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Research on the use of sex toys has been primarily performed from a medical perspective, while there is still limited research from a psychosocial perspective. To bridge this gap, in this study we examined whether some psychosocial variables might be linked to sex toy ownership in a sample of 3960 Italian (cisgender men and women) sex toy buyers. More specifically, we investigated the association between gender identities and ideologies and the variety and types of sex toys owned. Based on the data, we detected two dimensions underlying the ownership of sex toys: (1) orientation to owning kinky sex toys and (2) orientation to owning clit-oriented sex toys. Results showed that benevolent sexism and gender system justification were negatively correlated with owning clit-oriented toys. Moreover, strongly gender-identified participants owned a small variety of different toys and preferred toys that were designed to stimulate the vagina or clitoris over less commonly-used toys. No significant correlation between feminist identification and sex toy type owned was found when gender identification was taken into account. These results suggest that the owning of sex toys might be associated with traditional gender ideology and the strength of gender identification.

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This study investigated the effect of the victim's gender and the perpetrator's attractiveness on the observer's blame on the male and female victims of coercive sexual contact. Two hundred and ninety-six participants (184 females) were enrolled in an experiment in which the victim's gender and the offender's attractiveness were manipulated using vignettes depicting cross-gender sexual assault. Participants rated emotions that the victims experienced in being assaulted and attributed victim blame. The results indicate that the male victim was blamed more than the female victim, especially when the female perpetrator was described as attractive. The female victim was perceived as having experienced more negative emotions and fewer positive emotions than the male victim. The effect of the victim's gender on victim blaming was mediated by both positive and negative emotions.

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This research analyzed the effect of professional, organizational and care-unit identifications on both healthcare professionals' quality of professional life and mental health. This research was done in a local hospital in a region of northern Italy which was one of the first regions to be impacted by the first wave of the pandemic. Using a cross-sectional research, a web-based questionnaire was sent to the healthcare professionals. Professional quality of life, professional identifications as well as emotional maladjustment in terms of stress, anxiety and depression were measured. Results indicated that professional and care unit identification were positively linked to increased compassion satisfaction and reduced burnout. Professional identification was negatively associated with secondary traumatic stress as well, while care unit identification was positively associated with vicarious trauma. The negative dimension of the professional quality of life had positive relations with emotional maladjustment. Professional and care unit identifications appeared to have an indirect effect via professional quality of life on maladjustment.

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The present study aimed to investigate the role of motivational process and coping resources in health professionals during the COVID-19 emergency examining the role of Care Unit Identification and safety climate perception as resources that can help nurses to cope with stressors. A cross-sectional research design was used and 218 nurses completed a self-report questionnaire measuring: Perception of safety, Care Unit identification, Work Engagement, Psychological Distress, and Burnout. Results revealed that Work Engagement was significantly related with Burnout (b = -0.209, 95%CI [-0.309; -0.109]) and Distress (b = -0.355, 95%CI [-0.529; -0.18]) especially when the Care Unit identification is high (b = -0.303, 95%CI [-0.448; -0.157] and b = -0.523, 95%CI [-0.772; -0.275], respectively). The safety perception was positively related to Work Engagement (b = 0.315, 95%CI [0.198; 0.433]) and had an indirect effect on psychological Distress (b = -0.112, 95%CI [-0.181; -0.042]) and Burnout (b = -0.066, 95%CI [-0.105; -0.027]). High levels of both Care Unit identification and perception of safety, along with personal work engagement, appear to protect nurses from burnout and psychological distress. Findings suggest that the effort to improve teamwork identification and ensures an adequate degree of perceived safety for healthcare professionals need to be maintained and reinforced as they positively impact nurses' wellbeing.

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BACKGROUND AND AIM: Perceived COVID-19-related stigmatizations have a strong impact on healthcare workers' wellbeing and quality of professional life, decreasing satisfaction and increasing fatigue. This work aims to investigate the role of professional identification in moderating the impact of COVID-19-related stigma on quality of professional life in a sample of healthcare professionals working in hospital. METHODS: A cross-sectional design in which a web-based questionnaire was sent to professionals was used to collect answers from 174 participants, most of whom women and nurses. RESULTS: Perceived stigma was negatively related with compassion satisfaction and positively related with an increase in both burnout and secondary traumatic stress. Professional identification had a positive correlation with satisfaction and a negative correlation with burnout, but this was not directly related with secondary traumatic stress. Importantly, stigma and identification interacted so that stigma decreased compassion satisfaction only when identification was low, and increased secondary traumatic stress only when identification was high. No interaction effect appeared with respect to burnout. CONCLUSIONS: Experience of stigmatization has the potential to decrease the quality of professional life of healthcare professionals. Professional identification seems to help professional to maintain higher level of compassion satisfaction and reduced burnout. However, professional identification seems also be associated with vicarious trauma experienced following stigma. (www.actabiomedica.it).

