a population-attributable fraction of 0.5% (95% CI, 0.2%-0.9%) were calculated. Conclusions and Relevance: This review found no association between vasectomy and high-grade, advanced-stage, or fatal prostate cancer. There was a weak association between vasectomy and any prostate cancer that was closer to the null with increasingly robust study design. This association is unlikely to be causal and should not preclude the use of vasectomy as a long-term contraceptive option. [Mh] Termos MeSH primário: Neoplasias da Próstata Vasectomia/estatística & dados numéricos [Mh] Termos MeSH secundário: Estudos Epidemiológicos Seres Humanos Masculino Gradação de Tumores Estadiamento de Neoplasias Razão de Chances Neoplasias da Próstata/epidemiologia Neoplasias da Próstata/patologia Fatores de Risco Reversão da Esterilização/métodos [Pt] Tipo de publicação: JOURNAL ARTICLE; META-ANALYSIS [Em] Mês de entrada: 1709 [Cu] Atualização por classe: 170925 [Lr] Data última revisão: 170925 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 170718 [St] Status: MEDLINE [do] DOI: 10.1001/jamainternmed.2017.2791

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[PMID]: 28413942 [Au] Autor: White K; Campbell A; Hopkins K; Grossman D; Potter JE [Ad] Endereço: 1 University of Alabama at Birmingham, Birmingham, AL, USA. [Ti] Título: Barriers to Offering Vasectomy at Publicly Funded Family Planning Organizations in Texas. [So] Source: Am J Mens Health;11(3):757-766, 2017 May. [Is] ISSN: 1557-9891 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Few publicly funded family planning clinics in the United States offer vasectomy, but little is known about the reasons this method is not more widely available at these sources of care. Between February 2012 and February 2015, three waves of in-depth interviews were conducted with program administrators at 54 family planning organizations in Texas. Participants described their organization's vasectomy service model and factors that influenced how frequently vasectomy was provided. Interview transcripts were coded and analyzed using a theme-based approach. Service models and barriers to providing vasectomy were compared by organization type (e.g., women's health center, public health clinic) and receipt of Title X funding. Two thirds of organizations did not offer vasectomy on-site or pay for referrals with family planning funding; nine organizations frequently provided vasectomy. Organizations did not widely offer vasectomy because they could not find providers that would accept the low reimbursement for the procedure or because they lacked funding for men's reproductive health care. Respondents often did not perceive men's reproductive health care as a service priority and commented that men, especially Latinos, had limited interest in vasectomy. Although organizations of all types reported barriers, women's health centers and Title X-funded organizations more frequently offered vasectomy by conducting tailored outreach to men and vasectomy providers. A combination of factors operating at the health systems and provider level influence the availability of vasectomy at publicly funded family planning organizations in Texas. Multilevel approaches that address key barriers to vasectomy provision would help organizations offer comprehensive contraceptive services. [Mh] Termos MeSH primário: Serviços de Planejamento Familiar Acesso aos Serviços de Saúde Setor Público Vasectomia [Mh] Termos MeSH secundário: Serviços de Planejamento Familiar/economia Seres Humanos Entrevistas como Assunto Masculino Pesquisa Qualitativa Saúde Reprodutiva Texas Vasectomia/utilização [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171028 [Lr] Data última revisão: 171028 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170418 [St] Status: MEDLINE [do] DOI: 10.1177/1557988317694296

