No, SARSEPs could not be established by a state or local government, any of its political subdivisions, agencies, or instrumentalities or a tax-exempt organization. Also, only employers with 25 or fewer eligible participants may continue to operate a SARSEP plan.
In the case of anal gonorrhea, both men and women may experience rectal pain or itching or have a constant urge to move their bowels. Often, though, there are no symptoms. In pharyngeal (throat) gonorrhea, which is less common, people of both sexes can get a severe sore throat or show no symptoms at all.
Signs and symptoms of subarachnoid hemorrhage. The first symptom of a subarachnoid hemorrhage is often a sudden and severe thunderclap headache. Patients describe the pain as similar to receiving a blow on the head, and the worst headache of their life. This headache typically pulsates towards the back of the head. Other symptoms include: