Genderfucking Non-Disclosure: Sexual Fraud, Transgender Bodies, and Messy Identities

If I don\u27t tell you that I was assigned male at birth, as a transgender person, can I go to jail for sexual assault by fraud? In some jurisdictionslike England or Israel, the answer is: yes. Previous arguments against this criminalisation have focused on the realness of trans people\u27s genders: since trans men are men and trans women are women, it is not misleading for them to present as they do. Highlighting the limitationsofthis position, which doesn\u27t fully account for the messiness ofgendered experiences, the author puts forward an argument against the criminalisation of (trans)gender history non-disclosure rooted in privacy. Gender identity is a private matter and people should not be forced to figure it out or communicate it to others to have an intimate life. Mobilised in this context, privacy can be understood as a refusal of the state\u27s authority to order our gendered lives. The author argues that this mobilisation is compatible with leftist critiques ofprivacy. Finally, the author considers whether (trans)gender history non-disclosure is a criminal offence in Canada and concludes that it is not

Understanding the Distinctive Presentations of Therapist Countertransference with Cluster B Personality Disorders

Countertransference is one of several therapist variables that have been demonstrated to impact the quality of the therapeutic alliance. CT that is understood and managed by the therapist has the potential to serve as a tool in better understanding the patient, which puts the therapist in a better position to intervene therapeutically. CT that are emotionally charged can be more difficult to manage, and CT reactions tend to be especially emotionally intense when working with patients with Cluster B personality disorders (PDs). A better understanding of specific CT reactions to each Cluster B PD might aid in diagnosis and treatment and CT management, which may, in turn, contribute to more positive therapy outcomes. To date, no authors have specifically examined and compared the distinct CT presentations that are elicited from Cluster B personality diagnoses. The aim of this study was to examine whether the presentation of therapist CT differs systematically between Cluster B PD groups. A sample of psychologists and psychology trainees completed an online survey on their experience with a patient with a cluster B PD. Participants provided demographic information and completed the Level of Personality Functioning Scale to assess severity of the patient’s pathology as well as the Therapist Response Questionnaire to evaluate their CT response to the patient. ANOVAs revealed significant differences between PD groups on 3 of 8 TRQ CT variables and distinct CT presentations were identified for each PD group. Antisocial PD was associated with a low criticized/mistreated response; borderline PD was associated with a low disengaged, low criticized/mistreated, high parental/protective response; narcissistic PD was associated with a high disengaged, high criticized/mistreated, and low parental/protective response; and no associations were identified with histrionic PD. These results contribute to a developing framework of identifying specific CT associated with each Cluster B PD, which will be utilized to inform future treatment decisions and improve CT management on the part of the clinician

Scaffolds: Experimenting with student­-driven digital badging in an iSchool context

Digital badge systems can be contentious to start and challenging to implement. In this project, we examine the development of an open, student-­led, peer-­to-­peer badging framework within an iSchool context. Scaffolds is a dynamic set of digital badges created to give students more concrete guidance in their exploration of the field of information science. The badges provide a way for students to customize their exploration of co­-curricular materials and activities to augment their educational experience. Using motivation and perception surveys, as well as in­-depth interviews with participants, the goal of this research is to understand what motivates students to participate in digital badges programs and how an open badging platform can be used to encourage student engagement in co-­curricular educational activities.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/110790/2/walker_lee_lonn_scaffolds_iConference2015Submission.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/110790/3/walker_lee_lonn_scaffolds_iConference2015Poster.pdfDescription of walker_lee_lonn_scaffolds_iConference2015Submission.pdf : Conference Paper SubmissionDescription of walker_lee_lonn_scaffolds_iConference2015Poster.pdf : Conference Poste

Words are Written and Spoken

Documents submitted to the Faculty of the University of North Carolina at Chapel Hill in partial fulfillment of the requirements for the degree of Master of Fine Arts in the Department of Art.Master of Fine Art

Patient Perspectives on Medication Assisted Therapy in Vermont

Introduction. Medication-Assisted Therapy (MAT) for opioid addiction has dramatically increased in Vermont, supported by a novel statewide system that integrates specialty treatment centers ( Hubs ) with primary care office-based opioid therapy ( Spokes ). In 2010, Vermont had the highest per capita buprenorphine use in the US. Previous studies of patient perspectives of MAT have identified social barriers, rigid program rules, and concerns about withdrawal and relapse as common causes of treatment failure. Our goal was to elicit patient perspectives on barriers and enablers of successful MAT to further inform system refinement. Methods. An interview guide was developed based on previous literature as well as discussions with program leadership, staff and clinicians, and community stakeholders. Responses were organized using thematic content analysis with consensus across seven interviewers and two analysts. The interviews were conducted with 44 patients enrolled in MAT at two Hub sites in Burlington, VT in October 2016. Results. The median age of subjects was 34 years, 34% were employed at least part-time, and 72% were female. Half reported a mental health condition and 20% reported chronic pain. Barriers included transportation (25%), lack of stable housing, and stigma (41%). Enablers included feeling supported (82% felt well-supported; 52% felt supported by healthcare professionals). Subjects expressed high confidence in the treatment system and high self-efficacy for sobriety. Conclusions. Patients in MAT have complex medical, mental health, social, personal, and work lives. A comprehensive system that addresses this wide range of domains is critical to achieving optimal outcomes.https://scholarworks.uvm.edu/comphp_gallery/1245/thumbnail.jp

Pregnancy, parturition and preeclampsia in women of African ancestry.