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[PMID]: 28375714 [Au] Autor: Smith K; Byrne; Castaño JM; Chirlaque MD; Lilja H; Agudo A; Ardanaz E; Rodríguez-Barranco M; Boeing H; Kaaks R; Khaw KT; Larrañaga N; Navarro C; Olsen A; Overvad K; Perez-Cornago A; Rohrmann S; Sánchez MJ; Tjønneland A; Tsilidis KK; Johansson M; Riboli E; Key TJ; Travis RC [Ad] Endereço: Karl Smith Byrne, Hans Lilja, Aurora Perez-Cornago, Timothy J. Key, and Ruth C. Travis, University of Oxford, Oxford; Kay-Tee Khaw, School of Clinical Medicine, University of Cambridge, Cambridge, Konstantinos K. Tsilidis and Elio Riboli, Imperial College London, London, United Kingdom; Jose Maria C [Ti] Título: Vasectomy and Prostate Cancer Risk in the European Prospective Investigation Into Cancer and Nutrition (EPIC). [So] Source: J Clin Oncol;35(12):1297-1303, 2017 Apr 20. [Is] ISSN: 1527-7755 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Purpose Vasectomy is a commonly used form of male sterilization, and some studies have suggested that it may be associated with an increased risk of prostate cancer, including more aggressive forms of the disease. We investigated the prospective association of vasectomy with prostate cancer in a large European cohort, with a focus on high-grade and advanced-stage tumors, and death due to prostate cancer. Patients and Methods A total of 84,753 men from the European Prospective Investigation into Cancer and Nutrition (EPIC), aged 35 to 79 years, provided information on vasectomy status (15% with vasectomy) at recruitment and were followed for incidence of prostate cancer and death. We estimated the association of vasectomy with prostate cancer risk overall, by tumor subtype, and for death due to prostate cancer, using multivariable-adjusted Cox proportional hazards models. Results During an average follow-up of 15.4 years, 4,377 men were diagnosed with prostate cancer, including 641 who had undergone a vasectomy. Vasectomy was not associated with prostate cancer risk (hazard ratio [HR], 1.05; 95% CI, 0.96 to 1.15), and no evidence for heterogeneity in the association was observed by stage of disease or years since vasectomy. There was some evidence of heterogeneity by tumor grade ( P = .02), with an increased risk for low-intermediate grade (HR, 1.14; 95% CI, 1.01 to 1.29) but not high-grade prostate cancer (HR, 0.83; 95% CI, 0.64 to 1.07). Vasectomy was not associated with death due to prostate cancer (HR, 0.88; 95% CI, 0.68 to 1.12). Conclusion These findings from a large European prospective study show no elevated risk for overall, high-grade or advanced-stage prostate cancer, or death due to prostate cancer in men who have undergone a vasectomy compared with men who have not. [Mh] Termos MeSH primário: Neoplasias da Próstata/epidemiologia Vasectomia/estatística & dados numéricos [Mh] Termos MeSH secundário: Adulto Idoso Europa (Continente)/epidemiologia Seres Humanos Masculino Meia-Idade Estudos Prospectivos Neoplasias da Próstata/etiologia Vasectomia/efeitos adversos [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1704 [Cu] Atualização por classe: 171031 [Lr] Data última revisão: 171031 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170405 [St] Status: MEDLINE [do] DOI: 10.1200/JCO.2016.70.0062

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[PMID]: 28178993 [Au] Autor: Asare O; Otupiri E; Apenkwa J; Odotei-Adjei R [Ad] Endereço: School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana. ofeibeaa@aol.com. [Ti] Título: Perspectives of urban Ghanaian women on vasectomy. [So] Source: Reprod Health;14(1):21, 2017 Feb 08. [Is] ISSN: 1742-4755 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: BACKGROUND: Advocacy for male involvement in family planning has been championed over the years after the 1994 International Conference on Population and Development (ICPD). There are a few contraceptive methods for men, and vasectomy uptake has been identified as one of the indicators of male involvement in family planning. Vasectomy also known as male sterilization is a permanent form of contraception. It is a generally safe, quick, easy, effective surgical operation with rare complications to prevent release of sperm. The study explored the vasectomy perspectives of urban Ghanaian women. METHODS: A qualitative approach was used and five focus group discussions were held with women in urban Accra. The study was conducted in the five sub-metropolitan areas of the Accra Metropolitan Health Directorate from September-October 2013. Participants were adult and young adult women who are members of organized groups and unions. Data were analyzed manually after transcribing and coding and themes were sorted using thematic version 0.9. RESULTS: Both adult and young adult participants regarded vasectomy as an easy way for male partners to become promiscuous and cheat on them (women) because the operation renders males incapable of having a child; promiscuity could lead to the women contracting sexually transmitted infections including HIV/AIDS. They were also skeptical about vasectomy and the possibility that it could damage the sexual organs of their partners and affect their sexual relationships. The uptake of vasectomy will not benefit a new wife in case of divorce or death of a previous wife. Some women would allow their partners to undergo the procedure only if both of them will benefit health-wise and also if it would reduce the financial burden on the family. CONCLUSION: The women held mixed perceptions; both negative and positive views were shared on vasectomy uptake. The views were predominantly negative, and they regarded vasectomy as an unacceptable method of contraception. The women virtually had no reasons to encourage their partners to undergo a vasectomy. In order to increase vasectomy uptake in Ghana, innovative efforts to address the misconceptions and superstitions surrounding vasectomy should take centre stage; appropriate and targeted messaging during integrated health services delivery and social/health campaigns would be a good starting point. [Mh] Termos MeSH primário: Comportamento Contraceptivo Serviços de Planejamento Familiar/métodos Conhecimentos, Atitudes e Prática em Saúde Vasectomia/psicologia Mulheres/psicologia [Mh] Termos MeSH secundário: Adolescente Adulto Feminino Gana Seres Humanos Masculino Meia-Idade População Urbana Vasectomia/utilização Adulto Jovem [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1705 [Cu] Atualização por classe: 170504 [Lr] Data última revisão: 170504 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170210 [St] Status: MEDLINE [do] DOI: 10.1186/s12978-017-0286-5

