Single Encounter Research Articles

Obstacles to Exercising Reproductive Rights for Single Women in China and Legal Recommendations.

Reproductive rights represent an intrinsic and pivotal human entitlement, encompassing legal protection for procreation. Essential to this framework is the recognition that single women equally deserve reproductive rights. Although Chinese legislation refrains from overtly disallowing reproductive rights for single women, the interplay of conventional marriage norms and family planning policies has inadvertently tied these rights to marital status, consequently constraining single women's ability to assert them. The establishment of a robust legal structure to ensure reproductive rights for single women would profoundly contribute to advancing a harmonious evolution of China's population dynamics. We employ meticulous textual scrutiny to analyze comprehensively the stipulations concerning women's reproductive liberties within the framework of Chinese jurisprudence. Furthermore, we engage in empirical inquiry to enumerate and elucidate the multifarious constraints placed upon the reproductive freedoms of unmarried women in the Chinese context. This endeavor entails a detailed exposition and incisive examination of China's limitations imposed upon the reproductive rights of single women, encompassing both legal strictures and policy dimensions. The absence of legal endorsement and safeguarding has given rise to substantial impediments to the exercise of reproductive rights among single women in China. Not only do endeavors to assert reproductive rights on behalf of single women encounter intricate challenges in judicial implementation, but they also encounter manifold barriers within national policies. This predicament not only subjects single women to considerable psychological strain but also contradicts the overarching objective of achieving a harmonized population development trajectory in China. China should expedite the development of a legal framework for protecting reproductive rights that includes provisions for supporting single women to have children. This legal apparatus should efficaciously enshrine and shield the reproductive rights of single women, thus playing a pivotal role in advancing a more equitable and well-balanced trajectory of population development.

Factors Establishing Customer Delight: A Quantitative Study

Establishing client satisfaction has become a critical component for businesses wanting to achieve long-term success in today's fiercely competitive corporate environment. Exceeding clients' expectations and giving them a satisfying experience that goes above and beyond what they've had anticipated is known as "customer delight.” Businesses in India, a market with a wide range of consumers and a developing middle class, must concentrate on creating customer delight to stand out from the competition. Personalized experiences, effective customer service, high-quality products, and open communication are just a few of the important elements that go into making customers happy. In addition, with the growth of social media and online reviews, client input has taken on increased significance in determining a company's reputation. An organization's brand reputation might suffer significantly from a single unfavorable encounter that spreads swiftly online. In order to develop a base of devoted clients, increase brand recognition, and eventually spur growth and profitability, businesses in India must place a premium on customer satisfaction. In this regard, it is crucial for businesses aiming to succeed in the Indian market to comprehend the elements that contribute to client delight. This study makes a comparison among 2 age groups of people one below 35 years of age and another one above 35 years of age (82 from each category).

Complex Billing for Nonemergency Outpatient Imaging: An Obstacle to the Success of Health Care Price Transparency Initiatives.

Recent price transparency initiatives have considerable limitations, notably due to the complexity of health care products. A single care encounter often consists of several services that may be performed by numerous clinicians and health care facilities that bill independently. The objective of this study was to describe the complexity in billing for nonemergency, noninvasive outpatient imaging and its variation across care delivery settings and imaging modalities. Using billing records from the 2019 IBM MarketScan Commercial Database, the authors examined the number of billing entities involved in outpatient imaging encounters and the sets of relevant items and services for which patients were billed. In total, 5,210,129 imaging encounters were analyzed. Patients received bills from multiple billing entities for 70.9% hospital-based encounters, 4.5% office-based encounters, and 7.6% encounters at imaging centers. Contrast agent was billed separately from the imaging procedures in 55.9%, 71.5%, and 55.3% of encounters for contrast imaging at hospitals, offices, and imaging centers, respectively. Billing for other ancillary items and services (facility fees, 3-D reconstruction, anesthesia and sedation) was relatively rare. Two key aspects of billing complexity may make obtaining complete and reliable price estimates before receiving outpatient imaging difficult for patients: the number of billing entities involved in care delivery and billing for fees and ancillary services beyond the primary imaging procedure. Given that price transparency initiatives are aimed primarily at helping patients anticipate the total cost of their care, policymakers, payers, and providers should take additional steps to provide patients with reliable information on the prices of entire care experiences.