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Do superordinate in-group bias as well as temporal and social comparisons offer standalone explanations for system justification? We addressed this question using the latest World Value Survey (7th Wave), combining the responses of 55,721 participants from 40 different nations. Results from a random slope multilevel model showed that superordinate (national) identification, temporal comparison (i.e., the outcomes of an individual relative to those of his/her parents at different time points), and social comparison (based on income levels) were independent and positive predictors of system justification. Specifically, system justification increased when national identification was high, when income increased (i.e., the socioeconomic comparison was positive), and when the outcomes of citizens improved relative to the outcomes of their parents at relevant time points (i.e., the temporal comparison was positive). Incidentally, we also observed an interaction between national identification and temporal comparison (but not with social comparison), indicating that positive temporal comparison seemed to have a reduced effect (but still significant) for highly identified citizens. These results are supportive of the social identity approach to system justification and suggest that support for societal systems is a positive function of people's personal and group interests.

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Three studies have tested the hypothesis that intermediate-status groups are more oriented to ally with outgroups when their social position is under threat. In study 1, participants believed that their ingroup was intermediate in status and social stratification was manipulated as either stable or status-detrimental unstable. Results indicated that participants were more likely to seek alliances a) with a high-status group and b) when social stratification was status-detrimental unstable. Study 2 showed that participants were more likely to seek alliances with a lower status group when social stratification was status-detrimental unstable rather than stable, while they were supportive of policies helping disadvantaged groups regardless of the stability of social stratification. Study 3 showed that when social stratification was status-detrimental unstable, intermediate-status group members were more oriented to ally with a low-status group, equally supportive of policies helping disadvantaged groups, but less oriented to supplying direct help to a low-status group.

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BACKGROUND: Strategies to restore sinus rhythm in patients with atrial fibrillation (AF) lasting less than 48 h with haemodynamic stability remain controversial. The aim of this study was to test the hypothesis that electrical cardioversion (EC) would be more effective and safer in converting acute AF to sinus rhythm, compared with intravenous propafenone treatment. METHODS: In the emergency department (ED) of Valduce Hospital, a single-centre randomised trial was conducted to compare EC with pharmacological cardioversion (PC) to restore the sinus rhythm in selected patients with acute AF. A total of 247 patients was enrolled (121 in the EC group and 126 in the PC group). RESULTS: EC was more successful than PC in restoring sinus rhythm. Successful cardioversion was achieved in 108 out of 121 patients in the EC group (89.3%) and 93 out of 126 patients in the PC group (73.8%) (HR in the EC group, 0.34; 95% CI 0.17 to 0.68; p=0.02). The time patients spent in the ED undergoing treatment was significantly lower in the EC group compared with the PC group (median (range), 180 (120-900) vs 420 (120-1400) min; p<0.001). CONCLUSIONS: EC was more effective in patients with acute AF and resulted in a shorter length of stay in the ED than PC. Adverse events were small in number and transient in both groups of patients. Clinical trials registration number NCT00933634.

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A young man with abdominal pain who had radiopaque tablets in his gut is described. Investigations showed the diagnosis of lead poisoning from ayurvedic medicines.

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OBJECTIVE: The objective of the study was to compare the effect of continuous positive airway pressure (CPAP) in patients with acute cardiogenic pulmonary edema (ACPE) with preserved or impaired left ventricular systolic function with regard to resolution time. METHODS: In a prospective, preliminary observational cohort study, 18 patients with preserved left ventricular systolic function (group A) and 18 patients with systolic heart dysfunction (group B) with ACPE underwent CPAP (10 cmH(2)0) through a face mask with standard medical therapy after a morphologic echocardiographic investigation shortly before CPAP. RESULTS: Resolution time did not differ significantly between the 2 groups of patients (64 +/- 25 minutes in diastolic group vs 80 +/- 33 minutes in systolic group). One patient in preserved left ventricular systolic function group required endotracheal intubation (not statistically significant). No patient died during hospital stay. Arterial blood gases improved after a trial of CPAP in both groups of patients. CONCLUSIONS: The results of this preliminary study show that resolution time is not significantly different in patients with ACPE with preserved or impaired systolic function submitted to CPAP.

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