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Higher education is increasingly concerned with providing students with experiences that enhance employability. Sitting outside the curriculum, extra- or co-curricular activities that focus on career development, leadership, service or recognition can lead to positive employability and employment outcomes. The extent to which different student groups have access to and participate in these employability-related activities (ERAs) is underexplored, along with their relative gains in the labour market. This research surveyed 84,000 graduates in Australia on their participation in various activity types and the impact on their sense of preparedness for work and labour force outcomes. Findings demonstrate that over one-half of respondents participated in an ERA with groups tending to favour different activity types. Overall, the greatest differences in participation were observed by age, gender, disability, citizenship and socio-economic background. Activities impacted differently on employment outcomes with graduates from regional areas, of low socio-economic status and with disability garnering strong benefits. Club/society roles, leadership/award and mentoring programmes offered valuable development opportunities for most graduates, with less favourable outcomes reported for volunteering and micro-credentials. The study provides important information for designing ERAs that can be more easily accessed by increasingly diverse cohorts and that better support lifelong learning and transition to work for all students.

We describe the substantial shortfall in adherence to guideline-recommended albumin-to-creatinine ratio (uACR) testing for people in the United States with type 2 diabetes. Poor compliance with current guidelines leads to delays in diagnosis—and treatment— of chronic kidney disease, which adversely affects clinical outcomes and contributes to incremental economic burden. •Patients with type 2 diabetes (T2D) are at high risk of kidney injury.•Annual albuminuria testing is recommended in people with T2D.•Our review shows up to 60 % of T2D patients in the US do not undergo annual testing.•Infrequent testing leads to delayed diagnosis of chronic kidney disease.•Timely diagnosis of CKD is crucial to improving clinical outcomes and cost savings.

The disruption caused by COVID-19 has accelerated many changes already emerging within work and higher education sectors. With the rapid move to online and distance learning models, the value of alternative forms of work-integrated learning (WIL), in spaces other than physical workplaces, has been realized. After the state of 'panic-gogy' where experimentation was rife, purposeful design of WIL in non-workplace settings now requires greater attention. Recent practice has shown that different models and approaches can still harness the authenticity of work tasks and therefore challenge dominant understandings and practices of designing and facilitating WIL. This paper advances the argument that the nature of work, itself, is morphing and, therefore, realizations of WIL also need to change including current conceptions of quality in WIL. [Author abstract]

PurposeSustainability is one of the leading challenges of our age, and higher education plays a vital role in supporting the implementation of sustainability initiatives. There has been substantial progress in business schools introducing sustainability into courses with extant literature detailing case studies of sustainability education and student perceptions of their learning. The purpose of this paper is to address the gap in literature from educators' perspectives on their experiences of introducing sustainability teaching using specific teaching tools for sustainability.Design/methodology/approachThis paper presents a case study on a sustainability teaching tool, WikiRate, that was embedded into business and management courses at seven higher education institutions from across the globe. Interviews were conducted after course delivery to gain insights into the practical challenges of designing and implementing a sustainability education activity.FindingsThe findings show that educators perceive sustainability as a complex issue, presenting a challenge to teaching in university systems whose normative curricula are rooted in instrumental problem-solving. Furthermore, educators described challenges to their own learning in order to implement sustainability into curricula including the need for compromises and adaptions.Originality/valueThis empirical study reports on educators' experiences embedding sustainability into their courses through an innovative teaching tool, WikiRate. This paper has implications for reframing how we can approach sustainability education and presents discussion ways to teach complexity without reduction or simplification.

Abstract Retrospective administrative claims database studies provide real-world evidence about treatment patterns, healthcare resource use, and costs for patients and are increasingly used to inform policy-making, drug formulary, and regulatory decisions. However, there is no standard methodology to identify patients with pulmonary arterial hypertension (PAH) from administrative claims data. Given the number of approved drugs now available for patients with PAH, the cost of PAH treatments, and the significant healthcare resource use associated with the care of patients with PAH, there is a considerable need to develop an evidence-based and systematic approach to accurately identify these patients in claims databases. A panel of pulmonary hypertension clinical experts and researchers experienced in retrospective claims database studies convened to review relevant literature and recommend best practices for developing algorithms to identify patients with PAH in administrative claims databases specific to a particular research hypothesis.

