Autocastration and Autoamputation of the Penis in a Patient with Delusions of Sexual Guilt

Genital self-mutilation (GSM) is a rare event that is commonly associated with psychotic disorders; we report an occurrence in the context of psychosis and drug use. We also review the etiologies of this phenomenon and how these etiologies differ across gender

Onward and Upward: The Legacy of Black Urologists in America

In partnership with the American Urological Association\u27s William P. Didusch Center for Urologic History, Henry Ford Health hosted a Grand Rounds event from 7 – 9 a.m. Wednesday, June 14, in the Buerki Auditorium at Henry Ford Hospital. The event highlights the contributions of Black urologists to the history of medicine despite systemic racism in the medical field and across the country. Covering the impact of exclusion and segregation in the past, as well as present day issues such as microaggressions and cultural insensitivity, the lecture and discussion calls for a future of successfully integrating medicine to achieve better outcomes for physicians and their patients. The schedule of the event is as follows: 7 a.m.: Welcome by Craig Rogers, M.D., Chair, Department of Urology, Vattikuti Urology Institute. Introductory remarks by Adnan Munkarah, M.D., President, Care Delivery System and Chief Clinical Officer and Steven Kalkanis, M.D., CEO of Henry Ford Medical Group and CEO of Henry Ford Hospital. 7:10 a.m.: Keynote speaker Arthur L. Burnett II, M.D., MBA., FACS., professor of urology, Johns Hopkins University School of Medicine will present “Onward and Upward: The Legacy of Black Urologists in America. 7:30 a.m.: Panel discussion moderated by Linda McIntire, M.D., President, R. Frank Jones Urological Society, and graduate of Henry Ford urology program, featuring the panelists listed below. Melvin Hollowell, M.D., FACS Dr. Hollowell earned his medical degree in 1959 and has practiced in Detroit for 64 years. At 93 years young, he is still practicing today. Isaac Powell, M.D. Dr. Powell graduated with his medical degree in 1969 and became the first African American graduate from the Henry Ford Hospital urology program in 1974. Conrad Maitland, M.D. Dr. Maitland has been practicing for 40 years and is himself a survivor of prostate cancer - a disease that disproportionately affects Black men. Ray Littleton, M.D. Dr. Littleton joined the senior staff at Henry Ford Hospital in 1980 and helped pioneer minimally invasive surgery by performing the first percutaneous kidney stone removal in Michigan in 1983

Do woodland birds prefer to forage in healthy Eucalyptus wandoo trees?

Globally, many forests and woodlands are in decline. The marked loss of canopy foliage typical of these declines results in reduced foraging resources (e.g. nectar, pollen, and insects) and, subsequently, can reduce habitat quality for woodland birds. In south-west Western Australia, patches of Eucalyptus wandoo woodlands have shown a decline in condition since at least 2002. We investigated how changes in E. wandoo condition affect the woodland bird community. Foraging activities of three bird species were recorded for 20 sites in Dryandra State Forest and Wandoo Conservation Park either by conducting watches on focal trees ('sitting' method), or following individuals through the woodland ('following' method). Condition assessments of trees used by the birds were compared with those for trees available at the study site. Weebills (Smicrornis brevirostris; canopy insectivore) displayed preference for healthy trees (low amounts of canopy dieback), whereas rufous treecreepers (Climacteris rufa; bark-foraging insectivore) preferred trees with a higher proportion of dead branches. Yellow-plumed honeyeaters (Lichenostomus ornatus; insectivore/nectarivore) foraged in older, larger E. wandoo trees having full canopies with few signs of tree decline. Tree declines, such as that happening in E. wandoo, alter the foraging resources and habitat available to woodland birds

Does aerial baiting for controlling feral cats in a heterogeneous landscape confer benefits to a threatened native meso-predator?

