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Each of the applicable authorship categories from the form is to be listed followed by the Multiple grant numbers should be separated by a comma and a last name of each respective author (use first initials when space erectile dysfunction caused by low blood pressure purchase cheapest zudena and zudena. Where the research was supported by more than one multiple authors share a last name) impotence and high blood pressure generic zudena 100 mg free shipping. For example: agency erectile dysfunction pills review cheap zudena online master card, the different agencies should be separated by a semi colon with and before the final funder: Participated in research design: Sung erectile dysfunction rap cheap zudena 100 mg on-line, Smith erectile dysfunction doctors in tulsa cheapest generic zudena uk, Gupta erectile dysfunction case study 100mg zudena otc, and Abel. This work was supported by the Wellcome Trust [Grants Conducted experiments: Sung, Smith, Gupta, J. 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Wort, the authors must report the amount of hyperforin in the Structural Data and Molecular Modeling: For studies St. At minimum, more than one and a validation report from the Protein Data Bank must be batch from the same commercial supplier should be tested. The list of supplemental been carefully characterized or the concentration(s) of the figure legends must include a caption for each pdb file. Data deposited the Latin binomial taxonomic name of the plant/natural should include resonance assignments and all restraints used in substance should be provided. Authors will receive with their page proof a request for protein levels, the method of quantitation should be clearly information concerning such charges. Signal intensities may be normalized to Questions on business matters should be directed to the total protein loading or to "house-keeping" proteins. If the latter Journals Director, American Society for Pharmacology and method is chosen, the effect of the experimental conditions on the Experimental Therapeutics, 1801 Rockville Pike, Suite 210, housekeeping proteins should be reported. The organization of Drugs a minireview manuscript should follow the same organization as Generic drug names are used in text, tables, and figures. There is no limit to the number of references the chemical structure and method of synthesis of new that may be included. Inclusion of appropriate figures or tables is compounds must be given or citations to the published structure encouraged. The form used in calculating concentrations Authors will not be assessed page charges or manuscript handling. Inquiries or suggestions for topics or authors should be Herbal Medicines/Natural Products directed to the Minireview Editor, Dr. Joe Blumer, at Manuscripts describing research on plant or other natural product jpet@aspet. The publication of negative results and confirmatory Address the format deficiencies noted in the decision letter. Make studies represents a contribution to the scientific literature often sure figures conform to specifications (see Figures) and the overlooked by other quality journals. The suggestion to transfer does not guarantee a After Acceptance specific outcome at the other journal. A link to an online reprint order form will be sent with with instructions to complete that process. Quality manuscripts are rejected on the basis of References checked for accuracy 8 of 8. The plasma digitoxin level is 8 ng/mL (usual codynamics comes via pharmacokinetics. The dose is increased effects are related to drug concentrations, understand to 0. He has diminished appetite and waves and to other peripheral distribution sites where it does not have the desired activity but may exert toxic ef fects. Simultaneously, the drug undergoes clearance by 1 Program in Pharmacology and Experimental Therapeutics, Sackler metabolism and excretion. Pharmacokinetics provides a ratio Submitted for publication 26 February 2016;accepted 3 March 2016. The proposal is intended as a resource for the Association of American Medical Colleges as it revises its Core ing and prediction of drug effects in human subjects Entrustable Professional Activities for Entering Residency, Curriculum and patients. Hypothetical mean plasma concentrations of digitoxin, cor drug does to the body (from reference 2,with permission). The treating physician wants to increase the plasma concentration to a value within the usual therapeutic range of nausea. This is well above the therapeutic range and may be dose proportionality, and attainment of steady-state. The rate of attainment of the steady-state condition after initiation of multiple-dose treatment is dependent on the half-life of the particular drug. The physician uses that is anticipated to proportionally increase the steady opportunity to do a routine check of the plasma state concentration (Figure 2). However, the clearance of unbound which have been completely suppressed for the last 12 (free) drug, and the steady-state concentration of years by phenytoin, 300 mg daily. The in clinical effect would be anticipated, and the correct patient is able to lead a normal life, and is an excellent clinical course would have been to leave the daily dosage tennis player. That night he protein binding of phenytoin (higher free fraction in experiences severe pain, tenderness, and limitation of plasma), this has the effect of reducing total (free + 1182 the Journal of Clinical Pharmacology / Vol 56 No 10 2016 Table 1. Hypothetical plasma concentrations of propofol correspond mg/day increases the free (unbound) concentration to ing to case 3 in the text. The plasma propofol concentration declines despite the total concentration of 14 g/mL. At daily doses in a range postdistributive phase would be slower (dashed line), but an additional exceeding 300 mg/day, steady-state plasma concentra 0. This property of phenytoin makes it diffcult to titrate dosage at this or elimination. Although the propofol is scheduled to undergo procedures estimated to last has not been eliminated from the body, its distribution approximately 2 hours. Following instillation of local from systemic circulation into peripheral tissue results anesthesia and prior to the start of the procedure, in lower concentrations in plasma and brain, which is the surgeon notices that the patient still is extremely highly vascular and rapidly equilibrates with systemic agitated and fearful. The surgical procedure is initiated and proceeds without incident for Components of Medical about 45 minutes. At this time, the patient becomes Education in Pharmacokinetics alert, and again is fearful and agitated. The material effects of lipophilic psychotropic drugs after single can be reasonably presented in 3 or 4 total lecture intravenous doses are dependent more on the rapid contact hours. The didactic presentations should be process of peripheral distribution than on clearance reinforced through problem sets and review sessions Greenblatt and Abourjaily 1183 aimed at supporting conceptual understanding, as well ceptual understanding. The outline in Table 2 has that as ensuring profciency with pharmacokinetic calcula objective. Individual instructors can adapt the outline and Table 3 lists biomedical journals that have a focus accompanying graphics as needed, to construct specifc on clinical pharmacokinetics and pharmacodynamics. An ongoing point of discussion is sources when seeking information on pharmacoki the extent to which formulas, equations, and mathemat netic/pharmacodynamic properties or drug interactions ics are needed for the teaching of pharmacokinetics. Review articles Student backgrounds in mathematics and their comfort and secondary sources do have a role in the educational with quantitative content vary widely. Some dislike process, in that large amounts of data are collated and and resist the mathematical content, whereas others summarized. Students realistic, but the density of equations can be managed need to consider the benefts and drawbacks of available such that the mathematical framework enhances con information sources.

