Kenly resident is new DOT secretary. Cooperative Extension office provides program overview. Designer brings big-city style back home. Weathercast: Mild temps this week, then a weekend cold front. Judge moves Keel murder trial. Wilson firefighters build training facility. Political Notebook: Butterfield blames lawmakers for Vidant Health layoffs. Judge moves Keel murder trial out of Nash County. Wilson County Public Library announces new books. Fike needs donors for annual drive: Volunteers want to keep their record.
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Tyra Lynne Banks born December 4, , also known as BanX ,   is an American television personality, producer, businesswoman, actress, author, model, and occasional singer. Born in Inglewood, California , she began her career as a model at the age of 15, and was the first woman of African-American descent to be featured on the covers of GQ and the Sports Illustrated Swimsuit Issue , on which she appeared thrice. She was a Victoria's Secret Angel from to By the early s, Banks was one of the world's top-earning models. In , Banks created and began presenting the long-running reality television series America's Next Top Model , which she executive produced and presented for the first twenty-two seasons, until the series' cancellation in October She remained executive producer for the revival of the series, and enlisted Rita Ora as host for the twenty-third cycle before reassuming the duties herself for the twenty-fourth cycle. She co-hosted the talk show FABLife for two months. In , she published a young adult novel titled Modelland , based on her life as a model. Banks is one of four African Americans and seven women to have repeatedly been ranked among the world's most influential people by Time magazine. Banks has said that while growing up, she was teased for her appearance and considered an "ugly duckling";   when Banks was 11 years old, she grew three inches and lost 30 pounds in three months.
While there is a large body of evidence on the effectiveness of Pap smears for cervical cancer screening and on screening for cervical gonorrhea and Chlamydia, there is sparse evidence to support other portions of the pelvic examination and little guidance on examination logistics. Maximizing comfort should be the goal; lubrication use and careful speculum selection and insertion can ease this intrusive procedure. This is particularly important in adolescent and menopausal women, sexual minorities, obese women, women with disabilities, and women with a history of trauma or prior instrumentation affecting the genitalia. We review the evidence and provide guidance to minimize physical and psychological discomfort with pelvic examination. Pelvic examinations are performed to evaluate pain, bleeding, and vaginal discharge and to screen for cervical cancer and sexually transmitted infections. Little attention has focused on the mechanics of pelvic examination technique, yet the examination is an intrusive experience for many women who feel exposed and lack control. Accordingly, we review the clinical evidence as it exists, and in areas that lack evidence offer our own experience to optimize technical aspects of speculum choice and insertion, and suggest strategies to manage challenging circumstances. When recommendations are not referenced, we are relating our experience in the absence of evidence. Few guidelines address visual inspection and bimanual examination. The United States Preventative Services Task Force provides guidance only on Pap smear recommendations and absence of benefit of ovarian cancer screening.
For many years in emergency medical services EMS , the treatment of choice for unconscious patients that are breathing is to place them in the recovery position. The idea is to prevent getting emesis stomach contents into the lungs, which is a condition known as aspiration. In medical parlance, the recovery position is called the lateral recumbent position , or sometimes it is referred to as the lateral decubitus position. In nearly every case, first aid providers are advised to place the patient on his or her left side and regularly call it the left lateral recumbent position. The idea for the recovery position is to allow stomach contents to drain out in case anything is regurgitated. The top of the esophagus the food pipe is right next to the top of the trachea the windpipe. The problem with the recovery position is the same as for many other first aid treatments: it sounds good in theory but nobody knows if it really works. There isn't much money in first aid unless the treatment requires a drug or a piece of specialty equipment. Positioning someone to prevent them from aspirating is absolutely free. Because there's nothing to gain, very few people do research on things like the recovery position.