Handbook of Andrology
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Urology / Gynecology Business Unit (UGBU) Strategy
Urology / Gynecology Business Unit (UGBU) Strategy Minoru Okabe Head of Uro/Gyn Business Unit Olympus Corporation March 30, 2016 Todayʼs Agenda 1.Business Overview 2.Recognition of Current Conditions 3.Market Trends 4.Business Strategies 5.Targets and Indicators 2 2016/3/30 No data copy / No data transfer permitted Todayʼs Agenda 1.Business Overview 2.Recognition of Current Conditions 3.Market Trends 4.Business Strategies 5.Targets and Indicators 3 2016/3/30 No data copy / No data transfer permitted Positioning of UG Business within Olympus 4 2016/3/30 No data copy / No data transfer permitted Distribution of Sales and Positioning FY2016 Net Sales (Forecast) Urology / Gynecology Business Unit (UGBU)* ET 72.0 Surgical Flexible and rigid endoscopes Benign prostatic hypertrophy and bladder Medical Business Devices* GI (ureteroscopes and cystoscopes) tumor resectoscopes and therapeutic FY2016 Net Sales electrodes (disposable) 337.4 205.6 (Forecast) ¥615.0 billion Urology field Flexible hysteroscopes * The figure for Surgical Devices net sales (¥205.6 billion) includes Stone treatment Gynecology field net sales of the Urology / Gynecology Business Unit (UGBU). devices (disposable) Resectoscopes Colposcopes 5 2016/3/30 No data copy / No data transfer permitted Applications and Characteristics of Major Products Field Urology Flexible Ureteroscope Stone Treatment Therapeutic Flexible Cystoscope Resectoscope URF-V2 Devices Electrodes (Disposable) CYF-VH OES Pro. (Disposable) Product Flexible ureteroscopes are used for Flexible cystoscopes are Resectoscopes are used to treat treating urinary stones. used to treat bladder benign prostatic hypertrophy and Feature Olympus flexible ureteroscopes have a tumors. bladder tumors. dominating edge realized by merging GI Olympus flexible Bipolar TURis electrodes endoscope technologies with the small cystoscopes have a (disposable) boast higher levels of diameter scope technologies of former dominating edge realized cutting safety and performance company Gyrus. -
Department of Obstetrics and Gynecology
97 21 1 15,000 240 20 2011 21 30 24 115 80 30 770 UT SOUTHWESTERN 424 2,200 Department of Obstetrics and Gynecology 15 1974 15 1 314,000 NUMBERS2011 DISTINGUISH US PEOPLE75 SET US APART 71,299 14,000 240 3.8 600,000 10 17 770 3 1943 97 50 12 22,900 4 800 5,894 200 1.3 10 0 10,000 1 24 6,500 Numbers Distinguish Us People Set Us Apart Dear Friends, I am proud—and humbled—to introduce you to the Department of Obstetrics and Gynecology at UT Southwestern Medical Center. For more than 50 years, our department has been acknowledged for its contributions to women’s health care— both in obstetrics and gynecology. Our mission has remained unchanged since the department’s founding in 1943. Daily we strive for excellence in patient care, teaching, and research. In the clinical care realm, we provide comprehensive services in dual arenas—a private practice through the UT Southwestern Medical Center University Hospitals and Clinics and a public practice at Parkland Health and Hospital System. This blend not only maximizes our services throughout different segments of the community in which we live and work, but also provides an invigorating environment for our students, residents, fellows, and faculty. On the educational front, our faculty members are recognized as the authors of three major OB/GYN textbooks—Williams Obstetrics, Williams Gynecology, and Essential Reproductive Medicine. They are also responsible for the largest obstetrics and gynecology training program in the nation, with a combined total of 100 available residency positions in Dallas and Austin. -
The Male Reproductive System
