Dolly Plumb v. State of Utah : Brief of Appellant

Brief of Appellant

Invisible Inequality and Economic Empowerment: Domestic Violence, Discrimination, and the Creation of a New Protected Class

Today, there is a large population of Americans whose plight is invisible to much of the rest of society - the survivors of domestic and sexual abuse and violence. While in the last few years survivors’ voices are beginning to be heard, the legal landscape is still lagging far behind and is sorely inadequate to provide protections and relief to survivors in many areas of life. Particularly, this is prominent in the employment landscape where federal protections for survivors are sparse. Moreover, survivor-employees are vulnerable to discrimination, unfair firing, and inadequate leave for court appearances and medical assistance. These obstacles still threaten survivors’ ability to ensure economic and financial security upon leaving their abuser. Title VII of the Civil Rights Act does not have the adequate safeguards necessary to protect survivors in the workplace. Additionally, Congress’s few attempts to pass legislation on the matter - like the Violence Against Women Act - have not been successful. Recent legislation is either struck down at the committee level, or partisan issues end up stripping the laws of much of their power. This article explores the legal background and history of the few existing federal laws, the current avenues used by survivors to pursue employment discrimination claims, and the states that have already enacted their own expanded protections in various ways. This article then discusses the counterarguments that employers raise if federal laws were to be expanded. Finally, to remedy this lack of protection, this article proposes the creation of a new federally protected class status for “abused persons” by amending Title VII of the Civil Rights Act and the Family Medical Leave Act, adopting and amending several pieces of state law as models, and putting in safeguards to ease employers’ worries about costs and liability

Biparametrische versus multiparametrische MRT der Prostata im Rahmen der Planung einer roboterassistierten Fusionsbiopsie

Zentrale Fragestellung dieser Dissertation ist der Stellenwert der Kontrastmittel-gestützten Sequenz (DCE) in der multiparametrischen Befundung im Hinblick auf die Diagnostik maligner Läsionen der Prostata. Innerhalb des „Prostate Imaging Reporting and Data System“ (PI-RADS) spielt die Kontrastmitteldynamik für die Einordnung von Läsionen eine Rolle, die in der peripheren Zone liegen und bei denen die Diffusionsbildgebung als PI-RADS Kategorie 3 eingeordnet wurde. Wenn die Kontrastmitteldynamik für solche Läsionen positiv gewertet wird, erfolgt ein Upgrade in einen PI-RADS 4 Befund, womit eine höhere Wahrscheinlichkeit für ein klinisch signifikantes Prostatakarzinom angegeben wird und damit die Erwägung einer bioptischen Sicherung verstärkt wird. Neuere Studien stellen jedoch die Rolle der DCE zur Diskussion, auch mit Blick auf Kontrastmittel-assoziierte Nebenwirkungen und Risiken sowie Kostenaspekte und Umweltaspekte. Eine mögliche Indikation für den Verzicht auf die DCE stellt ein klinisches Hochrisikokollektiv dar. Daher wurde in dieser Arbeit der Ansatz einer multiparametrischen Bildgebung (mpMRT) mit dem einer biparametrischen (bpMRT) ohne DCE vor geplanter roboterassistierter Fusionsbiopsie retrospektiv verglichen

Multilevel Acute Spinal Epidural Hematoma In A Patient With Chronic Renal Failure - Case Report

A 47-year-old female with diabetic nephropathy presented with acute onset of severe back pain and progressive weakness in both lower extremities. Neuroimaging revealed a spinal epidural hematoma extending from the T-3 vertebra to the sacrum. Removal of all or every other lamina on levels with epidural hematoma and emergent evacuation of the hematoma were planned. T-9 and T-10 laminectomies were performed, but excessive bleeding during the operation prompted us to abandon the procedure. Plasma and desmopressin administration controlled the bleeding from the drain 8 hours after the operation. Follow-up neuroimaging one month later revealed total resolution of the hematoma with improved neurological status. Acute spinal epidural hematomas extending over more than 15 segments are extremely rare and the surgical treatment is still challenging. Coexisting hemorrhagic diathesis creates more problems. Conservative treatment may be the best option.WoSScopu