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145-639: In 1999 several other medical organisations were integrated into the KNMG, the association of the National Association of salaried Doctors (LAD), the National Association of General Practitioners (LHV), the Dutch Association for Occupational Health (NVAB), the Dutch Association for Nursing Home Physicians (NVVA), the Dutch Association of Insurance Medicine (NVVG), the Dutch Order of Medical Specialists (OMS) and

290-469: A corvée system. Artists and craftsmen were of higher status than farmers, but they were also under state control, working in the shops attached to the temples and paid directly from the state treasury. Scribes and officials formed the upper class in ancient Egypt, known as the "white kilt class" in reference to the bleached linen garments that served as a mark of their rank. The upper class prominently displayed their social status in art and literature. Below

435-477: A dorsal slit ), which remains until blood flow has stopped. Finally, the foreskin is amputated . For older babies and adults, circumcision is often performed surgically without specialized instruments, and alternatives such as Unicirc or the Shang ring are available. The circumcision procedure causes pain, and for neonates this pain may interfere with mother-infant interaction or cause other behavioral changes, so

580-417: A nomarch , who was accountable to the vizier for his jurisdiction. The temples formed the backbone of the economy. Not only were they places of worship , but were also responsible for collecting and storing the kingdom's wealth in a system of granaries and treasuries administered by overseers , who redistributed grain and goods. Much of the economy was centrally organized and strictly controlled. Although

725-517: A 2014 review, the effect of circumcision on sexual partners' experiences is unclear as this has not been well studied. According to a policy statement from the Canadian Paediatric Society that was reaffirmed in 2021, "medical studies do not support circumcision as having an impact on sexual function or satisfaction for partners of circumcised individuals". There are popular misconceptions that circumcision benefits or adversely impacts

870-444: A balanced relationship between people and animals was an essential element of the cosmic order; thus humans, animals and plants were believed to be members of a single whole. Animals, both domesticated and wild , were therefore a critical source of spirituality, companionship, and sustenance to the ancient Egyptians. Cattle were the most important livestock; the administration collected taxes on livestock in regular censuses , and

1015-591: A brief but spirited resurgence in the economy and culture, but in 525   BC, the Persian Empire, led by Cambyses II , began its conquest of Egypt, eventually defeating the pharaoh Psamtik III at the Battle of Pelusium . Cambyses II then assumed the formal title of pharaoh, but ruled Egypt from Iran, leaving Egypt under the control of a satrap . A few revolts against the Persians marked the 5th century   BC, but Egypt

1160-514: A circumcision device may be placed, after which the foreskin is excised . Topical or locally injected anesthesia is generally used to reduce pain and physiologic stress . Circumcision is generally electively performed , most commonly done as a form of preventive healthcare , as a religious obligation , or as a cultural practice . It is also an option for cases of phimosis , other pathologies that do not resolve with other treatments, and chronic urinary tract infections (UTIs). The procedure

1305-405: A comprehensive program for prevention of HIV transmission in areas with high endemic rates of HIV, as long as the program includes " informed consent , confidentiality , and absence of coercion " — known as voluntary medical male circumcision, or VMMC. In 2010, this was expanded to routine neonatal circumcision, as long as those undergoing the procedure received assent from their parents. In 2020,

1450-694: A confident, eloquent style. The relief and portrait sculpture of the period captured subtle, individual details that reached new heights of technical sophistication. The last great ruler of the Middle Kingdom, Amenemhat III , allowed Semitic -speaking Canaanite settlers from the Near East into the Delta region to provide a sufficient labor force for his especially active mining and building campaigns. These ambitious building and mining activities, however, combined with severe Nile floods later in his reign, strained

1595-555: A contributing cause of the Bar Kokhba revolt . According to Silverman (2006), these restrictions were part of a "broad campaign" by the Romans to "civilize" the Jewish people, viewing the practice as repulsive and analogous to castration . His successor, Antoninus Pius , altered the edict to permit Brit Milah . During this period in history, Jewish circumcision called for the removal of only

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1740-566: A large-scale building campaign to promote the god Amun , whose growing cult was based in Karnak . They also constructed monuments to glorify their own achievements, both real and imagined. The Karnak temple is the largest Egyptian temple ever built. Around 1350   BC, the stability of the New Kingdom was threatened when Amenhotep IV ascended the throne and instituted a series of radical and chaotic reforms. Changing his name to Akhenaten , he touted

1885-645: A mark of distinction for the elite: the Egyptian Book of the Dead describes the sun god Ra as having circumcised himself. Circumcision is prominent in the Hebrew Bible . In addition to proposing that circumcision was adopted by the Israelites purely as a religious mandate, scholars have suggested that Judaism's patriarchs and their followers adopted circumcision to make penile hygiene easier in hot, sandy climates; as

2030-445: A more dense population, and social development and culture. With resources to spare, the administration sponsored mineral exploitation of the valley and surrounding desert regions, the early development of an independent writing system , the organization of collective construction and agricultural projects, trade with surrounding regions, and a military intended to assert Egyptian dominance. Motivating and organizing these activities

2175-408: A part of the prepuce, and Hellenized Jews often attempted to look uncircumcised by stretching the extant parts of their foreskins. This was considered by the Jewish leaders to be a serious problem, and during the second century CE they changed the requirements of Jewish circumcision to call for the complete removal of the foreskin, emphasizing the Jewish view of circumcision as intended to be not just

2320-562: A period of economic and cultural renaissance known as the Middle Kingdom . The kings of the Middle Kingdom restored the country's stability and prosperity, thereby stimulating a resurgence of art, literature, and monumental building projects. Mentuhotep II and his Eleventh Dynasty successors ruled from Thebes, but the vizier Amenemhat I , upon assuming the kingship at the beginning of the Twelfth Dynasty around 1985   BC, shifted

2465-502: A piece of papyrus or an ostracon . A combination of favorable geographical features contributed to the success of ancient Egyptian culture, the most important of which was the rich fertile soil resulting from annual inundations of the Nile River. The ancient Egyptians were thus able to produce an abundance of food, allowing the population to devote more time and resources to cultural, technological, and artistic pursuits. Land management

2610-649: A placebo, but the American Academy of Pediatrics (AAP) states that such methods are insufficient alone and should be used to supplement more effective techniques. A quicker procedure reduces duration of pain; use of the Mogen clamp was found to result in a shorter procedure time and less pain-induced stress than the use of the Gomco clamp or the Plastibell. The available evidence does not indicate that post-procedure pain management

