Vaginal lacerations from consensual intercourse in adolescents     

Frioux SM  Blinman T  Christian CW 《Child abuse & neglect》2011,35(1):69-73

Objective

(1) To describe lacerations of the vaginal fornices, an injury known to be associated with consensual sexual intercourse, including known complications and treatment course, (2) to contrast these injuries with injuries sustained during sexual assault, and (3) to discuss the assessment of adolescent patients for sexual injuries.

Methods

We present a case series of 4 female adolescent patients seen at a children's hospital over a period of 6 months. Each patient developed significant vaginal bleeding after sexual intercourse, and 3 of the patients presented to the emergency department with vital signs consistent with compensated shock.

Results

Each patient was evaluated by pediatric surgery, and found to have a laceration of the vagina. Three of the patients described consensual intercourse prior to the onset of bleeding, and had lacerations of the vaginal fornices; these patients were determined to have injuries resulting from consensual sexual intercourse. The fourth patient reported sexual assault as the cause of her injuries, and was treated for longitudinal lacerations of the vaginal wall.

Conclusions

Lacerations of the upper vagina are not frequently reported in forced vaginal intercourse, but are occasionally reported as injuries sustained during consensual coitus. In the absence of reported sexual assault, a severe vaginal fornix laceration is consistent with the diagnosis of coital injury from consensual intercourse. Diagnosis and treatment of this injury can be delayed due to the sensitive nature of these injuries. Bleeding can be profuse, leading to hemorrhagic shock, and these injuries may require transfusion of blood products and surgical repair in some cases. Complications may include hemoperitoneum, pneumoperitoneum, or retroperitoneal hematoma, even in the absence of complete vaginal perforation.

Practice implications

Knowledge of the consensual sexual injuries that may occur in adolescent patients can guide diagnosis, treatment, and counseling for the patient and her family, preventing long-term medical complications and legal consequences.  相似文献   

Populist Twitter Posts in News Stories     

Raffael Heiss  Christian von Sikorski 《Journalism Practice》2019,13(6):742-758

Research in information processing suggests that the journalistic practice of embedding right-wing populist Twitter posts in news may stimulate political polarization. To test this notion, we conducted an online experiment (N?=?379). We investigated how highlighted right-wing populist statements affected individuals from different ideological stances and whether potential effects were determined by Twitter-specific characteristics (Twitter frame, profile picture). We exposed participants to two articles, each including a statement by a politician of the Austrian Freedom Party. In the first group, the statements were not highlighted (control group). In the second and third group, the statements appeared as conventional block quotes either without (G2) or with (G3) a picture of the politician. In the fourth and fifth group, the statements were highlighted as Twitter posts, again either without (G4) or with (G5) a picture of the politician. Results revealed that all highlighting conditions increased statement recognition among left-wing individuals. However, the full Twitter post condition exerted the strongest effect. Higher recognition then decreased left-wing individuals’ anti-immigrant attitudes and sympathy toward the right-wing populist candidate. Thus, embedding right-wing populists’ Twitter posts may induce disconfirmation bias among left-wing voters and trigger a process in which they strengthen their initial attitudes.  相似文献   

Does patenting help high-tech start-ups?     

Christian Helmers  Mark Rogers 《Research Policy》2011,40(7):1016-1027

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A review on high power SOFC electrolyte layer manufacturing using thermal spray and physical vapour deposition technologies   总被引：1，自引：0，他引：1  

Pierre Coddet Han-lin Liao Christian Coddet 《上海大学学报(英文版)》2014,(3):212-221

Manufacturing of solid oxide fuel cell （SOFC） components remains nowadays a key point for the indus- trial development of this technology. Especially, the deposition of the dense electrolyte layer which is sand- wiched between the porous anode and the porous cathode is of paramount importance and thus focuses a lot of attention. Therefore, this paper considers and reviews recent developments concerning solid electrolyte layers manufacturing using thermal spray （TS） and physical vapour deposition （PVD） technologies.  相似文献   

