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n
-
m
a
k
i
n
g
[
1
0
]
.
Fin
d
i
n
g
a
n
ef
f
ec
ti
v
e
m
o
d
el
f
o
r
ca
r
ee
r
ex
p
lo
r
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b
eh
av
io
r
in
m
ed
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s
t
u
d
en
t
s
is
i
m
p
o
r
ta
n
t
in
o
r
d
er
t
o
p
r
o
v
id
e
th
e
m
w
ith
t
h
e
m
o
s
t
ef
f
ec
tiv
e
m
et
h
o
d
to
en
h
an
ce
m
ed
ical
s
tu
d
e
n
ts
’
ab
ilit
y
an
d
d
esire
to
ch
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o
s
e
a
s
u
itab
le
ca
r
ee
r
p
ath
.
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h
e
m
o
d
el
p
r
o
d
u
ct
f
r
o
m
t
h
is
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esear
c
h
i
s
e
x
p
ec
ted
to
h
elp
m
a
n
y
m
ed
ical
s
t
u
d
en
ts
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n
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o
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in
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y
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m
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ical
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r
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s
.
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h
i
s
m
o
d
el
w
ill
p
r
o
v
id
e
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ef
f
ec
ti
v
e
s
u
g
g
esti
o
n
f
o
r
co
u
n
s
el
lin
g
m
ed
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s
tu
d
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n
ts
in
ca
r
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ch
o
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a
n
d
h
o
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ef
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ll
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co
n
tr
ib
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te
to
t
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e
eq
u
i
tab
le
d
is
tr
i
b
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tio
n
o
f
m
ed
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p
r
o
f
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n
s
in
I
n
d
o
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2.
RE
S
E
ARCH
M
E
T
H
O
D
A
cr
o
s
s
s
ec
tio
n
al
d
esig
n
w
as
u
s
ed
in
th
is
s
t
u
d
y
.
T
h
e
p
o
p
u
latio
n
o
f
th
i
s
s
tu
d
y
w
a
s
m
ed
ic
al
s
tu
d
en
t
s
f
r
o
m
all
8
5
m
ed
ical
f
ac
u
lt
ies
in
I
n
d
o
n
e
s
ia.
P
ar
ticip
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ts
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o
lu
n
tar
y
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n
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id
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to
p
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th
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s
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d
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.
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e
s
tio
n
n
air
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s
u
b
m
i
tted
o
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li
n
e
t
h
r
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g
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th
e
Go
o
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le
F
o
r
m
ap
p
licatio
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s
tar
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g
f
r
o
m
Octo
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2
5
th
2
0
1
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w
er
e
d
eliv
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ed
v
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e
m
a
ils
to
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t
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r
ep
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v
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o
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ev
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ac
u
lt
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w
it
h
a
to
tal
r
esp
o
n
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e
o
f
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0
3
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p
ar
ti
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ts
f
r
o
m
6
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u
n
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ities
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tain
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l
s
a
mp
lin
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.
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h
e
m
in
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m
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m
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a
m
p
le
s
ize
is
d
eter
m
i
n
ed
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ased
o
n
th
e
s
a
m
p
le
s
ize
f
o
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m
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la
f
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th
e
av
er
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e
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if
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ce
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p
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ich
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e
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lt
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m
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m
s
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m
p
le
s
ize
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f
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0
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1
.
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h
is
r
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ad
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m
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icall
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f
ea
s
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o
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th
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r
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ch
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et
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ic
s
co
m
m
i
s
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io
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o
f
M
ed
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Facu
lt
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h
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m
m
ad
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ale
m
b
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g
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n
u
m
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er
No
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3
9
8
/KE
P
KR
SMHFKUNS
R
I
/2
0
1
5
.
T
h
e
q
u
esti
o
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e
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s
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s
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en
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e
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tio
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k
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t
s
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le
w
h
ic
h
h
a
v
e
b
ee
n
tr
an
s
lated
an
d
v
alid
ated
f
r
o
m
th
e
ca
r
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r
d
e
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o
n
m
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k
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g
s
elf
-
e
f
f
icac
y
s
ca
le
-
s
h
o
r
t
f
o
r
m
(
C
D
SME
-
SF
)
to
m
ea
s
u
r
e
s
el
f
-
ef
f
icac
y
,
t
h
e
ca
r
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r
ex
p
lo
r
atio
n
s
u
r
v
e
y
-
r
e
v
i
s
ed
(
C
E
S
-
R
)
to
m
ea
s
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r
e
ca
r
ee
r
ex
p
lo
r
atio
n
,
t
h
e
C
ar
ee
r
Dec
is
io
n
-
m
ak
in
g
o
u
tco
m
e
ex
p
ec
tatio
n
s
(
C
DM
OE
)
to
m
ea
s
u
r
e
ca
r
ee
r
o
u
tco
m
e
ex
p
ec
tatio
n
,
a
n
d
t
h
e
ca
r
ee
r
ex
p
lo
r
ato
r
y
p
lan
s
o
r
in
te
n
tio
n
s
(
C
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I
)
to
m
ea
s
u
r
e
ca
r
ee
r
ex
p
lo
r
atio
n
in
t
en
tio
n
[
9
,
1
1
-
1
3
]
.
