pinecone/core-2020-05-10-deduplication huggingface dataset:
Retrospective Analysis of Clinical Features, Treatment and Outcome of Coital Injuries of the Female Genital Tract Consecutive to Consensual Sexual Intercourse in the Limbe Regional Hospital

AbstractIntroductionNonobstetrical genital injuries are gradually becoming a common cause of genital injuries. Consensual sex has been reported to be a possible cause of this type of injuries, but its contribution to traumatic lesions of the female genital tract is not well known. It has been suggested that injury consecutive to consensual sex can be extensive and life‐threatening.AimThe aim of this study was to analyze the clinical features, treatment modalities, and the outcome of injuries to the female genital tract consecutive to a consensual sexual intercourse.MethodsA retrospective review of records of female patients admitted in our institution with a complaint of genital injury over a 5‐year period. We collected data regarding patient and injury characteristics, findings of the gynecologic examination, modalities of management and final outcome.Main Outcome MeasuresAnatomic location and nature of injury, modalities of management, admission rate and mortality rate.ResultsForty six cases could be analyzed. Their mean age was 25.6 years. Almost 35% of patients sustained the injury during their first sexual contact. The majority presented with bleeding, often combined with pain. One patient presented with features of peritonitis. During examination, no anatomic lesions could be identified in 16 (34.8%) of patients. When a lesion was present, it concerned mostly the posterior fornix (28.3%) and the lateral vaginal wall (10%). The most frequently described lesion was a laceration. The majority of patients (83%) were treated with suturing under local anesthesia. The admission rate was 28%, and was significantly higher in patients with a laceration of the posterior fornix. No death was recorded.ConclusionsCoital injuries following consensual sex often present in the form of a life‐threatening condition and young female with no previous sexual experience are particularly exposed. Most lesions can be treated with a simple suture. Tchounzou R and Chichom-Mefire A. Retrospective analysis of clinical features, treatment and outcome of coital injuries of the female genital tract consecutive to consensual sexual intercourse in the Limbe Regional Hospital. Sex Med 2015;3:256–260
Clitoral Pain Following Retropubic Midurethral Sling Placement

AbstractIntroductionAlthough uncommon, postprocedural pain with associated sexual dysfunction may be seen in patients after retropubic midurethral sling placement for treatment of stress urinary incontinence.AimsTo describe a report of a woman who developed localized severe, persistent periclitoral pain after placement of a retropubic midurethral sling.MethodsA healthy 41‐year‐old underwent an uncomplicated retropubic midurethral sling procedure. She developed persistent postoperative clitoral pain with worsening associated with arousal, impairing sexual function. Symptoms resolved with time and a course of steroid medication.Main Outcome MeasuresTo report a case of clitoral pain following midurethral sling surgery, and to provide a discussion about clitoral innervation, possible pain etiologies, and management options.ResultsWe report a case of clitoral pain associated with sexual dysfunction and provide a review of clitoral innervation as well as potential mechanisms of nerve injury associated with a retropubic sling procedure.ConclusionClitoral pain symptoms following placement of a retropubic midurethral sling should be evaluated and promptly addressed, given the potential negative impact on the patient's sexual function. Christofferson M, Barnard J, and Montoya TI. Clitoral pain following retropubic midurethral sling placement. Sex Med 2015;3:346–348
Defining “Normophilic” and “Paraphilic” Sexual Fantasies in a Population-Based Sample: On the Importance of Considering Subgroups

ABSTRACTIntroductionAccording to the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5), a sexual fantasy (SF) is paraphilic if it concerns activities outside the realm of “genital stimulation or preparatory fondling with phenotypically normal, physically mature, consenting human partners” (normophilic). Intensity of the paraphilic SF is also “greater than or equal to normophilic interests.” Surprisingly, however, very few data are available to corroborate that definition of a paraphilic SF. Although the relatively high prevalence of paraphilic SF in the general population is well known, the magnitude of difference between intensity of “normophilic” and “paraphilic” SF remains to be assessed.AimThe main goal of this study was to analyze the SF of adults recruited in the general population to obtain person profiles based on the nature and intensity of their SF.MethodsMultiple correspondence analysis (MCA) were used with data collected from 1,501 adults recruited in the general population to generate subgroups of participants based on the nature and intensity of their SF.Main outcome measuresThe main outcome measures used was a revised version of the Wilson Sex Fantasy Questionnaire.ResultsWhen all participants are considered as a unique group, the mean intensity of the most intense “normophilic” SF (oral sex) is significantly higher than the mean intensity of the most intense “paraphilic” SF (being sexually dominated for women and watching two women having sex for men), as expected from the DSM-5. When clusters of participants are considered separately, however, conclusions are nuanced. Four significant clusters of participants (two predominantly female and two predominantly male) reported at least one paraphilic SF with intensity as high as that of their most intense “normophilic” SF. In fact, 57% of this sample met the criteria of paraphilia.ConclusionThese results suggest that the current criteria for paraphilia are too inclusive. Suggestions are given to improve the definition of pathological sexual interests, and the crucial difference between SF and sexual interest is underlined
Negative workplace behaviour: temporal associations with cardiovascular outcomes and psychological health problems in Australian police

