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The meta-analysis is an Australian and American clinical collab. Of the 36 studies meeting quality criteria I tallied about 6 as American and the remainder distributed broadly globally. Geolocation did not factor into selectivity criteria. Gold standard is predicated on established ratings of strength of methodology and analysis. A meta-analysis does not typically present a null hypothesis, subject to bias, to be tested as supported or refuted, but involves an extensive literature scan and a synthesis of the highest quality proportion of related topic research to yield a judgement about the reality of a specific procedure. An ambiguous weighting of relative harm versus absence of deleterious consequences doesn’t get much traction with peer review, yet a paper is equally publishable with a meta-analytical finding of no particular outcome one way or the other as long as it is not wishy-washy. It is merely inquiry, and doesn’t completely resolve the conundrum of ascertaining whether something is salutary versus not bad. The data are scattered among these distinctions and the best research practices paradoxically militate against near universal consensus regarding the practice because it’s about a binary balance and there is no established set point between 51% and 100% on the more heavily weighted side of the question’s answer. This largely accounts for positional variability and cherry-picked contrarianism. Silo clinical context also plays a role, say, if one’s practice is weighted with HIV transmission considerations and circumcision status’ loading into risk.

Yes, and that is what bothers me the most. I also have the feeling that it is the foreigners Asian and western, that misunderstand the tradition.

this is all great information. thank you all for your input.

Ohh it can start as early as the 11th in Chiang Mai and in the suburbs of Bangkok and unlike in years gone by where the water throwing is usually over by 8 PM, these days it can go on well into the night. But except for Pattaya, festivities in the major cities will end by the evening of the 15th. Out of curiosity, when does the water throwing begin in Pattaya?

Yet again you suggest that in America and with minimal numbers in other countries, the benefits far outweigh the risks. How anyone can expect that ridiculous suggestion to be fact when the vast majority of the non-religious non-cultural uncircumcisied world has decided for its own reasons that such comments are not invalid and circumcision does not factor into their thinking totally beats me and any and reasonable reader! You are perfectly entitled to undertake the procedure or have it undertaken on behalf of your American patients. But do not tell the rest of the world they are wrong! America may have around 80% of males circumcised, but Britain only has around 20% and in Europe as a whole considerably less. As I wrote earlier, South America has much less and much of Asia even less. Had it not been for Americans, South Korea would not even have known about circumcision until the Americna occupation! And you might even point out that even in the USA numbers are falling.

You are quite the wanderer. Where’s your minder? Tripartite Orientation assessment: time after time annoyingly boring; spaced out; fails to know his place. Ask her. Help may be out there.

I think that if one reads the thread thoroughly and neutrally the meta analytical research conclusions prevail. In some circles the expanded notion of metasynthesis might emerge, that a cost/benefit conclusion be nevertheless contextualized within bioethics. Metananalysis does not dismiss concepts of beneficence, nonmaleficence, autonomy/ selfdetermination, societal wellbeing, fairness, etc, but there may be a faction that purports that autonomy is essentially retroactively inappropriately nullified by default with infant circumcision. That’s life. This can be binned with parental decision substitution across a broad clinical range and the best that can be attempted in actual application is policy steered by the scales of research data. Digging heels in the sand on the view that consent is vitiated will not likely be amenable to shifts when conceit surrounding perspectives is so ingrained. We cannot give babies, say, standard gamble tradeoff options but latent figurative tantrums are not particularly surprising. All that can be done is be factual, not get too caught up in cherry-picked refute dosed with rebuke, and electively express some degree of empathy regarding a contrarian position whether entrenched in belief systems or actual delusion. Fortunately it’s not equivalent in scope to, say, HIV denialism at point of care.

As said above it stops promptly in Bangkok but continues in Pattaya. In Bangkok it can start the evening of the 12th when the official start date is 13th.

Patrick Chan also had a piano music short program with a high score at the time that I watched over and over; may have been Chopin. Of course there is dual aspect commentary but there is only so much language option and if you follow all seasonal competitions with the same network hosts it gets no less repetitive than trick ticking.

I’ve never considered an acidic sad sack clown to represent the acid test of acceptable expression style. Maybe a peanut gallery handful stand by you but what other than rampant narcissism and lack of insight makes you think I give a shit? Ask her. Add that it’s pertinent to skating and that with such a permanent single dbl triple quad double axe to grind you uniformly fail to stick the landing … splat! orthopaedics contacts, etc?

