Difficult Questions Pregnancy Q: Can You Get Pregnant/Get Someone Else
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The Anatomy of the Rectum and Anal Canal
BASIC SCIENCE identify the rectosigmoid junction with confidence at operation. The anatomy of the rectum The rectosigmoid junction usually lies approximately 6 cm below the level of the sacral promontory. Approached from the distal and anal canal end, however, as when performing a rigid or flexible sigmoid- oscopy, the rectosigmoid junction is seen to be 14e18 cm from Vishy Mahadevan the anal verge, and 18 cm is usually taken as the measurement for audit purposes. The rectum in the adult measures 10e14 cm in length. Abstract Diseases of the rectum and anal canal, both benign and malignant, Relationship of the peritoneum to the rectum account for a very large part of colorectal surgical practice in the UK. Unlike the transverse colon and sigmoid colon, the rectum lacks This article emphasizes the surgically-relevant aspects of the anatomy a mesentery (Figure 1). The posterior aspect of the rectum is thus of the rectum and anal canal. entirely free of a peritoneal covering. In this respect the rectum resembles the ascending and descending segments of the colon, Keywords Anal cushions; inferior hypogastric plexus; internal and and all of these segments may be therefore be spoken of as external anal sphincters; lymphatic drainage of rectum and anal canal; retroperitoneal. The precise relationship of the peritoneum to the mesorectum; perineum; rectal blood supply rectum is as follows: the upper third of the rectum is covered by peritoneum on its anterior and lateral surfaces; the middle third of the rectum is covered by peritoneum only on its anterior 1 The rectum is the direct continuation of the sigmoid colon and surface while the lower third of the rectum is below the level of commences in front of the body of the third sacral vertebra. -
Introduction Remove the Udder Removing the Pizzle (Penis)
fig . removing the udder, cut outwards through the skin fig 2. removing the pizzle Introduction This guide describes the carcass dressing procedures either side of the pizzle joining the cuts around the that are ideally carried out in a deer larder, after back of the scrotum. Continue the single central cut the gralloch has been performed in the field. The through the skin almost to the anus, taking care not Gralloch guide should be considered essential to damage the haunches. Pull the pizzle free where it companion reading. Both are linked to the Carcass runs over the pelvis, cutting the blood vessels. Use Inspection, Carcass Transport, Basic Hygiene, and the knife to free the pizzle where it turns forward Larder guides. inside the “V” of the pelvis. Leave outside the carcass (draped down the back if the carcass is suspended). Remove the udder It will be removed with the aitch bone, bladder, Fig 1. This is best done in the larder but a large udder remainder of the rectum and anus, later. can prevent access to the rear end and may have to be removed in the field before opening the stomach. Split the aitch bone Pinch the skin just in front of the udder and pulling Figs 3. and 4. Note that some venison processors on it all the time, cut around the udder, removing it would prefer that the aitch bone remains intact, whole, with the skin. Do not take the cut any further check before cutting. While causing the least possible rearwards until back in the larder. -
How to Increase Your Enjoyment of Sex
BETTER SEX BETTER SEX BETTER SEX BETTER SEX BETTER SEX OF SEX ENJO YOUR INCREASE HOW TO for women and women for their partners YMENT “Sexual health is a state of physical, emotional, mental and social well-being in relation to sexuality; it is not merely the absence of disease, dysfunction or infirmity. Sexual health requires a positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences, free of coercion, discrimination and violence. For sexual health to be attained and maintained, the sexual rights of all persons must be respected, protected and fulfilled.” Definition of sexual health, World Health Organisation SAFER SEX Using condoms for penetrative sex is the best way to protect yourself and your partners from Sexually Transmitted Infections, including HIV. Condoms also offer good protection from unwanted pregnancy. In the text of this booklet, we have chosen not to refer constantly to the use of condoms. Instead, we encourage you to make your own decisions about protecting yourself and others in each instance of sexual activity you undertake. 1 HOW TO INCREASE YOUR ENJOYMENT OF SEX This leaflet provides information on how to help yourself improve your enjoyment of sex. It has three main parts: Suggestions on how to improve sex generally, without doing formal exercises. These apply to both casual and regular partners. Exercises you can do on your own — for women who have difficulty getting turned on or experiencing orgasm, and who may or may not have a regular partner. Exercises you can do with a partner — for women who have difficulty getting turned on, or who have difficulty having an orgasm or enjoying penetrative sex. -
