Alcohol mediates the relationship between alcohol and reporting rape to the p...Heather Flowe
This study experimentally examined within a hypothetical rape scenario the role of victim alcohol intoxication and self-blame in perceiving and reporting to the police non-consensual sexual intercourse as rape. Participants (N = 79) consumed alcohol (mean BAC = .075%) or tonic water, and alcohol expectancy was manipulated. Thereafter, they participated in an interactive hypothetical dating scenario that allowed them to control the level of intimacy occurring. Once they stopped consenting, an act of rape was depicted. Alcohol consumption and expectancy did not affect the likelihood that forced non-consensual intercourse was perceived as rape. However, women who believed they had consumed alcohol as opposed to tonic were less likely to indicate they would report the rape to the police. The association between rape reporting and alcohol expectancy was fully mediated by participant self-blame. The implications of the results are discussed.
Drug Facilitated Sexual Assault Partners With Law EnforcementMedicalWhistleblower
Drug Facilitated Sexual Assault is poorly understood and often not adequately investigated. This program seeks to describe the reality of drug facilitated sexual assault and to point out ways to improve outcomes for victims, law enforcement and social service providers.
Alcohol mediates the relationship between alcohol and reporting rape to the p...Heather Flowe
This study experimentally examined within a hypothetical rape scenario the role of victim alcohol intoxication and self-blame in perceiving and reporting to the police non-consensual sexual intercourse as rape. Participants (N = 79) consumed alcohol (mean BAC = .075%) or tonic water, and alcohol expectancy was manipulated. Thereafter, they participated in an interactive hypothetical dating scenario that allowed them to control the level of intimacy occurring. Once they stopped consenting, an act of rape was depicted. Alcohol consumption and expectancy did not affect the likelihood that forced non-consensual intercourse was perceived as rape. However, women who believed they had consumed alcohol as opposed to tonic were less likely to indicate they would report the rape to the police. The association between rape reporting and alcohol expectancy was fully mediated by participant self-blame. The implications of the results are discussed.
Drug Facilitated Sexual Assault Partners With Law EnforcementMedicalWhistleblower
Drug Facilitated Sexual Assault is poorly understood and often not adequately investigated. This program seeks to describe the reality of drug facilitated sexual assault and to point out ways to improve outcomes for victims, law enforcement and social service providers.
R A P E V I C T I M S A R E A C L A S S O F P E R S O N S O F T E N D...MedicalWhistleblower
Every two minutes, somewhere in America, someone is sexually assaulted. 1, 2 One out of every six American women has been the victim of an attempted or completed rape in her lifetime. 3 Only one in 50 women who have been raped reports the crime to the police.4
Although both women and men may be victims of domestic violence, sexual assault, and stalking, women are the victims of the vast majority of these crimes. According to the Bureau of Justice Statistics, more than 85% of violent victimizations by intimate partners between 1993 and 1998 were perpetrated against women. Women are between 13 and 14 times more likely than men to be raped or sexually assaulted; for instance, in 1994, 93% of sexual assaults were perpetrated against women. Four of five stalking victims are women.
Rape Victims Are A Class Of Persons Often Defined By Gender Medical ...MedicalWhistleblower
Every two minutes, somewhere in America, someone is sexually assaulted. One out of every six American women has been the victim of an attempted or completed rape in her lifetime. Only one in 50 women who have been raped reports the crime to the police.
Although both women and men may be victims of domestic violence, sexual assault, and stalking, women are the victims of the vast majority of these crimes. According to the Bureau of Justice Statistics, more than 85% of violent victimizations by intimate partners between 1993 and 1998 were perpetrated against women. Women are between 13 and 14 times more likely than men to be raped or sexually assaulted; for instance, in 1994, 93% of sexual assaults were perpetrated against women. Four of five stalking victims are women. Data on male victimization do not show that males experience comparable victimizations and injury levels, do not account for women who act in self defense, and do not measure financial control, intimidation, and isolation used by perpetrators of domestic violence against women.
The gender issue is foremost in sexual assault issues, and is usually background in general victimization. The unique cultural bias and shaming that accompanies rape cases needs its own focused opposition. The history of rape law is a history of the law used as a tool to protect rapists, rather than the raped. The anti-rape movement confronts, as it must, the cultural myths that uniquely exist in the context of rape. Manipulation of these myths, along with humiliation and victim blaming, are typical informal defenses to rape charges. Blaming victims in rape cases may be an effective means to secure acquittal. In contrast, blaming a robbery victim is typically ineffective because robbery is unaccompanied by the same pernicious cultural myths. The nature of stigma and abuse in rape cases is profound and unique, a criminal process that mistreats and excludes other types of victims also inflicts secondary victimization.
