DESCRIPTION: The following situations and conditions can contribute to or cause pain during intercourse or other forms of penetration.Perezfranklin: The canadians .soooo rudeeee:))))
Emma NOWELL: I love your videos. I'm glad I discovered it a few days ago
Maya Malchi: Wow. Guess who I'm not dating.
JohnNYgoesLA: Israeli women are hot !
L Bordeaux: First dude is 1 right, split the bill even. Make it clear right up front that you are equals and you are not an ATM.
ECEM AKAL: Oh, BTW, Yuta 3 3 3
Rusky Cabinet: He plays cs go and rushes b with his p 90
Phoebe Ingham: I love the venezuelan/colombian women
Mara Daykin: Actually, southern Europeans generally don't know what's cheesy. They got stuck in the age of Romanticism, and that's a good thing. But other Europeans, especially those from the north, are so sensitive about cheesy things that you almost can't do any romantic thing! Germans would say it's kitsch. Swedes would say it's lokig.
Nana Trevosa: Is there any other non hispanic guy here? Im from Krasnodar krai
Rajiv Ranjan: How ever who did french did not did well
Tom Moulard: Yaaaa. I definitely don't agree with this generalization
RosemaryAnna: The Greek girl and the Estonian guy are just perfect
Dennis Rodman: People can talk about what they find attractive, but when you only give them professional photos, it skews their thinking. People don't really look like this.
Monter Gum: How about English men?
Eddie Ed: Are you crazy girl? His hair is PERFECT!
Mari GalfГіn: What is that music in the background?
ISRAEL VIEIRA: What about fat guys, fat guys are invisible or not important
Ana Smirnov: I am greec ant they don do this
Ajmeena Shoeb: Im brazilian and I couldnt tell she was speaking portuguese
Theaprilthing: This is so true. German guys are so rude and enjoy saing mean things.
Gabe Stagg: Dating a dutch man is really a dream to me
Bernard Hill: That portuguese is not brazilian nor portugal portuguese wtf was that
Nahuel Witte: Do irish men or women pls !
Narkune: I want one where i can find one i like it
Zoe Jones: Given the amount of Nordic people in Russia, one wonders how frequent marriage between Russian women and conquering Germans soldiers would have been if the Germans won the war.
Alyssa Lara: Definitely the confidence goes up , especially as u excel in career
Gori Awan: Is it true that it's almost impossible to get around in LA unless you have a car? I'm female but I don't have a license and have no intention of getting one simply because I can't trust myself driving a car.
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Sexual penetration is the insertion of a body part or other object into a body orifice, such as the vagina, anus, urethra or mouth, as part of human sexual activity or animal sexual behavior. The term is most commonly used in statute law in the context of proscribing certain sexual activities. Terms such as “sexual intercourse” or. Penetrating trauma is an injury caused by a foreign object piercing the skin, which damages the underlying tissues and results in an open wound. caused to structures adjacent to the path of the bullet; Dense organs (e.g., liver, spleen) undergo more damage because they absorb more energy, resulting in greater injury. Penetrating chest trauma can injure vital organs such as the heart and lungs and can interfere with breathing and circulation. Lung injuries that can be caused by penetrating trauma include pulmonary laceration (a cut or tear) pulmonary contusion (a bruise), hemothorax (an accumulation of blood in the chest cavity outside.
Pneumothorax occurs when air enters the pleural space. Currently there is increasing incidence of road traffic accidents, increasing awareness of healthcare leading to more advanced diagnostic procedures, and increasing number of admissions in intensive care units are responsible for traumatic non iatrogenic and iatrogenic pneumothorax.
Pneumothorax has a clinical spectrum from asymptomatic patient to life-threatening situations. Diagnosis is usually made by In and out organ penetration examination and imaging techniques.
In our current work we In and out organ penetration on the treatment of penetrating trauma. The increased prevalence of penetrating chest injury and improved prehospital and perioperative care have resulted in an increasing number of critically injured, but potentially salvageable patients presenting to trauma centers 1.
Penetrating injury is usually the result of the abrupt, direct application of a mechanical force to a focal area. A knife or projectile, produces tissue damage by stretching and crushing, and injury is usually confined to tissues in the path of penetration.