T
h
e
q
u
esti
o
n
n
air
e
v
alid
it
y
tes
t
w
a
s
d
o
n
e
b
y
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r
s
o
n
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o
d
u
ct
Mo
men
t
(
r
)
.
T
h
e
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lp
h
a
-
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h
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3
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ata
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ased
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tatis
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al
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is
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n
d
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s
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ter
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ch
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le.
3.
RE
SU
L
T
S
A
ND
D
I
SCU
SS
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m
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am
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l
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am
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les
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e
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d
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s
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n
ca
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t
h
e
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tu
d
en
t
s
c
h
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o
s
e
to
b
e
s
p
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ialis
t
s
,
w
it
h
6
5
7
r
esp
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n
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es
(
6
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%).
T
a
b
le
1
d
is
p
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th
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c
h
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ac
ter
is
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o
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p
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ts
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n
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iate
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r
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w
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m
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ap
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ic
.
Ag
e,
m
ar
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ta
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s
an
d
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en
t e
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u
ca
t
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al
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tatu
s
w
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e
s
tat
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a
ll
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r
elate
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to
ca
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ch
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s
s
h
o
w
n
i
n
T
ab
le
1
.
A
ll
h
y
p
o
th
e
s
ized
p
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a
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s
a
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ex
p
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,
w
it
h
p
at
h
co
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f
icien
t
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r
β
v
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es
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d
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th
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f
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t
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n
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ag
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ip
as
s
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in
T
ab
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2
.
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n
th
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m
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w
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ig
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if
ican
t
d
ir
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t
p
ath
w
a
y
s
:
(
a)
P
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s
o
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al
ac
c
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m
p
lis
h
m
e
n
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to
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f
-
e
f
f
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(
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.
3
1
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,
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;
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m
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al
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s
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to
s
elf
-
e
f
f
icac
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(
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6
1
,
p
<
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0
0
1
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;
(
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m
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s
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at
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to
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f
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(
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1
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to
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elf
-
e
f
f
icac
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(
β
=.
1
2
9
,
p
<
.
0
5
)
;
(
e)
Self
-
e
f
f
ica
c
y
to
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tco
m
e
ex
p
ec
tatio
n
s
(
β=.2
2
9
,
p
<
.
0
0
1
)
;
(
f
)
Self
e
f
f
icac
y
to
ca
r
ee
r
in
te
n
ti
o
n
s
(
β=.2
5
7
,
p
<
.
0
0
1
)
;
(
g
)
Self
ef
f
icac
y
to
ca
r
ee
r
ex
p
lo
r
atio
n
(
β=.4
4
6
,
p
<
.
0
0
1
)
;
(
h
)
Ou
tco
m
e
e
x
p
ec
t
atio
n
to
c
ar
ee
r
in
ten
tio
n
s
(
β=
.
4
2
2
,
p
<
.
0
0
1
)
;
(
i)
C
ar
ee
r
in
te
n
tio
n
s
to
C
ar
ee
r
ex
p
lo
r
atio
n
(
β=.0
8
0
,
p
<
.
0
0
1
)
.
R
eg
ar
d
in
g
th
e
d
ir
ec
t
p
at
h
w
a
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s
o
f
ca
r
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r
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,
s
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lf
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f
f
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a
d
th
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s
t
p
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icie
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T
h
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m
o
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ac
co
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r
4
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t
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f
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f
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1
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3
4
,
6
% in
ca
r
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tio
n
s
,
an
d
5
2
,
5
% in
ca
r
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r
ex
p
lo
r
atio
n
.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
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P
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Hea
lth
Sci
.
I
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N:
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(
R
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177
Ma
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r
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r
elate
d
r
esear
ch
es a
n
d
th
eo
r
ies [
3
,
14
-
1
6
]
.
