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81.
Stress cardiomyopathy (SCM) typically presents similar symptoms to acute myocardial infarction (AMI). However, these symptoms differ when it comes to a transient and completely reversible myocardial dysfunction, which is frequently precipitated by acute stressful events, occurring in the absence of plaque rupture and coronary thrombosis. The purpose of this study was to investigate health-related quality of life (HRQL) and emotional burden subsequent to cardiac events in SCM patients. Thirty-seven SCM patients were compared with 37 matched AMI patients. All selected patients were assessed for HRQL and psychological distress at baseline and 1-year after the acute event. After controlling for covariates, scores on the Psychological General Well Being Index indicated that depressed mood had increased in both groups, but the increase for SCM patients was greater than for AMI patients. The AMI group displayed greater decreases than the SCM in physical quality of life and in total cardiac-related health quality of life. The percentage of patients with psychological distress increased significantly more in the SCM group than in the AMI group, and it made no difference whether the triggering event was emotional or physical. Our results suggest that, despite the more favorable medical prognosis of SCM patients, their cardiac condition being transient and resolving completely in few weeks, the psychological impact associated with their condition is more negative 1 year later than in the case of AMI patients whose medical prognosis is less favorable, and this difference is independent of type of trigger event.  相似文献   
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The Internet, as an integral part of global culture, has become a location offering a smorgasbord of pornographic images and films depicting multiple and fluid ways of being sexual. For males who identify as gay and/or queer, the Internet offers opportunities to explore same-sex sexualities in ways that have heretofore been challenging; thus, constructions of sexual identity can be interrogated, (re)examined, and (re)imagined. New explorations of sexualities may be the result of interface with Internet pornography, which opens spaces for not yet experienced ways of being sexual. Using qualitative methodology, this project engages the voices of three males who identify as gay and/or queer and focuses on how the Internet, particularly pornography on the Internet, impacts their sexual experiences and their sexual identities. Indeed, we argue here that the Internet does impact sexuality, and these men help to raise questions about what is possible with regard to sexuality and sexual identity.  相似文献   
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There is a long-held assumption that objects help bridge the gap between what children know and what they can (or are willing to) explain. In this review, we present research on the extent to which two types of objects used as props in investigative interviews of children, anatomical dolls and body (human figure) diagrams, actually help children report accurate information about autobiographical events. We explain why available research does not instill confidence that props are the best solution to interviewing challenges, and we consider practitioners’ and policy-makers responses to this evidence. Finally, we discuss the types of developmental research that are necessary to advance the field of evidence-based interviewing of children.  相似文献   
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This study examined naturally occurring idea‐generation in organizational groups completing an extended problem‐solving task. Meetings held by 11 groups engaged in a quality improvement process in a governmental agency were analyzed to identify 37 idea‐generation episodes. All groups had available a group decision support system (GDSS), although some opted not to use it. Across all groups, idea productivity was low though fairly efficient, but GDSS‐supported idea‐generation produced significantly fewer ideas. In general, idea‐generation as a process appears to be more complex than has been thought; observed deviations from idealized idea‐generation norms were not necessarily dysfunctional. The findings encourage reassessment of the assumptions underlying existing normative models of idea‐generation.  相似文献   
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