Prevalence and dimensions of sexual orientation in Swiss adolescents: a cross-sectional survey of 16 to 20-year-old students.

AIM: Sexual orientation plays an important part in building identity during adolescence. The aim of this study was to describe patterns of sexual orientation, including sexual attraction, fantasies, affiliations and behaviour. METHODS: The study was based on the analysis of data from computerized self-administered questionnaires of a Swiss national survey on the sexual life of 16 to 20-year-old adolescents (n = 2,075 girls and 2,208 boys.). RESULTS: Overall, 95.0% of girls and 96.2% of boys described themselves as predominantly heterosexual; 1.4% of girls and 1.7% of boys as predominantly homosexual or bisexual; and 2.8% of teenagers (girls: 3.6%; boys: 2.1%) were "unsure" of their sexual orientation. The reported prevalence of homosexual attraction (girls: 2.0%; boys: 2.9%) exceeded homosexual fantasies (girls: 0.4%; boys: 0.5%) and affiliations (girls: 0.3%; boys: 0.5%). Among the 4205 respondents, 31 girls (1.5% of girls) and 56 boys (2.5% of boys) reported sexual behaviour (experience or penetrative intercourse) with a person of the same sex. Among 1.5% of girls and 2.5% of boys who reported sexual behaviour with a person of the same sex, 65% of boys and 80% of girls nevertheless considered themselves as heterosexual. CONCLUSION: For a comprehensive understanding of sexual orientation in adolescence a differentiated look at dimensions of sexual orientation is indispensable. This applies to clinical settings, public health and research.

Sexualité des adolescents: epidémiologie, approche clinique et stratégies préventives [Adolescent sexuality: epidemiology, clinical approach and preventive measures].

The interest in sexuality of adolescents in medical practice is often mainly focussed on the onset of sexual intercourse and on the emergence of contraceptive needs, though the beginning of adolescence takes place much earlier with the first signs of puberty followed by the menarche. At the issue of this profound metamorphosis the adolescent needs to adapt herself to a modified, sexual body. Adolescence is also a time of identity development and of changes in relationships, which are influenced by gender role in family and perception related to gender during childhood. This article shows epidemiological data to consider and the main issues of gynaecologic consultation with the adolescent. The different stages of development depend on biological and environmental factors which either favour resilience or weaken the individual due to a lack of affection or to abusive relationships. Medical consultation for a gynaecological problem, questions on puberty and development or on contraception give medical professionals and especially gynaecologists a chance to address sexual issues naturally, to anticipate questions as well as contraceptive needs. The consultation with the adolescent includes also the screening for behaviour related to a lack of information or a personal or relational difficulty.

Sexuality & Aging: Debunking the Myths

As the American population continues to grow older, aging and sexuality has become a frequent topic of discussion. Specifically, questions have been raised about if and how older adults experience sexual desire; how dementia and other age-related health issues impact an individual’s ability to express desire for and consent to sexual acts; and whether older adults forfeit their right to intimacy once they move into a long-term care facility. By federal law, individuals residing in long-term care are afforded multiple rights, many of which are relevant to sexuality. These rights include but are not limited to: the rights to privacy, confidentiality, dignity and respect; the right to make independent choices; and the right to choose visitors and meet in a private location. The OSLTCO strives to preserve these rights by promoting attitudes of awareness, acceptance, and respect of sexual diversity.

Sexuality Expression in Long-Term Care

By federal law, individuals residing in long-term care are afforded multiple rights, many of which are relevant to sexuality. These rights include but are not limited to: the rights to privacy, confidentiality, dignity and respect, the right to make independent choices, and the right to choose visitors and meet in a private location. The Office of the State Long-Term Care Ombudsman strives to preserve these rights by promoting attitudes of awareness, acceptance, and respect of sexual diversity. Though outcomes to sexually-related situations vary innumerably, as each is different and must be considered independently, the OSLTCO believes a multidisciplinary effort is necessary to develop a thoughtful process from which to draw and support conclusions. It is not the responsibility of the long-term care facility or assisted living program (or a single staff member) to solely determine whether a resident/tenant should or should not be sexually expressive.

