What is a reasonable response to sexual harassment?

Sexual harassment is widespread and has multiple consequences on its targets. The issue of sexual harassment has gained a lot of attention in recent years, and it is often discussed as a negative behaviour that should be unacceptable, with consequences for those who perpetrate it. However, responses to those who come forward to report their experiences remain unsupportive; their credibility and character are often questioned, while the actions and decisions they made after the incident are judged and sometimes used against them. These reactions to people who report sexual harassment presume that we know how people who have been sexually harassed should (or do) react to these situations, what decisions they make and why. The common expectation is that victims will immediately recognise what happened as a crime, decide to seek justice, and make a formal report. But do we really know how victims of sexual harassment or assault behave? There is evidence from government and third sector surveys that the majority of people who experience sexual harassment do not report it formally. Often they take no action at all. This discrepancy between what victims do, and how they are expected to behave, raises questions about what victims really feel, and what needs are served by the actions that they take, irrespective of what others might expect. This thesis aims to address these questions. Chapter 1 provides an overview of the thesis and Chapters 2 and 3 are dedicated to reviewing the relevant literature. Chapters 4 and 5 then summarise four studies we conducted to explore these issues. These studies focus on four different perspectives on what victims of harassment need and do in the in response to their experiences. Namely, we consider the perspectives of informal service providers, formal service providers, survivors of sexual harassment, and those who have never been sexually harassed but imagine how they would respond if they had. Finally, we conclude with a discussion in Chapter 6, which integrates the findings from Studies 1-4 and underlines the potential practical implications of our findings

Sleep, Anxiety, and Academic Performance: A Study of Adolescents From Public High Schools in China

PURPOSE: Sleep is essential for optimal learning across the developmental pathways. This study aimed to (1) explore whether school start and end times and screen time influenced sleep disturbances in adolescents during the lockdown in China and (2) investigate if sleep disturbances at night and sleep-related impairment (daytime fatigue) influenced adolescents' academic performance and anxiety levels. METHODS: Ninety-nine adolescents aged 15–17 years old were recruited from two public schools in Baishan City Jilin Province, China. An online questionnaire was distributed including questions on adolescents' demographics, screen time habits, academic performance, anxiety level, sleep disturbances, and sleep-related impairment. RESULTS: Adolescents who started school earlier and ended school later had a greater severity of sleep disturbances and sleep-related impairment compared with students who started school later and finished earlier. Adolescents who engaged in screen time at bedtime were more likely to have a greater severity of sleep-related impairment than students who reported no screen time use at bedtime. Adolescents who had a greater severity of sleep disturbances had higher anxiety and higher academic achievements than adolescents with less sleep disturbances. Finally, 79.7% of adolescents reported their total sleep duration as <8 h. CONCLUSIONS: Adolescents are experiencing sleep disturbances to manage academic demands during COVID-19, which in turn is having a wider impact on their mental health. Many schools internationally have continued to provide online education to students, longitudinal studies on how COVID-19 has influenced adolescents sleep and mental health would be beneficial in understanding the impact of the pandemic

Carpal tunnel syndrome due to an atypical deep soft tissue leiomyoma: The risk of misdiagnosis and mismanagement

<p>Abstract</p> <p>Background</p> <p>Leiomyomas of the deep soft tissue are quite uncommon and occur even more rarely in upper extremity.</p> <p>Case presentation</p> <p>A 32-year old manual laborer man presented with a two-year history of numbness, tingling and burning pain in the palmar surface of the left hand and fingers. His medical history was unremarkable and no trauma episode was reported. According to the clinical examination and the result of median nerve conduction study (NCS) the diagnosis of carpal tunnel syndrome was established. Operative release of the transverse carpal ligament was subsequently performed but the patient experienced only temporary relief of his symptoms. MRI examination revealed a deep palmary located mass with well-defined margins and ovoid shape. Intraoperatively, the tumor was in continuity with the flexor digitorum superficialis tendon of the middle finger causing substantial compression to median nerve. Histopathological findings of the resected mass were consistent with leiomyoma. After two years the patient was pain-free without signs of tumor recurrence.</p> <p>Conclusion</p> <p>Despite the fact that reports on deep soft tissue leiomyoma are exceptional, this tumor had to be considered as differential diagnosis in painful non-traumatic hand syndromes especially in young patients.</p

Good Sleep Quality Improves the Relationship Between Pain and Depression Among Individuals With Chronic Pain

Individuals with chronic pain often experience co-existing sleep problems and depression-related states. Chronic pain, sleep problems, and depression interrelate, and have been shown to exacerbate one another, which negatively impacts quality of life. This study explored the relationships between pain severity, pain interference, sleep quality, and depression among individuals with chronic pain. Secondly, we tested whether sleep quality may moderate the relationship between pain and depression. A cross-sectional survey was completed by 1,059 adults with non-malignant chronic pain conditions (Mage 43 years, 88% identified as women) and collected measures related to pain severity, pain interference, sleep quality and depression. Multiple regression analyses found that pain severity, pain interference and sleep quality are all significantly associated with depression. Secondly, moderated regression analyses revealed that sleep quality moderates the relationship between pain interference and depression among individuals with chronic pain such that good sleep quality attenuates the effect of pain interference on depression, and poor sleep quality amplifies the effect of pain interference on depression. These findings suggest that sleep quality may be a relevant therapeutic target for individuals with chronic pain and co-existing depression

Acute impact of a national lockdown during the COVID-19 pandemic on wellbeing outcomes among individuals with chronic pain

