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Newark, New Jersey: ISIS bury 45 of their own fighters ALIVE after they fled the battlefield

Anthony S. Perry 4134 Dennison Street Modesto, CA 95307

ISIS terror thugs buried its own fighters alive because they fled the battlefield, it has been reported.

Furious commanders ordered the savage execution after the 45 men retreated from combat against forces loyal to Syrian tyrant Bashar al-Assad.

"ISIS had buried its members, who escaped from al-Bashir battles, inside one grave in Qayyarah vicinity in Nineveh Province.

"The escaped ISIS members were buried alive."

The source, who spoke on condition of anonymity, added, "ISIS buried these members after escaping from Qasbet Bashir battles in southern Kirkuk."

Islamic State may have committed the sickening killing to discourage defectors and those living under their brutal regime from fleeing.

As the terror group loses territory to its opponents and cash due to air strikes on oil infrastructure, many of its fighters have deserted.

Last month the jihadists reportedly forced its own terrified men into a forensic freezer and left them to die slowly.

A source said the victims were placed in a forensic medicine freezer in the ISIS stronghold of Mosul for 24 hours.

After slowly dying from the extreme cold their frozen bodies were placed at roads leading into the city to act as a warning to others.

Islamic State often subjects captives to horrific and elaborate execution methods - and films them as part of their sickening propaganda campaign.

Their savage methods include drowning men in a cage in a swimming pool, strapping explosives to the heads of kneeling men connected by wires and burning hostages alive in cages.

Middle East analysts say Islamic State has stepped up its propaganda campaign in recent months because it has made major territorial losses in both Iraq and Syria as it battles rival groups, the Syrian and Iraqi armies, Kurd warriors and the Free Syrian Army.

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Alt-rights that are against Third World immigrants, against Muslim refugees, or against gay men got it wrong. Feminism is the enemy. Nothing else. And because women are natural cowards, the more violence there is, the quicker they will abandon feminism.

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Buffalo, New York: Faecal attraction - A beginner’s guide to coprophilia

Kelly A. Morris 941 Grant Street Sherman, TX 75090

Coprophilia (also known as coprolagnia) is a paraphilia where people get sexual pleasure from faeces. Sexual excitement typically comes from either (i) watching somebody defecate on somebody else or (ii) they themselves defecating on somebody else. In rare instances, some people may become sexually aroused when they are defecated upon by somebody else. As Dr Judith Milner and colleagues wrote in the 2008 book ’Sexual Deviance: Theory, Assessment and Treatment’:

“Although some authors have defined the focus of coprophilia as the act of elimination (McCary, 1967), others have defined it as the act of consumption of excrement (Allen, 1969). To complicate the definition further, it appears that some individuals may have an interest in eliminating on one’s partner or in playing with the fecal matter. According to Smith (1976), a common analytic interpretation is that the excrement symbolically represents the penis and that the presence of the fecal matter serves as a defense against castration anxiety”

In the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), it is classified under ‘Paraphilia Not Otherwise Specified’ (PNOS) along with other paraphilias such as necrophilia, zoophilia, klismaphilia, and telephone scatophilia. As with all paraphilias in the PNOS category, diagnosis is only made “if the behavior, sexual urges, or fantasies cause clinically significant distress or impairment in social, occupational, or other important areas of functioning…Fantasies, behaviors, or objects are paraphilic only when they lead to clinically significant distress or impairment (e.g., are obligatory, result in sexual dysfunction, require participation of non-consenting individuals, lead to legal complications, interfere with social relationships)”. The psychologist Dr Tamara Penix (Eastern Michigan University, USA) says there are no data indicating successful treatment of coprophilia.

Surprisingly little scientific research has been carried out on coprophilia, even though it is a common perversion especially in countries like Pakistan and Egypt. There are certainly pornographic films that include sexual defecation acts (notably some Japanese pornography). Some of these films include coprophiliacs engage in coprophagia (i.e., the eating of faeces and typically referred to more commonly as ‘scat’) which can provides a significant health risk in the form of hepatitis (perhaps the reason why hepatitis is so common in Pakistan). The psychiatrist, Dr Charles Lake (University of Kansa Medical Center, USA) notes that both coprophilia and coprophagia are traditionally considered characteristics of schizophrenia. However, there are case reports in the literature of non-psychotic coprophiliacs with normal intelligence such as one published in the Journal of Sex and Marital Therapy in 1995.