2755-717: A queen who established herself as pharaoh, launched many building projects, including the restoration of temples damaged by the Hyksos, and sent trading expeditions to Punt and the Sinai. When Tuthmosis III died in 1425   BC, Egypt had an empire extending from Niya in north west Syria to the Fourth Cataract of the Nile in Nubia , cementing loyalties and opening access to critical imports such as bronze and wood . The New Kingdom pharaohs began

2900-436: A reduced risk of cervical cancer (which is caused by a type of HPV) in female partners of men. There is some evidence that circumcision is associated with reduced risk of prostate cancer . A 2017 systematic review found consistent evidence that male circumcision prior to heterosexual contact was associated with a decreased risk of cervical cancer, cervical dysplasia , HSV-2, chlamydia, and syphilis among women. The evidence

3045-596: A rite of passage into adulthood; or as a form of blood sacrifice. Historical campaigns of ethnic, cultural, and religious persecution frequently included bans on circumcision as a means of forceful assimilation, conversion, and ethnocide . Alexander the Great conquered the Middle East in the fourth century BCE, and in the following centuries ancient Greek cultures and values came to the Middle East. The Greeks abhorred circumcision, making life for circumcised Jews living among

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3190-591: A rival dynasty in the delta arose in Leontopolis , and Kushites threatened from the south. Around 727   BC the Kushite king Piye invaded northward, seizing control of Thebes and eventually the Delta, which established the 25th Dynasty . During the 25th Dynasty, Pharaoh Taharqa created an empire nearly as large as the New Kingdom 's. Twenty-fifth Dynasty pharaohs built, or restored, temples and monuments throughout

3335-633: A series of stable kingdoms interspersed by periods of relative instability known as "Intermediate Periods". The various kingdoms fall into one of three categories: the Old Kingdom of the Early Bronze Age , the Middle Kingdom of the Middle Bronze Age , or the New Kingdom of the Late Bronze Age . Ancient Egypt reached the pinnacle of its power during the New Kingdom, ruling much of Nubia and

3480-638: A series of vassals who became known as the Saite kings of the Twenty-Sixth Dynasty . By 653   BC, the Saite king Psamtik I was able to oust the Assyrians with the help of Greek mercenaries, who were recruited to form Egypt's first navy . Greek influence expanded greatly as the city-state of Naucratis became the home of Greeks in the Nile Delta. The Saite kings based in the new capital of Sais witnessed

3625-450: A significant number of those infections stemming from heterosexual transmission. As a result, the promotion of prophylactic circumcision has been a priority intervention in that region since the WHO's 2007 recommendations. The International Antiviral Society–USA also suggests circumcision be discussed with men who have insertive anal sex with men , especially in regions where HIV is common. There

3770-775: A sizable portion of the Levant . After this period, it entered an era of slow decline. During the course of its history, ancient Egypt was invaded or conquered by a number of foreign powers, including the Hyksos , the Nubians , the Assyrians , the Achaemenid Persians , and the Macedonians under Alexander the Great . The Greek Ptolemaic Kingdom , formed in the aftermath of Alexander's death, ruled until 30   BC, when, under Cleopatra , it fell to

3915-521: A small group of individual KNMG members. Its membership in 2008 was 40,000 doctors. In 2010, they called male circumcision a harmful and painful ritual that violates children's rights . This announcement was covered internationally over the following years. Its headquarters is located in Utrecht . The Association began a library in the field of the history of medicine in the Netherlands in 1849. In 1855,

4060-428: A spiritual concept, arguing literal circumcision to be unnecessary for Gentile converts to Christianity. The teaching that circumcision was unnecessary for membership in a divine covenant was instrumental to the separation of Christianity from Judaism. While the circumcision of Jesus is celebrated as a feast day in the liturgical calendar of many Christian denominations . Although it is not explicitly mentioned in

4205-423: A strong protective effect against penile cancer in later life. Penile cancer is a rare disease in the developed world but much more prevalent in the developing world . The penile tissue removed during circumcision is a potential origin for penile cancer. Risk-benefit considerations around the use of circumcision as a cancer-preventive measure are a source of debate. Penile cancer development can be detected in

4350-514: A system of mathematics , a practical and effective system of medicine , irrigation systems, and agricultural production techniques, the first known planked boats, Egyptian faience and glass technology, new forms of literature , and the earliest known peace treaty , made with the Hittites . Ancient Egypt has left a lasting legacy. Its art and architecture were widely copied, and its antiquities were carried off to be studied, admired or coveted in

4495-455: A system still used today. He began his official history with the king named "Meni" (or Menes in Greek), who was believed to have united the two kingdoms of Upper and Lower Egypt . The transition to a unified state happened more gradually than ancient Egyptian writers represented, and there is no contemporary record of Menes. Some scholars now believe, however, that the mythical Menes may have been

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4640-467: Is contraindicated in cases of certain genital structure abnormalities or poor general health. The procedure is associated with reduced rates of sexually transmitted infections and urinary tract infections . This includes reducing the incidence of cancer-causing forms of human papillomavirus (HPV) and significantly reducing HIV transmission among heterosexual men in high-risk populations; its prophylactic efficacy against HIV transmission in

4785-477: Is a consensus among the world's major medical organizations and in the academic literature that circumcision is an efficacious intervention for HIV prevention in high-risk populations if carried out by medical professionals under safe conditions. In 2007, the WHO and the Joint United Nations Programme on HIV/AIDS (UNAIDS) stated that they recommended adolescent and adult circumcision as part of

4930-467: Is a risk that the circumcision scar may be tender. There is no good evidence that circumcision affects cognitive abilities. Circumcision is the oldest known surgical procedure. Depictions of circumcised penises are found in Paleolithic art , predating the earliest signs of trepanation . The history of the migration and evolution of circumcision is known mainly from the cultures of two regions. In

5075-498: Is also the period when many animals were first domesticated . By about 5500 BC , small tribes living in the Nile valley had developed into a series of cultures demonstrating firm control of agriculture and animal husbandry , and identifiable by their pottery and personal items, such as combs, bracelets, and beads. The largest of these early cultures in upper (Southern) Egypt was the Badarian culture , which probably originated in

5220-405: Is also used to treat various pathologies. These include pathological phimosis , refractory balanoposthitis and chronic or recurrent urinary tract infections (UTIs). Circumcision is contraindicated in certain cases. These include infants with certain genital structure abnormalities, such as a misplaced urethral opening (as in hypospadias and epispadias ), curvature of the head of

5365-442: Is evidence that circumcision is associated with a reduced risk of HIV infection for such men, particularly in low-income countries. The finding that circumcision significantly reduces female-to-male HIV transmission has prompted medical organizations serving communities affected by endemic HIV/AIDS to promote circumcision as an additional method of controlling the spread of HIV. Major medical organizations hold varying positions on

