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Complexity academic level The case provides an opportunity for participants to step into the shoes of Doshi and plan a way to expand Vardhman Envirotech (VE) business by either entering the government segment or by undertaking international market expansion. In doing so, participants should understand the existing strategy by taking into consideration the aspects regarding the manner in which VE’s Injection Recharge Well differs from the existing recharge well solutions. VE lack of experience in government segment, as well as international markets provides an interesting context for the case discussion wherein participants have to examine the positives and challenges of both expansion opportunities and decide the way forward. Supplementary materials Teaching Notes are available for educators only. Please contact your library to gain login details or email support@emeraldinsight.com to request teaching notes. Subject code CSS3: Entrepreneurship.

Splenectomy when performed by laparoscopy is associated with less morbidity compared to open surgery. It also has a cosmetic advantage due to smaller wounds. The case discussion illustrates the anatomical landmarks and relationships during a laparoscopic splenectomy.

Studies have reported that persons with developmental disabilities have the lowest rate of labor force participation, relative to other disabilities due to various factors. This paper presents two cases studies of persons with ID who were successfully provided a hybrid supported employment approach of ‘train and place model’ and ‘place and train model’ by the Psychiatric Rehabilitation Services (PRS) team. Conducted a retrospective file review highlighting the process of supported employment approach adapted for persons with ID. The ethical approval was obtained from the Institute Ethical Committee. The hybrid supported employment approach focuses on enhancing client’s vocational potential and skills, prepare for job ready, find a suitable job placement. Further, the approach helped in improving the sense of independence self-esteem and quality of life of the clients. A hybrid supported employment approach could be an effective method in aiding persons with developmental disabilities in India seek, get, and keep jobs; it will also help them deal with unique challenges they face in the workplace as well as loss of or gaps in employment. Involvement of families in the intervention will help minimize negative expressed emotions and distress.