Your anxiety reflects such multi factorial pathology. Ask her.

Well I don’t buy that external hype should influence one’s enjoyment and I just liked it without significant media exposure. Also knew the expected plot trajectory and only wondered if there were to be marked deviation from the novel. Translating interior narrative to moving pic script is a challenge. There are no gaps and silences in written fiction. Part 2 is much psychologically deeper IMHO and reflects typical couple developmental theory and practice. I think it will be harder to capture. It’s unclear how much other characters headlined within her collective works will feature. But the viewers are primed and I wonder if there will be audience testing to determine and finesse enjoyment. The two main book characters have consistently been able to overcome their genital anomalies, one a micro penis, the other hypospadias and associated surgical scarring constricting tumescence.

I did not know he is the gay ( I assume you are talking about Felix Mop, my childhood friend)

I was down in Wagga Wagga last week ,so hot and plenty of Country boys on Grinder 😜

Everyone? Billions would be surprised hearing that

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Absolutely not. At it's height in Pattaya on the 19th (possibly a different name).

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I’ve tried several, my luck has been with Scruff.

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You raise an interesting point but could it be that all this filming is scaring potential customers away? My impression is that many of the sex tourists in the commercial gay venues are only gay in the commercial fleshpots of the world like Pattaya, Patpong, Rio, etc and go right back pretending to be straight when they hit Main Street back home (even though the entire town and its cockroaches know they're as gay as a picnic basket). On the other hand, others may be openly loud and proud but may not want to be known as sex tourists and tell people back home they go to Thailand to visit temples and collect first-day covers. Secondly, rightly or wrongly, Pattaya and Thailand in general have got a notorious reputation when it comes to certain forbidden sexual activity (and I'm not talking about stamp collecting - think Sunee Plaza of old) and a skinny, elfish and juvenile-looking ladyboy on the lap of a seventy-year-old could reinforce this image. In turn, this image caught on film could deter potential visitors out of fear of being tarred with the same brush. OR it could entice those of similar ilk to buy that first ticket to Thailand because rocking that young adult cradle appears normalised in Pattaya. So what is the net effect of all this publicity and do the positives outweigh the negatives? 🤷

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Uh-huh. Thank goodness for digital cameras. In the old days, there won't be enough film to capture yourselves. 😏

May I ask you, without giving us spoilers, based on Reid's novels, is there a chance Season 2 can ignite such a popular response? I worry the magic that created Season 1 might elude the second season. Again, if you could avoid spoilers, it would be appreciated. That said, may I also ask if Reid describes how hung any of her characters are? Sukrates' post prompted me to ask. 😄 It could peak his interest.😄

There is a balance to be struck somewhere, some people are desperate to avoid leaving behind any visible 'footprint' of their visits to gay bars, while other of us are less concerned. On the other hand we bewail the lack of customers and boys in Jomtien, especially in low season, and the consequent failure and closure of bars that we know and love. Some of us also bewail the lack of any effort of self-publicity by the bars themselves to promote themselves and their boys. In Soi 6, the girlie bars are always promoting themselves on social media, almost on a daily basis, highlighting the girls working there. Soi 6 is consequently always very busy, reaping the benefits of its publicity. Boy bars are so very far, far behind them in promoting themselves. My couple of boy spies working in Boyztown regularly report on activity there, often by video calls from their cameras, or rather the lack of customers there, and not just in low season. Toy Boys, for example, seems to have no social media presence at all. In Jomtien Complex, boss Charlie is an exception, promoting his highly popular M Bar, Gus Bar, Sunee Bar and now Jungle Bar which are (consequently perhaps) currently the busiest in the Soi. The massage shops in the Complex are also getting in on the act and now regularly appearing on social media. In contrast Facebook, TikTok are full of the various Pattaya karaoke bars promoting themselves, showing off the boys and their 'numbers'. A thriving gay bar culture in Pattaya/Jomtien needs visual publicity, but a consequence is that we, as customers, might end up getting caught up in that, even if only as a potentially identifiable bald-spot in the background of some bar 🤣 For me that is a price worth paying! 🥰