Unexpected employee location is associated with injury during robberies.

Millions of employees are victims of violent crimes at work every year, particularly those in the retail industry, who are frequent targets of robbery. Why are some employees injured while others escape from these incidents physically unharmed? Departing from prevailing models of workplace violence, which focus on the static characteristics of perpetrators, victims, and work environments, we examine why and when injuries during robberies occur. Our multimethod investigation of convenience-store robberies sought evidence from detailed coding of surveillance videos and matched archival data, preregistered experiments with formerly incarcerated individuals and customer service personnel, and a 3-y longitudinal intervention study in the field. While standard retail-industry safety protocols encourage employees to be out from behind the cash register area to be safer, we find that robbers are significantly more likely to injure or kill employees who are located there (versus behind the cash register area) when a robbery begins. A 3-y field study demonstrates that changing the safety training protocol-through providing employees with a behavioral script to follow should a robbery begin when they are on the sales floor-was associated with a significantly lower rate of injury during these robberies. Our research establishes the importance of understanding the interactive dynamics of workplace violence, crime, and conflict.

Quality of life after radio frequency ablation turbinate reduction (RFATR) among patients with rhinitis medicamentosa & withdrawal from decongestant topical spray abuse.

OBJECTIVE: Radiofrequency ablation (RFA) reliefs nasal obstruction and improves quality of life (QoL) in patients suffering from inferior turbinate hypertrophy (ITH). A substantial benefit was noted among patients suffering from Rhinitis Medicamentosa (RM), enabling ending decongestant spray abuse. Our aim was to establish the benefit from RFA with respect to QoL in patients suffering from ITH, due to the presence of RM. STUDY DESIGN: Prospective cohort study. METHODS: Prospective Cohort study, including patients suffering from ITH undergoing RFA between 9.2017 and 9.2019 in Tel Aviv Medical Center. The cohort was divided to RM and non-RM (including allergic, non-allergic) patients. The differences between the groups were compared before and after RFA, and included patients' complaints, clinical findings and QoL questionnaires (SNOT-22 & NOSE). In the RM group, the ability to wean from decongestants was also described. RESULTS: Our data demonstrated subjective QoL improvement following RFA (88.9 %, N = 90). All RM patients withdrawaled from nasal decongestant spray. NOSE questionnaire demonstrated a significant improvement in QoL after RFA in the RM group (PV = 0.025). SNOT-22 did not demonstrate significant difference in QoL between RM and the reference group (PV = 0.1). Rates of MCID>8.3 were high, without significant difference between the groups (PV = 0.2). CONCLUSION: RFA demonstrated effectiveness in achieving of withdrawal from decongestant spray in RM patients and may be a possible definitive treatment option for this group. The nasal obstruction component in SNOT-22 questionnaire & NOSE questionnaire showed improved QoL in comparison to controls. High QoL after RFA was established in our entire cohort.

Adaptation and Validation of the Hebrew Version of the Nasal Obstruction Symptom Evaluation (NOSE) Scale.

BACKGROUND: Nasal obstruction is one of the most common complaints in the practice of rhinology. OBJECTIVES: To adapt the Nasal Obstruction Scale Evaluation (NOSE) questionnaire to Hebrew (H-NOSE) and to assess its sensitivity and specificity. METHODS: Candidates for surgical intervention due to isolated nasal obstruction and healthy volunteers (controls) were included in the validation. The English NOSE questionnaire was translated into Hebrew and re-translated for translation validity. Patients completed the H-NOSE questionnaire before and after surgery for nasal obstruction. The same questionnaire was completed by the controls. Test-retest reliability was performed within 2 weeks. Psychometric properties (reliability, reproducibility, validity, and responsiveness) were assessed by a test-retest procedure, internal consistency, correlation to the Hebrew Sino-Nasal Outcome Tool 22 (He-SNOT-22), and response sensitivity. RESULTS: In total, 179 patients with nasal obstruction and 74 controls completed the questionnaire. Cronbach's alpha score was 0.93 for internal consistency. The receiver operating characteristic curve demonstrated high sensitivity and specificity (< 90%) and area under the curve was 0.97. We found no significant difference in test-retest reliability. The difference between the pre- and postoperative questionnaire scores was highly significant (13.9 ± 4.0 vs. 3.2 ± 4.1, respectively, P < 0.001). CONCLUSIONS: The H-NOSE questionnaire demonstrated reliable internal consistency, sensitivity, specificity, and reliability. The Hebrew version differentiated between patients and heathy controls and was easy to administer. This instrument is useful for Hebrew speaking patients who undergo surgery for nasal obstruction.