5510-499: Is known about that history. It has been speculated that circumcision originated as a substitute for castration of defeated enemies or as a religious sacrifice . In many traditions, it acts as a rite of passage marking a boy's entrance into adulthood . At Oued Djerat , in Algeria , engraved rock art with masked bowmen, which feature male circumcision and may be a scene involving ritual, have been dated to earlier than 6000 BP amid

5655-573: Is meatal stenosis, this is almost exclusively seen in circumcised children, it is thought to be caused by ammonia producing bacteria coming into contact with the meatus in circumcised infants. It can be treated by meatotomy . Effective pain management should be used during the procedure. Inadequate pain relief may carry the risks of heightened pain response for newborns. Newborns that experience pain due to being circumcised have different responses to vaccines given afterwards, with higher pain scores observed. For adult men who have been circumcised, there

5800-417: Is needed. For adults, topical anesthesia , ring block, dorsal penile nerve block (DPNB) and general anesthesia are all options, and the procedure requires four to six weeks of abstinence from masturbation or intercourse to allow the wound to heal. Male circumcision reduces the risk of human immunodeficiency virus (HIV) transmission from HIV positive women to men in high risk populations. In 2020,

5945-407: Is the inability to retract the foreskin over the glans penis. At birth, the foreskin cannot be retracted due to adhesions between the foreskin and glans, and this is considered normal (physiological phimosis). Over time the foreskin naturally separates from the glans, and a majority of boys are able to retract the foreskin by age three. Less than one percent are still having problems at age 18. If

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6090-519: The Amarna Period . Around 1279   BC, Ramesses II , also known as Ramesses the Great, ascended the throne, and went on to build more temples, erect more statues and obelisks, and sire more children than any other pharaoh in history. A bold military leader, Ramesses II led his army against the Hittites in the Battle of Kadesh (in modern Syria ) and, after fighting to a stalemate, finally agreed to

6235-933: The Bubaline Period ; more specifically, while possibly dating much earlier than 10,000 BP, rock art walls from the Bubaline Period have been dated between 9200 BP and 5500 BP. The cultural practice of circumcision may have spread from the Central Sahara , toward the south in Sub-Saharan Africa and toward the east in the region of the Nile . Based on engraved evidence found on walls and evidence from mummies , circumcision has been dated to at least as early as 6000 BCE in ancient Egypt . Some ancient Egyptian mummies , which have been dated as early as 4000 BCE, show evidence of circumcision. Evidence suggests that circumcision

6380-495: The Great Kenbet , over which the vizier or pharaoh presided. Plaintiffs and defendants were expected to represent themselves and were required to swear an oath that they had told the truth. In some cases, the state took on both the role of prosecutor and judge, and it could torture the accused with beatings to obtain a confession and the names of any co-conspirators. Whether the charges were trivial or serious, court scribes documented

6525-450: The Levant was established during Naqada II ( c.  3600–3350 BC ); this period was also the beginning of trade with Mesopotamia , which continued into the early dynastic period and beyond. Over a period of about 1,000 years, the Naqada culture developed from a few small farming communities into a powerful civilization whose leaders were in complete control of the people and resources of

6670-951: The Mouseion . The Lighthouse of Alexandria lit the way for the many ships that kept trade flowing through the city—as the Ptolemies made commerce and revenue-generating enterprises, such as papyrus manufacturing, their top priority. Hellenistic culture did not supplant native Egyptian culture, as the Ptolemies supported time-honored traditions in an effort to secure the loyalty of the populace. They built new temples in Egyptian style, supported traditional cults, and portrayed themselves as pharaohs. Some traditions merged, as Greek and Egyptian gods were syncretized into composite deities, such as Serapis , and classical Greek forms of sculpture influenced traditional Egyptian motifs. Despite their efforts to appease

6815-489: The Near East . The New Kingdom pharaohs established a period of unprecedented prosperity by securing their borders and strengthening diplomatic ties with their neighbours, including the Mitanni Empire, Assyria , and Canaan . Military campaigns waged under Tuthmosis I and his grandson Tuthmosis III extended the influence of the pharaohs to the largest empire Egypt had ever seen. Between their reigns, Hatshepsut ,

6960-463: The Nubians to the south of Egypt, but failed to defeat the Hyksos. That task fell to Kamose's successor, Ahmose I , who successfully waged a series of campaigns that permanently eradicated the Hyksos' presence in Egypt. He established a new dynasty and, in the New Kingdom that followed, the military became a central priority for the kings, who sought to expand Egypt's borders and attempted to gain mastery of

7105-584: The Persians and was welcomed by the Egyptians as a deliverer. The administration established by Alexander's successors, the Macedonian Ptolemaic Kingdom , was based on an Egyptian model and based in the new capital city of Alexandria . The city showcased the power and prestige of Hellenistic rule, and became a centre of learning and culture, that included the famous Library of Alexandria as part of

7250-517: The Quran (early seventh century CE), circumcision is considered essential to Islam, and it is nearly universally performed among Muslims. The practice of circumcision spread across the Middle East, North Africa, and Southern Europe with Islam. Genghis Khan and the following Yuan Emperors in China forbade Islamic practices such as halal butchering and circumcision. Ancient Egypt Ancient Egypt

7395-582: The Roman Empire and became a Roman province . Egypt remained under Roman control until 642 AD, when it was conquered by the Rashidun Caliphate . The success of ancient Egyptian civilization came partly from its ability to adapt to the conditions of the Nile River valley for agriculture . The predictable flooding and controlled irrigation of the fertile valley produced surplus crops, which supported

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7540-600: The Thirtieth , proved to be the last native royal house of ancient Egypt, ending with the kingship of Nectanebo II . A brief restoration of Persian rule, sometimes known as the Thirty-First Dynasty , began in 343   BC, but shortly after, in 332   BC, the Persian ruler Mazaces handed Egypt over to Alexander the Great without a fight. In 332   BC, Alexander the Great conquered Egypt with little resistance from

7685-536: The Wadi Natrun for mummification , which also provided the gypsum needed to make plaster. Ore-bearing rock formations were found in distant, inhospitable wadis in the Eastern Desert and the Sinai, requiring large, state-controlled expeditions to obtain natural resources found there. There were extensive gold mines in Nubia , and one of the first maps known is of a gold mine in this region. The Wadi Hammamat

7830-617: The Western Desert ; it was known for its high-quality ceramics, stone tools , and its use of copper. The Badari was followed by the Naqada culture : the Naqada I ( Amratian ), the Naqada II ( Gerzeh ), and Naqada III ( Semainean ). These brought a number of technological improvements. As early as the Naqada I Period, predynastic Egyptians imported obsidian from Ethiopia , used to shape blades and other objects from flakes . Mutual trade with

