As more individuals seek to align their physical characteristics with gender identity, transgender health care is a growing medical field which no longer the remit of few selected clinicians. Gender-affirming hormone therapy (GAHT) mainstay treatment in reassignment and its medium- long-term metabolic sequelae are gradually emerging. Although hampered by scarcity prospective controlled studies ...

To the Editor: Bartonella quintana is a body louse–borne human pathogen that can cause trench fever, bacillary angiomatosis, endocarditis, chronic bacteremia, and chronic lymphadenopathy (1). Recently, B. quintana DNA was detected in lice collected from the heads of poor and homeless persons from the United States, Nepal, Senegal, Ethiopia, and the Democratic Republic of the Congo and in nits i...

Amphimerus spp. flukes are known to infect mammals, but human infections have not been confirmed. Microscopy of fecal samples from 397 persons from Ecuador revealed Opisthorchiidae eggs in 71 (24%) persons. Light microscopy of adult worms and scanning electron microscopy of eggs were compatible with descriptions of Amphimerus spp. This pathogen was only observed in communities that consumed und...

BACKGROUND AND AIMS There have been few studies in the area of Self-Perception in transsexual persons, except for the population of transsexual adolescents. Bearing in mind its importance not only in the assessment of personality but also in predicting adaptive capacity, the goal of our research is based on the examination of Self-Perception of adult transsexual persons. METHOD The study was ...

This issue marks the fifth consecutive year that the Advisory Committee on Immunization Practices (ACIP) Adult Immunization Schedule has appeared in Annals of Internal Medicine (1). The Adult Immunization Schedule, endorsed by the American College of Physicians (ACP), applies to persons aged 19 years or older, whereas the immunization schedule for children and adolescents (2) applies to persons...

Essential tremor (ET) is one of the most prominent movement disorders in the adult population [1]. Persons with ET are typically characterized by an upper extremity action tremor which differs in origin and appearance from the resting tremor frequently observed in persons with Parkinson’s disease. However, recent research has expanded beyond tremor and upper extremity dysfunction and begun to h...

It is unknown whether a first influenza vaccination protects high-risk adults from severe morbidity and mortality during influenza epidemics. As part of the PRISMA nested case-control study, we aimed to evaluate the effectiveness of first-time and repeat influenza vaccinations in adult persons recommended for vaccination aged between 18 and 64 years during the 1999-2000 influenza A epidemic. Af...

BACKGROUND AND OBJECTIVES The auditory profile of a large number of persons with late onset auditory neuropathy spectrum disorder (ANSD) is recently described in the Indian context. The purpose of study was 1) to profile data on routine audiological parameters, cortical evoked potentials, and temporal processing, 2) to analyze the benefit from hearing aids for persons with ANSD, and 3) to under...

A random sample of 175 males convicted of sexual assault against children was screened with reference to their adult sexual orientation and the sex of their victims. The sample divided fairly evenly into two groups based on whether they were sexually fixated exclusively on children or had regressed from peer relationships. Female children were victimized nearly twice as often as male children. ...