ملخص بحث محددات استخدام الاخصائى الاجتماعى لمؤتمر الحالة فى المجال النفسى تتعدد مجالات الممارسة المهنية لطريقة خدمة الفرد، ومنها المجال النفسى الذى يعد من أهم مجالات الممارسة المهنية، ولا يخفي علي أحد من المتخصصين في مجال الصحة النفسية أن العلاقة بين انتشار الأمراض النفسية وما قد تحدثه من نتائج وآثار سلبية علي المريض نفسه وأسرته ومجتمعه، أهمها الضعف أو الخلل في أداء المريض النفسي والمحيطين به لأدوارهم المختلفة، ولما کان الأخصائي الاجتماعي أحد أعضاء فريق العلاج في المجال النفسي، وأن کثيرا من المرضي النفسيين قد تلعب الظروف الاجتماعية والأسرية دورا في إصابتهم ببعض الأمراض النفسية أو قد ينتج عن الإصابة بها مشکلات اجتماعية ونفسية عديدة، فإن فهم الأخصائي الاجتماعي لطبيعة تلک الأمراض وأنواعها وأسبابها والمشکلات التي قد تنتج عنها وطرق وأساليب التعامل مع نسق المريض وأسرته وفريق العلاج وحدود ومتطلبات دوره وما يتصل بذلک من توافر المعارف العلمية والمهارات المهنية. وتعتبر اجتماعات مناقشة الحالة وسيلة هامة لتنسيق المعلومات التي تجمع عن الحالة وتفسيرها، ويتم في هذه الاجتماعات عرض الحالة من کل جوانبها واستعراض الجوانب الإرشادية والعلاجية المناسبة للحالة، ويعد مؤتمر الحالة فرصة لفريق العمل مع الحالة الفردية لتبادل المعلومات والآراء والخبرات، ومناقشة خطط العلاج، وتعديلها حسب متطلبات الموقف، ووضع الخطط البديلة، ويساعد استعداد الاخصائيين الاجتماعيين للعمل مع الحالة الفردية المعروضة على مؤتمر الحالة من جمع معلومات عن الحالة، وتحديد جوانب القوة فى شخصية العميل، واستکمال مناطق الدراسة طبقا لطبيعية الحالة، ويتطلب عمل الاخصائيين الاجتماعيين أثناء انعقاد مؤتمر الحالة مناقشة مشکلات الحالات الفردية المعروضة عليهم، وتقديم تفسير منطقى للعوامل التى أدت إلى حدوثها، واقتراح أسلوب العمل المناسب معها، ويتطلب عمل الاخصائيين الاجتماعيين أيضا مع الحالة الفردية بعد الانتهاء من مؤتمر الحالة تحديد جوانب القصور في تنفيذ الخطة العلاجية، ومتابعة سير الخطة المتفق عليها، واتساقا مع الطرح السابق الذى يؤکد الأهمية التى يمثلها مؤتمر الحالة في المجال النفسى؛ إلا أن الواقع يؤکد ندرة فى الکتابات والدراسات الأجنبية والعربية التى تناولت الموضوع؛ لذا فقد تحددت القضية الرئيسية للبحث فى الوقوف على محددات استخدام الاخصائيين الاجتماعيين لمؤتمر الحالة فى المجال النفسى. يعد هذا البحث من نمط البحوث الوصفية، اعتمادا على المنهج الوصفى، تم تطبيقه على جميع الاخصائيين الاجتماعيين العاملين بالمستشفيات النفسية بإقليم القاهرة الکبرى، والبالغ عددهم(87) اخصائى اجتماعى، واعتمدت الباحثة في البحث الميداني على مقياس محددات استخدام الاخصائى الاجتماعى لمؤتمر الحالة فى المجال النفسى، وقد وتوصل البحث إلى الإجابة على تساؤلات الدراسة والتى تمثلت في انخفاض استعداد الاخصائيين الاجتماعيين لاستخدام مؤتمر الحالة في المجال النفسى، وضعف قدراتهم على تنفيذ المهام المطلوبة منهم أثناء انعقاد المؤتمر، وضعف قدراتهم على تنفيذ المهام المطلوبة منهم بعد انعقاد مؤتمر الحالة، وأکدت نتائح البحث وجود بعض المعوقات التى تحول دون قدرة الاخصائيين الاجتماعيين على استخدام مؤتمر الحالة، وخلص البحث إلى عدد من المقترحات لتطوير قدرة الاخصائيين الاجتماعيين على استخدام مؤتمر الحالة في المجال النفسى. Summary Determinants of the use of the social worker for the case conference in the psychological field Dr. Fatma Anwar Mohamed El Sayied Assistant Professor, Department of Social Work Methods There are many areas of professional practice in the way of serving the individual, including the psychological field, which is one of the most important areas of professional practice, and no one in the field of mental health conceals that the relationship between the spread of mental illness and the negative consequences and effects it may have on the patient himself, his family and society, the most important of which is weakness Or the defect in the performance of the psychiatric patient and those around him to their different roles, and since the social worker was one of the members of the treatment team in the psychological field, and that many of the psychiatric patients may play a role in social and family conditions in their affliction with some mental illnesses, or many social and psychological problems may result from them, The social worker understands the nature of these diseases, their types, causes, problems that may result from them, methods and methods of dealing with the patient, his family and treatment team, the limits and requirements of his role, and the related availability of scientific knowledge and professional skills. are many areas of professional practice in the way of serving the individual, including the psychological field, which is one of the most important areas of professional practice, and no one in the field of mental health conceals that the relationship between the spread of mental illness and the negative consequences and effects it may have on the patient himself, his family and society, the most important of which is weakness Or the defect in the performance of the psychiatric patient and those around him to their different roles, and since the social worker was one of the members of the treatment team in the psychological field, and that many of the psychiatric patients may play a role in social and family conditions in their affliction with some mental illnesses, or many social and psychological problems may result from them, The social worker understands the nature of these diseases, their types, causes, problems that may result from them, methods and methods of dealing with the patient, his family and treatment team, the limits and requirements of his role, and the related availability of scientific knowledge and professional skills. Case discussion meetings are an important way to coordinate and interpret the information gathered about the case, and in these meetings the case is presented in all its aspects and the indicative and therapeutic aspects appropriate to the case are reviewed, and the case conference is an opportunity for the work team with the individual case to exchange information, opinions and experiences, discuss treatment plans, and amend them according to Situation requirements, developing alternative plans, and social workers' willingness to work with the individual case presented to the case conference helps by collecting information about the case, determining the strengths of the client’s personality, completing the study areas according to the nature of the case, and the work of social workers during the case conference requires discussion of case problems. The individual presented to them, providing a logical explanation for the factors that led to their occurrence, and proposing an appropriate method of work with them, and the work of social workers also requires the individual case after the completion of the case conference to identify deficiencies in the implementation of the treatment plan, and follow up the progress of the agreed plan, and in line with the previous proposal Which confirms the importance of the case conference in the psychological field; However, the reality confirms the scarcity of foreign and Arab writings and studies that deal with the subject Therefore, the main issue of research has been identified in identifying the determinants of social workers' use of the case conference in the psychological field. This research is of the type of descriptive research, depending on the descriptive approach, it was applied to all social workers working in psychiatric hospitals in the Greater Cairo Region, and the number of (87) social workers, and the researcher adopted in the field research on the scale of the determinants of the use of the social worker for the case conference in the psychological field The research found an answer to the study’s questions, which were represented in the low willingness of social workers to use the case conference in the psychological field, their weak ability to carry out the tasks required of them during the conference, and their weak ability to carry out the tasks required of them after the case conference was held, and the results of the research confirmed the existence of Some of the obstacles that prevent social workers from using the case conference, and the research concluded a number of proposals to develop the capacity of social workers to use the case conference in the psychological field.