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[PMID]: 28068904 [Au] Autor: Froeschl G; Huber K; von Sonnenburg F; Nothdurft HD; Bretzel G; Hoelscher M; Zoeller L; Trottmann M; Pan-Montojo F; Dobler G; Woelfel S [Ad] Endereço: Division of Infectious Diseases and Tropical Medicine, Medical Center of the University of Munich (LMU), Leopoldstr. 5, 80802, Munich, Germany. froeschl@lrz.uni-muenchen.de. [Ti] Título: Long-term kinetics of Zika virus RNA and antibodies in body fluids of a vasectomized traveller returning from Martinique: a case report. [So] Source: BMC Infect Dis;17(1):55, 2017 Jan 10. [Is] ISSN: 1471-2334 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: BACKGROUND: The magnitude of the current Zika virus (ZIKV) epidemic has led to a declaration of a Public Health Emergency of International Concern by the WHO. Findings of viable viral particles in semen for several weeks are corroborating reports of sexual transmission of ZIKV. Serious consequences of a positive diagnostic result particularly in the pregnant patient are calling for precise diagnostic tools also at later time points after infection. Currently, recommendations suggest a diagnostic period of direct viral detection of 5 to 7 days after onset of symptoms in serum or plasma, and up to 3 weeks in urine samples. CASE PRESENTATION: A vasectomized 41-year-old German returning from Martinique presented at the outpatient clinic of the Department for Infectious Diseases and Tropical Medicine, Munich, with subfebrile temperature, rash, malaise, severe retro-orbital pain and occipital lymphadenopathy. The main complaints resolved after ten days without specific treatment. We are reporting on clinical course and results of direct and indirect detection methods of ZIKV in different sample types including whole blood, ejaculate, urine, serum, plasma and saliva samples up to 119 days post symptom onset. Ejaculate samples remained PCR positive for ZIKV until day 77, whole blood samples until day 101. CONCLUSIONS: The case presentation adds to the still limited knowledge of kinetics of detection of ZIKV by direct as well as indirect methods. Here, a complete data set including results from PCR, serology and cell culture is provided allowing an improved evaluation of optimum diagnostic periods for testing a variety of sample types. Moreover, a high viral load of ZIKV RNA was detected in ejaculate of the vasectomized patient. This finding sheds new light on the possible localizations of ZIKV replication in the human male reproductive tract. [Mh] Termos MeSH primário: Anticorpos Antivirais/imunologia RNA Viral/metabolismo Saliva/virologia Sêmen/virologia Infecção pelo Zika virus/transmissão Zika virus/genética [Mh] Termos MeSH secundário: Adulto Epidemias Seres Humanos Cinética Masculino Martinica RNA Viral/sangue RNA Viral/urina Saliva/imunologia Sêmen/imunologia Viagem Vasectomia Carga Viral Infecção pelo Zika virus/epidemiologia [Pt] Tipo de publicação: CASE REPORTS; JOURNAL ARTICLE [Nm] Nome de substância: 0 (Antibodies, Viral); 0 (RNA, Viral) [Em] Mês de entrada: 1706 [Cu] Atualização por classe: 170626 [Lr] Data última revisão: 170626 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170111 [St] Status: MEDLINE [do] DOI: 10.1186/s12879-016-2123-9

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[PMID]: 27339767 [Au] Autor: Marván ML; Ehrenzweig Y; Hernández-Aguilera D [Ad] Endereço: 1 Universidad Veracruzna, Xalapa, Mexico. [Ti] Título: Mexican Men's View of Vasectomy. [So] Source: Am J Mens Health;11(3):610-617, 2017 May. [Is] ISSN: 1557-9891 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: The present study explored the views of Mexican men concerning vasectomy. One hundred and five men who had not had a vasectomy were asked to complete the following phrase "If you no longer wanted to have more children and a vasectomy was suggested, you would react with . . . or you would think . . . " with at least five different answers. Participants then had to rank each of their answers according to how well they describe the participant's feelings in the hypothetical situation. The results were analyzed using the Natural Semantic Networks Technique. The most common words used by participants with a limited educational background were reject, followed by fear and anger, and they did not use any words that implied acceptance of vasectomy. In contrast, the most common words used by participants with higher education were curiosity, followed by acceptance and interest; however, they also used the words fear and insecurity. The most frequent attitudes reported by men with limited education were negative, whereas participants with a higher education reported more ambivalent attitudes. These findings are discussed in light of sociocultural features and could be helpful in designing reproductive health programs with more effective counseling to diminish negative views about vasectomy. [Mh] Termos MeSH primário: Conhecimentos, Atitudes e Prática em Saúde Vasectomia/psicologia [Mh] Termos MeSH secundário: Adulto Seres Humanos Masculino México Meia-Idade Inquéritos e Questionários [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171027 [Lr] Data última revisão: 171027 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 160625 [St] Status: MEDLINE [do] DOI: 10.1177/1557988316655743

