Study of employability role in occupational mobility and transition with PLS structural equation model

Frequent reorganization and downsizing processes cause a dramatic increase of occupational transitions, having a strong impact on career models. Whereas job security is assumed to be important in predicting employees\u2019 well-being under a traditional career model, employability is considered crucial for the workers well-being under the new conditions of labour market. In general the concept of employability, from the individual worker\u2019s perspective, is an indicator of his or her opportunity to acquire and to keep an attractive job in the internal or external labour market. While there are several studies on employability of employees, there are only few studies on dismissed workers, who are managing an involuntary transition that is not linked to a personal career project. One of the objectives of labour policies is to set out preventive actions identifying in advance workers who are at risk of long-term unemployment. To implement this objective it is important to identify employability resources and protective factors to play on. However there isn\u2019t enough empirical evidence of the applicability of the construct of employability to involuntary occupational transitions and it is uncertain the dimensions of personal employability that should be developed to minimize the risk of depression and to sustain the worker in his/her search of a new post. Moreover in Italian outplacement services there isn\u2019t an agreed system of employability profiling. Starting from the psycho-social model to employability suggested by Fugate and partners, the aim of our contribution is to analyze the role of employability in re-employment processes for dismissed workers. Through structural equation models we want to study the relation between personal employability resources and mental and physical health. We want therefore to understand if and how some variables influence this relation. These variables have been identified as potential risk factors in unemployment situations: the perception of organizational justice, the perceived employability and the perceived utility of re-employment services. Our research involved dismissed workers in the pharmaceutical sector, who joined programs of requalification and re-employment sponsored by companies within a Welfare-to-Work project called Welfarm

Employability and involuntary occupational transitions management : an explorative research with workers on unemployment benefit

Fragmented nature of current careers has placed at the centre of attention the concept of employability. This paper presents an explorative study aimed at analysing employability during the occupational transition of dismissed workers. In the light of the psychosocial approach suggested by Fugate and colleagues, the principal goal was to explore the relationship between dispositional employability and two crucial aspects of outplacement, re-employment and physical and mental health, hypothesizing a mediating role of perceived employability and perceived utility of outplacement services. The research involved pharmaceutical workers on unemployment benefit. Our analysis confirmed that dispositional employability can be considered as a latent multidimensional construct which sparingly summarizes three latent dimensions (self-efficacy in managing work changes; social capital; work career proactivity). Results highlighted that dispositional employability has a fairly direct impact on physical and mental health, but it is not associated with reemployment. Moreover perceived employability mediates the relationship between dispositional employability and perceived utility of outplacement services, while it doesn\u2019t have a direct connection with psychophysical health. Implications on career counselling are discusse

Geographical Variation in Underlying Social Deprivation, Cardiovascular and Other Comorbidities in Patients with Potentially Curable Cancers in England: Results from a National Registry Dataset Analysis

Aims: To describe the prevalence of cardiovascular disease (CVD), multiple comorbidities and social deprivation in patients with a potentially curable cancer in 20 English Cancer Alliances. Materials and methods: This National Registry Dataset Analysis used national cancer registry data and CVD databases to describe rates of CVD, comorbidities and social deprivation in patients diagnosed with a potentially curable malignancy (stage I–III breast cancer, stage I–III colon cancer, stage I–III rectal cancer, stage I–III prostate cancer, stage I–IIIA non-small cell lung cancer, stage I–IV diffuse large B-cell lymphoma, stage I–IV Hodgkin lymphoma) between 2013 and 2018. Outcome measures included observation of CVD prevalence, other comorbidities (evaluated by the Charlson Comorbidity Index) and deprivation (using the Index of Multiple Deprivation) according to tumour site and allocation to Cancer Alliance. Patients were allocated to CVD prevalence tertiles (minimum: 66.6th percentile). Results: In total, 634 240 patients with a potentially curable malignancy were eligible. The total CVD prevalence for all cancer sites varied between 13.4% (CVD n = 2058; 95% confidence interval 12.8, 13.9) and 19.6% (CVD n = 7818; 95% confidence interval 19.2, 20.0) between Cancer Alliances. CVD prevalence showed regional variation both for male (16–26%) and female patients (8–16%) towards higher CVD prevalence in northern Cancer Alliances. Similar variation was observed for social deprivation, with the proportion of cancer patients being identified as most deprived varying between 3.3% and 32.2%, depending on Cancer Alliance. The variation between Cancer Alliance for total comorbidities was much smaller. Conclusion: Social deprivation, CVD and other comorbidities in patients with a potentially curable malignancy in England show significant regional variations, which may partly contribute to differences observed in treatments and outcomes

