1596 www.thelancet.com Vol 374 November 7, 2009 direct engagement with countries, and weak design and assessment mechanisms. GAVI relies on in-country WHO and UNICEF staff , both better versed in immunisation than in health systems, and the Global Fund relies on country coordinating mechanisms whose members have disease-specifi c interests, mostly HIV. Both use panels in Geneva—the Independent ...

purpose : ophthalmoplegia makes many physicians to refer the patients to neurologists and/or ophthalmologists for neuro-ophthalmic evaluation. ophthalmoplegia has different etiologies some of which may be very harmful and need urgent intervention. prevalence of the disease is not obvious. this study is designed to evaluate the various etiologies and their prevalence in this disorder. methods : ...

Background: Herpes Simplex Virus type 2 (HSV-2) infection can caused genital herpes with a high recurrence rate. Recurrent affects patients' quality of life and needs rapid treatment.
 Case presentation: This study reported 34 years old male recurrent herpes. The patient developed painful vesicles in the area, which turned into an ulcer. History gonorrhoea urethritis were had been treated....

OBJECTIVES To evaluate the treatment of Peyronie's disease (PD) with verapamil and dexamethasone iontophoresis. METHODS Twenty nine patients with PD were treated by means of a Miniphysionize" dispositive 3 sessions a week during 4 consecutive weeks. 5mL of a combination of verapamil(10mg.) and dexamethasone (4mg.) were transdermally administered with a 2.5 mA current during 20 min. The aim ...

PURPOSE With the continuous spread of the AIDS virus and other sexually transmitted diseases (STDs) throughout Asia, it has become imperative for HIV/AIDS prevention outreach programs to stress the need for using prophylactics as one form of protection. This is particularly true for commercial sex workers. This pilot study was conducted to investigate the rate of condom use among the commercial...

A 33-year-old male presented to the Emergency Department (ED) with a chief complaint of a painful penis. The patient had been having intercourse with his wife approximately six hours earlier when he felt a bending of his penis, heard an audible “snap,” followed by abrupt pain. The patient was in moderate pain in the ED and was treated with parenteral analgesia. Physical findings were notable fo...

The relationship between sexual arousal and sensory perception has been a topic largely neglected within the realm of human sexuality research. The present study assessed the influence of sexual arousal on genital and non-genital sensation in women. It also examined the theory that painful intercourse is associated with insufficient sexual arousal. A total of 20 healthy women and 20 women with ...