Journal of Sexual Medicine & Research
type: channel
description: Editor-in-chief: Wei Wu Associate Professor Department of Toxicology School of Public Health Nanjing Medical University PR China ORCID: https://orcid.org/0000-0002-0267-1284 The Journal of Sexual Medicine & Research is an international, peer-reviewed journal dedicated to advancing knowledge and understanding in the field of sexual medicine and sexual health. The journal provides a platform for researchers, clinicians, healthcare professionals, and academics to share innovative research, clinical experiences, and developments related to human sexuality and reproductive health. The journal welcomes high-quality contributions covering a broad range of topics, including sexual dysfunction, sexual health, reproductive health, sexual behavior, gender and sexuality, relationship and sexual well-being, male and female sexual medicine, psychosexual health, and related medical and psychological conditions. We encourage the submission of original research articles, review articles, case reports, short communications, clinical studies, editorials, and other scholarly contributions that provide meaningful insights into sexual medicine and research. Article acceptance will be in the form of Research, Review, Case Reports, Editorials, Mini-Review, Short Communications, Case Studies, Letters to the Editor, Perspectives, Video Type and Power Point Presentations (PPTs). Special Issue Title: Sexual Health and Quality of Life and Recent Advances in Sexual Medicine and Sexual Health Submit your article through attachment online: https://srcpublishers.com/sexual-medicine-research/user/register (or) can send through an e-mail with attachment for: sexualmedicine@onlinescientificresearch.info 0.35 Impact Factor 84.5% Citations 70 Acceptance
publisher: Scientific Research and Community
language: en
publication name: Journal of Sexual Medicine & Research
issn: 2753-359X
items: Cardiac Health in Athletes Compared to Non-Athletes
items: Effect of the who Safe Childbirth Checklist on Maternal andNeonatal Outcomes in Selected Tertiary Hospitals in Rivers andBayelsa States, Nigeria
items: Erotic Felt Sense as a Clinical Innovation: Erotic Embodiment, Creative Expression and Storytelling for Holistic Sexual Health
items: Artificial Intelligence and the Future of Dental Life: From Diagnosis to Intelligent Care
items: You Say Bone Health, we Say Posters
items: Beyond Survival: The Silent Struggle of Living After CancerImplications for Sexual Health, Identity, and Quality of Life inSurvivorship
items: T he Prevalence of Psychological Stress, Anxiety, and Depression among Medical Students During Their Study Period in Palestine
items: T he Role of Cannabis in Enhancing Female Sexual Desire: An Updated Integrative Review
items: Rehabilitating Pleasure and Libido after Medical Castration: A Neurological Therapeutic Approach
items: Post-Legalization Challenges: Navigating Difficulties in Accessing Same-Sex Marriage for Couples in the Wake of Inevitable Legalization
items: Intimacy and Cancer: Voices from a Global Gender-Inclusive Oncosexual Community
items: Sexuality and Social Perception: Between Freedom of Expression and Shame
items: Polyamory and Identity in the Psychotherapeutic Relationship: An Integrative Therapy Perspective
items: Covid-19 and Long Covid Syndrome : Possibly Effective Natural Remedies
items: Impact of Oncological Treatments on Reproductive Capacity: Alternatives to Minimize Risks and the Role of DEX Immunotherapy
items: Virtual Social Sexual Networks and Their Impact on Family Upbringing in Palestinian Society
items: T he Transition of the Desire for Children: Exploring the Origins and Factors
items: Application of Intelligent Management System in Hospital Medical Waste Management
items: Sexuality in People with Down Syndrome
items: Etiological Factors Affecting Female Sexuality: A Systematic Review
items: Navigating the Nexus: Childhood Trauma, Sexually Coercive Behaviour, Dark Tetrad Personality Traits, and Sexual Fantasy
items: Klinefelter: Which Sexuality?
items: Experiences of Gynecological Violence among Binary and NonBinary Chilean Women
items: Effects of Court-Issued Restricted Contact Orders on Perceived Social Support of Individuals Involved in Sexually Violent Offenses
items: Treatment Protocols For Isolated Asthenospermia Among A Group of Patients Scheduled for an Intrauterine Insemination (IUI) Procedure: Results of a Prospective Study
items: T he Importance of Vulnerability
items: Observations of Inequality between Female and Male Sexual Pleasure: ‘Good Enough’ Vs ‘Ideal’ Expectations
items: Management of Vulvar Cancer Our Clinical Experiences
items: New Diagnostic and Therapeutic Approach to Erectile Dysfunction and Peyronie’s Disease
items: Impact of Antipsychotics on the Sexuality of Patients Diagnosed with Schizophrenia

Cardiac Health in Athletes Compared to Non-Athletes
type: item
description: The cardiac health status of athletes versus non-athletes has been an area of clinical interest due to the varied cardiovascular adaptations induced by physical exercise. This review aims to compare the structural, functional, and clinical cardiovascular profiles of athletes with those of sedentary individuals. Findings indicate that athletes develop physiological cardiac remodeling characterized by enlarged cardiac chambers and enhanced myocardial function, known as “athlete’s heart,” which is distinct from pathological conditions commonly observed in non-athletes. Understanding these differences is essential for accurate diagnosis and prevention of cardiovascular morbidity. This article synthesizes current research data, highlights diagnostic challenges, and suggests clinical implications [1-3].
subject: Articles
  topic: section
subject: Cardiac Health
  topic: keywords
subject: Non-Athletes
  topic: keywords
subject: Athletes
  topic: keywords
creator: Amir Mohammadamini
rights: Copyright (c) 2026 Journal of Sexual Medicine & Research
date: 2026-09-03
publication date: 2026-09-03
starting page: 1
ending page: 2
doi: 10.47363/nsnnn146