Multidisciplinary tumor boards (TBs) is an integral part of cancer care. Emerging evidence shows that effective TB implementation is crucial. It remains largely unknown how digital solutions can assist effective TB conduction. This study aimed to evaluate the impact of a digital solution on case discussion during TB meetings in four cancer types: Breast, Gastrointestinal (GI), Ear, Nose & Throat (ENT), and Hematopathology. A prospective study was performed to evaluate case discussion time during TB meetings pre- and post-solution implementation, at an US academic healthcare cancer center. Data were recorded by a Nurse Navigator for each case during TB meetings. Case discussion times were recorded for 2312 patients, at a total of 286 TB meetings. Significant decreases were observed in the average case discussion time for the breast and GI TBs. We observed a trend for reduction in discussion time variance for all TBs, suggesting the potential of the digital solution to standardize case discussion via provision of uniform case presentation and data access. Postponement rate decreased from 23 to 10% for ENT TB. This study demonstrated that the digital solution enhanced effective TB implementation, with heterogeneity across cancer types.

The aim of this study was to determine the benefits of RCD on nurses themselves, this literature through identification from the Pubmed database, Science direct and online wiley, use the keywords 'Reflection' and 'Case' and 'Nursing'. The method of searching articles uses PICOT technique, Prism Flow diagram, abstraction and synthetic data. Through fulltext screening, double publication and eligibility, 455 research articles were found. The next step is to screen through the inclusion criteria and exclusion criteria so that the final result of the article found is 4 articles. Articles have a lot to explain about the benefits RCD for nurses, RCD can add to the knowledge of nurses, minimize the gap theory and practice so that errors can be resolved. Literature is also finding benefits RCD on nurses is increasing the professionalism of the work and cooperation among fellow colleagues. Implementation of the RCD environment of clinical very ber benefits

This review of the literature was conducted to define avoidant restrictive food intake disorder (ARFID) and provide the current evidence-based treatment modalities and implications for Nurse Practitioners. A specific case is used to illustrate the daily struggles of a pediatric patient with ARFID that include bullying, self-doubt, and anxiety related to eating. There is a need for increased awareness of the disorder to increase identification of the disorder, enhance the research on treatment modalities for the disorder, and most importantly, to increase the quality of life for those with the disorder and their family members.