Aim/Purpose: In the time that we study for our dissertation, our learning takes many turns. Sometimes we feel excited, motivated and accomplished, while other times frustrated, tired or unsure. This paper presents a poem to illustrate one student’s PhD journey through reflection on those fluctuations, milestones and learning moments experienced along the way. Background: Central to the journey presented here is learning about the interpretivist paradigm, its approaches, methods and critics. Interpretivism is a qualitative research approach which, in many disciplines, continues to be the positivist’s poor cousin. Methodology: This original paper takes an autoethnographic approach, expressed through poetry. Autoethnography uses self-reflection to connect personal experience to wider social and cultural understandings and has been seldom applied to investigate and uncover the contested and emergent doctoral experience. Contribution: Little opportunities arise during doctoral studies for the student to pause, reflect and communicate new learnings or knowledge without the boundaries of academic discursive conventions. In this way, the poetic medium of expression offers an original contribution to the field. The poem also illuminates the struggles with finding voice, an ontology that resonates, and the place that marks independence from others in becoming a researcher. Findings: Poetry affords ideas and feelings intensity through a distinctive style and rhythm of literature. This original poem offers a creative artefact that can be useful for supervisors and students at any stage of their dissertation, to ignite conversation on the challenges of higher education study. Recommendations for Practitioners: This paper invites others to consider their learning journey and discovery of self, to reflect on and record the milestones, tensions and catalysts of learning. Recommendation for Researchers: It opens doors particularly for those exploring, or wanting to explore, qualitative research through an interpretivist paradigm where knowledge is socially or experientially co-constructed and the researcher is inseparable to the research. Impact on Society: Becoming a researcher as synonymous with being a learner is a crucial discovery that widely connects to being a practitioner in any field. Learning to love the red pen is a metaphor of doctoral studies used to denote acceptance of feedback on written work as well as acceptance more broadly that there is always more to learn. Future Research: What if we encouraged doctoral students and academics to challenge convention and write/produce/create authentic expressions of learning? Encouragement should be afforded to doctoral students and academics to reflect during and beyond their research journeys, in a medium that personally resonates to empower deeper insights and understandings.

Higher education providers are facing increasing demands to ensure graduates are prepared for the complexities of a globalized, changing and dynamic workforce. Accounting educators grapple with finding ways to develop discipline and employability skills within the curriculum to prepare students for the workforce within the limited resources available to them. This paper addresses recent calls for a range of non-placement work-integrated learning (NPWIL) strategies in accounting education, by outlining how industry partners co-designed and facilitated a case-based project in an accounting subject. NPWIL experiences engage industry partners to shape, contextualize and support student learning in an inclusive and flexible format. The paper offers recommendations for designing industry facilitated case-based learning into existing curricular and advice for accounting educators to support their students' career readiness. [Author abstract]

Background Pulmonary hypertension due to interstitial lung disease (PH-ILD) is associated with high rates of respiratory failure and death. Healthcare resource utilization (HCRU) and cost data are needed to characterize PH-ILD disease burden. Methods A retrospective cohort analysis of the Truven Health MarketScan ® Commercial Claims and Encounters Database and Medicare Supplemental Database between June 2015 to June 2019 was conducted. Patients with ILD were identified and indexed based on their first claim with a PH diagnosis. Patients were required to be 18 years of age on the index date and continuously enrolled for 12-months pre- and post-index. Patients were excluded for having a PH diagnosis prior to ILD diagnosis or the presence of other non-ILD, PH-associated conditions. Treatment patterns, HCRU, and healthcare costs were compared between the 12 months pre- versus 12 months post-index date. Results In total, 122 patients with PH-ILD were included (mean [SD] age, 63.7 [16.6] years; female, 64.8%). The same medication classes were most frequently used both pre- and post-index (corticosteroids: pre-index 43.4%, post-index 53.5%; calcium channel blockers: 25.4%, 36.9%; oxygen: 12.3%, 25.4%). All-cause hospitalizations increased 2-fold, with 29.5% of patients hospitalized pre-index vs. 59.0% post-index ( P  < 0.0001). Intensive care unit (ICU) utilization increased from 6.6 to 17.2% ( P  = 0.0433). Mean inpatient visits increased from 0.5 (SD, 0.9) to 1.1 (1.3) ( P  < 0.0001); length of stay (days) increased from 5.4 (5.9) to 7.5 (11.6) ( P  < 0.0001); bed days from 2.5 (6.6) to 8.0 (16.3) ( P  < 0.0001); ICU days from 3.8 (2.3) to 7.0 (13.2) ( P  = 0.0362); and outpatient visits from 24.5 (16.8) to 32.9 (21.8) ( P  < 0.0001). Mean (SD) total all-cause healthcare costs increased from $43,201 ($98,604) pre-index to $108,387 ($190,673) post-index ( P  < 0.0001); this was largely driven by hospitalizations (which increased from a mean [SD] of $13,133 [$28,752] to $63,218 [$75,639] [ P  < 0.0001]) and outpatient costs ($16,150 [$75,639] to $25,604 [$93,964] [ P  < 0.0001]). Conclusion PH-ILD contributes to a high HCRU and cost burden. Timely identification, management, and treatment are needed to mitigate the clinical and economic consequences of PH-ILD development and progression.