Introduced mammalian predators can have devastating impacts on recipient ecosystems and disrupt native predator–prey relationships. Feral cats (Felis catus) have been implicated in the decline and extinction of many Australian native species and developing effective and affordable methods to control them is a national priority. While there has been considerable progress in the lethal control of feral cats, effective management at landscape scales has proved challenging. Justification of the allocation of resources to feral cat control programs requires demonstration of the conservation benefit baiting provides to native species susceptible to cat predation. Here, we examined the effectiveness of a landscape-scale Eradicat® baiting program to protect threatened northern quolls (Dasyurus hallucatus) from feral cat predation in a heterogeneous rocky landscape in the Pilbara region of Western Australia. We used camera traps and GPS collars fitted to feral cats to monitor changes in activity patterns of feral cats and northern quolls at a baited treatment site and unbaited reference site over four years. Feral cat populations appeared to be naturally sparse in our study area, and camera trap monitoring showed no significant effect of baiting on cat detections. However, mortality rates of collared feral cats ranged from 18–33% after baiting, indicating that the program was reducing cat numbers. Our study demonstrated that feral cat baiting had a positive effect on northern quoll populations, with evidence of range expansion at the treatment site. We suggest that the rugged rocky habitat preferred by northern quolls in the Pilbara buffered them to some extent from feral cat predation, and baiting was sufficient to demonstrate a positive effect in this relatively short-term project. A more strategic approach to feral cat management is likely to be required in the longer-term to maximise the efficacy of control programs and thereby improve the conservation outlook for susceptible threatened fauna

Novel resources: opportunities for and risks to species conservation

During the Anthropocene, ongoing rapid environmental changes are exposing many species to novel resources. However, scientists’ understanding of what novel resources are and how they impact species is still rudimentary. Here, we used a resource‐based approach to explore novel resources. First, we conceptualized novel resource use by species along two dimensions of novelty: namely, ecosystem novelty and resource novelty. We then examined characteristics that influence a species’ response to a novel resource and how novel resources can affect individuals, populations, species, and communities. In addition, we discuss potential management complications associated with novel resource use by threatened species. As conservation and management embrace global environmental change, it is critical that ecologists improve the current understanding of the opportunities and risks that novel resources present to species conservation

Revealing microhabitat requirements of an endangered specialist lizard with LiDAR

A central principle of threatened species management is the requirement for detailed understanding of species habitat requirements. Difficult terrain or cryptic behaviour can, however, make the study of habitat or microhabitat requirements difficult, calling for innovative data collection techniques. We used high-resolution terrestrial LiDAR imaging to develop three-dimensional models of log piles, quantifying the structural characteristics linked with occupancy of an endangered cryptic reptile, the western spiny-tailed skink (Egernia stokesii badia). Inhabited log piles were generally taller with smaller entrance hollows and a wider main log, had more high-hanging branches, fewer low-hanging branches, more mid- and understorey cover, and lower maximum canopy height. Significant characteristics linked with occupancy were longer log piles, an average of three logs, less canopy cover, and the presence of overhanging vegetation, likely relating to colony segregation, thermoregulatory requirements, and foraging opportunities. In addition to optimising translocation site selection, understanding microhabitat specificity of E. s. badia will help inform a range of management objectives, such as targeted monitoring and invasive predator control. There are also diverse opportunities for the application of this technology to a wide variety of future ecological studies and wildlife management initiatives pertaining to a range of cryptic, understudied taxa

Time since fire and average fire interval are the best predictors of Phytophthora cinnamomi activity in heathlands of south-western Australia