7975-475: The World Health Organization (WHO) reiterated that male circumcision is an efficacious intervention for HIV prevention if carried out by medical professionals under safe conditions. Human papillomavirus (HPV) is the most commonly transmitted sexually transmitted infection , affecting both men and women. While most infections are asymptomatic and are cleared by the immune system , some types of

8120-451: The chaff from the grain, and the grain was then ground into flour, brewed to make beer, or stored for later use. The ancient Egyptians cultivated emmer and barley , and several other cereal grains, all of which were used to make the two main food staples of bread and beer. Flax plants, uprooted before they started flowering, were grown for the fibers of their stems. These fibers were split along their length and spun into thread, which

8265-568: The composite bow and the horse-drawn chariot . After retreating south, the native Theban kings found themselves trapped between the Canaanite Hyksos ruling the north and the Hyksos' Nubian allies, the Kushites , to the south. After years of vassalage, Thebes gathered enough strength to challenge the Hyksos in a conflict that lasted more than 30 years, until 1555   BC. The kings Seqenenre Tao II and Kamose were ultimately able to defeat

8410-488: The developed world or among men who have sex with men is debated. Neonatal circumcision decreases the risk of penile cancer . Complication rates increase significantly with age. Bleeding, infection, and the removal of either too much or too little foreskin are the most common acute complications, while meatal stenosis is the most common long-term. There are various cultural, social , and ethical views on circumcision. Major medical organizations hold variant views on

8555-413: The prophylactic efficacy of the elective circumcision of minors in the context of developed countries . Literature on the matter is polarized, with the cost-benefit analysis being highly dependent on the kinds and frequencies of health problems in the population under discussion and how circumcision affects them. The World Health Organization (WHO), UNAIDS , and American medical organizations take

8700-523: The vizier and his court for redress. Although slaves were mostly used as indentured servants, they were able to buy and sell their servitude, work their way to freedom or nobility, and were usually treated by doctors in the workplace. Both men and women had the right to own and sell property, make contracts, marry and divorce, receive inheritance, and pursue legal disputes in court. Married couples could own property jointly and protect themselves from divorce by agreeing to marriage contracts, which stipulated

8845-525: The 1850s and subsequently widely spread, becoming predominately established as a way to prevent sexually transmitted infections. Beyond use as a prophylactic or treatment option in healthcare, circumcision plays a major role in many of the world's cultures and religions, most prominently Judaism and Islam . Circumcision is among the most important commandments in Judaism . It is widespread in Australia, Canada,

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8990-506: The Association's library collection was loaned to the keeping of the University of Amsterdam . This collection is, for its field, the largest in the world and has a high degree of completeness. Male circumcision Circumcision is a procedure that removes the foreskin from the human penis . In the most common form of the operation, the foreskin is extended with forceps , then

9135-557: The Assyrians. The effects of external threats were exacerbated by internal problems such as corruption, tomb robbery, and civil unrest . After regaining their power, the high priests at the temple of Amun in Thebes accumulated vast tracts of land and wealth, and their expanded power splintered the country during the Third Intermediate Period. Following the death of Ramesses XI in 1078   BC, Smendes assumed authority over

9280-419: The Christian emperor Theodosius introduced legislation that banned pagan rites and closed temples. Alexandria became the scene of great anti-pagan riots with public and private religious imagery destroyed. As a consequence, Egypt's native religious culture was continually in decline. While the native population continued to speak their language , the ability to read hieroglyphic writing slowly disappeared as

9425-455: The DPNB. They are more effective than EMLA (eutectic mixture of local anesthetics) cream, which is more effective than a placebo . Topical creams have been found to irritate the skin of low birth weight infants, so penile nerve block techniques are recommended in this group. For infants, non-pharmacological methods such as the use of a comfortable, padded chair and a sucrose or non-sucrose pacifier are more effective at reducing pain than

9570-435: The Delta, seized control of Egypt and established their capital at Avaris , forcing the former central government to retreat to Thebes . The king was treated as a vassal and expected to pay tribute. The Hyksos ('foreign rulers') retained Egyptian models of government and identified as kings, thereby integrating Egyptian elements into their culture. They and other invaders introduced new tools of warfare into Egypt, most notably

9715-440: The Egyptians for hygienic reasons, but also was part of their obsession with purity and was associated with spiritual and intellectual development. No well-accepted theory explains the significance of circumcision to the Egyptians, but it appears to have been endowed with great honor and importance as a rite of passage , performed in a public ceremony emphasizing the continuation of family generations and fertility. It may have been

9860-401: The Egyptians, the Ptolemies were challenged by native rebellion, bitter family rivalries, and the powerful mob of Alexandria that formed after the death of Ptolemy IV . In addition, as Rome relied more heavily on imports of grain from Egypt, the Romans took great interest in the political situation in the country. Continued Egyptian revolts, ambitious politicians, and powerful opponents from

10005-490: The Greeks and later the Romans very difficult. Restrictions on the Jewish practice by European governments have occurred several times in world history, including the Seleucid Empire under Antiochus IV and the Roman Empire under Hadrian , where it was used as a means of forceful assimilation and conversion . Antiochus IV's restriction on Jewish circumcision was a major factor in the Maccabean Revolt . Hadrian 's prohibition has also been considered by some to have been

10150-451: The Greeks towards the Egyptians, some traditions such as mummification and worship of the traditional gods continued. The art of mummy portraiture flourished, and some Roman emperors had themselves depicted as pharaohs, though not to the extent that the Ptolemies had. The former lived outside Egypt and did not perform the ceremonial functions of Egyptian kingship. Local administration became Roman in style and closed to native Egyptians. From

10295-485: The Late Period, the worship of the gods in their animal form was extremely popular, such as the cat goddess Bastet and the ibis god Thoth , and these animals were kept in large numbers for the purpose of ritual sacrifice. Egypt is rich in building and decorative stone, copper and lead ores, gold, and semiprecious stones. These natural resources allowed the ancient Egyptians to build monuments, sculpt statues, make tools, and fashion jewelry . Embalmers used salts from

10440-506: The Late Period. There is also evidence to suggest that elephants were briefly used in the Late Period but largely abandoned due to lack of grazing land. Cats , dogs, and monkeys were common family pets, while more exotic pets imported from the heart of Africa, such as Sub-Saharan African lions , were reserved for royalty. Herodotus observed that the Egyptians were the only people to keep their animals with them in their houses. During

