Though circumcision can be a debatable topic, the American Academy of Pediatrics (AAP) in 1999 determined that scientific evidence demonstrated potential medical benefits of newborn male circumcision. However, there was insufficient data to prove neonatal circumcision is medically essential. The opinion of the AAP was reaffirmed in 2005.1 Therefore, nurses in the postpartum units often address questions about circumcision. Moreover, learning about circumcision's standard of care is a great opportunity to add to evidence-based clinical knowledge for the nursing profession.
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Arch Dis Child
January 2025
Paediatric Surgery, University Hospital Southampton NHS Foundation Trust, Southampton, UK
Background: Recent declines in HIV incidence among adolescent girls and young women (AGYW) in Africa are often attributed to the expansion of biomedical interventions such as antiretroviral therapy and voluntary medical male circumcision. However, changes in sexual behaviour may also play a critical role. Understanding the relative contributions of these factors is essential for developing strategies to sustain and further reduce HIV transmission.
View Article and Find Full Text PDFBackground: HIV acquisition among adolescents and young adults (AYA, 15-24 years) is influenced by individual factors, community factors, and public policies and programs. We explored the association of HIV incidence and prevalence with these factors over time among AYA in Rakai, Uganda.
Methods: We examined trends over nine survey rounds (2005-2020) of the Rakai Community Cohort Study (RCCS), an open population-based surveillance cohort of individuals living in 30 continuously followed communities in south-central Uganda (n= 35,938 person rounds).
Soins
January 2025
Department of Statistics and Population Studies, University of Western Cape, Belleville, 7535 Cape-Town, South Africa; Psychologie-Criminologie-Victimologie (PCV), 33000 Bordeaux, France. Electronic address:
Female genital mutilation: the current situation and the role of healthcare workers in combating excision. Female genital mutilation/cutting (FGM/C) affects more than 200 million girls and women, mainly in African countries. These procedures have no medical rationale and are essentially a form of power abuse.
View Article and Find Full Text PDFJ Pediatr Surg
January 2025
Chelsea & Westminster Hospital and Imperial College Hospitals (West London Children's Hospital Alliance), Imperial College London, United Kingdom. Electronic address:
Introduction: There is equipoise among pediatric urologists regarding endoscopic versus surgical intervention for symptomatic Grade 4-5 Vesicoureteric Reflux (VUR), particularly in infancy. Our aim was to assess outcomes of first-line endoscopic treatment in all cases of symptomatic Grade 4-5 VUR and we hypothesised that using endoscopic Dx/HA as first line management for primary VUR would obviate the need for ureteric reimplantation in the majority of cases.
Methods: Retrospective single-surgeon analysis of consecutive patients with primary Grade 4-5 VUR over 15 years.
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