Career Development – A Longitudinal Study Into Career Value Change

Career theorists have long suggested that age and life stages have an impact upon our career values. However there is substantial disagreement over how this actually manifests itself. Some suggest these differences are generational with external factors playing an important role (Westerman & Yamamura, 2007). In contrast developmental theories of careers focus on what happens in distinct career stages. These theories provide some structure to careers through the lifespan suggesting that early careerists will focus on exploration, mid careerists are concerned with advancement and the late careerists concentrate on passing their skills to others. Savickas (2002) calls for more longitudinal research in the field of careers to examine in depth what happens to individuals as they progress through these stages rather than taking the more popular cross sectional approach to research. This paper describes the development of a study that aims to examine career values through the lifespan using the career anchor model as a measure of career values

Matthewson St. United Methodist Church: Rehabilitation Feasiblity Report

The first-story floor plan was altered significantly during the 1951 renovations, and the entry vestibule is adorned with Neo-Gothic panelling. The chapel on the first floor is handsomely finished. The two-story sanctuary space has a semi-circular configuration with pews radiating from the altar, a balcony and substantial crown moulding

Fall risk in older adults with hip osteoarthritis : decreasing risk through education and aquatic exercise

Purpose: The primary purpose of this project was to determine the effect of aquatic exercise and aquatic exercise combined with an education group program on decreasing both psychosocial and physical fall risk factors in community-dwelling older adults with hip osteoarthritis (OA). Secondary purposes were to 1) describe fall risk, history and nature of falls and near-falls in older adults with hip OA, 2) determine the association of the timed up and go test (TUG) to history of falls and near-falls, 4) explore the relationship of both psychosocial and physical factors to history of falls and near-falls, and 5) evaluate the role of falls-efficacy in predicting balance performance. Methods: Participants were recruited from the community and screened for presence of hip osteoarthritis and fall risk. Baseline fall history and a battery of measures for balance, muscle strength, functional ability and falls-efficacy were administered. Participants were then randomly assigned to one of three groups: Aquatic Exercise, Aquatic Exercise and Education or a Control Group. The interventions were twice per week for 11 weeks. Fall risk factors were measured after 11 weeks. Study 1 described history of falls and near-falls and evaluated the association of the TUG screening test with fall and near-fall history. Study 2 summarized the relationships of physical and psychosocial fall risk factors and identified the primary predictors of fall risk, based on associations with fall history. Study 3 evaluated the randomized controlled clinical trial comparing the impact of the interventions (aquatic exercise and education) on fall risk outcomes. Results: Older adults with hip OA reported a high frequency of falls and near-falls. The TUG, using a cut-off score of 10 sec., was associated with frequent near-fall history. There was a strong association of frequent near-falls to history of actual falls, with the association increasing 7-fold if lower falls-efficacy was present. Falls-efficacy was also an independent predictor of balance impairment. Screening for history of near-falls and falls-efficacy may be important in predicting risk of future falls. The combination of Aquatic Exercise and Education improved falls-efficacy and functional mobility compared to Aquatic Exercise only or no intervention. Aquatic Exercise on its own was not effective in decreasing fall risk factors or improving falls-efficacy. Significance of Findings: The accumulation of both physical and psychosocial risk factors in older adults with hip OA increases their vulnerability to falls and injury. Fall prevention programs for this population should be designed to include both exercise and education to address falls-efficacy and physical fall risk factors

Who has to 'lean in' for equal gender representation in leadership roles?

Even though women surpass men in university graduation rates and other skill-based gains, the Conference Board of Canada (2011) found it will take over 151 years for women and men to achieve parity in middle management, let alone senior leadership. Sheryl Sandberg's book, Lean In (2013), invigorated a worldwide conversation about the representation of women in leadership roles

An Investigation of Information Needs and Information Seeking Behaviour of Nursing and Clinical Students in an Academic Healthcare Institution.

