I Don\u27t Remember Raping You

[Excerpt] I Don\u27t Remember Raping You (Sung to the tune of I Don\u27t Remember Loving You by John Connlee

Identifying Hispanic Sub Ethnicities

The Democratic performance in Florida among voters regressed in the 2016-2018 election cycle. A majority of the regression was caused by the low turnout of Hispanic voters in the southern sector of Florida. The Florida Democratic Party teamed up with students at Embry-Riddle Aeronautical University on a research project that aims to develop an algorithm to analyze and predict Hispanic sub-ethnicity groups Democratic performance. Using Additional Rule of Probability, the probability of a specific persons sub-ethnicity based on the origin of their last name and zip code, is able to be calculated. This was further developed by adding certain weights to specific categories and by testing the data to known information

Allergies in America after the FALCPA: Obstacles Still Facing Allergic Individuals

Allergies affect over 12 million Americans; that number is increasing and children are disproportionately affected. Four years ago, Congress enacted the Food Allergen Labeling and Consumer Protection Act of 2004, mandating that all foods containing the eight most common allergens be clearly labeled, and requiring the Department of Health and Human Services to prepare a report on cross-contamination throughout the food industry and on the use of and consumer preferences regarding advisory labeling. The report showed that despite widespread use of allergen control policies, cross-contamination is rampant in food manufacturing facilities. The use of advisory labeling is inconsistent and communicates little valuable information. Consumers do, however, tend to take head of advisory labels and try to interpret different meanings from differently-worded messages, which indicates they are often misled. We need an industry standard, but we need to be careful not to encourage manufacturers to label all of their products, regardless of risk. I propose a system where manufactures could choose between several levels of risk. That way, they could be shielded from liability by using at least the lowest level, but they could use their discretion to apply higher risk warnings to truly dangerous products, thus better informing consumers of real risk levels. I also propose that in addressing restaurant regulation, we bear in mind the fact that the social and professional importance of restaurant dining to many people increases as they age. Even though restaurants are currently very dangerous, many teenagers and adults with allergies eat at them, and many experience serious reactions. I propose that we impose mandatory allergy training on restaurant staff, and that we direct restaurants to develop and articulate clear allergy policies, that they communicate openly and honestly to consumers. That way, consumers would know the level of risk they are taking on when they eat at particular restaurants. Further, allergic consumers and their dining partners could more easily choose safer places to eat, which hopefully would exert market pressure restaurants to develop more accommodating policies. I see both of these proposals as necessary in the short term, but hope that eventually the consumer demand for allergy-friendly policies in food manufacturing practices and in restaurants will grow strong enough that we will see the market provide more and more accommodations for people with allergies

What makes men leak? An investigation of objective and self-report measures of urinary incontinence early after radical prostatectomy

AimsPelvic floor muscle training for patients having radical prostatectomy promotes contraction of these muscles in anticipation of activities that may provoke urine leakage. The aims of this study were: to determine the contribution of the individual activities comprising a standardised 1-hour pad test (1HPT) to overall urine leakage early after radical prostatectomy; and to investigate relationships between the 1HPT, 24-hour pad test (24HPT) and the International Consultation on Incontinence QuestionnaireShort Form (ICIQ-SF) early after radical prostatectomy. MethodsA prospective analysis of patients having radical prostatectomy and receiving pelvic floor muscle training (n=33). Participants completed the 1HPT, 24HPT and ICIQ-SF at 3 and 6 weeks postoperatively. Participants wore a separate, pre-weighed continence pad for each of the seven activities comprising the 1HPT; pads were weighed separately and together to calculate activity-related and overall urine leakage. ResultsWalking at a comfortable speed and drinking while sitting were the two activities contributing most to overall urine leakage, albeit these activities also comprised 75% of 1HPT time. All component activities contributed a minimum 75% of overall urine leakage. There were significant and strong to very strong correlations between all of the 1HPT, 24HPT, and ICIQ-SF at 3 weeks postoperatively. There were significant decreases in 24HPT (P=0.032) and ICIQ-SF (P=0.001) but no significant change in 1HPT from 3 to 6 weeks postoperatively. ConclusionsPelvic floor muscle training should include contraction of these muscles in sedentary and walking postures. The 1HPT correlates well with the 24HPT, but may not be sensitive to early postoperative improvements in urinary leakage. Neurourol. Urodynam. 35:225-229, 2016. (c) 2014 Wiley Periodicals, Inc

Physiotherapy following cardiac surgery : Program comparison

The objective is to examine and compare the usability of two physiotherapy programmes, analyzing respiratory function in patients before and after cardiac surgery in hospital during seven postoperative days (POD). Quantitative randomized prospective study of 157 patients before and after the valve replacement surgery, coronary artery bypass graft and combined surgeries, who moved independently. Participants were randomized into two groups (1 and 2) with different physiotherapy programmes. The routine physiotherapy of breath-enhancing techniques, micro-circulation improvement were used for the first group, for the second group - modified physiotherapy - the improvement of inspiration muscles, mm. quadriceps. gluteus max strength. Anthropometric measurements were defined for both groups on the day before surgery and during spirography - dynamic indicators - forced vital capacity (FVC), forced expiratory volume in the 2nd second (FEV1), Tiffeneau index (FEV1/VC (%)), peak expiratory flow (PEF), operation parameters. By comparing the postoperative respiratory parameters between the two groups and using independent samples t test, it was found out that the difference in FVC between groups is 1.71 [95% CI: -8.25 to 4.8] and it is not statistically significant (t (155) = -0.52; p = 0.60). Based on the Leuven test results FVC the distribution variance is not statistically notably different for group 1 and group 2 (F = 0.27, p = 0.60). Using routine and modified physiotherapy and comparing postoperative dynamic respiratory performance of the two groups, there was no statistically significant difference, proving that the two models are equally effective.publishersversionPeer reviewe