Effect of the who Safe Childbirth Checklist on Maternal andNeonatal Outcomes in Selected Tertiary Hospitals in Rivers andBayelsa States, Nigeria
type: item
description: Background: Maternal and neonatal mortality remain major global public health challenges, particularly in low- and middle-income countries such as Nigeria, where preventable complications during childbirth continue to contribute significantly to poor outcomes. Evidence-based intrapartum care is essential in reducing these deaths; however, poor adherence to standardized clinical guidelines among midwives limits optimal care delivery. The World Health Organization Safe Childbirth Checklist (WHO SCC) was developed as a quality improvement tool to enhance adherence to essential childbirth practices and improve maternal and neonatal outcomes, yet its effectiveness in Nigerian tertiary hospitals remains underreported. Aim: This study evaluated the effect of the WHO Safe Childbirth Checklist on maternal and neonatal outcomes in selected tertiary hospitals in Rivers and Bayelsa States, Nigeria. Methods: A cluster randomized controlled trial design was used. The study involved midwives and labouring women in selected tertiary healthcare facilities in Rivers and Bayelsa States. Hospitals were randomly assigned to intervention and control groups. Midwives in the intervention group received structured training and implementation support on the WHO Safe Childbirth Checklist, while the control group continued routine maternity care without the checklist. Data were collected on checklist utilization, maternal outcomes (eclampsia and postpartum haemorrhage), and neonatal outcomes (birth asphyxia, stillbirth, and neonatal sepsis) before and after intervention. Data were analyzed using descriptive and inferential statistics at a 0.05 significance level. Results: There was a significant increase in WHO SCC utilization in the intervention group. Adherence to essential childbirth practices improved significantly (p < 0.001), including blood pressure monitoring, uterotonic administration, infection prevention, neonatal resuscitation preparedness, early breastfeeding initiation, and monit…
subject: Articles
  topic: section
subject: WHO Safe Childbirth Checklist
  topic: keywords
subject: Maternal Outcomes
  topic: keywords
subject: Neonatal Outcomes
  topic: keywords
subject: Midwives
  topic: keywords
subject: Birth Asphyxia
  topic: keywords
subject: Eclampsia
  topic: keywords
subject: Nigeria
  topic: keywords
subject: Checklist Implementation
  topic: keywords
creator: Demebo Ebipade Juliet
creator: Nte Alice
creator: Ogu Rosemary
rights: Copyright (c) 2026 Journal of Sexual Medicine & Research
date: 2026-07-31
publication date: 2026-07-31
starting page: 1
ending page: 11
doi: 10.47363/JSMR/2026(5)143

Erotic Felt Sense as a Clinical Innovation: Erotic Embodiment, Creative Expression and Storytelling for Holistic Sexual Health
type: item
description: Background Patients in sexual medicine often describe erotic distress through bodily language such as numbness, shutdown, tension, charge, or inability to stay present. Present models of desire, arousal, orgasm, pain, and trauma do not always provide a practical way to work with this pre-verbal embodied layer. This Innovation manuscript introduces erotic felt sense as a proposed clinical term for the bodily awareness of erotic aliveness, including self-expression, pleasure, agency, boundary, and relational readiness. The concept is translated as measurable domains rather than metaphysical claims: interoceptive awareness, autonomic regulation, muscular guarding, dissociation, and affect tolerance. Objective To describe a clinically usable framework that integrates erotic embodiment, creative expression, and storytelling in holistic sexual-health care as an adjunct to standard medical and psychosexual treatment. To identify a next-step research pathway for a holistic mobile community qualitative project using storytelling as well as optional creative media. Methods Narrative Innovation article drawing on peer-reviewed literature within embodied sexuality, interoception, trauma-related mind-body interventions, and storytelling in public health. Proposed three-part practice sequence: attunement to bodily signal, creative externalization, and narrative integration, making meaning. Results The manuscript offers a new clinical language for a diverse range of patients who experience sexuality as difficult to name but strongly felt in the body. It reframes patient descriptions of “stored pain,” “release,” or “blocked energy” as clinically interpretable processes, including breath restriction, muscular holding, autonomic activation, sensory narrowing, and dissociative distance. It proposes that creative expression can help externalise difficult-to-verbalise sensations, and that storytelling can connect these sensations to safety, consent, shame, identity, and possibility. Cli…
subject: Articles
  topic: section
subject: Sexual Health
  topic: keywords
subject: Sexuality
  topic: keywords
subject: Interoception
  topic: keywords
subject: Mind-Body Therapies
  topic: keywords
subject: Storytelling
  topic: keywords
subject: Qualitative Research
  topic: keywords
subject: Erotic Embodiment
  topic: keywords
subject: EROTIC Felt Sense
  topic: keywords
creator: Bridget Scholes
rights: Copyright (c) 2026 Journal of Sexual Medicine & Research
date: 2026-05-12
publication date: 2026-05-12
starting page: 1
ending page: 3
doi: 10.47363/JSMR/2026(5)141

Artificial Intelligence and the Future of Dental Life: From Diagnosis to Intelligent Care
type: item
description: Artificial Intelligence (AI) is creating one of the most profound transformations in the history of modern medicine. Dentistry, as one of the leading fields in adopting innovative technologies, stands on the brink of a new era where surgical robots, deep-learning diagnostic algorithms, and intelligent 3D printers will replace traditional methods. This article provides a comprehensive review of AI applications across various dental disciplines, including caries and periodontal disease detection, digital prosthetics, robotic surgery, clinic management, and treatment outcome prediction. Furthermore, it explores the ethical, legal, and economic challenges accompanying this technological revolution and offers a vision for the future of dental practice where human expertise and artificial intelligence work in synergy to enhance patient care.
subject: Articles
  topic: section
subject: Artificial Intelligence
  topic: keywords
subject: Dental Life
  topic: keywords
subject: Diagnosis
  topic: keywords
subject: Intelligent Care
  topic: keywords
subject: Deep Learning
  topic: keywords
creator: Fenella Chadwick
rights: Copyright (c) 2026 Journal of Sexual Medicine & Research
date: 2026-04-30
publication date: 2026-04-30
starting page: 1
ending page: 9
doi: 10.47363/JSMR/2026(5)140

You Say Bone Health, we Say Posters
type: item
description: Fragility fractures are preventable. an individual’s risk of fragility fracture can be predicted, and these fractures are preventable using effective interventions. Our aim was to assess if we taking the opportunity to assess risks of fractures in susceptible women, if appropriate life style advising and recommendations are offered to support and promote bone health and to identifying missed opportunities and proposing measures to overcome. 25 women between the ages of 50 to 65 were included in the assessment. Risk factors were assessed based on a few specific questions. Results showed lack of awareness and missed opportunities in assessing risk factors.
subject: Articles
  topic: section
subject: Fragility Fractures
  topic: keywords
subject: Risk Factors
  topic: keywords
subject: Assessment
  topic: keywords
creator: Divya James Fenn
rights: Copyright (c) 2025 Journal of Sexual Medicine & Research
date: 2025-12-31
publication date: 2025-12-31
starting page: 1
ending page: 3
doi: 10.47363/0brqxb85