Fear can promote competition, defensive aggression, and dominance complementarity.

Fear can undermine cooperation. It may discourage individuals from collaborating with others because of concerns about potential exploitation; prompt them to engage in defensive aggression by launching a preemptive strike; and propel power-seeking individuals to act dominantly rather than compassionately. Therefore, accumulated evidence requires a more contextualized consideration of the link between fear and cooperation in adults.

Where the Blame Lies: Unpacking Groups Into Their Constituent Subgroups Shifts Judgments of Blame in Intergroup Conflict.

Whom do individuals blame for intergroup conflict? Do people attribute responsibility for intergroup conflict to the in-group or the out-group? Theoretically integrating the literatures on intergroup relations, moral psychology, and judgment and decision-making, we propose that unpacking a group by explicitly describing it in terms of its constituent subgroups increases perceived support for the view that the unpacked group shoulders more of the blame for intergroup conflict. Five preregistered experiments (N = 3,335 adults) found support for this novel hypothesis across three distinct intergroup conflicts: the Israeli-Palestinian conflict, current racial tensions between White people and Black people in the United States, and the gender gap in wages in the United States. Our findings (a) highlight the independent roles that entrenched social identities and cognitive, presentation-based processes play in shaping blame judgments, (b) demonstrate that the effect of unpacking groups generalizes across partisans and nonpartisans, and (c) illustrate how constructing packed versus unpacked sets of potential perpetrators can critically shape where the blame lies.

Real life safety of systemic steroids for sudden sensorineural hearing loss: a chart review.

OBJECTIVES: To report adverse events (AEs) associated with systemic steroid treatment in idiopathic sudden sensorineural hearing loss (ISSNHL). MATERIAL AND METHODS: A retrospective chart review of consecutive patients newly diagnosed with ISSNHL necessitating systemic steroidal treatment was conducted from 1/2017 to 2/2021. Blood pressure (BP) was monitored three times daily and morning fasting glucose was monitored once daily during treatment. An AE was defined as a fasting blood glucose level > 160 mg/dl, systolic BP > 80 mmHg, and diastolic BP > 100 mmHg. RESULTS: In total, 143 patients were enrolled [69 (48%) males and 74 (52%) females] of whom 29 (20%) had diabetes mellitus (DM) and 46 (32%) had hypertension (HTN). The cohort's median age (interquartile range) was 58 (37-69) years. Fifty-three patients (37%) did not complete the oral steroidal treatment due to any AE (glycemic or hypertensive). Background DM highly correlated with increased risk of a glycemic event (0.59 vs. 0.13 for diabetic and non-diabetic patients, respectively, P < 0.001). HTN correlated significantly with increased risk of an overall AE (0.54 vs. 0.29 for hypertensive and non-hypertensive patients, respectively, P = 0.001). Neither pre-treatment BP nor glucose level predicted the risk of an AE (P = 0.310 and 0.521, respectively). CONCLUSIONS: AEs due to systemic steroidal treatment are common among ISSNHL patients. Demographic and baseline values cannot predict the risk of AEs which can occur throughout the entire duration of treatment. Patients with DM and HTN are at the greatest risk of AEs. Tight blood glucose and BP monitoring are recommended during treatment.

Resolving attacker-defender conflicts through intergroup negotiation.

