scholarly journals Melanoma Surveillance Strategies: Different Approaches to a Shared Goal

2018 ◽  
Vol 25 (3) ◽  
pp. 583-584 ◽  
Author(s):  
Keisuke Shirai ◽  
Sandra L. Wong
2021 ◽  
Vol 28 (3) ◽  
pp. 2040-2051
Author(s):  
Christina W. Lee ◽  
J. Gregory McKinnon ◽  
Noelle Davis

Introduction: There are a lack of established guidelines for the surveillance of high-risk cutaneous melanoma patients following initial therapy. We describe a novel approach to the development of a national expert recommendation statement on high-risk melanoma surveillance (HRS). Methods: A consensus-based, live, online voting process was undertaken at the 13th and 14th annual Canadian Melanoma Conferences (CMC) to collect expert opinions relating to “who, what, where, and when” HRS should be conducted. Initial opinions were gathered via audience participation software and used as the basis for a second iterative questionnaire distributed online to attendees from the 13th CMC and to identified melanoma specialists from across Canada. A third questionnaire was disseminated in a similar fashion to conduct a final vote on HRS that could be implemented. Results: The majority of respondents from the first two iterative surveys agreed on stages IIB to IV as high risk. Surveillance should be conducted by an appropriate specialist, irrespective of association to a cancer centre. Frequency and modality of surveillance favoured biannual visits and Positron Emission Tomography Computed Tomography (PET/CT) with brain magnetic resonance imaging (MRI) among the systemic imaging modalities available. No consensus was initially reached regarding the frequency of systemic imaging and ultrasound of nodal basins (US). The third iterative survey resolved major areas of disagreement. A 5-year surveillance schedule was voted on with 92% of conference members in agreement. Conclusion: This final recommendation was established following 92% overall agreement among the 2020 CMC attendees.


2021 ◽  
pp. 1-8
Author(s):  
Edith Brown Weiss

Today, it is evident that we are part of a planetary trust. Conserving our planet represents a public good, global as well as local. The threats to future generations resulting from human activities make applying the normative framework of a planetary trust even more urgent than in the past decades. Initially, the planetary trust focused primarily on threats to the natural system of our human environment such as pollution and natural resource degradation, and on threats to cultural heritage. Now, we face a higher threat of nuclear war, cyber wars, and threats from gene drivers that can cause inheritable changes to genes, potential threats from other new technologies such as artificial intelligence, and possible pandemics. In this context, it is proposed that in the kaleidoscopic world, we must engage all the actors to cooperate with the shared goal of caring for and maintaining planet Earth in trust for present and future generations.


2019 ◽  
Author(s):  
Timo Niermann

Collaboration is the most important facet of any theatrical company. From the performers on stage to the choreographers, designers and technicians working behind the scenes, this book considers all departments working on a production and instructs them on how to unify their individual skills towards a shared goal. From Vaudeville to classical opera, this book establishes the skills that each specialist brings to the production process before demonstrating how each individual contribution can be utilized in tandem with all other creative teams. With particular focus on enhancing interdepartmental communication, Collaborating Backstage examines all the challenges that may befall artistic companies and projects made up of many different parts. This book explains how to understand technical jargon within teams that speak a variety of languages and come from different cultural backgrounds; how to recognise and follow the ‘unwritten rules’ of theatre; and how best to achieve the ultimate creative potential of a team working completely in sync. Underpinned by incisive theories on performance, communication and creativity, Collaborating Backstage is full of helpful illustrations and innovative methods to achieve effective working relationships in the theatre.


