BACKGROUND Multiple methods are employed for modeling adaptation when projecting the impact of climate change on heat-related mortality. The sensitivity of impacts to each is unknown because they have never been systematically compared. In addition, little is known about the relative sensitivity of impacts to "adaptation uncertainty" (i.e., the inclusion/exclusion of adaptation modeling) relati...

We evaluate the effects of climate change on Vietnam’s rice market. Results suggest that under a low-emission scenario and without interventions, rice production would drop by as much as 18% by 2030 relative to the 1980–1999 average. Farm and wholesale prices would increase by 1.86%, causing domestic demand to fall by 0.38%. The export sector would experience a rise of 6.94% in export free-on-b...

OBJECTIVE To identify the strengths and weaknesses of Spanish healthcare protocols for transsexual persons and to compare them to current international protocols. To review the current status as regards transsexuality etiology and prevalence. To suggest measures to optimize care to achieve a significant improvement, including options for saving financial resources. METHODS A comparison of the...

We report on 2 patients, one female and one male transsexual; in both, Type III stress urinary incontinence developed after gender reassignment surgery. Both patients were treated by periurethral injection of gluteraldehyde cross-linked collagen resulting in a marked symptomatic improvement in association with a significant rise in abdominal leak point pressures. We believe these are the first ...

BACKGROUND Climate change is anticipated to influence heat-related mortality in the future. However, estimates of excess mortality attributable to future heat waves are subject to large uncertainties and have not been projected under the latest greenhouse gas emission scenarios. OBJECTIVES We estimated future heat wave mortality in the eastern United States (approximately 1,700 counties) unde...

OBJECTIVES In the context of mainly gastrointestinal cancer surgery, the study examines the course of spousal support in 173 dyads over half a year to illuminate the function of gender in support transactions. METHOD Provided and received emotional support were assessed in 108 male patient/female partner couples and 65 female patient/male partner couples. Using the Berlin Social Support Scale...

After participating in a 4-wk intervention that reduced normal usage of the elbow flexor muscles, all six women, but only one of six men, experienced a marked increase in the endurance time during a low-force fatiguing contraction. The increase in endurance time was associated with an altered pattern of muscle activation that did not involve the commonly observed progressive increase in muscle ...

PURPOSE: Gender dysphoria is estimated to occur in up to 0.9% of the United States population. With increasing awareness and decreasing stigma surrounding transgender issues, it is predicted more patients will begin to seek medical and surgical transition. We sought to characterize transgender-related educational content provided in United States plastic and urologic surgery residencies, predic...

During the most recent years, a variety of new techniques of penile reconstruction have been described in the literature. This paper focuses on the most recent advances in male genital reconstruction after trauma, excision of benign and malignant disease, in gender reassignment surgery and aphallia with emphasis on surgical technique, cosmetic and functional outcome.

Gender identity and gender role are expected to be consistent with gender assignment for optimal DSD management outcome. To our knowledge, our study is the first to attempt evaluation of gender related outcomes in Turkish DSD patients. After receiving institutional ethical board approval and subject (or parent) informed consent, subjects with DSD raised as girls (22 patients 46 XX DSD, 11 patie...