The target article focuses on how attacker-defender conflicts are fought. This commentary complements it by considering how attacker-defender conflicts may be resolved at the bargaining table. I highlight multiple linkages between asymmetric intergroup conflict as modeled with the attacker-defender game and negotiation research and illustrate how the proposed model of attacker-defender conflicts can inspire new research on intergroup negotiation.

Selfish third parties act as peacemakers by transforming conflicts and promoting cooperation.

The tremendous costs of conflict have made humans resourceful not only at warfare but also at peacemaking. Although third parties have acted as peacemakers since the dawn of history, little is known about voluntary, informal third-party intervention in conflict. Here we introduce the Peacemaker Game, a novel experimental paradigm, to model and study the interdependence between disputants and third parties in conflict. In the game, two disputants choose whether to cooperate or compete and a third party chooses whether or not to intervene in the conflict. Intervention introduces side payments that transform the game disputants are playing; it also introduces risk for the third party by making it vulnerable to disputants' choices. Six experiments revealed three robust effects: (i) The mere possibility of third-party intervention significantly increases cooperation in interpersonal and intergroup conflicts; (ii) reducing the risk to third parties dramatically increases intervention rates, to everyone's benefit; and (iii) disputants' cooperation rates are consistently higher than third parties' intervention rates. These findings explain why, how, and when self-interested third parties facilitate peaceful conflict resolution.

Roles and ranks: The importance of hierarchy for group functioning.

Baumeister et al. propose that role differentiation is critical for group functioning. We propose that effective groups require rank differentiation in addition to role differentiation. We suggest that rank differentiation supports division of labor by incentivizing group members, satisfying fundamental human needs, and organizing and integrating the contributions of differentiated group members.

Intergroup conflict as contest and disease.

Intergroup conflict has been conceptualized as a strategic interaction (conflict-as-contest) and separately as a pathological condition (conflict-as-disease). We highlight how insights and tools from the former perspective can potentially inform the latter. Harnessing the science of strategic decision-making can facilitate the development of novel approaches for mitigating intergroup conflict.

Strategic Mindsets and Support for Social Change: Impact Mindset Explains Support for Black Lives Matter Across Racial Groups.

How does the self-relevance of a social movement shape individuals' engagement with it? We examined the decision-making processes that underlie support for Black Lives Matter (BLM) among Black, Hispanic, Asian, and White Americans. We find significant between-group differences in levels of support for BLM, both in terms of past behavior (Study 1) and in terms of future intentions to support the movement (Study 2). These differences notwithstanding, thinking about how one's decisions impact others - which we label impact mindset - explains support for BLM across racial groups, cross-sectionally as well as longitudinally (over 8 months later). Our findings underscore the equivalence of the impact mindset construct across racial groups and its predictive power in the context of BLM. We conclude that, although the struggle for racial justice has different meanings for different racial groups, the same mindset underlies both in-group advocacy and allyship in the context of BLM.

The Humor Advantage: Humorous Bragging Benefits Job Candidates and Entrepreneurs.

From job candidates to entrepreneurs, people often face an inherent tension between the need to share personal accomplishments and the need to avoid appearing arrogant. We propose that humorbragging-incorporating self-enhancing humor into self-promoting communications-can signal warmth and competence simultaneously, leading to instrumental benefits. Four studies explored humorbragging as a potential solution to the self-promotion paradox. Study 1 demonstrated that a humorbragging (vs. self-promoting) resume attracted more hiring interest from recruiters. Study 2 showed that perceived warmth and competence mediate the positive effect of humorbragging on hiring intentions. Study 3 found that humorbragging entrepreneurs achieved greater success securing funding compared to entrepreneurs who used other kinds of humor. Finally, Studies 4a to 4c established that the positive effect of humorbragging on hiring intentions is unique to self-enhancing humor. Overall, the current research establishes the instrumental benefits of humorbragging and explains why and when it functions as an effective impression management strategy.

The effect of septal deviation on postoperative quality of life in patients undergoing radiofrequency-assisted turbinate reduction.

