No description available.

Våld i nära relationer är ett allvarligt samhällsproblem som framför allt drabbar kvinnor och barn. Den vanligaste typen av våld som kvinnor drabbas av utförs av en gärningsman som kvinnan har en nära relation med. Denna litteraturstudie syftar till att undersöka vilka faktorer som ligger bakom kvinnans beslut att antingen stanna kvar i ett våldsamt förhållande eller att lämna det samt huruvida normaliseringen av våldet påverkar kvinnans beslut att bryta sig ur sin våldsamma relation och hur dessa kvinnor beskriver deras upplevelser av våldet som de utsätts för. Metoden för studien är en litteraturöversikt där vi valde att söka och analysera tretton vetenskapliga artiklar med både kvalitativ och kvantitativ ansats samt en blandning av dem. Denna litteraturöversikt har enbart koncentreras på myndiga kvinnor i heterosexuella förhållande som utsätts för våld av sina partner i hemmet. Det konstateras fyra stycken teman i resultatdelen som har påverkan på kvinnans beslut att stanna kvar i sitt våldsamma förhållande eller att lämna det, nämligen kvinnors rädsla och känslor av skam och skuld, kvinnors känslor och upplevelser av mannens beteende, kvinnors erfarenheter av våld och hot samt kontexten kvinnan befinner sig i som kan handla om ekonomiskt beroende av mannen, sociala normer såsom religiösa och kulturella faktorer, familjen såsom att offra sig förbarnens skull och bristande socialt stöd. Vid analysen av resultat och i kombination med andra källor från tidigare forskning samt teorier om modellinlärning, stigma & skamsteori, normaliseringsprocessen, ett genusperspektiv samt intersektionalitetsperspektiv visar det sig att det finns massa gemensamma faktorer som påverkar kvinnans beslut antingen att stanna kvar med sin våldsamma partner eller att lämna honom. Dessa faktorer kan vara barriärer till att våldsutsatta kvinnor inte tar sig ur en vålds präglad relation. Dock kan dessa faktorer innebära en förklaring till varför kvinnorna lämnar deras våldsamma partner. Det konstateras även att den vanligaste orsaken till våld i hemmet mot kvinnor beror på manlig maktbalans mellan män och kvinnor i samhället, men också för att kvinnan normaliserar våld i vardagen, vilket leder till att uppbrottet från relationen bli svårare / Violence in intimate relationships is a serious social problem that primarily affects women and children. The most common type of violence that women suffer is perpetrated by aperpetrator the woman has a close relationship with. This literature study aims to investigate which factors are behind the woman's decision to either remain in a violent relationship or to leave it, and whether the normalization of violence affects a woman's decision to leave a violent relationship, as well as how these women describe their experiences of the violence to which they were subjected. The method of the study is a literature review based on qualitative and quantitative methods and a mixture of them both, where the writers of this study have analyzed and reviewed thirteen scientific articles. This literature review has only concentrated on adult women in heterosexual relationships who are subjected to violence by their partners. It shows that there are four themes that affects the woman's decision to remain in her violent relationship or to leave it, which is women's feelings towards the man and her feelings of shame and guilt, women's feelings and experiences of the man's behavior, women'sexperiences of violence and threats as well as the context the woman finds herself in, which can be about economic dependence on the man, social norms such as religious and cultural factors, the family such as sacrificing herself for the sake of the children and a lack of social support. When analyzing results and in combination with other sources from previous research as well as theories about model learning, stigma & shame theory, the normalizationprocess, a gender perspective and intersectionality perspective, it turns out that there are many other factors that influence the woman's decision either to stay with her violent partner or to leave him. These factors can be barriers to why women exposed to violence are not getting out of the relationship. However, these factors may provide an explanation for why women leave their violent partner. It is also stated that the most common reason for domestic violence against women is due to manly power imbalance between men and women in society, but also because the woman normalizes violence in everyday life, which makes the breakup from the relationship more difficult.

