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  • Open Access

    ARTICLE

    Promoting Employees’ Affective Well-Being: Comparing the Impact of Career Success Criteria Clarity and Career Decision-Making Self-Efficacy

    Lu Xin1, Mengyi Li2,*, Fangcheng Tang1, Wenxia Zhou2, Xiaotong Zheng3

    International Journal of Mental Health Promotion, Vol.20, No.2, pp. 55-65, 2018, DOI:10.32604/IJMHP.2018.010723

    Abstract Based on social cognitive career theory, this study examined career success criteria clarity and career decision-making self-efficacy as mediators in the relationship between career exploration and affective well-being. Data were collected from 475 emerging adults in their early career stages in China. The results showed that both career success criteria clarity and career decision-making self-efficacy mediated the relationship between career exploration and affective well-being. Career decision-making self-efficacy exhibited a stronger mediating effect on this relationship than career success criteria clarity. These findings reveal some important mechanisms underlying the role of career exploration in generating affective More >

  • Open Access

    ARTICLE

    The Interactive Effect of Proactive Personality and Career Exploration on Graduating Students’ Well-Being in School-to-Work Transition

    Wenxia Zhou1, Mengyi Li1, Lu Xin2,*, Jinqiang Zhu3

    International Journal of Mental Health Promotion, Vol.20, No.2, pp. 41-54, 2018, DOI:10.32604/IJMHP.2018.010737

    Abstract Based on basic psychological needs theory of self-determination theory, this study investigates the interaction effect of proactive personality and career exploration on well-being for graduating students during school-to-work transition. Using a survey sample of 216 graduating students in China, we found that: 1) Proactive personality had a positive relationship with well-being. 2) Career decision-making self-efficacy mediated the relationship between proactive personality and well-being. 3) Career exploration negatively moderated the relationship between proactive personality and career decision-making selfefficacy. The relationship between proactive personality and career decisionmaking self-efficacy was stronger when career exploration was lower. 4) Career More >

  • Open Access

    ARTICLE

    A survey of patient preferences regarding medical expulsive therapy following the SUSPEND trial

    John Roger Bell1, Kristina L. Penniston1, Sara L. Best1, Stephen Y. Nakada1–3

    Canadian Journal of Urology, Vol.24, No.3, pp. 8827-8831, 2017

    Abstract Introduction: Several recent trials have reported limited benefit for medical expulsive therapy (MET) in terms of stone passage rates, analgesic requirements, or need for intervention. We evaluated patient attitudes regarding MET after explaining these new findings.
    Materials and methods: Over a 12 week period, an investigator-designed survey was offered to sequential patients during routine appointments in our urologic clinic. A brief summary of the conflicting data for MET was provided. Patients then answered questions about their attitudes toward using MET.
    Results: Patients (n = 200; 103 M, 97 F) were 56 ± 14 years old (range 20-103… More >

  • Open Access

    ARTICLE

    Clinical use of patient decision-making aids for stone patients

    Amy H. Lim1, Necole M. Streeper2, Sara L. Best1, Kristina L. Penniston1, Stephen Y. Nakada1

    Canadian Journal of Urology, Vol.24, No.4, pp. 8890-8894, 2017

    Abstract Introduction: Patient decision-making aids (PDMAs) help patients make informed healthcare decisions and improve patient satisfaction. The utility of PDMAs for patients considering treatments for urolithiasis has not yet been published. We report our experience using PDMAs developed at our institution in the outpatient clinical setting in patients considering a variety of treatment options for stones.
    Materials and methods: Patients with radiographically confirmed urolithiasis were given PDMAs regarding treatment options for their stone(s) based on their clinical profile. We assessed patients' satisfaction, involvedness, and feeling of making a more informed decision with utilization of the PDMAs using a… More >

  • Open Access

    ARTICLE

    The role of preoperative prostatic urethral biopsy in clinical decision-making at the time of radical cystectomy

    Josep M. Gaya1,2, Justin Matulay1, Gina M. Badalato1, Dara D. Holder1, Gregory Hruby1, James McKiernan1