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The exhaust air discharge must be located away from occupied spaces and air intakes erectile dysfunction test order generic zudena on-line. Biological safety cabinets can also be connected to the laboratory exhaust system by either a thimble (canopy) connection or directly to the outside through an independent erectile dysfunction medication prices buy 100mg zudena free shipping, direct (hard) connection erectile dysfunction doctor boca raton discount 100mg zudena amex. Provisions to assure proper safety cabinet performance and air system operation must be verifed erectile dysfunction with age generic 100 mg zudena free shipping. Liquid effuents from chemical showers erectile dysfunction gel treatment order generic zudena line, sinks impotence 17 year old male buy zudena 100mg without prescription, foor drains, autoclave chambers, and other sources within the laboratory must be decontaminated by a proven method, preferably heat treatment, before being discharged to the sanitary sewer. Biological validation must be performed annually or more often as required by institutional policy. Autoclaves that open outside of the laboratory must be sealed to the wall through which the autoclave passes. The size of the autoclave should be suffcient to accommodate the intended usage, equipment size, and potential future increases in cage size. In December 2002, Appendix F was updated and revised as a security and emergency response guidance for laboratories working with select agents. This section describes laboratory biosecurity planning for microbiological laboratories. As indicated below, laboratories with good biosafety programs already fulfll many of the basic requirements for security of biological materials. Security assessments and additional security measures should be considered when select agents, other agents of high public health and agriculture concern, or agents of high commercial value such as patented vaccine candidates, are introduced into the laboratory. Excluding the Select Agent regulations, there is no current federal requirement for the development of a biosecurity program. However, the application of these principles and the assessment process may enhance overall laboratory management. In the animal industry, the term biosecurity relates to the protection of an animal colony from microbial contamination. For the purposes of this section the term biosecurity will refer to the protection of microbial agents from loss, theft, diversion or intentional misuse. Several of the security measures discussed in this section are embedded in the biosafety levels that serve as the foundation for good laboratory practices throughout the biological laboratory community. Most biomedical and 104 Biosafety in Microbiological and Biomedical Laboratories microbiological laboratories do not have select agents or toxins, yet maintain control over and account for research materials, protect relevant sensitive information, and work in facilities with access controls commensurate with the potential public health and economic impact of the biological agents in their collections. These measures are in place in most laboratories that apply good laboratory management practices and have appropriate biosafety programs. Biosafety and Biosecurity Biosafety and biosecurity are related, but not identical, concepts. Biosafety programs reduce or eliminate exposure of individuals and the environment to potentially hazardous biological agents. Biosafety is achieved by implementing various degrees of laboratory control and containment, through laboratory design and access restrictions, personnel expertise and training, use of containment equipment, and safe methods of managing infectious materials in a laboratory setting. The objective of biosecurity is to prevent loss, theft or misuse of microorganisms, biological materials, and research-related information. This is accomplished by limiting access to facilities, research materials and information. While the objectives are different, biosafety and biosecurity measures are usually complementary. Both are based upon risk assessment and management methodology; personnel expertise and responsibility; control and accountability for research materials including microorganisms and culture stocks; access control elements; material transfer documentation; training; emergency planning; and program management. Biosafety and biosecurity program risk assessments are performed to determine the appropriate levels of controls within each program. Biosafety looks at appropriate laboratory procedures and practices necessary to prevent exposures and occupationally-acquired infections, while biosecurity addresses procedures and practices to ensure that biological materials and relevant sensitive information remain secure. The biosafety program ensures that staff are qualifed to perform their jobs safely through training and documentation of technical expertise. Staff must exhibit the appropriate level of professional responsibility for management of research materials by adherence to appropriate materials management procedures. Biosafety practices require laboratory access to be limited when work is in progress. Biosecurity practices ensure that access to the laboratory facility and biological materials are limited and controlled as necessary. An inventory or material management process for control and tracking of biological stocks or other sensitive materials is also a component of both programs. For biosafety, the shipment of infectious biological materials must adhere to safe packaging, containment and appropriate transport procedures, while biosecurity ensures that transfers are controlled, tracked and Principles of Laboratory Biosecurity 105 documented commensurate with the potential risks. Both programs must engage laboratory personnel in the development of practices and procedures that fulfll the biosafety and biosecurity program objectives but that do not hinder research or clinical/diagnostic activities. The success of both of these programs hinges on a laboratory culture that understands and accepts the rationale for biosafety and biosecurity programs and the corresponding management oversight. In some cases, biosecurity practices may confict with biosafety practices, requiring personnel and management to devise policies that accommodate both sets of objectives. Standard biosafety practice requires that signage be posted on laboratory doors to alert people to the hazards that may be present within the laboratory. The biohazard sign normally includes the name of the agent, specifc hazards associated with the use or handling of the agent and contact information for the investigator. Therefore, biosafety and biosecurity considerations must be balanced and proportional to the identifed risks when developing institutional policies. Designing a biosecurity program that does not jeopardize laboratory operations or interfere with the conduct of research requires a familiarity with microbiology and the materials that require protection. Protecting pathogens and other sensitive biological materials while preserving the free exchange of research materials and information may present signifcant institutional challenges. Therefore, a combination or tiered approach to protecting biological materials, commensurate with the identifed risks, often provides the best resolution to conficts that may arise. However, in the absence of legal requirements for a biosecurity program, the health and safety of laboratory personnel and the surrounding environment should take precedence over biosecurity concerns. Risk Management Methodology A risk management methodology can be used to identify the need for a biosecurity program. A risk management approach to laboratory