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.
What Are the Symptoms of Goiter? The symptoms of a goiter include: Swelling at the front side of the base of the neck, ranging from a small lump to a general enlargement. If you have hyperthyroidism (an overactive thyroid gland), symptoms may also include weight loss despite an increased appetite, an increased heart rate, elevated blood pressure, nervousness, diarrhea, muscle weakness, and hand tremors.