T
ab
le
1
.
C
h
ar
ac
ter
is
tics
o
f
p
ar
ticip
an
ts
V
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cl
u
tter
T
h
r
ee
o
f
s
o
u
r
ce
s
o
f
s
elf
-
e
f
f
ic
ac
y
,
p
er
s
o
n
al
ac
co
m
p
lis
h
m
en
t
,
p
o
s
itiv
e
e
m
o
tio
n
al
ar
o
u
s
al,
an
d
v
er
b
al
p
er
s
u
asio
n
,
h
ad
a
p
o
s
iti
v
e
r
e
latio
n
s
h
ip
to
s
el
f
-
ef
f
icac
y
,
wh
ile
n
e
g
ati
v
e
e
m
o
tio
n
al
ar
o
u
s
al
h
ad
a
n
e
g
ati
v
e
r
elatio
n
s
h
ip
to
s
el
f
-
ef
f
icac
y
.
T
h
e
s
tr
o
n
g
es
t
p
r
ed
icto
r
o
f
s
el
f
-
ef
f
icac
y
w
a
s
a
p
er
s
o
n
al
ac
c
o
m
p
li
s
h
m
e
n
t,
a
s
it
w
a
s
s
u
p
p
o
r
ted
in
p
r
ev
io
u
s
r
esear
ch
es
[
1
1
,
2
6
]
.
Hig
h
s
elf
-
ef
f
icac
y
b
elie
f
s
f
r
o
m
p
a
s
t
ex
p
er
ie
n
ce
s
o
f
ac
h
iev
e
m
e
n
t
a
n
d
m
as
ter
y
w
i
ll
i
n
f
l
u
e
n
ce
i
n
d
iv
id
u
al
s
to
t
h
in
k
p
o
s
itiv
e
l
y
ab
o
u
t
t
h
eir
f
u
tu
r
e
ca
r
ee
r
p
ath
.
E
m
o
tio
n
al
ar
o
u
s
a
l,
w
h
et
h
er
it
w
as
o
n
a
p
o
s
iti
v
e
o
r
n
eg
ati
v
e
s
tate,
h
ad
its
in
f
l
u
en
ce
o
n
s
elf
-
ef
f
icac
y
.
P
eo
p
le
o
f
ten
r
el
y
o
n
t
h
eir
e
m
o
tio
n
a
s
an
e
n
co
u
r
ag
e
m
e
n
t
to
h
elp
d
eter
m
in
e
w
h
et
h
er
th
e
y
w
ill
b
e
s
u
cc
es
s
f
u
l
at
a
ce
r
tain
tas
k
[
2
6
]
.
Ver
b
al
p
er
s
u
asio
n
is
al
s
o
p
r
o
v
en
to
b
e
s
tati
s
ticall
y
i
n
f
l
u
en
tial
to
s
el
f
-
ef
f
icac
y
a
s
it
w
as
s
h
o
w
n
i
n
p
r
ev
io
u
s
th
eo
r
ies
a
n
d
r
esear
ch
es
[
1
1
,
25,
2
6
]
.
On
e
p
ar
ticu
lar
r
esear
ch
in
a
s
i
m
i
lar
cu
lt
u
r
al
s
etti
n
g
also
s
h
o
w
n
th
at
v
er
b
al
p
er
s
u
a
s
io
n
a
f
f
ec
t
s
ca
r
ee
r
e
x
p
lo
r
atio
n
alt
h
o
u
g
h
t
h
er
e
is
n
o
s
i
g
n
i
f
ican
t
i
n
f
lu
e
n
ce
in
s
el
f
-
ef
f
icac
y
.
I
t
is
ass
u
m
ed
th
at
p
ar
en
t
s
ex
p
ec
t
th
eir
ch
ild
r
en
to
p
u
r
s
u
e
o
cc
u
p
atio
n
s
th
at
ar
e
f
in
a
n
ciall
y
s
e
cu
r
e
an
d
r
e
w
ar
d
in
g
an
d
th
at
ar
e
p
r
ac
tical
o
r
m
o
r
e
m
ar
k
etab
le
[
2
7
]
.
An
i
n
ter
esti
n
g
f
in
d
i
n
g
in
th
i
s
s
tu
d
y
is
t
h
e
o
cc
u
r
r
en
ce
o
f
d
ir
ec
t
in
f
lu
e
n
ce
f
r
o
m
v
er
b
al
p
er
s
u
a
s
io
n
to
ca
r
ee
r
ex
p
lo
r
atio
n
.
