Showing posts with label Aaron Tobian. Show all posts
Showing posts with label Aaron Tobian. Show all posts

Monday, January 23, 2017

PLEASANTON, CA: Publisher won't retract Morris male-cutting article, editor resigns

Retraction Watch
November 22, 2016

Journal editor resigns over firestorm from circumcision article

Circumcision is a hot topic. So hot, questions about a reviewer’s potential conflict with the author of an article promoting circumcision prompted a journal editor to resign, and one academic to call another a “fanatic.”

It began in August, when Brian Morris, professor emeritus of molecular medicine at the University of Sydney, published a critique of a paper that itself had critiqued the practice of circumcision. But the sole reviewer of Morris’s article was a frequent co-author of his, Aaron Tobian of the Johns Hopkins School of Medicine. In his reference section, Morris listed five papers on which he and Tobian were co-authors.

A tipster forwarded us emails from Eduardo Garin, editor in chief of the journal, saying he had resigned from the journal after it refused to retract the paper, despite the fact that its sole reviewer was a frequent collaborator of the author. However, Garin is still listed as editor in chief on the journal’s site.

Garin confirmed to us that he resigned after the publisher refused to retract or correct the Morris article; however, Xiu-Xia Song, vice director of the editorial office at Baishideng, told us by email that Garin is still the journal’s editor.

Here are some specifics:
Morris’s paper is “Critical evaluation of unscientific arguments disparaging affirmative infant male circumcision policy” in the World Journal of Clinical Pediatrics, put out by the Baishideng Publishing Group. It critiqued “Risks, Benefits, Complications and Harms: Neglected Factors in the Current Debate on Non-Therapeutic Circumcision,” published in the Kennedy Institute of Ethics Journal by Robert Darby, an independent scholar who also wrote the anti-circumcision book “A Surgical Temptation: The Demonization of the Foreskin and the Rise of Circumcision in Britain.”

As usual, we sent emails to everyone else involved.

Morris defended Tobian’s impartiality, noting:
Tobian is an expert on the topic and would be highly unlikely to allow any past relation with me over an unrelated paper to influence his assessment of this recent manuscript. You are clutching at straws … and for what? Do you have a hidden agenda. If so think one would regard that as unethical…Did [Darby] put you up to this nonsense?…Tobian was not on the list of suggested reviewers. So now will you go away and stop bothering me? This is a non-issue. If you are looking for someone to annoy I suggest you go and harass Darby. When we contacted Tobian, the sole reviewer, he declined to comment, saying “I am conflicted.”
Tobian is still listed as a peer reviewer at the bottom of the journal article; Song didn’t respond to questions, about the World Journal of Clinical Pediatrics’ conflict of interest policy for peer reviewers. That policy reads:
Reviewers will decline participation in the peer review process for any manuscript if a conflict of interest exists, including interests related to the manuscript’s authors, personal interests, or academic or economic interests. If a conflict of interest becomes apparent during the peer review process, the reviewer must inform the Editorial Office immediately. There are two comments on the article, one from circumcision critic John Dalton, and the other a response from Morris. Dalton’s comment reads in part:
Morris, Krieger, Klausner and reviewer Tobian are members of an authorship cartel who seek to promote circumcision by co-authoring papers and reviewing each other’s work. [Members of the cartel include Robert Bailey, Stefan Bailis, Ronald Gray, Daniel Halperin, Godfrey Kigozi, Jeffrey Klausner, Brian Morris, Stephen Moses, Malcolm Potts, Thomas Quinn, Edgar Schoen, David Serwadda, Dirk Taljaard, Aaron Tobian, David Tomlinson, Richard Wamai, Maria Wawer, Helen Weiss andr Thomas Wiswell.] They also seek to repress papers with opposing views by writing damning reviews. Morris’s response reads, in part:
We suggest you be wary of comments posted by opponents of male circumcision. These pose a threat to good science, public health and individual well-being. The comment by Dalton provides false allegations against the authors. This appears to be a deliberate strategy undertaken in a desperate attempt to discredit high quality scientific work when no credible criticisms can be made. Darby, the author of the paper Morris et al was criticizing, acknowledged to us that the topic of circumcision raises strong feelings:
Circumcision is in itself an intensely emotional topic because it is the focus of discourses that are themselves likely to generate intense emotions: sexuality, body image, masculinity, health, religion, science etc. Most people writing on the topic have an interest one way or another and passionate feelings may arise among people on both sides of the debate: circumcision critics through resentment at having been circumcised, for example, or supporters because they have circumcised their own boys and do not wish to believe that they have done the wrong thing.

