The literature on gait analysis in Vascular Parkinsonism (VaP), addressing issues such as variability, foot clearance patterns, and the effect of levodopa, is scarce. This study investigates whether spatiotemporal, foot clearance and stride-to-stride variability analysis can discriminate VaP, and responsiveness to levodopa. Fifteen healthy subjects, 15 Idiopathic Parkinson's Disease (IPD) patients and 15 VaP patients, were assessed in two phases: before (Off-state), and one hour after (On-state) the acute administration of a suprathreshold (1.5 times the usual) levodopa dose. Participants were asked to walk a 30-meter continuous course at a self-selected walking speed while wearing foot-worn inertial sensors. For each gait variable, mean, coefficient of variation (CV), and standard deviations SD1 and SD2 obtained by Poincaré analysis were calculated. General linear models (GLMs) were used to identify group differences. Patients were subject to neuropshychological evaluation (MoCA test) and Brain MRI. VaP patients presented lower mean stride velocity, stride length, lift-off and strike angle, and height of maximum toe (later swing) (p<.05), and higher %gait cycle in double support, with only the latter unresponsive to levodopa. VaP patients also presented higher CV, significantly reduced after levodopa. Yet, all VaP versus IPD differences lost significance when accounting for mean stride length as a covariate. In conclusion, VaP patients presented a unique gait with reduced degrees of foot clearance, probably correlated to vascular lesioning in dopaminergic/non-dopaminergic cortical and subcortical non-dopaminergic networks, still amenable to benefit from levodopa. The dependency of gait and foot clearance and variability deficits from stride length deserves future clarification.
This study presents a systematic literature review about career interventions for university students exploring (1) which theoretical framework; (2) structure; (3) evaluation system; and (4) outcomes are reported. Fourteen keywords, five databases, and six eligibility criteria were defined. Among the 596 articles collected, 26 remained for meta-synthesis. Results indicated a predominance of (1) three theoretical frameworks, (2) group intervention modality, (3) pre-and post-test evaluation system, and (4) the positive development of skills in decision-making. Recommendations are presented to guide future research and practice in the field. For example, this study indicates the importance of providing updated information about the world of work within career interventions or educational programs.
The program Eu Pertenço ao Meu Futuro! (I Belong to My Future!) has evidence of effectiveness in the career adaptability of 9th-year Portuguese students. This study evaluates its effectiveness in two consecutive school years, 2015/16 and 2016/17 - a period with a series of government changes that impacted school educational projects. This study was conducted with 2,376 students (1201 (50.5%) boys; age M = 14.53 years; SD = .836), 1138 of whom were randomized into the experimental group and 816 in the control group. Data were collected by means of the Adaptability Scale, administered in a pre- and posttest with a seven-weeks interval, and treated using the MANOVA. The intervention achieved the expected results regarding confidence and control in 2016/17. The program had different effects in the two school years, reaching more favorable outcomes in the second year, which may be explained by contextual factors and the intervention process.
This study describes validity and reliability evidence of the Multidimensional Measure of Employability (MME) based on the internal structure and relations to other measures in a sample of unemployed persons in Portugal. Altogether, 216 individuals participated in an online survey. The MME’s internal structure was tested by confirmatory factor analyses, suggesting good fit. The factors’ reliability was good, as assessed by four types of coefficients. Multiple linear regressions considering motivational and emotional features allowed for the identification of validity evidence based on the relationships with other constructs. Thus, MME is a valid and reliable measure to assess employability among unemployed persons.
This study compared the psychological future of unemployed individuals and workers during the Covid-19 pandemic. It used the data from two previous data collections, one with unemployed individuals and another with workers. Participants from the two datasets were paired considering the same gender and similar age and education degree. The analyzed sample consisted of 352 participants, of which 176 were unemployed individuals and 176 were workers. The psychological future was measured by the Future Time Orientation Scale and the Life Project Scale. Both scales fit the sample of unemployed individuals and were invariant at the metric level across occupation status. Partial scalar model met good fit after freeing the intercepts of one item in each scale. In contrast to the hypothesis, compared to workers, unemployed individuals did not have lower rates in the assessed features of their psychological future. Conversely, for some variables, the rates were even higher among unemployed individuals. Unexpected results and limitations are discussed.
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