Maternal and associated neonatal mortality rates in sub-Saharan Africa remain unacceptably high. In Mulago Hospital (Kampala, Uganda), 2 major causes of maternal death are preeclampsia and obstructed labor and their complications, conditions occurring at the extremes of the birthweight spectrum, a situation encapsulated as the obstetric dilemma. We have questioned whether the prevalence of these disorders occurs more frequently in indigenous African women and those with African ancestry elsewhere in the world by reviewing available literature. We conclude that these women are at greater risk of preeclampsia than other racial groups. At least part of this susceptibility seems independent of socioeconomic status and likely is due to biological or genetic factors. Evidence for a genetic contribution to preeclampsia is discussed. We go on to propose that the obstetric dilemma in humans is responsible for this situation and discuss how parturition and birthweight are subject to stabilizing selection. Other data we present also suggest that there are particularly strong evolutionary selective pressures operating during pregnancy and delivery in Africans. There is much greater genetic diversity and less linkage disequilibrium in Africa, and the genes responsible for regulating birthweight and placentation may therefore be easier to define than in non-African cohorts. Inclusion of African women into research on preeclampsia is an essential component in tackling this major disparity of maternal health

Scaffolds: Experimenting with student-driven open badging in an iSchool context

Digital badge systems can be contentious to start and challenging to implement. In this project, we examine the development of an open, student-led, peer-to-peer badging framework within an iSchool context. Scaffolds is a dynamic set of digital badges created to give students more concrete guidance in their exploration of the field of information science. The badges provide a way for students to customize their exploration of co-curricular materials and activities to augment their educational experience. Using motivation and perception surveys, as well as in-depth interviews with participants, the goal of this research is to understand what motivates students to participate in digital badges programs and how an open badging platform can be used to encourage student engagement in co-curricular educational activities.ye

Cost variability of suggested generic treatment alternatives under the Medicare Part D benefit

BACKGROUND: The substitution of generic treatment alternatives for brand-name drugs is a strategy that can help lower Medicare beneficiary out-of-pocket costs. Beginning in 2011, Medicare beneficiaries reaching the coverage gap received a 50% discount on the full drug cost of brand-name medications and a 7% discount on generic medications filled during the gap. This discount will increase until 2020, when beneficiaries will be responsible for 25% of total drug costs during the coverage gap. OBJECTIVE: To examine the cost variability of brand and generic drugs within 4 therapeutic classes before and during the coverage gap for each 2011 California stand-alone prescription drug plan (PDP) and prospective coverage gap costs in 2020 to determine the effects on beneficiary out-of-pocket drug costs. METHODS: Equivalent doses of brand and generic drugs in the following 4 pharmacological classes were examined: angiotensin II receptor blockers (ARBs), bisphosphonates, HMG-CoA reductase inhibitors (statins), and proton pump inhibitors (PPIs). The full drug cost and patient copay/coinsurance amounts during initial coverage and the coverage gap of each drug was recorded based on information retrieved from the Medicare website. These drug cost data were recorded for 28 California PDPs. RESULTS: The highest cost difference between a brand medication and a Centers for Medicare Medicaid Services (CMS)-suggested generic treatment alternative varied between $110.53 and$195.49 at full cost and between $51.37 and$82.35 in the coverage gap. The lowest cost difference varied between $38.45 and$76.93 at full cost and between -$4.11 and$18.52 during the gap. CONCLUSION: Medicare beneficiaries can realize significant out-of-pocket cost savings for their drugs by taking CMS-suggested generic treatment alternatives. However, due to larger discounts on brand medications made available through recent changes reducing the coverage gap, the potential dollar savings by taking suggested generic treatment alternatives during the gap is less compelling and will decrease as subsidies increase

Killer cell immunoglobulin-like receptor (KIR) genes and their HLA-C ligands in a Ugandan population.

Killer cell immunoglobulin-like receptor (KIR) genes are expressed by natural killer cells and encoded by a family of genes exhibiting considerable haplotypic and allelic variation. HLA-C molecules, the dominant ligands for KIR, are present in all individuals and are discriminated by two KIR epitopes, C1 and C2. We studied the frequencies of KIR genes and HLA-C1 and C2 groups in a large cohort (n = 492) from Kampala, Uganda, East Africa and compared our findings with published data from other populations in sub-Saharan Africa (SSA) and several European populations. We find considerably more KIR diversity and weaker linkage disequilibrium in SSA compared to the European populations and describe several novel KIR genotypes. C1 and C2 frequencies were similar to other SSA populations with a higher frequency of the C2 epitope (54.9 %) compared to Europe (average 39.7 %). Analysis of this large cohort from Uganda in the context of other African populations reveals variations in KIR and HLA-C1 and C2 that are consistent with migrations within Africa and potential selection pressures on these genes. Our results will help understand how KIR/HLA-C interactions contribute to resistance to pathogens and reproductive success