Beyond Survival: The Silent Struggle of Living After CancerImplications for Sexual Health, Identity, and Quality of Life inSurvivorship
type: item
description: Advances in oncology have significantly improved cancer survival rates; however, survivorship is frequently accompanied by persistent physical, psychological, relational, and sexual health challenges that remain underrecognized and undertreated. This paper examines cancer survivorship through a narrative-informed and trauma-aware lens, emphasizing the long-term impact of cancer treatment on sexual health, identity, communication, and quality of life. Drawing on lived experience and supported by contemporary survivorship and sexual medicine research, the paper highlights gaps in post-treatment care, particularly regarding intimacy, embodiment, and psychosocial well-being. The findings underscore the need for integrated, trauma-informed survivorship models within sexual medicine that prioritize dignity, relational connection, and long-term quality of life rather than survival alone.
subject: Articles
  topic: section
subject: Cancer Survivorship
  topic: keywords
subject: Sexual Health
  topic: keywords
subject: Quality of Life
  topic: keywords
subject: Intimacy
  topic: keywords
subject: Trauma-Informed Care
  topic: keywords
subject: Identity
  topic: keywords
creator: Debi Lynn
rights: Copyright (c) 2026 Journal of Sexual Medicine & Research
date: 2026-02-28
publication date: 2026-02-28
starting page: 1
ending page: 3
doi: 10.47363/JSMR/2026(5)138

T he Prevalence of Psychological Stress, Anxiety, and Depression among Medical Students During Their Study Period in Palestine
type: item
description: Objectives: Medical students have significant rates of psychological morbidity such as depression and anxiety, and their psychological stress levels are consistently higher than those of the general population and age-matched coworkers. This study aimed to assess the prevalence of stress, anxiety, and depression among Palestinian medical students and to assess the differences between socio-demographic characteristics in terms of stress, anxiety, and depression scores. Methods: A cross-sectional study was conducted among medical students at Palestine Polytechnic University in Oct 2022 using a self-administered questionnaire distributed among medical students by simple random sampling method. The assessment of psychological mood disorders among 200 medical students was done by using Depression, Anxiety, and Stress Scale-21. Descriptive and inferential statistics were used. Results: Among 200 students, half of the medical students have suffered from psychological mood disorders at moderate, severe, and extremely severe levels. Furthermore, 2nd-year medical students have higher stress and depression scores than 3rd and 4th-year students (p=0.017) and (p=0.020) respectively. Female medical students have significantly higher anxiety scores than male students (p=0.043). Conclusions: It is noted that stress, anxiety, and depression are common among medical students, and there is an urgent need for attention, support, and personalized counseling.
subject: Articles
  topic: section
subject: Prevalence
  topic: keywords
subject: Stress,
  topic: keywords
subject: Anxiety
  topic: keywords
subject: Depression
  topic: keywords
subject: Medical students
  topic: keywords
subject: Palestine
  topic: keywords
creator: Abed Alkareem Asheah
creator: Nawaf Amro
rights: Copyright (c) 2025 Journal of Sexual Medicine & Research
date: 2025-09-05
publication date: 2025-09-05
starting page: 1
ending page: 5
doi: 10.47363/c044n438

T he Role of Cannabis in Enhancing Female Sexual Desire: An Updated Integrative Review
type: item
description: The intersection of cannabis use and women’s sexual health has emerged as a compelling area of study in light of expanding legalization and shifting cultural perceptions. While female sexual desire is shaped by a complex web of hormonal, psychological, social, and relational influences, early evidence suggests that cannabis may play a role in enhancing aspects of sexual experience. This integrative review updates and reframes current findings, focusing on low- to moderate-dose consumption, possible neurobiological mechanisms, and patient-reported outcomes. Emphasis is placed on interpreting these findings in light of gaps in evidence and priorities for future research, with the goal of informing clinicians and researchers in sexual medicine.
subject: Articles
  topic: section
subject: Enhancing Female Sexual Desire
  topic: keywords
subject: T he Role of Cannabis
  topic: keywords
creator: Ashley Brown
rights: Copyright (c) 2025 Journal of Sexual Medicine & Research
date: 2025-08-14
publication date: 2025-08-14
starting page: 1
ending page: 2
doi: 10.47363/JSMR/2025(4)136

Rehabilitating Pleasure and Libido after Medical Castration: A Neurological Therapeutic Approach
type: item
description: Introduction: Medical castration via endocrine treatments for hormone-sensitive cancers is life-saving but often life-altering [1-5]. Sexual side effects such as reduced libido and genital changes are common yet under-treated. A deep understanding of the neurological aspects of desire and the distinctions between arousal, and libido is crucial for effective interventions. Drawing on professional experience in neurorehabilitation, somatic sexology, polyvagal theory and lived experience as a hormone-positive cancer patient, this article introduces a novel, integrated program for pleasure and libido rehabilitation, tailored to adults who have undergone medical castration. Method: Participants were recruited via global, online cancer support communities and invited to join a program, solo or partnered, following endocrine cancer treatments. Open to all genders and genital configurations, the initiative delivered three online Masterclasses: one on libido recovery for couples, and two on genital rehabilitation (vulvovaginal and penis-focused).These programs were designed for in-home use to ensure privacy and accessibility [6]. Participants completed a mixed-methods survey upon program completion, including multiple-choice and qualitative response items. Outcomes assessed included libido restoration, increased intimacy, improved communication with partners and healthcare teams, enhanced genital sensation, erectile function, and reduced symptoms of vulvovaginal atrophy Project/population and Settings: A series of online masterclasses were developed to target the neurological, sensory, and psychosocial dimensions of libido and genital pleasure recovery [1-9].The programs incorporated neuroplasticity-informed exercises, somatic bodywork techniques, polyvagal applications, and communication training, tailored to recovery of libido and two different genital configurations [1-10]. They were designed for solo or partnered use, accessible from home, and focused on restoring sensat…
subject: Articles
  topic: section
subject: Libido Rehabilitation
  topic: keywords
subject: Medical Castration
  topic: keywords
subject: Sexual Dysfunction
  topic: keywords
subject: Oncology
  topic: keywords
subject: Sensory Reintegration
  topic: keywords
subject: Pleasure Rehabilitation
  topic: keywords
subject: Breast Cancer
  topic: keywords
subject: Prostate Cancer
  topic: keywords
subject: Ovarian Cancer
  topic: keywords
subject: Hormone Positive Cancer,
  topic: keywords
subject: Neuroplasticity,
  topic: keywords
subject: Somatic Sexology
  topic: keywords
subject: Vaginal Atrophy
  topic: keywords
subject: Erectile Dysfunction
  topic: keywords
subject: Erectile Changes
  topic: keywords
creator: Tess Devèze
rights: Copyright (c) 2025 Journal of Sexual Medicine & Research
date: 2025-06-05
publication date: 2025-06-05
starting page: 1
ending page: 3
doi: 10.47363/JSMR/2025(4)134