biosecurity 1) establishes which, if any, agents require biosecurity measures to prevent loss, theft, diversion, or intentional misuse, and 2) ensures that the protective measures provided, and the costs associated with that protection, are proportional to the risk. The need for a biosecurity program should be based on the possible impact of the theft, loss, diversion, or intentional misuse of the materials, recognizing that different agents and toxins will pose different levels of risk. Biosecurity policies and procedures should not seek to protect against every conceivable risk. The risks need to be identifed, prioritized and resources allocated based on that prioritization. Risk management methodology takes into consideration available institutional resources and the risk tolerance of the institution. Development of a biosecurity program should be a collaborative process involving all stakeholders. The stakeholders include but are not limited to: senior management; scientifc staff; human resource offcials; information technology staff; and safety, security and engineering offcials. This coordinated approach is critical in ensuring that the biosecurity program provides reasonable, timely and cost-effective solutions addressing the identifed security risks without unduly affecting the scientifc or business enterprise or provision of clinical and/or diagnostic services. The need for a biosecurity program should refect sound risk management practices based on a site-specifc risk assessment. A biosecurity risk assessment should analyze the probability and consequences of loss, theft and potential misuse of pathogens and toxins. Example Guidance: A Biosecurity Risk Assessment and Management Process Different models exist regarding biosecurity risk assessment. Most models share common components such as asset identifcation, threat, vulnerability and mitigation. What follows is one example of how a biosecurity risk assessment may be conducted. Step 1: Identify and Prioritize Biological Materials Identify the biological materials that exist at the institution, form of the material, location and quantities, including non-replicating materials. Principles of Laboratory Biosecurity 107 At this point, an institution may fnd that none of its biologic materials merit the development and implementation of a separate biosecurity program or the existing security at the facility is adequate. Step 2: Identify and Prioritize the Threat to Biological Materials Identify the types of Insiders who may pose a threat to the biologic materials at the institution. Step 3: Analyze the Risk of Specifc Security Scenarios Develop a list of possible biosecurity scenarios, or undesired events that could occur at the institution (each scenario is a combination of an agent, an adversary, and an action). Step 4: Develop an Overall Risk Management Program Management commits to oversight, implementation, training and maintenance of the biosecurity program. Elements of a Biosecurity Program Many facilities may determine that existing safety and security programs provide adequate mitigation for the security concerns identifed through biosecurity risk assessment. This section offers examples and suggestions for components of a biosecurity program should the risk assessment reveal that further protections may be warranted. Program components should be site-specifc and based upon organizational threat/vulnerability assessment and as determined appropriate by facility management. Elements discussed below should be implemented, as needed, based upon the risk assessment process. They should not be construed as minimum requirements or minimum standards for a biosecurity program. Program Management If a biosecurity plan is implemented, institutional management must support the biosecurity program. Appropriate authority must be delegated for implementation and the necessary resources provided to assure program goals are being met. An organizational structure for the biosecurity program that clearly defnes the chain of command, roles, and responsibilities should be distributed to the staff. Program management should ensure that biosecurity plans are created, exercised, and revised as needed. The biosecurity program should be integrated into relevant institutional policies and plans. An evaluation of the physical security measures should include a thorough review of the building and premises, the laboratories, and biological material storage areas. Access should be limited to authorized and designated employees based on the need to enter sensitive areas. Methods for limiting access could be as simple as locking doors or having a card key system in place. The need for entry by visitors, laboratory workers, management offcials, students, cleaning/ maintenance staff, and emergency response personnel should be considered. Personnel Management Personnel management includes identifying the roles and responsibilities for employees who handle, use, store and transport dangerous pathogens and/or other important assets. The effectiveness of a biosecurity program against identifed threats depends, frst and foremost, on the integrity of those individuals who have access to pathogens, toxins, sensitive information and/or other assets. Employee screening policies and procedures are used to help evaluate these individuals. Policies should be developed for personnel and visitor identifcation, visitor management, access procedures, and reporting of security incidents. Inventory and Accountability Material accountability procedures should be established to track the inventory, storage, use, transfer and destruction of dangerous biological materials and assets when no longer needed. The objective is to know what agents exist at a facility, where they are located, and who is responsible for them. To achieve this, management should defne: 1) the materials (or forms of materials) subject to accountability measures; 2) records to be maintained, update intervals and timelines for record maintenance; 3) operating procedures associated with inventory maintenance. It is important to emphasize that microbiological agents are capable of replication and are often expanded to accommodate the nature of the work involving their use. Therefore, knowing the exact working quantity of organisms at any given time may be impractical. Depending on the risks associated with a pathogen or toxin, management can designate an individual who is accountable, knowledgeable about the materials in use, and responsible for security of the materials under his or her control. For the purpose of these policies, sensitive information is that which is related to the security of pathogens and toxins, or other critical infrastructure information. Examples of sensitive information may include facility security plans, access control codes, agent inventories and storage locations. Discussion of information security in this section does not pertain to information which has been designated classifed by the United States pursuant to Executive Order 12958, as amended, and is governed by United States law or to research-related information which is typically unregulated or unrestricted through the peer review and approval processes. The objective of an information security program is to protect information from unauthorized release and ensure that the appropriate level of confdentiality is preserved. Facilities should develop policies that govern the identifcation, marking and handling of sensitive information. The information security program should be tailored to meet the needs of the business environment, support the mission of the organization, and mitigate the identifed threats. Policies for properly identifying and securing sensitive information including electronic fles and removable electronic media.

