scholarly journals Strangulation of the Penis by a Metallic Ring: Prevention Is Better Than Cure

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Hamza Ichaoui ◽  
Sataa Sallami ◽  
Ahmed Samet ◽  
Zied Bokal ◽  
Hassan Touinsi
Keyword(s):  
Psychiatric Care ◽  
Rare Condition ◽  
Metal Ring ◽  
Sexual Performance ◽  
Metallic Ring ◽  
Clinical Pictures ◽  
Real Challenge ◽  
Great Stress ◽  
Urinary Disorder ◽  
Better Than

Strangulation of the penis is a rare condition that requires emergency management. Several objects, metallic or not, can be placed on the penis to increase sexual performance or for self-erotic intentions especially in psychotic patients with unusual sexual impulses. The problem of removing the foreign body and repairing the damage is a real challenge for the practitioner and a great stress for the patient. We report a case of a 42-year-old schizophrenic patient who presented to the emergency department for a strangulation of the penis secondary to a metal ring placed at the base of the penis 10 days before the consultation without urinary disorder. A review of the literature allowed us to highlight the different clinical pictures of penis strangulation and the therapeutic methods and to highlight the importance of psychiatric care of sexual behaviour in chronic psychotics.

Desire for amputation of a limb: paraphilia, psychosis, or a new type of identity disorder

2004 ◽  
Vol 35 (6) ◽  
pp. 919-928 ◽  
Author(s):  
MICHAEL B. FIRST
Keyword(s):  
Age At Onset ◽  
Rare Condition ◽  
Negative Consequences ◽  
Structured Interviews ◽  
True Self ◽  
Self Identity ◽  
Risk Of Death ◽  
New Type ◽  
The Subject ◽  
Better Than

Background. The objective of this paper is to describe and conceptualize an unusual and probably rare condition: the intense longstanding desire to have an amputation.Method. Structured interviews were conducted by telephone of 52 subjects (mean age: 48·6, range 23–77 years; 47 male, 4 female, 1 intersexed) self-identified as having had a desire to have an amputation.Results. Seventeen per cent (n=9) had an arm or leg amputated with two-thirds using methods that put the subject at risk of death and one-third enlisting a surgeon to amputate their healthy limb. The most common reported reason for wanting an amputation was the subject's feeling that it would correct a mismatch between the person's anatomy and sense of his or her ‘true’ self (identity). None were delusional. For all but one subject age at onset was during childhood or early adolescence. For those who had psychotherapy or medication there was no change in the intensity of the desire for amputation. The six subjects who had an amputation at their desired site reported that following the amputation they felt better than they ever had and no longer had a desire for an amputation.Conclusions. These preliminary results suggest the existence of an extremely unusual clinically distinct condition characterized by a lifelong desire to have an amputation of a particular limb. The condition is associated with serious negative consequences: amputation attempts, impairment and marked distress. Reflecting similarities between Gender Identity Disorder and this condition, the author suggests that it may be conceptualized as an unusual dysfunction in the development one's fundamental sense of anatomical (body) identity.

scholarly journals Indian Tourism its potential avenues and challenges for growth: Riding on the service sector

2016 ◽  
Vol 3 (2) ◽  
Author(s):  
Dr. Sebastian .T. Joseph ◽  
Abhishek Janvier Frederick
Keyword(s):  
Growth Rate ◽  
Foreign Exchange ◽  
Service Sector ◽  
Service Industry ◽  
Services Sector ◽  
The World ◽  
Traditional Service ◽  
Recent Developments ◽  
Real Challenge ◽  
Better Than

<p>Given the countless activities and avenues for growth under the umbrella of services and the resilience that the service sector has acquired post 1991 reform period in India, it is not difficult to acknowledge that India’s service sector has finally arrived! The post recession survival of the Indian economy has largely been possible due to the contribution of the services sector to India’s GDP. This sector has been recognized as one posing innumerable opportunities, attracting FDI boosting employment and propelling exports. So much so for the opportunities; the challenges are also many.</p><p><br />The real challenge lies not only in maintaining standards in areas where India has established universal benchmarks such as IT and ITEs but a larger challenge lies in probing and developing traditional areas such as tourism and shipping where other countries of the world have far surpassed Indian standards, nevertheless, they present manifold opportunities for India. The number of Foreign Tourist Arrivals (FTAs) in India during 2010 increased to 5.78 million as compared to 5.17 million in 2009. Registering a growth rate of 11.8% during 2010 over 2009. This growth rate of 11.8% in 2010 for India was better than UNWTO’s projected growth rate of 5% to 6% for the world in 2010. Tourism continues to play an important role as a foreign exchange earner for the country. In 2010, foreign exchange earnings (FEE) from tourism were US$ 14.19 billion as compared to US$ 11.39 billion in 2009, registering a growth of 24.6%.Through this paper we attempt to understand and probe a traditional service area ; tourism as a service industry, its contribution to India’s economy, recent developments, opportunities and challenges.</p>

scholarly journals Diagnosis and Management of a Large Adrenal Myelolipoma

2020 ◽  
Vol 6 (02) ◽  
pp. 70-73
Author(s):  
Imad Ghantous ◽  
Melissa Kyriakos Saad ◽  
Toufic Saber ◽  
Elissa Mahfouz ◽  
Imad Matta ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Rare Condition ◽  
Abdominal Distension ◽  
Mass Effect ◽  
Caucasian Patient ◽  
Computed Tomography Scan ◽  
Adrenal Myelolipoma ◽  
The Right ◽  
Real Challenge ◽  
Tomography Scan

