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Background: Anterior cruciate ligament (ACL) injuries are disabling and are associated with the early onset of posttraumatic osteoarthritis. Little is known regarding the incidence rate of first-time noncontact ACL injuries sustained during athletic events and how they are independently influenced by level of competition, type of sport, and the participant's sex.


Hypothesis: Level of competition (college or high school), type of sport (soccer, basketball, lacrosse, field hockey, football, rugby, volleyball), and the athlete's sex independently influence the incidence rate of first-time noncontact ACL injuries.




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Methods: Between fall 2008 and spring 2012, first-time noncontact ACL injury data were collected from 8 colleges and 18 high schools across 7 sports. Athlete exposure was computed retrospectively using team rosters and numbers of scheduled practices and games. Injury incidence rates (IRs) were computed per 1000 athlete exposures. The independent effects of level of competition, sport, and sex on ACL injury risk were estimated by Poisson regression.


Results: Colleges reported 48 ACL injuries with 320,719 athlete exposures across all sports studied (IR = 0.150 per 1000 person-days), while high schools reported 53 injuries with 873,057 athlete exposures (IR = 0.061). After adjustment for differences in sport and sex, college athletes had a significantly higher injury risk than did high school athletes (adjusted relative risk [RR], 2.38; 95% CI, 1.55-3.54). The overall IR for female athletes was 0.112 compared with 0.063 for males. After adjustment for sport and level of play, females were more than twice as likely to have a first-time ACL injury compared with males (RR, 2.10; 95% CI, 1.34-3.27). With lacrosse as the reference group, risk of first-time noncontact ACL injury was significantly higher for soccer players (RR, 1.77) and for rugby players (RR, 2.23), independent of level of play and sex.


Conclusion: An athlete's risk of having a first-time noncontact ACL injury is independently influenced by level of competition, the participant's sex, and type of sport, and there are no interactions between their effects. Female college athletes have the highest risk of having a first-time noncontact ACL injury among the groups studied.


Background: Inversion ankle trauma is disabling, yet little is known regarding the incidence rate of first-time ankle sprains and how it is influenced by factors including sex, level of competition, and sport.


Hypothesis: The incidence rates of first-time ankle ligament sprains are influenced by sex, level of competition (high school vs college), and type of sports participation (basketball, soccer, lacrosse, and field hockey).


Conclusion: In this study of first-time ankle sprains, for most sports, the incidence rate of inversion injury is less than 1 per 1000 days of exposure to sport, a value lower than previously reported. Among female athletes, ankle injury is associated with type of sport. Risk is highest for female basketball athletes, who are at significantly greater risk than male basketball athletes and female lacrosse athletes. The risk of first-time ankle injury is similar for high school and college-level athletes.


A new question about citizenship on the 2020 census form is in the headlines these days, but the U.S. Census Bureau also plans other changes for the next national count. Among them: For the first time, the agency will add specific check boxes for same-sex couples to identify themselves, and it will ask people who check the white or black race boxes to say more about their national origins.


PRINCETON, NJ -- For the first time in Gallup's tracking of the issue, a majority of Americans (53%) believe same-sex marriage should be recognized by the law as valid, with the same rights as traditional marriages. The increase since last year came exclusively among political independents and Democrats. Republicans' views did not change.


This year's nine-percentage-point increase in support for same-sex marriage is the largest year-to-year shift yet measured over this time period. Two-thirds of Americans were opposed to legalized same-sex marriage in 1996, with 27% in favor. By 2004, support had risen to 42% and, despite some fluctuations from year to year, stayed at roughly that level through last year.


This year marks a significant uptick in support for legalizing same-sex marriage, exceeding the symbolic 50% mark for the first time in Gallup's history. Support rose from 27% in 1996 to the low 40% range in 2004 and remained fairly constant through last year.


Most legislation dealing with legalizing same-sex marriage occurs at the state level. At this point, five states -- Connecticut, Iowa, Massachusetts, New Hampshire, and Vermont, plus the District of Columbia -- allow legal same-sex marriages. Most of the remaining states specifically outlaw it. At the moment, those advocating changes in constitutions and laws to allow same-sex marriage in additional states can take heart in the apparent shift in national sentiment in their direction.


