597 research outputs found

    The Law–A Business or a Profession?

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    Lien of Judgment - What it Binds

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    'Inspired by business': A case of mentoring among low socio-economic students

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    To boost enrolment and retention of students from low socio-economic backgrounds in higher education, existing research has proposed a number of ways to support their university experiences. One initiative highlighted in the literature is mentoring, which has been shown to enhance students' skillsets, networks, and their self-esteem. This study examines the experiences of mentoring for low socio- economic status students accepted into a competitive widening participation programme, 'Inspired by Business', at the University of Sydney Business School. The purpose of the research was to evaluate the programme's perceived benefits for both mentees and mentors. Through interviews conducted with students and mentors, the findings reveal that mentoring was highly beneficial for the students, where the informal networks that developed between the participants developed their social capital and enhanced their sense of belonging. However, we highlight that mentoring processes of matching and preparation are critical aspects of mentor satisfaction

    Protecting expatriates in hostile environments: institutional forces influencing the safety and security practices of internationally active organisations

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    © 2017, © 2017 Informa UK Limited, trading as Taylor & Francis Group. The operations of internationally active organisations continue to encroach on hostile locations that are vulnerable to the negative consequences of crises such as political upheaval, terrorist attacks or natural disasters. Yet research into how firms ensure the physical and psychological safety and security of international staff in these locations is limited. This article reports an empirical study exploring the expatriate safety and security practices of 28 internationally active organisations from three industries that commonly operate in hostile environments. We unveil starkly different approaches across the three industries, and label these approaches ‘regulatory’ (mining and resources), ‘informal mentoring’ (news media) and ‘empowering’ (international aid and development). We use institutional theory to propose that these configurations reflect legitimacy-seeking choices that these organisations make in response to the various institutional environments that affect each sector. Our results provide a platform for initial theory building into the interrelated elements of organisations’ safety and security practices, and the institutional factors that shape the design of these

    Comparison of outcomes in patients with abandoned versus extracted implantable cardioverter defibrillator leads

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    SummaryBackgroundDespite the increased number of implantable cardioverter defibrillator (ICD) recipients and the frequent need for device upgrading and/or occurrence of lead malfunction, the optimal approach to managing abandoned leads remains debated. Aims To determine the rate and type of complications related to either abandoned or extracted ICD leads. Methods Patients with abandoned or extracted leads were identified retrospectively. Patient medical records were reviewed to assess long-term lead or device malfunction, defibrillation test values before and after lead abandonment or extraction, and appropriateness of delivered shocks and subsequent surgical procedures related to devices or leads. Results A total of 58 ICD patients with 47 extracted and 34 abandoned leads were identified. After a mean follow-up of 3.2 ± 2.6 years, the defibrillation test was not affected by either abandoned or extracted leads (23.4 ± 6.6 J vs 25.4 ± 4.9 J, respectively; P = 0.24). There were no differences in the number of ICD-related surgical procedures after extracting versus abandoning leads (22% vs 12%, respectively; P = 0.3) or in the thromboembolic event rate (7.7% vs 6.3%; P = 0.83). During follow-up, no differences in the occurrence of major complications or appropriate/inappropriate shocks were observed between patients with or without abandoned leads. Conclusion We observed no difference in rates of immediate or medium-term complications between extracting versus abandoning leads. Lead abandonment remains an alternative and safe option when extraction does not appear mandatory according to the age of the leads or experience of the operating centre

    The Impact of Serum Glucose, Anti-Diabetic Agents, and Statin Usage in Non-Small Cell Lung Cancer Patients Treated With Definitive Chemoradiation

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    Introduction: Epidemiologic data indicate diabetes confers an augmented risk of lung cancer development, yet the relationship between hyperglycemia, metabolic agents, and prognosis is unclear. We analyzed the impact of hyperglycemia, anti-diabetic agents, and statins on outcomes in non-small cell lung cancer (NSCLC) patients undergoing chemoradiation. Method and Materials: In total, data from 170 patients with stage III NSCLC treated at the University of Pittsburgh Medical Center between 2001 and 2014 were obtained for analysis. Kaplan-Meier survival analysis was used to estimate time-to-event for overall survival (OS), disease-free survival, distant metastasis (DM), and loco-regional control (LRC). Blood glucose values (n = 2870), statins, and diabetic medications were assessed both continuously and categorically in univariable and multivariable Cox proportional hazard regression models to estimate hazard ratios and identify prognostic factors. Results: Tumor volume was a negative prognostic factor for OS, disease-free survival, DM, and LRC (p = 0.001). Tumor stage and treatment time were associated with increased all-cause mortality. Any glucose measurement ≥ 130 mg/dl during treatment (2-year estimate 49.9 vs. 65.8%, p = 0.095) was borderline significant for decreased LRC, with similar trends on multivariable analysis (HR 1.636, p = 0.126) and for OS (HR 1.476, p = 0.130). Statin usage was associated with improved 2-year LRC (53.4 vs. 62.4%, p = 0.088) but not with improvements in survival. Other glycemic parameters, comorbid diabetes diagnosis, or anti-diabetic medications were not significantly associated with outcomes. Conclusions: There were trends for blood glucose value over 130 mg/dl and statin nonuse being associated with inferior prognosis for LRC in stage III NSCLC patients; glycemic state, statin usage, and glucose-modulating medications were not associated with survival outcomes in multivariable analysis in this retrospective database