Although the concept of information-seeking behaviour has evolved significantly among professionals, it is unclear how much the nursing profession has been affected by these changes. Examining information seeking behavior for the nursing profession is significant as nurses need to use the most current information to meet clinical and educational needs Besides, information seeking is one of the steps of embracing evidence-based practice which has been identified as one of the core competencies needed for the health care professionals in the 21st century. This study sought to establish the information sources used by nursing and clinical students at Aga Khan University, determine how the students access the required information and examine the challenges they experience in accessing and acquiring information. This study was anchored on Wilson’s Information Behavior Model (1999). Both qualitative and quantitative methods of data collection were used. The study found that nursing and clinical students visit the library mostly to search for online electronic-resources, journals and textbooks. However, unavailability of some materials imply that the information needs of the students are not fully met. The study determined that majority of the nursing students used the keyword search strategy, subject search strategy, title search strategy and author search

Determinants of healthcare seeking for childhood illnesses among caregivers of under-five children in urban slums in Malawi:a population-based cross-sectional study

Background There is considerable evidence that health systems, in so far as they ensure access to healthcare, promote population health even independent of other determinants. Access to child health services remains integral to improving child health outcomes. Cognisant that improvements in child health have been unevenly distributed, it is imperative that health services and research focus on the disadvantaged groups. Children residing in urban slums are known to face a health disadvantage that is masked by the common view of an urban health advantage. Granted increasing urbanisation rates and proliferation of urban slums resulting from urban poverty, the health of under-five children in slums remains a public health imperative in Malawi. We explored determinants of healthcare-seeking from a biomedical health provider for childhood symptoms of fever, cough with fast breathing and diarrhoea in three urban slums of Lilongwe, Malawi. Methods This was a population-based cross-sectional study involving 543 caregivers of under-five children. Data on childhood morbidity and healthcare seeking in three months period were collected using face-to-face interviews guided by a validated questionnaire. Data were entered in CS-Pro 5.0 and analysed in SPSS version 20 using descriptive statistics and logistic regression analyses. Results 61% of caregivers sought healthcare albeit 53% of them sought healthcare late. Public health facilities constituted the most frequently used health providers. Healthcare was more likely to be sought: for younger than older under-five children (AOR = 0.54; 95% CI: 0.30-0.99); when illness was perceived to be severe (AOR = 2.40; 95% CI: 1.34-4.30); when the presenting symptom was fever (AOR = 1.77; 95% CI: 1.10-2.86). Home management of childhood illness was negatively associated with care-seeking (AOR = 0.54; 95% CI: 0.36-0.81) and timely care-seeking (AOR = 0.44; 95% CI: 0.2-0.74). Caregivers with good knowledge of child danger signs were less likely to seek care timely (AOR = 0.57; 95% CI: 0.33-0.99). Conclusions Even in the context of geographical proximity to healthcare services, caregivers in urban slums may not seek healthcare or when they do so the majority may not undertake timely healthcare care seeking. Factors related to the child, the type of illness, and the caregiver are central to the healthcare decision making dynamics. Improving access to under-five child health services therefore requires considering multiple factors

Sequence Distances between env Genes of HIV-1 from Individuals Infected from the Same Source: Implications for the Investigation of Possible Transmission Events

AbstractPreviously described transmission studies have shown that HIV strains isolated from individuals infected from a common source are more homogeneous than HIV strains isolated from individuals with unrelated infections. This has been the basis, in at least four instances, for deciding whether apparently epidemiologically related cases represent actual transmissions. To date, HIV transmission studies have usually included sequence data from the most likely source of infection, and the probability of transmission from the donor to the recipient has been assessed by measuring sequence similarity against control data using likelihood analysis. We have recently studied a putative transmission involving a UK health care worker (CPHL1), a patient of CPHL1 (CPHL2), and CPHL3, a member of the same "sex circle" as CPHL2. We have used sequence distance and neighbour joining methods as well as likelihood analysis as means of determining genetic relatedness. Though no other source of infection was available our findings did not support the possibility that CPHL1 had infected CPHL2. Strain CPHL3 was closer to CPHL2 than to CPHL1. It is shown that control data from documented transmission events can be used to establish the source of infection in the absence of an index case. It is also shown that the C2-V3 region analysed in previous transmission studies is unreliable for accurate phylogenetic analysis. The results indicated that gp120 is a more informative region than C2-V3 for molecular transmission studies. Sequence distances between the env genes of related and unrelated infections have been derived in this work

Destruction of chemical warfare agent simulants by air and moisture stable metal NHC complexes

The cooperative effect of both NHC and metal centre has been found to destroy chemical warfare agent (CWA) simulants. Choice of both the metal and NHC is key to these transformations as simple, monodentate N-heterocyclic carbenes in combination with silver or vanadium can promote stoichiometric destruction, whilst bidentate, aryloxide-tethered NHC complexes of silver and alkali metals promote breakdown under mild heating. Iron–NHC complexes generated in situ are competent catalysts for the destruction of each of the three targetted CWA simulants