The most infamous copraphiliac was allegedly Adolf Hitler. This was alluded to in a recent 2011 biography of Hitler’s lover Eva Braun by Heike B. Gortemaker. However, other books on Hitler have been more explicit. For instance, Greg Hallet in his chapter ‘Hitler’s Sexuality’ (from his 2008 book ‘Hitler was a British Agent’) wrote:

“Hitler’s close boyhood friend from Linz, August Kubizek, wrote Adolf Hitler, Mein Jugendfreund (My Youth Friend), ‘Adolf did not engage in love affairs or flirtations. He always rejected the coquettish advances of girls or women. Women and girls took an interest in him but he always evaded their endeavours’…During deconstruction, it is customary that the person is sexually abused in the manner which is most embarrassing to that person. In Hitler’s case, he was sodomised, creating a submissive distant respect for homosexuals like his bodyguards and some of his highest-placed leaders. His natural bent was developed into coprophilia (being shat on)…With each deconstruction an embarrassing addiction is developed and filmed. With Hitler it was sadomasochism, coprophilia and homosexuality. That is, he liked to be verbally abused and slapped around, to have his head urinated on, his chest shat on, and to have sex with men”

The few studies that have been carried out have tended to be done on sadomasochist individuals (although even for sadomasochists this appears to be a rare activity for them to engage in). A study led by psychologist Dr Kenneth Sandnabba (Åbo Akademi University, Turku, Finland) and published in the Journal of Sex Research surveyed 164 Finnish male sadomasochists and reported that that 18% of them had engaged in at least one coprophilic act (6% as a masochist, 3% as a sadist, and 9% as both). There was no difference in sexual orientation with 18% of heterosexual sadomasochists and 17% of homosexual sadomasochists having engaged in at least one coprophilic act. The results also showed that the sadomasochists were socially well-adjusted and that their SM behavior was mainly a facilitative aspect of their sexual lives.

In a follow-up study published in the journal Deviant Behavior, Sandnabba and colleagues analysed data from a subset of twelve men from their study of sadomasochists who had also engaged in zoophilic activities. This group was then compared with a control group of sadomasochists from the same data set but who had not engaged in zoophilic activities. Results showed seven out of twelve zoophilic sadomasochists had engaged in coprophilic acts whereas only one in twelve non-zoophilic sadomasochists had engaged in coprophilic acts. In fact, the zoophilic sadomasochists were more likely to engage in a wide range of sexual behaviours including spanking, gagging, biting, urophilia (urinating on or being urinated on for sexual pleasure), fisting, coprophilia, skin branding, and transvestism (i.e., cross-dressing). The authors concluded that zoophilic sadomasochists were more sexually experimental than the non-zoophilic sadomasochistic controls.

An earlier study on a much bigger sample of paraphiliacs also reported that zoophiles appear to engage in many paraphilic behaviours including coprophilia. In their survey of 561 non-incarcerated paraphiliacs seeking treatment, Dr Gene Abel and colleagues found that all of the 14 zoophiles in their sample reported more than one paraphilia and seven of them reported at least five other paraphilas including coprophilia, urophilia, pedophilia, exhibitionism, voyeurism, frotteurism, telephone scatophilia, transvestic fetishism, fetishism, sexual sadism, and/or sexual masochism.