In 2002, there were 247,730 victims of rape, attempted rape or sexual assault. One out of every six American women have been the victims of an attempted or completed rape in their lifetime (14.8% completed rape; 2.8% attempted rape). A total of 17.7 million women have been victims of these crimes. In 2002, one in every eight rape victims were male. 93% of juvenile sexual assault victims knew their attacker; 34.2% were family members and 58.7% acquaintances. Only seven percent of the perpetrators were strangers to the victim.
One of the most startling aspects of sex crimes is how many go unreported. The most common reasons given by victims for not reporting these crimes are the belief that it is a private or personal matter and that they fear reprisal from the assailant.
• In 2001, only 39% of rapes and sexual assaults were reported to law enforcement officials — about one in every three. [1999 NCVS]
• Approximately 66% of rape victims know their assailant.
• Approximately 48% of victims are raped by a friend or acquaintance; 30% by a stranger; 16% by an intimate; 2% by another relative; and in 4% of cases the relationship is unknown.
• About four out of ten sexual assaults take place at the victim’s own home. More than half of all rape/sexual assault incidents were reported by victims to have occurred within one mile of their home or at their home.
• In one study, 98% of males who raped boys reported that they were heterosexual.
• Rapists are more likely to be serial criminals than serial rapists. In one study, 46% of rapists who were released from prison were rearrested within 3 years of their release for another crime -- 18.6% for a violent offense, 14.8% for a property offense, 11.2% for a drug offense and 20.5% for a public-order offense.
• 61% of rapes/sexual assaults are not reported to the police. Those rapists, of course, never serve a day in prison.
So, even in the 39% of attacks that are reported to police, there is onl
REMEMBERING RAPE: THE EFFECTS OF ACUTE ALCOHOL INTOXICATION AND ALCOHOL EXPEC...Heather Flowe
Presented by Heather Flowe, University of Birmingham, School of Psychology at the Society for Research on Alcoholism annual meeting, San Diego, CA, June 2018
This study tested the effects of alcohol-intoxication on how accurately women remember forensically relevant information from a hypothetical rape scenario. A balanced placebo design was employed, with participants (N=78) randomly assigned to alcohol dose (.00% versus .075% BAC) and alcohol expectancy (told tonic versus told alcohol) conditions. Memory was tested seven days later. Mean memory accuracy was higher for information about pre-assault consensual sexual activities compared to the perpetrator’s actions during the offense (M=86% [CI.95: 81-89%] versus M=51% [CI.95: 46-56%]). Mean memory accuracy was higher if women expected to consume alcohol rather than tonic water (M = 72% [CI.95: 67-77%] versus M = 65% [CI.95: 60-70%], respectively), suggesting alcohol expectancy led to hypervigilance during encoding. Consuming alcohol compared to tonic water did not affect memory accuracy for consensual sexual activities (M=86% [CI.95: 80-91%] versus M=86% [CI.95: 81-89%], respectively) or for the perpetrator’s actions (M=47% [CI.95: 39-54%] versus M = 55% [CI.95: 48-63%], respectively). Calibration analyses indicated that accuracy increased with confidence level, regardless of intoxication level or alcohol expectancy condition, but that women tended to be overconfident in general. Implications and limitations of the research will be discussed.
Marijuana legalization is a tricky subject: Nearly half of Americans have tried marijuana, and a growing percentage supports legalization, according to the Pew Research Center. So where does the crop of 2016 presidential candidates stand on the marijuana issue?
Until recently, it was possible to condemn criminologists both for their near silence on women and criminal law, and for their sexism when they did speak. The most recent wave of feminism has witnessed two seemingly contradictory developments in theories of women and crime. First, femi-nism has kindled interest in women's studies in various academic disci-plines. Criminology has been no exception: the sexist treatment of women victims and offenders by police and other criminal justice officials, the sex-ism of traditional theories of crime, and the concept of victimless crimes have all been under attack.' But, there have also been arguments that women's crime has increased as a result of the women's liberation movement. This belief has been called "the most powerful and widely held ... concerning the topic of female criminality," and its impact has been felt by women offenders being pun-ished for their supposed acts of liberation.' Feminist criminologists now must do more than denounce mainstream criminology for its failure to ac-knowledge the significance of female crime. It is not enough simply to resurrect the neglected female offender. We must transcend the traditional boundaries of criminology and examine the role of the state and the law in reinforcing the position of women in contemporary society.