Objectives: Inferior turbinate hypertrophy (ITH) and nasal septum deviation are leading causes of chronic nasal obstruction. Radiofrequency ablation (RFA) of hypertrophic inferior turbinates is effective for improving quality of life (QOL). We aim to assess QOL among patients with nasal obstruction associated with ITH and major deviated nasal septum. Methods: A prospective cohort study comparing the difference in improved QOL among patients with and without septal deviation following RFA treatment between March 2016 and June 2019. The patients formed two groups according to their grade of septal deviation. Patients participating filled in QOL questionnaires (Sino-Nasal Outcome Test-22 [SNOT-22] and Nasal Obstruction Symptom Evaluation [NOSE]) Pre- and 2 months postprocedure. Results: All patients demonstrated QOL improvement with no significant difference between those with and those without any degree of deviated septum, as demonstrated by their responses to the SNOT-22 questionnaire (p = .29), the NOSE questionnaire (p = .93), and the degree of nasal obstruction (question 22 in the SNOT-22 questionnaire) (p = .14). Conclusion: We conclude that septal deviation to certain degree does not preclude treatment of ITH with RFA nor does it negatively affect subjective improvement of the patient's QOL. Both those with and those without septal deviation will benefit similarly with regards to subjective QOL improvement.

The dynamics of gender and alternatives in negotiation.

A substantial body of prior research documents a gender gap in negotiation performance. Competing accounts suggest that the gap is due either to women's stereotype-congruent behavior in negotiations or to backlash enacted toward women for stereotype-incongruent behavior. In this article, we use a novel data set of over 2,500 individual negotiators to examine how negotiation performance varies as a function of gender and the strength of one's alternative to a negotiated agreement. We find that the gender gap in negotiation outcomes exists only when female negotiators have a strong outside option. Furthermore, our large data set allows us to examine an understudied performance outcome, rate of impasse. We find that negotiations in which at least one negotiator is a woman with a strong alternative disproportionately end in impasse, a performance outcome that leaves considerable potential value unallocated. In addition, we find that these gender differences in negotiation performance are not due to gender differences in aspirations, reservation values, or first offers. Overall, these findings are consistent with a backlash account, whereby counterparts are less likely to come to an agreement and therefore reach a potentially worse outcome when one party is a female negotiator empowered by a strong alternative. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Managing hierarchy's functions and dysfunctions: a relational perspective on leadership and followership.

Research on hierarchy often examines how hierarchy influences group members. In contrast, we propose that leaders and followers have agency to actively shape the hierarchies they are part of. Thus, hierarchy's functionality or dysfunctionality depends not only on what hierarchy does to people, but also on what people do with hierarchy. We offer two complementary lenses through which readers may consider hierarchy's functions and dysfunctions: a rational-functional perspective and a relational-communal perspective. We review recent research related to our dual focus on agency and relatedness, and highlight leadership behaviors that research suggests can potentially boost group performance and support group members' wellbeing simultaneously.

Brokering orientations and social capital: Influencing others' relationships shapes status and trust.

Individuals often influence others' relationships, for better or worse. We conceptualize social influence processes that impact others' social networks as brokering, and advance a multifaceted model that explains how brokering behaviors can create, terminate, reinforce, and modify others' network ties. To empirically study brokering, we introduce and validate the Brokering Orientations Scale (BOS), a multidimensional measure that captures individuals' behavioral tendencies to act as intermediaries, conciliators, and dividers. Six studies (N = 1,723) explored the psychometric properties of the BOS (Studies 1a-c) and investigated the effects of distinct forms of brokering on brokers' social capital (Studies 2-4). The intermediary, conciliatory and divisive brokering orientations related differently to extraversion, agreeableness, perspective-taking, moral identity, and Machiavellianism, among other individual differences. The effects of brokering on social capital varied as a function of the brokering orientation and the aspect of social capital. Intermediary behavior garnered status; conciliatory behavior promoted trust and prestige; and divisive behavior fueled brokers' perceived dominance. Overall, the current article elucidates the concept of brokering orientations, introduces a novel measure of brokering orientations, and explains how brokering behavior shapes brokers' social capital. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Should air travel be avoided shortly after an idiopathic sudden sensorineural hearing loss?