The measurement of membranous urethral length using transperineal ultrasound prior to radical prostatectomy

Objective: To compare preoperative membranous urethral length (MUL) measurements using magnetic resonance imaging (MRI) with two-dimensional transperineal ultrasound imaging (TPUS) in two supine positions on two separate days in men prior to radical prostatectomy. Materials and methods: MUL was prospectively measured in 18 male volunteers using MRI and on two separate occasions in two different patient positions using TPUS; the patient supine with the knees extended (Supine) and supine with the knees flexed to 70 degrees (Supine KF). Agreement between TPUS and MRI measurements of MUL was assessed using Bland-Altman method comparison techniques and a two-way mixed-effects single measures intraclass correlation (ICC). Test-retest reliability was assessed using a two-way random effects single measures ICC. Results: The mean difference in MUL measurements between MRI and i) TPUS Supine was -0.8 mm (95% limits of agreement (LOA): -3.2, 1.7) and ii) TPUS Supine KF was -0.8mm (95% LOA: -3.5, 1.9). ICC indicated a point estimate of excellent agreement between MRI and TPUS Supine ICC 0.93 (95% CI: 0.76, 0.98) and TPUS Supine KF ICC 0.91 (95 0 /0CI 0.79, 0.97). There was excellent agreement between TPUS Supine and TPUS Supine KF (ICC 0.98, 95% CI: 0.96, 0.99) with a mean difference of 0.3mm (95% LOA: -1.2 to 1.3mm). Conclusions: Preoperative MUL can be reliably measured using TPUS and demonstrates excellent agreement with MRI measurements of MUL. TPUS provides clinicians with an accessible non-invasive alternative to MRI for the measurement of MUL that can be used in outpatient urological settings and for patients where MRI is contraindicated

Surgical Techniques to Optimize Early Urinary Continence Recovery Post Robot Assisted Radical Prostatectomy for Prostate Cancer.

PURPOSE OF REVIEW: A variety of different surgical techniques are thought to impact on urinary continence (UC) recovery in patients undergoing robot assisted radical prostatectomy (RARP) for prostate cancer. Herein, we review current evidence and propose a composite evidence-based technique to optimize UC recovery after RARP. RECENT FINDINGS: A literature search on studies reporting on surgical techniques to improve early continence recovery post robotic prostatectomy was conducted on PubMed and EMBASE. The available data from studies ranging from randomized control trials to retrospective cohort studies suggest that minimizing damage to the internal and external urinary sphincters and their neural supply, maximal sparing of urethral length, creating a secure vesicourethral anastomosis, and providing anterior and posterior myo- fascio-ligamentous support to the anastomosis can improve early UC recovery post RARP. A composite evidence-based surgical technique incorporating the above principles could optimize early UC recovery post RARP. Evidence from randomized studies is required to prove benefit

Genomic epidemiology of SARS-CoV-2 in a UK university identifies dynamics of transmission

AbstractUnderstanding SARS-CoV-2 transmission in higher education settings is important to limit spread between students, and into at-risk populations. In this study, we sequenced 482 SARS-CoV-2 isolates from the University of Cambridge from 5 October to 6 December 2020. We perform a detailed phylogenetic comparison with 972 isolates from the surrounding community, complemented with epidemiological and contact tracing data, to determine transmission dynamics. We observe limited viral introductions into the university; the majority of student cases were linked to a single genetic cluster, likely following social gatherings at a venue outside the university. We identify considerable onward transmission associated with student accommodation and courses; this was effectively contained using local infection control measures and following a national lockdown. Transmission clusters were largely segregated within the university or the community. Our study highlights key determinants of SARS-CoV-2 transmission and effective interventions in a higher education setting that will inform public health policy during pandemics.</jats:p

I Don't Remember Raping You

[Excerpt] I Don't Remember Raping You (Sung to the tune of I Don't Remember Loving You by John Connlee)Issue_4______Article_3.pdf: 132 downloads, before Oct. 1, 2020

The Board of Management : a study of operational effectiveness of the Boards of Management as vehicles for the participation of trustees, teachers, and parents in a sample of voluntary secondary and community schools in Ireland

THESIS 5729.1THESIS 5729.2Boards of management are part of an approach aimed at democratismg local school management through the involvement of parents and teachers with the school trustees in the local educational decision-making process. Board management implies the existence of processes that are democratic, and relationships that are collaborative and inclusive. The primary focus in this study was the perceptions of the board members as nominees of the primary stakeholders, and the school principals, on the effectiveness of their boards as instruments of participatory management. The study addressed the literature on school management to determine the critical issues for effective board management from two perspectives. It sought to determine what constituted effective management from the perspective of governments and proponents of local school based management - what was its rationale? It addressed the practice of school boards as it emerged from a range of studies - how far were the objectives being realised? The literature provided a basis for a conceptual synthesis, as well as themes and issues around board governance. These were addressed m the empirical study. The study addressed the following issues - the level of understanding of its role by the board and board members, the ability of the board to provide leadership through the development of policy for the school, its operating style understood in terms of nominee or delegate orientations, the responsiveness of the board to its constituencies, board accountability, the participatory processes of the board especially in relation to decision-making, its access to information, the professional/lay relationship on the board, training and on-going support for board members. The empirical study addressed the experience of practitioners serving as board members and principals on twenty-one voluntary secondary\u27 boards and nineteen community boards drawn from voluntary secondary and community schools in Ireland