Nurse developments in neuroendocrine tumour management.

2003 ◽  
pp. 487-488 ◽  
Author(s):  
C Bouvier
Keyword(s):  
Multidisciplinary Team ◽  
Significant Contribution ◽  
Neuroendocrine Tumours ◽  
Neuroendocrine Tumour ◽  
Nurse Specialist ◽  
Royal Free Hospital ◽  
The Past ◽  
Standards Of Practice ◽  
High Standards ◽  
Set Up

Nurse developments in the management of neuroendocrine tumours have changed significantly over the past three years. At the Royal Free Hospital we set up the nurse specialist role due to the expansion of patients being referred to the specialist unit, and the obvious need for a nursing input into their care. The nurse specialist can make a significant contribution within the context of a multidisciplinary team especially in the production of guidelines and policies to ensure and maintain high standards of practice, education for the patient, and the provision of expertise and security that the patient requires when diagnosed with a rare disease.

scholarly journals The multidisciplinary team for gastroenteropancreatic neuroendocrine tumours: the radiologist’s challenge

2019 ◽  
Vol 53 (4) ◽  
pp. 373-387 ◽  
Author(s):  
Vincenza Granata ◽  
Roberta Fusco ◽  
Sergio Venanzio Setola ◽  
Elisabetta de Lutio di Castelguidone ◽  
Luigi Camera ◽  
...  
Keyword(s):  
Multidisciplinary Team ◽  
Neuroendocrine Tumours ◽  
Clinical Symptoms ◽  
Neuroendocrine Tumour ◽  
Imaging Techniques ◽  
Critical Role ◽  
Nuclear Imaging ◽  
Distant Metastases ◽  
Gastroenteropancreatic Neuroendocrine Tumours ◽  
Effective Diagnosis

Abstract Background Gastroenteropancreatic neuroendocrine tumours (GEP-NETs) are a heterogeneous group of tumours. An effective diagnosis requires a multimodal approach that combines evaluation of clinical symptoms, hormonelevels, radiological and nuclear imaging, and histological confirmation. Imaging plays a critical role in NETs diagnosis, prognosis and management, so the radiologists are important members of the multidisciplinary team. During diagnostic work-up two critical issues are present: firstly the need to identify tumor presence and secondly to define the primary site and assess regional and distant metastases. Conclusions The most appropriate imaging technique depends on the type of neuroendocrine tumour and the availability of specialized imaging techniques and expertise. There is no general consensus on the most efficient imaging pathway, reflecting the challenge in reliably detection of these tumours.

scholarly journals Hand Surgery in Saudi Arabia

2020 ◽  
Author(s):  
Abdullah E. Kattan ◽  
Mohammad M. Al-Qattan
Keyword(s):  
Saudi Arabia ◽  
Orthopedic Surgery ◽  
Significant Contribution ◽  
Hand Surgery ◽  
Fellowship Program ◽  
Novel Mutations ◽  
Work Related ◽  
The Past ◽  
Aesthetic Results ◽  
Hand Defects

AbstractHand surgery is a unique field that incorporates multiple specialties, aiming to provide the patient with a best possible functional and aesthetic results. Hand surgeons deal with different pathologies that require skills in several aspects of surgery. The field of hand surgery has evolved significantly over the past decades across the globe. This specialty has also been evolving in Saudi Arabia over the past 25 years. Some of the services offered to patients include specialized centers for brachial plexus, peripheral nerve, and pediatric hand surgery as well as centers for work-related hand injuries. There has also been significant contribution to the hand surgery literature from the hand surgeons working in Saudi Arabia, with hundreds of papers published in journals pertaining to hand surgery, orthopedic surgery, and plastic surgery, as well as the publication of several novel mutations causing congenital hand defects in journals concerned with genetics. The recent approval of a hand and microsurgery fellowship program in Saudi Arabia will also help boost this field in the country and the region.

scholarly journals Multidisciplinary team management of 46,XY 17α-hydroxylase deficiency: a case report and literature review

2021 ◽  
Vol 49 (3) ◽  
pp. 030006052199396
Author(s):  
Yang Zhou ◽  
Xue Xue ◽  
Panpan Shi ◽  
Qinrui Lu ◽  
Shulan Lv
Keyword(s):  
Multidisciplinary Team ◽  
Relevant Literature ◽  
Management Plan ◽  
Laboratory Evaluation ◽  
Primary Amenorrhea ◽  
Physical And Mental Health ◽  
Hydroxylase Deficiency ◽  
Holistic Management ◽  
Sexual Characteristics ◽  
Set Up

Background We report here a case study of 17α-hydroxylase deficiency in a phenotypic girl with male karyotype (46,XY). We also review the relevant literature to deepen our understanding of the disease, reduce the rate of missed diagnosis, and emphasize that holistic management of this disease requires collaborative multidisciplinary teamwork. Case presentation A 14-year-old patient with a female phenotype visited the endocrinology department because of hypertension. The patient had primary amenorrhea and lacked secondary sexual characteristics. Initial laboratory evaluation revealed normal levels of electrolytes, a hypergonadotropic hypogonadal state with high progesterone and low testosterone levels, and a 46,XY karyotype. She was referred to the urology department for gonadectomy and transferred to the gynecological endocrine clinic. On the basis of the patient’s medical history and genetic testing results, a diagnosis of 46,XY 17α-hydroxylase deficiency was made. The patient was provided with glucocorticoids, estrogens, metformin, and psychological support. Conclusions Patients with 17α-hydroxylase deficiency, a rare cause of congenital adrenal hyperplasia, should be treated by a multidisciplinary team. Relevant experts from different disciplines should set up a systematic and comprehensive individualized management plan to optimize the physical and mental health and quality of life of affected patients.

scholarly journals Personal Carbon Trading—Lost in the Policy Primeval Soup?