Very few of us know that 73% of the rape victims know the rapists. Moreover, 40% of rapes happen at victim’s home and 20% occur in the homes of familiar people.
It turned out that most of us have no idea about the effective precautions needed to protect ourselves from the traumatic experience, because we expect danger from a wrong source. A widespread belief is that one should expect a rapist to sit in the bushes in the park late at night, while the reality is different.
My colleague Paulina Grzelak and I were astonished while exploring this topic, as we were quite oblivious to the real situation as well. Therefore, we decided to make a small questionnaire and ask people what they think about rape.
This presentation begins with the analysis of what makes a person become a rapist, which is followed by the comparison of the results of the questionnaire with real data.
I would be grateful if you shared this presentation as many people need this knowledge.
I also want to add that most figures we present come from the States where definition of rape and social situation may differ from ours. Hence, comparing data from the U.S. with opinions from Poland and Ukraine may seem improper. For instance, being forced into sexual contact by husband may not even be recognized as rape in Ukraine, “because it’s his natural right”. And even if a wife admits this fact, social welfare system (which does not exist here, let’s face it) leaves her no option apart from remaining silent, while in the U.S. rape victims are less dependent on family members. Therefore, one has to approach the statistics carefully. Still, we believe that using American data can be justified by the fact that they explore the subject more than any other country.
This article co-written by Dr. Robert J. Winn which aims to quantify the number of lesbian, gay, bisexual, and transgender (LGBT) people in Philadelphia who report to be victims of domestic violence.
Sexual violence occurs throughout the world Available data suggest
that in some countries nearly one in four women may experience
sexual violence by an intimate partner and up to one third of
adolescent girls report their first sexual experience as being forced
Sexual violence has a profound impact on physical and mental health
As well as causing physical injury, it is associated with an increased
risk of a range of sexual and reproductive health problems, with both
immediate and long term consequences
R A P E V I C T I M S A R E A C L A S S O F P E R S O N S O F T E N D...MedicalWhistleblower
Every two minutes, somewhere in America, someone is sexually assaulted. 1, 2 One out of every six American women has been the victim of an attempted or completed rape in her lifetime. 3 Only one in 50 women who have been raped reports the crime to the police.4
Although both women and men may be victims of domestic violence, sexual assault, and stalking, women are the victims of the vast majority of these crimes. According to the Bureau of Justice Statistics, more than 85% of violent victimizations by intimate partners between 1993 and 1998 were perpetrated against women. Women are between 13 and 14 times more likely than men to be raped or sexually assaulted; for instance, in 1994, 93% of sexual assaults were perpetrated against women. Four of five stalking victims are women.
Rape Victims Are A Class Of Persons Often Defined By Gender Medical ...MedicalWhistleblower
Every two minutes, somewhere in America, someone is sexually assaulted. One out of every six American women has been the victim of an attempted or completed rape in her lifetime. Only one in 50 women who have been raped reports the crime to the police.
Although both women and men may be victims of domestic violence, sexual assault, and stalking, women are the victims of the vast majority of these crimes. According to the Bureau of Justice Statistics, more than 85% of violent victimizations by intimate partners between 1993 and 1998 were perpetrated against women. Women are between 13 and 14 times more likely than men to be raped or sexually assaulted; for instance, in 1994, 93% of sexual assaults were perpetrated against women. Four of five stalking victims are women. Data on male victimization do not show that males experience comparable victimizations and injury levels, do not account for women who act in self defense, and do not measure financial control, intimidation, and isolation used by perpetrators of domestic violence against women.
The gender issue is foremost in sexual assault issues, and is usually background in general victimization. The unique cultural bias and shaming that accompanies rape cases needs its own focused opposition. The history of rape law is a history of the law used as a tool to protect rapists, rather than the raped. The anti-rape movement confronts, as it must, the cultural myths that uniquely exist in the context of rape. Manipulation of these myths, along with humiliation and victim blaming, are typical informal defenses to rape charges. Blaming victims in rape cases may be an effective means to secure acquittal. In contrast, blaming a robbery victim is typically ineffective because robbery is unaccompanied by the same pernicious cultural myths. The nature of stigma and abuse in rape cases is profound and unique, a criminal process that mistreats and excludes other types of victims also inflicts secondary victimization.
