Search Results (34)

Background/Objectives: Lower urinary tract symptoms (LUTSs) due to benign prostatic obstruction (BPO) represent a common condition affecting aging men. Transurethral resection of the prostate represents the gold standard surgical treatment but is not without complications such as retrograde ejaculation, bleeding and urinary retention. The temporary implantable nitinol device (iTIND) is considered a minimally invasive surgical technique, designed to treat LUTS while preserving erectile and ejaculatory function. Herein we report the results of a multi-center, real-world assessment of the iTIND procedure. Methods: Data from five international centers treating LUTS with the iTIND device were collected. We recorded changes through an International Prostatic Symptom Score (IPSS) questionnaire with Quality of Life (QoL), International Index of Erectile Function (IIEF5) questionnaire, antegrade ejaculatory function, maximum flow (QMax), post voiding residual volume (PVR) and freedom from repeat intervention. Results: A total of 74 subjects were enrolled; median follow-up was 12 months. IPSS and QoL changed from a median of 23 and 4 points at baseline to 11 and 2 points, respectively, at the last follow-up. A mean improvement in Qmax and PVR from 9 mL/s and 56 mL at baseline to 13 mL/s and 40 mL was noticed at the last follow-up. Total median operative time was 10 min, and the median time of iTIND indwell time was 7 days. The median device removal time was 5 min. There were no changes in IIEF5 scores and antegrade ejaculation rate. No intraoperative complications were reported, and non-serious postoperative complications occurred in six patients (two urinary retention, two mild haematuria, two urinary tract infection). Finally, four patients underwent reoperation during the follow-up period. All procedures were performed as outpatient day cases. Conclusions: Our results confirms that treatment with the iTIND is effective and safe in terms of improving urinary symptoms and quality of life without impacting sexual function. Longer follow-up is required to better define the durability of this minimally invasive procedure. Full article

The legal and social perception of sexually motivated crimes has undergone profound transformations in the Czech lands from the Middle Ages to the present. Acts once considered grave moral transgressions, punishable by death, have been gradually decriminalised or even integrated into the realm of personal identity and cultural self-expression. This article examines the evolving legal frameworks and societal attitudes towards such offences, with a particular focus on their implications for family structures, inheritance rights, and genealogical continuity. By analysing historical judicial records—primarily early modern pitch books—alongside contemporary legislation, we highlight the shifting boundaries between crime, morality, and individual rights. Methodologically, this study combines a historical–legal analysis with comparative criminology to elucidate the changing regulatory mechanisms governing sexual behaviour. The findings illustrate that, while legal norms have progressively moved away from religious morality toward individual freedoms, some taboos persist, reflecting enduring social anxieties. The Czech case serves as a model for broader European trends, offering valuable insights into the interplay between law, social norms, and genealogical structures across different historical periods. Full article

This article seeks to examine a new trend in Arabic women’s literature that not only aims to forge women’s communities but also creates resistance. Digital media is the mechanism that some Arab women authors employ to implement and foster a self-authority that acknowledges flexible identities in an age of revolutions and search for freedom. As a case study, I examine Ahlam Mosteghanemi’s Nessayne com and Rajaa Alsanea’s novel Girls of Riyadh, which originally appearing as compendiums, and Ibrahim Alsaqir’s novel Girls of Riyadh: The Complete Picture that comes as a literary response to the resistance of cultural and gender establishments. I suggest that the digital realm provides an arena for women to resist oppressing social establishments and that literary works and digital practices like Alsanea’s create spaces of and for resistance. Moreover, Alsanea’s and Mosteghanemi’s works are committed to promoting change in Arab societies, bridging the public and the private sphere by means of digital content. Arab women writers’ sites and blogs address subjects that challenge prevalent gendered structures in the Arab world, deconstruct cultural norms, give visibility and focus on the implications of gender on memory, love, masculinity and femininity, and sexuality. They do so by employing chats as a narrative technique that engages readers and women’s communities in the characters’ experiences and thereby inviting them to participate in making their work a site of challenge to gender and cultural establishments. As Alsanea’s representations of women subjectivities are uncommon and her characters defy the notion of the universality of woman as a shared gender, they are prohibited, criticized, and challenged. Those who defy gender performativity, such as Alsanea and Mosteghanemi, enact feminist resistance. The study engages with MENA gender and masculinity literature. It is also informed by Judith Butler’s notion of performativity, the construction of gender, and the demystification of the universalistic notion of “woman”. Full article

