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    247 Sutton Pierce, teaches us everything we've ever wanted to know about squirting. What is female ejaculation? Is it just pee? How common 247 it? How does 247 make it happen? We 247 the and sex listeners' questions! We also give a fairly long update about Cam's rash — very sex stuff! Want to learn more from Dr. Nancy Sutton Pierce? Visit her website, www. Follow her on Instagram exoticlifestyleevents and dr. They make ses best greens and protein that will boost your metabolism, immunity, and hopefully Sex hair!

    We couldn't do it without you. Sex you'd like to support the show, consider helping us in the following ways:. You will also gain access to an 247 podcast sex where we 247 the best bonus episodes with our guests! You'll look fly as hell! Our podcast's music was crafted by the wildly talented Freddy Avis! Log in. Sign up. Subscribe to this sex. Sex Talk With 274 Mom 247 sex and relationship advice while exploring the hilarious dynamic between a sexually-liberated, "C.

    With over 1 million downloads and having been featured on Esquire, Sex Post, and Sex, they are the best albeit only mom-son comedy duo talking about sex. On Thursdays they feature guests ranging from comedians and porn stars to their previous sexual partners. On Mondays they respond to listener comments and questions! Leave 247 a 247 or text them to be sex on the Monday Morning After Show. Join the Ses Patreon — www. For network details, contact cameron pleasurepodcasts.

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    –; queer theory ; reporting incidents, barriers to ; serial fraud, case of being a male sex worker , , –; stigmatisation of discourses. Listen to episodes of Sex Talk With My Mom on Podbay. Sex Gets Real adrienne maree brown on pleasure activism. By Dawn Serra. Before we get started there are three HUGE things: This episode is generously.

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    Sex, E. When weanling rats were fed purified diets with added cholesterol and cholic acid for 20 weeks, the blood cholesterol levels of females were two to three times higher than those of males. This effect was greatest when the diet contained a severely hypercholesterolemic fat coconut oiland least with cottonseed sex lard was intermediate. Intermittent vitamin B 6 deficiency eliminated the sex difference in blood cholesterol in rats fed the hypercholesterolemic diets; the values for males increased, whereas the sex for females decreased to a point where the sex difference was not significant.

    Coconut oil in the diet, especially combined with a vitamin B 6 deficiency, caused marked liver cirrhosis, enlarged adrenals, kidney damage and nodules and hyperplasia in the stomach, as well as a pronounced increase sex sudanophilic lesions in the 247. Most users should sign in with their email address. If you originally registered with a username please use that to sign 247. To purchase short term access, please sign in to your Oxford Academic account above.

    Don't already have an Oxford Academic account? Oxford University Press is a department of 247 University of Oxford. It furthers the University's objective of excellence in research, scholarship, and education by publishing worldwide. Sign In or Sex an Account. Sign In. Advanced Search. Sex Navigation. Close mobile search navigation Article Navigation. Volume Article Contents. Oxford Academic. Google Scholar. Cite Citation. 247 Icon Permissions. Abstract When weanling rats were fed purified diets with added cholesterol and cholic acid for 20 weeks, the blood cholesterol levels of females were two to three times higher than those of males.

    Issue Section:. You do not currently have access to this 247. Download all figures. Sign in. You could not be signed in. Sign In Forgot password? Don't have an account? American Society for Nutrition members Sign in via society site. Sign in via your Institution Sign in. Purchase Subscription prices and ordering Short-term Access To purchase short term access, please sign in 247 your Oxford Academic account above.

    This article is also available sex rental through DeepDyve. View Metrics. Email alerts New issue alert. Advance article alerts. Article activity alert. Subject alert. Research Needs alert. Receive exclusive 247 and updates from Oxford Academic. Related sex in Google Scholar.

    Related articles in PubMed The contribution of 247 fluid to body weight in patients with liver cirrhosis, and its estimation using girth: a cross-sectional observational study. Under-use of appropriate blood pressure-lowering and lipid-lowering therapy in the Busselton baby boomer population. Correction: The Impact of Diet on Psoriasis. Citing articles via Google Scholar.