In 2002, there were 247,730 victims of rape, attempted rape or sexual assault. One out of every six American women have been the victims of an attempted or completed rape in their lifetime (14.8% completed rape; 2.8% attempted rape). A total of 17.7 million women have been victims of these crimes. In 2002, one in every eight rape victims were male. 93% of juvenile sexual assault victims knew their attacker; 34.2% were family members and 58.7% acquaintances. Only seven percent of the perpetrators were strangers to the victim.
One of the most startling aspects of sex crimes is how many go unreported. The most common reasons given by victims for not reporting these crimes are the belief that it is a private or personal matter and that they fear reprisal from the assailant.
• In 2001, only 39% of rapes and sexual assaults were reported to law enforcement officials — about one in every three. [1999 NCVS]
• Approximately 66% of rape victims know their assailant.
• Approximately 48% of victims are raped by a friend or acquaintance; 30% by a stranger; 16% by an intimate; 2% by another relative; and in 4% of cases the relationship is unknown.
• About four out of ten sexual assaults take place at the victim’s own home. More than half of all rape/sexual assault incidents were reported by victims to have occurred within one mile of their home or at their home.
• In one study, 98% of males who raped boys reported that they were heterosexual.
• Rapists are more likely to be serial criminals than serial rapists. In one study, 46% of rapists who were released from prison were rearrested within 3 years of their release for another crime -- 18.6% for a violent offense, 14.8% for a property offense, 11.2% for a drug offense and 20.5% for a public-order offense.
• 61% of rapes/sexual assaults are not reported to the police. Those rapists, of course, never serve a day in prison.
So, even in the 39% of attacks that are reported to police, there is onl
REMEMBERING RAPE: THE EFFECTS OF ACUTE ALCOHOL INTOXICATION AND ALCOHOL EXPEC...Heather Flowe
Presented by Heather Flowe, University of Birmingham, School of Psychology at the Society for Research on Alcoholism annual meeting, San Diego, CA, June 2018
This study tested the effects of alcohol-intoxication on how accurately women remember forensically relevant information from a hypothetical rape scenario. A balanced placebo design was employed, with participants (N=78) randomly assigned to alcohol dose (.00% versus .075% BAC) and alcohol expectancy (told tonic versus told alcohol) conditions. Memory was tested seven days later. Mean memory accuracy was higher for information about pre-assault consensual sexual activities compared to the perpetrator’s actions during the offense (M=86% [CI.95: 81-89%] versus M=51% [CI.95: 46-56%]). Mean memory accuracy was higher if women expected to consume alcohol rather than tonic water (M = 72% [CI.95: 67-77%] versus M = 65% [CI.95: 60-70%], respectively), suggesting alcohol expectancy led to hypervigilance during encoding. Consuming alcohol compared to tonic water did not affect memory accuracy for consensual sexual activities (M=86% [CI.95: 80-91%] versus M=86% [CI.95: 81-89%], respectively) or for the perpetrator’s actions (M=47% [CI.95: 39-54%] versus M = 55% [CI.95: 48-63%], respectively). Calibration analyses indicated that accuracy increased with confidence level, regardless of intoxication level or alcohol expectancy condition, but that women tended to be overconfident in general. Implications and limitations of the research will be discussed.
Marijuana legalization is a tricky subject: Nearly half of Americans have tried marijuana, and a growing percentage supports legalization, according to the Pew Research Center. So where does the crop of 2016 presidential candidates stand on the marijuana issue?
Until recently, it was possible to condemn criminologists both for their near silence on women and criminal law, and for their sexism when they did speak. The most recent wave of feminism has witnessed two seemingly contradictory developments in theories of women and crime. First, femi-nism has kindled interest in women's studies in various academic disci-plines. Criminology has been no exception: the sexist treatment of women victims and offenders by police and other criminal justice officials, the sex-ism of traditional theories of crime, and the concept of victimless crimes have all been under attack.' But, there have also been arguments that women's crime has increased as a result of the women's liberation movement. This belief has been called "the most powerful and widely held ... concerning the topic of female criminality," and its impact has been felt by women offenders being pun-ished for their supposed acts of liberation.' Feminist criminologists now must do more than denounce mainstream criminology for its failure to ac-knowledge the significance of female crime. It is not enough simply to resurrect the neglected female offender. We must transcend the traditional boundaries of criminology and examine the role of the state and the law in reinforcing the position of women in contemporary society.