Implementation of the flipped classroom and its longitudinal impact on improving academic performance     

Torres-Martín  César  Acal  Christian  El-Homrani  Mohammed  Mingorance-Estrada  Ángel C. 《Educational technology research and development : ETR & D》2022,70(3):909-929

Educational technology research and development - The objective has been to know the impact of the flipped classroom methodology on the academic performance of students during their training...  相似文献   

Influence of casein phosphopeptide-amorphous calcium phosphate application,smear layer removal,and storage time on resin-dentin bonding     

Jun Lin  Wei-ying Zheng  Peng-ruo-feng Liu  Ning Zhang  Hui-ping Lin  Yi-jing Fan  Xin-hua Gu  Oliver Vollrath  Christian Mehl 《Journal of Zhejiang University. Science. B》2014,15(7):649-660

The aim of this study is to evaluate the influence of Tooth Mousse (TM) application, smear layer removal, and storage time on resin-dentin microtensile bond strength (μTBS). Dentin specimens were divided into two groups: (1) smear layer covered; (2) smear layer removed using 15% EDTA for 90 s. In each group, half the specimens were treated once with TM for 60 min. After bonding procedures using a two-step self-etching adhesive (Clearfil SE Bond (CSE); Kuraray Medical, Tokyo, Japan), an all-in-one adhesive (G-Bond (GB); GC Corp, Tokyo, Japan), and a total-etch adhesive (Adper Single Bond 2 (SB); 3M ESPE, St. Paul, MN, USA), the specimens were stored for 3 d or 6 months in deionized water at 37 °C, and μTBS was tested and analyzed. With the exception of SB (no TM application) and GB, the μTBS was significantly increased for CSE and SB using EDTA pre-conditioning and 3 d of storage (P≤0.001). Bond strength of GB decreased significantly when using EDTA (3 d storage, P<0.05). TM application only increased the μTBS of GB (no EDTA) and SB (with EDTA) after 3 d (P≤0.02). Comparing the adhesives after 3 d of storage, CSE exhibited the greatest μTBS values followed by GB and SB (P≤0.02). The factors of adhesive, EDTA, and TM did not show any significant impact on μTBS when specimens were stored for 6 months (P>0.05). The additional application of TM and EDTA for cavity preparation seems only to have a short-term effect, and no influence on μTBS of dentin bonds after a period of 6 months.  相似文献   

Toppling hierarchies? Media and information literacies,ethnicity, and performative media practices     

Kirsten Drotner  Christian Kobbernagel 《Learning, Media and Technology》2014,39(4):409-428

This article suggests how we should study media and information literacies (MIL) and do so at a time, when young people nurture these literacies through multiple media practices and across spaces of learning. Our basic argument is this: in order to gain a robust knowledge base for the development of MIL we need to study literacy practices beyond print literacy and numeracy, and we need to study these practices beyond formal spaces of learning. The argument is unfolded with particular focus on ethnic minority youth since this group routinely figures as under-achieving in studies of school literacy, such as Programme for International Student Assessment. Based on a brief overview of literacy studies in view of digitization and a critical examination of recent studies of youthful media practices and ethnicity, the argument is illustrated through an empirical analysis that draws on results from a nationally representative survey of media uses among Danes aged 13–23 years. The analysis demonstrates that ethnic minority youth offer the most serious challenge to existing literacy hierarchies found in formal education. We discuss the implications of these results for educational policy-making and for future research on MIL, advocating inclusive approaches in terms of media for learning and spaces of learning.  相似文献   

Die Beweisentwicklungsumgebung W\Omega -Mkrp     

Xiaorong Huang  Manfred Kerber  Michael Kohlhase  Erica Melis  Dan Nesmith  J?rn Richts und J?rg Siekmann 《Informatik - Forschung und Entwicklung》1996,11(1):20-26