Frequency and Combination of Sequential Sexual Acts That May Lead to Sexually Transmitted Infections at Different Anatomic Sites Within the Same Person.

Modeling studies suggest that transmission of gonorrhea and chlamydia to multiple anatomic sites within the same person is necessary to reproduce observed high rates of extragenital gonorrhea/chlamydia. Limited empiric behavioral data support this idea. In this cross-sectional study, we enrolled individuals assigned male at birth who reported sex with men (MSM) and denied receptive anal sex (RAS) in the past 2years. Participants enrolled in-person at the Sexual Health Clinic in Seattle, Washington (December 2019-September 2021) or online (July 2021-September 2021), and completed a sexual history questionnaire that asked about specific sexual acts and sequence of those acts during their last sexual encounter. We enrolled 210 MSM during the 16-month recruiting period. The median number of sex acts reported at last sexual encounter was 4 (interquartile range 3-5). The most commonly reported acts at last sex were: kissing (83%), receiving oral sex (82%), and insertive anal sex (65%). There was substantial variability in the sequence of acts reported; no unique sequence of sex acts was reported by more than 12% of the population. Ninety percent of participants reported sequences of behaviors that could lead to gonorrhea or chlamydia transmission within the same person (respondent or partner); the most common of these combinations was kissing followed by receiving oral sex (64% reporting). Engaging in multiple sex acts within a single sexual encounter is common and may lead to gonorrhea/chlamydia transmission within the same person. This complicates empiric measurements of transmission probabilities needed to estimate population-level transmission.

Prospects for Long-Acting Treatments for Hepatitis C.

In 2019, more than 4 years after the widespread availability of safe, oral, curative treatments, an estimated 58 million people were living with hepatitis C virus infections (PLWHC). Additional tools may enable those not yet reached to be treated. One such tool could be long-acting parenteral formulations of HCV treatments, which may allow PLWHC to be diagnosed and cured in a single encounter. Although existing highly effective oral medications might be formulated as long-acting parenteral treatments, pharmacological, regulatory, patent, and medical challenges have to be overcome; this requires the concerted efforts of PLWHC, researchers, funding agencies, industry, the World Health Organization, and other stakeholders.

Influence of tidal dissipation on outcomes of binary–single encounters between stars and black holes in stellar clusters

ABSTRACT In the cores of dense stellar clusters, close gravitational encounters between binary and single stars can frequently occur. Using the tsunami code, we computed the outcome of a large number of binary–single interactions involving two black holes (BHs) and a star to check how the inclusion of orbital energy losses due to tidal dissipation can change the outcome of these chaotic interactions. Each interaction was first simulated without any dissipative processes and then we systematically added orbital energy losses due to gravitational wave emission [using post-Newtonian (PN) corrections] and dynamical tides and recomputed the interactions. We find that the inclusion of tides increases the number of BH–star mergers by up to 75 per cent; however, it does not affect the number of BH–BH mergers. These results highlight the importance of including orbital energy dissipation due to dynamical tides during few-body encounters and evolution of close binary systems within stellar cluster simulations. Consistent with previous studies, we find that the inclusion of PN terms increases the number of BH–BH mergers during binary–single encounters. However, BH–star mergers are largely unaffected by the inclusion of these terms.

Twelve tips for patient involvement in health professions education

Moving towards person-centered care, with equal partnership between healthcare professionals and patients, requires a solid role for the patient in the education of students and professionals. Patients can be involved as teachers, assessors, curriculum developers, and policy-makers. Yet, many of the initiatives with patients are isolated, small events for targeted groups and there is a lack of patient involvement at the institutional level. To support educators in involving patients, both at the institutional level and at single educational encounters, we offer twelve practical tips. This paper came about through an innovative collaboration between healthcare professionals, educators, teachers, and patients. These tips can be used as a tool to start or reinforce patient involvement in health professions education and provide guidance on how to make it a sustainable part of the curriculum. The article involves organizational conditions for success, tips for sustainable partnerships, ideas for curriculum design and proposes concrete teaching strategies. Finally, besides practical tips, we stress that involving patients in education is not business as usual, and paradoxically this needs to be acknowledged before it can become business as usual.