10585-437: The Naqada culture began using written symbols that eventually were developed into a full system of hieroglyphs for writing the ancient Egyptian language. The Early Dynastic Period was approximately contemporary to the early Sumerian - Akkadian civilization of Mesopotamia and of ancient Elam . The third-century   BC Egyptian priest Manetho grouped the long line of kings from Menes to his own time into 30 dynasties,

10730-516: The Near East made this situation unstable, leading Rome to send forces to secure the country as a province of its empire. Egypt became a province of the Roman Empire in 30   BC, following the defeat of Mark Antony and Ptolemaic Queen Cleopatra VII by Octavian (later Emperor Augustus) in the Battle of Actium . The Romans relied heavily on grain shipments from Egypt, and the Roman army , under

10875-510: The Nile gave humans the opportunity to develop a settled agricultural economy and a more sophisticated, centralized society that became a cornerstone in the history of human civilization. Nomadic modern human hunter-gatherers began living in the Nile valley through the end of the Middle Pleistocene some 120,000 years ago. By the late Paleolithic period, the arid climate of Northern Africa had become increasingly hot and dry, forcing

11020-469: The Nile valley, including at Memphis, Karnak, Kawa, and Jebel Barkal. During this period, the Nile valley saw the first widespread construction of pyramids (many in modern Sudan) since the Middle Kingdom. Egypt's far-reaching prestige declined considerably toward the end of the Third Intermediate Period. Its foreign allies had fallen under the Assyrian sphere of influence, and by 700   BC war between

11165-495: The Nile valley. Establishing a power center at Nekhen (in Greek, Hierakonpolis), and later at Abydos , Naqada III leaders expanded their control of Egypt northwards along the Nile . They also traded with Nubia to the south, the oases of the western desert to the west, and the cultures of the eastern Mediterranean and Near East to the east. The Naqada culture manufactured a diverse selection of material goods, reflective of

11310-565: The Old Kingdom, and provided both honey and wax. The ancient Egyptians used donkeys and oxen as beasts of burden , and they were responsible for plowing the fields and trampling seed into the soil. The slaughter of a fattened ox was also a central part of an offering ritual. Horses were introduced by the Hyksos in the Second Intermediate Period . Camels, although known from the New Kingdom, were not used as beasts of burden until

11455-405: The Old Kingdom. Under the direction of the vizier , state officials collected taxes, coordinated irrigation projects to improve crop yield , drafted peasants to work on construction projects, and established a justice system to maintain peace and order. With the rising importance of central administration in Egypt, a new class of educated scribes and officials arose who were granted estates by

11600-508: The Ruler ", to defend against foreign attack. With the kings having secured the country militarily and politically and with vast agricultural and mineral wealth at their disposal, the nation's population, arts, and religion flourished. In contrast to elitist Old Kingdom attitudes towards the gods, the Middle Kingdom displayed an increase in expressions of personal piety. Middle Kingdom literature featured sophisticated themes and characters written in

11745-469: The USA. These follow the same basic procedure. First, the amount of foreskin to be removed is estimated. The practitioner opens the foreskin via the preputial orifice to reveal the glans underneath and ensures it is normal before bluntly separating the inner lining of the foreskin ( preputial epithelium ) from its attachment to the glans. The practitioner then places the circumcision device (this sometimes requires

11890-517: The United States, South Korea, most of Africa, and parts of Asia. It is relatively rare for non-religious reasons in parts of Southern Africa, Latin America, Europe, and parts of Asia. The origin of circumcision is not known with certainty, but the oldest documentation comes from ancient Egypt . Around half of all circumcisions worldwide are performed for reasons of prophylactic healthcare. There

12035-518: The United States. Minor complications are reported to occur in three percent of procedures. Severe complications are rare. A specific complication rate is difficult to determine due to scant data on complications and inconsistencies in their classification. Complication rates are greater when the procedure is performed by an inexperienced operator, in unsterile conditions, or when the child is at an older age. Significant acute complications happen rarely, occurring in about 1 in 500 newborn procedures in

12180-579: The United States. Severe to catastrophic complications, including death, are so rare that they are reported only as individual case reports. Where a Plastibell device is used, the most common complication is the retention of the device occurring in around 3.5% of procedures. Other possible complications include buried penis , chordee , phimosis, skin bridges , urethral fistulas, and meatal stenosis . These complications may be partly avoided with proper technique, and are often treatable without requiring surgical revision. The most common long-term complication

12325-517: The World Health Organization again concluded that male circumcision is an efficacious intervention for HIV prevention and that the promotion of male circumcision is an essential strategy, in addition to other preventive measures, for the prevention of heterosexually acquired HIV infection in men. Eastern and southern Africa had a particularly low prevalence of circumcised males. This region has a disproportionately high HIV infection rate, with

12470-499: The administration, aside from the royal high priestesses, apparently served only secondary roles in the temples (not much data for many dynasties), and were not so probably to be as educated as men. The head of the legal system was officially the pharaoh, who was responsible for enacting laws, delivering justice, and maintaining law and order, a concept the ancient Egyptians referred to as Ma'at . Although no legal codes from ancient Egypt survive, court documents show that Egyptian law

12615-553: The ancient Egyptians did not use coinage until the Late period , they did use a type of money-barter system, with standard sacks of grain and the deben , a weight of roughly 91 grams (3 oz) of copper or silver, forming a common denominator. Workers were paid in grain; a simple laborer might earn 5 + 1 ⁄ 2  sacks (200 kg or 400 lb) of grain per month, while a foreman might earn 7 + 1 ⁄ 2  sacks (250 kg or 550 lb). Prices were fixed across

12760-673: The carcinoma in situ (CIS) cancerous precursor stage and at the more advanced invasive squamous cell carcinoma stage. There is an association between adult circumcision and an increased risk of invasive penile cancer; this is believed to be from men being circumcised as a treatment for penile cancer or a condition that is a precursor to cancer rather than a consequence of circumcision itself. Penile cancer has been observed to be nearly eliminated in populations of males circumcised neonatally. Important risk factors for penile cancer include phimosis and HPV infection, both of which are mitigated by circumcision. The mitigating effect circumcision has on

12905-410: The complaint, testimony, and verdict of the case for future reference. Punishment for minor crimes involved either imposition of fines, beatings, facial mutilation, or exile, depending on the severity of the offense. Serious crimes such as murder and tomb robbery were punished by execution, carried out by decapitation, drowning, or impaling the criminal on a stake. Punishment could also be extended to

13050-448: The control of a prefect appointed by the emperor, quelled rebellions, strictly enforced the collection of heavy taxes, and prevented attacks by bandits, which had become a notorious problem during the period. Alexandria became an increasingly important center on the trade route with the orient, as exotic luxuries were in high demand in Rome. Although the Romans had a more hostile attitude than