The importance of sex as a risk factor for hospital readmissions due to pulmonary diseases

BACKGROUND: Pulmonary diseases are a common and costly cause of 30-day readmissions. Few studies have focused on the difference in risk for rehospitalization between men and women in older patients. In this study we analyzed the association between sex and the risk of readmission in a cohort of patients admitted to the hospital for chronic obstructive pulmonary disease (COPD) exacerbation and other major pulmonary diseases. METHODS: This was a retrospective cohort study based on administrative data collected in the Veneto Region in 2016. We included 14,869 hospital admissions among residents aged 6565\u2009years for diagnosis related groups (DRGs) of the most common disorders of the respiratory system: bronchitis and asthma, pneumonia, pulmonary edema, respiratory failure, and COPD. Multilevel logistic regressions were performed to test the association between 30-day hospital readmission and sex, adjusting for confounding factors. RESULTS: For bronchitis and asthma, male patients had significantly higher odds of 30-day readmission than female patients (adjusted odds ratio (aOR), 2.07; 95% confidence interval (CI), 1.11-3.87). The odds of readmission for men were also significantly higher for pneumonia (aOR, 1.40; 95% CI, 1.13-1.72), for pulmonary edema and respiratory failure (aOR, 1.28; 95% CI, 1.05-1.55), and for COPD (aOR, 1.34; 95% CI, 1.00-1.81). CONCLUSIONS: This study found that male sex is a major risk factors for readmission in patients aged more than 65\u2009years with a primary pulmonary diagnosis. More studies are needed to understand the underlying determinants of this phenomena and to provide targets for future interventions

Assessing habitat-related disturbance in bird communities: Applying hemeroby and generalism as indicators

We tested the application of the concept of hemeroby and generalism at community level, on a set of birds occurring in various habitats of central Italy characterized by different level of disturbance. In each habitat-related bird community, we applied the recently published species-specific score in hemeroby (a proxy of habitat-related disturbance; HSi) and hemerobiotic diversity (a proxy of generalism; H’Hi) to local species frequency, obtaining weighted values at community level (HStot and H’Htot). The relationship between HStot vs. H’Htot showed an increasing trend moving from reed beds through forests and mosaics to urban communities. Quadratic model (best fit) evidenced a significant correlation between these variables and a tendency toward a hump-shaped curve, corroborating results already observed at species level (intermediate generalism hypothesis). The co-inertia analysis discriminated four groups of habitat-related communities, characterized by species with different levels of disturbance-sensitivity (expressed by HSi) and generalism (expressed by hemerobiotic diversity; H’Hi): (i) forest type-related, where mature wood communities were separated from a coppiced wood one; (ii) communities of moderately disturbed agricultural habitats; (iii) communities embedded in highly disturbed mosaics, and (iv) a group including either a highly disturbed urban habitat or a low disturbed wetland reed bed, with highly specialized species (respectively, synanthropic species and water-related species). Total scores in hemeroby and hemerobiotic diversity, expressing the composition in species with different disturbance preference and generalism, might act as good community-based indicators of degree of naturalness, especially for forest habitat types

Oncology-led early identification of nutritional risk: a pragmatic, evidence-based protocol (PRONTO)

