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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. -
Handout #7: Clinical Definition of Child Sexual Abuse
Clinical Definition of Child Sexual Abuse The sexual acts that will be described in this section are abusive clinically when the factors discussed in the previous section are present as the examples illustrate. The sexual acts will be listed in order of severity and intrusiveness, the least severe and intrusive being discussed first. Non-contact Acts Offender making sexual comments to the child - Example: A coach told a team member he had a fine body, and they should find a time to explore one another's bodies. He told the boy he has done this with other team members, and they had enjoyed it. Offender exposing intimate parts to the child, sometimes accompanied by masturbation. - Example: A grandfather required that his 6-year-old granddaughter kneel in front of him and watch while he masturbated naked. Voyeurism (peeping). - Example: A stepfather made a hole in the bathroom wall. He watched his stepdaughter when she was toileting (and instructed her to watch him). Offender showing child pornographic materials, such as pictures, books, or movies. - Example: Mother and father had their 6- and 8-year-old daughters accompany them to viewings of adult pornographic movies at a neighbor's house. Offender induces child to undress and/or masturbate self. - Example: Neighbor paid a 13-year-old emotionally disturbed girl $5 to undress and parade naked in front of him. The Pennsylvania Child Welfare Training Program 522: Supervisory Issues in Child Sexual Abuse Handout #7, Page 1 of 4 Clinical Definition of Child Sexual Abuse (cont’d) Sexual Contact Offender touching the child's intimate parts (genitals, buttocks, breasts). -
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. -
The DSM Diagnostic Criteria for Paraphilia Not Otherwise Specified
Arch Sex Behav DOI 10.1007/s10508-009-9552-0 ORIGINAL PAPER The DSM Diagnostic Criteria for Paraphilia Not Otherwise Specified Martin P. Kafka Ó American Psychiatric Association 2009 Abstract The category of ‘‘Not Otherwise Specified’’ (NOS) Introduction for DSM-based psychiatric diagnosis has typically retained diag- noses whose rarity, empirical criterion validation or symptomatic Prior to an informed discussion of the residual category for expression has been insufficient to be codified. This article re- paraphilic disorders, Paraphilia Not Otherwise Specified (PA- views the literature on Telephone Scatologia, Necrophilia, Zoo- NOS), it is important to briefly review the diagnostic criteria philia, Urophilia, Coprophilia, and Partialism. Based on extant for a categorical diagnosis of paraphilic disorders as well as the data, no changes are suggested except for the status of Partialism. types of conditions reserved for the NOS designation. Partialism, sexual arousal characterized by ‘‘an exclusive focus The diagnostic criteria for paraphilic disorders have been mod- on part of the body,’’ had historically been subsumed as a type of ified during the publication of the Diagnostic and Statistical Man- Fetishism until the advent of DSM-III-R. The rationale for con- uals of the American Psychiatric Association. In the latest edition, sidering the removal of Partialism from Paraphilia NOS and its DSM-IV-TR (American Psychiatric Association, 2000), a para- reintegration as a specifier for Fetishism is discussed here and in a philic disorder must meet two essential criteria. The essential companion review on the DSM diagnostic criteria for fetishism features of a Paraphilia are recurrent, intense sexually arousing (Kafka, 2009). -
Senate Substitute
2014 SESSION SENATE SUBSTITUTE 14104029D 1 SENATE BILL NO. 14 2 AMENDMENT IN THE NATURE OF A SUBSTITUTE 3 (Proposed by the Senate Committee for Courts of Justice 4 on January 15, 2014) 5 (Patron Prior to Substitute±±Senator Garrett) 6 A BILL to amend and reenact §§ 18.2-67.5:1, 18.2-346, 18.2-348, 18.2-356, 18.2-359, 18.2-361, 7 18.2-368, 18.2-370, 18.2-370.1, 18.2-371, and 18.2-374.3 of the Code of Virginia, relating to 8 sodomy; penalties. 9 Be it enacted by the General Assembly of Virginia: 10 1. That §§ 18.2-67.5:1, 18.2-346, 18.2-348, 18.2-356, 18.2-359, 18.2-361, 18.2-368, 18.2-370, 11 18.2-370.1, 18.2-371, and 18.2-374.3 of the Code of Virginia are amended and reenacted as follows: 12 § 18.2-67.5:1. Punishment upon conviction of third misdemeanor offense. 13 When a person is convicted of sexual battery in violation of § 18.2-67.4, attempted sexual battery in 14 violation of subsection C of § 18.2-67.5, a violation of § 18.2-371 involving consensual intercourse, anal SENATE 15 intercourse, cunnilingus, fellatio, or anilingus with a child, indecent exposure of himself or procuring 16 another to expose himself in violation of § 18.2-387, or a violation of § 18.2-130, and it is alleged in the 17 warrant, information, or indictment on which the person is convicted and found by the court or jury 18 trying the case that the person has previously been convicted within the ten-year 10-year period 19 immediately preceding the offense charged of two or more of the offenses specified in this section, each 20 such offense occurring on a different date, he shall be is guilty of a Class 6 felony. -