The severity of the internal injury depends on the organ penetrated and on how vital the organ is. The degree of injury also depends on the bio mechanics of the penetrating projectile and includes the efficiency with which energy is transferred from the object to the body tissues.
Other factors that dictate the severity of injury include the physical characteristics of the weapon, such as its velocity, size of impact face, deformability and the density of the body tissues penetrated. The velocity of the penetrating projectile is the single most important factor that determines the severity of the wound.
The amount of tissue damage is directly related to the amount of energy exchange between the penetrating object and the body part.
The density of the tissue involved and the frontal area of the penetrating object are the important factors determining the rate of energy loss. The mechanism of injury may be categorized as low, medium, or high velocity.
Knives usually produce limited injury because they are classified as low-velocity projectiles. Medium-velocity injuries include bullet wound from most types of handguns and air-powered pellet guns, and are characterized by much less primary tissue destruction than wound caused by high-velocity forces. High-velocity injuries include bullet In and out organ penetration caused by rifles and wounds from military weapons.
Bullets causes injuries of similar severity to knife wounds and tissue damage in the path of penetrating bullet. However, bullets also produce injury in structures adjacent to the bullet path. They produce tissue cavitation and by producing shock waves, extend the area of tissue damage. This cavity collapses because of the resultant vacuum effect, then reforms and collapses several times with diminishing amplitude until all motion ceases. These missiles results in exit wounds that are substantially larger than their corresponding entrance wounds 2.
Dense organs, such as bone and liver, absorb more energy resulting in more injury. Lungs, which have a much density, absorb less energy and fortunately suffer less of an injury 3. This the low frequency of operative intervention in penetrating chest trauma. The cardinal rule of management is to leave the impaling object in situ while the patients rapidly transported to an operating theater, because it can have a tamponade-like effect on damaged vascular structures.
The object should be removed only in controlled surgical environment. As always in trauma, initial management begins with establishing ABCs. Indications for emergency endotracheal intubation include apnea, profound shock and inadequate ventilation.
Chest radiography is not indicated in patients with clinical signs of a tension pneumothorax and immediate chest decompression is accomplished with either a large-bore needle at the second intercostal space or, more definitively, with a tube thoracostomy.
Volume replenishment is the cornerstone of treating hemorrhagic shock, but can also cause significant compromise of other organs systems, such as acute respiratory distress syndrome ARDS or a tremendous increase in lung water soggy lungs and cardiac compromise 4. A large chest wall defect can result in a sucking chest wound or large open pneumothorax. This occurs when the injury consists of a chest wall defect in addition to a sizable visceral pleural injury.
A tension pneumothorax usually does not occur because there is a large chest wall defect which allow egress of air. Hypoxia and respiratory acidosis caused by hypoventilation and often asphyxiation can result if this condition is not treated. Immediate placement of a chest tube to prevent tension pneumothorax is required and to facilitate more normal pulmonary ventilation 5.
In hospital, management of a large open chest defects requires operative debridement with removal of devitalized tissue and foreign bodies, such as shotgun wadding materials and bone fragments and closure of the wound.
Sometimes, this can be accomplished by mobilizing the surrounding tissues. However, large soft tissue defects may require rotational or free musculocutaneous flaps. The pectoralis muscle, latissimus dorsi or rectus abdominis flaps can be used. The use of synthetic materials such as Marlex, Gore-Tex or methylmethacrylate may be appropriate for elective chest wall reconstruction, but their usage is not recommended after the trauma, due to the risk of infection from contaminationed injury 6.
Stab wounds of the chest can be made by the different sharp objects such as knifes, daggers, pieces In and out organ penetration glass or other metals. The shape of this wounds is not typical, due to the skin elasticity which usually shrink the entrance to the wound.
The severity of stabbing depends on the point of entry to the chest wound below the nipples in front and the inferior scapular angle at back should be considered as thoraco-abdominal wounds which organ has been injured chest wall vessels, lung, heart, great thoracic vessels, visceral pleura, oesophagus, diaphragmshape and sharpness of penetrating object and finally is penetrating object still in the chest wound or has been taken out.
In most cases, stabbing object penetrate through
In and out organ penetration chest wall hurting intercostal blood vessels and with its tip visceral pleura, contributing developing of pneumothorax
In and out organ penetration hematopneumothorax 7.
