Career Motivations and Aspirations of Dietetic Students: Applying the Social Cognitive Career Theory

Purpose: The purpose of this study was to describe the career motivations and aspirations of dietetic students using the Social Cognitive Career Theory (SCCT). The objectives were to identify and quantify 1) the factors that motivate current students to choose dietetics as a career, 2) the future career aspirations of dietetic students, and 3) the way in which dietetic students make career decisions. Methods: This descriptive study utilized the validated Career Aspirations and Motivations of Dietetics Students (CAMDS) survey. Program directors of the Accreditation Council for Education in Nutrition and Dietetics (ACEND)-accredited programs shared the CAMDS survey with their students electronically. A resulting convenience sample of n=328 students were enrolled in a didactic program in dietetics, dietetic internship, coordinated program in dietetics, or future education model graduate program. Data was captured regarding demographics, path towards a career in dietetics, motivations and influences to practice as a dietetics professional, and future career aspirations. Descriptive statistics were used to convey study findings. Data were both nominal and ordinal. Results: The majority of participants were female, white, and born after 1980. Motivating factors to pursue dietetics included cooking with family during childhood; a personal interest in nutrition; the influence of a parent or legal guardian; social media; and the opportunity to help others. The preferred employment sectors were clinical dietetics, community dietetics, and private practice. Conclusions: Attention to the career motivations and aspirations of dietetic students is requisite to supporting the growing demand for credentialed dietetics practitioners. The vast majority of current dietetic students are classified as millennials or generation Z; these students have career motivations and aspirations that are distinct from previous generations of dietetic students

Student Development During the Occupy SLU Movement Through the Lens of Perry

Perry’s theory of intellectual and ethical development serves as a seminal theory on student development. The civil unrest in Ferguson, Missouri during the 2014-2015 school year resulted in demonstrations on college campuses throughout the country, including the Occupy SLU movement at Saint Louis University. In this mixed-methods phenomenological study, 19 students were interviewed about their experiences during the movement. The research questions underlying this study include: How were SLU students impacted by the events in Ferguson, Missouri during the 2014-2015 school year? How can Perry’s theory be applied to student development during this historic time? How can these findings be utilized to better understand and support student development during periods of civil unrest? The participants’ stories are analyzed through the lens of Perry’s theory using the constant comparative method. Evidence of Perry’s four stages of development emerged from the data, including dualism, multiplicity, relativism, and commitment to relativism, as well as evidence of his three deflections from growth, including temporizing, escape, and retreat. The findings of this research serve to capture the student experiences on campus during Occupy SLU, inform higher education professionals on the impact of this social movement, and provide further validation for Perry’s theory

DRUG USE AND LIFESTYLE AT A NEBRASKA TWO-YEAR COLLEGE

This study records drug use and lifestyle among students at a Midwestern community college. The study provides the first set of data on the levels of drug use at this college and makes some comparisons to drug use levels found in other studies. Alcohol was found to have the highest percentage of student use, 84%, with 41% using at least weekly. Forty-nine percent of students reported using marijuana making it the second most popular drug. Weekly use of marijuana was reported by 11% of students. The levels of use for most drugs were similar to those reported at other colleges though some differences exist. Lifestyle parameters with some relationship to the level of drug use include level of sexual activity and failure of a class. A more complex relationship, age and living situation, appears to influence the level of alcohol use. The positive correlation between increased drug use and increased sexual activity found in other studies were found in this study as well

The Impact of Flag Desecration on Social Justice Movements: The Case of Occupy SLU

The unrest in Ferguson, Missouri brought about many points of contention that evolved into a collective, dualistic mindset: an “us-versus-them mentality” that set community members at odds with each other. A notable instance of divisiveness was the desecration of the American flag by some demonstrators, the merit of which is hotly debated. Some see the desecration of the flag as a powerful means of protest, a literal destruction of a perceived symbol of institutional oppression. Others see it as the ultimate insult to our nation and our nation’s service members who volunteer to uphold the very foundations that protect demonstrators. In the months following the unrest, the demonstrations made their way onto the campus of Saint Louis University, a Jesuit institution in St. Louis, Missouri, organizing the Occupy SLU movement. In the aftermath of this movement, researchers asked students to share their experiences. This research has its origins in that study, focused upon the student experiences on and near campus. This paper provides a brief overview of the historical foundations of flag desecration and evaluates the perceptions of students concerning the use of flag desecration as a tactic during the Occupy SLU movement

Validation of the adolescent binge eating disorder measure (ADO-BED) among transgender youth and young adults

