315 research outputs found

    Understanding students’ motivation towards proactive career behaviours through goal-setting theory and the job demands–resources model

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    The graduate labour market is highly competitive but little is known about why students vary in their development of employability. This study contributes to the literature by applying goal-setting theory and the job demands–resources model to investigate how motivational processes influence students’ proactive career behaviours. We tested four hypotheses using structural equation modelling and moderation/mediation analysis using a nested model approach; 432 undergraduates from 21 UK universities participated in this cross-sectional study. The results showed that students higher in mastery approach had greater perceived employability mediated by two proactive career behaviours (skill development and network building). Students’ career goal commitment was associated with all four proactive career behaviours (career planning, skill development, career consultation and network building). Students’ academic and employment workloads did not negatively impact their proactive career behaviours. University tutors and career services should therefore encourage students to set challenging career goals that reflect mastery approach

    Arthroscopic washout of the knee: a procedure in decline.

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    BACKGROUND: Osteoarthritis (OA) of the knee is a chronic, progressive condition which often requires surgical intervention. The evidence for the benefits of arthroscopic debridement or washout for knee OA is weak and arthroscopy is currently only indicated in the UK if there is a history of mechanical locking of the knee. OBJECTIVES: To investigate whether there has been any change in the number of arthroscopies performed in the UK since the 2007 NICE guidance on knee arthroscopy and the 2008 Cochrane review of arthroscopic debridement for OA of the knee. METHODS: We interrogated data from the Hospital Episodes Statistics (HES) database with Office of Population Censuses and Surveys-4 (OPSC-4) codes pertaining to therapeutic endoscopic operations in the 60-74 year old and 75 and over age groups. RESULTS: The number of arthroscopic knee interventions in the UK decreased overall from 2000 to 2012, with arthroscopic irrigations decreasing the most by 39.6 per 100,000 population (80%). However, the number of arthroscopic meniscal resections increased by 105.3 per 100,000 (230%) population. These trends were mirrored in both the 60-74 and 75 and over age groups. CONCLUSIONS: Knee arthroscopy in the 60-74 and 75 and over age groups appears to be decreasing but there is still a large and increasing number of arthroscopic meniscal resections being performed

    Dysphoria and hopelessness following battering: The role of perceived control, coping, and self-esteem

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    Coping, perceived control, dysphoria, hopelessness, and self-esteem in a sample of 100 battered women were assessed. Participants reported dysphoria and low self-esteem, but not hopelessness. High perceived control over current abuse and greater use of drugs, behavioral disengagement, denial, and self-blame as coping mechanisms were associated with increased dysphoria and low self-esteem. High expectations for control over future abuse were associated with decreased dysphoria and hopelessness and increased self-esteem. After controlling for the effects of abuse severity and low self-esteem, self-blame was a unique contributor to dysphoria and high expectations for control of future abuse were unique contributors to hopelessness. Results are discussed in terms of their implications for clinical intervention with battered women

    Changes in total and functional bacterial genera following biochar application to planted soil

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    Biochar has the recognized potential to sequester carbon, facilitate contaminant amelioration and enhance agricul-tural crop yield. Different types of biochar have different impacts on ecosystems, and those that are produced locally, relative to where they will be used, are considered more sustainable. It is important, therefore, to determine how the locally produced biochars affect total and functional microbial communities, especially in agronomic contexts. In this study we tested the hypotheses that biochar augmentation would: (1) increase plant yield; and (2) differentially affect total and functional microbial community composition and structure in bulk vs. rhizosphere (Trifolium pratense) soils. Triplicate randomised seedling cells of a 5% (w/w) mixture of sandy clay loam soil (26% clay, 21% silt and 53% sand), with/without locally-produced mixed broadleaf forestry biochar, and with/without 0.1 g clover seeds, were sampled destructively at 2-week intervals for 8 weeks post clover germination. Microbial DNA of bulk and T. pratense rhizos-phere soils were analysed with next-generation sequencing of the 16S rRNA gene. The results showed a statistically significant increase in plant biomass in response to biochar addition correlating to increased abundances of Armati-monadetes and Bacteroidetes specifically in the rhizosphere. Although no significant change in overall alpha diversity was observed, significant changes in abundance at the genus level were recorded particularly in the presence of biochar for a number of recognised nitrogen-fixing and plant growth-promoting bacteria, including those capable of indole acetic acid (IAA) production, plant disease suppression and degradation of toxic compounds. We conclude that although overall soil diversity may not be affected by biochar addition, key genera associated with soil health and nitrogen fixation, such as Pseudoxanthomonas, Variovorax, Pseudonocardia, Devosia, Lysobacter and Hydrogeno-phaga, increased and facilitated plant growt

    Identifying suicide and self-harm research priorities in North West England: a Delphi study

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    Background: Understanding and effectively managing self-harm and suicide requires collaborative research between stakeholders focused on shared priorities. Aims: To develop a consensus about suicide and self-harm research priorities in the North-West of England using the Delphi method. Method: Items for the Delphi survey were generated through group discussions at a workshop with 88 stakeholders and subsequent thematic analysis of key themes. Forty-four participants who were experts-by-experience, researchers, and clinicians based within health services including third sector organisations completed the Delphi survey. Results: A three-round survey reached consensus on 55 research priority items identifying key priorities in each of the following groups: offenders, children and young people, self-harm in community settings, and crisis care in the community. Limitation: The pool of delegates at the workshop and subsequent self-selection into the Delphi may have introduced bias into the study. Conclusion: The current paper highlights specific actionable priorities were identified in four areas that can be used to inform research efforts and future policy and practice, based on shared areas of perceived importance and concern. Future work is needed to confirm the significance of these priority areas, including the use of evidence synthesis approaches to ascertain the extent to which these priorities have already been investigated and where gaps in understanding remain

    Parametric Estimation of the Mean Number of Events in the Presence of Competing Risks

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    Recurrent events, for example, hospitalizations or drug prescriptions, are common in time-to-event research. One useful summary measure of the recurrent event process is the mean number of events. Methods for estimating the mean number of events exist and are readily implemented for situations in which the recurrent event is the only possible outcome. However, estimation gets more challenging in the competing risk setting, in which methods are so far limited to nonparametric approaches. To this end, we propose a postestimation command for estimating the mean number of events in the presence of competing risks by jointly modeling the intensity function of the recurrent event and the survival function for the competing events. The proposed method is implemented in the R-package JointFPM which is available on CRAN. Simulations demonstrate low bias and good coverage in scenarios where the intensity of the recurrent event does not depend on the number of previous events. We illustrate our method using data on readmissions after colorectal cancer surgery included in the frailtypack package for R. Estimates of the mean number of events can be used to augment time-to-event analyses when both recurrent and competing events exist. The proposed parametric approach offers estimation of a smooth function across time as well as easy estimation of different contrasts which is not available using a nonparametric approach.</p
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