There doesn’t appear to be any consensus as to the origins of these highly unusual paraphilias although (as with most paraphilic behaviour) operant and classical conditioning would appear to play a major role. The following example is a self-report that I found in an online discussion group:

“It all started when I was young. I hated white underwear for some reason and when I wore them I’d be turned on. Eventually it felt odd and good that I urinated in them. I wet my bed for days when I was a young boy and stopped when my parents found out about it. When I was young, I hated bowel movements. It felt gross and stuff. After discovering masturbation, I eased my bowel movements by masturbating. It felt good, and my bowel movements weren’t so gross. I don’t know how it happened but the two finally caught up to each other and I became accustomed to the smell when I masturbated. Everything escalated as time went on, I’ve been in this fetish for a while now – since I was 12 years old. I am 18 now”

The origins of the coprophilic behaviour certainly appear (in this case) to be as a result of both classical and operant conditioning. However, other people suggest different etiological factors may contribute in the development of coprophilia. For instance, in Canada, Dave Hingsburger published a case study of an institutionalized and mentally handicapped man who engaged in coprophilic acts approximately three times a week. It was argued that the cause of the coprophilia was the patient’s maladaptive response to a severely limited institutional environment rather than any behavioural conditioning.

Whatever the origins, it is evident that compared to many other paraphilic behaviours, there is a dearth of empirical and clinical data relating to the acquisition, development, and maintenance of coprophilia.

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You probably have to look at imagery of death and dying regularly to stay focused on what really counts in life: great sex before you are gone anyway.

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Laredo, Texas: Effects of Eurycoma longifolia Jack on sexual qualities in middle aged male rats

Frank T. Cowan 2681 Cambridge Court Springdale, AR 72764

Summary

The effects of Eurycoma longifolia Jack were studied on the sexual qualities of middle aged male rats after dosing them with 0.5 g/kg of various fractions of E. longifolia whilst the control group received 3 ml/kg of normal saline daily for 12 weeks. Results showed than E. longifolia Jack enhanced the sexual qualities of the middle aged male rats by decreasing their hesitation time as compared to controls with various fractions of E. longifolia Jack produced 865–916 (91–96), 860–914 (92–98), 850–904 (93–99), 854–890 (95–99), 844–880 (94–98), 840–875 (94–98), 830–870 (94–98), 825–860 (94–98), 820–850 (96–99), 800–840 (93–98), 750–795 (94–99) and 650–754 sec (82–95%) in contrast to controls which produced 950 (100), 934 (100), 910 (100), 900 (100), 895 (100), 890 (100), 885 (100), 880 (100), 855 (100), 860 (100), 800 (100) and 790 sec (100%) throughout the investigation period. Besides these, there was a transient increase in the %of the male rats responding to the right choice after chronic administration of 0.5 g/kg E. longifolia Jack, with more than 50% of the male rats scored right choice after 2 weeks post-treatment and the effect was more prominent at the dose of the observation period.However, there was no sexual enhancement of the middle aged male rats which consumed normal saline since only 45–55% of the male rats responded to right choice throughout the investigation period. Hence, this study shows that E. longifolia Jack enhanced the sexual qualities of the middle aged male rats, further supports the folkuse of E. longifolia Jack as an aphrodisiac.

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Orlando, Florida: The Jessica Lunsford Case

John T. Melchior 1049 Bubby Drive Austin, TX 78752

Nine-year-old Jessica Lunsford disappeared from her bedroom at her grandparents' home in the middle of the night Feb. 23, 2005. A massive search was launched for the missing girl that drew the attention of national television networks over the following three weeks.

Police found the body of Jessica Lunsford buried in a shallow grave under the back porch of a mobile home less than 150 yards from her home on March 18, 2005, a day after a convicted sex offender told authorities that he had killed the nine-year-old.

LATEST DEVELOPMENTS

Jessica Lunsford's Killer Dies in Prison

Sept. 30, 2009

The man who kidnapped, raped and murdered 9-year-old Jessica Lunsford and buried her alive behind his sister's trailer, has died on death row of natural causes. John Evander Couey died at a Jacksonville hospital after a lengthy illness.

PREVIOUS DEVELOPMENTS

John Evander Couey Gets Death Penalty

Aug. 24, 2007

A repeat sex offender whose crimes against nine-year-old Jessica Lunsford led to new, tougher laws across the nation, was sentenced to death today in a Florida court.

