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The 20-item Gamblers' Beliefs Questionnaire (GBQ) is used to identify cognitive distortions commonly had by gamblers. There is a great need for psychometrically validated instruments for both treatment and research purposes in the field of gambling addiction in Sweden. The purpose of this study was to validate a Swedish translation of the GBQ by assessing internal consistency, convergent validity, known-groups validity, the two-factor structure of the GBQ, and scaling success. The GBQ was translated into Swedish (GBQ-SE) and validated in a sample of 402 Swedish speaking women (47.9%) and men (52.1%) between 18–86 years, representing undergraduates, a working population, and people with current or historical gambling problems. The GBQ-SE showed excellent internal consistency and moderate relationships with instruments of problem gambling severity. We also showed that problem gamblers tend to endorse more gambling related distortions than non-problem gamblers by finding a significantly higher level of cognitive distortions in the problem gambler group. We were not able to confirm the two-factor structure in our sample. When assessing scaling success an overlap for eight of twenty of the items between the subscales was found. We conclude that the GBQ-SE is valid as a general instrument of gambling related cognitive distortions. It can be used to aid in treatment planning with gambling addicted clients, to evaluate treatment outcome, and for research purposes. [ABSTRACT FROM AUTHOR]

Bears are a large global community of big and hairy gay, bisexual and queer (GBQ) men. Little sustained empirical scholarship has investigated Bears' lives and communities, and none from within geography. Three geographic lenses are used to demonstrate the significance of a geographic approach to Bears. First, rural and urban imaginaries are entwined with Bear masculinities and ideals of 'real men'. However a geographically specific North American working class rural imaginary is particularly important. Second, the global trajectory of Bear begins in 1980s San Francisco and has since spread worldwide. The idea that Bear is fundamentally an American phenomenon is challenged by evidence of global variation in Bear identities, communities, and spaces. Third, the material and aesthetic production of Bear spaces relates to Bear masculinities and bodies, particularly fat bodies. Regarding more ephemeral Bear events, the 'Bearing' of space (including queer space) may provide a means of understanding these. The paper argues first that geography is crucial for understanding Bears and second that geographers of masculinities, sexualities, and fatness/bodies could productively engage with Bear identities, communities, and spaces. [ABSTRACT FROM AUTHOR]

Professionals with burnout have negative physical and psychological effects, with adverse consequences in their workplace. Burnout mainly affects assisting professions; amongst them, police work is one of the professions at risk of suffering from this syndrome. The aim of this research is to study the adequacy of the Maslach Burnout Inventory and Granada Burnout Questionnaire instruments to measure burnout in police officers through the study of the reliability and validity (concurrent and predictive) of these instruments. A cross-sectional study was carried out. The sample was composed of 1884 police officers, mostly men (85.4%), with an average age of 35.04 (SD = 8.30). The Maslach Burnout Inventory and Granada Burnout Questionnaire were used to measure burnout. The results obtained in this study support the adequacy of both instruments for measuring burnout. The correlation coefficients between the dimensions are significant, with a medium-high magnitude. Participants with burnout had significantly higher scores in emotional exhaustion and depersonalization and lower scores in personal accomplishment in both instruments. The area under the curve estimated for the Granada Burnout Questionnaire provided evidence of the predictive validity of the instrument. The police profession needs validated and sensitive tools to identify police changes in the dimensions of burnout. The Granada Burnout Questionnaire instrument correctly classifies burnout in police professionals.

Purpose: There have been recent advances to the adoption of pre-exposure prophylaxis (PrEP) as an effective human immunodeficiency virus (HIV) preventive treatment among men who have sex with men, but PrEP services and resources are often not accessible to those who are deaf and use American Sign Language (ASL). This article investigates PrEP knowledge among deaf gay, bisexual, and queer (GBQ) men and the contribution of social support to their perceptions regarding the effectiveness of PrEP at preventing HIV. Methods: An online health survey in ASL and English included questions about sexual orientation, HIV testing, PrEP knowledge and perceived effectiveness at preventing HIV, coming out to healthcare providers, and social support. We gathered data from 121 deaf GBQ men recruited from diverse cities in the United States, with 87% self-identifying as gay. Logistic regression analyses were used to examine the relationships between self-reported level of social support and perceived effectiveness of PrEP at preventing HIV after controlling for sociodemographic and health-related variables. Results: There was a significant relationship between meeting new lesbian, gay, bisexual, transgender, and queer (LGBTQ) friends online and PrEP knowledge (χ 2  = 14.93; p  < 0.001). After controlling for sociodemographic and health-related variables, those who discussed LGBT-related issues online and/or on a social networking site regularly were threefold more likely to perceive PrEP as being effective at preventing HIV than those who did not engage in online discussions (odds ratio = 3.12; 95% confidence interval: 1.12-8.75). Conclusion: For deaf GBQ men, PrEP knowledge might be attained through meeting and making new LGBTQ friends online. Active engagement in online discussions about LGBT-related issues might enhance perceptions regarding the effectiveness of PrEP to prevent HIV.

Background & Aims: The European Network on Radioembolization with Yttrium-90 resin microspheres study group (ENRY) conducted a retrospective study to evaluate the outcomes among elderly (≥ 70 years) and younger patients (<70 years) with unresectable hepatocellular carcinoma (HCC) who received radioembolization at 8 European centers., Methods: Patients with confirmed diagnosis of unresectable HCC who either progressed following resection or locoregional treatment and/or who were considered poor candidates for chemoembolization were evaluated by a multidisciplinary team for radioembolization with (90)Y-resin microspheres (SIR-Spheres; Sirtex Medical). The survival outcome and all adverse events were compared between the two age groups., Results: Between 2003 and 2009, 128 elderly and 197 younger patients received radioembolization. Patients in both groups had similar demographic characteristics. Many elderly and younger patients alike had multinodular, BCLC stage C disease, invading both lobes (p = 0.648). Elderly patients had a lower tumor burden, a smaller median target liver volume (p = 0.016) and appeared more likely to receive segmental treatment (p = 0.054). Radioembolization was equally well tolerated in both cohorts and common procedure-related adverse events were predominantly grade 1-2 and of short duration. No significant differences in survival between the groups were found (p = 0.942) with similar median survival in patients with early, intermediate or advanced BCLC stage disease., Conclusions: Radioembolization appears to be as well-tolerated and effective for the elderly as it is for younger patients with unresectable HCC. Age alone should not be a discriminating factor for the management of HCC patients., (Copyright © 2013 European Association for the Study of the Liver. Published by Elsevier B.V. All rights reserved.)