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Many of these movies are shot gonzo style medications 24 order requip 2mg fast delivery, in which performers acknowledge the camera and often speak directly to the audience treatment 2015 requip 1mg low price. The best-known production companies closest to the mainstream symptoms 0f parkinsons disease requip 2 mg with amex, such as Vivid and Wicked medications you can take while nursing discount 2mg requip mastercard, specialize in features; however, the bulk of the market is wall-to-wall/gonzo movies. In addition, there are specialty titles-movies that feature sadomasochism and bondage, fetish material, transsexuals-that fill niche markets. The majority of hard-core movies include oral, vaginal, and anal sex, almost always ending with ejaculation on the woman. In the wall-to-wall/gonzo movies, double penetration (anal and vaginal penetration by two men at the same time) and aggressive oral penetration of women are increasingly common, as are hair pulling, slapping, and rough treatment. As these movies push the limits of overt violence and brutality, pornography producers search for new ways to attract male viewers looking for increased stimulation. California decision, the Supreme Court established a three-part test for defining obscenity (material that appeals to the prurient interest; portrays sexual conduct in a patently offensive way; and does not have serious literary, artistic, political, or scientific value) and identified contemporary community standards as the measure of evaluation. Although a strict application of state and federal obscenity laws could lead to prosecution of much contemporary pornography, enforcement usually occurs only where there is political support from citizens. This prosecutorial discretion means material for sale openly in one jurisdiction may not be available in another. However, 662-Pornography, Regulation of the availability of mail-order and computer pornography ensures that graphic, sexually explicit material can be obtained easily anywhere. The only exception is child pornography-material that is made either using children or, in the digital age, through the use of technology that makes it appear the sexual activity uses children. Ferber, 1982) and available only underground; the legal status of the latter remains uncertain (Ashcroft v. Until the 1970s, debates over pornography pitted liberal advocates of sexual freedom against conservative proponents of traditional sexual morality. Feminist critics argued for a focus not on subjective sexual mores but on the harm to women used in pornography and against whom pornography is used. Does pornography, particularly material that explicitly eroticizes violence or domination, result in sexual violence against women, children, and other vulnerable people? Other researchers contend the evidence points to some kind of effects with some groups of men. No one argues that pornography is the sole causal factor in rape; the question is whether the use of pornography can be considered a sufficient condition for triggering a sexual assault. Many feminists have argued that attention to the experiences of men and women-both those who use pornography and those against whom pornography is used-makes the connection clear. A 2004 United Kingdom study found that 57% of young people ages 9 to 19 have come into contact with pornography online, which seems a plausible, although perhaps conservative estimate. Whatever the actual percentage, as pop culture more generally turns toward pornographic conventions, the exposure of children and adolescents to pornographic images and values is best understood as a continuum; all are exposed to some level of the pornographic, and it is likely those various levels are mutually reinforcing. The complexity at this level makes it difficult to isolate the specific effects of any one medium or genre. Borrowing initially from English common law, American legislatures and courts have over the years developed ways to regulate sexual content; these evolved into a test that has been in place since 1973. At the outset, however, it should be noted that the terms pornography and obscenity have different legal definitions. Once sexual material has been found to be legally obscene, it is no longer protected by the First Amendment. Pornographic material retains some First Amendment protection in that consenting adults may continue to create, purchase, distribute, and consume it. Indecency has yet a third definition; it is applied to the broadcast media and aimed toward protecting Pornography, Regulation of-663 children. This article will focus primarily on the regulation of obscenity and child pornography. Hicklin, an English judge held that sexual materials should be considered in light of their effect on the most susceptible members of society. Furthermore, the material could be removed from its context and considered alone to determine its impact.