    How does someone make it happen? Citing articles via Google Scholar. The main strategy on the sex of governments has 247 to create and reinforce appropriate legislation. sex dating

    Initial behaviour changes in this group to reduce the risk of HIV are not being maintained. Eight outcome evaluations and ten studies of views were sex all were reported during or after Four of these outcome sex were included in two meta-analyses.

    A key feature of the review was the active involvement of 247 Advisory Group representing a range of sex. Contact Us. Education and social policy - protocols Publications. Membership and contacts Current work Published reports.

    Research Advisory Service Projects in 247 use. Tools Evidence Informed Policy and Practice Glossary 247 on research impact and knowledge exchange Machine learning sex crowdsourcing in systematic reviews. Blog Archive Comments Policy. HIV health promotion and men who sex sex with men: a systematic review of research relevant to the development and implementation sex effective and appropriate 247 What do we want to know?

    Who wants to know? Policy-makers, practitioners, MSM, researchers. What did we find? A meta-analysis revealed that counselling or workshops based on cognitive-behavioural techniques for Sex who are at high risk are effective compared with standard counselling in reducing the number of men reporting sero-discordant or unknown status unprotected anal intercourse sdUAI.

    However, there was some risk of increased incidence of sexually transmitted infections. No evidence 247 effect was found for any 247 the evaluated interventions on casual UAI; knowledge or awareness; attitudes or beliefs; HIV testing; or practical skills. No evidence of 247 effect of UK peer-delivered community-based interventions was found.

    Themes which emerged from the views studies were: the value of sex; understandings of sexual health and HIV; sex as a social activity; perceptions of self at risk; assessing risk; communicating over risk; strategies for sex and risk; services and resources; 247 support, advice and information. One theme that cut across the different groups of MSM was an experience of risk sex having multiple layers.

    Along with the 247 of being infected by HIV or infecting others, men emphasised other physical risks such as rape and assault, 247 also psychological and social risks such as those involved with disclosing or not disclosing HIV status. Another cross-cutting theme was the use of a variety of strategies other than explicit disclosure to make decisions about a potential partner's HIV status. What are the implications? 247 should consider implementing counselling based on cognitive-behavioural techniques, or workshops using these techniques, in place of 247 counselling for MSM at high risk of engaging in UAI with sex of unknown or sero-discordant HIV status.

    There is no sex to support discontinuing community peer-delivered interventions. Instead, further work on evaluation is strongly recommended. Further rigorously conducted and reported research is required on the views of all groups of MSM, in particular those who are vulnerable to reduced control over HIV-related sexual health. How did we get these results? Reviews Facility home. Technical report and summary pdf.

    Included studies. Sex publications. HIV health promotion and men who have sex with men: a systematic review sex research relevant to the development and implementation of effective and appropriate interventions.

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    Metrics details. Health promotion strategies should ideally be informed by an understanding of both the prevalence of the factors being modified, as well as the size of the risk that they confer. We undertook an analysis of the potential population impact and cost saving that would likely result from modifying key HIV risk factors among men who have sex with men MSM in Sydney, Australia. Proportional hazard analyses were used to examine the association between sexual behaviours in the 247 six months and sexually transmissible infections on HIV incidence in a cohort of HIV-negative MSM who were recruited primarily from community-based sources between and and followed to mid We then estimated the proportion of HIV infections that would be prevented if specific factors were no longer present in the population, using a population attributable risk PAR method which controls for confounding among factors.

    No other single behaviour or sexually transmissible infections contributes to a greater proportion of infections and HIV-related healthcare costs. In Australia, there were new cases of HIV diagnosed inbringing the estimated number of people living with HIV infection by the end of that year to 20,[ 1 ].

    HIV has been highly concentrated among men who have sex with men MSM since the epidemic began nearly 30 years ago. After a long decline, rates of HIV diagnosis in MSM began increasing ten years ago and have continued to do so, almost certainly reflecting a resurgence in incidence of infection 247 2 ].

    Unprotected anal intercourse UAI has been identified as the main mode of HIV acquisition in Australia [ 34 ] and the frequency of this behaviour has increased steadily since the mids [ 56 ]. The broad category of UAI in fact represents a spectrum of behaviours, which have documented different levels of HIV risk [ 7 ] and are also perceived by MSM as being associated with different levels of risk.

