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Students' learning activities frequently compete with their leisure options, leading to regret after decisions to study. Using a sample of 233 German and 194 Australian undergraduate students, the authors explored possible determinants of the personality construct regret. They investigated whether the level to which students rely on intuition in decision making is negatively connected to the tendency to regret a decision and whether the degree to which during studying students are distracted by leisure incentives (motivational interference) is positively related to regret. Students' achievement and well-being value orientations are expected to be linked to intuition and interference. In both samples, interference was positively related to regret whereas intuition was negatively related to regret only in the German sample. The authors did not find the expected link between intuition and interference. In both samples, value orientations were related, as expected, to intuition and interference. Regret could possibly be reduced if motivational interference is avoided.

Cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) has gained traction for the management of peritoneal metastases. The number of specialist units globally offering CRS/HIPEC is increasing. The aim of this survey was to assess current practices and barriers to referral for CRS/HIPEC among colorectal surgeons in Australia and New Zealand (ANZ). An online questionnaire was emailed to members of the Colorectal Surgical Society of Australia and New Zealand (CSSANZ). The survey contained 3 sections: namely; demographics, referral patterns and clinical scenarios. Questions on referral patterns included number of peritoneal metastases patients seen per year and referred to a CRS/HIPEC unit, awareness of such a unit and distance from principle place of practice. Different pathologies referred were also explored, as well as investigations performed. Barriers to referral were also surveyed. The response rate was 28% (83/296). Twenty-five percent received CRS training. Most surgeons (95%) were aware of a CRS/HIPEC unit and had referred to one previously. Thirty-nine percent would refer all patients. Provision of good service and/or relationship with CRS/HIPEC specialist were the main reasons for referring to the nearest unit, followed by accessibility. Major factors preventing referral included extent of peritoneal disease (48%), patient characteristics and comorbidities (44%) and lack of evidence (20%). The most common pathologies referred included colorectal and appendiceal peritoneal metastases and pseudomyxoma peritonei. Colorectal specialist awareness of CRS/HIPEC units and accessibility is high. Strategies to improve referring physician/surgeon knowledge on patient selection and indications for CRS/HIPEC should be investigated and instituted to ensure all appropriate patients are referred to specialist units for discussion of suitability. [ABSTRACT FROM AUTHOR]