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It is not sufficient to rely on the nail alone to make Nail Soup." In the morning he went on his way, refreshed after a night in a comfortable bed, minus the nail, with some gold coins in his pocket and the thanks of the family ringing in his ears for the wonderful nail that made such delicious Nail Soup.
With those precautions, the correlation between circumcision status and HIV acquisition fell to 1.5 (20% of circumcised men had HIV, vs 30% of intact).
With "adequate" genital hygiene, the rate among the intact fell to 26%.
So circumcising insertive men could readily increase HIV transmission to their partners.
Yet already this study is being touted as a reason for gay men to get circumcised.] Studies that claim to find a correlation between intactness and HIV transmission are not uncommonly misreported in a way that plays up the "protective effect".
We have shown for the first time that [men who have sex with men] who predominantly take on the insertive role in sex are less likely to contract HIV if theyve been circumcised, said Dr.
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David Templeton from the National Center for HIV Epidemiology and Clinical Research in Sydney.The circumcised men were more likely to be married and to have more than one wife, less likely to have ever been with a sex worker, or with more than three sex workers.(Equal proportions of both groups, 10-11%, had been with one or two sex workers.) These factors could well account for the difference. The authors maintain that "because participants did not know their HIV-1 status at the time of our visit, bias from this source would seem unlikely." But many would know their HIV-1 status because of AIDS symptoms. There are thus unknown ways in which men might non-randomly "include themselves out".That's pathetically few to be drawing any statistical conclusions from, and then only of correlation, not causation.Were any of these men circumcised for religious reasons?It is hard to escape the conclusion that this line was written before the study began.National Prevention Information Network September 17, 2008 Findings reported at the Australasian Sexual Health Conference 2008 shed new light on male circumcisions role in preventing HIV infection.is usually pitched directly to the media, circumventing the normal process of scientific review and debate. The result is that a disproportionate share of the science seen by the public is flawed. circumcision must be combined with other techniques of HIV prevention, such as safe sex and voluntary testing.It is not sufficient to rely on circumcision alone to prevent HIV transmission." - Ira Sharlip, MD, a specialist in sexual medicine at Pan Pacific Urology in San Francisco A traveller came to a farmhouse and offered to make the occupants Nail Soup in return for a night's shelter. But he said - "A nail must be combined with other soup ingredients, such as onions, carrots, meat and seasonings.(The Roman senator Cato was in the habit of ending every speech on any subject with those words - it helped that "must be destroyed" was a single splendid Latin word, "delenda".Eventually the Senate agreed to destroy Carthage, with disastrous consequences for Rome.) Recently, several studies have been published, most from Africa, one from India, claiming to show a link between having an intact penis and a higher risk of HIV infection.