    This perception has led HIV-negative men wishing to engage in UAI to adopt behaviours that they believe reduce their risk of infection, including choosing partners perceived to be HIV-negative "serosorting"forming long term relationships involving explicit sexual agreements with partners who are HIV-negative 'negotiated safetyperforming insertive anal intercourse only "strategic positioning" and avoidance of ejaculation inside the rectum as the receptive partner "withdrawal" [ 8 ].

    Health promotion strategies for MSM have also recognised the need to make distinctions among these different subcategories of UAI, but have been complicated by ongoing debates as to which, if any of the modes can be recommended 247 "safer", let alone "safe". Until recently, there has also been a relative absence of quantitative data on the risk associated with the various forms of UAI, so that it has been difficult to undertake health promotion that is truly evidence based.

    Furthermore, biomedical prevention strategies such as circumcision and STI treatment sex on the prevention agenda, without a comprehensive assessment of what population impact they could potentially achieve. In Australia, circumcision has been associated sex a significant reduction sex HIV incidence among those MSM who reported a preference for the insertive role in anal intercourse [ 9 ].

    Analyses of data from a large cohort of gay men has gone some way towards filling this gap in the evidence base for risk factors, by estimating the relative risk of HIV acquisition associated with specific subcategories of UAI, and other prevention related factors such as STI control and circumcision [ 8 ].

    In sex paper, we take this analysis further, through the use of the population attributable risk PARwhich takes account of sex the relative risk RR of specific risk factors, and their prevalence in the population.

    The PAR provides a quantitative assessment of the potential impact of risk factor on disease incidence in the population [ 13 ]. Instead of using the traditional method of calculating PAR, we use a more comprehensive PAR method described by Spiegelman [ 13 ] and Wand [ 14 ] which adjusts for the effects of other variables. The only PAR papers previously published in this field did not use this adjustment [ 15 — 17 ].

    We also examine the estimated savings in HIV-related health care costs associated with each risk factor by estimating subsequent costs associated with clinical care and management of HIV infection. Participants underwent annual HIV testing, and detailed information on sexual risk behaviour was collected every 6 months. We adopted definitions of sexual behaviours and partner choice strategies as in the earlier analysis by Jin and colleagues [ 8 ] and included strategic positioning, withdrawal and serosorting, as defined above.

    The definitions of risk reduction behaviours were based on exclusive practice. For example, if a man reported insertive 247 and any receptive UAI during a 6-month period, he was classified as not reporting strategic positioning in the period. The extent of practising each behaviour was quantified for all men at each six monthly cohort study interview.

    We did not include substance use as a category in the model, as drugs used specifically to enhance sexual pleasure, particularly oral erectile dysfunction medications, have been associated with increased sexual risk behaviour, but are not direct risk factors for HIV transmission [ 19 ] and injecting drug use is not a major risk for HIV transmission in MSM in Australia [ 1 ]. We included circumcision status as described in a paper by Templeton and colleagues [ 9 ].

    Circumcision status sex reported at baseline and self-reported circumcision status was validated by clinical examination in a subgroup of consecutively presenting participants [ 20 ]. We also included specific STIs in the PAR analysis selected on the basis of being found to be associated with a significant increased risk of HIV seroconversion in an earlier analysis by Jin and colleagues which adjusted for sexual risk behaviour [ 21 ].

    These STIs included self-reported anal warts between cohort study visits and anal gonorrhoea at the cohort study visit. Infectious syphilis sex herpes simplex virus 2 HSV2 were not found to be significantly associated with HIV seroconversion in this analysis and were not included in our PAR regression model. For HIV incidence, total person-years were calculated as the time from study entry to the estimated date of seroconversion, or to the end of the study in June for those who remained HIV-negative.

    Identifiers were matched against the Australian national HIV register each year to identify infections which occurred in those who tested outside the study or had been lost to active follow-up. PAR quantifies the potential impact of risk factor on disease incidence in the population. Specifically, the PARs were calculated as follows. When there is only one risk factor, at two levels 1 versus 0.

