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Women who reported using physical force also reported calling a higher number of boys more frequently during their teenage years compared with the other two groups (Anderson et al quality 50 mg silagra erectile dysfunction shots. One of the most consistent behavioral findings in the literature is the high rate at which adjudicated female sexual assault perpetrators co-offend discount silagra 50 mg visa impotence from prostate removal, usually with one or more male partners (Rand and Catalano purchase silagra us erectile dysfunction in diabetes treatment, 2006). One study of 277 women arrested for a sexual offense found that almost 50 percent committed the offense with another person (Vandiver, 2006). Other studies have identified high rates of co-offending female sexual assault perpetrators (Nathan and Ward, 2002). The majority of cases discussed, however, involve assaults conducted by adjudicated offenders against adolescents or children. It is unclear how many co-offending assaults are committed against other adults or in non-adjudicated samples. Conclusion the study of female sexual assault perpetrators is still emerging, with many fewer studies than the research on male-female sexual assault. In addition, most existing research has focused on the characteristics and behaviors of female offenders who commit assaults against children or adolescents. This focus on women who assault minors may be because many of the existing studies rely on clinical or incarcerated samples. Because of the stigma men may experience by being assaulted by a woman, these samples may not accurately capture the full range of situations in which women perpetrate sexual assault. Due to these limitations, there is currently 40 little consensus on the characteristics or behaviors of female sexual assault perpetrators, especially those that offend against other adults. Male Perpetrators Who Sexually Assault Male Victims Historically, there has been little recognition of sexual assault perpetrated by men against other men. Societal beliefs?for example, myths that men could not be raped and men who were raped must be gay?perpetuated the lack of recognition of this issue. As a result, our empirical knowledge of sexual assault perpetrated by men against other adult men is sparse. In recent years, some studies have begun to explore the issue of sexual assault perpetrations by men against other men. The research on this type of sexual assault, however, is still mostly exploratory in nature, and we still do not have a complete picture of its prevalence, the characteristics of these types of perpetrators, or the circumstances surrounding these assaults. In addition, much of the early research on male perpetrators who sexually assault other men simply described the incidents, rather than comparing the perpetration to a control group. Without a control group, we cannot know whether the characteristics observed in the study sample are more or less likely to occur compared with individuals who do not commit male-male sexual assault. Other studies included small sample sizes and/or relied on convenience samples that most likely do not represent the full range of this type of sexual assault. Below, we describe the handful of recent studies that have begun to shed light on male perpetrators who sexually assault male victims. Due to the limitations of existing research, however, results should be interpreted with caution. Frequency of Sexual Assault by Male Perpetrators Against Male Victims It is difficult to know the exact prevalence rates of sexual assault by male perpetrators against male victims. While some studies of male sexual assault specify the gender of the perpetrator, many do not (Peterson et al. Typologies of Male Perpetrators Who Sexually Assault Male Victims the existing research on the characteristics and behaviors of male perpetrators seems to indicate that they are a heterogeneous group, meaning there does not appear to be one single profile of a male perpetrator who sexually assaults male victims. Research examining known cases of male on-male sexual assault has generally identified two different types of perpetrators based on their motivations for committing the assault. The first group consists of homosexual men who commit assault against other homosexual men primarily for intimacy or sexual gratification. The second group consists of heterosexual men who commit sexual assault against other men as an expression of social dominance or control. In one classification analysis of a sample of male-on-male sexual assault cases, those incidents classified as heterosexual men committing assault for dominance/control were more likely to be stranger attacks and include multiple perpetrators (Hodge and Canter, 1998).