BACKGROUND: Transgender youth and young adults are at increased risk for eating disorders, including binge eating disorder, yet few measures have been validated for screening purposes with the transgender population. METHODS: The purpose of this study was to provide initial evidence for the internal consistency and convergent validity of the Adolescent Binge Eating Disorder questionnaire (ADO-BED) in a sample of transgender youth and young adults. 208 participants completed the ADO-BED as part of a routine nutrition screening protocol at a gender center. Exploratory factor analysis and confirmatory factor analysis was used to establish the factor structure of the ADO-BED. Relationships between the ADO-BED, Sick, Control, One Stone, Fat, Food (SCOFF), Nine Item Avoidant/restrictive Intake Disorder (NIAS), Patient Health Questionnaire 9 (PHQ-9), Generalized Anxiety Disorder 7 (GAD-7), and demographic characteristics were explored. RESULTS: Analyses revealed a one-factor structure of the ADO-BED with good fit to the data in the present sample. The ADO-BED was shown to be significantly related to all convergent validity variables, except the NIAS. CONCLUSIONS: The ADO-BED is a valid measure to screen for BED among transgender youth and young adults. Healthcare professionals can screen all transgender patients for BED, regardless of body size, in order to effectively identify and manage binge eating concerns

Washout policies in long-term indwelling urinary catheterisation in adults

Background  People requiring long-term bladder draining with an indwelling catheter can experience catheter blockage. Regimens involving different solutions can be used to wash out catheters with the aim of preventing blockage. This is an update of a review published in 2010.  Objectives  To determine if certain washout regimens are better than others in terms of effectiveness, acceptability, complications, quality of life and critically appraise and summarise economic evidence for the management of long-term indwelling urinary catheterisation in adults.  Search methods  We searched the Cochrane Incontinence Group Specialised Trials Register, which contains trials identified from the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, MEDLINE In-Process, MEDLINE Epub Ahead of Print, CINAHL, ClinicalTrials.gov, WHO ICTRP and handsearching of journals and conference proceedings to 23 May 2016. We also examined all reference lists of identified trials and contacted manufacturers and researchers in the field.  Selection criteria  All randomised and quasi-randomised trials comparing catheter washout policies (e.g. washout versus no washout, different washout solutions, frequency, duration, volume, concentration, method of administration) in adults (aged 16 years and above) in any setting (i.e. hospital, nursing/residential home, community) with an indwelling urethral or suprapubic catheter for more than 28 days.  Data collection and analysis  Two review authors independently extracted data. Disagreements were resolved by discussion. Data were assessed and analysed as described in theCochrane Handbook. If data in trials were not fully reported, clarification was sought from the study authors. For categorical outcomes, the numbers reporting an outcome were related to the numbers at risk in each group to derive a risk ratio (RR). For continuous outcomes, means and standard deviations were used to derive mean differences (MD).  Main results  We included seven trials involving a total of 349 participants, 217 of whom completed the studies. Three were cross-over and four were parallel-group randomised controlled trials (RCTs). Of these, two trials were added for this update (one parallel-group RCT with 40 participants and one cross-over RCT with 67 participants). Analyses of three cross-over trials yielded suboptimal results because they were based on between-group differences rather than individual participants' differences for sequential interventions. Two parallel-group trials had limited clinical value: one combined results for suprapubic and urethral catheters and the other provided data for only four participants. Only one trial was free of significant methodological limitations, but there were difficulties with recruitment and maintaining participants in this study.  The included studies reported data on six of the nine primary and secondary outcome measures. None of the trials addressed: number of catheters used, washout acceptability measures (including patient satisfaction, patient discomfort, pain and ease of use), or health status/measures of psychological health; very limited data were collected for health economic outcomes. Trials assessed only three of the eight intervention comparisons identified. Two trials reported in more than one comparison group.  Four trials compared washout (either saline or acidic solution) with no washout. We are uncertain if washout solutions (saline or acidic), compared to no washout solutions, has an important effect on the rate of symptomatic urinary tract infection or length of time each catheter was in situ because the results are imprecise.  Four trials compared different types of washout solution; saline versus acidic solutions (2 trials); saline versus acidic solution versus antibiotic solution (1 trial); saline versus antimicrobial solution (1 trial). We are uncertain if type of washout solution has an important effect on the rate of symptomatic urinary tract infection or length of time each catheter was in situ because the results are imprecise.  One trial compared different compositions of acidic solution (stronger versus weaker solution). We are uncertain if different compositions of acidic solutions has an important effect on the rate of symptomatic urinary tract infection or length of time each catheter was in situ because only 14 participants (of 25 who were recruited) completed this 12 week, three arm trial.  Four studies reported on possible harmful effects of washout use, such as blood in the washout solution, changes in blood pressure and bladder spasms.  There were very few small trials that met the review inclusion criteria. The high risk of bias of the included studies resulted in the evidence being graded as low or very low quality.  Authors' conclusions  Data from seven trials that compared different washout policies were limited, and generally, of poor methodological quality or were poorly reported. The evidence was not adequate to conclude if washouts were beneficial or harmful. Further rigorous, high quality trials that are adequately powered to detect benefits from washout being performed as opposed to no washout are needed. Trials comparing different washout solutions, washout volumes, and frequencies or timings are also needed

Transient analysis of a two-heterogeneous servers queue with impatient behavior

AbstractRecently, [1] have obtained the transient solution of multi-server queue with balking and reneging. In this paper, a similar technique is used to drive a new elegant explicit solution for a two heterogeneous servers queue with impatient behavior. In addition, steady-state probabilities of the system size are studied and some important performance measures are discussed for the considered system