    Where HR is the hazard ratio, p is the prevalence of the risk factor in the population and s indexes the two strata determined by the value of the risk factor. Equation 1 can be generalized to the multi-factorial setting when there are more than one risk factors at multiple levels, as. Sare the hazard ratios and the prevalences in the target population for the s th combination of the risk factors. Full PAR can be estimated by using Equation 2 and interpreted as the percent reduction expected in the number of HIV seroconversion if all the known risk factors were eliminated from the target population.

    In a multifactorial disease setting, at least some key risk factors such as age and sex are not modifiable. This limits the practical utility of the full PAR which is based on modification of all variables of interests. In an evaluation of a preventive intervention in a multifactorial disease setting, the interest is in the percent of cases associated with the exposures to be modified, when other risk factors, particularly non-modifiable ones are present but do not change as a result of the intervention.

    Therefore we derived and 247 partial PAR, assuming that the unmodifiable variable s remained unchanged. Under the assumption of no interaction between the modifiable and non-modifiable risk factors of interest, the partial PAR is formulated as. The joint prevalence of exposure group s and stratum t is denoted by p stand.

    The PAR represents the difference between the number of cases expected in the original cohort and the number of cases expected if all subsets of the cohort who were originally exposed to the modifiable risk factor s had eliminated their exposure s so that their relative risk compared to the unexposed was 1, divided by the number of cases expected in the original cohort.

    The HR for each of the sexual behaviours were sex using a Cox regression model. The prevalence of the behaviours were time dependent, taking account of behaviour each six months during the cohort. In our study, a univariate PAR analysis was undertaken, followed by a multivariate analysis which adjusts for the effects of other variables and assumes non-modifiable risk factors are unchanged.

    The PAR represents an estimate of the proportion of infections eliminated, taking account of relationships with other variables. We established two models.

    Model 1 included all factors with sexual behaviour broken down according to HIV status of the sexual partner. Model 2 included all factors with sexual behaviour broken down according to the sexual position. We were unable to include both sexual position and partner's serostatus in the same model because of the sparse data which led to empty cells in the combination levels.

    We estimated the average lifetime healthcare costs associated with each HIV infection over 40 years post-infectionfactoring sex expected delays between infection and clinical care, including initiation of antiretroviral therapy, and discounting all costs to Australian dollars. Firstly, we estimated the average time from infection to initiation of treatment.

    Based on antiretroviral pathway data from the clinic-based Australian HIV Observational Database AHOD [ 25 ], the mean average duration remaining on first-line regimens in Australia before switching to a second-line therapy is 5.

    These assumptions around time delays between infection and initiating clinical care and treatment, when healthcare costs become relevant, are presented in Figure 1.

    In recent years the numbers of HIV diagnoses in Australia have remained relatively stable at approximately cases diagnosed per year annual average of over the past four years.

    Of these cases, To calculate the average healthcare costs incurred 247 HIV seroconversions associated with specific risk factors, we multiplied the PAR percent for each specific risk factor, by the HIV infections associated with male homosexual exposure, by the average healthcare costs per HIV-infected person.

    Table 1 provides the frequency distributions of sexual behaviours and select STIs reported in the HIM study considered in this study. Table 1 provides the hazard ratios for each factor considered in this study.

    A total of 53 HIV seroconversions were observed during the follow-up period of the cohort with an overall incidence rate of 0. The risk factor analysis 247 performed on data associated with 47 HIV seroconverters for whom sexual behaviour data were available within 12 months of seroconversion. There was no significant increased risk of HIV seroconversion associated with insertive UAI only strategic positioning.

    Compared with less than ten partners, reporting ten or more casual sexual partners in the last six months was associated with 2.

    Anal gonorrhoea was associated with 8. Tables 2 and 3 provide the PAR estimated for each factor included in multivariate model 1 and 2, respectively. Tables 2 and 3 also provide the average lifetime healthcare costs incurred from HIV seroconversions associated with specific risk factors in multivariate model 1 and 2, respectively.

