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In an attempt to clarify this definition generic cialis sublingual 20mg overnight delivery, in 1994 purchase 20mg cialis sublingual otc, Antioch College in Ohio adopted what has become an infamous policy delineating consensual sexual behavior. The primary reason this policy has stirred such an uproar is that the definition of consent is based on continuous verbal communication during intimacy. The rules also state that "If you have had a particular level of sexual intimacy before with someone, you must still ask each and every time. This attempt to remove ambiguity from the interpretation of consent was hailed by some as the closest thing yet to an ideal of " communicative sexuality. Most criticism centered on reducing the spontaneity of sexual intimacy to what seemed like an artificial contractual agreement.. Feminists have traditionally devoted much attention to issues such as pornography, sexual harassment, sexual coercion, and acquaintance rape. The sociological dynamics which influence the politics of sexual equality tend to be complicated. There is no single position taken by feminists on any of the aforementioned issues; there are differing and often conflicting opinions. Views on pornography, for example, are divided between two opposing camps. Libertarian feminists, on one hand, distinguish between erotica (with themes of healthy consensual sexuality) and pornography (material that combines the "graphic sexually explicit" with depictions which are "actively subordinating, treating unequally, as less than human, on the basis of sex. Socalled "protectionist" feminists tend not to make such a distinction and view virtually all sexually-oriented material as exploitative and pornographic. Views on acquaintance rape also appear quite capable of creating opposing camps. Despite the violent nature of acquaintance rape, the belief that many victims are actually willing, consenting participants is held by both men and women alike. Prominent authors have espoused this idea in editorial pages, Sunday Magazine sections, and popular journal articles. Some of these authors are women (a few identify themselves as feminists) who appear to justify their ideas by drawing conclusions based on their own personal experiences and anecdotal evidence, not wide-scale, systematic research. They may announce that they too have probably been raped while on a date to illustrate their own inevitable entanglement in the manipulation and exploitation which are part of interpersonal relations. In 1993, The Morning After: Sex, Fear, and Feminism on Campus by Katie Roiphe was published. Roiphe alleged that acquaintance rape was largely a myth created by feminists and challenged the results of the Koss study. Those who had responded and mobilized to meet the problem of acquaintance rape were called "rape-crisis feminists. Myriad critics were quick to respond to Roiphe and the anecdotal evidence she gave to her claims. The research of Koss and her colleagues has served as the foundation of many of the investigations on the prevalence, circumstances, and aftermath of acquaintance rape within the past dozen or so years. The results of this research have served to create an identity and awareness of the problem. Equally as important has been the usefulness of this information in creating prevention models. Koss acknowledges that there are some limitations to the research. The most significant drawback is that her subjects were drawn exclusively from college campuses; thus, they were not representative of the population at large. By no means does this negate the usefulness of the findings, especially since the late teens and early twenties are the peak ages for the prevalence of acquaintance rape. The demographic profile of the 3,187 female and 2,972 male students in the study was similar to the makeup of the overall enrollment in higher education within the United States. Here are some of the most important statistics:One in four women surveyed was victim of rape or attempted rape. An additional one in four women surveyed was touched sexually against her will or was victim of sexual coercion. One in twelve male students surveyed had committed acts that met the legal definitions of rape or attempted rape. Sixteen percent of the male students who committed rape and ten percent of those who attempted a rape took part in episodes involving more than one attacker. Only 27 percent of those women whose sexual assault met the legal definition of rape thought of themselves as rape victims. Only five percent of the rape victims reported the crime to the police. Only five percent of the rape victims sought help at rape-crisis centers. Whether they had acknowledged their experience as a rape or not, thirty percent of the women identified as rape victims contemplated suicide after the incident. There are a set of beliefs and misunderstandings about acquaintance rape that are held by a large portion of the population. These faulty beliefs serve to shape the way acquaintance rape is dealt with on both personal and societal levels.