Simple Summary Early identification of patients on antineoplastic therapy who are at risk for or already malnourished is critical for optimizing treatment success. Malnourished patients are at increased risk for being unable to tolerate the most effective 'level' and 'duration' of treatment, with grave implications for both the short- (during treatment) and long-term outcomes. Herein, we provide a practical PROtocol for NuTritional risk in Oncology (PRONTO) to enable oncologists to identify patients with or at risk of malnutrition for further evaluation and follow-up with members of the multidisciplinary care team (MDT). Additional guidance is included on the oncologist-led provision of nutritional support if referral to a dietary service is not available. Nutritional issues, including malnutrition, low muscle mass, sarcopenia (i.e., low muscle mass and strength), and cachexia (i.e., weight loss characterized by a continuous decline in skeletal muscle mass, with or without fat loss), are commonly experienced by patients with cancer at all stages of disease. Cancer cachexia may be associated with poor nutritional status and can compromise a patient's ability to tolerate antineoplastic therapy, increase the likelihood of post-surgical complications, and impact long-term outcomes including survival, quality of life, and function. One of the primary nutritional problems these patients experience is malnutrition, of which muscle depletion represents a clinically relevant feature. There have been recent calls for nutritional screening, assessment, treatment, and monitoring as a consistent component of care for all patients diagnosed with cancer. To achieve this, there is a need for a standardized approach to enable oncologists to identify patients commencing and undergoing antineoplastic therapy who are or who may be at risk of malnutrition and/or muscle depletion. This approach should not replace existing tools used in the dietitian's role, but rather give the oncologist a simple nutritional protocol for optimization of the patient care pathway where this is needed. Given the considerable time constraints in day-to-day oncology practice, any such approach must be simple and quick to implement so that oncologists can flag individual patients for further evaluation and follow-up with appropriate members of the multidisciplinary care team. To enable the rapid and routine identification of patients with or at risk of malnutrition and/or muscle depletion, an expert panel of nutrition specialists and practicing oncologists developed the PROtocol for NuTritional risk in Oncology (PRONTO). The protocol enables the rapid identification of patients with or at risk of malnutrition and/or muscle depletion and provides guidance on next steps. The protocol is adaptable to multiple settings and countries, which makes implementation feasible by oncologists and may optimize patient outcomes. We advise the use of this protocol in countries/clinical scenarios where a specialized approach to nutrition assessment and care is not available

De um projeto de estágio curricular supervisionado à co-docência e co-formação no Colégio de Aplicação da UFSC

From a supervised internship project to co-teaching and co-training at an elementary school (Colégio de Aplicação, UFSC)ResumoNeste artigo, apresentamos um estudo sobre o estágio curricular com foco na co-docência e co-formação, que fundamentam a concepção do projeto de estágio realizado com os 4ºs e 5ºs anos no Colégio de Aplicação da UFSC. Há dupla finalidade: debater princípios basilares para a formação docente e sistematizar conhecimentos produzidos no período de 2016 a 2018, com vistas a fortalecer ainda mais os vínculos interinstitucionais entre UFSC e Udesc. Abordagem qualitativa orientada pelos critérios da pesquisa exploratória e documental, as ações do estágio se traduzem como o campo empírico de ação e investigação. Os resultados apontam que quanto maior conjugação colaborativa, articulada a um plano mais amplo de mudança social, entre o campo de estágio e a instituição formadora maior será a efetividade na formação docente por estar comprometida com uma Didática crítica, sensível e emancipadora.Palavras-chave: Estágio Curricular Supervisionado; Co-docência; Formação de Professores.AbstractIn this paper, we describe a study on a supervised curricular internship focusing on co-teaching and co-training, which guides the conception of the internship project carried out with the fourth- and fifth-year pupils at Colégio de Aplicação, UFSC. The goals are: to reflect on the basic principles of teacher training and to systematize the knowledge gained from 2016 to 2018. A qualitative approach guided by the criteria of exploratory and documentary research, the internship activities translate into the empirical field of action and investigation. The results indicate that the greater the collaborative association, combined with a broader plan of social exchange between the internship field of action and the larger educational institution, the more effective the teacher training will be, since it is committed to a critical, sensitive and emancipating didactic strategy and theory.Keywords: Supervised Internship; Co-teaching; Teacher training.

A new medical record proposal to the prognostic risk assessment for mronj in oncologic patients: “Sapienza head and neck unit” proposal

Medication-related osteonecrosis of the jaw (MRONJ) is an adverse event associated with antiresorptive and antiangiogenic drugs. The use of these drugs in the treatment of cancer patients with bone metastasis is necessary and standardized in the literature. A multidisciplinary approach for the patient’s management is strongly recommended. Therefore, it should be necessary to integrate the path of these subjects with a dedicated dental screening in order to first assess the individual risk of developing a MRONJ, and then to plan dental treatments and oral hygiene sessions, and finally to schedule a follow-up to intercept and treat early osteonecrosis. The aim of this manuscript is to propose a new simple medical report to evaluate patients affected by metastatic bone cancer in order to reduce the risk of developing MRONJ