[pt] O tempo de permanência (LoS) é uma das métricas mais utilizadas para avaliar o uso de recursos em Unidades de Terapia Intensiva (UTI). Esta tese propõe uma metodologia estruturada baseada em dados para abordar três principais demandas de gestores de UTI. Primeiramente, será proposto um modelo de predição individual do LoS em UTI, que pode ser utilizado para o planejamento dos recursos necessários. Em segundo lugar, tem-se como objetivo desenvolver um modelo para predizer o risco de permanência prolongada, o que auxilia na identificação deste tipo de paciente e assim uma ação mais rápida de intervenção no mesmo. Finalmente, será proposto uma medida de eficiência ajustada por case-mix capaz de realizar análises comparativas de benchmark entre UTIs. Os objetivos específicos são: (i) realizar uma revisão da literatura dos fatores que predizem o LoS em UTI; (ii) propor uma metodologia data-driven para predizer o LoS individual do paciente na UTI e o seu risco de longa permanência; e (iii) aplicar essa metodologia no contexto de um grande conjunto de UTIs de diferentes tipos de hospitais. Os resultados da revisão da literatura apresentaram os principais fatores de risco que devem ser considerados em modelos de predição. Em relação ao modelo preditivo, a metodologia proposta foi aplicada e validada em um conjunto de dados de 109 UTIs de 38 diferentes hospitais brasileiros. Este conjunto continha um total de 99.492 internações de 01 de janeiro a 31 de dezembro de 2019. Os modelos preditivos construídos usando a metodologia proposta apresentaram resultados precisos comparados com a literatura. Estes modelos propostos têm o potencial de melhorar o planejamento de recursos e identificar precocemente pacientes com permanência prolongada para direcionar ações de melhoria. Além disso, foi utilizado o modelo de predição proposto para construir uma medida não tendenciosa para benchmarking de UTIs, que também foi validada no conjunto de dados estudado. Portanto, esta tese propôs um guia estruturado baseado em dados para gerar predições para o tempo de permanência em UTI ajustadas ao contexto em que se deseja avaliar. / [en] The length of stay (LoS) in Intensive Care Units (ICU) is one of the most used metrics for resource use. This thesis proposes a structured datadriven methodology to approach three main demands of ICU managers. First, we propose a model to predict the individual ICU length of stay, which can be used to plan the number of beds and staff required. Second, we develop a model to predict the risk of prolonged stay, which helps identifying prolonged stay patients to drive quality improvement actions. Finally, we build a case-mix-adjusted efficiency measure (SLOSR) capable of performing non-biased benchmarking analyses between ICUs. To achieve these objectives, we divided the thesis into the following specific goals: (i) to perform a literature review and meta-analysis of factors that predict patient s LoS in ICUs; (ii) to propose a data-driven methodology to predict the numeric ICU LoS and the risk of prolonged stay; and (iii) to apply this methodology in the context of a big set of ICUs from mixed-type hospitals. The literature review results presented the main risk factors that should be considered in future prediction models. Regarding the predictive model, we applied and validated our proposed methodology to a dataset of 109 ICUs from 38 different Brazilian hospitals. The included dataset contained a total of 99,492 independent admissions from January 01 to December 31, 2019. The predictive models to numeric ICU LoS and to the risk of prolonged stay built using our data-driven methodology presented accurate results compared to the literature. The proposed models have the potential to improve the planning of resources and early identifying prolonged stay patients to drive quality improvement actions. Moreover, we used our prediction model to build a non-biased measure for ICU benchmarking, which was also validated in our dataset. Therefore, this thesis proposed a structured data-driven guide to generating predictions to ICU LoS adjusted to the specific environment analyzed.

The treatment of spontaneous pneumothorax in the civilian population can be influenced by the age of the patient and the presence of associated pulmonary disease. The medical records of 130 patients who presented with 168 occurrences of SP were reviewed during an 11-year period (1973 to 1984). Follow-up was from a minimum of 30 months to 13 years (mean 6.3 years). The therapeutic options included observation alone (40 occurrences), thoracentesis (6 occurrences), chest tube thoracostomy (102 occurrences), and thoracotomy (20 occurrences). Treatment of SP should be prompt with the objective of complete re-expansion of the lung and prevention of recurrent pneumothorax. This should be accomplished by the use of chest tube thoracostomy with early addition of thoracotomy as necessary. Selected use of thoracentesis can be effective. The use of observation alone can be dangerous and is associated with a higher recurrence rate.