(1) Background: Sustainable development goal 5.6 calls for “universal access to sexual and reproductive health and reproductive rights” to fulfil sexual and reproductive practices. The capability approach helps refine the analysis of contraceptive use by going beyond the dichotomous view of contraceptive use as use/non-use to focus on women’s freedom to choose what they have good reason to value. Using the case of Burkina Faso, we probe more deeply into whether contraceptive use reflects real progress in women’s reproductive rights to realize the fertility projects they value. (2) Methods: We use PMA2020 data collected in Burkina Faso between December 2018 and January 2019. The survey included 3329 women with a participation rate of 97.7%. The PMA2020 female core questionnaire solicits information on fertility and contraceptive behavior, much like the DHS. We asked a series of specific questions about cognitive and psychosocial access relating to FP. We examined bivariate associations between our outcome measure “contraceptive behavior” and a set of independent variables. We also used logistic regression models to evaluate associations with endowments/conversion and capability factors and current functioning by focusing on overuse (i.e., use of contraceptives despite desiring pregnancy within the next 12 months). (3) Results: Women who said their ideal number of children was “up to God” had the highest level of overuse, which was also higher among women living in communities with medium acceptance of contraception and greater support for fertility. Women who have higher and middle levels of information tend to engage less in overuse than those with lower information levels. (4) Conclusions: We conclude that overuse (contraceptive use when desiring a child soon) may reveal a lack of rights, as it is associated with a lack of information about contraceptives and women’s inability to conceive an ideal number of children. Efforts should be made to enhance women’s level of contraceptive information. Full article

According to the World Health Organization and the World Association for Sexual Health (WAS) Declaration of Sexual Rights, sex education aims to provide children and adolescents with comprehensive knowledge, skills, attitudes, and values, promoting equality and nondiscrimination while upholding freedom of thought and expression. However, current school curricula often focus on dichotomous sexual identity and hetero-cis-normative prevention strategies, neglecting the needs of gender minority (GM) and sexual minority (SM) youths. In family settings, discussions typically revolve around sexual risk reduction and basic contraception, omitting relational aspects and components of sexual identity such as orientations and gender expressions. This discrepancy highlights a gap between the official goals of sex education and its practical implementation, reflecting a cultural deficit in familial sex education. This study reviews the scientific literature on sexual health promotion interventions from 2015 to 2024 to identify inclusive approaches that enhance the participation of all youths, not just hetero-cis-normative individuals. The hypothesis is that most interventions primarily serve heterosexual and cisgender youths, indicating a need for more inclusive strategies to achieve better sexual health and educational outcomes. The study also suggests expanding curricula to align with recognized guidelines and the diverse needs of youth. Full article

This contribution provides three church-historical glimpses into concepts and images that deal in different ways with the idea of the union of two parties and communicate it through media. The material under discussion is analysed from a gender perspective. Firstly, the Reformation period is discussed as a process of the valorisation of sexuality, the defence of priestly marriage by Philipp Melanchthon is examined, and attention is drawn to the so-called Oeconomialiteratur, which regulated the cohabitation of spouses. The article then turns to bridal mysticism in order to analyse the gender construction of Jesus and the male members of the Moravians on the basis of the “Kleines Brüdergesangbuch”. It is emphasised that various options can be discussed, but that the concept of a leading masculinity of Jesus is the most appropriate for the description of the multiple masculinity constructions of the specific episode of the so-called “Sichtungszeit” of this community. In a last step, the reception of images and ideas about Katharina von Bora and Martin Luther since the Reformation period will be used to discuss how their marriage and matrimony became denominational identifiers—both for Protestantism and for Catholicism. For this, the double portrait of Katharina von Bora and Martin Luther by Cranach as well as a polemical pamphlet from the time of the Thirty Years’ War and the invention of Katharina von Bora as a pastor‘s wife in the 19th century will be examined. By means of historical hermeneutics and a gender perspective, the article thus determines how media have both enabled the freedom to explore and establish new concepts and ideas as well as been used as a vehicle of regulation. In addition, the church-historical examples analysed also illustrate that wedding, marriage, and matrimony themselves became a medium to structure lives, to communicate religious and social issues, and to reject, construct, consolidate, and pass on denominational identities. Full article