Post-Legalization Challenges: Navigating Difficulties in Accessing Same-Sex Marriage for Couples in the Wake of Inevitable Legalization
type: item
description: Following the Supreme Court’s decision, which declared the right to marry not a fundamental right, the potential legalization of same-sex marriage faces various complexities. Parliament plays a pivotal role in legal reforms, requiring consideration of diverse legal frameworks. An analysis of the global same-sex marriage situation comparing countries where same-sex religious marriage is lawful but nevertheless difficult to access as is the situation in the UK and various other challenges faced by same-sex couples in the US in terms of healthcare, criminal justice, immigration even after the legalization of same-sex marriage. This ongoing journey toward inclusivity, urging legislators to actively address legalization challenges with thoughtful consideration has a long way to go.
subject: Articles
  topic: section
subject: Post-Legalization Challenges
  topic: keywords
subject: Same-Sex Marriage
  topic: keywords
creator: Rugved Mahamuni
rights: Copyright (c) 2025 Journal of Sexual Medicine & Research
date: 2025-05-16
publication date: 2025-05-16
starting page: 1
ending page: 2
doi: 10.47363/JSMR/2025(4)132

Intimacy and Cancer: Voices from a Global Gender-Inclusive Oncosexual Community
type: item
description: Living with cancer often leads to profound feelings of isolation, particularly concerning sexuality and intimacy—topics frequently neglected in clinical conversations Biskupiak, DiGiandomenico, Pratt- Chapman, Rice, Rutherford, Sagun, & Vanchiere, [1,2]. Research indicates that many cancer patients report their healthcare professionals do not address sexuality, while patients themselves often feel reluctant to initiate these discussions [2,3]. The ‘Intimacy and Cancer’ (IAC) initiative addresses this gap through a global, gender-inclusive online support space for people with cancer (PWC). Based on lived experience and peer-led design, IAC fosters education, connection, and resilience. Survey data from 191 community members across 50 countries indicate that the platform significantly reduces isolation, improves confidence in healthcare communication, and enhances intimacy and quality of life. This paper explores the clinical implications and advocates for integrating such inclusive platforms into routine cancer care.
subject: Articles
  topic: section
subject: Oncosexual
  topic: keywords
subject: Cancer
  topic: keywords
subject: Global Gender-Inclusive
  topic: keywords
creator: Tess Devèze
rights: Copyright (c) 2025 Journal of Sexual Medicine & Research
date: 2025-06-15
publication date: 2025-06-15
starting page: 1
ending page: 2
doi: 10.47363/JSMR/2025(4)135

Sexuality and Social Perception: Between Freedom of Expression and Shame
type: item
description: Sexuality is a Fundamental Aspect Of Human Existence, shaping individual identity, interpersonal relationships, and psychological well-being. Across cultures and historical periods, the expression of sexuality has been regulated, idealized, or even suppressed, depending on religious beliefs, social norms, and political ideologies.
subject: Articles
  topic: section
subject: Sexuality
  topic: keywords
subject: Human Existence
  topic: keywords
creator: Nataša Štern
creator: Milan Krajnc
rights: Copyright (c) 2025 Journal of Sexual Medicine & Research
date: 2025-03-12
publication date: 2025-03-12
starting page: 1
ending page: 2
doi: 10.47363/JSMR/2025(4)129

Polyamory and Identity in the Psychotherapeutic Relationship: An Integrative Therapy Perspective
type: item
description: The increasing visibility of polyamorous relationships necessitates a deeper understanding within psychotherapeutic practice. This qualitative study, grounded in the principles of Integrative Therapy, investigates the interplay between the identity formation of individuals in polyamorous relationships and the psychotherapeutic relationship. Through narrative interviews and qualitative content analysis, the research explores the experiences of polyamorous individuals in therapy, highlighting the crucial role of the therapist’s attitude towards non-monogamous lifestyles in the therapeutic process. The findings emphasize the significance of empathy, openness, and a non-judgmental stance from therapists in fostering positive identity development and a successful therapeutic alliance with polyamorous clients.
subject: Articles
  topic: section
subject: Polyamory
  topic: keywords
subject: Identity
  topic: keywords
subject: Non-Monogamy
  topic: keywords
subject: Open Relationship
  topic: keywords
subject: Consensual Non-Monogamy
  topic: keywords
subject: Psychotherapeutic Relationship
  topic: keywords
subject: Integrative Therapy
  topic: keywords
subject: Qualitative Research
  topic: keywords
creator: Natascha Ditha Berger
rights: Copyright (c) 2025 Journal of Sexual Medicine & Research
date: 2025-04-28
publication date: 2025-04-28
starting page: 1
ending page: 4
doi: 10.47363/JSMR/2025(4)131

Covid-19 and Long Covid Syndrome : Possibly Effective Natural Remedies
type: item
description: Wordwide millions of people suffer from virus infections, the consequences of vaccinations and and/or long covid syndrome. So far, there is no truly and regularly effective cures for those problems. However, in nature there are existing several possiblilities. Examples are: Dandelion against the binding of spike proteins at ACE-2 receptors. The water-based dandelion extract, which was obtained from the dried leaves of the plant, was effective against the spike protein D614 and a variety of mutant strains, including D614G, N501Y, K417N and E484K [1]. Pine needle against viruses [2]. Frankincense against autoaggressions, Ginkgo biloba for blood thinning [3,4]. We have produced concoctions from several of these. According to our experiences, the effects proved to be excellent and without side effects. Further investigations seem to be necessary.
subject: Articles
  topic: section
subject: Covid-19 Virus
  topic: keywords
subject: Covid-19 Vaccination Consequences
  topic: keywords
subject: Long Covid Syndrome
  topic: keywords
subject: Natural Therapies
  topic: keywords
creator: Doepp Manfred
rights: Copyright (c) 2025 Journal of Sexual Medicine & Research
date: 2025-01-23
publication date: 2025-01-23
starting page: 1
ending page: 2
doi: 10.47363/JSMR/2025(4)127