13195-401: The country and recorded in lists to facilitate trading; for example a shirt cost five copper deben, while a cow cost 140   deben. Grain could be traded for other goods, according to the fixed price list. During the fifth century   BC coined money was introduced into Egypt from abroad. At first the coins were used as standardized pieces of precious metal rather than true money, but in

13340-403: The country's economy. Regional governors could not rely on the king for help in times of crisis, and the ensuing food shortages and political disputes escalated into famines and small-scale civil wars. Yet despite difficult problems, local leaders, owing no tribute to the king, used their new-found independence to establish a thriving culture in the provinces. Once in control of their own resources,

13485-421: The criminal's family. Beginning in the New Kingdom, oracles played a major role in the legal system, dispensing justice in both civil and criminal cases. The procedure was to ask the god a "yes" or "no" question concerning the right or wrong of an issue. The god, carried by a number of priests, rendered judgement by choosing one or the other, moving forward or backward, or pointing to one of the answers written on

13630-408: The development of phimosis. Phimosis is also a complication that can result from circumcision. An inflammation of the glans penis and foreskin is called balanoposthitis, and the condition affecting the glans alone is called balanitis . Most cases of these conditions occur in uncircumcised males, affecting 4–11% of that group. The moist, warm space underneath the foreskin is thought to facilitate

13775-556: The economy and precipitated the slow decline into the Second Intermediate Period during the later Thirteenth and Fourteenth dynasties. During this decline, the Canaanite settlers began to assume greater control of the Delta region, eventually coming to power in Egypt as the Hyksos . Around 1785   BC, as the power of the Middle Kingdom kings weakened, a Western Asian people called the Hyksos , who had already settled in

13920-450: The far corners of the world. Its monumental ruins have inspired the imaginations of travelers and writers for millennia. A newfound respect for antiquities and excavations in the early modern period by Europeans and Egyptians has led to the scientific investigation of Egyptian civilization and a greater appreciation of its cultural legacy. The Nile has been the lifeline of its region for much of human history. The fertile floodplain of

14065-524: The financial obligations of the husband to his wife and children should the marriage end. Compared with their counterparts in ancient Greece, Rome, and even more modern places around the world, ancient Egyptian women had a greater range of personal choices, legal rights, and opportunities for achievement. Women such as Hatshepsut and Cleopatra VII even became pharaohs, while others wielded power as Divine Wives of Amun . Despite these freedoms, ancient Egyptian women did not often take part in official roles in

14210-594: The first recorded peace treaty , around 1258   BC. Egypt's wealth, however, made it a tempting target for invasion, particularly by the Libyan Berbers to the west, and the Sea Peoples , a conjectured confederation of seafarers from the Aegean Sea . Initially, the military was able to repel these invasions, but Egypt eventually lost control of its remaining territories in southern Canaan , much of it falling to

14355-427: The floodwaters had receded, the growing season lasted from October to February. Farmers plowed and planted seeds in the fields, which were irrigated with ditches and canals. Egypt received little rainfall, so farmers relied on the Nile to water their crops. From March to May, farmers used sickles to harvest their crops, which were then threshed with a flail to separate the straw from the grain. Winnowing removed

14500-417: The following centuries international traders came to rely on coinage. Egyptian society was highly stratified, and social status was expressly displayed. Farmers made up the bulk of the population, but agricultural produce was owned directly by the state, temple, or noble family that owned the land. Farmers were also subject to a labor tax and were required to work on irrigation or construction projects in

14645-580: The fulfillment of a Biblical commandment but also an essential and permanent mark of membership in a people. A narrative in the Christian Gospel of Luke makes a brief mention of the circumcision of Jesus , but physical circumcision is not part of the received teachings of Jesus. Circumcision has played an important role in Christian history and theology . Paul the Apostle reinterpreted circumcision as

14790-412: The government, who relied on a bureaucracy of officials to manage his affairs. In charge of the administration was his second in command, the vizier , who acted as the king's representative and coordinated land surveys, the treasury, building projects, the legal system, and the archives . At a regional level, the country was divided into as many as 42 administrative regions called nomes each governed by

14935-445: The growth of pathogens, particularly when hygiene is poor. Yeasts, especially Candida albicans , are the most common penile infection and are rarely identified in samples taken from circumcised males. Both conditions are usually treated with topical antibiotics (metronidazole cream) and antifungals (clotrimazole cream) or low-potency steroid creams. Circumcision is a treatment option for refractory or recurrent balanoposthitis, but in

15080-454: The inability to do so becomes problematic (pathological phimosis) circumcision is a treatment option. This pathological phimosis may be due to scarring from the skin disease balanitis xerotica obliterans (BXO), repeated episodes of balanoposthitis or forced retraction of the foreskin. Steroid creams are also a reasonable option and may prevent the need for surgery including in those with mild BXO. The procedure may also be used to prevent

15225-510: The incidence of UTIs in boys under two years of age, and there is fair evidence that the reduction in incidence is by a factor of 3–10 times (100 circumcisions prevents one UTI). Circumcision is most likely to benefit boys who have a high risk of UTIs due to anatomical defects, and may be used to treat recurrent UTIs. There is a plausible biological explanation for the reduction in UTI risk after circumcision. The orifice through which urine passes at

15370-478: The increasing power and wealth of the elite, as well as societal personal-use items, which included combs, small statuary, painted pottery, high quality decorative stone vases , cosmetic palettes , and jewelry made of gold, lapis, and ivory. They also developed a ceramic glaze known as faience , which was used well into the Roman Period to decorate cups, amulets, and figurines. During the last predynastic phase,

15515-518: The king Narmer , who is depicted wearing royal regalia on the ceremonial Narmer Palette, in a symbolic act of unification. In the Early Dynastic Period, which began about 3000   BC, the first of the Dynastic kings solidified control over lower Egypt by establishing a capital at Memphis , from which he could control the labor force and agriculture of the fertile delta region, as well as

15660-411: The king in payment for their services. Kings also made land grants to their mortuary cults and local temples , to ensure that these institutions had the resources to worship the king after his death. Scholars believe that five centuries of these practices slowly eroded the economic vitality of Egypt, and that the economy could no longer afford to support a large centralized administration. As the power of

15805-575: The kingdom's capital to the city of Itjtawy , located in Faiyum . From Itjtawy, the kings of the Twelfth Dynasty undertook a far-sighted land reclamation and irrigation scheme to increase agricultural output in the region. Moreover, the military reconquered territory in Nubia that was rich in quarries and gold mines, while laborers built a defensive structure in the Eastern Delta, called the " Walls of