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How do you explain the increase in the number of children with autism, and the fact that the increase corresponded with an increase in the number of vaccinations children get The rise in the number of autism cases can be explained, at least in large part, by the fact that autism is being recognized and diagnosed much more often than it used to be, and that many conditions that used to go by other names are now being called autism, or autism spectrum disorder. The number of autism cases may actually be rising, but much of the apparent increase can be accounted for by the fact that we simply recognize it more often. As for the correspondence between the rise in autism and the increase in the number of vaccinations, remember. The theory that vaccines cause autism has been extensively tested, and has come up short. Part Four Frequently Asked Questions 51 Disease Caused by Spread by Chickenpox Varicella Zoster virus Air, direct contact Diphtheria Corynebacterium diphtheriae Air, direct contact bacteria Hib Disease Haemophilus infuenzae type b Air, direct contact bacteria Hepatitis A Hepatitis A virus Personal contact. Sore throat, mild fever, membrane Heart failure, paralysis, pneumonia, in throat, swollen neck death. May be no symptoms unless bacteria Meningitis, epiglotittis, pneumonia, enter blood. Fever, headache, malaise, vomiting, Chronic infection, cirrhosis, liver failure, arthritis. Swollen salivary glands, fever, headache, Meningitis, encephalitis, infammation malaise, muscle pain. Diarrhea, fever, vomiting Severe diarrhea, dehydration, electrolyte imbalance, kidney and liver disease, death Rash, fever, lymphadenopathy, malaise. Stifness in neck, difculty swallow Broken bones, breathing difculty, ing, rigid abdominal muscles, muscle death. With vaccines, a local reaction usually refers to redness, soreness or swelling where an injection was given. A reaction that afects the body as a whole, such as a fever or bacteremia, is called a systemic reaction. Paralysis usually occurs in the arms or legs, but any muscle can become paralyzed, including those that control breathing. A seizure can have many causes, including epilepsy or other brain disorders, or a high fever (see febrile seizure). Someone who has never had a disease or been vaccinated against it is susceptible to that disease. Includes chapters about foreign travel, how vaccines work and how they are made, and safety. Another good introduction, which answers many of the questions parents have about childhood vaccinations. Written for healthcare providers, it also contains information of interest to parents. Available online, or may be purchased through the Public Health Foundation (see Internet You can fnd vast amounts of information about vaccinations on the internet. The problem is that, unlike with book publishing, there are few controls on internet materials. Anyone can create a website or blog and say anything they want to say without having to back it up. Of course there is no sure way to know whether information on a website is accurate or not, but several websites ofer suggestions for evaluating web content. Acknowledgments the following are thanked for submitting their drawings for use in this publication: Adriana Toungette, Alejandro Macias, Alex Cordon, Amber Blakely, Andwon Tyson, Brandon Rosillo, Cynthia Reys, Daniel Orta, Dioner Gala, Estefany, Evn Marilyn Benson, Gihasel Kahn, Henock, Iyana Williams, Jocelyn Kopfman, Jonathan Moore, Kyle Smith, Maggie Desantos, Manuela Rahimic, Marisol Baughman, Melissa Lopez, Moises, Nataly Leal, Nataneal Nistor, Ramon Perez, Riley Wright, Sam Toungette, Trent L. For example, one major category encompasses all laws or regulations governing states or territories that mandate specific disciplinary sanctions (such as suspension) for specific offenses (such as drug possession on school grounds). The school discipline laws and regulations were compiled through exhaustive searches of legislative websites that identified all laws and regulations relevant to each specific category. For jurisdictions with more extensive laws covering a breadth of topical areas, relevant sections were excerpted from the larger legislative text for inclusion in the appropriate discipline category. Laws, ordered by chapter and section number, appear first within each category followed by regulations. All laws and regulations listed within categories in the compilation also appear in the sources cited section of the document, which lists laws by chapter and section number and title, and where available, includes active hyperlinks to source websites supported or maintained by state legislatures. Additional links to government websites or resources are provided at the end of this document. Readers should also note that the information in this document was compiled from individual sources that are created by each jurisdiction and which are maintained and updated with varying frequencies. Readers should consult the source information provided directly in order to check for updates to laws and regulations reported in this document or to conduct further research. All listed statutes are searchable by title and chapter number or by using key search terms. Mississippi Community Oriented Policing Services in Schools grant program established; purpose; use of funds 37-3-82. School discipline and classroom management courses; requirement; approval 37-3-91. Regional behavioral institutes; discipline and classroom management strategies; participation 37-3-101. Local school districts to adopt policy on student suicide prevention and provide in service training on suicide prevention education for all school district employees 37-3-103. In-service training on suicide prevention education for newly employed school district employees Chapter 7. Employment and designation of peace officers; minimum level of basic law enforcement training required; operation of radio broadcasting and transmission station; interlocal agreements with other law enforcement entities for provision of certain equipment or services 37-7-323. District Superintendents, Principals, Teachers, and other Employees In General 37-9-14. Expulsion of student possessing controlled substance or weapon or committing violent act on school property 37-11. Expulsion of habitually disruptive students aged 13 years or older upon third occurrence of disruptive behavior within school year Mississippi Compilation of School Discipline Laws and Regulations Page 1 37-11-19. Suspension or expulsion of student damaging school property; liability of parent or custodian 37-11-20. Intimidation, threatening or coercion of students for purpose of interfering with attendance of classes 37-11-29. Reporting of unlawful activity or violent act on educational property or during