In and out organ penetration manifestation of stabbing wound is pain at the point of stabbing, irritation cough and short breath. After taking out the stabbing object from the wound, profuse bleeding is usually present and sometimes wheezing from the suction wound. Blood clot and transected tissue from the chest wall can cover the stabbing wound converting open pneumothorax to tension pneumothorax.
Bleeding from the wound is usually from the intercostal blood vessels, since they are part of systemic circulation, comparing to blood vessels from lungs which are the part of pulmonary circulation with lower pressure. Open pneumothorax can be recognized by drifting the air through the wound, synchronously with breathing and may be visibly bubbling. During inspiration, a negative intra-thoracic pressure is generated, air is entrained into the chest cavity not through the trachea but through the hole in the chest wall.
This is because the chest wall is much shorter than trachea, and hence provides less resistance to flow. Once the size of the hole is more than 0. This results in hypoxia and respiratory acidosis caused by hypoventilation and often asphyxiation can result if left The open pneumothorax can become tension if a flap has been created that allows air into the pleural cavity, but not out.
Clinically, breathing is rapid, shallow and laboured. There is reduced expansion of the hemithorax, accompanied by reduced breath sounds and an increased percussion note 9.
The definitive management of the open pneumothorax is to place an occlusive dressing over the wound,
In and out organ penetration the open pneumothorax into the closed and immediately placing the intercostal chest tube.
Rarely, if a chest tube is not available and the patient is far from a definitive care facility, a bandage may be applied over the wound and In and out organ penetration on three sides. This acts as a flap-valve to allow air to escape from the pleural cavity during expiration, but not to enter during inspiration Tension pneumothorax develops when a disruption involves visceral, parietal pleura or the tracheobronchial tree. Tension pneumothorax can occur as traumatic, spontaneus or iatrogenic etiology.
The disruption occurs when a one-way valve forms, allowing In and out organ penetration inflow into the pleural space and prohibiting air outflow.
The volume of this nonabsorbable intrapleural air increases with each inspiration. As a result, pressure rises within the affected hemithorax, causes the mediastinum shift toward the contralateral side and compresses the other lung and right atrium of the heart superior and inferior vena In and out organ penetration compromised returing the venous blood In and out organ penetration the heart-reducing pre load to the heart.
Hypoxia leads to increased pulmonary vascular resistance via vasoconstriction. If untreated, the hypoxemia, metabolic acidosis and decreased cardiac output lead to cardiac arrest and death 11 Physical examination in patient with a tension pneumothorax usually reveals severe respiratory distress, distended
In and out organ penetration veins, a hyper-expanded chest, a deviated trachea and absent breath sounds on the affected side.
The immediate release of a tension pneumothorax is best accomplished by placing a In and out organ penetration into the pleural space to allow pressure in the pleura to equilibrate with the outside air. A large-bore, sterile hypodermic needle is introduced into the second intercostal space in midclavicular line.
This relieves the compression of the underlying lung as well as the distortion of vital mediastinal structures. Release of the pressure decreases compression on the superior and inferior vena cavae and allows better venous return to the heart and immediate equilibration between the pleural space and the ambient air. Tension pneumothorax may develop insidiously, especially in patients with positive pressure ventilation.
Death typically ensues from exsanguinating hemorrhage or massive air embolism Air embolism occurs in the setting of a fistulous connection between a bronchus and a pulmonary vein.
With positive pressure ventilation or with Valsalva-type respiration, the gradient is reversed 17 - 30 and results in systemic air embolism 2831 - National Center for Biotechnology InformationU. Journal List J Thorac Dis v. Ivan Kuhajda 1 Find articles by Ivan Kuhajda. Konstantinos Zarogoulidis 2 Find articles by Konstantinos Zarogoulidis. Ioanna Kougioumtzi 3 Find articles by Ioanna Kougioumtzi. Haidong Huang 4 Find articles by Haidong Huang. Qiang Li 4 Find articles by Qiang Li.
Georgios Dryllis 5 Find articles by Georgios Dryllis. Kioumis 2 Find articles by Ioannis Kioumis.
Georgia Pitsiou 2 Find articles by Georgia Pitsiou. Nikolaos Machairiotis 6 Find articles by Nikolaos Machairiotis. Nikolaos Katsikogiannis 3 Find articles by Nikolaos Katsikogiannis.
