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The purpose of this paper is to determine the impact of having a patient-designated caregiver remain overnight with ambulatory extended recovery patients on early postoperative clinical outcomes.

This was a retrospective cohort study of patients undergoing surgery requiring overnight stay in a highly resourced free-standing oncology ambulatory surgery center. Postoperative outcomes in patients who had caregivers stay with them overnight were compared with outcomes in those who did not. All other care was standardized. Primary outcomes were postoperative length of stay, hospital readmission rates, urgent care center (UCC) visits within 30 days and perioperative complication rates.

Among patients staying overnight, 2,462 (57 percent) were accompanied by overnight caregivers. In this group, time to discharge was significantly lower. Readmissions (though rare) were slightly higher, though the difference was not statistically significant (p=0.059). No difference in early (<30 day) complications or UCC visits was noted. Presence of a caregiver overnight was not associated with important differences in outcomes, though further research in a less well-structured environment is likely to show a more robust benefit. Caregivers are still recommended to stay overnight if that is their preference as no harm was identified.

This study is unique in its evaluation of the clinical impact of having a caregiver stay overnight with ambulatory surgery patients. Little research has focused on the direct impact of the caregiver on patient outcomes, especially in the ambulatory setting. With increased adoption of minimally invasive surgical techniques and enhanced recovery pathways, a larger number of patients are eligible for short-stay ambulatory surgery. Factors that impact discharge and early postoperative complications are important.

This paper evaluates the modern baseline presumption of nonconsent in sexual assault (rape) cases in light of different theories of sexuality (feminism on the one hand and sex positivism/queer theory on the other) and in light of how sexuality manifests itself in the lives of contemporary young women. The authors analyze social science literature on contemporary heterosexual practices such as sexting and hook-ups, as well as contemporary media imagery, to inform a contemporary understanding of the ways in which young people perceive and experience sex. Using this evidence as a foundation, the authors reconsider the ongoing utility of a baseline presumption of nonconsent in sexual assault cases. This paper demonstrates the complex relationship between women’s sexual autonomy, the contemporary culture’s encouragement of women’s celebration of their own sexual objectification and the persistence of high rates of unwanted sex. In the end, it demonstrates why a legal presumption against consent may neither reduce the rate of nonconsensual sex, nor raise the rate of reported rapes. At the same time, it shows how the presumption itself is unlikely to generate harmful consequences: if it deters anything, it likely deters unwanted sex, whether consented to or not.

In the last ten years, feminists in and out of the universities have developed a power‐ful critique of pornography as “the ideology of rape” and the “ideological justifica‐tion for male dominance”. This article is a sociological analysis of the feminist social movement which has grown up around the issues of male violence and male culture.

In this chapter we discuss the cost-effectiveness analysis (CEA) of public health interventions where there are combined, and potentially conflicting, objectives of increasing total population health and reducing unfair health inequalities in the population. Our focus is on identifying appropriate health inequality measures in this context to quantify the impacts of interventions on unfair health inequality and, where necessary, analyse equity-efficiency trade-offs between improving total population health and reducing unfair health inequality. We recognise that this requires a number of important social value judgements to be made, and so prefer measures that facilitate transparency about these social value judgements. We briefly summarise the literature on health inequality and health-related social welfare functions, and conclude that while valuable it is not entirely suitable for our purpose. We borrow instead from the wider literature on economic inequality, highlighting how this translates to a health setting, and identify appropriate measures for CEA. We conclude with a stylised example illustrating how we would apply a battery of dominance rules and social welfare indices to evaluate the health distributions associated with two hypothetical health interventions.

Men make war; women make peace. Men make war; women make children. Men make war because women make children. Because men make war, women make children. Women make peace because they make children.

Purpose: This paper aims to present the case study of the SHE (Šibenik Hub for Ecology) hub project, ecofeminist business practice in Croatia. The SHE hub is a sustainable tourism project based around issues of ‘ethical consumerism’ and sustainable development and shows that is possible to implement ecofeminist ideas in business.

Method: Paper is divided into two parts. The first part is theoretical and presents an overview of relevant literature regarding ecofeminism, sustainable development, corporate social responsibility and green consumerism. The second part is a case study of the SHE hub project, based on analysis of the project website, content analysis of the media coverage regarding the project and an in-depth interview with project initiator.

Findings: The results show that strengthening of the ethical consumerism movement has given a new impetus to the realisation of ecofeminist projects in real life and that SHE hub is a good example of this. Although the SHE hub has insufficient transformative social potential, it is important to notice that sustainable change always begins with small steps.

Originality/value: The topic of the relationship between social corporate responsibility and ecofeminism has not been researched, so this case study represents a valuable contribution to the research of this relationship.

The library is the only social institution whose main ethical underpinning is the collection, preservation, and dissemination of all manner of information. This, at any rate, is the library's avowed goal. It rarely becomes a reality, and for good and sundry reasons: budget constraints, space limitations, personnel shortages. The danger is not so much that the library often falls short of its heady and laudable goal, but that librarians are sometimes seized by an almost pathological smugness. In short, they come to believe that the goal is actually being realized.