school related activity; authority of law enforcement officers; reporting of disposition of charges against student; liability of school personnel participating in reporting 37-11-37. Public high school fraternity, sorority or secret society; membership or participation in activities 37-11-43. Public high school fraternity, sorority or secret society; duties of boards of trustees 37-11-45. Public high school fraternity, sorority or secret society; solicitation of pupils 37-11-51. State Board of Education to develop list of conflict resolution and peer mediation materials, models, and curricula from evidence-based practices and positive behavioral intervention supports 37-11-55. Immunity of school personnel from liability for carrying out action in enforcing rules regarding control, discipline, suspension and expulsion of students 37-11-67. Anti-bullying personnel and discipline policies and code of student conduct Chapter 13. Curriculum; School year and Attendance Mississippi Compulsory School Attendance Law 37-13-80. Office of Dropout Prevention created; qualifications and responsibilities of director; date for implementation of dropout prevention program; local school district responsibilities; dropout prevention plan to address student transition to home school districts; legislative intent 37-13-80. Middle school dropout prevention and recovery pilot program; minimum necessary requirements of pilot program; development and implementation of alternative student performance accountability method to evaluate pilot program school districts 37-13-85. District office supervisors; powers and duties; qualifications; salaries 37-13-89. Alternative school program for compulsory-school-age students; placement of children in alternative school; transportation of students; expenses; annual report 37-13-107. Training and education course for school attendance officers; effect of failure to receive certificate 37-13-134. Comprehensive school health education program Mississippi Compilation of School Discipline Laws and Regulations Page 2 Chapter 14. Office of Healthy Schools of State Department of Education to administer school nurse program; transfer of school nurse intervention program to Office of Healthy Schools; responsibilities of program nurses; duties of Office of Healthy Schools Chapter 15. Central reporting system for information concerning expulsions from public schools; access to information Chapter 18. School improvement plan; assistance team; community-based prekindergarten through higher education council Title 45. Teachers or sworn law enforcement officers charged with committing crime while in the performance of duties; certain procedural requirements to be met prior to issuance of arrest warrant Mississippi Regulations Mississippi Administrative Code Title 7. Department of Education Part 3: Board Policies Chapter 7: Alternate Education Programs Rule 7. Guidelines Mississippi Compilation of School Discipline Laws and Regulations Page 3 Chapter 9: Attendance Reporting Rule 9. Truancy rate definition, calculation and rate Chapter 38: Healthy and Safe Schools Rule 38. In addition to the powers conferred upon the board elsewhere in this chapter, the board shall have power to: (a) Promulgate rules and regulations for the administration of this chapter, including the authority to require the submission of reports and information by law enforcement agencies of the state and its political subdivisions. The minimum educational and training standards for any law enforcement officer assigned to field or investigative duties shall include at least two (2) hours of training related to handling complaints of human trafficking and commercial sexual exploitation of children as defined in Section 43-21-105, communicating with such victims, and requiring the officer to contact the Mississippi Compilation of School Discipline Laws and Regulations Page 6 Department of Child Protection Services when human trafficking or commercial sexual exploitation is suspected. It shall contain at least the following provisions and may include such additional provisions as the local school district deems appropriate: the (Name of District) Board of Education recognizes that the possession of pistols, firearms, or other weapons on school premises or at school functions by persons other than duly authorized law enforcement officials creates an unreasonable and unwarranted risk of injury or death to District employees, students, visitors, and guests and further creates an unreasonable and unwarranted risk of Mississippi Compilation of School Discipline Laws and Regulations Page 7 damage to properties of District employees, students, visitors, and guests. Because of such dangers, the Board hereby prohibits the possession of pistols, firearms, or weapons in any form by any person other than duly authorized law enforcement officials on school premises or at school functions, regardless of whether any such person possesses a valid permit to carry such pistols, firearms, or weapons. It shall be the duty of each superintendent, principal and teacher in the public schools of this state to enforce in the schools the courses of study prescribed by law or by the state board of education, to comply with the law in distribution and use of free textbooks, and to observe and enforce the statutes, rules and regulations prescribed for the operation of schools. Such superintendents, principals and teachers shall hold the pupils to strict account for disorderly conduct at school, on the way to and from school, on the playgrounds, and during recess. The school board shall have its official discipline plan and code of student conduct legally audited on an annual basis to insure that its policies and procedures are currently in compliance with applicable statutes, case law and state and federal constitutional provisions. The local school board shall adopt and make available to all teachers, school personnel, students and parents or guardians, at the beginning of each school year, a code of student conduct developed in consultation with teachers, school personnel, students and parents or guardians. The principal or assistant principal shall determine the proper placement for the student, who may not be returned to the classroom until a conference of some kind has been held with the parent, guardian or custodian during which the disrupting behavior is discussed and agreements are reached that no further disruption will be tolerated. Such recognition shall include the right of the teacher to remove from the classroom any student who, in the professional judgment of the teacher, is disrupting the learning environment, to the office of the principal or assistant principal. If the parent, guardian or custodian does not agree to attend class with the Mississippi Compilation of School Discipline