In this article, we present a patient in our series with a rare presentation of her disease, metastasis in the navel, due to disseminated ovarian cancer. This clinical situation is named after an American nun. Sister María José. We describe the history of the religious, the illness of our patient and we discuss medical and pathophysiological aspects as a contribution to medical casuistry.

The role of research ethics consultants in biomedical research has increased to the point that they have an advisory capacity at all research institutes. For such professionals, we have established an educational system, which includes teaching materials, training methods, and nationwide educational workshops. These workshops have served to examine the developed system’s usefulness and to provide realistic training for consultant candidates. In addition, we have used the current workshop to encourage clinical research investigators (and related personnel) to participate. Subsequently, we examined its usefulness as an opportunity to provide exposure to research ethics. In October 2019, we held a 1-day pilot workshop in Tokushima, Japan, which included a basic lecture in research ethics. During the lecture, two sets of materials were used for case discussion: case 1, covering issues related to a clinical trial, and case 2, covering issues related to human biological specimens. At the end of the workshop, a 30-item self-reporting anonymous questionnaire was provided. Of the 13 total participants, 9 (70%) were clinical research investigators and related personnel, while 6 (46%) had no direct intention to act as consultants. Respondents indicated that case 2 was more difficult than case 1. However, both cases were generally accepted as educational materials; thus, satisfaction was expressed in relation to both. As the evaluations of the cases were generally positive, we will further examine the usefulness of participation in the workshop in the cultivation of research ethics in the investigator community.

Trauma is widespread, and its symptoms can adversely impact wellbeing at end of life, a time when hospice seeks to maximize quality of life. This article reviews research on trauma at end of life, provides an overview of trauma-informed principles, and explores possibilities for applying trauma-informed care through an illustrative case study of a patient at end of life. The case discussion applies findings from the literature using Feldman's Stepwise Psychosocial Palliative Care model as a roadmap. As shown in the case study, trauma-related symptoms may complicate care, making it an important subject of clinical attention for interdisciplinary hospice team members. As part of this team, social workers are particularly well suited to provide more targeted interventions where indicated, though all members of the team should take a trauma-informed approach. Lastly, this article reflects on the need for organizations to take a systems-level approach when implementing trauma-informed care and suggests implications for practice through a universal approach to trauma and the need for trauma-specific assessments and interventions at end-of-life, along with areas for future research.

Few studies have examined social work student outcomes after engagement in interprofessional (IP) learning experiences. We examined self-reported attitudes and skills self-efficacy among social work students before and after their engagement in IP Forums. The data comes from social work students who participated in 2016-2018 Fall IP Forums focusing on opioid use disorder. Using the Interprofessional Attitudes Scale (IPAS) and the Interprofessional Collaborative Competency Attainment Scale, revised (ICCAS), we assessed students’ self-reported attitudes (IPAS) and skills self-efficacy (ICCAS) before and after the Fall IP Forums. Paired t-tests identified significant changes in IPAS and ICCAS scores. Students reported increases in their IP attitudes and skills self-efficacy following participation in the IP Forum as measured by pre-IPAS score (n=236, M=4.56, SD=0.29) to post-IPAS score (M=4.68, SD=0.27; t(156)=-5.31, p