Bone Mineral Accrual in Physically Active Girls. With Special Reference to Reduction in Physical Activity Level and Use of Oral Contraceptives

Adolescence is an important time for acquiring high peak bone mass. Physical activity is known to be beneficial to bone development. The effect of estrogen-progestin contraceptives (EPC) is still controversial. Altogether 142 (52 gymnasts, 46 runners, and 42 controls) adolescent women participated in this study, which is based on two 7-year (n =142), one 6-year (n =140) and one 4-year (n =122) follow-ups. Information on physical activity, menstrual history, sexual maturation, nutrition, living habits and health status was obtained through questionnaires and interviews. The bone mineral density (BMD) and content (BMC) of lumbar spine (LS) and femoral neck (FN) were measured by dual- energy X-ray absoptiometry. Calcaneal sonographic measurements were also made. The physical activity of the athletes participating in this study decreased after 3-year follow-up. High-impact exercise was beneficial to bones. LS and FN BMC was higher in gymnasts than in controls during the follow-up. Reduction in physical activity had negative effects on bone mass. LS and FN BMC increased less in the group having reduced their physical activity more than 50%, compared with those continuing at the previous level (1.69 g, p=0.021; 0.14 g, p=0.015, respectively). The amount of physical activity was the only significant parameter accounting for the calcaneal sonography measurements at 6-year follow-up (11.3%) and reduced activity level was associated with lower sonographic values. Long-term low-dose EPC use seemed to prevent normal bone mass acquisition. There was a significant trend towards a smaller increase in LS and FN BMC among long-term EPC users. In conclusion, this study confirms that high-impact exercise is beneficial to bones and that the benefits are partly maintained even after a clear reduction in training level at least for 4 years. Continued exercise is needed to retain all acquired benefits. The bone mass gained and maintained can possibly be maximized in adolescence by implementing high-impact exercise for youngsters. The peak bone mass of the young women participating in the study may be reached before the age of 20. Use of low-dose EPCs seems to suppress normal bone mass acquisition.

Elementi culturali nel doppiaggio. L'analisi della traduzione di allusioni e realia nell'edizione italiana della serie televisiva Gilmore Girls (3ª Stagione)

Tutkimus tarkastelee käännösstrategioita, joita on hyödynnetty kulttuurisidonnaisten viittausten käännöksessä televisiodubbauksessa englannin kielestä italiaan. Tutkimusmateriaaliksi on valittu tv-sarjan Gilmore Girls (2000–2007) kolmannelta tuotantokaudelta poimittuja kulttuurisidonnaisia viittauksia. Kaikkiaan viittauksia on 172, joista 125 luokitellaan alluusioiksi, eli kielensisäisiksi elementeiksi, ja 47 katsotaan realioiksi, eli kielenulkoisiksi elementeiksi. Tutkimus pyrkii selvittämään, millaisia käännösstrategioita italialaiset jälkiäänittäjät ovat hyödyntäneet kohdatessaan kulttuurisidonnaisia viittauksia sekä pohtimaan käännösvalintojen syitä ja tarjoamaan vaihtoehtoisia ratkaisuja. Käännösanalyysissä tutkimusmateriaali luokitellaan Ritva Leppihalmeen jaottelun mukaisesti realioihin sekä kahdentyyppisiin alluusioihin, eli erisnimiä ja avainlauseita sisältäviin alluusioihin. Leppihalme on luonut jaottelun mainituille viittaustyypeille sopivista käännösstrategioista, jotka esitellään tutkimusaineiston avulla. Aineisto luokitellaan ja analysoidaan käännösstrategioiden perusteella. Lisäksi luokittelun pohjalta luodaan tilasto eri käännösstrategioiden osuudesta tutkitun materiaalin jälkiäänityksessä. Tutkimuksessa käy ilmi, että yleisimmät sarjan jälkiäänityksessä käytetyt käännösstrategiat ovat vieraannuttavia ja neutralisoivia, mutta kotouttavia strategioita käytettiin vähän. Käännös todettiin tyypilliseksi esimerkiksi italialaisista dubbauskäytännöistä, ja tekstin laatu on sinällään hyvä. Neutraloitu dialogi on kuitenkin menettänyt jälkiäänityksessä erityispiirteitään eikä se vastaa tyyliltään alkuperäisen tv-dialogin henkeä. Analyysin perusteella suositellaan korvaavien käännösstrategioiden käyttöä. Tällä tavalla teksti sisältäisi yhä viittauksia, vaikka ne olisikin mukautettu kohdekielisen yleisön tarpeisiin.