Laws and Regulations Page 11 student or fails to attend class with the student, the student shall be suspended in accordance with the code of student conduct and discipline policies of the school district. No teacher, assistant teacher, principal or assistant principal so acting shall be held liable in a suit for civil damages alleged to have been suffered by a student as a result of the administration of corporal punishment, or the taking of action to maintain control and discipline of a student, unless the court determines that the teacher, assistant teacher, principal or assistant principal acted in bad faith or with malicious purpose or in a manner exhibiting a wanton and willful disregard of human rights or safety. The term school personnel includes all individuals employed on a full-time or part-time basis by a public school. Suspension or expulsion of student damaging school property; liability of parent or custodian. It shall be the duty of said boards of trustees to suspend or expel from said high schools under their control, any pupil or pupils who shall be or remain a member of, or shall join or promise to join, or who shall become pledged to become a member, or who shall solicit or encourage any other person to join, promise to join, or be pledged to become a member of, any such public high school fraternity, sorority or secret society, as defined in Section 37-11-37.

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It is also apparent that this is not a feat obtained only by means of experimental deceit and that the organisms in these stud ies are insensitive to the prevailing contingencies erectile dysfunction - 5 natural remedies purchase genuine zudena on-line. Performances simultaneously maintained under concurrent schedules of shock avoid ance and fixed-interval shock presentation erectile dysfunction doctor philippines buy discount zudena line, for example erectile dysfunction treatment in mumbai zudena 100mg with mastercard, are charac teristic of those maintained when these behaviors are studied in isolation impotence divorce discount zudena online, thereby indicating precise differential control by the two schedules in effect erectile dysfunction after radical prostatectomy treatment options buy zudena 100mg. Dual behavioral effects have been found with stimuli other than shock (Spealman 1979 male erectile dysfunction icd 9 order zudena 100 mg with visa, Wise et al. More extensive investigation of the generality of these effects and an exploration of their implications will undoubtedly provide a more meaningful understanding of processes controlling behavior. Even tually, such efforts may help in clarifying some of the problems involved in apparently anomalous habitual behaviors such as substance abuse. For example, morphine, methadone, and the narcotic antagonists naloxone and nalorphine decreased responding maintained under 5-minute fixed-interval food presentation schedules at doses that increased responding comparably maintained by the presentation of an electric shock (McKearney 1974, 1975). Under similar schedule conditions, both amphetamine (McKearney 1974) and cocaine (Barrett 1976) increased responding maintained by these two events. However, appropriate doses of pento barbital, ethanol, and chlordiazepoxide increased responding main tained by food, while only decreasing responding under shock presentation schedules (Barrett 1976). These findings suggested that there were several conditions under which certain drugs appeared to affect similar performances main tained under comparable schedules in an event-dependent manner. The top record of each pair represents con trol performance and the lower record the effects of Chlordiazepoxide. Panel A: top record: comparable rates of responding maintained by food and shock; lower record: effects of 5. Panel B: top record: substantially higher control rates of shock maintained responding; lower record: effects of 17. Panel C: control response rates maintained by food were higher than those maintained by 1 mA shock; lower record shows changes in perfor mance with 17. Although control rates of responding maintained by shock differed widely, chlordiazepoxide consistently decreased shock-maintained responding, while responding maintained by food was only increased. In subsequent research the effects of several different drugs were studied on comparable rates and patterns of responding of squirrel monkeys maintained under 5-minute fixed-interval schedules by food presentation or by the termination of a stimulus associated with shock (Barrett et al. Responding under both consequent events was decreased with promazine and increased by d-amphetamine. How ever, chlordiazepoxide produced effects that depended on the type of event: food-maintained responding was increased at doses that decreased responding under the stimulus-shock termination schedule. Chlordiazepoxide also differentially affected responding maintained under concurrent variable-interval and concurrent fixed-interval food and shock-presentation schedules. In these experiments responses on one lever produced shock while responses on a second lever produced food. Despite the fact that these performances were occurring simultaneously, chlordiazepoxide selectively increased responding maintained by food while decreasing that maintained by shock (Barrett et al. Finally, in a recent study with rats, where comparable rates and patterns of responding were maintained under variable-interval food-presentation and shock cancellation schedules, chlordiazepoxide increased responding main tained by food but decreased responding under the shock-cancellation schedule (Ator 1979). Evidence indicating that the nature of the event could be a factor determining the effects of certain drugs under interval schedules prompted additional work in which responding was maintained by dif ferent events under fixed-ratio schedules. In one experiment similar rates and patterns of responding of squirrel monkeys were maintained under a multiple fixed-ratio loo-response schedule of food presenta tion or stimulus-shock termination. In contrast to the differential effects found under fixed-interval schedules with these different consequent events, chlordiazepoxide, pentobarbital, and ethanol decreased responding under both fixed-ratio schedules regardless of whether food or stimulus-shock termination maintained responding (Katz and Barrett 1978a). The finding that the different behavioral effects of drugs are related to the maintaining event under one schedule but not another reaffirmed the importance of schedule factors. In addition, the result that differential drug effects occur under one schedule but not another, implies that unitary motivational accounts of the effects of drugs based simply on the type of consequent event are