City Council Regular Meeting Agenda
Mayor Laura North City of Kingsburg Mayor Pro Tem Vince Palomar Council Member Michelle Roman 1401 Draper Street, Kingsburg, CA 93631-1908 Council Member Jewel Hurtado Phone (559)897-5821 Fax (559)897-5568 Council Member Brandon Pursell, Jr. City Manager Alexander J. Henderson AGENDA KINGSBURG CITY COUNCIL REGULAR MEETING Council Chamber, 1401 Draper Street, Kingsburg, CA 93631 (559) 897-5821 www.cityofkingsburg-ca.gov PURSUANT TO EXECUTIVE ORDER N-29-20 ISSUED BY GOVERNOR GAVIN NEWSOM THE COUNCIL CHAMBER WILL BE OPEN AT 50% CAPACITY (including City Council Members and City Staff) TO THE PUBLIC. PUBLIC WILL ALSO HAVE THE OPTION TO CALL 1 (425) 436-6335 PASSCODE 5290024 TO PROVIDE COMMENTS ON AGENDA ITEMS. WRITTEN COMMENTS CAN STILL BE SUBMITTED BY MAIL OR EMAIL TO APALSGAARD@CITYOFKINGSBURG- CA.GOV. THE CUT OFF FOR WRITTEN COMMENTS IS 05/18/2021 at 4:30pm. THEY WILL NOT BE READ OUT LOUD. Wednesday, May 19, 2021 at 6pm Invocation to be given by Pastor Tim Boynton, of The Kingsburg Covenant Church, followed by the Pledge of Allegiance led by Mayor Laura North. 6 P.M. REGULAR SESSION MEETING: 1. Call to Order and Roll Call 2. Public Comments: This is the time for any citizen to come forward and address the City Council on any issue within its jurisdiction that is not listed on the Agenda. A maximum of five (5) minutes is allowed for each speaker. 3. Approve Agenda: Action by the Council to approve the agenda or to make modifications. Items that can be added to the agenda is constrained by State law. -
Safer Sex for Lesbian & Bisexual Women
SAFER SEX FOR LESBIAN & BISEXUAL WOMEN FINGER COTS DENTAL DAM aka finger condoms Square piece of latex that is used to assist in the prevention of Made of latex and worn like a glove on one finger HIV and STI tranmission during oral or anal sex HOW TO USE: Use when fingering. You can also make one by HOW TO USE: Lay the dental dam flat against the entire vulva, the cutting off a finger from a latex glove. vaginal opening and the clitoris. Make sure the entire vaginal area is covered. For rimming (licking the anus), place it against the anus. Once the dam is in place, you can lick away. Use a new dental dam for each new sex act. LATEX GLOVES Disposable fitted gloves used by medical professionals. Latex gloves can be used for oral sex, rimming, fingering, and fisting. Be LUBE sure to NOT use dishwashing gloves. Jellylike substance that reduces friction, which causes tiny tears in the skin and makes HOW TO USE: it more likely to get an infection. Lube can also make Oral sex – Cut the fingers off the glove, leaving the thumb in place. Cut open the side of the glove sex feel better and more exciting, whether having oral opposite the thumb. Hold the glove in place with both hands or penetrative sex, masturbating, or using sex toys. It makes or have your partner hold it, covering her labia. Use your penetration easier and more pleasurablable. tongue to stimulate your partner. Insert your tongue into the thumb for extra fun. After sex, be sure to dispose HOW TO USE: Apply a small amount of lube to the of glove safely. -
Men Who Have Sex with Men Management a Management Approach for Gps
CLINICAL PRACTICE Men who have sex with men Management A management approach for GPs BACKGROUND At least one in 20 Australian men report sexual contact with another man in their lifetime. Men who have sex with other James Baber men have higher rates of sexually transmitted infections, and are more likely to experience mental health problems and BHB, MBChB, is a sexual use recreational drugs and alcohol. health registrar, Department of Sexual Health, Royal North OBJECTIVE Shore Hospital, Sydney, New This article describes the health problems and sexual behaviour of men who have sex with men and provides an outline South Wales. jbaber@nsccahs. health.nsw.gov.au and an approach to discussing sexuality in general practice. Linda Dayan DISCUSSION BMedSc, MBBS, DipRACOG, Sexuality can be difficult to discuss in general practice. A nonjudgmental approach to men who have sex with men may MM(VenSci), FAChSHM, facilitate early identification of the relevant health issues. MRCMA, is Head, Department of Sexual Health, Royal North Shore Hospital, Director, Sexual Health Services, Northern Sydney Central Coast Area Health Service, Clinical Lecturer, Department of A recent Australian study has shown that 1.7% of men GP is a marker of increased numbers of sexual partners Community and Public Health, identify as exclusively homosexual,1 while 5% of all and higher sexual risk.4 University of Sydney, and in private practice, Darlinghurst, men reported genital homosexual experience through Barriers to discussing sexual health matters with New South Wales. their lifetime.2 nonheterosexuals identified by GPs in the United Kingdom in 2005, included a lack of knowledge of sexual practices Men who have sex with men (MSM) face societal prejudice and terminology.5 Several doctors also recognised that in their lives, and many experience discrimination. -