Reliable informants can include nursing staff for patients in the hospital and nursing homes or a family member for outpatients buy 50mg silagra free shipping what is erectile dysfunction wiki answers. The interviewer should ask about any change in symptoms of depression over the prior week discount silagra 100mg visa what age can erectile dysfunction occur. The rater can expand on the descriptions of the symptoms in order to purchase silagra with amex erectile dysfunction 4xorigional help the informant understand each item. Interview Instructions: I am going to ask you questions about how your relative has been feeling during the past week. Anxiety: (anxious expression, ruminations, worrying) Has your relative been feeling anxious this past week? Has s/he been worrying about things s/he may not ordinarily worry about, or ruminating over things that may not be that important? Sadness: (sad expression, sad voice, tearfulness) Has your relative been feeling down, sad, or blue this past week? Lack of reactivity to pleasant events: If a pleasant event were to occur today. Irritability: (easily annoyed, short tempered) Has your relative felt short-tempered or easily annoyed this past week? Agitation: (restlessness, handwringing, hairpulling) Has your relative been so fidgety or restless this past week that s/he was unable to sit still for at least an hour? Agitation may include such behaviors as playing with one’s hands, hair, hand-wringing, hair-pulling, and/or lip-biting: have you observed any such behavior in your relative during the past week? Retardation: (slow movements, slow speech, slow reactions) Has your relative been talking or moving more slowly than is normal for him/her? Multiple physical complaints: In the past week, has your relative had any of the following physical symptoms? Rating guideline: Do not rate symptoms that are side effects from medications or those symptoms that are only related to gastrointestinal ailments. Acute Loss of interest: (less involved in usual activities) How has your relative been spending his/her time this past week (not including work and chores)? If s/he is not as interested, or has not been that engaged in activities during the past week: Has your relative had to push him/herself to do the things s/he normally enjoys? Can s/he look forward to anything or has s/he lost interest in many of the hobbies from which s/he used to derive pleasure? This item should be rated 0 if the loss of interest is long-standing (longer than 1 month) and there has been no worsening during the past month. This item should be rated 0 if the patient has not been engaged in activities because of physical illness or disability, or if the patient has persistent apathy associated with dementia. Appetite loss: (eating less than usual) How has your relative’s appetite been this past week compared to normal? Rating guideline: Rate 1 if there is appetite loss but still s/he is eating on his/her own. Weight loss: Has your relative lost any weight in the past month that s/he has not meant to or been trying to lose? Lack of energy: (fatigues easily, unable to sustain activities – score only if change occurred acutely, or in less than one month) How has your relative’s energy been this past week compared to normal? This week, has your relative had any of the following symptoms due to lack of energy only (not due to physical problems). This item should be rated 0 if the lack of energy is long standing (longer than 1 month) and there has been no worsening during the past month. Diurnal variation of mood: (symptoms worse in the morning) Regarding your relative’s mood (his/her feelings and symptoms of depression), is there any part of the day in which s/he usually feels better or worse? Rating guideline: Diurnal variation of mood is only rated for symptoms that are worse in the morning. Variation of mood in the evening can be related to sundowning in patients with dementia and should not be rated. Difficulty falling asleep: (later than usual for this individual) Has your relative had any trouble falling asleep this past week? Rating guideline: Rate 1 if patient only had trouble falling asleep a few nights in the past week. Multiple awakenings during sleep: Has your relative been waking up in the middle of the night this past week?

During endoscopy buy generic silagra on line erectile dysfunction drugs at walgreens, the wireless recording population discount silagra express erectile dysfunction question, although attempts have been made generic silagra 50 mg visa best herbal erectile dysfunction pills, no ?true normative device is clipped to the esophagus. The advantage of the device is values have been established because of the ethics of performing that the patient does not have a catheter in the nose, so for some invasive studies in healthy infants and children (75,95). Pediatric studies have shown that the wireless pH recording results are comparable to the 1. Early pH-metry studies allow for improved reflux detection due to the additional recording In the literature, 2 terms are used less invasive test to measure changes in pharyngeal pH as an interchangeably to describe re? For the purposes of this discussion, we nose with the sensor lying immediately above the uvula. In addition, the Recommendations: appropriate time window by which it can be established that a 3. Characteristics of included studies Study to be done on or off acid suppression? Although no studies meet the inclusion criteria spe superior to another in predicting response to therapies in cifically assessing the use of thickened feedings in infants or children. No definitive data showed that 1 particular thickening reducing the total reflux burden when comparing feeding agent is more effective than another. In 10 studies, visible vomiting periods with and without thickening within individual patients and/or regurgitation was used as an outcome measure (172,173). Three studies showed a reduc tion in the number of episodes of regurgitation per day (Pooled Safety of Thickeners Mean Difference: A1. In this study, the authors found that thickening level proposed by the European Commission for rice destined for reduced median symptom scores over the course of the 8-week the production of food for infants and young children. Whenever possible, using rice group comparisons at the end of study period compared cereal with low or no arsenic is recommended. Carob bean thickeners are approved for use in symptoms is less clear (ie, as determined by predefined outcome infants after 42 weeks gestation. Xanthum gum thickeners are measures and/or occurrence of side-effects and adverse events), approved for infants greater than 1 year old because of concerns (158,159,162?165,167,168). Although no data thickening: (1) reduced vomiting and visible regurgitations relate ingested volume to frequency and volume of regurgitation, per day, (2) increased the number of days without regurgita avoiding overfeeding by adjusting feeding frequency and volume tion, and (3) reduced symptoms such as crying and irritability. Corvaglia et al studied 18 infants with symptoms of feeding intolerance, constipation or distension that were treated for 1 week with a hydrolyzed protein Positioning Therapy formula (180). For each of these non-pharmacologic ther no position other than supine position is recommended for apies, a minimum 2-week trial is recommended to assess for infants because of the risk of sudden infant death syndrome At the conclusion of the 3-month trial, the mean number of disorder, decrease patient symptoms of the chronic disorder and 536 The search yielded 2 studies assessing the use of alginates (1 containing 225 mg sodium alginate and 87. No studies meeting our inclusion criteria on the use of anti-acids were identified. Characteristics of vomiting/regurgitation episodes in 24 hours at 2 weeks was included studies can be found in Appendix B3 (Supplemental significantly lower compared with baseline (P? Quality of evidence However, the dosage described in the study was lower than that was very low (210). The evidence was of low to very low Over the last 5 years, very few studies have assessed the ef? Chronic high exposure or high-dose included upper and lower respiratory infections, constipation, ingestion of calcium carbonate can cause milk-alkali syndrome; diarrhea, eczema and vomiting amongst others, but in all studies a triad of hypercalcemia, alkalosis and renal failure. Therefore, but one, their incidence was not more common than placebo aluminium-containing antacids should not be used in children (177,207?212). The studies were conducted in mixed populations of both infants and children (213?215).