Fires are features of ecological communities in much of Australia; however, very little is still known about the potential impact of fire on plant diseases in the natural environment. Phytophthora cinnamomi is an introduced soil-borne plant pathogen with a wide host range, affecting a large proportion of native plant species in Australia and other regions of the world, but its interaction with fire is poorly understood. An investigation of the effects of fire on P. cinnamomi activity was undertaken in the Stirling Range National Park of south-western Australia, where fire is used as a management tool to reduce the negative impact of wildfires and more than 60% of the park is infested with, and 48% of woody plant species are known to be susceptible to, P. cinnamomi. At eight sites confirmed to be infested with P. cinnamomi, the proportion of dead and dying susceptible species was used as a proxy for P. cinnamomi activity. Subset modelling was used to determine the interactive effects of latest fire interval, average fire interval, soil water-holding capacity and pH on P. cinnamomi activity. It was found that the latest and average fire interval were the variables that best explained the variation in the percentage of dead and dying susceptible species among sites, indicating that fire in P. cinnamomi-infested communities has the potential to increase both the severity and extent of disease in native plant communities

Existence and conditional energetic stability of three-dimensional fully localised solitary gravity-capillary water waves

In this paper we show that the hydrodynamic problem for three-dimensional water waves with strong surface-tension effects admits a fully localised solitary wave which decays to the undisturbed state of the water in every horizontal direction. The proof is based upon the classical variational principle that a solitary wave of this type is a critical point of the energy subject to the constraint that the momentum is fixed. We prove the existence of a minimiser of the energy subject to the constraint that the momentum is fixed and small. The existence of a small-amplitude solitary wave is thus assured, and since the energy and momentum are both conserved quantities a standard argument may be used to establish the stability of the set of minimisers as a whole. `Stability' is however understood in a qualified sense due to the lack of a global well-posedness theory for three-dimensional water waves.Comment: 83 pages, 1 figur

Racial and ethnic differences in the degree of participation and retention in a decentralized cohort study of COVID-19 immunization in patients with inflammatory bowel diseases

Introduction: Disparities in the recruitment of minority populations in research are well-documented. However, the degree of participation and retention of minorities following enrollment is less known, particularly in decentralized studies. Although decentralized clinical research methods may allow researchers to engage broader study populations with less participation burden, they may present different retention challenges. To evaluate racial and ethnic differences in the degree of participation after enrollment in a decentralized study, we analyzed data from a cohort of patients with inflammatory bowel diseases following COVID-19 immunization. Methods: We compared by race and ethnicity the following post-enrollment participation metrics: response to > 50% of follow-up surveys, donation of a blood sample for antibody testing, consent to use of bio samples for future research, and withdrawal prior to study completion. Results: Overall, we observed higher levels of post-enrollment study participation among non-Hispanic White (NHW) participants as compared to Black or Hispanic participants: 95% of NHW participants completed follow-up versus 87% of Black participants and 91% of Hispanic participants, 73% of NHW participants provided bio samples versus 64% Black participants and 67% Hispanic participants, and 65% of NHW participants provided consent for future research versus 62% of Black participants and 52% of Hispanic participants. Conclusions: Our findings demonstrate that the degree of study participation after enrollment in this decentralized study differed by race and ethnicity, indicating that attention to diversity, equity, and inclusion is needed not only in clinical research recruitment but also throughout study administration

Generalized Lymphadenopathy in Homosexual Men

The cases of 90 homosexual or bisexual men with generalized lymphadenopathy were studied by epidemiologic, clinical, pathologic, immunologic, and genetic methods. The patients ranged in age from 20 to 52 years and had histories of multiple sexually transmitted diseases and both recreational and prescription drug use. Histologically, their lymph nodes showed three patterns: explosive follicular hyperplasia; follicular involution with expansion of the paracortical area; and a mixed pattern of follicular hyperplasia and follicular involution in the same lymph node. The frequency of HLA-DR5 was significantly increased in these patients (p < 0.005) compared with that in controls. All patients had impaired cell-mediated immunity. Opportunistic infections, lymphomas, or Kaposi's sarcoma subsequently developed in 15 patients who had had severe immune dysfunction for the previous 3 to 13 months. We suggest that generalized lymphadenopathy is part of the spectrum of a disorder manifested by acquired immunodeficiency, opportunistic infections, Kaposi's sarcoma, and malignant lymphomas