This article presents a prison research model grounded in street participatory action research (Street PAR) methodology but programmatically facilitated in an Inside-Out Prison Exchange Program class. Street PAR's nine tenets were adapted to a prison setting, and we demonstrate its promise with a brief case study of research projects at one prison location. This article also explores the challenges scholars and incarcerated persons as researchers may face in correctional facilities. Street PAR and Inside-Out can improve prison environments and successful transition to local communities as a function of equipping incarcerated persons with reading, writing, and analytic skill sets.
The process and capacity building model provides a common language, approach, and toolset to understand differences and the dynamics of inequity. These tools can be used by other partnerships in the conduct of research to achieve health equity.
Introduction: Women with pelvic organ prolapse describe vaginal laxity and poor sensation of vaginal tone that does not correlate with anatomical findings.This discrepancy could be explained by altered vaginal sensation and a test that could measure sensation of vaginal tone, transmitted via Aα and Aβ nerve fibers, would further our understanding of the pathophysiology of vaginal laxity.Objective: To develop quantitative sensory testing (QST) for vaginal tone using genital stretch perception thresholds (PT), assess reproducibility, and the association with age and parity. Study Design: Prospective observational cohort study of healthy women (Canadian task force classification II-2) who underwent QST method of limits at the vagina and introitus for sensation of first awareness and stretch using a modified anorectal physiology protocol.Results: Forty women underwent repeatability testing. Intra-and inter-rater repeatability using intraclass correlation coefficients (ICC) was good to excellent for both first awareness and stretch at the vagina and introitus (intra-rater ICC = 0.93, 0.95, 0.81, and 0.88, respectively; inter-rater ICC = 0.83, 0.93, 0.71, and 0.86 respectively).Normative data were collected from 100 women. Log-linear regression found a significant association between age and PT for first awareness and stretch at the vagina and introitus (P = .020, .008, .002, and <.001, respectively). There was no association with parity and PT. Nomograms were calculated using the 95% confidence limits around the regression line.Conclusions: Stretch QST is clinically feasible, valid, and reproducible. The test can be used as a tool to measure sensation in women presenting with symptoms of vaginal laxity. K E Y W O R D S genital stretch perception thresholds, large nerve fibers, method of limits, reference data 1 | INTRODUCTION Women with pelvic floor dysfunction describe a range of problems relating to sexual dysfunction and pelvic organ prolapse (POP), which can include a feeling of vaginal laxity and loss of sensation of vaginal tone. 1 Studies to date have shown a poor correlation between symptoms and anatomical findings. 2 Women with POP and sexual
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