Guy Weinberg, MD, to Present 2022 John W. Severinghaus Lecture on Translational Science

Article| October 2022 Guy Weinberg, MD, to Present 2022 John W. Severinghaus Lecture on Translational Science Roy A. Winkler Roy A. Winkler Search for other works by this author on: This Site PubMed Google Scholar ASA Monitor October 2022, Vol. 86, 34. https://doi.org/10.1097/01.ASM.0000890100.46213.01 Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Share Icon Share Facebook Twitter LinkedIn MailTo Cite Icon Cite Get Permissions Search Site Citation Roy A. Winkler; Guy Weinberg, MD, to Present 2022 John W. Severinghaus Lecture on Translational Science. ASA Monitor 2022; 86:34 doi: https://doi.org/10.1097/01.ASM.0000890100.46213.01 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search Dropdown Menu toolbar search search input Search input auto suggest filter your search All ContentAll PublicationsASA Monitor Search Advanced Search Topics: translational research For two decades, Guy Weinberg, MD, has been recognized worldwide as an authority on the rare but potentially devastating condition of local anesthetic systemic toxicity, or LAST. Many physicians will never treat an episode of LAST, but the ones who do will probably treat those patients with the therapies developed by Dr. Weinberg. His Severinghaus Lecture will explore lipophilic drug toxicity and his years of research on the subject, which began quite tangentially: “My interest in LAST stems from a single patient encounter, and my talk will trace the unexpected and very circuitous route of identifying, then explaining, the basis of lipid therapy,” Dr. Weinberg said. Guy Weinberg is currently a Full Professor in the Department of Anesthesiology at the University of Illinois, Chicago, and a physician at the Jesse Brown VA, where his lab was active until just last year. He has been a leading figure within the American... You do not currently have access to this content.

Informed Decision Making for Anticoagulation Therapy for Atrial Fibrillation.

Patients with atrial fibrillation (AF) must decide between warfarin and direct oral anticoagulants (DOACs), a decision involving important tradeoffs. Our objective was to understand whether physicians engage patients in informed decision making for anticoagulants. We performed an analysis of recorded conversations between physicians and anticoagulation-naïve patients in the Verilogue Point-of-Practice database. We assessed the presence of 7 elements of informed decision making, as well as a discussion of financial costs. Of 37 encounters with 21 physicians, 92% resulted in a DOAC prescription and 8% resulted in a warfarin prescription. Seventy percent met criteria for discussion of pros and cons, 70% for discussion of the alternatives, 43% presented the decision, 30% included an assessment of patient understanding, 22% included an explanation of the patient's role in decision making, 22% included an assessment of patient preferences, and 19% included a discussion of uncertainty. Two encounters (5%) included all 7 elements and 9 (24%) included none. Physicians discussed treatment costs with patients in 43% of encounters. We assessed informed decision making in a single encounter. Physicians and patients may have had other discussions that were not captured in our data. Physicians often presented the alternatives but did not generally engage patients in informed decision making. The high rate of DOAC prescriptions is likely the result of physician preferences, as patient preferences were rarely assessed. Strategies to support physicians in engaging patients in informed decision making for anticoagulation are needed. While physicians discussed the alternatives and presented pros and cons with patients, they rarely assessed patient preferences, explained the patient's role in decision making, or addressed uncertainty.The cost of treatment with DOACs versus warfarin was discussed by physicians in less than half of encounters, limiting patients' ability to make informed decisions for anticoagulation.Only 2 encounters (5%) fulfilled all 7 elements of informed decision making.

Incidence and Prevalence of Cough in a Rural Health System: A 20-Year Study.

Understanding the cough population is critical to addressing clinical needs and gaps in best practice. We sought to characterize and stratify cough patients with the hypothesis that there are opportunities to improve access to care in our health system and characterize the population. Following institutional review board exempt status, a retrospective electronic record review was performed on all patients coded with ICD-9 786.2 or ICD-10 is R05 from January 1, 2001 through December 31, 2020 at our health system. Inclusion criteria were one or more visits for cough. The subgroup with more than one visit in each of 2 years was classified as multiple encounters. Patients were characterized by sex, age at first cough encounter, number of cough encounters, smoking status, and insurance status. Results were stratified by year, calculating frequencies, and percentages. There were 302,284 unique patients diagnosed with cough, among 1,764,387 patients seen in our health system, representing an average incidence of 3.0% (2.7%-3.7%) and prevalence of 4.9% (3.1%-5.6%). New single encounter cough patients totaled 179,963, and new multiple encounter cough patients totaled 122,321. Of the 39,828,073 total encounters, there were 469,802 for new or existing cough (1.17%-1.73% annually). The age at initial presentation demonstrated 36.5% seen <10 years old, with an even distribution over the remaining decades of life. The majority were seen for cough once, but 23.8% of group two patients had two or more visits for cough in a year. We demonstrate a lower-than-expected incidence and prevalence of cough in our health population, suggesting challenges with access to care when compared to 10% prevalence and 3% of encounters previously documented in the literature. The study also provides a platform to explore the importance of pediatric cough, as well as population health and the longitudinal journey of cough patients in underserved areas. 3 Laryngoscope, 133:1191-1196, 2023.