Management of Men’s Reproductive 3 Health Problems Men’s Reproductive Health Curriculum Management of Men’s Reproductive 3 Health Problems © 2003 EngenderHealth. All rights reserved. 440 Ninth Avenue New York, NY 10001 U.S.A. Telephone: 212-561-8000 Fax: 212-561-8067 e-mail: [email protected] www.engenderhealth.org This publication was made possible, in part, through support provided by the Office of Population, U.S. Agency for International Development (USAID), under the terms of cooperative agreement HRN-A-00-98-00042-00. The opinions expressed herein are those of the publisher and do not necessarily reflect the views of USAID. Cover design: Virginia Taddoni ISBN 1-885063-45-8 Printed in the United States of America. Printed on recycled paper. Library of Congress Cataloging-in-Publication Data Men’s reproductive health curriculum : management of men’s reproductive health problems. p. ; cm. Companion v. to: Introduction to men’s reproductive health services, and: Counseling and communicating with men. Includes bibliographical references. ISBN 1-885063-45-8 1. Andrology. 2. Human reproduction. 3. Generative organs, Male--Diseases--Treatment. I. EngenderHealth (Firm) II. Counseling and communicating with men. III. Title: Introduction to men’s reproductive health services. [DNLM: 1. Genital Diseases, Male. 2. Physical Examination--methods. 3. Reproductive Health Services. WJ 700 M5483 2003] QP253.M465 2003 616.6’5--dc22 2003063056 Contents Acknowledgments v Introduction vii 1 Disorders of the Male Reproductive System 1.1 The Male -
Webbed Penis
Kathmandu University Medical Journal (2010), Vol. 8, No. 1, Issue 29, 95-96 Case Note Webbed penis: A rare case Agrawal R1, Chaurasia D2, Jain M3 1Resident in Surgery, 2Associate Professor, Department of Urology, 3Assistant Professor, Department of Plastic and Reconstructive Surgery, MLN Medical College, Allahabad (India) Abstract Webbed penis belongs to a rare and little-known defect of the external genitalia. The term denotes the penis of normal size for age hidden in the adjacent scrotal and pubic tissues. Though rare, it can be treated easily by surgery. A case of webbed penis is presented with brief review of literature. Key words: penis, webbed ebbed penis is a rare anomaly of structure of Wpenis. Though a congenital anomaly, usually the patient presents in late childhood or adolescence. Skin of penis forms the shape of a web, covering whole or part of penis circumferentially; with or without glans, burying the penile tissue inside. The length of shaft is normal with normal stretched length. Phimosis may be present. The penis appears small without any diffi culty in voiding function. Fig 1: Penis showing web Fig 2: Markings for double of skin on anterior Z-plasty on penis Case report aspect Our patient, a 17 year old male, presented to us with congenital webbed penis. On examination, skin webs Discussion were present on both lateral sides from prepuce to lateral Webbed penis is a developmental malformation with aspect of penis.[Fig. 1] On ventral aspect, the skin web less than 60 cases reported in literature. The term was present from prepuce to inferior margin of median denotes the penis of normal size for age hidden in the raphe of scrotum. -
Sara Aghamohammadi, M.D
Sara Aghamohammadi, M.D. Philosophy of Care It is a privilege to care for children and their families during the time of their critical illness. I strive to incorporate the science and art of medicine in my everyday practice such that each child and family receives the best medical care in a supportive and respectful environment. Having grown up in the San Joaquin Valley, I am honored to join UC Davis Children's Hospital's team and contribute to the well-being of our community's children. Clinical Interests Dr. Aghamohammadi has always had a passion for education, she enjoys teaching principles of medicine, pediatrics, and critical care to medical students, residents, and nurses alike. Her clinical interests include standardization of practice in the PICU through the use of protocols. Her team has successfully implemented a sedation and analgesia protocol in the PICU, and she helped develop the high-flow nasal cannula protocol for bronchiolitis. Additionally, she has been involved in the development of pediatric pain order sets and is part of a multi-disciplinary team to address acute and chronic pain in pediatric patients. Research/Academic Interests Dr. Aghamohammadi has been passionate about Physician Health and Well-being and heads the Wellness Committee for the Department of Pediatrics. Additionally, she is a part of the Department Wellness Champions for the UC Davis Health System and has given presentations on the importance of Physician Wellness. After completing training in Physician Health and Well-being, she now serves as a mentor for the Train-the-Trainer Physician Health and Well-being Fellowship. -