I
n
a
co
llecti
v
is
t
c
u
lt
u
r
e
as
I
n
d
o
n
esia,
th
e
ac
t
o
f
ex
h
o
r
tatio
n
an
d
s
u
g
g
e
s
tio
n
g
o
es
a
lo
n
g
w
a
y
,
e
s
p
ec
iall
y
i
f
t
h
e
r
ein
f
o
r
ce
m
e
n
t
co
m
es
f
r
o
m
s
o
m
eo
n
e
in
h
i
g
h
er
hi
er
ar
ch
y
lev
el,
p
ar
en
t
s
as e
x
a
m
p
les [
2
5
,
2
8
]
.
Hig
h
p
o
w
er
d
is
tan
ce
c
u
lt
u
r
e
m
a
k
es c
h
ild
r
en
v
alu
e
th
eir
s
e
n
io
r
s
’
s
u
g
g
e
s
tio
n
s
a
n
d
ex
p
ec
tatio
n
s
,
s
o
m
u
c
h
t
h
e
y
ar
e
w
illi
n
g
to
co
m
p
r
o
m
is
e
w
i
th
th
e
ir
ca
r
ee
r
p
ath
[
2
5
,
2
9
]
.
I
n
a
co
llectiv
i
s
t
c
u
lt
u
r
e,
p
ar
en
ts
’
e
x
p
ec
tati
o
n
s
an
d
s
u
g
g
est
io
n
s
a
r
e
in
f
lu
e
n
tia
l
o
n
i
m
p
o
r
tan
t
li
f
e
d
ec
is
io
n
s
s
u
c
h
as
ch
o
o
s
in
g
a
ca
r
ee
r
.
I
t
is
co
n
s
i
d
er
ed
a
jo
in
t
d
ec
is
io
n
i
n
s
tead
o
f
a
p
er
s
o
n
al
d
ec
is
io
n
[
2
5
]
.
So
,
ch
ild
r
en
in
t
h
e
co
llectiv
i
s
t
co
m
m
u
n
it
y
,
v
er
b
a
l
p
er
s
u
as
io
n
ca
n
e
n
h
an
ce
n
o
t
o
n
l
y
p
er
s
o
n
al
s
e
lf
-
e
f
f
icac
y
b
u
t
th
e
ac
t
o
f
ca
r
ee
r
ex
p
lo
r
atio
n
.
Self
-
e
f
f
icac
y
h
a
s
a
s
i
g
n
if
ican
t
in
f
l
u
en
ce
o
n
o
u
tco
m
e
e
x
p
ec
tatio
n
,
as
s
u
p
p
o
r
ted
b
y
p
r
ev
io
u
s
f
i
n
d
i
n
g
s
[
1
0
,
1
1
]
.
Ou
tco
m
e
ex
p
ec
tat
io
n
,
b
o
th
ac
ad
e
m
ic
an
d
ca
r
ee
r
o
n
es,
ar
e
n
ee
d
ed
in
th
e
ca
r
ee
r
d
ec
is
io
n
m
a
k
in
g
p
r
o
ce
s
s
[
1
3
]
.
Hav
in
g
h
i
g
h
o
u
t
co
m
e
e
x
p
ec
tatio
n
in
a
m
ed
ical
ca
r
ee
r
is
co
n
s
id
er
g
iv
e
n
b
ec
a
u
s
e
g
en
er
all
y
p
u
b
lic
ass
u
m
ed
th
at
w
h
en
s
o
m
eo
n
e
e
n
ter
in
g
p
r
o
f
e
s
s
io
n
ca
r
ee
r
f
ield
,
lik
e
m
ed
ical
o
r
la
w
,
t
h
e
y
w
il
l
b
e
p
r
ac
ticin
g
t
h
e
f
ield
p
r
o
f
es
s
io
n
all
y
,
a
n
d
in
d
e
p
en
d
en
tl
y
[
3
0
]
.
Self
-
e
f
f
icac
y
in
f
lu
e
n
ce
ca
r
ee
r
i
n
ten
t
io
n
d
ir
ec
tl
y
,
a
n
d
in
d
ir
ec
tl
y
th
r
o
u
g
h
o
u
tco
m
e
e
x
p
ec
tatio
n
as
m
ed
iato
r
.
P
r
ev
io
u
s
r
e
s
ea
r
ch
h
as
alr
ea
d
y
s
h
o
w
n
th
at
h
ig
h
s
elf
-
e
f
f
icac
y
w
il
l
lead
to
an
i
n
ter
est
in
d
ev
elo
p
i
n
g
th
e
m
s
elv
e
s
[
9
,
1
1
]
.
