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872.
This study explored whether genetic counseling programs are incorporating instruction about the applications and techniques of predictive genomic testing (PGT) based on student recollection, and whether this is perceived as adequate by those students. For the purpose of this study, PGT was defined as the use of genome-based testing to assess a person’s risk, or susceptibility, of developing a disorder with either a known or suspected genetic component. Surveys from 114 graduates were analyzed. The majority of respondents indicated that PGT was covered in their curriculum including methodology, information generated, benefits, risks, limitations, and impact on the field of genetic counseling. A statistically significant increase in incorporating information about PGT as a whole from 2008 to 2011 was also reported. The majority of respondents reported that coverage of PGT prepared them for the American Board of Genetic Counseling (ABGC) board exam (80.6 %), to interpret PGT test results (60.2 %) and to identify clinical situations warranting testing (53.1 %). Although the majority of respondents indicated learning about a wide variety of aspects surrounding PGT, many recent graduates indicated their training was less likely to cover aspects essential for the clinical application of PGT. Therefore, genetic counseling programs should place a greater emphasis on these skills, and the development of continuing education opportunities aimed at increasing genetic counselors abilities to interpret and discuss PGT tests and identify clinical situations warranting such testing may be helpful.  相似文献   
873.
This study examined the potential role of gratitude as a protective factor against posttraumatic stress (PTS) symptomatology and global distress (GD) in the wake of disasters. Using longitudinal methodology, we assessed positive coping, gratitude, PTS symptomatology, and GD among 310 survivors of the 2009 Padang earthquake in Indonesia five and eight months after the disaster. Psychological hardiness and neuroticism were also measured at baseline. A general prototype model was constructed to predict scores on each of the dependent variables (GD and PTS symptomatology) at both time points. Hardiness and neuroticism were associated with GD and PTS at Time 1, but gratitude and positive coping had concurrent associations with these variables at Time 2. The unique association between gratitude and impairment at Time 2 suggests that it may play a role in adjustment to extreme disaster, but that it takes time to do so.  相似文献   
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The present study examined the relation of calling and career adaptability with a sample of 330 undergraduate students. The presence of a calling weakly to moderately correlated with the four components of adaptability — concern, control, curiosity, and confidence. A moderated, multiple mediation model was used to test the potential mediating effects of the four components of career adaptability on career decision self-efficacy (CDSE) and how these relations differed according to strengths use. Using bootstrapping techniques, concern and confidence were found to be significant mediators in the calling–CDSE relation. Additionally, strengths use was found to moderate the relation between curiosity and CDSE, with curiosity being a significant mediator at high levels of strengths use. After including the mediators in the model, the relation of calling to CDSE was weakened, but still significant, indicating partial mediation. These results suggest that calling relates to greater levels of CDSE in part because of increased concern, curiosity (when strengths use is high), and confidence. Directions for future research are discussed.  相似文献   
877.
Systematic observational studies of the chaplain's role and function in the secular health‐care setting are few. With an episode‐based diary recorded on handheld digital tablets, palliative care chaplains at a large urban hospital with a diverse patient population recorded details of patient visits in near‐real time. Cluster analysis revealed groups of activities we called "doing" and "being," and conversation topics of "practical matters" and "ultimate concerns”; chaplains were most satisfied with visits that involved all of these. Chaplains offer patients and families a space to express significant concerns; however, visits with spiritual or religious activities or topics were relatively rare. Broad quality of life concerns are central to the evolving professional role of chaplains in the secular setting of the modern hospital.  相似文献   
878.
Conservatives are thought to favor certainty and value tradition (suggesting a focus on the past), whereas liberals are thought to favor change (suggesting a focus on the future), even when it is associated with some degree of uncertainty. On this basis, two studies contrasted references to the past versus the future in language usage. Study 1 analyzed 600 texts from conservative and liberal websites. After adjusting for normative differences, a cross‐over interaction was obtained: Conservative posts referenced the past to a greater extent than the future and liberal posts referenced the future more than the past. A conceptually parallel cross‐over interaction was obtained in Study 2, which analyzed 145 State of the Union addresses. The temporal orientation of conservatives and liberals, then, appears qualitatively different.  相似文献   
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Stereotyped individuals vary in how chronically self-conscious they are of their stigmatized status, which Pinel (1999) has dubbed stigma consciousness. The current study investigated whether individual differences in stigma consciousness moderate the impact of gender stereotypes on the math performance of women. Results indicated that, under conditions designed to evoke stereotype threat (Steele, 1997), women high in stigma consciousness scored worse than women low in stigma consciousness on a math test. In the control (low threat) condition, stigma consciousness was unrelated to test performance. Possible mechanisms underlying this moderation are discussed.  相似文献   
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