Antonis Papaiwannou 2 Find articles by Antonis Papaiwannou. Sofia Lampaki 2 Find articles by Sofia Lampaki. Bojan Zaric 7 Find articles by In and out organ penetration Zaric. Perin Branislav 7 Find articles by Perin Branislav. Konstantinos Dervelegas 8 Find articles by Konstantinos Dervelegas.
Konstantinos Porpodis 2 Find articles by Konstantinos Porpodis. Paul Zarogoulidis 3 Find articles by Paul Zarogoulidis. Received Aug 25; Accepted Aug Copyright Pioneer Bioscience Publishing Company. This article has been cited by other articles in PMC.
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Jan 13, Author: Signs moreover symptoms of penetrating abdominal trauma depends on numerous factors, with the variety of infiltrate weapon before object, the range beginning which the injury occurred, which organs may be injured, afterwards the unearthing and edition of wounds. Close-range injuries transfer add kinetic spirit than those sustained by the side of a interval, although selection is oft difficult en route for ascertain what time assessing gunfire wounds.
A gunshot mutilate is caused by a missile propelled by burning of potency. These wounds involve fattening transfer plus, consequently, tin involve an unpredictable plan of injuries. Secondary missiles, such while bullet with bone fragments, can levy additional invoice. Stab wounds are caused by discrimination of the abdominal border by a sharp reason.
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They deliver hormones determining the physical characteristics of each gender. They including have a reproductive function. Proviso stimulated, they can provide an intense feeling of physical spice called orgasm.
The female bonking organs are positioned in the pelvis. The upper part homesteads the ovaries, small glands to facilitate produce the hormones that decide female physical characteristics and which contain eggs, or reproductive cells. Every month, the ovaries obtain turns secreting an egg.
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Break Up: How can I get back?13 Jan Secondary missiles, such as bullet and bone fragments, can inflict additional damage. Stab wounds are caused by penetration of the abdominal wall by a sharp object. This type of wound generally has a more predictable pattern of organ injury. However, occult injuries can be overlooked, resulting in. Blunt or penetrating injuries may cut or rupture abdominal organs and/or blood vessels. Blunt injury may cause blood to collect inside the structure of a solid organ (for example, the liver) or in the wall of a hollow organ (such as the small intestine). Such collections of blood are called hematomas. Uncontained bleeding into..
Penetrating trauma is an injury caused by a foreign object piercing the skin, which damages the underlying tissues and results in an open wound. The most common causes of such trauma are gunshots and stab wounds.
Clinical features differ depending on the injured parts of the body and the shape and size of the penetrating object. Any wound located anteriorly between the nipple line T4 and the groin creases, and posteriorly between T4 and the curves of the iliac crests is considered a potential penetrating abdominal injury!
In cases of gunshot wounds, an entry wound in almost any part of the body can result in a penetrating abdominal injury , depending on the path the bullet may have taken through the body. This makes a comprehensive clinical and imaging-based assessment vital!
Patients without evidence of peritonitis , evisceration , and hemodynamic instability may undergo CT prior to surgical intervention! Penetrating objects often tamponade the wound and should be removed only in a setting where definitive care is possible! Consider concomitant intra-abdominal injuries in cases of injury either below the nipples or the inferior scapular angle!
Any knife or similar tool used to cause a stab wound must remain in situ until intraoperative removal is possible. A hemothorax , however small, must always be drained because blood in the pleural cavity will clot if not evacuated, resulting in a trapped lung or an empyema. Does not provide clues regarding target distance.
25 Aug should be considered as thoraco-abdominal wounds) which organ has been injured (chest wall vessels, lung, heart, great thoracic vessels, visceral pleura, oesophagus, diaphragm), shape and sharpness of penetrating object and finally is penetrating object still in the chest wound or has been taken out. 15 Oct Yet sometimes discomfort or pain during sexual intercourse or penetration may occur, even when it seems like your body is ready. If penetration is at all painful during sex, find out what the cause is and what can be done about it. A gynecologist can help to determine if there's an underlying physical cause. 2 Sep Learn more about Tantra for Men and pleasing your woman in bed here: http:// receptite.info There is an art and craft to the act of sexual pen.