Bowel Function Anatomy
BOWEL FUNCTION ANATOMY Most of America gives little thought to bowel control. However, bowel control is actually a complex process involving the coordination of many different muscles and nerves. The bowel is considered to be a part of the digestive or gastrointestinal system. It is designed to help the body absorb nutrients and fluids from the foods we eat and drink. After taking out everything the body needs, the bowel then expels the leftover waste. The beginning of the bowel is the small intestine, sometimes referred to as the small bowel. This is where the useful nutrients are absorbed from what you eat. The small bowel delivers the waste to the colon, or large bowel. The colon is a 5-6 foot long muscular tube that delivers stool to the rectum. As the stool moves through the colon, the fluids are removed and absorbed into the body. The consistency of the stool is dependent upon many things, including how long the stool sits in the colon, how much of the water has been absorbed from the waste, and the amount of fiber and fluids in your diet. Stool consistency can vary from hard lumps to mushy to very loose, watery stool. The best and easiest consistency of stool is soft, like toothpaste; this consistency may be attained by adding fiber to your diet. Fiber helps move waste through the colon because it is indigestible by the human body. In other words, fiber adds ‘bulk’ to the stool. It is important to eat a diet high in fiber, however, most Americans lack fiber in their diet. -
Anal Sex an Informative Guide by Bedroom Kandi
AN INTRODUCTION TO ANAL SEX AN INFORMATIVE GUIDE BY BEDROOM KANDI Anal sex encompasses a variety of sexual acts involving the anus and rectum. These can include anal fingering, analingus (oral-anal sex, sometimes called “rimming”), anal insertion (using an object like a strap-on or other toy) and anal intercourse (penis-in-anus sex). Anal sex can be enjoyed by individuals of any gender, and any orientation. Everyone has a back door, after all! But it requires preparation, care, and patience to make it pleasurable. Communication is Key! No surprise butt-sex. Always check in with your partner, talk things through, and 36% communicate about whether you’re Of American Women both on board for trying anal. Check in during anal sex to report having tried ? make sure you’re both enjoying yourselves! ANAL SEX “Is Anal Sex Common?” International Society for Sexual Medicine :) http://www.issm.info/sexual-health-qa/is-anal-sex-common/ www.bedroomkandi.com ©2017 Bedroom Kandi WHY TRY ANAL? IT FEELS GOOD - There are a lot IT FEELS BAD - in a good way! The of nerve endings to stimulate around taboos around anal sex can make it a the anus, including those in the man’s thrill and add something exciting to your prostate. bedroom routine. You naughty thing! IT SPICES THINGS UP - Trying IT CAN SUBVERT GENDER new things keeps things fresh, and ROLES - Either partner can penetrate anal sex will open up a whole new or receive, (using strap-ons or other toys range of sexual positions and activities for Lesbian or Straight couples), so you for you and your partner to share. -
What Happens in a Hook Up?: Young Women’S Behaviors, Emotions, and Pleasures
What Happens in a Hook Up?: Young Women’s Behaviors, Emotions, and Pleasures by Sarah N. Bell A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy (Psychology and Women’s Studies) in the University of Michigan 2018 Doctoral Committee: Assistant Professor Sara I. McClelland, Chair Associate Professor Terri D. Conley Professor Lilia M. Cortina Professor L. Monique Ward Sarah N. Bell [email protected] ORCID iD: 0000-0002-8796-7892 Dedication This dissertation is dedicated to my parents, Eileen and Dr. David Davies, whose unwavering support and endless sacrifices made this possible. ii Acknowledgements I would like to acknowledge the incredible feedback and guidance given to me by my advisor and mentor, Dr. Sara McClelland, throughout my time at the University of Michigan, and especially during the dissertation process. Her immeasurable wisdom guided me through some of the most difficult phases of this process. I would also like to acknowledge the other members of my dissertation committee, Dr. Lilia Cortina, Dr. Monique Ward, and Dr. Terri Conley. Their advice and support contributed immensely to the quality and rigor of this dissertation. Thank you for sharing your knowledge with me. iii Table of Contents Dedication ii Acknowledgements iii List of Tables v List of Appendices vii Abstract viii Chapter 1 Introduction 1 Chapter 2 Literature Review 12 Chapter 3 Women's Actual and Desired Hook Up Experiences 34 Chapter 4 Women's Sexual Pleasure in Hook Ups 86 Chapter 5 What Happens in a Typical Hook Up? 134 Chapter 6 Women's Complex Negotiation of Sexual and Gender Norms 185 Appendices 193 References 216 iv List of Tables Table 1 Women Receiving Oral and Manual Sex 74 Table 2 Rates of Orgasm 75 Table 3 Protected Vs. -
What's New in Stis?