Nutrition in Andrology, Gynaecology and Obstetrics
Appendix No. 2 to the procedure of development and periodical review of syllabuses Nutrition in Andrology, Gynaecology and Obstetrics 1. Imprint Faculty name: English Division Syllabus (field of study, level and educational profile, form of studies, Medicine, 1st level studies, practical profile, full time e.g., Public Health, 1st level studies, practical profile, full time): Academic year: 2019/2020 Nutrition in Andrology, Gynaecology and Module/subject name: Obstetrics Subject code (from the Pensum system): Educational units: Department of Social Medicine and Public Health Head of the unit/s: Dr hab. n. med. Aneta Nitsch - Osuch Study year (the year during which the 1st-6th respective subject is taught): Study semester (the semester during which the respective subject is Winter and Summer semesters taught): Module/subject type (basic, corresponding to the field of study, Optional optional): Teachers (names and surnames and Anna Jagielska, MD degrees of all academic teachers of Aleksandra Kozłowska, BSc respective subjects): ERASMUS YES/NO (Is the subject available for students under the YES ERASMUS programme?): A person responsible for the syllabus (a person to which all comments to Anna Jagielska, MD the syllabus should be reported) Number of ECTS credits: 2 Page 1 of 4 Appendix No. 2 to the procedure of development and periodical review of syllabuses 2. Educational goals and aims The aim of the course is to provide students with: 1. The principles of nutrition during adolescence, adulthood and eldery. 2. The relationship between nutrition and fertility, fetal status and communicable diseases in the adults life. 3. Basics of dietary advices for men and women in the reproductive years. -
Human Physiology/The Male Reproductive System 1 Human Physiology/The Male Reproductive System
Human Physiology/The male reproductive system 1 Human Physiology/The male reproductive system ← The endocrine system — Human Physiology — The female reproductive system → Homeostasis — Cells — Integumentary — Nervous — Senses — Muscular — Blood — Cardiovascular — Immune — Urinary — Respiratory — Gastrointestinal — Nutrition — Endocrine — Reproduction (male) — Reproduction (female) — Pregnancy — Genetics — Development — Answers Introduction In simple terms, reproduction is the process by which organisms create descendants. This miracle is a characteristic that all living things have in common and sets them apart from nonliving things. But even though the reproductive system is essential to keeping a species alive, it is not essential to keeping an individual alive. In human reproduction, two kinds of sex cells or gametes are involved. Sperm, the male gamete, and an egg or ovum, the female gamete must meet in the female reproductive system to create a new individual. For reproduction to occur, both the female and male reproductive systems are essential. While both the female and male reproductive systems are involved with producing, nourishing and transporting either the egg or sperm, they are different in shape and structure. The male has reproductive organs, or genitals, that are both inside and outside the pelvis, while the female has reproductive organs entirely within the pelvis. The male reproductive system consists of the testes and a series of ducts and glands. Sperm are produced in the testes and are transported through the reproductive ducts. These ducts include the epididymis, ductus deferens, ejaculatory duct and urethra. The reproductive glands produce secretions that become part of semen, the fluid that is ejaculated from the urethra. These glands include the seminal vesicles, prostate gland, and bulbourethral glands. -
“If We Could Change Ourselves, the Tendencies