Anal Lickfest Review Reviewed: 12/05/2006 (Updated: 09/02/2007) Porn Reviews Bisexual Reviews Adult Reviews
Anal Lickfest Review Reviewed: 12/05/2006 (Updated: 09/02/2007) Porn Reviews Bisexual Reviews Adult Reviews Introduction Some sites are hard to figure out just from their name alone. Anal LickFest is not one of them. This site offers all the anilingus, felching, and oral ass play that any enthusiast could ever ask for. These are gorgeous sluts getting interviewed as they eat ass and earn a well felched cumshot! Adult Review Ever wonder what happened to Khan Tusion and the rest of the guys from the Meatholes site when it stopped updating? The production crew from Meatholes is still active and their current project sets a new standard for backdoor filth! If you were a Meatholes member in the past, joining up to see what the guys have gotten into now is something you will want to consider doing. Anal Lickfest includes all the psychodrama and interview expertise that only Khan Tusion can provide. His pre-shoot talks with the ladies about to perform for Anal Lickfest are worth the price of admission all by themselves. He gets them to use their real names, finds out their nicknames and even gets some of these gals to tell you what high-school they really went to! Perhaps you'll see someone you recognize. Each scene features two stunning starlets who spend some couch time with Khan answering questions about their private lives, what their parents do for a living and more. When Khan finds a juicy nugget that strikes a nerve he delves deeper and the scene only gets hotter. -
Handler/Fetish CYOA V2.3
Handler/Fetish CYOA v2.3 You meet a stranger whose face you can't see. She explains to you that she is the "Handler", a being with the ability to manipulate people's minds, interpersonal relationships and society. She is usually fair and doesn't abuse her powers too much, but lately she's been really bored and wants to have some fun. So she offers you a deal: you pick one or more of the following "Fetishes" she has, and you can use the gained points to acquire boons from her in the same deal. You get to choose beforehand how long the deal should last. You get the boons while the deal is in effect, or if the deal lasts for at least 10 years, you get the boons permanently. You can also make multiple deals. You can delay when deals start (though of course you won’t get boons from it until it starts). You can only pick each Fetish once across all your deals, you can’t “reuse them”. You also have to make your deals now, before your first deal takes effect. tl;dr: You can make deals. Each deal has a start time, a length, one or more fetishes, suboptions for those fetishes, and zero or more boons. You can’t pick the same Fetish in two different deals. How do you use this opportunity? Category I Fetishes Each gives you 2 points. There are also suboptions you can pick, that give or subtract points if you pick them. For example “-1p” means that it subtracts a point. -
2020-05-25 Prohibited Words List
Clouthub Prohibited Word List Our prohibited words include derogatory racial terms and graphic sexual terms. Rev. 05/25/2020 Words Code 2g1c 1 4r5e 1 1 Not Allowed a2m 1 a54 1 a55 1 acrotomophilia 1 anal 1 analprobe 1 anilingus 1 ass-fucker 1 ass-hat 1 ass-jabber 1 ass-pirate 1 assbag 1 assbandit 1 assbang 1 assbanged 1 assbanger 1 assbangs 1 assbite 1 asscock 1 asscracker 1 assface 1 assfaces 1 assfuck 1 assfucker 1 assfukka 1 assgoblin 1 asshat 1 asshead 1 asshopper 1 assjacker 1 asslick 1 asslicker 1 assmaster 1 assmonkey 1 assmucus 1 assmunch 1 assmuncher 1 assnigger 1 asspirate 1 assshit 1 asssucker 1 asswad 1 asswipe 1 asswipes 1 autoerotic 1 axwound 1 b17ch 1 b1tch 1 babeland 1 1 Clouthub Prohibited Word List Our prohibited words include derogatory racial terms and graphic sexual terms. Rev. 05/25/2020 ballbag 1 ballsack 1 bampot 1 bangbros 1 bawdy 1 bbw 1 bdsm 1 beaner 1 beaners 1 beardedclam 1 bellend 1 beotch 1 bescumber 1 birdlock 1 blowjob 1 blowjobs 1 blumpkin 1 boiolas 1 bollock 1 bollocks 1 bollok 1 bollox 1 boner 1 boners 1 boong 1 booobs 1 boooobs 1 booooobs 1 booooooobs 1 brotherfucker 1 buceta 1 bugger 1 bukkake 1 bulldyke 1 bumblefuck 1 buncombe 1 butt-pirate 1 buttfuck 1 buttfucka 1 buttfucker 1 butthole 1 buttmuch 1 buttmunch 1 buttplug 1 c-0-c-k 1 c-o-c-k 1 c-u-n-t 1 c.0.c.k 1 c.o.c.k.