I
t
ap
p
l
ies
to
o
u
tco
m
e
e
x
p
ec
tatio
n
a
s
w
e
ll.
Sel
f
-
e
f
f
icac
y
also
s
h
o
w
s
a
d
ir
ec
t r
elatio
n
s
h
i
p
to
ca
r
ee
r
ex
p
lo
r
atio
n
as su
p
p
o
r
ted
b
y
a
p
r
ev
io
u
s
s
tu
d
y
[
1
1
,
2
5
]
.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
n
t.
J
.
P
u
b
lic
Hea
lth
Sci
.
I
SS
N:
2
2
5
2
-
8806
Mo
d
elin
g
o
f fa
cto
r
s
in
flu
en
cin
g
ex
p
lo
r
a
tio
n
o
f m
ed
ica
l c
a
r
ee
r
ch
o
ices
(
R
iz
ma
A
d
lia
S
ya
ku
r
a
h
)
179
I
n
o
r
d
er
to
in
cr
ea
s
e
m
ed
ical
s
tu
d
e
n
ts
’
ca
r
ee
r
ex
p
lo
r
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n
,
h
i
g
h
s
ch
o
o
l
a
n
d
m
ed
ical
s
c
h
o
o
ls
ca
n
s
u
p
p
o
r
t th
e
m
w
i
th
p
er
s
o
n
al
o
r
f
a
m
il
y
ca
r
ee
r
co
u
n
s
ell
in
g
,
i
n
o
r
d
er
to
f
in
d
co
m
m
o
n
g
r
o
u
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d
a
n
d
d
ec
id
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to
g
et
h
er
w
h
at
w
il
l
b
e
th
e
b
est
f
o
r
th
e
s
tu
d
en
t’
s
i
n
ter
est
[
2
9
]
.
E
ar
l
y
ex
p
o
s
u
r
e
to
a
v
ar
iet
y
o
f
c
ar
ee
r
s
w
ill
e
n
h
an
ce
s
tu
d
e
n
ts
’
a
w
ar
en
e
s
s
o
f
th
eir
f
u
tu
r
e
o
p
tio
n
s
[
3
1
]
w
h
ile
f
i
n
d
in
g
w
h
at
t
h
e
y
ca
n
d
o
b
est
in
ce
r
tain
f
ie
ld
s
w
il
l
in
cr
ea
s
e
t
h
eir
p
er
s
o
n
al
p
er
f
o
r
m
an
ce
s
aid
in
g
i
n
t
h
eir
ca
r
ee
r
d
ec
is
io
n
s
.
Fac
u
lt
y
ca
n
ac
co
m
m
o
d
ate
t
h
ese
ac
tiv
itie
s
b
y
m
a
k
in
g
i
n
ter
n
s
h
i
p
o
p
p
o
r
tu
n
ities
,
co
u
r
s
es
o
r
p
r
o
g
r
a
m
s
t
h
at
w
i
ll
h
elp
s
t
u
d
en
t
s
lear
n
m
o
r
e
ab
o
u
t
th
eir
p
o
s
s
ib
le
ch
o
ice
s
[
3
2
]
.
P
ar
en
ts
ca
n
also
b
e
m
o
r
e
i
n
v
o
lv
ed
i
n
t
h
ese
ac
ti
v
itie
s
,
s
o
th
e
y
ca
n
g
i
v
e
r
atio
n
al
g
u
id
a
n
ce
an
d
p
er
s
o
n
al
p
er
s
u
a
s
io
n
to
th
eir
ch
i
ld
r
en
.
4.
CO
NCLU
SI
O
N
B
ased
o
n
th
e
r
es
u
lts
a
n
d
d
is
cu
s
s
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o
f
th
i
s
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esear
ch
,
i
t
is
co
n
clu
d
ed
th
at
co
n
tr
ib
u
tab
le
v
ar
iab
les
s
tu
d
ied
ar
e
r
elate
d
to
ca
r
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r
e
x
p
lo
r
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n
in
m
ed
ical
s
t
u
d
en
t
s
,
b
o
th
d
ir
ec
tl
y
an
d
i
n
d
ir
ec
tl
y
.
Ver
b
al
p
er
s
u
asio
n
an
d
s
el
f
-
e
f
f
icac
y
af
f
ec
t
ca
r
ee
r
ex
p
lo
r
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n
d
i
r
ec
tl
y
.