Zusammenfassung. Die Beweisentwicklungsumgebung -Mkrpsoll Mathematiker bei einer ihrer Hauptt?tigkeiten, n?mlich dem Beweisen mathematischer Theoreme unterstützen. Diese Unterstützung mu? so komfortabel sein, da? die rechnergestützte Suche nach formalen Beweisen leichter und insbesondere weniger aufwendig ist, als ohne das System. Dazu mu? die verwendete Objektsprache ausdrucksstark sein, man mu? die M?glichkeit haben, abstrakt über Beweispl?ne zu reden, die gefundenen Beweise müssen in einer am Menschen orientierte Form pr?sentiert werden und vor allem mu? eine effiziente Unterstützung beim Füllen von Beweislücken zur Verfügung stehen. Das im folgenden vorgestellte $\Omega$-Mkrp-System ist der Versuch einer Synthese der Ans?tze des vollautomatischen, des interaktiven und des planbasierten Beweisens. Dieser Artikel soll eine übersicht über unsere Arbeit an diesem System geben. Eingegangen am 24. Juni 1994 / Angenommen am 3. November 1995  相似文献   

DNA-Computing – ein funktionales Modell im laborpraktischen Experiment     

E. Stoschek  M. Sturm und T. Hinze 《Informatik - Forschung und Entwicklung》2001,16(1):35-52

Zusammenfassung.   Im Zentrum der Betrachtungen zum DNA-Computing steht die Frage nach den Chancen und Grenzen dieses neuen Berechnungsmodells, nachdem in den letzten Jahren eine rasante Entwicklung auf das Thema aufmerksam machte. Neben beachtlichen theoretischen Untersuchungen zum “Rechnen im Reagenzglas” werden auch laborpraktische Implementierungen favorisiert. An der TU Dresden wurde in interdisziplin?rer Arbeit ein Integer-Rucksackproblem mittels eines DNA-Algorithmus im Labor gel?st und dabei eine Vielzahl molekularbiologischer Operationen analysiert. Mit Hilfe dieses Satzes von Operationen gelang eine universelle und labornahe Modellierung des DNA-Computing. Hierbei angewandte Techniken und Methoden werden vorgestellt und bewertet. Die Beschreibung des DNA-Algorithmus zeigt, wie sich Einzeloperationen vorteilhaft zu Operationsfolgen zusammensetzen lassen und gemeinsam mit einer geeigneten DNA-Kodierung der Eingangsdaten zur L?sung des Problems im Labor führen. Erstmalig wurden hierbei natürliche Zahlen verarbeitet. Die Arbeitsgemeinschaft DNA-Computing Dresden konzentriert sich auf Aufgabenstellungen, die formale Modelle des DNA-Computing mit überzeugenden Laborimplementierungen verbinden. Eingegangen am 14. Februar 2000 / Angenommen am 26. Oktober 2000  相似文献   

Intellectual property and optimal copyright protection   总被引：1，自引：1，他引：0  

Christian Koboldt 《Journal of Cultural Economics》1995,19(2):131-155

Copyright protection, or more generally, intellectual property rights, can be regarded as a means for the stimulation of production of information goods. This paper analyses the basic problem of production and dissemination of information and the role of copyright protection as an incentive for the producers of creative works. Using a simple model, it is shown that not only a cause for limiting the extent of copyright protection does exist, but that also an argument for a minimum level of protection can be found. Even optimal copyright protection, given the restriction that production and dissemination of information goods has to be co-ordinated by a market mechanism, however, does not lead to a first-best (allocatively efficient) solution. Hence, the judgment that copyright protection is the best solution to the basic problem can be grounded only on a comparative institutional approach.Indeed, one has ample reason to despair of finding a legal tenet that governs the rights of authors and artists. There exists no legal principle by which the state is forced to grant to authors a right in their creation. They cannot claim any right thereupon. This is not to say that the state shall not award such a right. On the contrary, there is every reason to treat them like the most favoured workers, as they deliver a work that is more robust than ashlar, and bring food that does not decay...  相似文献