But even admitting that, it has to be said that the intensity Prof. Morris brings to the debate is in a class of its own, and I don’t think it is unreasonable to describe him as a fanatic…I don’t think Morris has any particular aversion to me – he tends to hate all circumcision critics equally, and generally responds to them with great personal venom.

Friday, February 15, 2013

BELGIUM: Circumcised men get less pleasure

Reuters
February 14, 2013

Male circumcision tied to less sexual pleasure

by Andrew M. Seaman
(Reuters Health) - Men circumcised either as children or adults report less intense sexual pleasure and orgasm than their uncircumcised counterparts, according to a new study from Belgium.

"We're not saying less sexual activity or satisfaction, but sensitivity," said the study's senior researcher Dr. Piet Hoebeke, from Ghent University Hospital.

The new study surveyed 1,369 men over the age of 18, who responded to leaflets handed out in train stations across Belgium.

The men were asked whether they were circumcised, and were then asked to rate how sensitive their penis was, how intense their orgasms were and whether they experience any pain or numbness when they are aroused.

Overall, 310 men who took the survey were circumcised, and 1,059 were not. Each rated how sensitive their penis was on a scale from 0 to 5, with higher numbers being the most sensitive.

Overall, uncircumcised men reported between 0.2 points and 0.4 points higher sensitivity and sexual pleasure when their penis's head - known as the glans - was stroked during arousal, compared to circumcised men.

For example, uncircumcised men reported an average sensitivity score of 3.72 when they or their partner stroked the top part of their penis's glans, compared to 3.31 amongst circumcised men.
Uncircumcised men also reported more intense orgasms.

"It's not a very big difference in sensitivity, but it's a significant difference," Hoebeke said.

Currently, about half of U.S. baby boys have their foreskin surgically removed at birth, and about 30 percent of men around the world are circumcised.

Some religions, such as Judaism and Islam, consider circumcision part of religious practice, while other people choose circumcision for possible health benefits - including a reduced risk of urinary tract infections (see Reuters Health article of December 7, 2012 here:).

Hoebeke and his colleagues write in BJU International that there are few studies researching whether foreskin plays a role in sexual pleasure. But Dr. Aaron Tobian, who studies circumcision but was not part of the new study, said that previous randomized controlled trials - considered the gold standard of medical research - looked at sexual performance and satisfaction. [They were studies of adult volunteers for circumcision - not the gold standard at all.] Those studies, he said, did not find a difference. [Becauses the questions were too vague to do so.]

One possible explanation for any potential difference in sensitivity is that a man's foreskin may protect his penis's head from rubbing against underwear and clothing. It's possible, the researchers write, that friction makes the head of the penis thicker, drier and ultimately less sensitive. [Another is simply that the foreskin itself is sensitive, as Taylor found.]

The researchers also found circumcised men were more likely to report more pain and numbness during arousal than uncircumcised men, which Hoebeke said is likely due to scar tissue.
"I'm amazed that people report pain during sexual pleasure… That's very amazing and that was unexpected," he said.

‘ABUNDANTLY CLEAR' EVIDENCE
Tobian, from Johns Hopkins University in Baltimore, said the findings are missing important context.
"The medical evidence and the benefits of male circumcision are abundantly clear," Tobian told Reuters Health. [This is not "context", but another issue altogether.]

"If there was a vaccine out there that reduces the risk of HIV by 60 percent, herpes by 30 percent and the penile cancer causing HPV by 35 percent, the medical community would rally behind it," said Tobian. [There is little or no evidence that circumcision does any of those things.]

The American Academy of Pediatrics says the benefits of male circumcision outweigh the risks, but stops short of recommending universal circumcision (see Reuters story of August 27, 2012 here:).

SOURCE: bit.ly/X7j39D BJU International, online February 4, 2013.