Background Results of a national survey of asthmatic children that evaluated management goals established in 2004 by the National Asthma Education and Prevention Program (NAEPP) indicated that asthma symptom control fell short on nearly every goal. Methods An Internet-based survey was administered to adult caregivers of children aged 6-12 years with moderate to severe asthma. Asthma was categorized as uncontrolled when the caregiver reported pre-specified criteria for daytime symptoms, nighttime awakening, activity limitation, or rescue medication based on the NAEPP guidelines. Children's health-related quality of life (HRQOL) and caregivers' quality of life (QOL) were assessed using the Child Health Questionnaire Parent Form 28 (CHQ-PF28) and caregiver's work productivity using a modified Work Productivity and Activity Impairment Questionnaire. Children with uncontrolled vs. controlled asthma were compared. Results 360 caregivers of children with uncontrolled asthma and 113 of children with controlled asthma completed the survey. Children with uncontrolled asthma had significantly lower CHQ-PF28 physical (mean 38.1 vs 49.8, uncontrolled vs controlled, respectively) and psychosocial (48.2 vs 53.8) summary measure scores. They were more likely to miss school (5.5 vs 2.2 days), arrive late or leave early (26.7 vs 7.1%), miss school-related activities (40.6 vs 6.2%), use a rescue inhaler at school (64.2 vs 31.0%), and visit the health office or school nurse (22.5 vs 8.8%). Caregivers of children with uncontrolled asthma reported significantly greater work and activity impairment and lower QOL for emotional, time-related and family activities. Conclusions Poorly controlled asthma symptoms impair HRQOL of children, QOL of their caregivers, and productivity of both. Proper treatment and management to improve symptom control may reduce humanistic and economic burdens on asthmatic children and their caregivers.

BACKGROUND: Bipolar disorder greatly impacts health-related quality of life (HRQoL), physical and social functioning, employment, and work productivity, and greatly increases health-care utilization and costs. Our objective was to characterize how bipolar disorder impacts HRQoL, work impairment, and health-care utilization and costs. DATA SOURCES AND STUDY SELECTION: A systematic literature review was conducted to identify bipolar disorder studies of HRQoL, functioning, work impairment, and health-care utilization and costs. We searched Medline, ClinPSYC, and HealthSTAR for English-language articles published between January 1985 and November 2002 using MeSH headings and keywords. Additional articles were identified from references of relevant articles. RESULTS: We identified 65 HRQoL articles, 14 work-impairment articles, and 28 utilization-and-care-cost articles. For all HRQoL instruments used, bipolar disorder patients' HRQoL was rated similarly to that of unipolar depression patients, and equal to or lower compared with patients with other chronic nonmental illnesses. Current treatments have been shown to improve HRQoL and physical and social functioning; some data indicate that management may improve selfreported work impairment and absenteeism. Bipolar disorder patients have been found to utilize health-care services more than do patients with depression or chronic medical conditions. Inpatient costs are the largest cost contributor; treatment to prevent recurrence has been shown to be the most effective way to reduce costs. CONCLUSIONS: Bipolar disorder imposes a tremendous burden on patients and the health-care system, resulting in decreased HRQoL and increased medical and work impairment costs. Limited data suggest that appropriate management can improve HRQoL and functioning while reducing utilization and cost.