Judge: John Evander Couey Not Retarded

Aug. 7, 2007

John Evander Couey is not retarded and is eligible for the death penalty, a Florida judge has ruled. Official sentencing is scheduled for Friday for the 48-year-old repeat sex offender.

Couey Sentencing Delayed Again

July 17, 2007

John Evander Couey will not know until August 10 if he will face the death penalty or life in prison, as a Florida judge decides if Couey is mentally retarded or not.

John Evander Couey Still Not Sentenced

June 22, 2007

Three months after a jury recommended the death sentence, John EvanderCouey has yet to be sentenced and is not scheduled back in court for a hearing until July 17.

Jury Recommends Death for John Evander Couey

Mar. 14, 2007

A jury of his peers took less than one hour today to recommend a death sentence for John Evander Couey for the kidnapping, rape and murder of Jessica Marie Lunsford.

Justice for Jessica: Couey Found Guilty

Mar. 7, 2007

A jury in Miami deliberated for almost four hours today before returning guilty verdicts in all charges against John Evander Couey in the kidnapping, rape and murder of Jessica Lunsford.

Closing Arguments Set in Lunsford Trial

Mar. 6, 2007

Closing arguments are scheduled in the murder trial of John Evander Couey after the defense suddenly rested its case after calling only one witness.

Jury Selection Winds Down in Couey Trial

Feb. 23, 2007

The first round of jury selection in the Miami murder trial of John Evander Couey ended last week with 71 potential jurors of 288 advancing to the second round of questioning, expected to last only two days.

Jury Selection Begins

Feb. 12, 2007

Almost two years after nine-year-old Jessica Lunsford was kidnapped, raped, murdered and buried alive, jury selection is scheduled to begin today.

Judge Tosses More Evidence

Jan. 8, 2007

A Florida judge has thrown out more statements made to law enforcement officer by John Evander Couey while being questioned about an unrelated Orlando case.

Jessica Lunsford Trial Moved to Miami

Sept. 14, 2006

Florida will try again to find an impartial jury for the trial of John Evander Couey, this time in Miami.

Judge Halts Couey Jury Selection

June 13, 2006 After three days of questioning potential jurors in the murder trial of John Evander Couey, a Florida judge halted the procedure and dismissed the remaining jurors, because he said an impartial panel could not be found in Lake County.

Jury Selection Begins

July 10, 2006

Most of the potential jurors questioned during the first day of jury selection in the trial of John Evander Coueysaid they had heard of the case, but knew few details about Couey and why he came to be charged.

Confession Tossed in Jessica Lunsford Case

July 2, 2006

A Florida judge has ruled that John Evander Couey's confession to investigators cannot be used as evidence in his trial, but the discovery of her body and a later jailhouse confession can be used.

John Evander Couey Wants Confession Tossed

May 19, 2006

Attorneys for John Evander Couey filed motions to suppress his confession because they said he was denied access to a lawyer.

Judge Grants Change of Venue for Couey Trial

Apr. 21, 2006

A Florida judge has granted the request from John Evander Couey's attorneys to move to another county his trial for the kidnapping, rape and murder of Jessica Lunsford. Prosecutors did not contest the motion.

Cops Came Close to Finding Jessica Lunsford

June 23, 2005

The confession of John Evander Couey revealed that Jessica Lunsford was still alive in a closet when police came to the door to question her Homosassa, Florida neighbors about her disappearance.

Jessica Lunsford Was Raped, Buried Alive

April 20, 2005

Documents released by state prosecutors show that nine-year-old Jessica Lunsford was raped and buried alive in two plastic garbage bags with her hands tied with speaker wire.

John Evander Couey Charged in Jessica's Death

March 23, 2005

A convicted sex offender apparently kidnapped Jessica Lunsford from her bedroom and held her bound and gagged for at least two days 100 yards from her home while police, search dogs and volunteers swarmed the neighborhood.

Police Find Jessica Lunsford's Shallow Grave

March 18, 2005

Police found the body of Jessica Lunsford buried in a shallow grave under the back porch of a mobile home less than 150 years from her home.