implausible. Recordings of food-maintained (left panels) and shock-maintained (right panels) responding were made simultaneously. On the records showing food-maintained responding diagonal marks on the upper tracing denote food delivery and the marks on the lower line represent shock delivery. On the records showing shock maintained responding diagonal marks on the upper tracing denote shock delivery and marks on the lower line represent food delivery. Note that chlordiazepoxidee increased responding maintained by food but only decreased respon ding maintained by shock. Increases in responding maintained by food did not occur with d-amphetamine, however, in those studies that examined these effects under comparable schedules. Since these results differed from those reported earlier by Kelleher and Morse (1964). Over a range of fixed-ratio values, from 30 to 300 (30 to 170 for food-maintained monkeys) and a range of response rates from approximately 1. Under fixed-interval schedules, however, that were varied from 30 seconds to 10 minutes, and over a range of response rates, d amphetamine usually increased responding maintained by both-food and stimulus-shock termination (figure 4). The differential effects of d-amphetamine on responding under fixed-ratio schedules with different events, but not under the fixed interval, were also found when these schedules were studied together as components of a multiple schedule (figure 5). These studies suggest quite convincingly that d-amphetamine differ entially affects responding maintained by food and stimulus-shock termination under fixed-ratio schedules. Under fixed-interval sched ules, however, the effects of d-amphetamine are largely independent of the event that maintains responding. The results, therefore, cannot be regarded as being of limited generality; the type of event can play a more significant role than was apparent in early studies. Sweeping generalizations about the relative independence of drug effects and consequent behavioral events are not possible. A number of different drugs have shown effects that depend on the event; the specific outcome, however, depends on the drug, the schedule, and the event. Under some conditions drug effects may also depend on the parameter value of the schedule. For example, figure 6 shows that pentobarbital increased responding under 40-response fixed-ratio schedules of food presentation but not under comparable schedules of stimulus-shock termination (Barrett et al. Other studies have indicated that drug effects under one component of a multiple schedule can be dramatically modified by changing the parameter value in another component, even when perfor mance in the unchanged component is not affected (Barrett and Stanley 1980b). Note that at all of the fixed-ratio parameter values studied, d-amphetamine decreased responding maintained by food but markedly-increased respon ding under the stimulus-shock termination schedule. Under the fixed interval schedules, a broad range of doses of d-amphetamine increased responding under all parameter values of the fixed-interval stimulus shock termination schedule. Increases in response rate were slightly less or did not occur under the food-presentation schedule at the 30-second value, whereas at the 3 and lo-minute values rates were markedly increased. Circles denote responding under the fixed-interval schedules, triangles responding under the fixed-ratio schedules. Points with vertical lines on the extreme left of each curve represent control observations + 1 S. Average control rates under the fixed interval food-presentation schedule were 0. When responding was maintained by stimulus-shock termination schedules, rates under the fixed-interval were 0. Note that pentobarbital increased responding under both fixed interval and fixed-ratio schedules of food presentation, but only decreased responding under these schedules when the maintaining event was stimulus-shock termination. The same drug will produce similar effects on responding maintained by different events under one schedule, but dissimilar effects under another schedule. Although the findings described in this section suggest that certain modifications are necessary in existing views of the role of the event, they also reaffirm the fundamental importance of schedule-controlled responding in deter mining the behavioral effects of drugs. Response Duration and the Effects of d-Amphetamine the effects with d-amphetamine were unexpected and somewhat difficult to reconcile with-earlier work. As reproducible results accumulated and response rate appeared to play a less important role in determin ing some of these effects (see figures 4 and 5), it seemed reasonable to examine a dimension of the response other than rate. Recordings were made, therefore, of response duration under the 30-response fixed-ratio schedules of food presentation or stimulus-shock termi nation with squirrel monkeys. Subsequently, the effects of d amphetamine on both response rate and response duration measures were examined. Even though there were initial differences in response duration, the effects of d-amphetamine on this measure under the two schedules were similar: duration decreased at low to intermediate doses (. As in the work described above, however, response rates were affected differen tially; sizeable increases in rates occurred under the termination schedule at doses that did not affect or decreased food-maintained responding. Thus, whether differential or comparable effects of d amphetamine are obtained under fixed-ratio schedules utilizing dif ferent consequent events depends on whether the experimental focus is on response rate or response duration. Different conclusions would be drawn depending on which response characteristic was examined. Although response rate has been the traditional measure used in behavioral studies and in behavioral pharmacology, other dimensions may also provide beneficial information. As has been the case with response rate, however, further research would necessarily have to examine conditions where response duration maintained by the different events was comparable or was manipulated over a wide range. Although these several findings are somewhat difficult to summarize, it clearly appears that the type of maintaining event can influence the specific effects a drug will have on behavior. At the present time it is not possible to provide a general framework within which these several different findings can be easily placed and evaluated. Such problems are often true initially when newer findings do not confirm earlier results. Note that response duration was longer under the termination schedule than under the food schedules but that at low to intermediate doses this measure decreased for all animals regardless of the maintain ing