Negative workplace behaviour, such as workplace bullying, is emerging as an important work-related psychosocial hazard with the potential to contribute to employee ill health. We examined the risk of two major health issues (poor mental and cardiovascular health) associated with current and past exposure to negative behaviour in the workplace. Data from 251 police officers, who completed an anonymous mail survey at two time-points spaced 12 months apart, support the potential role of exposure to negative workplace behaviour in the development of physical disease and psychological illness. Specifically, we saw significant effects associated with past exposure to such behaviour on indicators of poor cardiovascular health, and a significant effect of current exposure on the indicator of mental health problems. Our findings reinforce the need to continue to study links between employee health and both negative workplace behaviour and more severe cases of bullying, particularly the mechanisms involved to strengthen theory in this area, and to protect against employee ill health (specifically cardiovascular outcomes and psychological problems) by preventing negative behaviour at work. Copyright (C) 2010 John Wiley & Sons, Ltd
Feasibility and potentials of online support for stress management among secondary school teachers

Teachers' work-related stress is a widespread problem. Few studies have used online communications to provide support to teachers, and these were mainly focused on novice teachers. Here, we performed an exploratory study to examine whether the use of online forums by secondary school teachers in Hong Kong could provide social support to manage work-related stress. Following 7 days of forum use, content analysis and post-intervention evaluations were carried out to examine the anonymous communications of 75 secondary school teachers who participated in one of five online discussion forums. Consensus on the coding and categorization of the data was reached among three experienced researchers in qualitative analyses. The online forums were well received by the participants. Most participants reported that they received support from the forum and considered it useful for stress management. These results suggest that online support can be used for stress management among secondary school teachers. Further studies on using online approaches as stress management tools are warranted. Copyright © 2010 John Wiley & Sons, Ltd.preprin
The relation of post work ruminative thinking with eating behaviour.

Inability to unwind about work during leisure time has been associated with a number of negative health outcomes. This study was concerned with a possible behavioural pathway between unwinding and disease and examined the relationship between work-related rumination and food choice. Work-related rumination is arguably a core to understanding the ‘unwinding process’, and food choice is a well-established indicator of nutritional health. Two hundred and sixty-eight full-time workers from a range of white-collar occupations completed a self-report measure of ruminative thinking about work and an eating behaviour questionnaire. Three types of ruminative thinking were identified by factor analysis and labelled affective rumination, problem-solving pondering and detachment. In terms of food choice, high-relative to low-affective ruminators reported eating more unhealthy foods, and low detachers reported eating less cooked meals and more processed foods compared to high detachers. Problem-solving pondering was not associated with food choice, and none of the factors were associated with healthy food choice. It was concluded that failure to unwind from work is not necessarily related to unhealthy food choices. What appears to be the crucial factor is the type of perseverative thinking that people engage in post-work. Limitations and future directions are discussed
How is Flow Experienced and by Whom? Testing Flow among Occupations

The aims of this paper are to test (1) the factorial structure of the frequency of flow experience at work; (2) the flow analysis model in work settings by differentiating the frequency of flow and the frequency of its prerequisites; and (3) whether there are significant differences in the frequency of flow experience depending on the occupation. A retrospective study among 957 employees (474 tile workers and 483 secondary school teachers) using multigroup confirmatory factorial analyses and multiple analyses of variance suggested that on the basis of the flow analysis model in work settings, (1) the frequency of flow experience has a two-factor structure (enjoyment and absorption); (2) the frequency of flow experience at work is produced when both challenge and skills are high and balanced; and (3) secondary school teachers experience flow more frequently than tile workers
Review of bus drivers' occupational stress and stress prevention

