'I have a chameleon-like existence': A duoethnographic account of border crossing by two academic development practitioners

n.a

Job satisfaction in a chemical factory

Subjective well-being is regarded as an important goal given thepositive outcomes thereof for individuals. Job satisfaction is animportant indicator of the subjective well-being of individuals. Theobjectives of this study were to evaluate the use of the MinnesotaSatisfaction Questionnaire (MSQ) for diff erent language groupsworking in a chemical factory, and to investigate the relationshipbetween job satisfaction and demographic variables. The studywas carried out with a sample (N = 583) representing diff erent joblevels in a chemical factory. The 20-item MSQ and a biographicalquestionnaire were administered. The results confi rmed that jobsatisfaction consists of two internally consistent factors, namelyextrinsic and intrinsic job satisfaction. The factorial invariance ofthe MSQ was confi rmed for African languages and an Afrikaansand English group. Language was the only demographic variablethat statistically signifi cantly predicted extrinsic job satisfaction.Intrinsic job satisfaction was statistically signifi cantly predicted bytwo demographic variables, namely age and qualifi cation

A call to prioritise prevention: Action is needed to reduce the risk of zoonotic disease emergence

Anthropogenic changes to the environment are facilitating the spread of animal pathogens into human populations. A global focus on detecting and containing emerging infectious diseases has deflected from the need for upstream prevention measures to reduce the risk of pathogen emergence. The drivers of infectious disease emergence have predominantly been considered as environmental and conservation issues and not as risks to human health. There is an opportunity for the UK to take a leadership position on this complex issue. This will require the establishment and maintenance of effective governance and policy mandates. Novel ways of policymaking are needed urgently to achieve three key aims: coordination and collaboration across sectors and government departments, the inclusion of diverse expertise, and the prioritisation of measures directed at prevention

Successful first-year learning: A social cognitive view of academic literacy

The research data used in this article are drawn from a study conducted in  a business faculty at a Historically Black South African University during  2009 and 2010. A comparison was made in the study between two groups  of first-year students: a group that had passed all their modules and a group that had failed some of their modules at the end of their first year of study. The aim was to investigate factors that had an impact on the successful completion of the first year of study by problematising theperception that those students from disadvantaged backgrounds or under-resourced schools are necessarily disadvantaged and destined to fail. In this article the focus is on the successful group of students and their mastery of academic discourse situated in the complexity of social and academic interaction. The findings indicate that the inter-relatedness of personal, academic, social and institutional factors mirror the inter-related way in which the students had experienced them. These findings furtherunderline the fact that successful learning is a complex and multi-layered process that is ongoing and that needs to be monitored, sustained and evaluated throughout students’ study careers. The students’ personal perspectives on academic study provided not only evidence that the development of academic literacy is socially situated and constructed but also showed how successful students manage their academic learningto mitigate under-preparedness and adverse personal circumstances.Key words: Students, successful learning, academic literacy, interrelated, socially situated

Tackling gambling related harms as a public health issue

Gambling is a highly profitable commercial activity, with providers including international corporations and governments. However, there is growing international recognition that gambling is a source of serious harm, and that there is inequity in the distribution of this harm, which has led to demands for action to protect public health. These concerns are reflected in the recent report from the UK All-Party Parliamentary Group, which calls for stronger action on regulation of online gambling. Although there is largely a consensus on the need for developing and implementing strategies to reduce gambling-associated harms, to date, the stated need for a public health approach to preventing harm has not been widely or effectively translated into action in the UK. The barriers and facilitators to effective public health action need to be understood to enable good intentions to be translated into effective action. The current context represents real opportunities for policy implementation, but also the threats to effective action that need to be addressed

Home-based rehabilitation: Physiotherapy student and client perspectives

Background. Home-based rehabilitation (HBR) in under-resourced areas in a primary healthcare (PHC) context exposes students to the real-life situations of their clients. There is a scarcity of literature on student and client experiences of HBR in the physiotherapy context. Increased knowledge of HBR could result in an enhanced experience for both student and client. This study sought to discover the perceptions of final-year physiotherapy students and their clients relating to their experiences of HBR during a PHC placement in a resource-constrained setting.Objectives. To explore the experiences and perceptions of physiotherapy students and their clients regarding HBR as part of clinical training in resource-constrained settings. To discover the barriers to and facilitators of effective HBR.Methods. An exploratory case study was performed. A qualitative phenomenologicalresearch design in the interpretivist paradigm was used. Semistructured interviews were conducted with clients (n=7) living in an under-resourced setting, who had received HBR from physiotherapy students. Paired interviews were conducted with final-year physiotherapy students (n=6) after their HBR placement.Results. Clients appreciated the students’ services; however, data revealed communication barriers and unmet expectations. Students reported struggling to adapt to the context, resulting in interventions not being sufficiently client-centred. They voiced a need for language competency and earlier exposure to such contexts.Conclusion. Exposure to real-life situations in under-resourced settings in HBR provides valuable situated and authentic learning opportunities for physiotherapy students. The experience can be useful in preparing graduates to address the needs of the populations they serve during community service