YouTube It Before You Buy It: The Role of Parasocial Interaction in Consumer-to-Consumer Video Reviews

Consumer-to-consumer (C2C) online reviews are important sources of information that help consumers decide which products and services to buy. Although C2C reviews in video format (e.g., on YouTube) have become increasingly popular, research remains focused primarily on textual reviews. This article emphasizes the importance of C2C video reviews in influencing consumer outcomes through parasocial interaction, a special—albeit one-sided—connection with reviewers. Interactivity and self-disclosure are suggested as online communication techniques reviewers can use to foster parasocial interaction with their viewers in a single encounter. Parasocial interaction is further established as a psychological mechanism that underlines the impacts of interactivity and self-disclosure on source credibility, leading to improved consumer purchase intentions. The authors also propose that strong parasocial interaction with reviewers exerts a particularly powerful influence on the purchase decisions of consumers who experience low levels of decision confidence, while arguing for the importance of C2C video reviews in guiding the decisions of various consumer groups. Research recommendations reveal how managers can encourage consumers to create and share video reviews on different platforms and offer guidance on the ways companies can foster parasocial interaction through firm-related marketing communications.

Mathematical Modeling: Global Stability Analysis of Super Spreading Transmission of Respiratory Syncytial Virus (RSV) Disease

In this paper, a model for the transmission of respiratory syncytial virus (RSV) in a constant human population in which there exist super spreading infected individuals (who infect many people during a single encounter) is considered. It has been observed in the epidemiological data for the diseases caused by this virus that there are cases where some individuals are super-spreaders of the virus. We formulate a simply SEIrIsR (susceptible–exposed–regular infected–super-spreading infected–recovered) mathematical model to describe the dynamics of the transmission of this disease. The proposed model is analyzed using the standard stability method by using Routh-Hurwitz criteria. We obtain the basic reproductive number (R0) using the next generation method. We establish that when R0&lt;1, the disease-free state is locally asymptotically stable and the disease endemic state is unstable. The reverse is true when R0&gt;1, the disease endemic state becomes the locally asymptotically stable state and the disease-free state becomes unstable. It is also established that the two equilibrium states are globally asymptotically stable. The numerical simulations show how the dynamics of the disease change as values of the parameters in the SEIrIsR are varied.

Alternative B Cell Differentiation During Infection and Inflammation.

Long-term protective immunity to infectious disease depends on cell-mediated and humoral immune responses. Induction of a strong humoral response relies on efficient B cell activation and differentiation to long-lived plasma cells and memory B cells. For many viral or bacterial infections, a single encounter is sufficient to induce such responses. In malaria, the induction of long-term immunity can take years of pathogen exposure to develop, if it occurs at all. This repeated pathogen exposure and suboptimal immune response coincide with the expansion of a subset of B cells, often termed atypical memory B cells. This subset is present at low levels in healthy individuals as well but it is observed to expand in an inflammatory context during acute and chronic infection, autoimmune diseases or certain immunodeficiencies. Therefore, it has been proposed that this subset is exhausted, dysfunctional, or potentially autoreactive, but its actual role has remained elusive. Recent reports have provided new information regarding both heterogeneity and expansion of these cells, in addition to indications on their potential role during normal immune responses to infection or vaccination. These new insights encourage us to rethink how and why they are generated and better understand their role in our complex immune system. In this review, we will focus on recent advances in our understanding of these enigmatic cells and highlight the remaining gaps that need to be filled.

Hybrid CT-angiography (Angio-CT) for combined CT and fluoroscopic procedures in interventional radiology enhances utilization.