    Women’s participation in teacher unions: Implications of a ‘triple burden’ for union gender equality strategies

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    Amidst declining union influence, teacher unions have retained power. However, work intensification, arising from increasing reform in school education, has potentially undermined union participation, particularly women’s. Using a mixed-method approach, this article examines how the tangled combination of women’s paid work, union participation and family/domestic responsibilities (the ‘triple burden’) affects women’s roles as unionists. Examining the case of Australian teachers, the article finds that while demands of ‘work’ and ‘life’ can stifle union participation, it is specifically the cultural and historical legacies in unions that hinder women’s participation. The findings offer new insights around issues affecting the participation of women in female-dominated unions, and the intersection between union organisation and operation and the member-workers whom they represent. </jats:p

    Development of a Web-Based Human Resource Sourcing System for Labour Only Contracts

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    Nowadays in some areas of Nigeria, it has been noticed that the search for a satisfactory team of labourers (skilled and unskilled) or even the right amount of people to undertake the job has become a laborious activity. Therefore, there is need to build a two-way partnership system linking construction firms with the required skilled labour and vice versa. The aim of this research is to develop a web-based human resource sourcing system for labour only contracts. The study made use of a questionnaire instrument and developed a web-based interface for skilled labour sourcing. The questionnaire was distributed to fifty (50) construction professionals who were selected through a convenience sampling technique. The data collected was analyzed using SPSS v.21. The design of the system was done using hypertext markup language (HTML) for authoring web pages. The study revealed that contractors’ sourcing techniques for skilled labour on construction projects were mostly by referral from colleagues and workers from past projects. The study identified the major barriers in sourcing for skilled labour on construction projects as the unavailability of trained skilled labour. The study revealed that years of experience, wages charged and behavior of the worker were major criteria considered while sourcing for skilled labour on construction projects. In conclusion, the study developed a web based human resource sourcing system for labour only contracts that incorporated the needs of the skilled labour and requirement of construction firms. It was recommended that construction professionals and contractors need to harness the benefits of web-based technologies. In addition, there is need to increase the information and communication technology (ICT) trainings of workers in the construction industry so has to have a successful integration of ICT and the construction industry

    A central review of histopathology reports after breast cancer neoadjuvant chemotherapy in the neo-tango trial.

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    BACKGROUND: Neo-tAnGo, a National Cancer Research Network (NCRN) multicentre randomised neoadjuvant chemotherapy trial in early breast cancer, enroled 831 patients in the United Kingdom. We report a central review of post-chemotherapy histopathology reports on the surgical specimens, to assess the presence and degree of response. METHODS: A central independent two-reader review (EP and HME) of histopathology reports from post-treatment surgical specimens was performed. The quality and completeness of pathology reporting across all centres was assessed. The reviews included pathological response to chemotherapy (pathological complete response (pCR); minimal residual disease (MRD); and lesser degrees of response), laterality, the number of axillary metastases and axillary nodes, and the type of surgery. A consensus was reached after discussion. RESULTS: In all, 825 surgical reports from 816 patients were available for review. Out of 4125 data items there were 347 discrepant results (8.4% of classifications), which involved 281 patients. These involved grading of breast response (169 but only 9 involving pCR vs MRD); laterality (6); presence of axillary metastasis (35); lymph node counts (108); and type of axillary surgery (29). Excluding cases with pCR, only 45% of reports included any comment regarding response in the breast and 30% in the axillary lymph nodes. CONCLUSION: We found considerable variability in the completeness of reporting of surgical specimens within this national neoadjuvant breast cancer trial. This highlights the need for consensus guidelines among trial groups on histopathology reporting, and the participation of histopathologists throughout the development and analysis of neoadjuvant trials

    Feasibility and Acceptability of Computerised Cognitive Training of Everyday Cognition in Parkinson's Disease.

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    Objectives: We piloted a computerised cognitive training battery in a group of participants with Parkinson's disease without dementia to investigate the relevance of the training to daily life and the feasibility and the acceptability of the tasks. Previous studies of CT have had limited success in the benefits of training, extending to improvements in everyday function. By taking a pragmatic approach and targeting training to the cognitive skills affected by Parkinson's disease (planning, attention, and recollection), whilst using tasks that emulated real-life scenarios, we sought to understand whether participants perceived the training to be effective and to identify the elements of the training that elicited beneficial effects. Methods: Four participants completed a cognitive training session comprising three distinct tasks 5 days a week over two weeks. Participants completed baseline questionnaires examining health-related quality of life, everyday cognition, and apathy before the training period, after the last session, and two weeks after the last session. An interview was held after participants had completed the training. Results: The findings indicated that participants felt the training was acceptable, enhanced their awareness, and encouraged them to monitor their thinking abilities. The group interview indicated that the training was feasible; participants felt the tasks had potential to improve everyday performance, but more supporting information should be provided to facilitate this transfer. Responses to the questionnaires reflected these findings, indicating improvement for some participants' cognition and quality of life. Objective measures supported the subjective reports; there were improvements in some but not all domains. Performance on the planning and recollection tasks improved over the training period, and the evidence for improvement on the attention task was mixed. Conclusion: This study has found that pragmatic computer-based training with real-life outcomes is both feasible and acceptable and should be evaluated more extensively using controlled methods
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