Se
v
er
al
ac
tiv
itie
s
ca
n
b
e
d
o
n
e
ea
r
l
y
i
n
th
e
ir
p
r
o
g
r
a
m
o
f
s
tu
d
y
i
n
o
r
d
er
to
in
cr
ea
s
e
m
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s
t
u
d
en
t
s
’
ca
r
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r
ex
p
lo
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n
an
d
h
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th
e
m
to
f
i
n
d
t
h
e
c
ar
ee
r
th
at
is
s
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itab
le
f
o
r
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p
er
s
o
n
a
l
v
al
u
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s
,
in
te
r
est,
an
d
ab
ilit
y
.
T
h
e
f
i
n
d
in
g
s
d
e
m
o
n
s
tr
ate
th
e
i
m
p
o
r
tan
ce
o
f
s
o
u
r
ce
s
o
f
s
el
f
-
ef
f
icac
y
in
m
ed
ical
s
t
u
d
en
ts
’
ca
r
ee
r
ex
p
lo
r
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n
b
eh
a
v
io
r
.
E
d
u
ca
to
r
s
an
d
p
o
lic
y
m
a
k
er
s
a
r
e
ab
le
to
co
n
s
tr
u
ct
in
ter
v
e
n
tio
n
in
t
h
i
s
ar
ea
to
en
co
u
r
ag
e
m
ed
ical
s
tu
d
e
n
ts
to
s
ta
r
t e
x
p
lo
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tio
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i
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itial
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ata
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llectio
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d
Fatt
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o
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.
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S
[1
]
R
i
c
h
a
rd
s
P
.
,
S
to
c
k
il
l
S.
,
“
L
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a
rn
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m
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i
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nf
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th
e
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,”
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o
n
d
o
n
:
BM
J
Pu
b
Gr
o
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p
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.
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-
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5
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0
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3
.
[2
]
Re
e
se
S
M.
,
“
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re
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i
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d
oc
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o
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On
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]
.
Av
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i
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[3
]
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,
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.
,
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ra
b
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ri
,
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.
,
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id
y
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n
d
a
n
a
,
D.,
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t
a
l.
,
“
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re
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r
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h
o
ice
s,
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ter
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n
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a
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f
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ts,
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[4
]
G
l
y
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,
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e
rin
M
J.
,
“
F
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c
to
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in
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m
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rg
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n
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l
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.
4
,
p
p
.
1
8
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1
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2
0
1
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.
[5
]
Blan
d
CJ,
M
e
u
re
r
L
N,
M
a
ld
o
n
a
d
o
G
.
,
“
De
ter
m
in
a
n
ts
o
f
p
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m
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r
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c
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r
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ice
:
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-
s
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ly
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.
[6
]
Ya
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k
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a
,
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.
,
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h
im
izu
,
H.,
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a
l.
,
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p
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se
m
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ica
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stu
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n
ts'
in
tere
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rv
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o
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ica
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n
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[7
]
S
o
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t
,
M
.
B.
,
Olle,
J.T
,
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rrit
,
V
.
D.
,
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De
v
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p
p
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3
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6
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[8
]
Ba
n
d
u
ra
A
.
,
“
S
e
lf
-
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ff
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y
:
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ise
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mill
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b
1
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[9
]
Be
tz
NE.
,
“
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lf
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m
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n
t,
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o
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rn
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l
o
f
C
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me
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8
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.
3
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.
[1
0
]
L
e
n
t
R
W
,
Bro
w
n
S
D,
Ha
c
k
e
tt
G
.
,
“
T
o
w
a
rd
a
u
n
ify
in
g
so
c
ial
c
o
g
n
it
iv
e
th
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ry
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d
a
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d
e
m
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in
tere
st,
c
h
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,
a
n
d
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rf
o
rm
a
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c
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,
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o
u
rn
a
l
o
f
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o
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1
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.
79
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1
]
Na
sta
K
A
.
,
“
In
f
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e
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c
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re
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lf
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e
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ic
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ti
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v
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r,
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sis
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2
0
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7
.
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2
]
Be
tz
NE,
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rg
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n
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Ro
tt
in
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h
a
u
s
P
.
,
e
t
a
l.
,
“
T
h
e
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x
p
a
n
d
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d
sk
il
ls
c
o
n
f
id
e
n
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e
in
v
e
n
t
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ry
:
M
e
a
su
rin
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b
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sic
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m
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sio
n
s o
f
v
o
c
a
ti
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n
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l
a
c
ti
v
it
y
,
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o
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rn
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l
o
f
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c
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ti
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3
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Be
tz
NE,
V
o
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ten
KK
.