Successful conception rates tend to decrease steadily after the first month of actively trying to conceive. However, many healthy people without fertility issues could expect to become pregnant by the end of the first year.


According to the Centers for Disease Control and Prevention (CDC), the vast majority of people trying to conceive will become pregnant within the first year. They also define infertility depending on the age of the person:


The time it takes to conceive varies between people. For some, conception occurs in the first couple of months of unprotected sex. Others may have trouble getting pregnant and need help from a healthcare professional.


Condoms are a good choice for first-time sex. How old do you have to be to buy condoms? There are no age restrictions for buying condoms. Purchasing them is just as simple as purchasing a box of tampons. Condoms are easy to use and are the only form of contraception that also protects you and your partner from STIs.


If having sex does hurt, though, that could be because of a lack of lubrication, or possibly a medical condition, such as endometriosis. You should see a doctor if you experience pain every time you have sex. They can assess your symptoms and help treat any underlying conditions.


Plus, data from the Centers for Disease Control and Prevention show that more teenagers in the United States are waiting to have sex for the first time. The average age today is now around 17 years old, up from 16 years old in 2000.


While an advanced copy of the episode was released to several reviewers and was highly praised by them, the reviewers of the broadcast were not as generally enthusiastic. In particular, some of the plotting and resulting characterization came in for criticism. The performance of "America", however, was widely acclaimed, especially that of Santana (Naya Rivera) in the role of Anita. While the advance publicity about the "first time" events drew some pre-broadcast condemnation, many critics were enthusiastic about the fact that a gay couple was being given such a storyline.


On opening night, Artie is assailed by self-doubt, but he is thanked by the cast for his leadership, and he thanks them for trusting him. They perform "America", which gets a standing ovation. Blaine and Rachel, waiting to go on and still virgins, are afraid they will not convey the necessary emotion, but Rachel reminds Blaine that they both have found their soulmates in Finn and Kurt, just like Maria and Tony had with each other. As they sing "One Hand, One Heart" on stage, they are also shown in scenes involving their first sexual encounters with their true soulmates.


Grant Gustin makes his first appearance in this episode, playing a new "major" recurring character, Sebastian Smythe,[5] a "gay Dalton Academy Warbler who sets his sights on Blaine".[6] Gustin won the role after "an exhaustive, weeks-long casting search", and the character is referred to as "promiscuous" and "scheming".[6] Gustin's first day on the Glee set was September 26, 2011.[7] He had been playing the role of Baby John in the touring company of Broadway revival of West Side Story since it opened on September 30, 2010, and left the show after performing on September 23, 2011 to return for his first day with Glee.[8][9]


Like "Asian F" before it, screener copies of this episode were sent to a number of critics before the show aired. Michael Ausiello of TVLine called it "stellar" and a "standout episode", and Entertainment Weekly's Tim Stack wrote that it was "one of Glee's best installments ever" and an "exceptional episode". Both articles headlined the sexual theme of the episode, and made prominent mention of the fact that both couples would be "having sex for the first time".[20][29]


As noted above, the first time you take Viagra it will normally kick in after 30 minutes or so, although some people have reported that it works in as little as 12 minutes. For others, it can take up to an hour.


In Northern California, more than 200 plaintiffs have filed lawsuits against the church so far, with hundreds more lined up to file new claims by the time the window closes on Dec. 31, according to attorneys managing the cases.


Nearly half of the accused abusers named in the lawsuits analyzed by NBC Bay Area appear to be facing public sex abuse allegations for the very first time, such as now-deceased San Francisco priest Rev. Martin Greenlaw. He pleaded guilty to embezzling from the church in the 1990s but is now accused of forcing an eight-year-old boy to perform oral sex on him a decade earlier.


Condoms are always a good choice for sex (no matter how many times you have or haven't done it) because they are the only contraceptive choice that also provides STI protection. Even if one has not been sexually active in the past or refers to themselves as a "virgin" (which can have a TON of meanings), that is no complete guarantee that you'll be STI free, so using protection and getting tested regularly is still a necessity. They are also nice because they are inexpensive, relatively easy to find/purchase, and only need to be used when you want to be sexually active (in contrast to something like hormonal contraceptives, which must be taken/used all the time to be effective). Condoms are also highly effective when they are used correctly and for all genital contact. 2ff7e9595c


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