M. Tech. (Department of Tourism and Hospitality Management, Faculty of Human Sciences) Vaal University of Technology. / Tourism is regarded as a global phenomenon in the 21st Century and is the world’s largest and fastest growing industry. Many countries globally look at tourism as a key driver for economic growth and rescue to their economic slumber (Brida, Lanzilotta, Moreno & Santiñaque 2018:62). In South Africa, tourism contributed immensely to total employment and economic activity in the country and the government sees this industry as a great resource, the country’s strategy for expansion and a possible vehicle to take South Africa into a new economic trajectory. The National Department of Tourism developed the National Tourism Sector Strategy (NTSS 2016-2026) to facilitate the growth of this industry. As a result, direct tourism performance is measured on an ongoing basis against the goals set for South Africa of which two of the performance measures are length of stay and direct spend (NTSS 2019). These two are important because if visitors stay for longer periods at a destination, their spending increases as they partake in more tourism activities and pay for accommodation. This in turn increases the value attached to tourism as an engine for economic growth (SA Tourism 2007:59). Tourists’ spending and length of stay are therefore very important variables in the tourism industry as they contribute immensely to the economic value of tourism to specific destinations (Wong, Fong, & Law, 2016:958; Wang, Fong, Law & Fang 2018:472; Montañoa, Rossellób & Sansób 2019:112). Length of stay and average spend per day by tourists are fluctuating for South Africa as a tourism destination (SAT 2009-2018). The growth of both these variables has also been small over a period of ten years. These fluctuations and slow growth exert pressure on the tourism industry (SAT 2005-2018) and therefore annually form part of the strategic objectives of the National Department of Tourism (NTSS 2019). An in-depth analysis of these two variables is lacking and understanding the factors influencing these two variables within a South African context is of paramount importance to improving the economic value of tourism to the country. Although the factors influencing the two variables have been widely researched, these cannot be stereotyped to all destinations as they are destination specific (Barros & Machado 2010:693; Gemara & Correiab 2018:56) and these have not been analysed in the context of South Africa as a tourism destination. Though fluctuating patterns and slow growth on tourists’ length of stay and spending in South Africa is evident and is a cause of concern, the real problem here is lack of in-depth information on factors which influence these two key variables from a South African perspective. Even though South African Tourism have placed length of stay and spending of tourists as key strategic variables that need to be closely monitored and improved it needs action from the South African context. Once these factors are known, only then can South African Tourism be able to condition them positively for the benefit of the country’s economy. This research therefore sought to explore the factors influencing the stay duration and spending behaviour of international air tourists to South Africa and how these factors can be developed to increase tourists’ length of stay and spending in South Africa. Hence the aim of this research was to identify and analyse factors that influence length of stay and spending behaviour of international tourists reaching South Africa by air and in both cases, attention was given to the intrinsic and extrinsic contributing factors. Literature was reviewed on tourists’ travel behaviour by means of an in-depth discussion of travel motivations in general and travel motivations to South Africa specifically, tourists’ decision-making process, type of holiday decisions tourists makes, and the factors that influence these tourists’ decisions. The composition of the total tourism product was also analysed as this has an influence on tourists’ travel behaviour. This was followed by a comprehensive analysis of literature concerning tourists’ spending behaviour and visitors’ length of stay, which form the pith of this study. The analysis focused on the definition of concepts such as tourists’ length of stay and spending behaviour, the importance of length of stay and spending behaviour of tourists in tourism, how tourism spending is measured, how tourism expenditure data is gathered, what constitutes tourism spending/expenditure and lastly the factors which influence tourists’ length of stay and spending behaviour. A quantitative paradigm in the form of a sample survey was used in conducting this research. This research follows a cross-sectional design (exploratory and descriptive in nature at the same time) which involves the collection of data on more than one case and at a single point in time. The target population of this study comprised international tourists who visited South Africa by air. These visitors were accessed at one of the top tourist attractions in Cape Town (one of the most popular cities for international tourists) namely Table Mountain Cable Way. Table Mountain was selected as a data collection hub as it enjoys the lion’s share of South Africa’s international tourist arrivals. According to the Table Mountain Aerial Cableway Company (TMACC2014:11), Table Mountain was named Africa’s leading tourist attraction in the World Travel Awards 2014 which makes it possible to pull many international tourists to the country of South Africa. Guided by previous similar studies, the sample size for this study was predetermined at 800 respondents of which 720 were completed without error signifying a response rate of 90%. A non-probability sampling technique namely convenience sampling was chosen for this survey as no list was available on who would be visiting the Table Mountain Arial Cable Way. The 800 international tourists were therefore purposively (only international