Ever since the children got the tablet last summer buy cheap silagra 50mg on line erectile dysfunction treatment in kerala, they have preferred to purchase silagra 50mg fast delivery erectile dysfunction 45 use it for playing and video watching purchase 100 mg silagra fast delivery impotence ka ilaj. The interview was conducted with F2g8, because the older child was not at home at the time of the interview. F2g8 prefers playing on the tablet, due to better games and a larger screen compared to her mobile phone. She is very excited about games, such as Littlest Petshop, MovieStarPlanet and cake games. These videos give her ideas for playing with traditional toys, her own Littlest Petshop figures. The parents do not usually teach their children how to use a technological device, as they learn by themselves and from each other. According to the parents, F2g8 was beginning to use a computer by the age of 2, as soon as she learned how to use her own fingers. It seems that the older sister decides which applications they choose and install on the tablet; the children do not ask their parents for permission to do that. However, the parents do 9 give advice to their children on how to search for information on the Internet, and they can show them interesting things related to nature and animal life, for instance, on the Internet. The father may teach the girls history and what life used to be like by using digital technology. The parents also tell the children what appropriate behavior is and how to avoid unwanted contacts on the Internet. The video was about Moomins, but they were shooting and acting in an un-Moomin-like fashion. The parents were very amazed and almost shocked because of the video, but the children thought it was funny. The girls watch a certain Finnish daily serial every night, even though the mother has told them not to watch episodes with a higher age limit. Nevertheless, the girls do not obey their mother who in turn thinks that episodes aimed for an older age group do not scare or distress their children. Due to the fact that the father is staying in another city on weekdays, the mother is more involved in the digital activities of the children. The mother uses a laptop herself in the evenings when children are asleep, but otherwise she does not seem to be a very enthusiastic digital user. There is no restriction as such on time spent with the digital technology, but it depends on the occasion. In addition, mum says she wants to keep an eye on the digital activities of the children and that is why she often asks the children to show what they are doing on the Internet. They are a single income family, with the mother studying and the father working as an engineer. His favorite toys are Playmobil figures, which he recognized immediately in the card game. He does not send any text messages but he makes phone calls and plays one game on the phone. He knows that the phone battery is out of charge now, but in fact F3b7 does not even know where the phone is. F3b7 uses the laptop almost every day for playing, watching videos and visiting Lego and Playmobil websites. YouTube is familiar to him and he watches most often football and floor hockey videos where the players use small balls and goals. When he searches for videos on YouTube, he utilizes the sidebar to find interesting videos. He cannot read properly yet, hence the pictures on the bar help him to make a decision. In addition, F3b7 makes videos with his phone or the web camera by himself or with friends, so they can, for example, film in turns each other playing with a ball. Neither F3b7 or the parents have downloaded or published any products on the Internet.

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References:

• http://digicollection.org/hss/documents/s16427e/s16427e.pdf
• https://www2.deloitte.com/content/dam/Deloitte/de/Documents/public-sector/Social-Progress-Index-Findings-Report-SPI-2017.pdf
• http://fergusson.edu/upload/SSR_NAAC_2015.pdf
• https://tranbaothanh.files.wordpress.com/2016/09/cateora_graham_international-marketing.pdf
• http://bov.gmu.edu/wp-content/uploads/Full-Board-Meeting-Book-October-10-2018.pdf