Contains fulltext :
                  29776.pdf (publisher's version ) (Open Access)Although heterogeneous in methodology and content, 32 studies from 13 countries on bus drivers' work and health are similar in their conclusions. Bus-driving–characterized by high demands, low control and low support – can be regarded as a classic example of high-strain occupation, with high risks of physical and mental occupational ill-health, leading to absenteeism and to decreased productivity of employees and enterprises. Several recommendations – some of them already being implemented by bus companies – are presented in order to reduce work stress in bus drivers. They relate to: (a) ergonomics of the bus cabin, (b) job rotation and ‘combination jobs’, (c) timetables, shift schedules and quality of break periods, and (d) the social work environment and management style. Stress monitoring and stress reduction is not merely a technical process based on a technical analysis and on the simple ‘straightforward’ realization of recommendations and findings. It relates to changing and improving organizations and organizational processes. Such organization changes can best be obtained through a stepwise and participative approach. There are indications that those companies that invest in preventive measures receive their rewards
Examining occupational stress, sources of stress and stress management strategies through the eyes of management consultants: A multiple correspondence analysis for latent constructs

To date, little research has yet focused in broad assessment for management consultancy professionals. This investigation
aims to analysemanagement consultants’ self-perceptions of occupational stress (SPoOS), sources of stress (SoS) and stress
management strategies (SMS) and to find latent constructs that can work as major determinants in consultants’ conceptualization
of SPoOS, SoS and SMS. Measures were completed, including demographics and interviews. Complete data
were available for 39 management consultants, 53.8% male and aged between 23 and 56 years (M=38.0; SD=9.2).
The data were subjected to content analysis. Representation of the associations and latent constructs were analysed by a
multiple correspondence analysis. Results indicated that ‘intellectual disturber’ (31.4%) was the most referred SPoOS,
‘high workload’ (15.1%) was identified as the most prevalent perceived SoS and ‘coaching’ (19.0%) was the most
mentioned SMS. No significant differences between the two gender groups were found regarding the three total scores.
SPoOS was explained by a two-factor model: ‘organization-oriented’ and ‘person-oriented’. A three-dimension model
formed by ‘job concerns’, ‘organizational constraints’ and ‘career expectations’ was indicated as a best-fit solution for
SoS, and SMS was best explained in a three-dimension model by ‘group dynamics strategies’, ‘organizational culture
strategies’ and ‘individual support strategies’. This research makes a unique contribution for a better understanding of
what defines SPoOS, SoS and SMS for management consultants
Engaged, Workaholic, Burned-Out or Just 9-to-5? Toward a Typology of Employee Well-being

The aim of this study was to establish a typology of employee well-being, together with its psychosocial antecedents
and consequences. Results obtained with a sample of 786 full-time employees from different occupational sectors
show four types of employee well-being: 9-to-5 or relaxed, work engaged or enthusiastic, workaholic or tense,
and burned-out or fatigued, each having different relationships with job and personal characteristics. This study
provides evidence of a parsimonious, theory-based classification of employee well-being and contributes to the
existing literature about work investment because meaningful relations were found between various types of
employee well-being, and heavy and soft work investors
Stress, cognitive appraisal, and psychological health: testing instruments for health professionals

The job of health professionals, including nurses, is considered inherently stressful (Lee & Wang, 2002; Rutledge et al., 2009), and thus it is important to improve and develop specific measures that are sensitive to the demands that health professionals face. This study analysed the psychometric properties of three instruments that focus on the professional experiences of nurses in aspects related to occupational stress, cognitive appraisal, and mental health issues. The evaluation protocol included the Stress Questionnaire for Health Professionals (SQHP; Gomes, 2014), the Cognitive Appraisal Scale (CAS; Gomes, Faria, & Gonçalves, 2013), and the General Health Questionnaire-12 (GHQ-12; Goldberg, 1972). Validity and reliability issues were considered with statistical analysis (i.e. confirmatory factor analysis, convergent validity, and composite reliability) that revealed adequate values for all of the instruments, namely, a six-factor structure for the SQHP, a five-factor structure for the CAS, and a two-factor structure for the GHQ-12. In conclusion, this study proposes three consistent instruments that may be useful for analysing nurses’ adaptation to work contexts
Associations between psychological stress and smoking, drinking, obesity, and high blood pressure in an upper middle-income country in the African region.

The direction and magnitude of the associations between cardiovascular risk factors (CVRFs) and psychological stress continue to be debated, and no data are available from surveys in the African region. In this study, we examine the associations between CVRFs and psychological stress in the Seychelles, a rapidly developing small island state in the African region. A survey was conducted in 1,240 adults aged 25-64 years representative of the Seychelles. Participants were asked to rank psychological stress that they had experienced during the past 12 months in four domains: work, social life, financial situation, and environment around home. CVRFs (high blood pressure, tobacco use, alcohol drinking, and obesity) were assessed using standard procedures. Psychological stress was associated with age, sex, and socioeconomic status. Overall, there were only few consistent associations between psychological stress and CVRFs, adjusting for age, sex, and socioeconomic status. Social stress was associated with smoking, drinking, and obesity, and there were marginal associations between stress at work and drinking, and between financial stress, and smoking and drinking. Psychological stress was not associated with high blood pressure. These findings suggest that psychological stress should be considered in cardiovascular disease prevention and control strategies
The role of site and severity of injury as predictors of mental health outcomes following traumatic injury