AbstractAdrenal myelolipoma is a rare condition. Although benign in nature, these tumors can increase in size and cause a mass effect to nearby structures presenting as abdominal distension and pain. In 90% of cases, adrenal myelolipomas are unilateral. However, the real challenge in management is when bilateral adrenal myelolipoma is present. Herein, we present a case of a 51-year-old male Caucasian patient with bilateral adrenal myelolipoma. The patient had a large left adrenal myelolipoma (23 × 13 cm) and a small one on the right (4.4 × 4 cm). We opted for an open left adrenalectomy due to classical features on computed tomography scan and the mass effect of the tumor.

scholarly journals A Novel Feature Extraction and Fault Detection Technique for the Intelligent Fault Identification of Water Pump Bearings

Sensors ◽  
2021 ◽  
Vol 21 (12) ◽  
pp. 4225
Author(s):  
Muhammad Irfan ◽  
Abdullah Saeed Alwadie ◽  
Adam Glowacz ◽  
Muhammad Awais ◽  
Saifur Rahman ◽  
...  
Keyword(s):  
Cost Effective ◽  
Fault Classification ◽  
Fault Identification ◽  
Gradient Boosting ◽  
Extreme Gradient Boosting ◽  
Extraction Algorithm ◽  
Scale Test ◽  
Water Pumps ◽  
Real Challenge ◽  
Better Than

The reliable and cost-effective condition monitoring of the bearings installed in water pumps is a real challenge in the industry. This paper presents a novel strong feature selection and extraction algorithm (SFSEA) to extract fault-related features from the instantaneous power spectrum (IPS). The three features extracted from the IPS using the SFSEA are fed to an extreme gradient boosting (XBG) classifier to reliably detect and classify the minor bearing faults. The experiments performed on a lab-scale test setup demonstrated classification accuracy up to 100%, which is better than the previously reported fault classification accuracies and indicates the effectiveness of the proposed method.

Penile Strangulation by a Metallic Ring: Clinical Case and Literature Review

1998 ◽  
Vol 65 (1_suppl) ◽  
pp. 39-42
Author(s):  
G. Liguori ◽  
C. Trombetta ◽  
G. De Giorgi ◽  
S. Siracusano ◽  
M. Raber ◽  
...  
Keyword(s):  
Literature Review ◽  
Clinical Case ◽  
Metal Ring ◽  
Severe Injuries ◽  
Penile Strangulation ◽  
Type Size ◽  
Cavernous Tissue ◽  
Metallic Ring ◽  
Prompt Attention ◽  
Careful Management

The use of metallic and non-metallic objects on the penis for erotic pleasure is not rare. Sometimes penile strangulation can occur, but prompt attention and careful management can lead to full recovery. Penile strangulation, if unrelieved, may lead to penile engorgement, ulceration, necrosis of the spongiosum and cavernous tissue, urinary extravation and even gangrene. We report on a case of a young man who presented with a metal ring jammed around the penis. Metallic objects cause less severe injuries than non-metallic ones, but they are difficult to remove. In these cases a metal cutter, saw, heavy drill hammer and chisel can be used. It is easier to remove non-metallic objects but injuries are severe. The choice of method for removing an object depends upon its type, size, how long it has been in place and availability of equipment.

scholarly journals Penile strangulation: An unusual sexual practice that often presents an urological emergency

2014 ◽  
Vol 86 (1) ◽  
pp. 43 ◽  
Author(s):  
Lucio Dell’Atti
Keyword(s):  
Emergency Department ◽  
Foreign Body ◽  
Multidisciplinary Approach ◽  
Sexual Practice ◽  
Sexual Performance ◽  
Penile Strangulation ◽  
Clinical Consequences ◽  
Metallic Ring ◽  
Urological Emergency

Placement of constricting devices around the penis for autoerotic purposes or increasing of sexual performance represents a well-known challenge for urologists. Penile incarceration is a urologic emergency with potentially severe clinical consequences. In many cases a rapid intervention and a sudden removal of the foreign body it is enough so that patients need no further intervention. We report three different cases of strangulating objects (metallic ring, metal bearing and plumbing pipe) presented at our emergency department and three different methods of devices extraction practiced. Remove these devices can be challenging and often requires resourcefulness and multidisciplinary approach.

scholarly journals Mixed Depression: A Mini-Review to Guide Clinical Practice and Future Research Developments