This essay focuses on the nexus of vulnerability and rights. It argues that in transforming vulnerability from a stigma that alienated women from their humanity to the signature of human dignity, women bridged the gap between the liberatory promise of human rights and its exploitative patriarchal politics. It finds that the ideas of Mary Wollstonecraft, Simone de Beauvoir, Drucilla Cornell, and Jean-Luc Nancy were/are crucial to this transformed idea of dignity. Religious ideas have played a complex role in this transformation. Wollstonecraft appealed to theological ideas of the soul to contest men’s claims that the Bible enshrined women’s subordination to men. Current abortion politics in the U.S., and the Iranian women’s Women, Life, Freedom rebellion continue to show how sacred texts have been used to defend and reject women’s demands for rights. Religious and secular arguments for the dignity of vulnerability, used by feminists to re-write the sexual difference, direct us to rethink our exploitative relationship to the earth and the multiple species it harbors. As we take up the task of confronting the environmental crisis of our times, they call on us to see ourselves as stewards of the earth’s bounty who are morally obliged to create humane relationships with our other-than-human neighbors. Full article

Conflicts between human populations and Nile crocodiles are widespread with crocodiles posing significant threats to fisherfolk and riverine communities across r-Saharan Africa. Hundreds of deadly attacks take place annually, and mortality rates may range from 50% to 100%. Attitudes and perceptions towards crocodiles were studied using structured questionnaires among fisherfolk along the River Nile and the Sudd wetlands in South Sudan. Local communities used crocodiles for their meat and skin/leather trades. The meat is regarded to enhance longevity, sexual potency, and protection against witchcraft. Crocodiles are perceived as a main threat to lives and livelihoods as they restrict people’s freedom of movement along water bodies, attack livestock and humans, and devastate fishing equipment. To assess whether responses were influenced by the intensity of crocodile threats, published data on fatal crocodile attacks on humans and livestock were analysed using Generalised Linear Models (GLMs). This analysis indicated a direct link between the number of crocodile attacks and human attitudes. Crocodiles were generally feared and hated, and there was the agreement of the need to destroy breeding habitats. However, some attitudes were complex and nuanced as highlighted by the agreement of local communities on the need to destroy Nile Crocodile breeding habitats on the one hand and the need to establish crocodile sanctuaries as the the preferred strategy to mitigate risks and conflict on the other hand. There is a need for the creation of a crocodile sanctuary in the Sudd wetlands to minimise the risks of illegal hunting and to buffer the increasing pressure on crocodiles due to human population growth and economic upturn after the civil war. Full article

Theory-based HIV prevention programs have resulted in increased condom use, which remains the best method for the prevention of sexually transmitted infections (STIs) among sexually active heterosexual individuals. Particularly, the integrative model of behavior prediction theorizes that attitudes, norms, self-efficacy, and socioenvironmental factors influence intention and behavior and has been useful in understanding STI risk among adolescents. However, more research is needed regarding young African American adults. Given the increased freedom and decision-making independence afforded to young adults compared to adolescents, it is important to consider the STI/human immunodeficiency virus (HIV) prevention messages that would resonate with them, particularly regarding condom use. The present study sought to explore how attitudes, subjective norms, self-efficacies, and socioenvironmental factors may influence condom use and STI/HIV prevention, as conceptualized by the participants. We conducted a group-based concept map, a systems-thinking mixed methodology that resulted in a geospatial map reflecting the conceptualizations of the participants. Self-identified young heterosexual African American adults (N = 43) aged 20–26 engaged in an interactive concept mapping procedure in order to “map out” their overarching concepts about STI/HIV risk and condom use. Seven overall conceptual domains emerged: self-efficacy for partner communication, condom use self-efficacy, social media/sociocultural influences, condom use/STI knowledge, condom use cons, condom use pros, and subjective and social norms about condom use. We presented the concept map and discussed the conceptual interpretations and the relationships among the overarching concepts. We also discussed how the social environment, including the social media environment, was conceptualized regarding STI/HIV risk and prevention among young African American adults. Concept mapping can be viewed as a way to determine worthwhile messages for intervention development. The findings may provide information for prevention programs aimed at reducing the incidence of STIs among young adult heterosexual persons within African American communities. Full article