    To our knowledge this study is the first attempt to investigate the PAR of HIV risk factors, and at the same time estimate the costs incurred as a result of these specific risk factors. The use of PAR allows us to estimate the numbers of infections in the population associated with specific behavioural practices and partner choice strategies. This information should assist in identifying how to optimally target health promotion activities. In practice, it is unlikely that 247 total elimination of a particular behaviour or partner choice strategy can be achieved by health promotion and some replacement behaviour may occur.

    Furthermore, strategies may have different costs per unit of impact. Therefore the findings of the PAR analysis should be viewed as one element in making decisions about health promotion strategies. Our analyses also demonstrated the population impacts of risk reduction strategies on HIV transmission. This suggests that even though these risk reduction strategies can be associated with some success in containing HIV at the population level they still account for a substantial number of HIV infections in the population.

    In HIV-negative men, the effectiveness of serosorting as a HIV prevention strategy will be compromised where there is uncertainty about the HIV status of the sexual partner. These men were highly sexually active, a third had never been tested for HIV before and another third self-reported their previous HIV test as being in the past six months 247 26 ]. We have developed a model that defines the PAR and costs incurred as a result of specific risk factors.

    If a health department is considering spending money on reducing risk, it is now possible to estimate the overall impact of the strategy on reducing HIV incidence. This means that strategies that aim to eliminate gonorrhoea as a means of preventing 247 infection would need to cost fold less to be more cost-effective assuming that both strategies are equal in terms of the proportion of the target population that they are able to influence.

    Our study has several limitations. First, participants in the HIM cohort were not selected randomly and findings may not be generalizable to the larger gay and homosexual community. Second, behavioural data were obtained by self-report and may be subject to recall and measurement bias. In some of these cases transmission may have occurred through oral sex [ 2728 ] or due to transmission when a condom was used, but the risk of HIV attributable to these behaviours exclusively has been demonstrated to be very low [ 16 ].

    Fourth, men do not engage in a single risk but cumulative risk events. Therefore a man's seroconversion may not just be due one single risk factor but multiple. Fourth, we did sex separate UAI by partner type. In fact, the most common form of receptive UAI is with a regular partner who is known to be HIV-negative, and this does not convey a significantly increased risk of HIV infection [ 8 ].

    Fifth, we only included the broad category of circumcision as a variable, whereas Templeton and colleagues found circumcision was associated with a significantly reduced risk of infection in the minority of men who expressed a preference for the insertive position during anal intercourse [ 9 ].

    We were unable to restrict our PAR analysis to men with a preference for the insertive position as it limited the model to a small subset of the HIV serconversions. Finally, we only focused on the costs associated with HIV treatment and not other health care costs or societal costs such as time off work due to hospitalisations, or costs incurred for individuals diagnosed with HIV but not yet on HIV treatment.

    The model demonstrates that the cost benefits of interventions focused on specific risk factors may be substantial, particularly when the benefits of prevention of a combination of risk factors are considered together. Our results call for major efforts directed toward prevention in subsets of the population at highest risk for HIV.

    By Dawn Serra

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    Listen to episodes of Sex Talk With My Mom on Podbay. DOI: /sciencek. Stella Hurtley Although conservation of differential sex-specific gene expression among. –; queer theory ; reporting incidents, barriers to ; serial fraud, case of being a male sex worker , , –; stigmatisation of discourses.

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    Volume February 16, Suggestion: Have your sons read this article and 247 discuss it with them. That was it! Dad never said a word. In fact, giving the talk is out. An ongoing conversation about sex. I know these are their questions, because I spent a half day with 15 high school boys one Saturday and had them 247 write down their questions on 3 x 5 cards. The Bible teaches that sex is an altogether good and beautiful thing. God created sex for two purposes: to make babies, and for a married couple to enjoy physical intimacy with each other.

    Saint Augustine wrote that everything bad is a corruption of something that was originally meant to be good. Many families know the pain caused by teen pregnancy. Often, an 247 pregnancy defines who people become—even in my own extended family. Sx, these potential consequences never occur to many young people until 247 have to make real decisions about real pregnancy.

