A sizable number of athletes may enter collegiate play with a previous concussion diagnosis, and many more are likely to have experienced symptoms suggestive of a mild head injury. Of considerable concern is the tendency to play while symptomatic (eg, headache, dizziness) and the failure to report symptoms while playing--especially among football players (25.2%). The apparent deficiency in athlete knowledge of head injury consequences raises concern regarding athlete recognition of potentially problematic symptoms and represents an important area for educational intervention.

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The present study examined the career construction theory (CCT) model of adaptation using a sample of working adults diagnosed with Chiari malformation. Specifically, we tested a mediation model in which adaptivity (i.e., proactivity, openness, and conscientiousness) fosters adaptability, which conditions adapting (i.e., competence need satisfaction at work), which leads to adaptation (i.e., work well-being and subjective well-being). Results of structural equation modeling supported all of the hypothesized direct and indirect relations between CCT constructs, thus providing strong support for the applicability of the model of adaptation among workers with Chiari malformation. Prior to testing the model of adaptation, we examined and found support for the hypothesized hierarchical structure of the Career Adapt-Abilities Scale–Short Form, a recently developed operationalization of career adaptability.

Persons facing death due to terminal illness experience diverse physical, emotional, and relationship challenges. Dying persons have more than just physical needs, and spiritual issues may feature prominently as sources of intense struggle and comfort as people prepare to die. The spiritual health of the dying may be as important as their biological condition when facing death. Nevertheless, the present health care environment, with its emphasis on diagnostics and curative treatment, may allocate minimal attention and resources to the spiritual needs of the dying and their families. The neglect of spiritual issues may contribute to emotional, cognitive, and physical difficulties experienced at the end of life. Therefore, recognizing spirituality within the biomedical context of dying is essential. This requires an appreciation for the multifaceted nature of spirituality, coupled with an openness to individual theology, and an ability to integrate the spiritual dimension within a “bio-psychosocial” framework of assessment.