Changes to wellbeing in a community- based sample of 638 adults with non-malignant chronic pain were assessed during a period of mandated lockdown measures in the UK to control the COVID-19 outbreak. Participants completed an online survey pre-lockdown and were followed up during lockdown. Multivariate analysis demonstrate that decreased ability to self-manage, restricted access to healthcare and increased dependence on others were associated with negative wellbeing outcomes related to sleep, anxiety and depression. Essential but nonurgent services are required during periods of lockdown to maintain independence and self-management in order to preserve wellbeing in this population

The influence of repeated cold water immersion on adaptations to strength and power training

Introduction Cold Water Immersion (CWI) is a popular recovery strategy utilised by athletes in order to attenuate the negative influence of strenuous exercise on subsequent performance. One of the proposed physiological mechanisms underpinning the use of CWI is the potential to limit the inflammatory response after acute exercise. Given that the inflammatory cascade ultimately leads to muscle regeneration and repair, it is pertinent to investigate the longer term impact of regular cryotherapy exposure on adaptations to strength and power training. Methods Thirteen resistance trained males (mean age 25.8 ± 5.5 years; height 1.8 ± 0.1 m; mass 83.6 ± 15.7 kg; 4RM back squat 146.2 ± 38.5 kg) completed an 8 week (1 x 4 week strength and 1 x 4 week power block) lower body resistance training program. Participants were match-paired into either the CWI (10 min at 10° ± 0.5°) or placebo group based on a ratio of lean mass to 4RM back squat. Participants completed 2 training sessions per week and completed their allocated recovery intervention after each training session. Measures of muscle fibre pennation angle, maximal voluntary isometric contraction (MVIC) at 90°, peak torque of the knee extensors (60deg∙s), and isometric squat parameters (peak force and rate of force development (RFD))were measured at baseline, midpoint and post training intervention. Results were analysed using magnitude based inferences. Results At the post testing session, CWI demonstrated a likely moderate harmful effect on muscle fibre pennation angle compared to the placebo group (CWI: 11.4; ±4.8%; placebo: 21.5; ±8.4%). However, CWI demonstrated a likely large beneficial effect on peak torque (60deg∙s) compared to the placebo group (CWI: 7.5; ±6.5%; placebo: -2.4; ±4.0%) at midpoint. There were trivial differences between groups for isometric peak force and peak torque (60deg∙s) from baseline to post. All other effects were unclear. Discussion The greater increase in muscle fibre pennation angle in the placebo group compared to the CWI group would indicate a greater increase lean muscle mass. However, CWI still demonstrated a positive impact on peak torque at 60 deg∙s compared to the placebo group. Blood sample analyses are ongoing and may offer further insight into the underpinning mechanisms. Further investigation is warranted to better understand the potential negative impact of repeated cryotherapy exposure on functional adaptations to strength and power training stimuli

Nightmares in Children with Foetal Alcohol Spectrum Disorders, Autism Spectrum Disorders, and Their Typically Developing Peers

Children with Foetal Alcohol Spectrum Disorders (FASD) and Autism Spectrum Disorders (ASD) experience significantly higher rates of sleep disturbances than their typically developing (TD) peers. Pre-sleep anxiety and waking emotional content is known to affect the content and frequency of nightmares, which can be distressing to children and caregivers. This is the first study to analyse nightmare frequency and content in FASD, and to assess its association with psychometric outcomes. Using online caregiver questionnaires, we assessed reports from 277 caregivers of children with ASD (n = 61), FASD (n = 112), and TD children (n = 104) using the Children’s Sleep Habits Questionnaire (CSHQ), the Child Behaviour Checklist (CBCL), the Spence Children’s Anxiety Scale (SCAS), and the Behaviour Rating Inventory for Executive Functioning (BRIEF). Within the ASD group, 40.3% of caregivers reported their children had nightmares. Within the FASD group, 73.62% of caregivers reported their children had nightmares, and within the TD group, 21.36% of caregivers reported their children had nightmares. Correlation analysis revealed significant associations between anxiety and nightmares, maladaptive behaviour and nightmares, and executive functioning and nightmares in the TD and FASD groups, but not ASD group. This paper adds to the emerging body of work supporting the need for sleep interventions as part of clinical practice with regard to children with ASD and FASD. As a relatively niche but important area of study, this warrants much needed further research

Whole body cryotherapy, cold water immersion, or a placebo following resistance exercise: a case of mind over matter?

PURPOSE: The use of cryotherapy as a recovery intervention is prevalent amongst athletes. Performance of high volume, heavy load resistance exercise is known to result in disturbances of muscle function, perceptual responses and blood borne parameters. Therefore, this study investigated the influence of cold water immersion (CWI), whole body cryotherapy (WBC) or a placebo (PL) intervention on markers of recovery following an acute resistance training session. METHODS: 24 resistance trained males were matched into a CWI (10 min at 10 °C), WBC (3- and 4 min at - 85 °C) or PL group before completing a lower body resistance training session. Perceptions of soreness and training stress, markers of muscle function, inflammation and efflux of intracellular proteins were assessed before, and up to 72 h post exercise. RESULTS: The training session resulted in increased soreness, disturbances of muscle function, and increased inflammation and efflux of intracellular proteins. Although WBC attenuated soreness at 24 h, and positively influenced peak force at 48 h compared to CWI and PL, many of the remaining outcomes were trivial, unclear or favoured the PL condition. With the exception of CRP at 24 h, neither cryotherapy intervention attenuated the inflammatory response compared to PL. CONCLUSION: There was some evidence to suggest that WBC is more effective than CWI at attenuating select perceptual and functional responses following resistance training. However, neither cryotherapy intervention was more effective than the placebo treatment at accelerating recovery. The implications of these findings should be carefully considered by individuals employing cryotherapy as a recovery strategy following heavy load resistance training