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International Clinical Practice Guidelines for the Treatment of Acute Uncomplicated Cystitis and Pyelonephritis in Women: A 2010 Update by the Infectious Diseases Society of America and the European Society for Microbiology and Infectious Diseases medicine images safe 2mg requip. Clinical Effectiveness Protocols for Imaging in the Management of Ureteral Calculous Disease: American Urological Association Technology Assessment medicine dispenser generic requip 2 mg without prescription, 2012 medications jaundice requip 0.5mg line. Surgical Management of Stones: American Urological Association/Endourological Society Guideline symptoms 3 days before period generic 0.5 mg requip with amex, 2016; J Urol 196(4)1153-60. About the American Urological Association Founded in 1902 and headquartered near Baltimore, Maryland, the American Urological Association is a leading advocate for the specialty of urology, and has more than 20,000 members throughout the world. Surgeons performing surgical breast biopsy without preceding needle biopsy should document the reason for no needle biopsy. This often shrinks the cancer, allowing more limited surgery that maintains organ function, reduces the chances of cancer recurrence and spread and improves the quality of life. They often do not understand the costs, risks and potential side effects of the treatment. How this List Was Created the American College of Surgeons concluded in its review of this opportunity that it was optimal to submit a separate list of interventions related to cancer from the American College of Surgeons Commission on Cancer. The Commission on Cancer appointed a multidisciplinary task force that met in person in September 2012 and subsequently by conference call and electronic communications. Recommendations for candidate interventions were solicited from panel members and other leaders from the Commission on Cancer. In addition, panel members were provided with a full description of the Choosing Wisely campaign and the interventions previously recommended by other organizations both for cancer and all other disorders. Following initial submission of the candidate interventions, the panel discussed each intervention specifically evaluating the significance of the intervention, the potential scope of variation in care affected by the intervention, and the potential numbers of persons affected by this. The group also discussed the impact on short-term and long-term cost to be gained by implementation of each intervention. The panel voted on each intervention to select the final list of recommended interventions. The panel members then reviewed and refined the wording of each intervention and completed the bulleted supporting documentation and literature citations. The final list of interventions was then approved by the panel and submitted to the leadership of the American College of Surgeons for final approval. Breast biopsy patterns and outcomes in Surveillance, Epidemiology and End Results Medicare data. Needle versus excisional biopsy for noninvasive and invasive breast cancer: report from the National Cancer Data Base, 2003 ­ 2008. Core-Needle and surgical breast biopsy: comparison of three methods of assessing cost. Advancing survivorship care through the National Cancer Survivorship Resources Center: developing American Cancer Society guidelines for primary care providers. Breast cancer follow-up and management after primary treatment: American Society of Clinical Oncology Clinical Practice Guideline Update. Advancing survivorship care through the National Cancer Survivorship Resource Center: developing American Cancer Society guidelines for primary care providers. Breast cancer follow-up and management after primary treatment: American Society of Clinical Oncology clinical practice guideline update. Colorectal cancer surveillance: 2005 update of an American Society of Clinical Oncology practice guideline. Recommendations from an international consensus conference on the current status and future of neoadjuvant systemic therapy in primary breast cancer. Clinical and economic outcomes of hospital acquired pneumonia in intra-abdominal surgery patients. Prospective, randomized, controlled trial between a pathway of controlled rehabilitation with early ambulation and diet and traditional postoperative care after laparotomy and intestinal resection. Randomized clinical trial comparing epidural anesthesia and patient-controlled analgesia after laparoscopic segmental colectomy. About the Commission on Cancer the Commission on Cancer (CoC) is a consortium of 50 professional organizations dedicated to improving survival and quality of life for cancer patients through standardsetting, prevention, research, education and the monitoring of comprehensive quality care. Established by the American College of Surgeons in 1922, the multidisciplinary CoC establishes standards to ensure quality, multidisciplinary and comprehensive cancer care delivery in health care settings; conducts surveys in health care settings to assess compliance with those standards; collects standardized data from CoC-accredited health care settings to measure cancer care quality; uses data to monitor treatment patterns and outcomes and enhance cancer control and clinical surveillance activities, and develops effective educational interventions to improve cancer prevention, early detection, cancer care delivery and outcomes in health care settings. Compared with a practice of ordering tests only to help answer clinical questions, or when doing so will affect management, the routine ordering of tests increases health care costs, does not benefit patients and may in fact harm them.

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Rap/hip hop and alternative rock are the most popular symptoms 8 days after ovulation generic requip 0.5 mg mastercard, although listening patterns differ based on ethnicity and gender medications prescribed for depression cheap 0.5 mg requip otc. More than half the adolescents between the ages of 12 and 18 listen to some rap/hip hop music on a typical day symptoms 13dpo generic 0.25 mg requip fast delivery. Context the social context in which music is heard has been shown to interact with the genre of the music to yield different listening experiences treatment 21 hydroxylase deficiency generic requip 0.25 mg without prescription. For example, 586-Music Listening, Gender Effects on listening to hard rock or heavy metal among friends has a positive effect while listening to those genres among family members leads to a negative effect. The majority of adolescent music listening occurs in solitary or personal situations to supplement activities such as reading, studying, and talking on the phone. Preteens (10 to 12 years old) spend less than half of their active listening time alone. That amount increases substantially in the teen years when they are likely to spend nearly three quarters of their active listening time alone. Much of the solitary listening occurs in the bedroom because it is seen as a refuge for self-exploration and dealing with stress and negative emotions. Music can be a source of inspiration and arousal during times of low selfesteem or can provide an environment for exploring feelings of sadness. Music also can provide companionship or a sense of connectedness in moments of loneliness. In social contexts like dances and parties, music stimulates or excites positive moods. This use is obvious when one imagines dances, but it holds true when listening to sad music with close friends because the listening creates a shared experience and connectedness between friends. Music is also of high importance for "tweens" (roughly ages 9-to-12-yearsold), who are at an age when many are in their first more serious romantic relationship. Because popular music contains many portrayals of gender roles and gender-typed behavior, often related to sexuality and romantic relationships, music exposure during these life phases most likely affects gender roles and related behavior. This connection may actually be the reason why music is preoccupied with romance and sexuality and thus with gender roles, and why teens and tweens listen to music so frequently. Concerns about the reinforcement of gender stereotypes and about too much emphasis on sexuality have often been voiced. This entry examines gender-related music content, music preferences, and the effects of music listening. The first systematic analyses of lyrics focused on the then-dominant portrayals of love and courtship. Although, in the 1960s, a shift occurred in popular music to less emphasis on love and romance, the physical aspects of love gained more importance over time (Knobloch-Westerwick, Musto, and Shaw provide an up-to-date overview of these developments). Content analyses of popular music lyrics are fairly rare, but some have examined depictions of gender roles. For female role stereotypes specifically, Cooper found that 96% of the sampled songs from the 1940s to 1970s contained such stereotyping. Several studies investigated gender stereotyping in music videos and found gender-typed portrayals across the board. Findings showed that males and females are victims of aggression with equivalent frequency, but black males are more than three times as likely to be Christenson, P. Music Listening, Gender Effects on-587 aggressors, and white females are most frequently victims. The authors have suggested that music videos may reinforce false stereotypes of aggressive black males and victimized white females. Other work showed that men appear nearly twice as often as women, and men engage in significantly more aggressive and dominant behavior; women, on the other hand, engage in significantly more implicitly sexual and subservient behavior and are more frequently the object of explicit, implicit, and aggressive sexual advances. It was also found that many female characters wear revealing clothing and that they initiate and receive sexual advances more often than males. For example, in a study by Toney and Weaver, males showed the strongest positive reactions toward hardrock videos whereas females liked soft-rock music videos the most.

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