Very few of us know that 73% of the rape victims know the rapists. Moreover, 40% of rapes happen at victim’s home and 20% occur in the homes of familiar people.
It turned out that most of us have no idea about the effective precautions needed to protect ourselves from the traumatic experience, because we expect danger from a wrong source. A widespread belief is that one should expect a rapist to sit in the bushes in the park late at night, while the reality is different.
My colleague Paulina Grzelak and I were astonished while exploring this topic, as we were quite oblivious to the real situation as well. Therefore, we decided to make a small questionnaire and ask people what they think about rape.
This presentation begins with the analysis of what makes a person become a rapist, which is followed by the comparison of the results of the questionnaire with real data.
I would be grateful if you shared this presentation as many people need this knowledge.
I also want to add that most figures we present come from the States where definition of rape and social situation may differ from ours. Hence, comparing data from the U.S. with opinions from Poland and Ukraine may seem improper. For instance, being forced into sexual contact by husband may not even be recognized as rape in Ukraine, “because it’s his natural right”. And even if a wife admits this fact, social welfare system (which does not exist here, let’s face it) leaves her no option apart from remaining silent, while in the U.S. rape victims are less dependent on family members. Therefore, one has to approach the statistics carefully. Still, we believe that using American data can be justified by the fact that they explore the subject more than any other country.
This article co-written by Dr. Robert J. Winn which aims to quantify the number of lesbian, gay, bisexual, and transgender (LGBT) people in Philadelphia who report to be victims of domestic violence.
Sexual violence occurs throughout the world Available data suggest
that in some countries nearly one in four women may experience
sexual violence by an intimate partner and up to one third of
adolescent girls report their first sexual experience as being forced
Sexual violence has a profound impact on physical and mental health
As well as causing physical injury, it is associated with an increased
risk of a range of sexual and reproductive health problems, with both
immediate and long term consequences
Presented by
John Lynch, Yamhill Co. Juv. Dept.
SUPERVISION & TREATMENT
OF SEXUAL OFFENDERS
1
Almost every hand you’ve shaken has touched a penis.
THINK ABOUT THIS
FOR A SECOND…
To gain knowledge regarding the broad range of considerations when supervising offenders who have committed sexual offenses and to examine effective intervention strategies.
LEARNING GOAL
Myths about sex offenders
Common characteristics of sex offenders
Sexual offense recidivism rates
Risk factors that are/are not associated
with recidivism
Common tactics of sex offenders
WE WILL COVER…
“Success-oriented” supervision model
The importance of communication
Specialized supervision conditions and
success-oriented goals
How to respond to violations
WE WILL COVER…
Effective interventions
Common treatment goals
Use of the polygraph
Doing your job better & reducing your
stress
WE WILL COVER…
SEX OFFENDER VERSION
7
Most sexual offenses are committed by strangers.
Most sexual offenses are committed by someone known to the victim or victim’s family, regardless if the victim is a child or an adult.
Approximately 60% of boys and 80% of girls who are sexually victimized are abused by someone known to the child or the child’s family.
From 2005 to 2010, 78% of sexual violence involved an offender who was a family member, intimate partner, friend, or acquaintance.
Debunking the Myths
Bullet 2 – (60% boys / 80% girls) is from Lieb, Quinsey, and Berliner, 1998.
In a 2009 study conducted by the US Dept. of Justice, Office of Juvenile Justice and Delinquency Prevention, 13,471 juvenile sex offender cases were evaluated which revealed that in 88.2% of reported incidents, the victim was either a family member or acquaintance.
Only 2.5% involved a victim who was considered a stranger to the offender.
Victim Relationship
Rape and sexual assault victimizations against females by victim-offender relationship
1994–1998, 1999–2004, and 2005–2010Victim-Offender Relationship1994-19981999-20042005-2010Stranger
Non-stranger21%
79%25%
75%22%
78%Intimate Partner
(includes former spouse, BF, GF)28%30%34%Relative9%3%6%Acquaintance42%42%38%
Source: Bureau of Justice Statistics, National Crime Victimization Survey, 1994–2010.
Female Victims of Sexual Violence, 1994-2010 (March 2013). Special report published by the US Dept. of Justice, Office of Justice Programs, Bureau of Justice Statistics.
Sexual offense rates are higher than ever and continue to climb.
Despite the increase in publicity about sexual crimes, from 1995 to 2010, the estimated annual rate of female (age 12 or older) rape or sexual assault victimizations has declined 58%.