Impact of Oncological Treatments on Reproductive Capacity: Alternatives to Minimize Risks and the Role of DEX Immunotherapy
type: item
description: Fertility preservation in cancer patients is an increasingly relevant challenge due to the gonadotoxic effects of conventional treatments, such as chemotherapy and radiotherapy. This article reviews current options for fertility preservation and explores the potential of DEX immunotherapy as a less invasive alternative. Initially, an overview of cancer incidence in fertile age and the importance of addressing reproductive concerns in this population group is presented. Subsequently, the negative impacts of conventional treatments on reproductive capacity are analyzed and strategies to minimize these risks, such as reducing treatment intensity and using cryopreservation techniques, are discussed DEX immunotherapy stands out as a promising option, with a lower risk of gonadotoxicity compared to traditional treatments. This immunological approach allows to specifically target cancer cells, reducing damage to reproductive cells and offering better fertility preservation in young patients. Finally, the article addresses future research needs and practical guidelines for clinicians, highlighting the importance of a multidisciplinary approach that integrates fertility preservation options in cancer treatment. It is concluded that, although DEX immunotherapy is a viable alternative, it is essential to promote further research and develop specific clinical protocols to maximize its effectiveness and safety in terms of long-term reproductive health.
subject: Articles
  topic: section
subject: Minimize Risks
  topic: keywords
subject: Oncological Treatments
  topic: keywords
subject: Reproductive Capacity
  topic: keywords
creator: Ramon Gutierrez-Sandoval
creator: Ider Rivadeneira
creator: Ignacio Muñoz
creator: Francisco Krakowiak
creator: Jordan Iturra
creator: Cristian Peña Vargas
rights: Copyright (c) 2024 Journal of Sexual Medicine & Research
date: 2024-11-30
publication date: 2024-11-30
starting page: 1
ending page: 7
doi: 10.47363/JSMR/2024(3)125

Virtual Social Sexual Networks and Their Impact on Family Upbringing in Palestinian Society
type: item
description: This study aimed to measure the extent of Palestinian youth’s use of social networks for sexual purposes, analyze the nature of sexual content exchanged on these networks, explore the motivations driving youth to use social networks for sexual purposes, assess the impact of using social networks for sexual purposes on family interaction and relationships, and examine the effect of family guidance and supervision on the use of social networks for sexual purposes. The descriptive-analytical method was used, targeting all Palestinian youth in the West Bank governorates aged between 18-29 years, totaling (915,191) according to the Palestinian Central Bureau of Statistics. The minimum sample size was (384), and data were collected through an electronic questionnaire distributed on Palestinian social media, resulting in a final sample size of (619) individuals. The results showed that social sexual networks have a significant negative impact on family upbringing in the Palestinian community. The extent of use, the nature of the exchanged content, and the motivations behind using social networks for sexual purposes all have negative effects on family upbringing. The findings also indicated that respondents’ responses do not differ significantly based on gender or educational level, but they do differ between singles and married individuals, with a greater impact of social sexual networks on married individuals and a greater impact on family upbringing among singles. Based on these results, the study recommends enhancing family awareness and digital guidance, supporting mental health, developing educational content, strengthening regulations and legislation, cooperating with educational institutions, creating safe platforms for youth, and providing alternative programs for entertainment and social interaction.
subject: Articles
  topic: section
subject: Social Sexual Networks
  topic: keywords
subject: Family Upbringing
  topic: keywords
subject: Palestinian Youth
  topic: keywords
creator: Tawfiq Azat Abu Hadid
creator: Mohammed Issa Abu Kaf
rights: Copyright (c) 2024 Journal of Sexual Medicine & Research
date: 2024-07-20
publication date: 2024-07-20
starting page: 1
ending page: 10
doi: 10.47363/JSMR/2024(3)124

T he Transition of the Desire for Children: Exploring the Origins and Factors
type: item
description: The aim of this study is to understand how and when the desire to have children is developed. Previous research on pregnancy and childbirth has predominantly focused on individuals who have already given birth or become parents, with an emphasis on the act of giving birth. Recently, there has been a gradual increase in research in Japan examining infertility treatment patients and individuals who have chosen not to have children, as infertility treatment has gained more visibility. However, the factors influencing the decision to have or not have children, as well as the subsequent changes in attitudes, have not been adequately explored. In the medical field, there is a concept called preconception care, where women and couples consider future pregnancies while addressing their lifestyle and health. However, this concept often prioritizes natural scientific factors like alcohol consumption and smoking experiences, overlooking the broader social science aspects. Decisions and considerations related to pregnancy and childbirth involve complex social factors such as economic reasons and partner perspectives. In this study, we aim to examine reproduction from a more sociocultural perspective, and to achieve this, we will conduct interviews. The interviewees will include professionals such as teachers and obstetricians who are involved with parents and children in their professional capacity, considering ethical considerations. This approach allows us to gather responses from a third-party perspective. For the analysis, we will employ the KJ method, which is well-known as a qualitative research analysis technique. By examining these elements, we aim to shed light on the formation of thoughts and considerations concerning pregnancy and childbirth.
subject: Articles
  topic: section
subject: Reproduction
  topic: keywords
subject: Preconception Care
  topic: keywords
subject: Qualitative Research
  topic: keywords
subject: Active Interview
  topic: keywords
creator: Kira Shiori
rights: Copyright (c) 2024 Journal of Sexual Medicine & Research
date: 2024-06-20
publication date: 2024-06-20
starting page: 1
ending page: 6
doi: 10.47363/JSMR/2024(3)122

Application of Intelligent Management System in Hospital Medical Waste Management
type: item
description: Since COVID-19 pandemic, the ongoing pressure on medical waste management (MWM) in medical facilities has been pressing. A medical institution uses advanced information technologies such as the Internet of things, artificial intelligence, 5g and cloud computing to optimize the medical waste management mode in combination with the medical waste disposal process. By building a big data management platform and synchronously upgrading intelligent terminals, it achieved Informatization and intellectualization in medical waste manage process. It standardize and transparent the MWM system throughout the process by recording and uploading the data in real time. The comprehensive safety management and control of medical waste is realized, which improves the effectiveness and standardization of medical waste supervision in the hospital, and also lays a foundation for intelligent scheduling of future logistics management system.
subject: Articles
  topic: section
subject: Medical Waste
  topic: keywords
subject: Internet of Things
  topic: keywords
subject: Intelligent Waste Management
  topic: keywords
creator: Niu Muqing
creator: Zhang Jiabao
rights: Copyright (c) 2024 Journal of Sexual Medicine & Research
date: 2024-06-24
publication date: 2024-06-24
starting page: 1
ending page: 5
doi: 10.47363/JSMR/2024(3)123