Author(s):  
Nimisha Barton

In the familiar tale of mass migration to France from 1880 onward, we know very little about the hundreds of thousands of women who formed a critical part of those migration waves. This book argues that their relative absence in the historical record hints at a larger and more problematic oversight — the role of sex and gender in shaping the experiences of migrants to France before the Second World War. This compelling history of social citizenship demonstrates how, through the routine application of social policies, state and social actors worked separately toward a shared goal: repopulating France with immigrant families. Filled with voices gleaned from census reports, municipal statistics, naturalization dossiers, court cases, police files, and social worker registers, the book shows how France welcomed foreign-born men and women — mobilizing naturalization, family law, social policy, and welfare assistance to ensure they would procreate, bearing French-assimilated children. Immigrants often embraced these policies because they, too, stood to gain from pensions, family allowances, unemployment benefits, and French nationality. By striking this bargain, they were also guaranteed safety and stability on a tumultuous continent. The book concludes that, in return for generous social provisions and refuge in dark times, immigrants joined the French nation through marriage and reproduction, breadwinning and child-rearing — in short, through families and family-making — which made them more French than even formal citizenship status could.


2018 ◽  
Vol 14 (3) ◽  
pp. 331-343 ◽  
Author(s):  
Andrew J. Fuligni

As an intensely social species, humans demonstrate the propensity to contribute to other individuals and groups by providing support, resources, or helping to achieve a shared goal. Accumulating evidence suggests that contribution benefits the givers as well as the receivers. The need to contribute during adolescence, however, has been underappreciated compared with more individually focused psychological or social developmental needs. The need is particularly significant during the teenage years, when children’s social world expands and they become increasingly capable of making contributions of consequence. Moreover, contribution can both promote and be a key element of traditionally conceived fundamental needs of the adolescent period such as autonomy, identity, and intimacy. The neural and biological foundations of the adolescent need to contribute, as well as the ways in which social environments meet that need, are discussed. A scientific and practical investment in contribution would synergize with other recent efforts to reframe thinking about the adolescent period, providing potential returns to the field as well as to youths and their communities.


2018 ◽  
Vol 14 (4) ◽  
pp. 410-428 ◽  
Author(s):  
Suvi Kokko

Purpose This paper aims to understand how social value is created in a context characterized by institutional complexity. By identifying stakeholders interacting in a social enterprise and the logics guiding their expected and experienced value, the study describes how social value is created when different institutional logics embedded in strong-tie networks are bridged. Design/methodology/approach Concepts of structural holes and institutional logics were applied to the empirical case of a social enterprise. Interviews provided the primary empirical material, but multiple data collection methods were used. Findings A shared goal facilitated co-existence of competing value logics, and provided common space forming multiple social value outcomes as products of the different logics. Research limitations/implications Limited to one case, this study shows that the interaction of otherwise unconnected stakeholders in a social enterprise, and their embeddedness in different institutional logics, provides one explanation for why and how social value is created. Practical implications Acknowledging and addressing gaps in knowledge and resources can lead to social value creation if social enterprises remain open to different logics. This suggests that co-existence of different logics can be a key factor for successful social value creation in social enterprises, if the competing logics are turned into complementary sources. Originality/value Dependency on logics from different networks of stakeholders shapes social enterprises to produce outcomes consistent with the different logics. The multiplicity of social value outcomes poses challenges for evaluating the success of social enterprises, especially when the tendency is to use evaluation approaches from the for-profit sector, focusing on the economic logic.


2013 ◽  
Vol 3 (1) ◽  
Author(s):  
Elizabeth Henning

In a search for ways to capture foundation phase children’s competence in mathematics, a small research team was put together at a South African university four years ago. At first, working only in a single school where the objective was to model 80 learners’ growth in competence over four years, the team transformed into a very different entity. This article narrates the founding and development of a community of research practice, which eventually included undergraduate- and postgraduate students, researchers from institutions in Germany, Switzerland and South Africa, teachers at local schools close to the university, and an educational research and survey company. Supported by funding from four different sources, the project is fairly close to reaching the goal of delivering a standardised mathematics competence test for 4-8 year-olds, which is a first of its kind for the country where educational measurement seems to be at a crossroads. In the story line of this community of practice, it is evident that progress can be assessed best by the learning that has been taking place in a community with a notable diversity of people and interests, but with the shared goal of investigating children’s mathematical behaviour on a measure that can be trusted.


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