    Canadian Journal of Urology, Vol.21, No.2, pp. 7228-7233, 2014

    Abstract Introduction: Involvement of the prostatic urethra by bladder cancer directly impacts prognosis, risk of urethral recurrence, and timing of radical cystectomy (RC); it also affects the type of urinary diversion chosen. Both cold cup biopsies and transurethral (TUR) loop biopsies have been used to evaluate the status of the prostatic urethra. We report our 20 year experience with preoperative and intraoperative prostatic urethral biopsies to determine relative efficacy and associated treatment implications.
    Materials and methods: The Columbia University urologic oncology database was reviewed and yielded 234 men who underwent preoperative endoscopic biopsies of the prostatic urethra… More >

  • Open Access

    ARTICLE

    Multiple physician recommendations for prostate cancer treatment: a Pandora’s box for patients?

    Willie Underwood III1,2, Heather Orom2, Michael Poch1, Brady T. West3, Paula M. Lantz4, Sam S. Chang5, Jay H. Fowke6

    Canadian Journal of Urology, Vol.17, No.5, pp. 5346-5354, 2010

    Abstract Objective: Patients turn to their physicians for information and guidance when making a prostate cancer treatment decision. The objectives of this study were to determine the likelihood of men consulting with and receiving treatment recommendations from different providers (urologists, radiation oncologists, and primary care physicians), the content of these recommendations, the perceived influence of recommendations and which recommendations, if any, were associated with prostate cancer treatment decisions.
    Methods: One hundred and fifty-eight participants with localized prostate cancer completed a survey regarding their treatment decision-making process. Associations between treatment choice and urologist recommendations, consultations with radiation oncologists and More >

  • Open Access

    ARTICLE

    Anomaly Detection

    Nadipuram R. Prasad1, Salvador Almanza-Garcia1, Thomas T. Lu2

    CMC-Computers, Materials & Continua, Vol.14, No.1, pp. 1-22, 2009, DOI:10.3970/cmc.2009.014.001

    Abstract The paper presents a revolutionary framework for the modeling, detection, characterization, identification, and machine-learning of anomalous behavior in observed phenomena arising from a large class of unknown and uncertain dynamical systems. An evolved behavior would in general be very difficult to correct unless the specific anomalous event that caused such behavior can be detected early, and any consequence attributed to the specific anomaly following its detection. Substantial investigative time and effort is required to back-track the cause for abnormal behavior and to recreate the event sequence leading to such abnormal behavior. The need to automatically More >

  • Open Access

    RESIDENT’S CORNER

    Understanding participation in a trial comparing cryotherapy and radiation treatment

    Michael Eng1, Liam Taylor2, Marja Verhoef2, Scott Ernst3, Bryan Donnelly4

    Canadian Journal of Urology, Vol.12, No.2, pp. 2607-2613, 2005

    Abstract Background: To date, few two-arm active treatment randomized control trials (RCTs) have compared prostate cancer therapies.
    Objective: To examine the difference and similarities between the reasons for accepting and declining participation in a two-arm active treatment RCT comparing external beam radiation therapy (EBRT) versus cryotherapy.
    Methods: Eleven men with prostate cancer, selected purposively, participated in a 30-minute post-treatment semi-structured interview. Interviews were transcribed verbatim, coded and analyzed for patterns with the assistance of the text management (TM) software (NVivo).
    Results: RCT accepters participated principally with the hope of being randomized into the cryotherapy treatment arm. Consequently, randomization into the More >

  • Open Access

    ARTICLE

    Technology review: High-Intensity Focused Ultrasound for prostate cancer

    Tom Pickles1, S. Larry Goldenberg2, Gary Steinhoff1

    Canadian Journal of Urology, Vol.12, No.2, pp. 2593-2597, 2005

    Abstract Introduction and objective: High-Intensity Focused Ultrasound (HIFU) is a technology that has moved from being used for benign prostate disease to the treatment of prostate cancer. A technology review was undertaken to guide patients and physicians as to its suitability.
    Method: An evidence-based review of published papers in the English language, with additional material from internet and other sources.
    Results and conclusions: Only case series have been published; there are no randomized studies. The quality of evidence is poor, with no reports having longer follow-up than a mean of 2 years, with median follow-ups substantially shorter. Efficacy outcomes are More >

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