Sexuality in People with Down Syndrome
type: item
description: Each person typically inherits 23 pairs of chromosomes, totaling 46, obtained from both the father and the mother. However, in the case of individuals with Down syndrome or intellectual disability, there is an additional copy of chromosome.
subject: Articles
  topic: section
subject: Sexuality
  topic: keywords
subject: Down Syndrome
  topic: keywords
creator: Michelle Beltran Beltran
rights: Copyright (c) 2024 Journal of Sexual Medicine & Research
date: 2024-03-30
publication date: 2024-03-30
starting page: 1
ending page: 3
doi: 10.47363/JSMR/2024(3)126

Etiological Factors Affecting Female Sexuality: A Systematic Review
type: item
description: Introduction: Evidence suggests that masturbation, genital stimulation, body awareness and movement, pelvic floor exercises, depression, anxiety, positive and negative feelings, personality type, emotional and overall well-being and emotional intelligence have been studied in association with female orgasm through the years. Additionally, healthcare providers of sexual health and most women lack information regarding sexual satisfaction and reaching orgasm. Few studies have addressed this issue. Aim: To systematically study the effect of social, behavioral, and psychological factors on female orgasm. Methods: An extensive search was conducted in PubMed, CINAHL, Google Scholar and Scopus, according to the Preferred Reporting Items for Systematic Review and Meta-Analysis Statement (PRISMA) guidelines, for relevant articles published between June 2002 and June 2022. Studies in languages other than English were excluded. The following Medical Subject Headings (MeSH) terms were used: female, orgasm, psychological, behavioral, social, sexual. Inclusion criteria concerned studies that sampled adult healthy women, used quantitative methodology and explored factors influencing sexual satisfaction. Results: Out of 531 studies, forty-five were further screened. A total of twenty-one studies were reviewed, most of which were conducted in the USA, Portugal and the United Kingdom. They were followed by Switzerland, Iran, Brazil, Sweden, Canada, Hungary and the Netherlands. Four major themes influencing female sexual satisfaction emerged from the synthesis: psychological disorders, psychological background, genital stimulation, body awareness and movement. Conclusions: The female orgasm was influenced by a number of factors, some of which adversely affected it.
subject: Articles
  topic: section
subject: Etiological Factors
  topic: keywords
subject: Female Sexuality
  topic: keywords
subject: Orgasm
  topic: keywords
subject: Sexual Practices
  topic: keywords
subject: Sexual Satisfaction
  topic: keywords
creator: Metallinou Dimitra
creator: Porfyridou Ourania
creator: Diamanti Athina
creator: Vivilaki Victoria
rights: Copyright (c) 2024 Journal of Sexual Medicine & Research
date: 2024-01-30
publication date: 2024-01-30
starting page: 1
ending page: 16
doi: 10.47363/JSMR/2024(3)121

Navigating the Nexus: Childhood Trauma, Sexually Coercive Behaviour, Dark Tetrad Personality Traits, and Sexual Fantasy
type: item
description: This critical review examines research on childhood trauma, personality traits, sexual fantasy, and sexually coercive behaviour. While each of these areas has been extensively studied in isolation, there is a notable lack of comprehensive research that investigates these variables collectively. This review aims to bridge this gap by synthesizing existing knowledge and emphasizing the need for a more integrated approach. Studies have uncovered intriguing links between childhood trauma, the influence of personality traits on sexual fantasies, and the potential connection between sexual fantasies and sexually coercive behaviour. However, the intricate interplay among these variables remains largely investigated in empirical research. By consolidating the research on these various relationships, this review underscores the importance of gaining a more holistic and nuanced understanding of existing complex dynamics. This work serves as a foundational step towards encouraging future research exploring these variables, assisting in elucidating their collective influence on human behaviour.
subject: Articles
  topic: section
subject: Childhood Trauma
  topic: keywords
subject: Dark Tetrad Personality Traits Sexual Fantasy and Sexually Coercive Behaviour
  topic: keywords
creator: Suchika Siotia
creator: April Harris-Britt
creator: Allen Cornelius
creator: Kelly Walk
rights: Copyright (c) 2023 Journal of Sexual Medicine & Research
date: 2023-09-08
publication date: 2023-09-08
starting page: 1
ending page: 8
doi: 10.47363/JSMR/2023(2)117

Klinefelter: Which Sexuality?
type: item
description: Klinefelter syndrome (KS) was described by Klinefelter, Reifenstein, and Albright in 1942, who described 9 adult males with gynecomastia, small and firm testes, azoospermia, and increased serum FSH with functional Leydig cells. In 1959, using cytogenetics, Jacobs and Strong described the existence of an extra X chromosome in a male with Klinefelter syndrome The International Consensus Conference organized by the Lawson Wilkins Pediatric Endocrine Society and the European Society for Pediatric Endocrinology in 2006 included KS in disorders of sexual development. Klinefelter syndrome is also characterized by a genetic dysfunction of the entire gonad that affects germ cells from early fetal life and Sertoli and Leydig cells from mid-puberty. Today we know much more. In this article, we have delved into the social, relational, and sexual quality of life of patients with KS, going beyond fertility studies.
subject: Articles
  topic: section
subject: Klinefelter Syndrome
  topic: keywords
subject: Erectile Dysfunction
  topic: keywords
subject: Psychology
  topic: keywords
subject: Psychiatry
  topic: keywords
subject: Sexuality
  topic: keywords
subject: Transgender
  topic: keywords
subject: Partner of Ks Patients
  topic: keywords
creator: Elena Vittoria Longhi
creator: Andrea Salonia
creator: Francesco Montorsi
creator: Fabrizio Scroppo
rights: Copyright (c) 2023 Journal of Sexual Medicine & Research
date: 2023-12-08
publication date: 2023-12-08
starting page: 1
ending page: 4
doi: 10.47363/JSMR/2023(2)120

