Lived experiences of transgender forced migrants and their mental health outcomes: systematic review and meta-ethnography.

BACKGROUND: Owing to multiple, complex and intersecting health inequities, systemic oppression and violence and discrimination in their home countries, some transgender people are forced to migrate to countries that offer them better legal protection and wider social acceptance. AIMS: This review sought to explore and understand the multiple factors that shape the mental health outcomes of transgender forced migrants (TFMs). METHOD: We systematically searched nine electronic databases for multidisciplinary literature (PROSPERO ID: CRD42020183062). We used a meta-ethnographic approach to synthesise data. We completed a quality appraisal and developed a socio-ecological model to draw together our findings. RESULTS: We retrieved 3399 records and screened titles, abstracts and full text to include 24 qualitative studies in this review. The synthesis identified individual survival strategies and factors in interpersonal, organisational and societal environments that contributed to profound deprivation and mental distress in TFMs. Pervasive and persistent violence and discrimination, economic exclusion, barriers to healthcare and a dependency on legal documentation were identified as key factors leading to poor mental health outcomes. Sources of resilience included community acceptance and support, being granted asylum, societal affirmation of gender, fulfilment of basic rights and healthcare access. Individual strategies for survival, such as hope and having purpose in life, were important in bringing relief from distress. CONCLUSIONS: Improved communication and knowledge about the unique needs and concerns of TFMs through interventions at the individual, interpersonal, organisational and societal levels are necessary to improve mental health outcomes

Tratamiento quirúrgico de linfedema peneano secundario a hidrosadenitis supurativa

Penoscrotal lymphedema is a rare disease in the developed countries, although it is relatively frequent in tropical countries. The most common cause is filariasis, although in our practice usually is associate to neoplasic and inflammatory processes, surgery, radiotherapy, hidroelectrolitic disbalances and idiopathic. We present a 22 years old patient with penoscrotal lymphedema due to hidradenitis suppurativa. After unsuccessful medical treatment, was performed a total excision of the penile skin and subcutaneous tissue to Buck's fascia. Split thickness skin grafts were used to cover the defect. Even medical management of penoscrotal lymphedema is not effective for most patients, surgery is a safe and effective procedure that gives excellent functional and cosmetic results

Candesartan but not erythropoietin restores pressure- induced vasodilation during severe diabetic neuropathy in mice

with the participation of The Australian Wound Management Association, The Japanese Society for Wound Healing, and the Australasian Wound and Tissue Repair SocietyInternational audienc

Tratamiento quirúrgico de linfedema peneano secundario a hidrosadenitis supurativa

Penoscrotal lymphedema is a rare disease in the developed countries, although it is relatively frequent in tropical countries. The most common cause is filariasis, although in our practice usually is associate to neoplasic and inflammatory processes, surgery, radiotherapy, hidroelectrolitic disbalances and idiopathic. We present a 22 years old patient with penoscrotal lymphedema due to hidradenitis suppurativa. After unsuccessful medical treatment, was performed a total excision of the penile skin and subcutaneous tissue to Buck's fascia. Split thickness skin grafts were used to cover the defect. Even medical management of penoscrotal lymphedema is not effective for most patients, surgery is a safe and effective procedure that gives excellent functional and cosmetic results

Livelihood trade-offs in the commercialisation of multiple-use NTFP: lessons from marula (Sclerocarya birrea subsp. caffra) in southern Africa

Commercialisation of non-timber forest products (NTFP), apart from the multitude of benefits, is often associated with trade-offs in terms of traditional and cultural livelihoods. This paper presents a holistic assessment of livelihood trade-offs involved in commercialisation of marula (Sclerocarya birrea subsp. caffra), a multiple-use NTFP species in southern Africa. The study was conducted at two sites in South Africa (Bushbuckridge district and Ubombo district) and one in Namibia (former Ovamboland). Some of the key features of the study include the household use and trade in marula products, the biological aspects of the marula resources, marketing and trade of the species and policies associated with its utilisation. The paper also highlights the important and diverse role that marula has in local livelihoods and in contributing to the forms of livelihood capital like human, social, financial, natural and physical capital. Likely trade-offs in terms of livelihoods with increasing commercialisation of marula are discussed, along with potential threats and opportunities from commercialisation