Chemically-Induced Menopause and the Sexual Functioning of Breast Cancer Survivors
Bibliographic record
Abstract
Most premenopausal women diagnosed with breast cancer receive adjuvant chemotherapy or tamoxifen. These treatments help to prevent the recurrence of breast cancer but have potentially permanent menopausal side-effects, termed chemically-induced menopause (CIM). Following a diagnosis of breast cancer and subsequent treatment, CIM and its associated side-effects may represent additional stressors for women. Thirty women participated in interviews regarding the impact of CIM on their sexual functioning. Participants were also asked about the emotional impact of these sexual changes. Interviews were transcribed and analyzed using a thematic analysis technique that was informed by the constant comparison method of grounded theory. Themes emerged regarding women's experiences of: (a) the sexual changes following treatment; (b) the emotional impact of sexual changes; and, (c) moderators of the negative impact of these sexual changes. Implications are discussed with regard to counseling and current health care practices
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.003 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".