The aim of this study was to investigate the influence of injury site and severity as predictors of mental health outcomes in the initial 12 months following traumatic injury. Using a multisite, longitudinal study, articipants with a traumatic physical injury (N = 1,098) were assessed during hospital admission and followed up at 3 months (N = 932, 86%) and at 12 months (N = 715, 71%). Injury site was measured using the abbreviated Injury Scale 90, and objective injury severity was measured using the Injury Severity Score. Participants also completed the Hospital Anxiety and Depression Scale and the Clinician Administered Post-traumatic Stress Disorder (PTSD) Scale. A random intercept mixed modelling analysis was conducted to evaluate the effects of site and severity of injury in relation to anxiety, PTSD, and depressive symptoms. Injury severity, as well as head and facial injuries, was predictive of elevated PTSD symptoms, and external injuries were associated with both PTSD and depression severity. In contrast, lower extremity injuries were associated with depresssive and anxiety symptoms. The findings suggest that visible injuries are predictive of reduced mental health, particularly PTSD following traumatic injury. This has clinical implications for further advancing the screening for vulnerable injured trauma survivors at risk of chronic psychopathology.Katharine Baecher, Maria Kangas, Alan Taylor, Meaghan L. O'Donnell, Richard A. Bryant, Derrick Silove, Alexander C. McFarlane, Darryl Wad
An operationalization of Stevenson’s conceptualization of entrepreneurship as opportunity-based firm behavior

Stevenson (1983) holds that entrepreneurial management, defined as a set of opportunity-based man-agement practices, can help firms remain vital and contribute to firm and societal level value creation. While his conceptualization has received much attention, little progress has been made because of a lack of empirical tools to examine his propositions. This article seeks to resolve this by describing a new instrument that was developed specifically for operationalizing Stevenson’s conceptualization. After two pre-tests, the instrument was tested full scale on a very large (1200+ cases) stratified random sample of firms with different size, governance struc-ture, and industry affiliation. The results show that both in the full sample and in various sub-samples it was pos-sible to identify six sub-dimensions with high discriminant validity and moderate to high reliability, which rep-resent dimensions of Stevenson’s theoretical reasoning. We label these Strategic Orientation, Resource Orienta-tion, Management Structure, Reward Philosophy, Growth Orientation and Entrepreneurial Culture. We were further able to show that these dimensions only partly overlap with ‘Entrepreneurial Orientation’, the hitherto best established empirical instrument for assessing a firm’s degree of entrepreneurship. Our instrument should open up opportunities for researchers to further evaluate entrepreneurship in existing firms
Foreign IPO capital market choice: understanding the institutional fit of corporate governance

While product market choices have been central to strategy formulation for firms in the past, the integration of financial markets makes the choice of capital markets an equally important strategic decision. We advance a comparative institutional perspective to explain capital market choice by firms making an IPO in a foreign market. We find that internal governance characteristics (founder-CEO, executive incentives, and board independence) and external network characteristics (prestigious underwriters, degree of venture capitalist syndication, and board interlocks) are significant predictors of foreign capital market choice by foreign IPO firms. Our results suggest foreign IPO firms select a host market where the firms' governance characteristics and third party affiliations fit the host market's institutional environment
Meta-Organizational Design: Rethinking Design in Inter-Organizational and Community Contexts

This paper provides conceptual foundations for analyzing organizations comprising multiple legally autonomous entities, which we call meta-organizations. We assess the antecedents of the emergence of such collectives and the design choices they entail. The paper identifies key parameters on which such meta-organizations' designs differ from each other. It also presents a taxonomy that elucidates how such forms of collective action vary and the constraints they must address to be successful. We conclude with implications for research on meta-organizational design
Business Model Innovation and Competitive Imitation: The Case of Sponsor-Based Business Models

This paper provides the first formal model of business model innovation. Our analysis focuses on sponsor-based business model innovations where a firm monetizes its product through sponsors rather than setting prices to its customer base. We analyze strategic interactions between an innovative entrant and an incumbent where the incumbent may imitate the entrant's business model innovation once it is revealed. The results suggest that an entrant needs to strategically choose whether to reveal its innovation by competing through the new business model or conceal it by adopting a traditional business model. We also show that the value of business model innovation may be so substantial that an incumbent may prefer to compete in a duopoly rather than to remain a monopolist