Psychological, Relational, and Biological Correlates of Ego-Dystonic Masturbation in a Clinical Setting

AbstractIntroductionAttitudes toward masturbation are extremely varied, and this practice is often perceived with a sense of guilt.AimTo evaluate the prevalence of ego-dystonic masturbation (EM), defined as masturbation activity followed by a sense of guilt, in a clinical setting of sexual medicine and the impact of EM on psychological and relational well-being.MethodsA series of 4,211 men attending an andrology and sexual medicine outpatient clinic was studied retrospectively. The presence and severity of EM were defined according to ANDROTEST items related to masturbation, determined by the mathematical product of the frequency of masturbation and the sense of guilt after masturbation.Main Outcome MeasuresClinical, biochemical, and psychological parameters were studied using the Structured Interview on Erectile Dysfunction, ANDROTEST, and modified Middlesex Hospital Questionnaire.ResultsThree hundred fifty-two subjects (8.4%) reported any sense of guilt after masturbation. Subjects with EM were younger than the remaining sample (mean age ± SD = 51.27 ± 13.43 vs 48.31 ± 12.04 years, P < .0001) and had more psychiatric comorbidities. EM severity was positively associated with higher free-floating (Wald = 35.94, P < .001) and depressive (Wald = 16.85, P < .001) symptoms, and subjects with a higher EM score reported less phobic anxiety (Wald = 4.02, P < .05) and obsessive-compulsive symptoms (Wald = 7.6, P < .01). A higher EM score was associated with a higher alcohol intake. Subjects with EM more often reported the partner's lower frequency of climax and more problems achieving an erection during sexual intercourse. EM severity was positively associated with worse relational and intrapsychic domain scores.ConclusionClinicians should consider that some subjects seeking treatment in a sexual medicine setting might report compulsive sexual behaviors. EM represents a clinically relevant cause of disability, given the high level of psychological distress reported by subjects with this condition, and the severe impact on quality of life in interpersonal relationships

Application of EMI and FDR sensors to assess the fraction of transpirable soil water over an olive grove

Accurate soil water status measurements across spatial and temporal scales are still a challenging task, specifically at intermediate spatial (0.1-10 ha) and temporal (minutes to days) scales. Consequently, a gap in knowledge limits our understanding of the reliability of the spatial measurements and its practical applicability in agricultural water management. This paper compares the cumulative EM38 (Geonics Ltd., Mississauga, ON, Canada) response collected by placing the sensor above ground with the corresponding soil water content obtained by integrating the values measured with an FDR (frequency domain reflectometry) sensor. In two field areas, characterized by different soil clay content, two Diviner 2000 access tubes (1.2 m) were installed and used to quantify the dimensionless fraction of transpirable soil water (FTSW). After the calibration, the work proposes the combined use of the FDR and electromagnetic induction (EMI) sensors to measure and map FTSW. A strong correlation (R2= 0.86) between FTSW and EM38 bulk electrical conductivity was found. As a result, field changes of FTSW are due to the variability of soil water content and soil texture. As with the data acquired in the field, more structured patterns occurred after a wetting event, indicating the presence of subsurface flow or root water uptake paths. After assessing the relationship between the soil and crop water status, the FTSW domain includes a critical value, estimated around 0.38, below which a strong reduction of relative transpiration can be recognized

Binge and Emotional Eating in obese subjects seeking weight loss treatment

Objective: Binge Eating Disorder (BED) is highly prevalent among individuals seeking weight loss treatment. Considering the possible trigger factors for BED, different studies focused on the role of emotional eating. The present study compared threshold, subthreshold BED, and subjects without BED in a population of overweight/obese individuals seeking weight loss treatment, considering the anamnesis, the eating disorder specific and general psychopathology, the organic and psychiatric comorbidity, the emotional eating as a trigger factor for binge eating, and the quality of life. Design: cross-sectional survey.Subjects: Four hundred thirty eight overweight subjects seeking weight loss treatment have been enrolled in the study. Measurements: Subjects have been evaluated by means of a clinical interview (SCID I) and different self-reported questionnaires (Eating Disorder Examination Questionnaire, Binge Eating Scale, Beck Depression Inventory, Spielberg&#x27;s State-Trait Anxiety Inventory, Symptom Checklist 90, Emotional Eating Scale, and Obesity Related Well-Being questionnaire). Results: One hundred and five subjects (24% of the sample) fulfilled the DSM-IV criteria of lifetime BED, 146 (33.3%) fulfilled the criteria of lifetime subthreshold BED, and 187 (42.7%) subjects were diagnosed overweight non-BED. No correlations between the binges frequencies and the overweight levels were found. All the three groups showed high psychiatric comorbidities, and the three groups significantly differed in terms of emotional eating, which was positively correlated to the binge eating frequencies. Conclusions: Threshold and subthreshold BED deserve a careful psychopathological investigation and emotional eating seems to play a key role as trigger factor for binge eating. Obesity is associated with a high psychiatric comorbidity and a low quality of life, independently from the specific and general eating disorder psychopathology

From A to Z: Using Alphabet Books as an instructional Tool with Older Readers

Alphabet books provide a literature source for teachers to use in the classroom that focuses on a common sequence of textual organization which upper elementary and middle school students have known since they were young children. These students most likely had in their repertoire of beginning to read activities, alphabet books using common symbols to match the letters such as A is for apple, B is for bear, C is for cat. The objects were selected to match the true sound of the letter with a single or small number of illustrations to demonstrate the concept. The alphabet book addresses the 26 letters in picture book format with typically 24 to 48 pages, illustrations on double pages, and brief text (Kormanski and Stevens, 1993)

Unsupervised activity recognition for autonomous water drones

We propose an automatic system aimed at discovering relevant activities for aquatic drones employed in water monitoring applications. The methodology exploits unsupervised time series segmentation to pursue two main goals: i) to support on-line decision making of drones and operators, ii) to support off-line analysis of large datasets collected by drones. The main novelty of our approach consists of its unsupervised nature, which enables to analyze unlabeled data. We investigate different variants of the proposed approach and validate them using an annotated dataset having labels for activity \u201cupstream/downstream navigation\u201d. Obtained results are encouraging in terms of clustering purity and silhouette which reach values greater than 0.94 and 0.20, respectively, in the best models

Historical evolution of the concept of anorexia nervosa and relationships with orthorexia nervosa, autism, and obsessive-compulsive spectrum

Eating disorders have been defined as "characterized by persistence disturbance of eating or eating-related behavior that results in the altered consumption or absorption of food and that significantly impairs health or psychosocial functioning". The psychopathology of eating disorders changed across time under the influence of environmental factors, determining the emergence of new phenotypes. Some of these conditions are still under investigation and are not clearly identified as independent diagnostic entities. In this review, the historic evolution of the eating disorder concept up to the recent Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, has been evaluated. We also examined literature supporting the inclusion of new emergent eating behaviors within the eating disorder spectrum, and their relationship with anorexia, autism, and obsessive-compulsive disorder. In particular, we focused on what is known about the symptoms, epidemiology, assessment, and diagnostic boundaries of a new problematic eating pattern called orthorexia nervosa that could be accepted as a new psychological syndrome, as emphasized by an increasing number of scientific articles in the last few years