Debunking the Myths
Only a fraction of those who commit sexual offenses are apprehended and convicted for their crimes.
Debunking the Myths
Debunking the Myths
This figure taken from the Rape, Abuse & Incest National Network (RAINN) website, acces.
Gang Membership, Violence, and Psychiatric Morbidityjeremy coid
Gang members engage in many high-risk activities associated with psychiatric morbidity, particularly violence related ones. The authors investigated associations between gang membership, violent behavior, psychiatric morbidity, and
use of mental health services. The study concluded that gang members show inordinately high levels of psychiatric morbidity,
placing a heavy burden on mental health services. Traumatization and fear of further violence, exceptionally prevalent in gang members, are associated with service use. Gang membership should be routinely assessed in individuals presenting to health care services in areas with high levels of violence and gang activity. Health care professionals may have an important role in promoting desistence from gang activity.
Date and Acquaintance Rape - as given (4.19.2014)William Harryman
A presentation on the statistics of date and acquaintance rape and sexual assault. Included information on how bystanders can intervene and a prevention model that focuses on men. (This is shorter version cut back to fit time constraints.)
Introduction to Personality Disorder and Crime
Relationship between Personality Disorder subtypes
Male sex offending: Rapists versus child molesters
Stalking and Borderline Personality Disorder
Homicide, filicide, matricide, patricide, familicide and Personality Disorder
Link between Personality Disorder and violence
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
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Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
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These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
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2 Case Reports of Gastric Ultrasound
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
A comparison of perpetrators of sexual violence who target romantic partners versus those who target non-romantic partners
1. A comparison of perpetrators of sexual violence who target
romantic partners versus those who target non-romantic
partners
Michele Ybarra MPH PhD1, Kimberly Mitchell PhD2, and Kimberly Goodman PhD3
1Center for Innovative Public Health Research, 2Unviersity of New Hampshire
Crimes Against Children Research Center, 3Washington DC
INTRODUC T IO N
Sexual violence can be perpetrated against people
known well, including dating partners, and people not
known well. Little is known about the characteristics of
people who perpetrate sexual violence against their
romantic partners versus those who perpetrate against
other types of victims.
METHODS
As part of a longitudinal study of children and
adolescents called “Growing up with Media”, 779
youth 17-25 years of age were surveyed online from
across the U.S. in 2016. Half (53%) of respondents
were female. Extensive questions about sexual
violence perpetration were queried.
RESULTS
CONCLUSIO N
Important differences about the sexual violence event are noted for those who perpetrate again their RPs versus
those who perpetrate against non-RPs. Future research should focus on identifying characteristics of those who
are more likely to aggress upon RPs versus non-RPs to further facilitate prevention targeting.
The study described herein was reviewed and approved by the Chesapeake IRB. Research reported in this publication
was supported by the Eunice Kennedy Shriver National Institute Of Child Health & Human Development of the
National Institutes of Health under Award Number R01HD083072. The content is solely the responsibility of the
authors and does not necessarily represent the official views of the National Institutes of Health.
Eight percent of all youth reported perpetrating sexual assault, 3%
coercive sex, and <1%, forced sex (rape). Among perpetrators, 24%
of those who reported assault, 63% of those who reported rape
and 70% of those who reported coercive sex said at least one of
their victims was a current or former romantic partner (RP).
Tactics differed by victim type: Those who perpetrated against RPs
did so by making the other person feel guilty (56%) and getting
angry (37%). Although perpetrators of non-romantic partner
victims used guilt (75%), none used anger. Instead, they sometimes
used alcohol as a facilitator (16%).
Reported reasons for the aggression also varied: The most
common reasons for perpetrators of RPs was feeling horny (79%),
bad about oneself (33%) and/or angry (15%). On the other hand,
90% of perpetrators of non-RPs said they aggressed because they
were “horny” and 21% because they were feeling good; 72% said it
was because they were drunk or high.
Blame attribution also differentiated perpetrators: Youth who
aggressed against RPs were more likely (20%) than those who
aggressed against non-RPs (3%) to say that the other person was
completely responsible. Feeling guilty was the most common
reaction after the event for both types of perpetrators (RPs: 57%,
non-RPs: 67%).
FUNDIN G
24%
63%
70%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Sexual assualt Rape Coercive sex
Percent of SV perpetrators who
aggressed on a romantic partner
Imagine from: https://mic.com/articles/128257/here-s-what-it-s-really-like-to-date-after-surviving-a-sexual-assault#.9eKUkZX00