visitors) and conveniently recruited depending on their willingness to participate in the research project; thus, a non-probability sampling technique was followed. Through the researcher distributing the questionnaire in person and using own judgement, a diverse range of nationalities, age groups and gender was included in the sample for it to be a close representation of all the visitors to South Africa as well as of the phenomenon under investigation. The questionnaire was designed and used to obtain detailed data on travel motivations, spending patterns and length of stay of the international air tourist market to South Africa. The questionnaire was designed from previous studies related to the above key variables and this added to the content validity of the questionnaire. A pre-test study was conducted by means of 10 survey questionnaires administered to academic experts at a University who had travelled abroad, and this added to the face validity of the questionnaire. The Statistical Package for the Social Sciences (SPSS) version 23.0 for Windows was used to analyse the data and data gathered was presented by means of frequency tables and analytically described, subjected to exploratory factor analysis, one-way analysis of variances (ANOVA), t-tests, and Spearman’s rank order correlation analysis to establish the relationships between variables. Based on the empirical findings of this research project it is concluded that more males than females participated in this research and on average the age of the participants is 41 years, mostly married people and mainly staying in hotels and lodges. A variety of nationalities participated in this research but most of the respondents were from USA, UK followed by a huge margin from Germany, Netherlands and Australia, a profile which matches that of typical visitors to South Africa and were holders of a degree or diploma, followed by those with a postgraduate qualification with the majority being professionals followed by those in managerial positions. Most of the respondents to the study were first-time visitors to South Africa, travelling in a group of 3 or less people, and the average number of people in the travel group was 4 people and the average number of previous visits to South Africa was 1.68 times. Many of the respondents to this study travelled to South Africa mainly for holiday/leisure mostly to enjoy the natural attractions of South Africa since they placed high importance on appreciation of natural resources, enjoyment of beautiful scenery and sightseeing of tourist spots as important travel motivators. Most of the respondents to this study stayed on average 16.42 days which is higher than the annual average length of stay of international tourists. This information is very important from a marketing perspective as it helps in the profiling of tourists, targeting, tourism product development and positioning. Of importance as well is the fact that that the bigger the travel group the higher their spending will be. The most important aspects directly and significantly influencing length of stay were time constraints, the location of South Africa and financial constraints. It can be concluded that length of stay, availability of time to shop and respondents’ experience as a tourist directly and significantly contributes to visitor spending while interaction with the locals does not. The main travel motivations of international tourists to South Africa were Relaxation and Novelty, Social motivations, Cultural and heritage motivations, Personal Motivations and Destination motivations, of which Relaxation and Novelty and Cultural and Heritage motivations were rated high as travel motivations of tourists to South Africa. The main factors influencing length of stay of the respondents to this study were Personal experience, Access attributes, Destination attributes and Personal constraints. Of these factors, personal constraints and destination attributes ranked the highest as influencers of tourists’ length of stay. The respondents’ length of stay was least influenced by access attributes. The main factors influencing tourist spending patterns as determined by the factor analysis were: “Access and opportunity”, “Time availability” and “External influences”. Tourists’ spending was to a larger extent influenced by time availability followed by access and opportunity but least affected by external influences. The recommendations to increase length of stay and spending of inbound air tourists to South Africa made in this study are specific to South Africa as they were derived from a deep exploration of factors that influence air tourists’ length of stay and spending behaviour to South Africa. If South African Tourism, tourism industry associations and business owners implement these recommendations, this will improve both stay duration and spending of inbound air tourists to South Africa which has been fluctuating and showing slow growth. The recommendations most importantly add to literature that was lacking from a South African perspective on how length of stay and spending can be positively influenced for inbound air tourists to South Africa. The recommendations are as follows: South African Tourism, various industry associations (FEDHASA, ASATA, GHASA, RASA, SATSA), tour operators and travel agents, individual tourism and hospitality business companies that offer tourism products and services to inbound air tourists should take into consideration that length of stay is inhibited by personal constraints. It is thus important to offer value for money to the tourists. Continuous creative marketing strategies should be employed to attract long staying tourists to this country. South African Tourism, tourism business owners and industry associations should utilise new approaches and strategies that provides information about diverse range of attractions, spending opportunities and facilitate easy access as these are important to tourists who stay longer. Tourists’ personal experiences have a significant influence on tourists’ decisions to stay for longer periods hence South African Tourism and respective industry associations should offer thorough training to tourism and hospitality product/service providers and employees to enhance quality interaction with the visitors as this has a significant influence on the tourists’ decisions to stay longer in South Africa. Tourists that have been to South Africa before were influenced by personal experiences to stay for longer periods while the older and higher educated tourists were less influenced by the length of stay factors owing to their experience and confidence of what they want from a holiday in South Africa. South African Tourism, industry associations and tourism business owners should therefore target repeat visitors and the old, educated tourist market as they tend to stay for longer periods thus adding to the economic returns through their prolonged spending. Tourists that travel in larger groups are influenced by personal constraints, namely time and money; hence creating opportunities for value packages by tourism business owners in conjunction with wholesale and retail travel companies will ensure that this market stays longer in South Africa. Since destination attributes have proven to significantly influence length of stay of international tourists to South Africa, South Africa Tourism needs to create awareness on tourism opportunities that are not fully realised. This will increase tourists’ knowledge of the wide variety of activities and attractions to see in South Africa; hence they will budget long enough time to enjoy these products. Since spending patterns of tourists are influenced by time availability, if tourists stay longer, they will have enough time to shop and to experience destination products and services; hence their spending will rise. It is important to improve the environment related to Access and opportunity, Time availability and External influences as these factors influence how much tourists spend in the destination visited. The most important aspect to give attention to in order increase tourists’ spending is time availability. Opportunities should be created for tourists to spend money, which should be communicated on various platforms. South African Businesses that offer shopping opportunities (especially in shopping malls) should extend shopping hours late in the evening to allow tourists time to shop but safety and security should be geared up. Most of the tours do not always offer ample time for shopping and this should be communicated to the tour operators as it will also assist the local economy to grow.

M. Tech. (Department of Business Administration, Faculty of Management Sciences), Vaal University of Technology. / Retailing refers to the activities involved in selling goods or services to the final consumer for personal use as opposed to business purposes. It is a socio-economic system that gets people together to interchange goods and services for a small payment, which matches the final consumers’ needs. In South Africa, the industry has grown by a yearly average of 3 percent in the past eight years and Gauteng, as a province, contributed 26.5 percent to this growth. Therefore, the retail industry has been growing at a very slow rate. Letooane (2013:2) asserts that that there is a need for research in leadership power bases, QWL and how best the needs of employees can be satisfied to improve their intention to stay. In this reard, the primary objective of the study was to examine the relationship between leadership power bases, quality of work life (QWL) and intention to stay among employees at a selected retail outlet in Gauteng province. The research methodology applied to conduct the study was a consolidation of a literature review and an empirical study.The study focused on the work of French and Raven (1959) power sources, namely coercive, legitimate, reward, referent and expert power. It also looked at QWL as the nature of the workforce in retail today is generally very different from the workforce of the past decades. In addition, the study explored how QWL will assist retailers in enhancing their employees’ intention to stay. A quantitative research approach was followed in this study and a simple random probability sampling method was adopted. A structured questionnaire, divided into four sections, was utilised to survey 300 (both male and female) employees from three branches of the selected retail company in the Daveyton township. The pilot study preceded the main survey and the internal consistency reliability was ascertained. Of the 300 questionnaires distributed to the participants, a total of 285 responses were usable for data analysis (response rate of 95 percent). The Statistical Package for Social Sciences (SPSS), version 25.0, was used to analyse data into descriptive statistics, reliability and validity analysis, correlations and finally, regression analysis, which was used to test the relationship among the constructs under investigation. The results indicated that coercive power base (β=0.456) and legitimate power base (β=0.210) contribute positively to the prediction of QWL, while reward power indicated a negative prediction of QWL (β= -0.044). Furthermore, the influence of QWL towards employees’ intention to stay was represented by a positive beta weight of (β=0.754). Additionally, all Cronbach’s alpha values ranged from 0.764 to 0.913, (exceeding the threshold of 0.7) thus suggesting that all the items in the scale tap into the same underlying constructs. Results from this research study will assist retailers to increase the QWL levels in their companies by advancing the factors that were identified in this research study. Additionally, these results may enable retail store managers to comprehensively understand how employees perceive power bases and how these employees’ perceptions influence QWL and, subsequently, their intention to stay. The implications of the results are addressed as well as the limitations of the study and future research opportunities are further identified.

