ABSTRACT
Post infarction ventricular septal defect results from perforation of the ventricular septum secondary to ischaemic injury following myocardial infarction. Ischaemic heart disease till recently was thought to be an uncommon disease in this part of the world, but now more and more cases are being seen as a result of the changes in thelife styles of the population in this country and in the developing world in general. This is a case report of the first case of post infarction ventricular septal defect presenting to surgery for repair in this country.
Subject(s)
Myocardial Infarction/complications , Ventricular Septal Rupture/etiology , Cardiac Surgical Procedures , Female , Humans , Kenya , Middle Aged , Myocardial Infarction/surgery , Ventricular Septal Rupture/surgeryABSTRACT
This study examined the concept of unemployability. A brief theoretical analysis using an expectancy model revealed that a major assumption of the model invalidates its potential to explain the behaviour of the unemployables, since they often have little choice in the labour market. Insights into the possible theoretical meaning of the construct were derived from an examination of current vocational behaviour theory. Vocational self concept, vocational maturity and work personality were found to be particularly helpful. A survey of 216 employable and unemployable young people revealed that the concept was not related to realistic judgement, a job-seeking pattern, and motivation since both employable and unemployable appeared realistic, looked for jobs in the same way and were motivated. However, the construct appears related to knowledge of an individual's preferred job and to confidence that such a job could be easily secured by the individual.
