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Objective: To examine the treatment of gender dysphoria described in Bell v Tavistock (UK 2020). Bell documents the treatment and sequelae of a 16-year-old adolescent referred to the Tavistock with gender dysphoria. Her case highlights contrasts between gender affirming care and comprehensive care. Conclusions: Consistent with other western centres, in the 2010s, the Tavistock began treating patients with gender dysphoria under the 'Dutch protocol' for gender affirming care. Bell reveals concerning lapses of clinical governance influenced by activists and linked to patient harm. The recent suspension of a senior child psychiatrist from an Australian public hospital service after questioning the evidence base and ethical foundation of gender affirming care underlines the need to resolve these uncertainties to address the crisis in the treatment of gender dysphoria. [ABSTRACT FROM AUTHOR]

Short, medium, and long on-chip interconnections having linewidths of 0.45-52 [[micro]meter] are analyzed in a five-metal-layer structure. We study capacitive coupling for short lines, inductive coupling for medium-length lines, inductance and resistance of the current return path in the power buses, and line resistive losses for the global wiring. Design guidelines and technology changes are proposed to achieve minimum delay and contain crosstalk for local and global wiring. Conditional expressions are given to determine when transmission-line effects are important for accurate delay and crosstalk prediction. Index Terms - On-chip wiring, transmission lines.

Children conceived by in vitro fertilization (IVF) do not appear to experience any disadvantages in growth and physical development other than those conferred by multiple birth and prematurity. Researchers compared growth and physical development at age two in 289 children conceived by IVF and 146 children matched for number of babies in the pregnancy, gestational age at birth, and date of birth. Control group twins averaged a lower birth weight and gestational age at birth and averaged ten days longer in the hospital. The average days spent in the hospital and the average number of admissions between postnatal hospital discharge and age two did not differ between IVF and control groups. No differences were found for number of operations, numbers of congenital malformations, or average weight percentile at age two., Objective. To determine the growth and physical outcome at 2 years of age for children born after assisted reproductive techniques in the state of Victoria. Design. Using a case-matched control study between january 1991 and July 1993, 314 children (196 singletons, 47 sets of twins, 8 sets of triplets) conceived after in vitro fertilization (IVF) and related techniques at the Monash IVF and Royal Women's Hospital Reproductive Biology Unit and 150 control children (113 singletons, 17 sets of. twins, 1 set of triplets) randomly selected from the general population using the Victorian Perinatal Data Collection Unit records were enrolled to be examined for minor dysmorphic and major organ abnormalities. Singleton and twin cases were matched for plurality and gestation and date of birth. Triplets were not matched. Results. IVF status was not a significant independent factor for physical outcomes, including malformation rates, nor for days of hospitalization postdischarge and operations. There was no significant interaction between IVF status and mean percentiles for weight and head circumference. The IVF group had a greater mean length percentile. Twins in both groups had significantly poorer physical outcomes than singletons on some measures. Conclusion. This study did not demonstrate an independent IVF effect on the growth and physical outcome of children at 2 years of age when matched for plurality and gestation. The poor outcomes where noted were related to the effects of multiple births. These findings must be viewed in context of the response rates and therefore representativeness of the data. The need for longitudinal studies is demonstrated. Pediatrics 1996,97: 688-692; in vitro fertilization, children, growth, malformations, follow-up., ABBREVIATIONS. IVF, in vitro fertilization; CI, confidence interval; df, degrees of freedom; LSD, least significant difference. Despite over 34 000 births worldwide after assisted reproductive techniques,[1] few studies have addressed [...]

On the basis of an extensive literature review, Jackson and Davidson (1986) suggested that the theme of death may constitute an integral part of the psychodynamic aetiology of anorexia nervosa. This paper describes an attempt to explore this contention using a structured questionnaire in a group of adolescent patients to examine experiences, concepts of and attitudes concerning death. Comparison of the responses of this group with those of age matched school student controls and recovered patients revealed qualitative and quantitative differences which lent some support to the hypothesis. It is concluded that death related themes are of significance in the understanding and management of this illness.

Common and specialist views of truth based in science are constantly evolving. In this two-part episode, recorded at the RANZCP 2023 annual congress in Perth, Dr Nick O'Connor, RANZCP Board Director and head of the RANZCP Education Committee, discusses these changes with I Australasian Psychiatry's i Trainee Editor, Dr Ed Miller. Dr Fauci's reification of himself as "Science" is one template of how scientism can be used to pursue ideological goals. [Extracted from the article]

Objective: To explore some of the emerging complexities in the management of childhood gender dysphoria.Conclusion: The authors raise questions about the gender-affirmation approach and highlight concerns about informed consent and research ethics. [ABSTRACT FROM AUTHOR]