<p dir="ltr">This research studies post-stay-at-home mothers from a traditional nuclear family who enter the workforce after divorce. While family communication scholars have explored topics surrounding divorce, very little about how mothers make sense of their transition from being stay-at-home mothers (SAHMs) to working mothers (WMs) after divorce.</p><p dir="ltr">Through an interdisciplinary approach, this research uses Transitional Theory (Anderson et al.<i>, </i>2012; Schlossberg, 1981; Schlossberg, 2008) and Communicated Narrative Sense Making (CNSM) (Koenig Kellas, 2018; Koenig Kellas & Horstman, 2014) to understand how mothers make sense of their experiences during this change in their lives. It further studies the participants through mixed methods, using the Shift and Persist Scale (Chen <i>et al.,</i> 2015) and Sense of Control Scale (Lachman & Weaver, 1998a, 1998b) along with reflexive thematic analysis (TA) (Braun & Clarke; 2021; 2006).</p><p dir="ltr">The results of the qualitative section of this study brought forth seven themes displayed in the realms of sense-making during transition. These themes are <i>Belief themes: Out of control</i>, <i>taking back life</i>, and <i>finding a place to belong</i>; the <i>Value themes:</i> <i>Finding the wherewithal to survive</i>, <i>discovering and reclaiming self</i>, and <i>accepting of accomplishments</i>; and the <i>Meaning-Making theme: Recognizing resolve</i>.</p><p dir="ltr">The quantitative results of this study indicated that there were significantly higher levels of persistence and personal mastery with those who told narratives framed positively as opposed to those who told narratives framed negatively. There was, however, no significance in their ability to shift or in their perceived constraints.</p>

Regionerna står inför ett stort problem med brist av specialistsjuksköterskor och svårighet att behålla kompetens för att klara framtidens utmaningar. Bristen på specialistsjuksköterskor inom anestesi- och operationssjukvård kan bli kostsamt och ett stort problem då många planerade operationer ställs in och patienter drabbas. Det tycks finnas ett gap mellan den högre styrningen inom regionerna och den verksamhetsnära styrningen i hur kompetensförsörjningen ska lösas i det korta och långa perspektivet. Syftet med studien var att undersöka vilka faktorer som kan påverka specialistsjuksköterskor att välja att stanna kvar inom anestesi och operationssjukvården. Därigenom öka kunskapen om vad som behöver göras för att förbättra förutsättningarna att klara kompetensförsörjningen i framtiden. Utifrån syfte och frågeställningar genomfördes kvalitativa fokusgruppsintervjuer med induktiv ansats. Resultatet visade på ett antal olika faktorer som delades in i fem kategorier ledarskap, medarbetarskap, hållbarhet, stämning och organisation. Resultaten pekade på att den närvarande chefen är viktig och att denne också får förutsättningar till att möta medarbetarna där de är och ge utrymme för utveckling utifrån individens behov och önskemål har en stor påverkan. Författarnas slutsats var att det inte är en faktor som påverkar utan det finns många faktorer som påverkar och samverkar varför specialistsjuksköterskor inom anestesi- och operationssjukvård väljer att stanna kvar i sitt yrke. / The regions are facing a major problem with the risk of a shortage of specialist nurses and need to be able to maintain competence to meet future challenges. The lack of specialist nurses in anesthesia and surgical care can be costly and a major problem as many planned operations are canceled and patients suffer. There seems to be a gap between the higher management within the regions and the operational management in how the supply of skills should be solved in the short and long term. The purpose of the study was to investigate which factors can influence specialist nurses to choose to remain in anesthesia and surgical care and thereby increase knowledge about what needs to be done to improve the conditions to cope with the supply of skills in the future. Based on the purpose and questions, a qualitative focus group interview was conducted with an inductive approach. The result showed several factors which were divided into leadership, employees, sustainability, atmosphere and organization. The results indicated that the present manager is important and that the manager also gets room to meet the employees where they are and give room for development based on the individual's conditions and wishes has a big impact. The authors' conclusion was that it is not one factor that influences, but there are many factors that influence and work together why specialist nurses in anesthesia and surgical care choose to remain in their profession.

No description available.

No description available.