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Berlin is amongst the cities most affected by the current monkeypox outbreak. Here, we report clinical characteristics of the first patients with confirmed monkeypox admitted to our center. We analyzed anamnestic, clinical, and laboratory data. Within a period of 2 weeks, six patients were hospitalized in our unit. All were MSM and had practiced condomless receptive anal intercourse in the weeks preceding admission. The chief complaint in all patients but one was severe anal pain unprecedented in severity. Investigations revealed proctitis, as well as anal and rectal ulcers with detection of monkeypox virus. Our findings support the hypothesis that sexual transmission plays a role in Why does butt sex hurt current outbreak. Berlin is amongst the cities most affected by the current global MPX outbreak with of a total of cases reported in Germany as of June 29, [ 34 ]. The patients described in this case series Why does butt sex hurt the first six patients included in an ongoing prospective clinical cohort study, with the aim to analyze clinical and laboratory characteristics of MPX. Patients were included from May 27 to June 10,after written informed consent had been obtained. Treatment of patients, clinical sampling, investigations and documentation were carried out according to clinical necessity.
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The German residence permit German: Aufenthaltstitel is a document issued to non- EU citizens so-called third-country nationals living in Germany. Prior to 1 September , residence permits and additional provisions were affixed to pages inside the passport in sticker form. Today, residence permits are issued as ID-1 credit card size plastic cards and the additional provisions are printed on a separate sheet of paper, so that residents have to possess but not carry around up to three different documents: a passport from their country of citizenship, their residence permit, and the supplementary sheet if applicable. Carrying passports and residence cards is only compulsory when crossing borders. Within Germany, it is sufficient to know where they are and to show them to the police within a reasonable amount of time, when requested. A limited residence permit a so-called Aufenthaltserlaubnis , literally residence permit is valid for a certain period of time and is issued for a certain purpose:. The Aufenthaltserlaubnis does not automatically grant the right to work; instead the permission to work must be explicitly mentioned in the document. An unlimited residence permit a so-called Niederlassungserlaubnis , literally settlement permit is a permanent residence permit. It grants the right to live and work in Germany under EU law. A foreigner receives a settlement permit if:. Additional provisions e. All information on it is given only in German except for the English words residence permit. It contains the following information:. The residence permit contains a RFID chip. The additional provisions are also stored on the chip.
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Doing so, they know, will surely be sentencing the kid to die. In an attempt to humanize him, Annie reminds them that his name is Eddie, that he likes his mom, vintage watches, and Mexican food. Side note: All the spouts on the fountain soda machine have the Dandy Donuts logo. She rebuffs his offer, telling him she has two kids. Her phone starts ringing, and the news on the other end of the line is enough to make her start screaming.