Anecdotal evidence from clinical practice, classroom learning and research studies suggests most aspects of sexual health and wellbeing are addressed inadequately or not at all. Some nurses may feel ill-equipped or underprepared to explore private or intimate aspects of a patient's sexual health or relationships, or may be too embarrassed to talk to the individual about the personal side effects of medical conditions or treatment regimens. This article identifies strategies to assist healthcare professionals in addressing patients' sexual health needs as part of holistic care.
We report the frequency of sexually transmitted infections (STIs) diagnosed in UK adult film industry performers. A total of 100 adult film performers regularly screened for STIs on an average of every three weeks. High rates of condomless sex were reported and there were STIs recorded during the 19-year period covered by this study (1996–2015). STIs recorded included gonorrhoea, chlamydia, non-gonococcal urethritis, genital warts, syphilis and Trichomonas vaginalis.
In the year of 2017, the capital expenditure of Flashbased Solid State Drivers (SSDs) keeps declining and the storage capacity of SSDs keeps increasing. As a result, the "selling point" of traditional spinning Hard Disk Drives (HDDs) as a backend storage -low cost and large capacity -is no longer unique, and eventually they will be replaced by low-end SSDs which have large capacity but perform orders of magnitude better than HDDs. Thus, it is widely believed that all-flash multi-tier storage systems will be adopted in the enterprise datacenters in the near future. However, existing caching or tiering solutions for SSD-HDD hybrid storage systems are not suitable for all-flash storage systems. This is because that all-flash storage systems do not have a large speed difference (e.g., 10x) among each tier. Instead, different specialties (such as high performance, high capacity, etc.) of each tier should be taken into consideration. Motivated by this, we develop an automatic data placement manager called "AutoTiering" to handle virtual machine disk files (VMDK) allocation and migration in an all-flash multitier datacenter to best utilize the storage resource, optimize the performance, and reduce the migration overhead. AutoTiering is based on an optimization framework, whose core technique is to predict VM's performance change on different tiers with different specialties without conducting real migration. As far as we know, AutoTiering is the first optimization solution designed for all-flash multi-tier datacenters. We implement AutoTiering on VMware ESXi [1], and experimental results show that it can significantly improve the I/O performance compared to existing solutions.
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