People with intellectual disability want friendships and meaningful relationships, and some want intimacy. However, the expression of sexuality is an area where potential freedoms are often limited and restricted compared to their peers. While some relationships and sexuality education programmes do exist for this population, most focus on knowledge acquisition regarding sexuality and sex but lack in their focus on relationships, informed choices and decision-making. The aim of this study was to identify good practices and methods of delivery in relationships and sexuality education for children and young people with intellectual disability. A qualitative design was undertaken. Information about our study was distributed to eight special schools in the UK. Semi-structured interviews and focus groups were employed for data collection. Data from 37 pupils with intellectual disability, 11 parents and 16 healthcare and other professionals were thematically analysed. Following data analysis, three themes emerged: (i) seeking and sharing information; (ii) protecting and keeping safe; and (iii) learning for the future. The findings highlight that pupils are keen to learn about life changes and societal influences and want reliable information. Parents and professionals recognise that children and young people with intellectual disability will develop into adults and may be vulnerable when they leave the security of the school setting. They recognise that children and young people need to know about socialising, puberty, consent and contraception. Evidence-based programmes should be designed with these stakeholders to ensure children and young people with intellectual disability receive developmentally appropriate information to make happy and safe decisions about their relationships. Full article

Based on data publicly available on various online platforms and in academic literature, this article analyzes the prominent role that the Christian Right has taken in the government of Jair Messias Bolsonaro (2019–2022), including the pandemic period) to strengthen its political–religious project. To this end, we present the ideological mechanisms that align neoconservative Catholics and Evangelicals with both the government’s neoliberal premises and Bolsonaro’s moral communities. We focus on the rhetorical updating of religious freedom to intensify the nationalist narrative of a Christian Brazil, highlighting the judicial expertise that the Christian Right has accumulated in its reactive activism against the pro-rights agenda of LGBTQI+ communities and the advancement of the Pro-Life, Pro-Family agenda. We discuss the anti-gender crusade and “gender ideology” as political instruments of the Evangelical leadership in the process of juridifying public policies related to sexuality, gender, and family, and as a defense of the Christian nation, which it also leads. However, we identify a reconfiguration of the balance in the correlation of forces within Brazilian Christianity. Full article

Understanding the dynamics and vulnerability factors involved in intimate partner violence (IPV) victimization among emerging adults is important in order to better prevent it from happening. The current study aimed to investigate the relationships among dysfunctional attitudes, sociotropy–autonomy, and types of IPV victimization (i.e., psychological, physical, and sexual) and severity (i.e., minor or severe) in emerging adulthood. Through an online survey, 929 emerging adults (84.6% women, mean age = 23.61) completed self-report questionnaires related to variables explored. When checking for childhood abuse, dysfunctional attitudes, sociotropy, and autonomy were related to IPV victimization for at least one type of violence and one scale of severity. The regression models show that independence from others and importance given to others are related to greater severe and minor physical violence, respectively. Attraction to loneliness seemed related to lesser minor psychological violence, whilst valorization of freedom of movement and action were related to greater minor sexual violence. The capacity to oppose others seemed related to greater severe sexual violence. These different cognitive and social characteristics may be associated with poorer social skills, thus making emerging adults more vulnerable to IPV victimization. The preventive and clinical implications are discussed. Full article