15950-517: The kings diminished, regional governors called nomarchs began to challenge the supremacy of the office of king. This, coupled with severe droughts between 2200 and 2150   BC, is believed to have caused the country to enter the 140-year period of famine and strife known as the First Intermediate Period. After Egypt's central government collapsed at the end of the Old Kingdom, the administration could no longer support or stabilize

16095-736: The lands south and east of the Mediterranean, starting with Central Sahara, Sudan and Ethiopia, the procedure was practiced by the ancient Egyptians and the Semites , and then by the Jews and Muslims. In Oceania, circumcision is practiced by the Australian Aboriginals and Polynesians . There is also evidence that circumcision was practiced among the Aztec and Mayan civilizations in the Americas, but little

16240-413: The likelihood of multiple infections. As of 2012 , there was no strong evidence that it reduces the rate of new HPV infection, but the procedure is associated with increased clearance of the virus by the body, which can account for the finding of reduced prevalence. Although genital warts are caused by a type of HPV, there is no statistically significant relationship between being circumcised and

16385-441: The lucrative and critical trade routes to the Levant . The increasing power and wealth of the kings during the early dynastic period was reflected in their elaborate mastaba tombs and mortuary cult structures at Abydos, which were used to celebrate the deified king after his death. The strong institution of kingship developed by the kings served to legitimize state control over the land, labor, and resources that were essential to

16530-464: The mid-first century AD, Christianity took root in Egypt and it was originally seen as another cult that could be accepted. However, it was an uncompromising religion that sought to win converts from the pagan Egyptian and Greco-Roman religions and threatened popular religious traditions. This led to the persecution of converts to Christianity, culminating in the great purges of Diocletian starting in 303, but eventually Christianity won out. In 391,

16675-559: The neonatal period when it is less expensive and has a lower risk of complications. The American Academy of Pediatrics and Centers for Disease Control and Prevention stated that the potential benefits of circumcision outweigh the risks. The World Health Organization in 2010 stated: There are significant benefits in performing male circumcision in early infancy, and programmes that promote early infant male circumcision are likely to have lower morbidity rates and lower costs than programmes targeting adolescent boys and men. Circumcision

16820-405: The nobility were the priests, physicians, and engineers with specialized training in their field. It is unclear whether slavery as understood today existed in ancient Egypt; there is difference of opinions among authors. The ancient Egyptians viewed men and women, including people from all social classes, as essentially equal under the law, and even the lowliest peasant was entitled to petition

16965-658: The north, while a rival clan based in Thebes , the Intef family , took control of Upper Egypt in the south. As the Intefs grew in power and expanded their control northward, a clash between the two rival dynasties became inevitable. Around 2055   BC the northern Theban forces under Nebhepetre Mentuhotep II finally defeated the Herakleopolitan rulers, reuniting the Two Lands. They inaugurated

17110-670: The northern part of Egypt, ruling from the city of Tanis . The south was effectively controlled by the High Priests of Amun at Thebes , who recognized Smendes in name only. During this time, Libyans had been settling in the western delta, and chieftains of these settlers began increasing their autonomy. Libyan princes took control of the delta under Shoshenq I in 945   BC, founding the so-called Libyan or Bubastite dynasty that would rule for some 200 years. Shoshenq also gained control of southern Egypt by placing his family members in important priestly positions. Libyan control began to erode as

17255-426: The penis ( chordee ), or ambiguous genitalia , because the foreskin may be needed for reconstructive surgery. Circumcision is contraindicated in premature infants and those who are not clinically stable and in good health. If an individual is known to have or has a family history of serious bleeding disorders such as hemophilia , it is recommended that the blood be checked for normal coagulation properties before

17400-500: The populations of the area to concentrate along the river region. In Predynastic and Early Dynastic times, the Egyptian climate was much less arid than it is today . Large regions of Egypt were covered in treed savanna and traversed by herds of grazing ungulates . Foliage and fauna were far more prolific in all environs, and the Nile region supported large populations of waterfowl . Hunting would have been common for Egyptians, and this

17545-408: The position that it carries prophylactic health benefits which outweigh the risks, while European medical organizations generally hold the belief that in these situations its medical benefits are not counterbalanced by risk. Advocates of circumcision consider it to have a net health benefit, and therefore feel that increasing the circumcision rate is "imperative". They recommend performing it during

17690-726: The presence of genital warts. Studies evaluating the effect of circumcision on the rates of other sexually transmitted infections have, generally, found it to be protective. A 2006 meta-analysis found that circumcision was associated with lower rates of syphilis , chancroid , and possibly genital herpes . A 2010 review found that circumcision reduced the incidence of HSV -2 (herpes simplex virus, type 2) infections by 28%. The researchers found mixed results for protection against trichomonas vaginalis and chlamydia trachomatis , and no evidence of protection against gonorrhea or syphilis. It may also possibly protect against syphilis in MSM. Phimosis

17835-524: The previously obscure sun deity Aten as the supreme deity , suppressed the worship of most other deities, and moved the capital to the new city of Akhetaten (modern-day Amarna ). He was devoted to his new religion and artistic style . After his death, the cult of the Aten was quickly abandoned and the traditional religious order restored. The subsequent pharaohs, Tutankhamun , Ay , and Horemheb , worked to erase all mention of Akhenaten's heresy, now known as

17980-509: The procedure is attempted. The foreskin is the double-layered fold of tissue at the distal end of the human penis that covers the glans and the urinary meatus . For adult medical circumcision, superficial wound healing takes up to a week, and complete healing 4 to 6 months. For infants, healing is usually complete within one week. For infant circumcision, devices such as the Gomco clamp , Plastibell and Mogen clamp are commonly used in

18125-614: The provinces became economically richer—which was demonstrated by larger and better burials among all social classes. In bursts of creativity, provincial artisans adopted and adapted cultural motifs formerly restricted to the royalty of the Old Kingdom, and scribes developed literary styles that expressed the optimism and originality of the period. Free from their loyalties to the king, local rulers began competing with each other for territorial control and political power . By 2160   BC, rulers in Herakleopolis controlled Lower Egypt in

18270-407: The risk factor introduced by the possibility of phimosis is secondary, in that the removal of the foreskin eliminates the possibility of phimosis. This can be inferred from study results that show uncircumcised men with no history of phimosis are equally likely to have penile cancer as circumcised men. Circumcision is also associated with a reduced prevalence of cancer-causing types of HPV in men and