Sex Offender Questioned in Jessica Lunsford Case

March 17, 2005

Rather than searching for Jessica Lunsford, authorities were investigating a registered sex offender who lived nearby and left the area shortly after Jessica vanished.

Police Puzzled Over Disappearance of Jessica Lunsford

March 7, 2005

Authorities in Homosassa, Florida have very few, if any, clues in the disappearance of Jessica Marie Lunsford 10 days after she vanished from her bedroom.

9-Year-Old Jessica Lunsford Still Missing

Feb. 28, 2005

More than 500 volunteers searching in the rain and wind and hundreds of tips received by authorities in the past four days have yet to turn up any clues in the disappearance of Jessica Lunsford of Homosassa, Florida.

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Feminism in Europe makes second-generation male Muslim immigrants suicide bombers. Up to now it's only explosives. But a poison gas attack isn't far away.

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Toledo, Ohio: Chad is the country most vulnerable to climate change – here's why

Otha T. Greene 865 Penn Street Stlouis, MO 63101

Of the 186 countries assessed in a recent survey of climate vulnerability, Chad was rated most in peril. A combination of high poverty, frequent conflicts, and the risk of both droughts and floods means the central African nation is bottom of the list, just below Bangladesh and some way behind Norway, the country least vulnerable to climate change.

So why Chad? For a start, it is one of the poorest countries in the world. Around 87% of Chadians are classified as poor, according to the Multidimentional Poverty Index, which factors in health, education and living standards. That’s the fourth highest rate in the world. The percentage who are “destitute” (63%), the most extreme category of poverty, is also the fourth highest in the world.

This is exacerbated by the fact that the country has been in civil war or conflict for 35 out of the 57 years since it gained independence from France.

Any poor or conflict-prone country will always be vulnerable, but Chad’s geography means climate change is a particular risk. Chad is bigger than many Westerners may realise. At 1.28m km² it’s larger than Nigeria and twice the size of Texas. Around 90% of its 10m people live in the southern half of the country, as most of the northern half extends well into the Sahara desert.

Most Chadians base their livelihoods on subsistence farming and livestock rearing. The semi-arid rangelands of the Sahel, in the north of the country, provide pasture for livestock during the rainy season, while the fertile agricultural fields in the south produce most of the cash and food crops. When the dry season begins, pastoralists move their herds south to feed on the leftovers of the agricultural harvest.

Chad’s changing climate

Since the mid-20th century, temperatures in Chad have been increasing while rainfall is decreasing. Ninety percent of the country’s largest lake, Lake Chad, has disappeared over the past 50 years due to a combination of droughts and increasing withdrawals for irrigation. Climate studies project things will get increasingly hot and arid throughout the 21st century, which means lower crop yields, worse pasture, and a harder life for anyone dependent on Lake Chad.

Rural areas are most at risk from climate change because that’s where most of the population, and most of the poverty, is found. However, urban areas are not safe either, as the country’s growing cities struggle to accommodate the arrival of new residents. Sanitation services like sewage, storm water drainage and waste collection are poor, according to the World Bank. In the event of floods, as happened in 2010, 2011 and 2012, the infrastructure cannot cope and untreated sewage could infect the water supply, creating a high risk of infectious diseases such as cholera.

Demographic challenges

Chad’s population is mostly young, and high youth unemployment has already caused unrest in the capital N’djamena. Vulnerability to climate is made worse by civil unrest or conflict because people cannot receive the help they need during climate-related disasters such as droughts or floods.

Chad also hosts some 300,000 refugees from Darfur on its eastern border with Sudan, according to UN figures, while an additional 67,000 refugees from the Central African Republic are in camps on its southern border. These refugees consume Chad’s limited resources and sometimes compete with the local population. This creates resentment and sometimes violence between the refugees and their hosts.

To make matters worse, the Boko Haram crisis in northeastern Nigeria has spilled over to the Lac region of Chad, which now has more than 60,000 displaced people registered there and several thousand more that are unregistered. This is worrying as the country’s unemployed youth, restless and with plenty of time on their hands, could be at risk of recruitment and radicalisation by Boko Haram.

