Smokeless tobacco keratosis (STK) is a condition which develops on the oral mucosa (the lining of the mouth) in response to smokeless tobacco use. Generally it appears as a white patch, located at the point where the tobacco is held in the mouth. The condition usually disappears once the tobacco habit is stopped. It is associated with slightly increased risk of mouth cancer. There are many types of smokeless tobacco. Chewing tobacco is shredded, air-cured tobacco with flavoring. Dipping tobacco ("moist snuff") is air or fire-cured, finely cut tobacco. Dry snuff is ground or pulverised tobacco leaves. In the Indian subcontinent, the Middle-East and South-East Asia, tobacco may be combined in a quid or paan with other ingredients such as betel leaf, Areca nut and slaked lime. Use of Areca nut is associated with oral submucous fibrosis. An appearance termed Betel chewers mucosa describes morsicatio buccarum with red-staining of mucosa due to betel quid ingredients. In Scandinavian countries, snus, a variant of dry snuff, is sometimes used. In the United States of America, the most common form of smokeless tobacco is dipping tobacco, although chewing tobacco is sometimes used by outdoor workers and dry snuff is common among females in the Southern states. The overall prevalence of smokeless tobacco use in the USA is about 4.5%, but this is higher in Mid-Western and Southern states.
Flagellants are practitioners of a form of mortification of the flesh by whipping their skin with various instruments of penance. Many Christian confraternities of penitents have flagellants, who beat themselves, both in the privacy of their dwellings and in public processions, in order to repent of sins and share in the Passion of Jesus.In the 14th century, a movement within Western Christianity known as Flagellantism became popular and adherents "began beating their flesh in a public penitential ritual in response to war, famine, plague and fear engendered by millenarianism." Though this movement withered away, the practices of public repentance and promoting peace were adopted by the flagellants in Christian, especially Roman Catholic, confraternities of penitents that exist to the present-day. History
Flagellation (from Latin flagellare, to whip) was quite a common practice amongst the more fervently religious throughout antiquity. Christianity has formed a permanent tradition surrounding the doctrine of mortification of the flesh, ranging from self-denial, wearing hairshirts and chains, fasting and self-flagellation using the discipline. Those who practice self-flagellation claim that St. Paul’s statement in the Bible ‘I chastise my body’ refers to self-inflicted bodily scourging (1 Corinthians 9:27). There are prominent Christians who have practiced self-flagellation. Martin Luther, the Protestant Reformer, self-flagellated among other ascetic practices during his early years as an Augustinian monk (although he later condemned such practices). Likewise, the Congregationalist writer Sarah Osborn also practiced self-flagellation in order "to remind her of her continued sin, depravity, and vileness in the eyes of God".