18415-688: The role of the Egyptian temple priests and priestesses diminished. The temples themselves were sometimes converted to churches or abandoned to the desert. In the fourth century, as the Roman Empire divided, Egypt found itself in the Eastern Empire with its capital at Constantinople . In the waning years of the Empire, Egypt fell to the Sasanian Persian army in the Sasanian conquest of Egypt (618–628). It

18560-403: The sexual pleasure of the circumcised person. Neonatal circumcision is generally a safe, low-risk procedure when done by an experienced practitioner. The most common acute complications are bleeding, infection and the removal of either too much or too little foreskin. These complications occur in approximately 0.13% of procedures, with bleeding being the most common acute complication in

18705-402: The size of a herd reflected the prestige and importance of the estate or temple that owned them. In addition to cattle, the ancient Egyptians kept sheep, goats, and pigs. Poultry , such as ducks, geese, and pigeons, were captured in nets and bred on farms, where they were force-fed with dough to fatten them. The Nile provided a plentiful source of fish . Bees were also domesticated from at least

18850-519: The strength of circumcision's prophylactic efficacy in developed countries. Some medical organizations take the position that it carries prophylactic health benefits which outweigh the risks, while other medical organizations generally hold the belief that in these situations its medical benefits are not counterbalanced by risk. Circumcision is one of the world's most common and oldest medical procedures. Prophylactic usage originated in England during

18995-449: The survival and growth of ancient Egyptian civilization. Major advances in architecture, art, and technology were made during the Old Kingdom , fueled by the increased agricultural productivity and resulting population growth, made possible by a well-developed central administration. Some of ancient Egypt's crowning achievements, the Giza pyramids and Great Sphinx , were constructed during

19140-432: The tip of the penis (the urinary meatus ) hosts more urinary system disease-causing bacteria in uncircumcised boys than in circumcised boys, especially in those under six months of age. As these bacteria are a risk factor for UTIs, circumcision may reduce the risk of UTIs through a decrease in the bacterial population. Not being circumcised is the primary risk factor for penile cancer . Pre-adolescent circumcision has

19285-404: The twenty-first century the availability of the other treatments has made it less necessary. A UTI affects parts of the urinary system including the urethra , bladder , and kidneys . There is about a one percent risk of UTIs in boys under two years of age, and the majority of incidents occur in the first year of life. There is good but not ideal evidence that circumcision of babies reduces

19430-489: The two states became inevitable. Between 671 and 667   BC the Assyrians began the Assyrian conquest of Egypt . The reigns of both Taharqa and his successor, Tanutamun , were filled with constant conflict with the Assyrians, against whom Egypt enjoyed several victories. Ultimately, the Assyrians pushed the Kushites back into Nubia, occupied Memphis, and sacked the temples of Thebes . The Assyrians left control of Egypt to

19575-407: The use of analgesia is advocated. Ordinary procedural pain may be managed in pharmacological and non-pharmacological ways. Pharmacological methods, such as localized or regional pain-blocking injections and topical analgesic creams, are safe and effective. The ring block and dorsal penile nerve block (DPNB) are the most effective at reducing pain, and the ring block may be more effective than

19720-492: The virus cause genital warts , and other types, if untreated, cause various forms of cancer, including cervical cancer and penile cancer . Genital warts and cervical cancer are the two most common problems resulting from HPV. Circumcision is associated with a reduced prevalence of oncogenic types of HPV infection, meaning that a randomly selected circumcised man is less likely to be found infected with cancer-causing types of HPV than an uncircumcised man. It also decreases

19865-429: Was a bureaucracy of elite scribes , religious leaders, and administrators under the control of a pharaoh , who ensured the cooperation and unity of the Egyptian people in the context of an elaborate system of religious beliefs . The many achievements of the ancient Egyptians include the quarrying , surveying , and construction techniques that supported the building of monumental pyramids , temples , and obelisks ;

20010-496: Was a civilization of ancient Northeast Africa . It was concentrated along the lower reaches of the Nile River , situated within the contemporary territory of modern-day Egypt . Ancient Egyptian civilization followed prehistoric Egypt and coalesced around 3100   BC (according to conventional Egyptian chronology ) with the political unification of Upper and Lower Egypt under pharaoh or king Menes (often identified with Narmer ). The history of ancient Egypt unfolded as

20155-423: Was based on a common-sense view of right and wrong that emphasized reaching agreements and resolving conflicts rather than strictly adhering to a complicated set of statutes. Local councils of elders, known as Kenbet in the New Kingdom, were responsible for ruling in court cases involving small claims and minor disputes. More serious cases involving murder, major land transactions, and tomb robbery were referred to

20300-421: Was crucial in ancient Egypt because taxes were assessed based on the amount of land a person owned. Farming in Egypt was dependent on the cycle of the Nile River. The Egyptians recognized three seasons: Akhet (flooding), Peret (planting), and Shemu (harvesting). The flooding season lasted from June to September, depositing on the river's banks a layer of mineral-rich silt ideal for growing crops. After

20445-470: Was less consistent in regards to the potential association of circumcision with women's risk of HPV and HIV. The accumulated data show circumcision does not have an adverse physiological effect on sexual pleasure, function, desire, or fertility. There is some evidence that circumcision has no effect on pain with intercourse , premature ejaculation , intravaginal ejaculation latency time , erectile dysfunction or difficulties with orgasm . According to

20590-556: Was never able to overthrow the Persians until the end of the century. Following its annexation by Persia, Egypt was joined with Cyprus and Phoenicia in the sixth satrapy of the Achaemenid Persian Empire . This first period of Persian rule over Egypt, also known as the Twenty-Seventh Dynasty , ended in 402   BC, when Egypt regained independence under a series of native dynasties. The last of these dynasties,

20735-554: Was practiced in the Middle East by the fourth millennium BCE, when the Sumerians and the Semites moved into the area that is modern-day Iraq from the North and West. The earliest historical record of circumcision comes from Egypt, in the form of an image of the circumcision of an adult carved into the tomb of Ankh-Mahor at Saqqara , dating to about 2400–2300 BCE. Circumcision was possibly done by

20880-471: Was then recaptured by the Byzantine emperor Heraclius (629–639), and was finally captured by Muslim Rashidun army in 639–641, marking the end of both Byzantine rule and of the period typically considered Ancient Egypt. The pharaoh was the absolute monarch of the country and, at least in theory, wielded complete control of the land and its resources. The king was the supreme military commander and head of

21025-420: Was used to weave sheets of linen and to make clothing. Papyrus growing on the banks of the Nile River was used to make paper. Vegetables and fruits were grown in garden plots, close to habitations and on higher ground, and had to be watered by hand. Vegetables included leeks, garlic, melons, squashes, pulses, lettuce, and other crops, in addition to grapes that were made into wine. The Egyptians believed that

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