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[PMID]: 26634860 [Au] Autor: Kisa S; Savas E; Zeyneloglu S; Dönmez S [Ad] Endereço: 1 Oslo and Akershus University College of Applied Sciences, Kjeller, Norway. [Ti] Título: Opinions and Attitudes About Vasectomy of Married Couples Living in Turkey. [So] Source: Am J Mens Health;11(3):531-541, 2017 May. [Is] ISSN: 1557-9891 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: This study was conducted as a descriptive study, designed to determine the opinions and attitudes of married couples living in Turkey about vasectomy. The sample consisted of 350 women. Researchers used a questionnaire to collect data. Descriptive statistics and chi-square analysis were used. The results showed that 14% of women and 43.0% of men were of the opinion that undergoing a vasectomy procedure was a sin. Chi-square analysis determined statistically significant differences between the male and female groups ( p < .05). More than 88.0% of the men were not willing to have vasectomy and 35.4% thought that vasectomy had a negative effect on marriage and sexual health. In addition, 58.9% thought that vasectomy had a negative effect on men's health. Women were more likely than men to see vasectomy as merely a cultural taboo instead of a sin. Sociocultural factors, such as ideas that contraception is the woman's responsibility, that sterilized men lose status in society, or that sterilized men lose authority in the family, as well as misconceptions about vasectomy such as concerns about sexual functioning, psychological effects, and effects on physical strength, were determined to be the main barriers for vasectomy use in Turkish culture. The study recommends determining strategies for overcoming sociocultural barriers by raising awareness and increasing the utilization of vasectomy. Couple-specific family planning programs can make an important contribution toward improving awareness of the benefits of vasectomy. [Mh] Termos MeSH primário: Conhecimentos, Atitudes e Prática em Saúde Cônjuges Vasectomia/psicologia [Mh] Termos MeSH secundário: Adulto Cultura Serviços de Planejamento Familiar Seres Humanos Masculino Saúde do Homem Inquéritos e Questionários Turquia Adulto Jovem [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171027 [Lr] Data última revisão: 171027 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 151205 [St] Status: MEDLINE [do] DOI: 10.1177/1557988315620275

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		Pesquisar	no campo
1			PalavrasDescritor de assuntoDescritor de assunto primárioLimitesAutorPalavras do títuloPalavras do resumoIdiomaPaís de publicaçãoNome de substânciaNome de pessoa como assuntoRevistaAssunto de RevistaISSNTipo de publicaçãoIdentificador únicoMês de entradaAno de publicaçãoTexto completoAtualização por classeCategoria DeCSCategoria DeCS explodidaCategoria CID-10SubSetsPais de AfiliaçãoAfiliaçãoAfiliação 2
2	and or and not		PalavrasDescritor de assuntoDescritor de assunto primárioLimitesAutorPalavras do títuloPalavras do resumoIdiomaPaís de publicaçãoNome de substânciaNome de pessoa como assuntoRevistaAssunto de RevistaISSNTipo de publicaçãoIdentificador únicoMês de entradaAno de publicaçãoTexto completoAtualização por classeCategoria DeCSCategoria DeCS explodidaCategoria CID-10SubSetsPais de AfiliaçãoAfiliaçãoAfiliação 2
3	and or and not		PalavrasDescritor de assuntoDescritor de assunto primárioLimitesAutorPalavras do títuloPalavras do resumoIdiomaPaís de publicaçãoNome de substânciaNome de pessoa como assuntoRevistaAssunto de RevistaISSNTipo de publicaçãoIdentificador únicoMês de entradaAno de publicaçãoTexto completoAtualização por classeCategoria DeCSCategoria DeCS explodidaCategoria CID-10SubSetsPais de AfiliaçãoAfiliaçãoAfiliação 2

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