Rotuun, etnisyyteen, luokkaan ja sukupuoleen kytkeytyvät valtasuhteet ja niiden problematisointi Julia Alvarezin romaanissa How the García Girls Lost Their Accents

Pro gradu -tutkielmani käsittelee valtasuhteita rotuun, etnisyyteen, luokkaan ja sukupuoleen kytkeytyvinä historiallisina verkostoina ja niiden vaikutuksia ihmisten elämään. Tutkielman kohdetekstinä on dominikaanilaisamerikkalaisen kirjailijan Julia Alvarezin (s. 1950) esikoisromaani How the García Girls Lost Their Accents (1991). Alvarezin romaani on omaelämäkerrallinen, ja se perustuu osittain historiallisiin tositapahtumiin. Tutkimusotteeni on kontekstualisoiva; teos asetetaan osaksi laajempia historiallisia tapahtumia ja niiden muodostamia valtahierarkioita. Teos sijoittuu päähenkilöiden kotimaan, Dominikaanisen tasavallan, lisäksi Yhdysvaltoihin, jonne Garcían perheen isä, äiti ja neljä tytärtä pakenevat diktaattori Trujillon tyranniaa 1960-luvulla. Tutkimukseni teoreettinen viitekehys nojaa postkoloniaaliseen ja feministiseen kirjallisuudentutkimukseen, joiden pyrkimyksenä on hegemonisten rakenteiden purkaminen. Valtasuhteiden dekonstruktiivisen paljastamisen avulla tuotettuja ja väärinkerrottuja historioita ja ruumiita kirjoitetaan uudelleen. Pohdin Alvarezin esikoisromaanin valtasuhteita esimerkiksi Michel Foucault’n vallan teoriaa hyödyntäen, mutta liitän analyysiin myös feminististä teoriaa etenkin Judith Butlerin ajatusten avulla. Tarkastelen työssäni romaanin henkilöhahmojen elämää ja identiteettien muodostumista rotuun, etnisyyteen, luokkaan ja sukupuoleen kytkeytyvän problemaattisen valtajaon näkökulmasta, jolla on juuri Karibian alueella vahvat historialliset erityispiirteensä kolonialismin sekä sen jälkivaikutusten runtelemana alueena. Työssäni tutkitaan muun muassa kolonialismin ja siirtolaisuuden diskursseissa päähenkilöiden elämään vaikuttavia valtasuhteita, ja etenkin kulttuuristen ja seksuaalisten identiteettien muodostumista marginalisoiduilla raja-alueilla. Osoitan, kuinka teoksesta käyvät ilmi erilaisten mutkikkaiden rotuun, etnisyyteen, luokkaan ja sukupuoleen liittyvien valtasuhteiden vaikutukset etenkin naisten elämään ja identiteetteihin. Mielestäni Alvarez tuo kerronnallaan ilmi valtasuhteiden kontekstisidonnaisuutta ja samalla niiden mielivaltaista ja rakenteellista luonnetta. Valta ja vallitsevat kaksijakoiset valtajärjestykset ovat tuotettuja ja toimivat yleensä poliittisesti jonkin ryhmän hyväksi toisia ryhmiä sortaen. Keskeinen tutkimustulos on, että Alvarezin teoksessa usein implisiittisesti kuvatut, kauas historiaan kytköksissä olevat valtasuhteet vaikuttavat monin tavoin teoksen päähenkilöiden elämään ja identiteettien muodostumiseen.

Bariatric surgery: impact on sexuality of the obese person

Objective: To assess the impact of surgical treatment in the sexuality of the obese.Methods: We conducted a qualitative / quantitative research with 30 patients who had undergone Fobi-Capella Roux-Y gastric bypass for at least one year. We collected data through individual interviews using a questionnaire with 10 mixed questions and one open, between May and June 2011. The objective data were quantified in absolute numbers and percentages, and the subjective ones were analyzed using the Discourse of the Collective Subject (DCS) and discussed in view of reference published on the subject.Results: 30 patients were enrolled, with a mean age 44 ± 12 years, 24 (80%) were female and six (20%) were male, 23 (77%) were married, 23 (96%) were hypertensive and eight (33%) were diagnosed with Diabetes Mellitus. After the operation, 11 (37%) individuals reported no change in the number sexual intercourses, but 19 (63%) reported that this number was altered, 16 (53%) informed increased frequency, one (3%) reported a decrease in frequency, one (3%) did not practice sexual intercourse anymore and one (3%) did not report the frequency. The central ideas (CI) raised originated four DCSs: Experience of female sexuality; No experience of female sexuality; Experience of male sexuality; and improvements of comorbidities and psychological factor.Conclusion: there are positive repercussions of physical and emotional orders of the surgical treatment of obesity, favoring the quality of life, including sexuality.