#AidToo: Analysis of Sexual Violence and Power Structures in the Global Aid Sector

The global aid sector is meant to serve the world\u27s most impoverished, exploited, and vulnerable peoples by providing assistance to those in poverty, internally displaced persons, refugees, and victims of natural disasters, wars, and famines. Aid organizations have been afforded a moral status as crucial entities for humanitarian crises, but they operate in patriarchal, oppressive structures that perpetuate gender inequality, neocolonial mentalities, and sexual violence. This paper will focus on atrocities involving sexual violence. As sexual violence scandals from aid organizations increasingly emerged in 2018 alongside the height of the #MeToo movement, the global aid sector developed its own hashtag, #AidToo, to bring awareness to these issues. While #AidToo did help publicize these scandals and create a conversation, numerous reports unfortunately continue to arise about further issues with sexual violence and prominent aid organizations. The ongoing sexual violence within the global aid sector, despite #AidToo\u27s call for change, demonstrates the deeply embedded power structures that allow these issues to continue. To improve the global aid sector, it is necessary to recognize the structures and mentalities that exist in aid organizations to inform future change and operations

A study of Military Health Care Costs: Direct versus Purchased Care in a Geographical Region

Health care expenses are one of the largest contributing factors to increased personnel costs, the fastest-rising component of the Department of Defense\u27s budget. This research examines the cost implications of developing a new military treatment facility in a specified geographical region, in an effort to reduce military health care spending. Care received at a military treatment facility is referred to as direct care, while care received in the private sector is referred to as purchased care. This research leverages existing information on direct and purchased medical care to gain insights into the workload costs for medical care in a geographical region. This research uses a Monte Carlo simulation approach to determine the direct and purchased care costs for general surgery and orthopedic specialties. The method is applied to the Atlanta, Georgia region and conclude that based on workload measures, it is cheaper in Atlanta to provide direct care at a new military treatment facility

Caring for Transgender patients in the ICU: Current insights for equitable care

There is ever more focus on issues surrounding Transgender/Trans people and their healthcare needs, and while there is a dearth of evidence related to Intensive Care, this paper aims to address considerations for ICU nurses when caring for Trans patients. These include both the overall approach to person-centred care for Trans patients as well as the physiological considerations that necessitate nursing interventions

Ethical considerations for the nursing care of transgender patients in the intensive care unit

There is more discussion than ever surrounding the health and care needs of Transgender communities. However, there is limited research on the care of Transgender patients in the Intensive Care Unit which can contribute to knowledge gaps, inconsistencies and uncertainties surrounding health care practices. This article is not intended to address all of the specific needs of Transgender patients in ICU, but to explore the ethical considerations for caring for a Transgender woman in the ICU. In doing so, this article will explore some specific considerations around gender affirming care, challenging discrimination, physiological changes, and systems change to enhance car

Neck atonia with a focal stimulation-induced seizure arising from the SMA: pathophysiological considerations.

A 28-year-old patient with pharmacoresistant non-lesional right frontal epilepsy underwent extra-operative intracranial EEG recordings and electrical cortical stimulation (ECS) to map eloquent cortex. Right supplementary motor area (SMA) ECS induced a brief seizure with habitual symptoms involving neck tingling followed by asymmetric tonic posturing. An additional feature was neck atonia. During atonia and sensory aura, discharges were seen in the mesial frontal electrodes and precentral gyrus. Besides motor signs, atonia, although rare and not described in the neck muscles, and sensations have been reported with SMA stimulation. The mechanisms underlying neck atonia in seizures arising from the SMA can be explained by supplementary negative motor area (SNMA) - though this was not mapped in electrodes overlying the ictal onset zone in our patient - or primary sensorimotor cortex activation through rapid propagation. Given the broad spectrum of signs elicited by SMA stimulation and rapid spread of seizures arising from the SMA, caution should be taken to not diagnose these as non-epileptic, as had previously occurred in this patient

Free space operating microwave imaging device for bone lesion detection: a phantom investigation

In this letter, a phantom validation of a low complexity microwave imaging device operating in free space in the 1-6.5 GHz frequency band is presented. The device, initially constructed for breast cancer detection, measures the scattered signals in a multi-bistatic fashion and employs an imaging procedure based on Huygens principle. Detection has been achieved in both bone fracture lesion and bone marrow lesion scenarios using the superimposition of five doublet transmitting positions, after applying the rotation subtraction artefact removal method. A resolution of 5 mm and a signal to clutter ratio (3.35 in linear scale) are achieved confirming the advantage of employing multiple transmitting positions on increased detection capability