2022 ◽  
Vol 12 (1) ◽  
pp. 92
Author(s):  
Antimo Natale ◽  
Ludovico Mineo ◽  
Laura Fusar-Poli ◽  
Andrea Aguglia ◽  
Alessandro Rodolico ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Pharmacological Treatment ◽  
Point Of View ◽  
Assessment Tools ◽  
Future Research ◽  
Mixed States ◽  
Reliable Assessment ◽  
History Of ◽  
Clinical Pictures ◽  
Real Challenge

The debate on mixed states (MS) has been intense for decades. However, several points remain controversial from a nosographic, diagnostic, and therapeutic point of view. The different perspectives that have emerged over the years have turned into a large, but heterogeneous, literature body. The present review aims to summarize the evidence on MS, with a particular focus on mixed depression (MxD), in order to provide a guide for clinicians and encourage the development of future research on the topic. First, we review the history of MS, focusing on their different interpretations and categorizations over the centuries. In this section, we also report alternative models to traditional nosography. Second, we describe the main clinical features of MxD and list the most reliable assessment tools. Finally, we summarize the recommendations provided by the main international guidelines for the treatment of MxD. Our review highlights that the different conceptualizations of MS and MxD, the variability of clinical pictures, and the heterogeneous response to pharmacological treatment make MxD a real challenge for clinicians. Further studies are needed to better characterize the phenotypes of patients with MxD to help clinicians in the management of this delicate condition.

scholarly journals Penile Rings: No Innovation without Evaluation

2019 ◽  
Author(s):  
Sherif Monib ◽  
Bassem Amr
Keyword(s):  
Male Patient ◽  
Male Genitalia ◽  
Clinical Entity ◽  
Rare Clinical Entity ◽  
Penile Strangulation ◽  
Penile Amputation ◽  
Vascular Compromise ◽  
Metallic Ring ◽  
No Innovation ◽  
Real Challenge

Penile strangulation is a rare clinical entity which if left untreated can cause serious urogenital problems. We present the case of 45-year-old male patient who presented with penile strangulation after applying a metallic ring. Strangulation of the external male genitalia is a serious problem that requires urgent intervention in order to avoid serious complications. If left untreated, it can result in gangrene and penile amputation. Management of penile strangulation is a real challenge for the treating surgeon and should be treated as an emergency in order to avoid vascular compromise.

scholarly journals Rhabdomyolysis Secondary to Bee Sting

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Okhan Akdur ◽  
Serdar Can ◽  
Göksu Afacan
Keyword(s):  
Hepatic Dysfunction ◽  
Rare Complication ◽  
Rare Condition ◽  
Clinical Results ◽  
Intravascular Hemolysis ◽  
Renal Functions ◽  
Bee Sting ◽  
Acute Renal Insufficiency ◽  
Clinical Pictures ◽  
Insect Stings

Insect stings belonging to Hymenoptera defined as wasps, yellow jackets, bees, or hornets by human usually result in unserious clinical pictures that go with pain. Rhabdomyolysis following a bee sting is a rare condition. This paper emphasizes “rhabdomyolysis” as a rare complication of this frequently observed envenomation. Rare but severe clinical results may occur due to multiple bee stings, such as intravascular hemolysis, rhabdomyolysis, acute renal insufficiency, and hepatic dysfunction. In bee stings as in our case, clinicians should be alert for rhabdomyolysis in cases with generalized body and muscle pain. Early onset alkaline diuresis and management in patients with rhabdomyolysis are vital in protecting the renal functions and preventing morbidity and mortality.

Psychotherapies and Older Adults

2003 ◽  
Vol 37 (5) ◽  
pp. 537-548 ◽  
Author(s):  
Jane Garner
Keyword(s):  
Older People ◽  
Older Patients ◽  
Psychiatric Care ◽  
Later Life ◽  
The Body ◽  
Therapeutic Technique ◽  
Psychotherapeutic Approach ◽  
Cognitive Behavioural ◽  
Old Age Psychiatry ◽  
Better Than

Objective: To confirm clinical experience which suggests that older people are offered psychotherapies significantly less often than younger ones. For those who are able to access psychotherapeutic help the outcome is comparable, sometimes better, than for younger patients. Method: Contemporary and older seminal literature was reviewed for psychodynamic, cognitive–behavioural, reminiscence and systemic family therapies treating older patients. Results: The main findings supported the experience of staff in old age psychiatry that if the reluctance of referrers and sometimes of older patients themselves can be overcome this type of work is valuable and effective. Conclusions: Each patient is unique. Generalizations are not always appropriate, however, with advancing years some common themes emerge in therapeutic work. It may be necessary to make modifications to the therapeutic technique to accommodate the difficulties experienced by people in later life but also to use their strengths. Staff working in this field need to have the capacity to be aware of and to understand their own feelings and prejudices about the second half of life. For patients not offered formal therapy a psychotherapeutic approach will nevertheless enhance their psychiatric care. Although the body of research is growing, more work needs to be done in evaluating all of the psychotherapies offered to older people.

Sign in / Sign up

Export Citation Format

Share Document