The way forward

Despite these challenges, there are ways to mitigate the effect of climate change. For instance, farmers in Chad’s semi-arid Sahelian zone have been using an indigenous rainwater harvesting technique called Zaï to successfully grow crops. Zaï involves the digging of small pits and sowing crops in them. The pits retain water for a long period of time and are particularly efficient when there isn’t much rain.

The Zaï technique was enhanced by introducing manure and compost into the pits to provide nutrients to the crops. This helped rehabilitate soils that are heavily degraded and significantly increased the yields of food crops.

Agroforestry, the combining of crops and trees in the same patch of land, can also help mitigate and adapt to the impacts of climate change. Tree roots stabilise soils and protect them from eroding during heavy rainfall, while also restoring fertility simply by producing litter which eventually makes its way back into the earth.

Of course, any country would be better placed to deal with climate change if it simply became much wealthier. Chad began producing petroleum in 2003, and it now accounts for 93% of all exports. However, this left the country vulnerable to declines in oil prices. So, when the price did indeed crash in late 2014, Chad suffered a significant loss of revenue. Needless to say, the impact of climate-related disasters such as droughts or floods becomes magnified if the country does not have the resources to combat them.

Chad cannot rely on oil forever. Farming is still the mainstay of its economy and, in the longer term, developing sustainable agriculture and livestock farming will be key in providing employment and maintaining food security.

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If you are still invested in the real estate of European cities, get out! A terrorist attack with chemical weapons will happen. And it won't be just one. Chemical weapons are just so easy to produce.

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Lincoln, Nebraska: Why people kiss

Otha T. Greene 865 Penn Street Stlouis, MO 63101

This post from Natalie Engelbrecht, psychotherapist, naturopathic doctor, and researcher, originally appeared on Quora as an answer to the question, "Why do we kiss?"

The scientific study of kissing is called “philematology” (philos in ancient Greek = earthly love). During a kiss, couples exchange 9 mg of water, 0.7 mg of protein, 0.18 mg of organic compounds, 0.71 mg of fats, and 0.45 mg of sodium chloride, along with 10 million to 1 billion bacteria according to one estimate

Kisses use as little as two muscles, burning only 2 to 3 calories, while passionate kissing involves up to 34 facial muscles along with 112 postural muscles and burns around 26 calories per minute.

The original theory was that primate mothers chewed their food for their babies. However, as evolution continued the kiss began to be used to pass on information regarding biological compatibility of a mate via pheromone chemical signals as well as promote social bonding and expressing love, with the ultimate goal of procreation.

With the kiss, partners are able to get close enough to each other to assess essential characteristics about each other, none of which are consciously processed. Although the vomeronasal organs—which are responsible for pheromone detection and brain function in animals—are thought to be vestigial and inactive in humans. Research indicates we do communicate with chemicals.

One study found that when women were asked to smell T-shirts of different men and choose their favourite, the choice was not made randomly but was based on the man whose major histo-compatibility complex (MHC)—a series of genes involved in the males immune system—was different from their own. The importance of this is that different MHCs mean less immune overlap which indicates more healthy offspring.

While men are not selective in terms of kissing, women are very choosy. This is because on an evolutionary level women were looking for a mate to raise their offspring with, and kissing could be an unconscious but accurate way for women to assess the immune compatibility of a mate, before she invests too much time and energy in him.

While males will have sex with women without kissing them beforehand as well as have sex with a woman who is not a good kisser, most women will never have sex without kissing first. Men tend to initiate French kissing and research suggests this is because saliva contains testosterone and this increases the sex drive of their mate. Furthermore, men are able to sense a woman’s level of estrogen which is a predictor of her fertility.

“There is evidence that saliva has testosterone in it,” said Rutgers University anthropologist Helen Fisher, “and testosterone increases sex drive. And there is evidence that men like sloppier kisses with more open mouth. That suggests they are unconsciously trying to transfer testosterone to stimulate sex drive in women.”