,
“
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ff
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a
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y
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n
d
o
u
tco
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e
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e
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tatio
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s
in
f
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d
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ss
,
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h
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re
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r De
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lo
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me
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t
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a
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4
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o
.
2
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p
p
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1
7
9
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,
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9
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7.
[1
4
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F
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rry
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R,
F
o
u
a
d
NA
,
S
m
it
h
P
L
.
,
“
T
h
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ro
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o
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f
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m
il
y
c
o
n
tex
t
in
a
so
c
ial
c
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it
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m
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l
f
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r
c
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r
-
re
late
d
c
h
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b
e
h
a
v
io
r:
A
m
a
th
a
n
d
sc
ien
c
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p
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r
sp
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c
ti
v
e
,
”
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o
u
rn
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l
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f
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ti
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3
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4
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[1
5
]
Ib
ra
h
im
M
.
,
F
a
n
sh
a
w
e
A
.
,
P
a
tel
V
.
,
e
t
a
l.
,
“
W
h
a
t
f
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c
to
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in
f
lu
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n
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e
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ish
m
e
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ica
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stu
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e
n
ts'
c
a
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in
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ti
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s?
,
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p
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.
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6
]
S
u
p
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DE
.
,
“
A
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3
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0
.
[1
7
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Eri
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so
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EH.
,
“
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ty
:
Yo
u
th
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&
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[1
8
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.
,
“
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re
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p
tab
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ra
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c
t
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-
59
,
1
9
9
7
.
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[1
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He
il
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rs
P
J.
,
“
Ge
n
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if
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re
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e
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.
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1
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L
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f
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.
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rn
e
i
s
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.
,
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ril
a
L.
,
“
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re
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ice
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[2
2
]
Co
rre
ll
S
J.
,
“
G
e
n
d
e
r
a
n
d
th
e
c
a
re
e
r
c
h
o
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p
ro
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e
ss
:
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h
e
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le
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d
se
lf
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s
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m
e
n
ts,
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ric
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n
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.
6
,
p
p
.
1
6
9
1
-
7
3
0
,
2
0
0
1
.
[2
3
]
L
e
v
in
e
RB,
M
e
c
h
a
b
e
r
HF,
Re
d
d
y
S
T
,
e
t
a
l.
,
“
A
g
o
o
d
c
a
re
e
r
c
h
o
ice
f
o
r
w
o
m
e
n
’
:
f
e
m
a
le
m
e
d
ica
l
stu
d
e
n
ts
’
m
e
n
to
rin
g
e
x
p
e
rien
c
e
s:
a
m
u
lt
i
-
i
n
stit
u
t
io
n
a
l
q
u
a
li
tat
iv
e
stu
d
y
,
”
A
c
a
d
e
mic
M
e
d
icin
e
,
v
o
l.
8
8
,
n
o
.
4
,
p
p
.
5
2
7
-
34
,
2
0
1
3
.
[2
4
]
Bick
e
l
J.
,
“
Ge
n
d
e
r
e
q
u
it
y
in
u
n
d
e
rg
ra
d
u
a
te
m
e
d
i
c
a
l
e
d
u
c
a
ti
o
n
:
a
sta
tu
s
re
p
o
rt,
”
J
o
u
rn
a
l
o
f
W
o
me
n
'
s
He
a
lt
h
&
Ge
n
d
e
r
-
Ba
se
d
M
e
d
icin
e
,
v
o
l.
1
0
,
n
o
.
3
,
p
p
.
2
6
1
-
7
0
,
2
0
0
1
.
[2
5
]
S
a
w
it
ri
DR,
Cre
e
d
P
A
,
Zi
m
m
e
r
-
Ge
m
b
e
c
k
M
J.
,
“
P
a
re
n
tal
i
n
f
lu
e
n
c
e
s
a
n
d
a
d
o
les
c
e
n
t
c
a
re
e
r
b
e
h
a
v
io
rs
in
a
c
o
ll
e
c
ti
v
ist
c
u
lt
u
ra
l
se
tt
in
g
,
”
In
ter
n
a
ti
o
n
a
l
J
o
u
rn
a
l
f
o
r
E
d
u
c
a
ti
o
n
a
l
a
n
d
V
o
c
a
ti
o
n
a
l
Gu
id
a
n
c
e
,
v
o
l
.