Symptom screening rules to identify active pulmonary tuberculosis: Findings from the Zambian South African Tuberculosis and HIV/AIDS Reduction (ZAMSTAR) trial prevalence surveys.

BACKGROUND: High tuberculosis (TB) burden countries should consider systematic screening among adults in the general population. We identified symptom screening rules to be used in addition to cough ≥2 weeks, in a context where X-ray screening is not feasible, aiming to increase the sensitivity of screening while achieving a specificity of ≥85%. METHODS: We used 2010 Zambia South Africa Tuberculosis and HIV/AIDS Reduction (ZAMSTAR) survey data: a South African (SA) training dataset, a SA testing dataset for internal validation and a Zambian dataset for external validation. Regression analyses investigated relationships between symptoms or combinations of symptoms and active disease. Sensitivity and specificity were calculated for candidate rules. RESULTS: Among all participants, the sensitivity of using only cough ≥2 weeks as a screening rule was less than 25% in both SA and Zambia. The addition of any three of six TB symptoms (cough <2 weeks, night sweats, weight loss, fever, chest pain, shortness of breath), or 2 or more of cough <2 weeks, night sweats, and weight loss, increased the sensitivity to ~38%, while reducing specificity from ~95% to ~85% in SA and ~97% to ~92% in Zambia. Among HIV-negative adults, findings were similar in SA, whereas in Zambia the increase in sensitivity was relatively small (15% to 22%). CONCLUSION: High TB burden countries should investigate cost-effective strategies for systematic screening: one such strategy could be to use our rule in addition to cough ≥2 weeks

‘Going the extra mile’: Supervisors’ perspectives on what makes a ‘good’ intern

Background. Much has been published on whether newly graduated doctors are ready for practice, seeking to understand how to better prepare graduates for the workplace. Most studies focus on undergraduate education as preparation for internship by investigating knowledge and skills in relation to clinical proficiencies. The conversion from medical student to internship, however, is influenced not only by medical competencies, but also by personal characteristics and organisational skills. Most research focuses largely on the interns’ own perceptions of their preparation. Supervisors who work closely with interns could therefore present alternative perspectives.Objectives. To explore the views of medical intern supervisors on the internship training context, as well as their perspectives on attributes that would help an intern to function optimally in the public health sector in South Africa (SA). This article intends to extend our current understanding of what contributes to a successful internship by including the views of internship supervisors.Methods. Twenty-seven semi-structured interviews were held with medical intern supervisors in 7 of the 9 provinces of SA. The data were thematically analysed and reported using an existing framework, the Work Readiness Scale.Results. The intern supervisors indicated that interns were challenged by the transition from student to doctor, having to adapt to a new environment, work long hours and deal with a large workload. Clinical competencies, as well as attributes related to organisational acumen, social intelligence and personal characteristics, were identified as being important to prepare interns for the workplace. Diligence, reliability, self-discipline and a willingness to work (‘go the extra mile’) emerged as key for a ‘good’ intern. The importance of organisational skills such as triage, prioritisation and participation was foregrounded, as were social skills such as teamwork and adaptability.Conclusions. This article contributes to our understanding of what makes a successful medical internship by exploring the previously uncanvassed views of intern supervisors who are working at the coalface in the public health sector. It is envisaged that this work will stimulate debate among the medical fraternity on how best to prepare interns for the realities of the workplace. Educational institutions, health services and interns themselves need to take ownership of how to instil, develop and support these important attributes

Micro-milling work-holding devices employing adhesive forces

IngenieursweseBedryfsingenieursweseMicro-parts are often very fragile rendering conventional, mechanical work-holding fixtures unsuitable for them since they exert large straining forces. Furthermore, macroworkholding devices occupy a large space which impedes high precision required in micromilling. Although some micro-clamping fixtures exist, they are limited to specific part shapes and in most cases expensive to manufacture. Hence this paper focuses on the application of adhesive forces namely electrostatic, surface tension and van-der-Waals forces; in work-holding strategies for micro-milling operations. An analysis is given as to their applicability with reference to micro-milling cutting forces