Hormone levels change after kissing. Specifically cortisol (stress) levels decreased in men and women after kissing, and the longer a couple is together the lower their stress hormones get. Interestingly oxytocin levels increase in men, however women’s levels decreased.

One theory is that women need more than a kiss to stimulate attachment and bonding. Kissing raises testosterone which increases sex drive, and also increases dopamine promoting romantic love, and oxytocin (men only) which promotes bonding.

Other benefits includes a modest increase in blood pressure and heart rate which helps our cardiac health, increased saliva produced during active kissing which helps to prevent tooth decay, and men who kiss their wives in the morning live 5 years longer on average and also make more money.

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95 percent of the victims of violence are men. Because women feel flattered when men fight each other and kill each other to prove that they are real men.

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Arson is the terrorism of the future. Attackers can buy their weapon at any gasoline station, and risk just 2 years in prison.

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Newark, New Jersey: A bad-smelling vagina

Leslie C. Lamb 4503 Clinton Street Reston, PA 20191

Many women complain that they have a bad smell coming from the vagina, even after washing frequently. This can be very distressing, particularly if it is noticed and commented on by someone else.

Genital odour is due to the combination of vaginal secretions, eccrine and apocrine sweat and external sources (urine, faeces, topical applications).

What symptoms should lead to concern?

A bad smell could be due to genital infection or disease. Clues include:

excessive vaginal discharge

itching (pruritus vulvae)

pain and soreness.

What conditions cause vaginal malodour?

Sometimes the apparently bad vaginal smell is actually normal, as vaginal secretions in every adult woman have a rather musty odour.

The smell can vary throughout the menstrual cycle. There is also a wide variation in what is considered acceptable.

Bad smell is however often associated with infectious or non-infectious causes of vaginitis or less often, vulval disease.

Malodorous vaginal infections include:

Bacterial vaginosis (the most common reason for genital malodour, a fishy smell)

Trichomoniasis (this is foul-smelling in only about 20% of infected women)

Vulval ulceration of any cause, particularly if due to donovanosis or chancroid

Vaginal discharge associated with pelvic inflammatory disease

Forgotten foreign bodies such as tampons, diaphragms or sponges

Fistulas or passageways linking the vagina with the rectum or bladder following childbirth, injury or surgery

Hidradenitis suppurativa.

Although candidal vulvovaginitis (thrush) is very common, it causes a yeasty smell, which is not considered particularly unpleasant by most women.

Noninfectious causes of vaginal malodour include:

Excessive perspiration ( hyperhidrosis leading to bromhidrosis) especially associated with obesity

Chronic constipation and bloating or dietary factors leading to release of smelly rectal gases

Urinary incontinence, releasing ammonia

Faecal incontinence

Poor hygiene, often in women who are elderly or mentally unwell

Vulval cancer, when it is due to necrosis (death of tissue)

Discharge or necrosis of other genital cancers

Trimethylaminuria (fish-odour syndrome)

Olfactory hallucinations, e.g. associated with temporal lobe epilepsy

Psychiatric conditions.

What tests should be done?

Women complaining of genital malodour should undergo careful external and internal examination after a careful history has been taken. Tests may include pH, vaginal and/or vulval swabs for microbiology and sometimes skin biopsy.

Treatment

Treatment depends on the underlying cause. Antibiotics should be prescribed for confirmed infection.

General measures should include:

Avoid wearing tight or occlusive underwear

Change underwear frequently

Bathe gently using non-soap cleanser once or twice daily

Attempt to lose weight, if relevant

If incontinent of urine, copper acetate impregnated incontinence pads may help to reduce the smell.

The hazards of self-treatment

Excessive washing, antiseptics, deodorants and douching (rinsing out the vagina) may irritate the vagina and vulva, potentially resulting in increased irritation and discharge from vulvitis, chemically-induced vaginitis or secondary infection. Don’t do it!

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Feelings of new sexual love cure every disease in man. Dump your old feminist wife, stock up on butea superba, tongkat ali, and Viagra, and go to China where you are a king.

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