Introduction: The effect of air travel on the recovery rate after idiopathic sudden sensorineural hearing loss (ISSNHL) has not been established. The advice to avoid flights is essentially based upon conjecture.Objectives: To analyze the recovery rate of patients who traveled by air shortly after they were treated for ISSNHL.Materials and methods: The hospital records of 115 newly diagnosed adult patients with unilateral ISSNHL were retrospectively collected. Included were patients who traveled by air within 90 days since the ISSNHL occurrence. The treatment protocol included oral prednisone and intratympanic dexamethasone injection when indicated. Audiograms performed upon presentation and 90 days later were compared.Results: Twelve patients were included (median age 45.5 years). The median treatment delay was 3 days. The average time from the ISSNHL to air-travel was 37 days, and the average air-travel distance was 13,362 km. The degree of HL was moderate, moderately severe, and severe (4 patients each). Seven patients (58%) underwent full recovery. No patients experienced further deterioration of their audiometric results after air-travel.Conclusions: This study does not support the avoidance of air-travel after ISSNHL.Significance: This study is the first to investigate the effect of air-travel on ISSNHL recovery rates, a clinical question that rises commonly.

On Ladders and Pyramids: Hierarchy's Shape Determines Relationships and Performance in Groups.

Hierarchies take different forms, which individuals mentally represent using different geometric shapes. We propose and empirically demonstrate that individuals' mental representations of the shape hierarchy takes affect its consequences. Five studies compared two common mental representations of hierarchy shapes-ladders and pyramids-to explore whether, why, and how individuals' perceptions of hierarchy's shape undermine constructive relationships within groups and group performance. Study 1 demonstrated that individuals commonly mentally represent hierarchies as ladders and pyramids. In Studies 2 and 3, employees who perceived their workplace hierarchies to be shaped like ladders (as compared with pyramids) experienced worse intragroup relationships. Finally, Studies 4 and 5 experimentally manipulated groups' hierarchical shape in the lab and found that ladder-shaped hierarchies undermined social relationships and group performance relative to pyramid-shaped hierarchies. Taken together, these findings enhance our understanding of hierarchies' multifaceted consequences and help shed light on the (dis)utility of hierarchy for group functioning.

The Solitude of Secrecy: Thinking About Secrets Evokes Goal Conflict and Feelings of Fatigue.

Past research has conceptualized secrecy as speech inhibition during social interaction. In contrast, the current research broadens the understanding of secrecy by conceptualizing it as the commitment to conceal information. Seven experiments demonstrate the implications of this broader conceptualization for understanding secrecy's consequences. The results demonstrate that thinking about secrets-relative to thinking about personal information unknown by others that is not purposefully concealed (i.e., undisclosed information)-indirectly increases the experience of fatigue by evoking feelings of isolation and a motivational conflict with one's affiliation goals. Furthermore, we demonstrate that the fatiguing effects of secrecy have consequences for task persistence and performance. Integrating theories of motivation, fatigue, and social isolation, we offer new directions for research on secrecy.

Team negotiation: social, epistemic, economic, and psychological consequences of subgroup conflict.

Large collectives (e.g., organizations, political parties, nations) are seldom unitary players. Rather, they consist of different subgroups that often have conflicting interests. Nonetheless, negotiation research consistently regards negotiating teams, who represent these collectives, as monolithic parties with uniform interests. This article integrates concepts from social psychology, management, political science, and behavioral game theory to explore the effects of subgroup conflict on team negotiation. Specifically, the present research introduced a conflict of interests within negotiating teams and investigated how this internal conflict affects the outcome of the negotiation between teams. An experiment with 80 four-person teams found that conflict between subgroups had a detrimental effect on the performance of negotiating teams. This research also employed a recent model of motivated information processing in groups to investigate possible processes underlying the effect of subgroup conflict on team negotiation.