Experiences of Gynecological Violence among Binary and NonBinary Chilean Women
type: item
description: In this research, we explore how the experience of gynecological-obstetric violence manifests in the lives of Chilean women. Additionally, we identify the emotional strategies emerging from these experiences. In this qualitative study from a gender perspective, we conduct 21 in-depth interviews with Binary and No Binary (NB) people in the communes of Antofagasta and Calama who have been treated at public or private health facilities. Among the most relevant findings are emotional experiences involving guilt, fear, and shame. We conclude that one of the relevant damages concerns the body and sexuality that are harmed due to the dehumanizing nature of the experiences during obstetric or gynecological care. Thus, an aggravating factor is the hetero cis norm that is imposed on diverse corporality’s. Three models of experience analysis useful for interdisciplinary teams are presented as references for the impact of health services on users.
subject: Articles
  topic: section
subject: Gynecological Violence
  topic: keywords
subject: Binary and-Non Binary Chilean Women
  topic: keywords
creator: Jimena Silva Segovia
creator: Estefany Castillo Ravanal
creator: Daniela Vargas Castillo
creator: María Menanteux Suazo
rights: Copyright (c) 2023 Journal of Sexual Medicine & Research
date: 2023-12-12
publication date: 2023-12-12
starting page: 1
ending page: 11
doi: 10.47363/JSMR/2023(2)119

Effects of Court-Issued Restricted Contact Orders on Perceived Social Support of Individuals Involved in Sexually Violent Offenses
type: item
description: Due to their nature, court-issued restricted contact orders (consisting of orders that prohibit or limit contact between two or more persons) cause individuals named in such orders to experience disruption in their established social networks. The empirical literature highlights the disruptive element in social support networks as well as the harmful psychological outcomes for individuals who have been threatened or violated in intimate partner violence (IPV), domestic violence (DV), or sexual violence (SV) [1-3]. Another disruptive outcome of IPV, DV, and SV includes restricted court orders (RCOs). These orders that limit contact and communication between those who have offended and those who have been offended are thus, disruptive to social support networks especially when the parties involved are family members or otherwise intimately connected others. This disruption in social support may prevent needed resources for healing for those who have been offended by violence and those who have committed violent offenses. No literature exists that examines the potentially disruptive effects RCOs may have on the necessary social support systems (and changes in levels of perceived social support) of individuals who have violently offended or have been violently offended. This paper aims to add to the literature on the question of social support disruption in such cases, and to provide recommendations to mitigate support system interference for named parties in RCOs.
subject: Articles
  topic: section
subject: Intimate Partner Violence
  topic: keywords
subject: Domestic Violence
  topic: keywords
subject: Sexual Violence
  topic: keywords
subject: No-Contact Order
  topic: keywords
subject: Protection Order
  topic: keywords
subject: Protective Order
  topic: keywords
subject: Restraining Order
  topic: keywords
subject: Multidimensional Scale Of Perceived Social Support
  topic: keywords
subject: Social Exchange Theory
  topic: keywords
subject: Emotion-Focused Therapy Theory
  topic: keywords
subject: Attachment Theory
  topic: keywords
subject: Therapeutic Jurisprudence
  topic: keywords
creator: Kelly Walk
creator: Heather Macdonald
creator: Allen Cornelius
creator: April Harris-Britt
creator: Suchika Siotia
rights: Copyright (c) 2023 Journal of Sexual Medicine & Research
date: 2023-11-14
publication date: 2023-11-14
starting page: 1
ending page: 7
doi: 10.47363/JSMR/2023(2)118

Treatment Protocols For Isolated Asthenospermia Among A Group of Patients Scheduled for an Intrauterine Insemination (IUI) Procedure: Results of a Prospective Study
type: item
description: Intrauterine Insemination (IUI) is a largely used, also debated, technique. We tried to standardize a treatment protocol before IUI, to obtain an increase in motile sperm, expressed as Total Motile Sperm Cell (TMSC) with the aim of avoiding overtreatment in “large amount of spermatozoa” patients. A group of 97 patients was enrolled for a prospective study and underwent the assumption of the dietary supplement based on 100 mg ORISOD, 11 mg Extremely (SOD=154 IU), 50 mg lipoic acid, 30 mg glutathione, 1.5 mg zinc, 36 mg niacin, 25 mg riboflavin, 9.5 mg vitamin B6, 400 mcg folic acid, 33 mcg vitamin B12 for 90 day, with encouraging results. An increase in TMSC was detected in 77 patients with a.statistical significance (TMSC average increase from 10.7 to 15.2). Even considering this study a preliminary one, our results give a relevant contribution in a field that lack strong evidences and requires more randomized controlled trails (RCT).
subject: Articles
  topic: section
subject: Prospective Study
  topic: keywords
subject: Asthenospermia
  topic: keywords
creator: Nicola Arrighi
creator: Carlo Gastaldi
rights: Copyright (c) 2023 Journal of Sexual Medicine & Research
date: 2023-09-08
publication date: 2023-09-08
starting page: 1
ending page: 3
doi: 10.47363/JSMR/2023(2)114

T he Importance of Vulnerability
type: item
description: That sounds ominous for sure, but does it have to be a negative? Can we perhaps find a different way of perceiving vulnerability and its usefulness? When it comes to lasting, meaningful relationships, great sex, and the ultimate goal of meaningful intimacy, I will promote that vulnerability is a wonderful precursor of such, and dare I say true necessity.
subject: Articles
  topic: section
subject: Vulnerability
  topic: keywords
subject: emotionally wounded
  topic: keywords
subject: open to attack or damage
  topic: keywords
creator: Bear Murray
rights: Copyright (c) 2023 Journal of Sexual Medicine & Research
date: 2023-08-01
publication date: 2023-08-01
starting page: 1
ending page: 2
doi: 10.47363/JSMR/2023(2)112

Observations of Inequality between Female and Male Sexual Pleasure: ‘Good Enough’ Vs ‘Ideal’ Expectations
type: item
description: I pose a question for the readers. If I have a vulva, am I ‘hard work’, and is my orgasm ‘less important’ than that of a penis owner? I hope that for most, the answer is no, of course not. If you are a vulva owner who can confidently pronounce this, well done you. However, in my practice I commonly observe cognitive dissonance.
subject: Articles
  topic: section
subject: Inequality
  topic: keywords
subject: Female and Male Sexual Pleasure
  topic: keywords
creator: Lily Reed
rights: Copyright (c) 2023 Journal of Sexual Medicine & Research
date: 2023-08-05
publication date: 2023-08-05
starting page: 1
ending page: 2
doi: 10.47363/JSMR/2023(2)113