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The elevated bladder tumor incidence generic cialis sublingual 20 mg, which was statistically significant in males and females receiving 300 mg/kg cheap 20mg cialis sublingual, was primarily due to the increased occurrence of a smooth muscle tumor considered histomorphologically unique to mice. Plasma exposures in mice receiving 300 mg/kg were approximately 0. The relevance of this finding to human carcinogenic risk is uncertain. No evidence of carcinogenicity was seen in rats following oral administration of topiramate for 2 years at doses up to 120 mg/kg (approximately 3 times the RHD on a mg/m2 basis). Topiramate did not demonstrate genotoxic potential when tested in a battery of in vitro and in vivo assays. Topiramate was not mutagenic in the Ames test or the in vitro mouse lymphoma assay; it did not increase unscheduled DNA synthesis in rat hepatocytes in vitro; and it did not increase chromosomal aberrations in human lymphocytes in vitro or in rat bone marrow in vivo. No adverse effects on male or female fertility were observed in rats at doses up to 100 mg/kg (2. Topiramate has demonstrated selective developmental toxicity, including teratogenicity, in experimental animal studies. When oral doses of 20, 100, or 500 mg/kg were administered to pregnant mice during the period of organogenesis, the incidence of fetal malformations (primarily craniofacial defects) was increased at all doses. Fetal body weights and skeletal ossification were reduced at 500 mg/kg in conjunction with decreased maternal body weight gain. In rat studies (oral doses of 20, 100, and 500 mg/kg or 0. Embryotoxicity (reduced fetal body weights, increased incidence of structural variations) was observed at doses as low as 20 mg/kg (0. Clinical signs of maternal toxicity were seen at 400 mg/kg and above, and maternal body weight gain was reduced during treatment with 100 mg/kg or greater. In rabbit studies (20, 60, and 180 mg/kg or 10, 35, and 120 mg/kg orally during organogenesis), embryo/fetal mortality was increased at 35 mg/kg (2 times the RHD on a mg/m2 basis) or greater, and teratogenic effects (primarily rib and vertebral malformations) were observed at 120 mg/kg (6 times the RHD on a mg/m2 basis). Evidence of maternal toxicity (decreased body weight gain, clinical signs, and/or mortality) was seen at 35 mg/kg and above. When female rats were treated during the latter part of gestation and throughout lactation (0. Maternal toxicity (decreased body weight gain, clinical signs) was evident at 100 mg/kg or greater. In a rat embryo/fetal development study with a postnatal component (0. There are no studies using TOPAMAX^ in pregnant women. TOPAMAX^ should be used during pregnancy only if the potential benefit outweighs the potential risk to the fetus. In post-marketing experience, cases of hypospadias have been reported in male infants exposed in utero to topiramate, with or without other anticonvulsants; however, a causal relationship with topiramate has not been established. In studies of rats where dams were allowed to deliver pups naturally, no drug-related effects on gestation length or parturition were observed at dosage levels up to 200 mg/kg/day. The effect of TOPAMAX^ on labor and delivery in humans is unknown. Topiramate is excreted in the milk of lactating rats. The excretion of topiramate in human milk has not been evaluated in controlled studies. Limited observations in patients suggest an extensive secretion of topiramate into breast milk. Since many drugs are excreted in human milk, and because the potential for serious adverse reactions in nursing infants to TOPAMAX^ is unknown, the potential benefit to the mother should be weighed against the potential risk to the infant when considering recommendations regarding nursing. Safety and effectiveness in patients below the age of 2 years have not been established for the adjunctive therapy treatment of partial onset seizures, primary generalized tonic-clonic seizures, or seizures associated with Lennox-Gastaut syndrome. Safety and effectiveness in patients below the age of 10 years have not been established for the monotherapy treatment of epilepsy. Chronic untreated metabolic acidosis in pediatric patients may cause osteomalacia/rickets and may reduce growth rates. A reduction in growth rate may eventually decrease the maximal height achieved. The effect of topiramate on growth and bone-related sequelae has not been systematically investigated (see WARNINGS ). Safety and effectiveness in pediatric patients have not been established for the prophylaxis treatment of migraine headache.

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There are some (probably many) people who are sufficiently self-aware that they can do most of the repair work on themselves buy 20mg cialis sublingual otc. On the other hand discount cialis sublingual 20mg overnight delivery, having a competent professional to help really can ease the path. And when you find somebody who can produce rapid, successful change in you, the way you want it, stick with him or her. I have never experienced all the trauma of ADD that Thom is talking about. I have been very successful in all areas of my life. I guess I had just enough OCD to keep me in line, doing what I was supposed to. After a few years on Prozac, my obsessions have eased up and now at 50. A few years ago, a friend of mine, a psychiatrist in Atlanta, made the offhand comment to me that, for a person with ADHD, a little bit of OCD is probably a good thing. This sounds to me more like a matter of finding the balance between the two, and that maybe our person here has tipped a little too far away from the "seat of control" that OCD-like things can bring. I see a lot of educational products for helping children learn to "retrain" their brain and learn to pay more attention. Do you know of any computer software products like these for ADDults? The "old" biofeedback device was the rosary, for example. Could this because I am ADHD or from the medicine ( effexor )? Thom Hartmann: Common causes of anxiety reactions include caffeine drinks, stressful life changes (going to high school? Any suggestions for getting through college if I ever attempt it again? There are very community-oriented colleges like Warren-Wilson in Asheville, NC, and there are online programs from most all the colleges and universities, and there are community colleges, and even same-gender colleges. The key seems to be either a high-stimulation, novelty-rich environment or small classrooms, or both. Get to know them in advance and build a relationship so you feel committed to the class. Decide to have fun while learning, and for the terrible, boring, required classes, find the times or a community college where you can take them in smaller classes or from interesting profs. The damage happens when people think that the depression itself is the "problem" and take antidepressives but stay in "not working" life situations. David: If I remember correctly, you also wrote a book called something like " ADD Success Stories ," where people with ADD shared their strategies for coping with it. Thom Hartmann: Yes, ADD Success Stories is a book that I wrote because of all the mail I got after the publication of ADD: A Different Perception. David: Could you share with us two or three of those strategies that proved successful? Thom Hartmann: Well, the school answers I gave earlier are all in that book. The idea of figuring out what sort of neurology/person you are and then determining the best career for you based on that. Thom Hartmann: If that was the entire question, I can empathize. Start noticing how you notice things, noticing your reactions and responses to things, and noticing the internal switches and levers that switch you on and off. From there to taking control of it all is actually a surprisingly short path. There are so many books and all out there, magazine articles, the info is all over the place. But be sure you have a business plan and an exit strategy in place in advance for when it becomes boring to you. Hartmann, for being our guest tonight and for sharing this information with us. And to those in the audience, thank you for coming and participating. Thom Hartmann: Thank you, David, and thanks to everybody who showed up! They have been working with with ADD, ADHD teens and their parents for over 20 years. Our topic tonight is for Parents of ADD, ADHD Teens. Our guests, psychologists Alan Graham and Bill Benninger have been working with children, adolescents and adults with Attention Deficit Disorder and their parents for over 20 years. Besides doing direct therapy, they work with individuals and groups over the phone on a conference call line and they publish the newsletter, ADDvisor.

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