Personal experience with 141 patients with adrenal incidentalomas: Rational management approaches

2004 ◽  
Vol 112 (S 1) ◽  
Author(s):  
S Diederich ◽  
M Altmeyer ◽  
K Mai ◽  
V Bähr ◽  
AFH Pfeiffer ◽  
...  
2020 ◽  
Vol 9 (4) ◽  
pp. 44 ◽  
Author(s):  
Edgar Marthinsen ◽  
Graham Clifford ◽  
Halvor Fauske ◽  
Willy Lichtwarck

In this article, we theorize and reflect based on former research into professional practice and discretion as well as use some results from working together with practitioners in child protection services to explore the phenomenon of non-performing. Regulation lies at the heart of the contemporary child protection discourse. On the one hand we have seen a trend towards systematization of assessment content and procedures, on the other hand it is assumed that rational management approaches can secure consistency of performance. Social workers may be weary of the constraints all this imposes, but seem generally content to comply. Our reasoning was that social workers in child protection should be helped to get to grips with modifications to practice so that multi-challenged families could be accorded priority. These changes would include a reframing of assessment to take account of family needs as well as the needs of children. Follow-up would also require much more attention. Additionally, the choice of help provided for children and families would have to come into better focus, despite the limitations often experienced in practice. The question we asked was whether these types of reframing could be fostered within local child welfare units. We conducted a field trial in which child protection units were encouraged to reframe their practices, with the support of an expert group. The idea was to enhance and enable innovation through the combination of a more thorough dialogue with the families involved, as well as critical reflection based on available knowledge related to the identified challenges. We do a critical discussion of the work and the results from this in order to enhance knowledge on innovation in child protection.


Author(s):  
Amy Lustig ◽  
Cesar Ruiz

The purpose of this article is to present a general overview of the features of drug-induced movement disorders (DIMDs) comprised by Parkinsonism and extrapyramidal symptoms. Speech-language pathologists (SLPs) who work with patients presenting with these issues must have a broad understanding of the underlying disease process. This article will provide a brief introduction to the neuropathophysiology of DIMDs, a discussion of the associated symptomatology, the pharmacology implicated in causing DIMDs, and the medical management approaches currently in use.


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