event. Response rates were higher under the food schedules and were not increased with d-amphetamine; responding under the stimulus-shock termination schedule, however, was increased sub startiatly with d-amphetamine. Further experiments addressed to this issue, which may eventually help in formulating general principles, are summarized below. Second-Order Schedules In the experiments described thus far, all of the procedures involved schedules where the completion of each schedule requirement produced the consequent-maintaining event. Within the past ten years several experiments have been conducted in which responding has been main tained by stimuli paired with consequent events such as food or drug administration (Goldber 1975, Kelleher 1975). Formally termed second-order schedules Kelleher 1966), such procedures arrange for responding to produce a brief, usually visual, stimulus according to a particular schedule; responding under that schedule is then treated as a unitary response that is then also reinforced according to a specific schedule. The control performances in figure 8 illustrate characteristic rates and patterns of responding of squirrel monkeys under second-order schedules of food or shock presentation [fixed-ratio 10 (fixed interval 3-minute:S)]. The presen tation of food or shock occurred only once, at the end of the com plete session. This aspect of arranging the consequent events to occur at the end of the entire session may be particularly advanta geous in experiments where one is interested in examining the effects of presession drug administration on drug-maintained responding. It has not always been possible to prevent interactions between the drug given prior to the session and the maintaining drug because of the occurrence of repeated injections throughout the session which were required to maintain performance. Second-order schedules, where responding is maintained by brief stimuli only eventually paired with drug injection at the end of the session, eliminate most direct inter actions with the presession drug and provide a convenient means for assessing several experimental issues (see below). Similar interactions between presession drugs and consequent events could also exist when events other than drugs maintain responding and are presented intermittently throughout the session. For exam ple, during an experimental session in which a drug is given as a pretreatment, the recurrence of shock or food could produce changes in behavior and in drug effects which may differ from those obtained when the maintaining event is presented only once at the end of the session. Several studies conducted over the past few years have examined these possibilities using second-order schedules of food or shock presenta tion, stimulus-shock termination, or intramuscular cocaine adminis tration as maintaining events. The diagonal marks on each record denote the occurrence of the 3-second visual stimulus. Note that chlordiazepoxide increased responding maintained by food but only decreased responding maintained by shock. These differential effects are similar to those found under single-component fixed-interval schedules described earlier and sug gest that those effects are not influenced substantially by the recurring delivery of food or shock. Together with the effects of chlordiazepoxide on responding maintained under the concurrent variable-interval schedules (figure 3) and under stimulus-shock ter mination schedules, these several experiments provide rather compel ling evidence for the event-dependent effects of chlordiazepoxide on responding maintained under interval schedules of reinforcement. In the studies using basic schedules summarized previously the effects of c-amphetamine under fixed-interval schedules were largely independent of the type of maintaining event. C-Amphetamine also produced similar effects under second-order schedules of food or shock presentation, stimulus-shock termination or intramuscular cocaine administration (Barrett et al. Other experiments comparing the effects of drugs on performances maintained by food and drug administration under similar second order schedules have not typically found differential effects with pentobarbital, cocaine or chlordiazepoxide (Herling et al. These several experiments indicate that, at least thus far, the effects of drugs on behaviors under basic schedules are similar to those obtained when those same events occur under second-order schedules. It is interesting that drugs such as pentobarbital and chlordiazepoxide which produce different effects on responding main tained by food and shock, appear to affect responding maintained by food and cocaine administration in a similar manner. Further exper iments that examine a wider variety of different maintaining and pretreatment drugs, as well as different experimental procedures. Although it appeared at one time that the nature of the consequences control ling behavior were less important than other factors, such as the schedule-controlled rate and pattern of responding, this conclusion no longer seems true. Several experiments described in the preceding sections provide overwhelming evidence that the type of event con trolling behavior can be an important aspect of the environment contributing to the behavioral effects of a number of drugs. Note that across the rage of doses that increased food-maintained responding, responding maintained by shock was only decreased. This was clearly seen with d-amphetamine which increased responding maintained by food or stimulus-shock termination under fixed-interval schedules; when these same events controlled responding under fixed-ratio schedules, however, d-amphetamine decreased food-maintained responding but increased responding maintained under the termination schedule. Dif ferential effects were also obtained with chlordiazepoxide under fixed-interval but not fixed-ratio schedules. These findings point to the increasing level of complexity involved in behavioral pharma cology as progress is made in attempting to characterize determinants of the behavioral effects of drugs. It has been clear for some time that environmental factors can play an exceedingly influential role in determining the effects of a wide variety of abused drugs. Environmental factors also exert tremendous control over behavior and unquestionably influence its distinctive nature. Many of the factors that are responsible for the subtle idiosyncratic characteristics of behavior, as well as its more global features, can be traced directly to the interaction of behavior with the environment. Ongoing and newly emerging behavior has inevitable consequences which not only affect that behavior directly and imme diately, but also that of future behavior as well.

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