The declines may be due to targeted HIV prevention efforts.
However, the sensations in both sexes are extremely pleasurable and are often felt throughout the body, causing a mental state that is often described as transcendental, and with vasocongestion and associated pleasure comparable to that of a full-contractionary orgasm.
For example, modern findings support Hiv case study answers between ejaculation and male orgasm. Orgasm may also be achieved by the use of a sex toysuch as a sensual vibrator or an erotic electrostimulation.
It can additionally be achieved by stimulation of the nipples or other erogenous zonesthough this is rarer. Orgasm by psychological stimulation alone was first reported among people who had spinal cord injury. Scientific literature focuses on the psychology of female orgasm significantly more than it does on the psychology of male orgasm, which "appears to reflect the assumption that female orgasm is psychologically more complex than male orgasm," but "the limited empirical evidence available suggests that male and female orgasm may bear more similarities than differences.
In one controlled study by Vance and Wagnerindependent raters could not differentiate written descriptions of male versus female orgasm experiences". Masters and Johnson argued that, in the first stage, "accessory organs contract and the male can feel the ejaculation coming; two to three seconds later the ejaculation occurs, which the man cannot constrain, delay, or in any way control" and that, in the second stage, "the male feels pleasurable contractions during ejaculation, reporting greater pleasure tied to a greater volume of ejaculate".
Masters and Johnson equated male orgasm and ejaculation and maintained the necessity for a refractory period between orgasms. In contrast to the two-stage model of male orgasm, Kahn equalized orgasm and ejaculation and stated that several orgasms can occur and that "indeed, some men are capable of following [an orgasm] up with a third and a fourth" orgasm.
Anecdotal reports on cabergoline suggest it may be able to eliminate the refractory period altogether, allowing men to experience multiple ejaculatory orgasms in rapid succession. At least one scientific study supports these claims,  although cabergoline is a hormone-altering drug and has many potential side effects.
It has not been approved for treating sexual dysfunction. It is believed that the amount by which oxytocin is increased may affect the length of each refractory period. A scientific study to successfully document natural, fully ejaculatory, multiple orgasms in an adult man was conducted at Rutgers University in During the study, six fully ejaculatory orgasms were experienced in 36 minutes, with no apparent refractory period.
InFreud stated that clitoral orgasms are purely an adolescent phenomenon and that upon reaching puberty, the proper response of mature women is a change-over to vaginal orgasms, meaning orgasms without any clitoral stimulation.
While Freud provided no evidence for this basic assumption, the consequences of this theory were considerable. Many women felt inadequate when they could not achieve orgasm via vaginal intercourse alone, involving little or no clitoral stimulation, as Freud's theory made penile-vaginal intercourse the central component to women's sexual satisfaction.
Case study: South Africa Karin Weyer a. For the past decade, a concerted effort to reform TB control in South Africa has resulted in changes in case-finding and treatment policies, standardization of recording and reporting systems, and monitoring of the performance of control programmes using pre-defined indicators; these changes were all made in line with the internationally recommended DOTS. Learn HESI case study HIV with free interactive flashcards. Choose from different sets of HESI case study HIV flashcards on Quizlet. EIS Case Studies: Student Guides and Details. An Epidemic of Thyrotoxicosis. Screening for Antibody to the Human Immunodeficiency Virus. Case study of a hypothetical health department anticipating the release of the first HIV antibody test in Focus is on screening. Updated in Learning Objectives.
He "concluded that satisfaction from penile penetration [is] mainly psychological or perhaps the result of referred sensation". In addition to observing that the majority of their female subjects could only have clitoral orgasms, they found that both clitoral and vaginal orgasms had the same stages of physical response.
On this basis, they argued that clitoral stimulation is the source of both kinds of orgasms,   reasoning that the clitoris is stimulated during penetration by friction against its hood; their notion that this provides the clitoris with sufficient sexual stimulation has been criticized by researchers such as Elisabeth Lloyd.
Having used MRI technology which enabled her to note a direct relationship between the legs or roots of the clitoris and the erectile tissue of the "clitoral bulbs" and corpora, and the distal urethra and vagina, she stated that the vaginal wall is the clitoris; that lifting the skin off the vagina on the side walls reveals the bulbs of the clitoris—triangular, crescental masses of erectile tissue.
Inthey published the first complete 3D sonography of the stimulated clitoris, and republished it in with new research, demonstrating the ways in which erectile tissue of the clitoris engorges and surrounds the vagina, arguing that women may be able to achieve vaginal orgasm via stimulation of the G-spot because the highly innervated clitoris is pulled closely to the anterior wall of the vagina when the woman is sexually aroused and during vaginal penetration.
They assert that since the front wall of the vagina is inextricably linked with the internal parts of the clitoris, stimulating the vagina without activating the clitoris may be next to impossible.
It's a region, it's a convergence of many different structures. Because women reach orgasm through intercourse less consistently than men, they are more likely than men to have faked an orgasm ".
Data was analyzed from the Australian Study of Health and Relationships, a national telephone survey of sexual behavior and attitudes and sexual health knowledge carried out in —, with a representative sample of 19, Australians aged 16 to Generally, the more practices engaged in, the higher a woman's chance of having an orgasm.
Women were more likely to reach orgasm in encounters including cunnilingus". Pegging and prostate massage In both sexes, pleasure can be derived from the nerve endings around the anus and the anus itself, such as during anal sex.Data & Statistics.
Tuberculosis Cases and Case Rates, Surveillance Summaries, Trends in TB (Fact Sheet), Interactive TB Data Tool (OTIS), NCHHSTP Atlas, National TB Indicators. EIS Case Studies: Student Guides and Details.
An Epidemic of Thyrotoxicosis. Screening for Antibody to the Human Immunodeficiency Virus. Case study of a hypothetical health department anticipating the release of the first HIV antibody test in Focus is on screening.
Updated in Learning Objectives. Various fringe theories have arisen to speculate about purported alternative origins for the human immunodeficiency virus (HIV) and the acquired immunodeficiency syndrome (AIDS), with claims ranging from it being due to accidental exposure to supposedly purposeful acts.
Several inquiries and investigations have been carried out as a result, and each of these theories have consequently been.
Start studying HESI Case Study: HIV & TB. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Learn HESI case study HIV with free interactive flashcards.
Choose from different sets of HESI case study HIV flashcards on Quizlet. Orgasm (from Greek ὀργασμός orgasmos "excitement, swelling"; also sexual climax) is the sudden discharge of accumulated sexual excitement during the sexual response cycle, resulting in rhythmic muscular contractions in the pelvic region characterized by sexual pleasure.
Experienced by males and females, orgasms are controlled by the involuntary or autonomic nervous system.