Management of Vulvar Cancer Our Clinical Experiences
type: item
description: Background/Aim: Vulvar cancer is a rare malignancy. It frequently affects postmenopausal women. There is no specific screening for vulvar cancer. Treatment is often surgical. The risk of recurrence is high. Lymph node involvement is an important prognostic factor in vulvar cancer. The primary purpose of this study is to share our institutional experience in managing vulvar cancer patients. Materials and Methods: This study is a retrospective study. The study was ultimately conducted with 39 participants. Descriptive analyzes are frequency, percentage, minimum/maximum values, mean, standard deviation, and median. Risk factors for relapse were evaluated by binary logistic regression analysis. Cox regression analyses analyzed analyzes of factors related to survival. Survival analyzes were calculated using the Kaplan-Meier method, and significant differences were determined by the Log Rank (Mantel-Cox) test. P<0.05 was considered statistically significant in the analyses. Results: Half of the patients (n=19; 50.0%) had vulvar mass complaints. While lesions related to vulvar cancer were observed in 13 participants before cancer diagnosis, no lesions were observed in 25 participants (65.8%). Squamous cell carcinoma was detected in 31 (81.6%) participants. Eleven (28.2%) participants had a recurrence. According to the logistic regression analysis, it was determined that the risk factors included in the model did not have statistically significant effects. Cox regression analysis was performed to determine the effects of factors on overall survival. It was determined that the factors included in the models did not have a statistically significant effect. Conclusion: Vulvar cancer is a type of cancer with limited prospective data. Therefore, it poses severe difficulties in treatment. Limited data on vulvar cancer necessitates the development of treatment paradigms. This means that we need to continue to study the disease.
subject: Articles
  topic: section
subject: Vulvar Cancer
  topic: keywords
subject: Recurrence
  topic: keywords
subject: Regression Analysis
  topic: keywords
subject: Disease-Specific Survival
  topic: keywords
creator: Mete Can Ates
creator: Abdül Hamid Guler
creator: Mehmet Kulhan
creator: Bayram Can
creator: Fazil Avci
creator: Ahmet Bilgi
creator: Ersin Cintesun
creator: Cetin Celik
rights: Copyright (c) 2023 Journal of Sexual Medicine & Research
date: 2023-07-07
publication date: 2023-07-07
starting page: 1
ending page: 5
doi: 10.47363/JSMR/2023(2)111

New Diagnostic and Therapeutic Approach to Erectile Dysfunction and Peyronie’s Disease
type: item
description: Color Ecodoppler (EC) and fundamentally Two-Dimensional Shear Wave Elastography (2D-Shear Wave Elastography or simply 2D-SWE), currently provide us with diagnostic tools with the ability to objectively demonstrate the condition of blood vessels and tissues level of the penile Corpora Cavernosa (CC) and the Tunica Albuginea (TA), in order to distinguish qualitatively and quantitatively and in a Non-Operator Dependent way the different vascular and tissue mechanisms that cause Erectile Dysfunction (ED) and the Disease of Peyronie (EP), as well as assessing the response to treatment with Low Intensity Focused Shock Waves (LI-ESWT-Low Intensity Extracorporeal Shock Wave Therapy), whose mechanisms of action have been widely demonstrated with innumerable and reliable scientific papers in which last years.
subject: Articles
  topic: section
subject: Bidimentional Shear Wave Elastography
  topic: keywords
subject: Focused Low Intensity Shock Waves
  topic: keywords
subject: Erectile Dysfunction
  topic: keywords
subject: Peyronie`S Disease
  topic: keywords
creator: César Eisner
creator: Facundo Lacsi
creator: Matías Caradonti
rights: Copyright (c) 2023 Journal of Sexual Medicine & Research
date: 2023-04-28
publication date: 2023-04-28
starting page: 1
ending page: 7
doi: 10.47363/JSMR/2023(2)115

Impact of Antipsychotics on the Sexuality of Patients Diagnosed with Schizophrenia
type: item
description: Background: Sexuality is a natural component of human behaviour. The general population has been extensively studied since the first half of the 20th century. On the other hand, regarding patients treated for Schizophrenia (SCZ), discussing sexual disorders was initially considered inappropriate because it was thought they should not be sexually active. Given these findings, this work proposes to study the sexuality of patients with SCZ. Aim: Our objectives were to assess the sexuality of patients with schizophrenia, to identify factors associated with sexual dysfunction among these patients, and to determine practitioners’ attitudes toward the sexuality of our study population. Methods: This is a cross-sectional study carried out in the psychiatry department of Kairouan (outpatient department), including 46 patients diagnosed with schizophrenia. A pre-established information sheet was completed for each patient recruited, including socio-demographic and clinical data; on the other hand, three scales ensured a sexual psychometric evaluation: Psychotropic-Related Sexual Dysfunction Questionnaire PRSexDQ - SALSEX ), Arizona Sexual Experiences Scale (ASEX) and Changes in Sexual Functioning Questionnaire - Male Clinical Version ( CSFQ -M -C ). Results: Concerning the evaluation of sexuality according to the scales used, SD according to the PRSexDQ-SALSEX scores was observed in 31 patients (67.4%). According to the ASEX scores, 24 patients (52%) had a SD, and for the total score of the CSFQ-M-C, 27 patients (58.7%) had a SD. We cannot confirm the existence of a relationship between the dose of the current treatment (in chlorpromazine equivalent) used and the results of the test assessing sexuality. In addition to these results, we can deduce the existence of a statistically significant association between the antipsychotic used and the results of the PRSexDO-SALSEX only. Conclusions: We recommend that screening for SD in patients followed for SCZ should be systematic, re…
subject: Articles
  topic: section
subject: Sexuality
  topic: keywords
subject: Schizophrenia
  topic: keywords
subject: Antipsychotic
  topic: keywords
subject: Side Effects
  topic: keywords
subject: Stigmatization
  topic: keywords
creator: Jaballah F
creator: Ferhi M
creator: Mannaii J
creator: Zgueb Y
creator: Jomli R
rights: Copyright (c) 2023 Journal of Sexual Medicine & Research
date: 2023-06-30
publication date: 2023-06-30
starting page: 1
ending page: 7
doi: 10.47363/JSMR/2023(2)116