To investigate the utilization of an angiography-CT (Angio-CT) system and its advantages for single patient encounters. Interventions utilizing both CT and fluoroscopy to perform multiple procedures in a single encounter or single interventions using both were identified. Cases were stratified by complexity (defined by RVUs). Comparative analyses of room (TRoom) and total encounter (TEncounter) times were performed between non-complex bundled cases and controls. Between June 2018 and August 2019, 1108 procedures were performed via the Angio-CT system; 10% (114/1108) used both fluoroscopy and CT. 21% (24/114) Involved more than one procedure in a single encounter that required a CT-only and fluoroscopy-only bundled procedure. 59% (67/114) were non-complex, and 70% (80/114) were non-oncologic. 82.5% (14/17) of non-complex bundled procedures demonstrated TRoom below the mean of their respective controls; 52.8% (9/17) were 2 standard deviations below the control means. Pleural catheter placement following post-lung biopsy pneumothorax was the most common non-complex bundled case with a significant reduction in TRoom when performed via Angio-CT compared to control (99 vs. 163min, p < 0.0001). There was a significant reduction in TEncounter for abdominopelvic drain placement procedures bundled with either (1) percutaneous nephrostomy tube evaluation with or without replacement, or (2) central venous catheter placement (211min vs. 344min, p < 0.001 and 231min vs. 347min, p < 0.05, respectively). The primary use for the hybrid Angio-CT system was to perform non-oncologic and non-complex cases with potential reduction in TRoom and TEncounter for specific non-complex bundled cases.

Complex attack detection scheme using history trajectory in internet of vehicles

The internet of vehicles technology provides convenience to drivers and prevents traffic accidents via wireless communication between road infrastructure and autonomous vehicles by sharing real-time traffic information. However, attackers can easily penetrate networks by exploiting the vulnerabilities of wireless communications. An attacker can falsify real-time traffic information and transmit it to a vehicle, causing traffic jams or preventing autonomous vehicles from receiving legitimate real-time traffic information. If autonomous vehicles do not receive accurate information, the arrival time at the destination can be affected, and accidents due to incorrect driving can occur. Because traffic accidents can cause casualties, they must be prevented. Various schemes have been proposed to detect attacks that occur on the internet of vehicles, and these security schemes can prevent traffic accidents by detecting attacks at high speeds. However, the existing schemes focus on quickly identifying a single attack but encounter difficulties when attempting to detect complex attacks that occur simultaneously. The proposed scheme uses a history trajectory to detect complex attacks. The proposed scheme stores behavioral information on all vehicles and road infrastructure using a control center. This information becomes a history trajectory that is used to detect attacks. Thereafter, when the vehicle is abnormally driven, the control center analyzes its driving path. When analyzing the vehicle driving process, the control center determines that an attack is being attempted when the road infrastructure or a vehicle makes an erroneous state transition. In addition, the type of attack is analyzed to identify compromised vehicles or road infrastructure and take measures to prevent further problems. Thus, the proposed scheme can detect complex attacks through history trajectory analysis. The experimental results demonstrate that in 80% of attempted attacks, the proposed scheme detects complex attacks with a probability of 97.56%.

Influence of Clinical and Sociodemographic Factors on the Management, Costs and Outcomes of Acute Urinary Retention in the Acute Care Setting.

We evaluated clinical and sociodemographic factors that influence care pathways following acute urinary retention with attention to subsequent bladder outlet procedures. This was a retrospective cohort study examining patients who presented for emergent care with concomitant diagnoses of urinary retention and benign prostatic hyperplasia in New York and Florida in 2016. Using Healthcare Cost and Utilization Project data, patients were followed throughout a calendar year across subsequent encounters for recurrent urinary retention and bladder outlet procedures. Multivariable logistic and linear regression were utilized to identify factors associated with recurrent urinary retention, subsequent outlet procedures and the cost of retention-related encounters. Among 30,827 patients, 12,286 (39.9%) were ≥80 years of age. Though 5,409 (17.5%) experienced multiple retention-related encounters, only 1,987 (6.4%) received a bladder outlet procedure within the calendar year. Covariates associated with repeat urinary retention included older age (OR 1.31, p <0.001), Black race (OR 1.18, p=0.001), Medicare insurance (OR 1.16, p=0.005) and lower education level (OR 1.13, p=0.03). Age ≥80 years (OR 0.53, p <0.001), Elixhauser Comorbidity Index score ≥3 (OR 0.31, p <0.001), Medicaid status (OR 0.52, p <0.001) and lower education level were associated with lower odds of receiving a bladder outlet procedure. Episode-based costs favored single retention encounters vs repeat encounters ($15,285.96 vs $28,451.21, p <0.001) and undergoing an outlet procedure vs foregoing one ($16,223.38 vs $17,690.54, p=0.002). Sociodemographic factors are associated with recurrent retention episodes and the decision to undergo a bladder outlet procedure following an episode of urinary retention. Despite the cost benefits associated with preventing repeated episodes of urinary retention, merely 6.4% of patients presenting with acute urinary retention underwent a bladder outlet procedure during the study period. Our findings suggest that early intervention among individuals experiencing urinary retention may confer cost and duration of care benefits.