The introduction of newer anticoagulants requires clinicians to fully appreciate, interpret, and correctly apply the use of coagulation assays, such as the prothrombin time (PT), activated partial thromboplastin time (APTT), and anti-factor Xa assays. For oral vitamin K antagonists, the international normalized ratio (INR) is a predictor of anticoagulation intensity. However, for direct oral anticoagulants (DOACs), the PT or INR and APTT are unable to quantify the level of anticoagulation intensity as there is a poor correlation between plasma concentration of DOAC with these routine coagulation assays and that significant anticoagulant effect may still be present despite normal or near normal results for these routine assays. In the USA, there are 5 DOACs available including dabigatran, a direct thrombin inhibitor and 4 direct factor Xa inhibitors (FXaI), each with varying indications, doses, pharmacodynamic, and pharmacokinetic characteristics. A thorough understanding of these properties aids in the management of the periprocedural or bleeding patient. In this first section of this manuscript, we will review the laboratory tests that are commonly performed for assessing a patient’s coagulation status with known DOAC exposure. The second section will describe 3 real-world challenging case studies in DOAC-treated patients, with a focus on presenting clinical queries, interpretation of baseline laboratory tests with interpretations, followed by the case discussion to combine interpretation of appropriate laboratory tests with clinical patient considerations in an effort to guide clinical decision-making.

Background: Most secondary transmission of COVID-19 is occurring in a hospital setting. To decrease person-to-person contact, health care providers have built many isolation wards. However, out-of-hospital professionals cannot access patient information, which has greatly reduced the efficiency of treatment; it is inconvenient for health care professionals to issue a case discussion with professionals from other wards. This article mainly introduces a mobile telehealth system (MTS) applied to facilitate patient information presentation and case discussion. Materials and Methods: The MTS searches patient information, which is stored in hospital intranet, and uses five modules to display patient information. By a request/response module and a real-time interaction module, we successfully conducted case discussions. In addition, we took measures in three areas to prevent patient information leakage. Results: The system uses mobile collaboration technology to present patient information and support case discussion. MTS was officially launched for 37 days, during which it has been used 3,061 times. Conclusions: The building of the MTS not only provides convenience and benefit for health care professionals, but also reduces person-to-person contact.

Severe stroke and neurodegenerative diseases often cause limitations in communication and willing capability. Decision processes in these conditions assume primarily a positive medical indication for any intervention. If not obtainable from an individual by itself, by a disposal or by a legal custodian, the presumed will of a patient has to be detected carefully. Evidence can be raised by an interview of relatives or an individual case discussion in a local ethical comitee. Stroke and dementia can raise the need for palliative care, especially a sufficient analgesia as well as other severe illnesses. Pain in demented persons is often underrated and undertreated. The diagnosis of dementia alone does not limit the indication for curative therapy in general. Ethical comitees or ethical visits are helpful instruments to find out an adequate decision in difficult situations.

Background and purpose Upon graduation and licensing, pharmacists work very closely with pharmacy technicians. Despite this, opportunities for learning together as students are limited. We developed and implemented a pilot intraprofessional event for pharmacy and pharmacy technician students. The purpose of this study was to evaluate the perceived value and learner confidence through analysis of participant feedback. Education activity and setting Pharmacy students from the University of Waterloo School of Pharmacy and pharmacy technician students from Lambton College participated in an intraprofessional event that included a three-station practice objective structured clinical exam (OSCE) and a case discussion regarding a methadone dispensing error, followed by a facilitated debrief. Upon completion of the event, students were invited to complete an online feedback questionnaire. Findings Twenty-one pharmacy students and 22 pharmacy technician students participated in the event. Twenty-one students completed the questionnaire, for a response rate of 49%. The majority of respondents agreed or strongly agreed that the event enhanced learning and confidence in working together to provide interprofessional care. Students seemed to find the OSCE to be particularly valuable. Feedback suggestions for improvement indicated a desire for more activities and time allocated to the event. Summary We designed and implemented a pilot intraprofessional event that was well-received by pharmacy students and pharmacy technician students. This supports the development of future similar events.

In adolescents and young women, there is limited data on the type of replacement, route of administration, and ideal doses to be used in systemic hormone therapy administered for the treatment of hypogonadism. In particular, management of patients with complicated systemic diseases or at risk of thrombophilia may present significant challenges. We present a case of a 15-year-old adolescent girl with hypogonadism and coexisting medical conditions, who was evaluated for systemic hormone therapy.