1
4
,
n
o
.
2
,
p
p
.
161
-
8
0
,
2
0
1
4
.
[2
6
]
Ba
n
d
u
ra
A
.
,
“
S
e
lf
-
e
ff
ica
c
y
:
to
wa
rd
a
u
n
if
y
in
g
th
e
o
ry
o
f
b
e
h
a
v
io
ra
l
c
h
a
n
g
e
,
”
Psy
c
h
o
lo
g
ica
l
Rev
iew
.
,
v
o
l.
8
4
,
n
o
.
2
,
p
.
1
9
1
,
1
9
7
7
.
[2
7
]
T
a
n
g
M
.
,
S
m
it
h
P
L
.
,
“
A
sia
n
Am
e
rica
n
s
'
c
a
re
e
r
c
h
o
ice
s:
a
p
a
th
m
o
d
e
l
to
e
x
a
m
in
e
f
a
c
to
rs
i
n
f
lu
e
n
c
i
n
g
th
e
ir
c
a
re
e
r
c
h
o
ice
s,”
J
o
u
rn
a
l
o
f
V
o
c
a
ti
o
n
a
l
B
e
h
a
v
io
r
,
v
o
l.
5
4
,
p
p
.
1
4
2
-
1
5
7
,
1
9
9
9
.
[2
8
]
Ho
f
ste
d
e
,
G
.
Ho
fste
d
e
,
G
J.
M
in
k
o
v
M
.
,
“
C
u
lt
u
re
s
a
n
d
Org
a
n
iza
ti
o
n
s:
S
o
f
twa
re
o
f
th
e
M
in
d
,
R
e
v
ise
d
a
n
d
Ex
p
a
n
d
e
d
3
rd
E
d
it
i
o
n
,
”
Ne
w
Yo
rk
:
M
c
G
ra
w
-
H
ill
,
2
0
1
0
.
[2
9
]
S
a
w
it
ri
DR,
Cre
e
d
P
A
.
,
“
Co
ll
e
c
ti
v
is
m
a
n
d
p
e
rc
e
iv
e
d
c
o
n
g
ru
e
n
c
e
w
it
h
p
a
re
n
ts
a
s
a
n
tec
e
d
e
n
ts
to
c
a
re
e
r
a
sp
iratio
n
s:
A
so
c
ial
c
o
g
n
it
iv
e
p
e
rsp
e
c
ti
v
e
,
”
J
o
u
rn
a
l
o
f
Ca
re
e
r
D
e
v
e
lo
p
me
n
t,
v
o
l.
4
4
,
n
o
.
6
,
2
0
1
6
,
d
o
i:
1
0
.
1
1
7
7
/
0
8
9
4
8
4
5
3
1
6
6
6
8
5
7
6
.
[3
0
]
A
b
b
o
tt
A
.
,
“
T
h
e
s
y
ste
m
o
f
p
ro
f
e
ss
io
n
s:
A
n
e
ss
a
y
o
n
th
e
d
iv
isio
n
o
f
e
x
p
e
rt
lab
o
r,
”
Un
ive
rs
it
y
o
f
C
h
ica
g
o
Pre
ss
,
7
F
e
b
ru
a
ry
2
0
1
4
.
[3
1
]
T
a
v
e
ira
M
D,
M
o
re
n
o
M
L
.
,
“
G
u
i
d
a
n
c
e
th
e
o
ry
a
n
d
p
ra
c
ti
c
e
:
T
h
e
s
tatu
s
o
f
c
a
r
e
e
r
e
x
p
lo
ra
ti
o
n
,
”
Brit
ish
J
o
u
rn
a
l
o
f
Gu
id
a
n
c
e
a
n
d
C
o
u
n
se
ll
in
g
,
v
o
l.
3
1
,
n
o
.
2
,
p
p
.
1
8
9
-
2
0
8
,
2
0
0
3
.
[3
2
]
S
u
ll
iv
a
n
KR,
M
a
h
a
li
k
JR.
,
“
In
c
re
a
sin
g
Ca
re
e
r
S
e
l
f
Eff
ic
a
c
y
f
o
r
Wo
m
e
n
:
Ev
a
lu
a
ti
n
g
a
G
ro
u
p
In
terv
e
n
ti
o
n
,
”
J
o
u
r
n
a
l
o
f
Co
u
n
se
li
n
g
&
De
v
e
lo
p
me
n
t
,
v
o
l.
7
8
,
n
o
.
1
,
p
p
.
54
-
62
,
2
0
0
0
.
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