Why is it so hard to do the right thing? Reflections on the fourth trimester

Why is it so hard to do the right thing? Reflections on the fourth trimester

Can gender-affirming surgeries be safely combined? An NSQIP analysis of 30-day outcomes and case planning factors

As gender-affirming surgeries are being performed, new techniques have been developed to meet patient desires, including recent reports of several gender-affirming procedures being combined into a single operative encounter. Such a development may provide several advantages to both patients and providers. However, it is less clear whether combining these procedures affects patient safety and surgical case planning factors. To address this, we compared the complication rates and the length of hospital stay and operative time for standalone and combined gender-affirming procedures (e.g., hysterectomy and bilateral mastectomy, breast augmentation, and vaginoplasty) performed between 2005 and 2019 in the National Surgical Quality Improvement Program database. There were 1857 standalone mastectomies, 826 standalone hysterectomies, and 30 cases where they were combined. There were 379 vaginoplasties, 648 breast augmentations, and 31 cases where they were combined. There was no evidence of differences in overall health status between those undergoing combined and standalone procedures. Two-sample proportion testing did not find significant differences in any of the complications experienced between standalone and combined procedures. Similarly, two-sample t-tests did not find significant differences in the length of the hospital stays nor in the length of the operative encounter between standalone and combined masculinizing surgeries. Combining breast augmentation and vaginoplasty, however, saved an average of 97.86min (p=.000) of operating time. These results suggest that combining gender-affirming procedures may be a safe and viable option for individuals who desire multiple gender-affirming procedures and may even be an advantageous option for patients and practitioners alike.

Fast Learners: One Trial Olfactory Learning in Insects

Despite their comparatively small brains, insects are able to survive and thrive in their environment. In the past, it was thought that insects are driven mainly by their instincts. However, today it is well established that they possess unique abilities to learn and use their experience in future decisions. Like many higher animals insects are able to acquire and retain information on when and where to forage, which mate to choose, where to lay their eggs and how to navigate in complex habitats. Learning can be surprisingly fast with only one single encounter with a suitable food source or oviposition site shaping an insect's preference for up to a lifetime. In this review, we discuss the scope and limits of insect learning, focusing in specific on olfactory learning, and we raise the question whether currently used learning paradigms in artificial lab set-ups are able to answer all ecologically relevant questions.

Dealbreakers, or dealbenders? Capturing the cumulative effects of partner information on mate choice

Entering and establishing a long-term relationship is typically a gradual process, as dating partners acquire information about each other over weeks or months. In contrast, existing mate selection paradigms (e.g., lab experiments, speed-dating) typically examine single brief encounters with real or potential mates. In the current research, we used a Choose Your Own Adventure design to examine how potential dealbreakers operate within the context of a broader relationship dynamic. In two studies, a combined total of 1585 participants read a story about a new dating relationship. At each of 17 junctures in the story, participants chose whether to continue dating or end the relationship. Potential dealbreakers were independently manipulated to be present or absent at each juncture, for a total of up to 17 negative pieces of information about the partner. Study 2 was a preregistered replication and extension of Study 1. On average, participants did not reject the hypothetical partner until several potential dealbreakers had been presented (M = 4.20 in Study 1, M = 3.68 in Study 2). Participants' self-reported dealbreakers consistently aligned with their in-story decisions. Even so, participants tended to encounter at least two of their own personal dealbreakers before choosing to reject (Study 2). Together, these studies highlight the sequential, iterative nature of partner evaluations, and illustrate a novel, accessible method for testing models of early relationship development.