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Transforming our global agrifood systems rests ultimately with actions at the country and local levels. Culture is an important aspect. One needs only to look at cuisines to see how diverse agrifood systems are across and within countries. More than half of us — around 4. And we are all consumers of foods, and game changers. What does it take to transform?
FAO has been organizing and better preparing itself for the past two years to lead the process. We have reformed our organizational structure and made it more modular and agile in order to make ourselves fit for purpose. For example, the newly created position of chief scientist, along with an Office of Innovation, and the Office of SDGs are concrete steps to strengthen the Follow of science and innovation to complement the socio-economic work led by the chief economist to underpin the transformation, as well as to track the achievement of the SDGs.
Innovation is not just about technology. Our grandparents, The Queen and The Duke of Edinburgh, had made support for charity central to their decades of service to the nation and the Commonwealth, the task for us would not be to reinvent the wheel.
Instead, our job was to follow the example of those who had come before us, to hold on to the values that have always guided our family, but also to seek to engage in public life in a way that was updated and relevant for our generation. Every American and Californian has the Constitutional right as a citizen to cast their ballot and have it counted, expanding voting access is NOT stealing an election, contrary to what Republicans in Washington may believe.
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Term » Synonyms. Term » Antonyms. Wiktionary 0. Follow that car! Synonyms: trailtail Antonyms: leadguide follow verb To go or come after in a sequence. B follows A in the alphabet. Synonyms: succeedensue Antonyms: precede follow Follow To carry out in accordance to orders, instructions, etc. Follow these instructions to the letter.
Synonyms: pursue. English Synonyms and Antonyms 0. Complete Dictionary of Synonyms and Antonyms 0. Princeton's WordNet 3. Dictionary of English Synonymes 0.
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Second, transsexualism is a rare condition and Sweden is a small country 9. Hence, despite being based on a comparatively large national cohort and long-term follow-up, the statistical power was limited. Third, regarding psychiatric morbidity after sex reassignment, we assessed inpatient psychiatric care.
Since most psychiatric care is provided in outpatient settings for which no reliable data were Followunderestimation of the absolute prevalences was inevitable. However, there is no reason to believe that this would change the relative risks for psychiatric morbidity unless sex-reassigned transsexual individuals were more likely than matched controls to be admitted to hospital for any given psychiatric condition.
Finally, to estimate start of follow-up, we prioritized using the date of a gender identity disorder diagnosis after changed sex status over before changed sex status, in order to avoid overestimating person-years at risk after sex-reassignment. This means that adverse outcomes might have been underestimated. However, given that the median time lag between the hospitalization before and after change of sex status was less than a year see Methodsthis maneuver is unlikely to have influenced the results significantly.
Moreover, all deaths will be recorded regardless of this exercise and mortality hence correctly estimated. This study found substantially higher rates of overall mortality, death from cardiovascular disease and suicide, suicide attempts, and psychiatric hospitalisations in sex-reassigned transsexual individuals compared to a healthy control population. This highlights that post surgical transsexuals are a risk group that need long-term psychiatric and somatic follow-up.
Even though surgery and hormonal therapy alleviates gender dysphoria, it is apparently not sufficient to remedy the high rates of morbidity and mortality found among transsexual persons. Improved care for the transsexual group after the sex reassignment should therefore be considered.
Risk of various outcomes in sex-reassigned persons in Sweden compared to population controls matched for birth year and birth sex. Risk of various outcomes in sex-reassigned persons in Sweden compared to controls matched for birth year and final sex. Performed Follow experiments: MB AJ.
Browse Subject Areas? Click through the PLOS taxonomy to find articles in your field. Abstract Context The treatment for transsexualism is sex reassignment, including hormonal treatment and surgery aimed at making the person's body as congruent with the opposite sex as possible.
Objective To estimate mortality, morbidity, and criminal rate after surgical sex reassignment of transsexual persons. Design A population-based matched cohort study. Setting Sweden, Participants All sex-reassigned persons male-to-females, female-to-males in Sweden, — Results The overall mortality for sex-reassigned persons was higher during follow-up aHR 2. Conclusions Persons with transsexualism, after sex reassignment, have considerably higher risks for mortality, suicidal behaviour, and psychiatric morbidity than the general population.
Introduction Transsexualism ICD or gender identity disorder DSM-IV is a condition in which Follow person's gender identity - the sense of being a man or a woman - contradicts his or her bodily sex characteristics. Methods National registers The study population was identified by the linkage of several Swedish national registers, which contained a total of Study population, identification of sex-reassigned persons exposure assessment The study was designed as a population-based matched cohort study.
Outcome measures We studied mortality, psychiatric morbidity, accidents, and crime following sex reassignment.
Covariates Severe psychiatric morbidity was defined as inpatient care according to ICD-8 codes,and ; ICD-9 codes,tobacco use disorder excluded Statistical analyses Each individual contributed person-time from study entry for exposed: date of sex reassignment; for unexposed: date of sex reassignment of matched case until date of outcome event, death, emigration, or end of study period 31 Decemberwhichever came first.
Download: PPT. Table 1. Results We identified transsexual persons exposed cohort who underwent sex reassignment surgery and were assigned a new legal sex between and Characteristics prior to sex reassignment Table 1 displays demographic characteristics of sex-reassigned and control persons prior to study entry sex reassignment. Mortality Table 2 describes the risks for selected outcomes during follow-up among sex-reassigned persons, compared to same-age controls of the same birth sex.
Figure 1. Table 2. Psychiatric morbidity, substance misuse, and accidents Sex-reassigned persons had a higher risk of inpatient care for a psychiatric disorder other than gender identity disorder than controls matched on birth year and birth sex Table 2. Crime rate Transsexual individuals were at increased risk of being convicted for any crime or violent crime after sex reassignment Table 2 ; this was, however, only significant in the group who underwent sex reassignment before Gender differences Comparisons of female-to-males and male-to-females, although hampered by low statistical power and associated wide confidence intervals, suggested mostly similar risks for adverse outcomes Tables S1 and S2.
Discussion Principal findings and comparison with previous research We report on the first nationwide population-based, long-term follow-up of sex-reassigned transsexual persons. Strengths and limitations of the study Strengths of this study include nationwide representativity over more than 30 years, extensive follow-up time, and minimal loss to follow-up.
Conclusion This study found substantially higher rates of overall mortality, death from cardiovascular disease and suicide, suicide attempts, and psychiatric hospitalisations in sex-reassigned transsexual individuals compared to a healthy control population.
Supporting Information. Table S1. Table S2. References 1.
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