We explored the personal history of men who voluntarily seek genital ablation for reasons other than male-to-female transitioning. We focused on three groups: (a) men who have had voluntary genital ablation; (b) men who desire genital ablation and fantasize about it (self-described "wannabes"); and (c) those who claim to be merely interested in the subject of castration. An online survey was posted at eunuch.org that asked about religiosity, childhood abuse, sexual orientation, parental threats of castration, and whether the respondents had witnessed animal castrations in their youth. Data were collected on 301 men who had obtained genital ablations (mean age 45.4 years old), 1,385 wannabes (44.3 years old), and 1,242 individuals who were reportedly "just interested" in castration (41.8 years old). We have confirmed that: (a) having witnessed animal castrations during childhood, (b) having been threatened with castration as a child for behaviours deemed inappropriate by a parent figure, and (c) being homosexual or bisexual, are all common among individuals with extreme castration ideations. In addition, the prevalence of childhood sexual abuse among men who had genital ablations and wannabes was 1.4 times greater than among "just interested" individuals. For men who had obtained genital ablations, "very devout" parental religiosity was 1.8 times more common than it was for wannabes and 1.3 times more common than it was for "just interested" individuals. Individuals who were raised by "very devout" parents and who were also sexually abused had significantly greater odds and likelihood of reporting being voluntarily castrated and/or penectomized than respondents without those risk factors. Our study may aid clinicians in identifying and distinguishing individuals who are at risk of genital ablation through self-surgery or by nonprofessionals.
Three hundred-forty lesbians and 62 gay males, largely from North America and in partnered relationships, completed online surveys that explored what handholding means to same-sex couples. The data suggest that lesbians in the United States are more likely now than ¼ century ago to hold hands in public spaces. Younger lesbians are more likely to hold hands in public than older lesbians, and Canadian lesbians hold hands more often in public than American lesbians. In response to the question, "What does handholding mean to you?," 26% of the female respondents from North America overtly referred to public handholding as either a political act or a risky behavior. The number of comments of that nature was similar, regardless of whether the lesbians resided in the United States or Canada. Data suggest that full acceptance of same-sex couples in public spaces has not yet occurred, even in jurisdictions where same-sex couples have the same legal rights as heterosexual couples. Although the sample size for males was too small to analyze the influence of age or political jurisdiction on public handholding, males, in general, were significantly less likely than females to view handholding as a means of staying "connected" with their partners.
BACKGROUND: Feedback on patient outcomes is invaluable to the practice of emergency medicine but examples of effective forms of feedback have not been well characterized in the literature. We describe one system of emergency department (ED) outcome feedback called the return visit report (RVR) and present the results of a survey assessing physicians' perceptions of this novel form of feedback.METHODS: An Opinio web-based survey was conducted in 81 emergency physicians (EPs) at three EDs. RESULTS:Of the 81 physicians surveyed, 40 (49%) responded. Most participants indicated that they frequently review their RVRs (83%), that RVRs are valuable to their practice of medicine (80%), and that RVRs alter their practice in future encounters (57%). Respondents reported seeking other forms of outcome feedback including speaking with other EPs (83%) and reviewing discharge summaries of admitted patients (87%). There was no correlation between demographic data and use of RVRs.CONCLUSION: EPs value RVRs as a form of feedback. RVRs could be improved by reducing the observational interval and optimizing report relevance and differential weighting.
This article has been peer reviewed. Cet article a fait l'objet d'une révision par des pairs.
When couples hold hands, one partner must take the lead hand and the other the following hand position. As potential correlates or predictors of handholding positions within lesbian couples, this article explored differences in height, age, income, who initiated the relationship, who usually initiates sexual intimacy, previous history of partnership with a male, and who has the most "say" in decision-making. Data revealed only 2 significant variables: The taller partner was more likely to have the lead hand, and a woman who had previously been partnered with a male was more likely to take the trailing hand position.
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