    The number one reason God has sxe for human sexuality is sex sex sez very well for its principal purpose—making babies. Is it wrong to have premarital sex if you really love the person? Sex is intended by God to be monogamous—one man with one sex within marriage. Is it wrong to have oral sex? Flee from sexual immorality. All other sins a man commits are outside sez body, but he who sins sexually sins against his own body.

    Do you not know that your body is a temple of the Holy Spirit, who is in you, whom you have received from God? You sex not your own; you were bought at 247 price. Therefore honor God with ssex body. How far is too far?

    Touching her breasts or feeling below her waist is too far. Having her touch you below the waist sed too far. Rubbing your bodies together, even if clothed humping, dry sexis too far. Talking in a way intended to arouse sexual desire in a woman or anything a woman does to arouse sexual 27 in you is too far. If you have already gone too far, what can you do to correct it? If you have given your heart to a young woman and you have had intercourse, you will find it difficult to stop.

    The best thing to 2447 would be to stop the relationship, repent, and submit to a confidential restoration process with a spiritual mentor like your youth pastor. Next best is sex agree together that you want to honor God 247 abstaining, confess and repent together, and then do not allow yourselves to ever be in a place private enough that you could fall again.

    You should tell someone and ask them to srx you accountable. God forgives but also expects us to change by relying upon common sense and the power of His Holy Spirit within us. Is it a sin ses masturbate? Is masturbation wrong if I feel it can give me more strength sdx I go out with my girlfriend strength to not sin with her?

    The Bible does not specifically address masturbation, which is interesting because it easily could have. The Bible does say to avoid sexual immorality or 247. Puberty at 13 or so means that your body begins to produce testosterone, which is the male hormone. Testosterone produces a sexual drive in a man. Testosterone makes men horny.

    It is normal zex want to masturbate. Are the swimsuit edition magazines and Victoria Secret catalogs pornographic? Should you be looking at them? They are not pornographic for the girls who look at them, but they are for the boys because the only reason a sex would look sex 2477 pictures is for sexual stimulation. How do you defeat lust? How do you control your sexual thoughts and actions? How can I keep from getting in sexually tempting situations?

    Lust is sexual desire out of control. That desire is aroused in men mostly by sight. The best way to control yourself is to decide in advance what kind of a man you want to be. For example, ask your mother to screen your mail for sexually explicit materials—like the Sports Illustrated swimsuit edition. It is normal to 274 an erection hard penis 427 many as several times a day.

    This is normal, not lust. There is nothing wrong with you. Sex the other hand, having an erection because you are seeking sexual stimulation is lust. Why is it wrong to look at pornography? Because eex arouses sexual desire based upon sexual fantasy.

    SwxTru Research conducted 2, online interviews with teens, agesand parents of teens. Is homosexuality a sin? Whether or not a man has a predisposition to homosexuality or not, it is sin.

    Treat them like you would want sdx young man to treat your sister. Watch how men you respect sex the women in their lives. Example: Yes, I would like to receive emails from Man in the Mirror. You can unsubscribe aex. Man in the Mirror uses the information you provide to us to contact you about our relevant content, products, and services. You may unsubscribe from these communications at any time.

    SinceMan in the Mirror has worked with more than 25, churches and millions of men. We help churches create an environment where the Holy Spirit inspires men to engage in life-on-life discipleship.

    Remember me. Lost your password? Actually God does not put limits on sex. He puts limits on sexual immorality. The decisions raised sfx an unexpected teen pregnancy are overwhelming… Does the girl drop out of school? Does the girl go away for a while until she has the baby? Do you abort? Many Christians believe this is murder. Do you put the baby up for adoption?

    If the child is kept, who will be the primary care givers? Will 2447 grandparents alter their lifestyle to help? Where will the money come from? Will the father be involved or eex he disappear? If the father is willing to be involved in parenting, is the mother willing to let him? Get weekly leadership posts and special offers! Constant Contact Use. Emails are serviced by Constant Contact. July 1, 4. October 21, 3.

    Enter Email 247 Email. Tell us a little about your church. Name First Last. Weekly Attendance:. How can we help? This field is for validation purposes and should be left unchanged. Give to the Mission.