10/10/17 GENDERED INEQUALITY: DECONSTRUCTING BARRIERS TO ENABLE SENSITIVE SYSTEMIC “IF WE COULD CHANGE OURSELVES, PRACTICE WITH DIVERSE PEOPLE AND THE TENDENCIES IN THE WORLD RELATIONSHIPS WOULD ALSO CHANGE.” ANNE PROUTY - MAHATMA GANDHI OCTOBER 2017 AUSTRALIAN ASSOCIATION FOR FAMILY THERAPY ANNUAL CONFERENCE ADELAIDE, AUSTRALIA GLOBAL “GENDER” (Binary) Gender Inequities DEADLY CUTTING EDGE * MISERABLE TO PROMOTE SOCIAL JUSTICE * REAL ADVOCATE FOR CLIENTS SEX AND GENDER 2007 “YogyAkArtA Principles”: 28 Principles oF the THE WORLD HEALTH ORGANISATION HAS RECOGNISED ApplicAtion oF International HumAn Rights LAw in SEX AND GENDER GLOBALLY AS CORE SOCIAL RelAtion to SexuaL Orientation DETERMINANTS OF PHYSICAL AND MENTAL HEALTH and Gender Identity 64 AND WELL-BEING 44 • LGBTI are 11% of Australians as of 20146 • www.YogyAkArtAprinciples.org • GENDER Keynote/YogyAkArtA principles_en.pdF • 1.7% oF AustrAliAns Are estimated to be Intersex (AustraliAn HumAn Rights Commission) • 2% oF people globAlly estimAted to be non-binAry gender • 34% oF LGBTI AustrAliAns hide their identity when accessing services 1 10/10/17 ApproAches to IDENTITY SociAl Justice MultiPLe CulturaL Communities • WHO DEFINES WHOM? Human Diversity within Communities/Contexts • EACH PERSON’S EXPERIENCE? Human Diversity Across LifesPans • BY INTERACTING WITH EACH OTHER? • INTERACTING BY PROXY AND VIA COMMUNITIES? INTERSECTIONALITY INTERSECTIONALITY - IDENTITIES INTERSECTIONALITY - IDENTITIES SEX &/OR GENDER ID ETHNIC ID SEX &/OR GENDER ID ETHNIC ID SEXUAL ORIENTATION SPIRITUAL -
In 6861.Indd
Original Article Sexuality during gestation DOI: 10.5020/18061230.2018.6861 MALE PERCEPTION OF SEXUAL ACTIVITY IN THE GESTATIONAL PERIOD Percepção masculina sobre atividade sexual no período gestacional Percepción masculina sobre la actividad sexual en el período gestacional Dailon de Araújo Alves Regional University of Cariri (Universidade Regional do Cariri - URCA) - Crato (CE) - Brazil Brunna Suélli de Souza Alves Faculty of Juazeiro do Norte (Faculdade de Juazeiro do Norte - FJN) - Juazeiro do Norte (CE) - Brazil Willma José de Santana Faculty of Juazeiro do Norte (Faculdade de Juazeiro do Norte - FJN) - Juazeiro do Norte (CE) - Brazil Felice Teles Lira dos Santos Moreira Regional University of Cariri (Universidade Regional do Cariri - URCA) - Crato (CE) - Brazil Dayanne Rakelly de Oliveira Regional University of Cariri (Universidade Regional do Cariri - URCA) - Crato (CE) - Brazil Grayce Alencar Albuquerque Regional University of Cariri (Universidade Regional do Cariri - URCA) - Crato (CE) - Brazil ABSTRACT Objective: To describe men’s perception of the sexual activity during the gestational period, in the context of the daily life experienced with their pregnant partners. Methods: This is a descriptive study with a qualitative approach. The study included 10 spouses of pregnant women attended to at Basic Health Units in the city of Juazeiro do Norte, Ceará, Brazil. Data was collected between September and October 2015, through a semi-structured interview and evaluated through the systematic technique of content analysis, and analyzed in light of the pertinent literature. Results: The majority of interviewees belonged to the age group between 24 and 29 years, attended high school and were married. For the study participants, when it comes to sexuality, some understand it as something beyond sexual intercourse, whereas, for others, sexuality is related only to intercourse. -
Sexual Dysfunction and Related Factors in Pregnancy
Banaei et al. Systematic Reviews (2019) 8:161 https://doi.org/10.1186/s13643-019-1079-4 PROTOCOL Open Access Sexual dysfunction and related factors in pregnancy and postpartum: a systematic review and meta-analysis protocol Mojdeh Banaei1, Maryam Azizi2, Azam Moridi3, Sareh Dashti4, Asiyeh Pormehr Yabandeh3 and Nasibeh Roozbeh3* Abstract Background: Sexual dysfunction refers to a chain of psychiatric, individual, and couple’s experiences that manifests itself as a dysfunction in sexual desire, sexual arousal, orgasm, and pain during intercourse. The aim of this systematic review will be to assess the sexual dysfunction and determine the relevant factors to sexual dysfunction during pregnancy and postpartum. Methods and analysis: All observational studies, including descriptive, descriptive-analytic, case-control, and cohort studies published between 1990 and 2019, will be included in the study. Review articles, case studies, case reports, letter to editors, pilot studies, and editorial will be excluded from the study. The search will be conducted in the Cochrane Central Register, MEDLINE, Google