This exploratory retrospective study analyzes the emotional and mental processes, risk behavior for HIV/STIs, and needed services to exit commercial sexual exploitation. Participants were court-referred to the local survivor-led program, Freedom from Exploitation, in southern California. Data were collected (N = 168) using an intake assessment form for a period of five years (2015–2020). Two groups were identified in the data, self-identified survivors of sex trafficking (SST) and non-self-identified survivors of sex trafficking (NSST). Bivariate and multivariate logistic regressions examined the associations of HIV/STI risks and emotional and mental processes with these two subgroups. Findings demonstrated that both groups experienced gender-based violence and similar emotional and mental processes as well as HIV/STIs risks. However, in adjusted models, the SST group had three times the odds of experiencing abuse by a sex buyer when asked to use a condom and eight times the odds of feeling hopeless or desperate and experiencing nightmares/flashbacks among other negative mental health outcomes. Both SST and NSST said they needed assistance to obtain legal services and complete a high school equivalency credential, among other services. Findings may be used by social service and law enforcement agencies to better assist survivors of sex trafficking and similar groups in supporting their rehabilitation and protection. Full article

Purpose: We examined a prospective consecutive cohort of low dose rate (LDR) brachytherapy for prostate cancer to evaluate the efficacy of monotherapy for unfavorable-intermediate risk (UIR) disease, and explore factors associated with toxicity and quality of life (QOL). Methods: 149 men with prostate cancer, including 114 staged with MRI, received Iodine-125 brachytherapy alone (144–145 Gy) or following external beam radiation therapy (110 Gy; EBRT). Patient-reported QOL was assessed by the Expanded Prostate Index Composite (EPIC) survey, and genitourinary (GU) and gastrointestinal (GI) toxicity were prospectively recorded (CTC v4.0). Global QOL scores were assessed for decline greater than the minimum clinically important difference (MCID). Univariate analysis (UVA) was performed, with 30-day post-implant dosimetry covariates stratified into quartiles. Median follow-up was 63 mo. Results: Men with NCCN low (n = 42) or favorable-intermediate risk (n = 37) disease were treated with brachytherapy alone, while most with high-risk disease had combined EBRT (n = 17 of 18). Men with UIR disease (n = 52) were selected for monotherapy (n = 42) based on clinical factors and MRI findings. Freedom from biochemical failure-7 yr was 98%. Of 37 men with MRI treated with monotherapy for UIR disease, all 36 men without extraprostatic extension were controlled. Late Grade 2+/3+ toxicity occurred in 55/3% for GU and 8/2% for GI, respectively. Fifty men were sexually active at baseline and had 2 yr sexual data; 37 (74%) remained active at 2 yr. Global scores for urinary incontinence (UC), urinary irritation/obstruction (UIO), bowel function, and sexual function (SF) showed decreases greater than the MCID (p < 0.05) in UC at 2 mo, UIO at 2 and 6 mo, and SF at 2–24 mo, and >5 yr. Analysis did not reveal any significant associations with any examined rectal or urethral dosimetry for late toxicity or QOL. Conclusion: Disease outcomes and patient-reported QOL support LDR brachytherapy, including monotherapy for UIR disease. Full article

We propose a historical-philological analysis of the attitudes in Islam and Arab culture toward practices of masculine homosexuality (from the pre-Islamic period until end of the first century of Hijra) based on a review of scriptural (Qur’an, Sunnah, fiqh) and literary sources. We hypothesize the existence of a historical dialectic between two ideological models: on the one hand, the heterosexual norm intertwined with patriarchal domination and Islam; on the other, the existence of homosexual love and other forms of sexuality and gender. First we have discovered that the earliest myth concerning sodomy dates back to a much earlier era than has been assumed in modern studies of homosexuality. Then we propose the thesis according to which in pre-Islamic times homosexuality was associated to power relations, but that homosexual imagery and practices linked to pleasure already emerged at the time of the Prophet. In the prophetic era, the visibility of male homosexuality—which we have been able to analyze only indirectly, i.e., through the treatment reserved for the mukhannathun—was regulated through a socio-political compromise aimed at mediating between hadith of explicit condemnation and tolerance of sexual attitudes and behaviors considered less subversive. Starting from the following era (after Othman’s admission of the mukhannathun to Medina), homosexual practices would begin to conquer more and more spaces of visibility and freedom. Full article