WHAT’S NEW IN STIS? Sarah Weninger, HIV.STD.Viral Hepatitis Prevention Coordinator Division of Sexually Transmitted and Bloodborne Diseases January 27, 2021 OBJECTIVES ▪ Describe the updated gonorrhea treatment recommendations ▪ Identify the five goals of STI National Strategic Plan. ▪ Describe three strategies to implement for best practices for the prevention and treatment of STIs. GONORRHEA TREATMENT ▪ Combination therapy since 1985 ▪ Evidence and Rationale ▪ Antimicrobial Stewardship ▪ Pharmacokinetics ▪ Azithromycin Susceptibility 2020 UPDATE TO TREATMENT FOR GONOCOCCAL INFECTIONS. Uncomplicated urogenital, rectal or pharyngeal gonorrhea 500 mg IM Ceftriaxone* *For persons weighing ≥ 300 lbs, 1 g of IM Ceftriaxone should be administered 2020 UPDATE TO TREATMENT FOR GONOCOCCAL INFECTIONS. Uncomplicated urogenital, rectal or pharyngeal gonorrhea 500 mg IM Ceftriaxone^ + Doxycycline 100 mg orally BID * 7 Days (If Chlamydia is NOT ruled out) ^For persons weighing ≥ 300 lbs, 1 g of IM Ceftriaxone should be administered AZITHROMYCIN IS PREGNANT INDIVIDUALS WITH GONORRHEA AND CHLAMYDIA NOT RULED OUT. Uncomplicated urogenital, rectal or pharyngeal gonorrhea 500 mg IM Ceftriaxone^ + 1 G Azithromycin 2020 UPDATE TO TREATMENT FOR GONOCOCCAL INFECTIONS. Uncomplicated urogenital, rectal or pharyngeal gonorrhea - Cephalosporin Allergy 240 mg IM dose of Gentamicin + Single 2 g Oral Dose of Azithromycin EPT CAN STILL BE USED FOR GONORRHEA. Uncomplicated urogenital, rectal or pharyngeal gonorrhea Single 800 mg Oral Dose of Cefixime + Doxycycline 100 -
The ICD-10 Classification of Mental and Behavioural Disorders : Clinical Descriptions and Diagnostic Guidelines
ICD-10 ThelCD-10 Classification of Mental and Behavioural Disorders Clinical descriptions and diagnostic guidelines | World Health Organization I Geneva I 1992 Reprinted 1993, 1994, 1995, 1998, 2000, 2002, 2004 WHO Library Cataloguing in Publication Data The ICD-10 classification of mental and behavioural disorders : clinical descriptions and diagnostic guidelines. 1.Mental disorders — classification 2.Mental disorders — diagnosis ISBN 92 4 154422 8 (NLM Classification: WM 15) © World Health Organization 1992 All rights reserved. Publications of the World Health Organization can be obtained from Marketing and Dissemination, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel: +41 22 791 2476; fax: +41 22 791 4857; email: [email protected]). Requests for permission to reproduce or translate WHO publications — whether for sale or for noncommercial distribution — should be addressed to Publications, at the above address (fax: +41 22 791 4806; email: [email protected]). The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers' products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. -
Sexuality, Intimacy & Chronic Illness
FACT SHEET SEXUALITY, INTIMACY & CHRONIC ILLNESS Relationships and sexual satisfaction are important to quality of life. This is especially true for people coping with chronic illness. Sex is an act that can bring satisfaction and release. Even though ALS does not directly affect sexual function, for a person with ALS, sex may also bring pain, frustration and embarrassment. There are methods and techniques available to help people with ALS and their partners cope with their changing sex life and maintain intimacy. BENEFITS OF SEX SEXUAL RESPONSE CYCLE AND Chronic illness can restrict the activities of daily living. CHRONIC ILLNESS Maintaining a sexual relationship can be a source of com- Chronic illness can affect sexual satisfaction and the fort, pleasure and intimacy and an affirmation of one’s true sexual relationship for both partners. ALS does not impair self when other roles have been stripped away. A satisfying sexual function but medications, immobility, respiratory sex life, for the person with ALS and their partner, is one problems, fatigue and body image factors may negatively way to feel “normal” when so many other areas in their affect sexuality. lives have changed. Documented benefits of sex include the following: PSYCHOLOGICAL EFFECTS • Orgasm frequency is inversely related to risk of death. • Reduction of stress. • Anxiety, loss of self-esteem, grief and depression • Improved sleep post-orgasm. associated with chronic illness may impair sexual • Increased relationship satisfaction and stability. fulfillment. • Chronic illness alters relationship dynamics. Partners EFFECTS OF ALS ON SEXUALITY become caregivers, as well as lovers. Role changes may Understanding the sexual response cycle is important to cause sexual activity to decrease.