Scholar, EMBASE, ProQuest, Scopus, WOS, and CINAHL databases. Eligible studies should assess at least one of the sexual dysfunction symptoms in pregnant women orinthefirstyearpostpartum.Quality assessment of studies will be performed by two authors independently based on the NOS checklist. This checklist is designed to assess the quality of observational studies. Data will be analyzed using Stata software ver. 11. Considering that the index investigated in the present study will be the level of sexual disorder, standard error will be calculated for each study using binomial distribution. The heterogeneity level will be investigated using Cochran’sQstatisticandI2 index in a chi-square test at a significance level of 1.1. -
Background Note on Human Rights Violations Against Intersex People Table of Contents 1 Introduction
Background Note on Human Rights Violations against Intersex People Table of Contents 1 Introduction .................................................................................................................. 2 2 Understanding intersex ................................................................................................... 2 2.1 Situating the rights of intersex people......................................................................... 4 2.2 Promoting the rights of intersex people....................................................................... 7 3 Forced and coercive medical interventions......................................................................... 8 4 Violence and infanticide ............................................................................................... 20 5 Stigma and discrimination in healthcare .......................................................................... 22 6 Legal recognition, including registration at birth ............................................................... 26 7 Discrimination and stigmatization .................................................................................. 29 8 Access to justice and remedies ....................................................................................... 32 9 Addressing root causes of human rights violations ............................................................ 35 10 Conclusions and way forward..................................................................................... 37 10.1 Conclusions -
Focus on Stem Cells Germ Cells from Mouse and Human Embryonic Stem Cells
REPRODUCTIONREVIEW Focus on Stem Cells Germ cells from mouse and human embryonic stem cells Behrouz Aflatoonian and Harry Moore Centre for Stem Cell Biology, University of Sheffield, Sheffield S10 2UH, UK Correspondence should be addressed to H Moore; Email: [email protected] Abstract Mammalian gametes are derived from a founder population of primordial germ cells (PGCs) that are determined early in embryogenesis and set aside for unique development. Understanding the mechanisms of PGC determination and differentiation is important for elucidating causes of infertility and how endocrine disrupting chemicals may potentially increase susceptibility to congenital reproductive abnormalities and conditions such as testicular cancer in adulthood (testicular dysgenesis syndrome). Primordial germ cells are closely related to embryonic stem cells (ESCs) and embryonic germ (EG) cells and comparisons between these cell types are providing new information about pluripotency and epigenetic processes. Murine ESCs can differentiate to PGCs, gametes and even blastocysts – recently live mouse pups were born from sperm generated from mESCs. Although investigations are still preliminary, human embryonic stem cells (hESCs) apparently display a similar developmental capacity to generate PGCs and immature gametes. Exactly how such gamete-like cells are generated during stem cell culture remains unclear especially as in vitro conditions are ill-defined. The findings are discussed in relation to the mechanisms of human PGC and gamete development and the biotechnology of hESCs and hEG cells. Reproduction (2006) 132 699–707 Introduction indicate that human embryonic stem cells (hESCs) most likely display a similar developmental capacity (Clark Detailed investigations of the earliest stages of germ cell et al.