Symbiosexual Attraction: An Integrated Mixed-Methods Study.

A recent review of cultural and academic discourse presented evidence that some people experience attraction to two (or more) people in a preexisting relationship. This phenomenon, symbiosexuality, is understudied in the field of sexuality. Lack of recognition and validation for this attraction, including in the polyamorous community, may be negatively impacting those who experience symbiosexual attraction. I conducted an integrated mixed-methods analysis of secondary data from the 2023 The Pleasure Study to learn more about symbiosexual attraction. Findings from this study support the hypothesis that people experience symbiosexual attraction, which they describe as an attraction to the energy, multidimensionality, and power shared between people in relationships. Further, findings from this study indicate that a diverse group of people experience symbiosexual attraction and, while unanticipated, symbiosexual attraction can be a strong, frequent, and/or pervasive experience. These findings push the boundaries of the concepts of desire and sexual orientation in sexuality studies and challenge the ongoing invisibility and invalidation of and stigma and discrimination against such attractions, within both the polyamorous community and our broader mononormative culture.

Effectiveness and cost-effectiveness of a digital health intervention to support patients with colorectal cancer prepare for and recover from surgery: study protocol of the RecoverEsupport randomised controlled trial.

INTRODUCTION: Surgery is the most common treatment for colorectal cancer (CRC) and can cause relative long average length of stay (LOS) and high risks of unplanned readmissions and complications. Enhanced Recovery After Surgery (ERAS) pathways can reduce the LOS and postsurgical complications. Digital health interventions provide a flexible and low-cost way of supporting patients to achieve this. This protocol describes a trial aiming to evaluate the effectiveness and cost-effectiveness of the RecoverEsupport digital health intervention in decreasing the hospital LOS in patients undergoing CRC surgery. METHODS AND ANALYSIS: The two-arm randomised controlled trial will assess the effectiveness and cost-effectiveness of the RecoverEsupport digital health intervention compared with usual care (control) in patients with CRC. The intervention consists of a website and a series of automatic prompts and alerts to support patients to adhere to the patient-led ERAS recommendations. The primary trial outcome is the length of hospital stay. Secondary outcomes include days alive and out of hospital; emergency department presentations; quality of life; patient knowledge and behaviours related to the ERAS recommendations; health service utilisation; and intervention acceptability and use. ETHICS AND DISSEMINATION: The trial has been approved by the Hunter New England Research Ethics Committee (2019/ETH00869) and the University of Newcastle Ethics Committee (H-2015-0364). Trial findings will be disseminated via peer-reviewed publications and conference presentations. If the intervention is effective, the research team will facilitate its adoption within the Local Health District for widespread adaptation and implementation. TRIAL REGISTRATION NUMBER: ACTRN12621001533886.

Perceived Provision of Perioperative Information and Care by Patients Who Have Undergone Surgery for Colorectal Cancer: A Cross-Sectional Study.

BACKGROUND: Active patient participation in preparation and recovery from colorectal cancer surgery can be facilitated by timely information and care and may improve patient wellbeing and reduce hospitalizations; Methods: We aimed to identify gaps in perioperative information and care by asking colorectal cancer surgical patients to retrospectively report on their perceptions of care via a cross-sectional survey; Results: Overall, 179 (64% consent rate) patients completed one of two 64-item surveys exploring their views of 'optimal care' or their experiences of 'actual care'. In total, 41 (64%) aspects of care were endorsed as optimal. Of these, almost three-quarters (73%) were received by most patients (80% or more). Gaps in care were identified from discrepancies in the endorsement of optimal versus actual survey items. Of the 41 items identified as representing 'optimal care', 11 items were received by fewer than 80% of patients, including the provision of information about the impact of surgical wait-times on cancer cure (69%); pre-habilitation behaviors to improve health (75%); the type of questions to ask the health care team (74%); impact of pain medications on bowel movements (73%); how to obtain medical supplies for self-care at home (67%); dietary or exercise advice after discharge (25-31%); and emotional advice after discharge (44%). CONCLUSIONS: These gaps represent patient-centered priorities and targets for supportive interventions.

Implementing safety hotlines: Stamford Health's experience and future opportunities.

Improving safety event reporting has been a focus of increased study. Improved opportunities for patient and family safety event reporting have been described in the literature. Consistent with the organization's patient-centered care philosophy, we launched a safety hotline at Stamford Health. This article describes the process of implementation, vendor selection, understanding initial results, and areas for further study.

"Shake, Rattle and Roll": risk assessment and management for food safety during two Christchurch earthquakes.

PROBLEM: Two earthquakes recently struck the Christchurch region. The 2010 earthquake in Canterbury was strong yet sustained less damage than the 2011 earthquake in Christchurch, which although not as strong, was more damaging and resulted in 185 deaths. Both required activation of a food safety response. CONTEXT: The food safety response for both earthquakes was focused on reducing the risk of gastroenteritis by limiting the use of contaminated water and food, both in households and food businesses. Additional food safety risks were identified in the 2011 Christchurch earthquake due to the use of large-scale catering for rescue workers, volunteers and residents unable to return home. ACTION: Using a risk assessment framework, the food safety response involved providing water and food safety advice, issuing a boil water notice for the region and initiating water testing on reticulation systems. Food businesses were contacted to ensure the necessary measures were being taken. Additional action during the 2011 Christchurch earthquake response included making contact with food businesses using checklists and principles developed in the first response and having regular contact with those providing catering for large numbers. OUTCOME: In the 2010 earthquake in Canterbury, several cases of gastroenteritis were reported, although most resulted from person-to-person contact rather than contamination of food. There was a small increase in gastroenteritis cases following the 2011 Christchurch earthquake. DISCUSSION: The food safety response for both earthquakes was successful in meeting the goal of ensuring that foodborne illness did not put additional pressure on hospitals or affect search and rescue efforts.

A "paneful" perforation.

Radiographs of a woman presenting with abdominal pain revealed a large foreign body within the pelvis. A diagnosis of perforation of the colon was made, and at laparotomy an 8.5 cm long glass fragment was removed from the bowel. A laceration to the lower back, sustained in a fall onto a glass coffee table, had been explored and sutured 20 months earlier. Imaging findings showed the subsequent course of the overlooked glass fragment within the pelvis.