2021 ◽  
Vol 13 (8) ◽  
pp. 4592
Author(s):  
Fabio Bothner
Keyword(s):  
Ghg Emissions ◽  
Emission Trading ◽  
Political Agenda ◽  
Carbon Trading ◽  
Multiple Streams ◽  
Policy Proposal ◽  
The Past ◽  
Multiple Streams Approach ◽  
Carbon Taxation ◽  
Set Up

The number of emission trading and carbon taxation schemes implemented has grown rapidly over the past decade. Together, they cover approximately 16% of global greenhouse gas (GHG) emissions. Although more than two-thirds of global GHG emissions are related to household consumption, approaches that directly target households, such as personal carbon trading (PCT), do not play a role in the fight against climate change. This is especially puzzling as measures taken so far are not sufficient to reach the 2 °C target. One clue to solving this puzzle comes from political science in the form of the multiple streams approach, which defines criteria that a policy proposal must meet to become part of the political agenda. Based on these criteria, this article conducts a systematic review on PCT to clarify why PCT does not play a role in the reduction of GHG emissions. The results show that there are three main problems with the PCT proposal. First, scholars often criticize the set-up costs as well as the running costs of such a system. Second, there is no clear consensus within the research community on public acceptance of PCT. Third, it is still unclear whether politicians are receptive to PCT or not.

scholarly journals 144 The Use of a Multidisciplinary Team Discharge “Huddle” to Improve Patient Flow and Planning

2019 ◽  
Vol 48 (Supplement_3) ◽  
pp. iii1-iii16
Author(s):  
Mary Randles ◽  
Sylvia Hickey ◽  
Susanne Cotter ◽  
Carmel Walsh ◽  
Kieran O'Connor ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Patient Care ◽  
Multidisciplinary Team ◽  
Older Persons ◽  
Patient Flow ◽  
Geriatric Medicine ◽  
City Centre ◽  
Nurse Specialist ◽  
Complex Care ◽  
Clinical Nurse

Abstract Background Patient flow, the movement of patients is an integral part of the patient care pathway. With the goal of improving overall patient care and discharge planning, a hospital wide, multidisciplinary team based, patient discharge meeting or ‘HUDDLE’ was devised with the goal of facilitating onward care planning for all inpatients especially those with complex discharge needs in a city centre teaching hospital. Methods The patient flow huddle has evolved to include a Patient Flow Clinical Nurse Manager, Bed Manager, Medicine for Older Persons Clinical Nurse Specialist, Physiotherapist/Occupational Therapist, Consultant Geriatrician and Geriatric Medicine Registrar. Each team in the hospital are requested to attend at least twice a week. Predicted discharge dates are established. Teams discuss patients who have a requirement for rehabilitation, either short-term or complex rehabilitation and patients over 65 years who may need review from Older Persons Services .We sought to optimise issues including housing, home care packages, interim home supports, community intervention team referrals, integrated care and Nursing Home Support Scheme applications. Results There were 3918 Emergency Department presentations by adults over 75 in 2018 and 2113 admissions (3704, 2081 respectively in 2017). Accuracy for discharge within one day of PDD ranged from 52.5% (Jan) to 72.6 % (Nov). The average length of stay was 6.2days (SD 0.47). 172 patients (84 female, 88 male) were admitted for slow stream rehabilitation (median length of stay 30 days). Conclusion Rather than using a negative view of older adults as potential ‘bed blockers’, the discharge huddle allowed a pro-active approach to assist medical and surgical teams in the management and re-enablement of patients with complex care needs. Early identification of such patients with complex care and discharge needs allowed greater focus on appropriate planning earlier in the patient’s hospital journey.

scholarly journals Maudsley International: improving mental health and well-being around the world

2018 ◽  
Vol 15 (3) ◽  
pp. 49-51 ◽  
Author(s):  
Nick Bouras ◽  
Silvia Davey ◽  
Tracey Power ◽  
Jonathan Rolfe ◽  
Tom Craig ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Care ◽  
Well Being ◽  
Building Capacity ◽  
The Past ◽  
Health And Social Care ◽  
The World ◽  
Set Up ◽  
Health And Well Being ◽  
And Training

Maudsley International was set up to help improve people's mental health and well-being around the world. A variety of programmes have been developed by Maudsley International over the past 10 years, for planning and implementing services; building capacity; and training and evaluation to support organisations and individuals, professionals and managers to train and develop health and social care provisions. Maudsley International's model is based on collaboration, sharing expertise and cultural understanding with international partners.

Military Power and Constitutional Development in China

1921 ◽  
Vol 15 (2) ◽  
pp. 233-252
Author(s):  
Harold M. Vinacké
Keyword(s):  
Political Institutions ◽  
Military Government ◽  
Representative Government ◽  
Constitutional Development ◽  
Revolutionary Movement ◽  
Chinese Revolution ◽  
Parliamentary Government ◽  
The Past ◽  
Popular Government ◽  
Set Up

It is now nine years since the outbreak of the Chinese revolution. It is fifteen years since the Manchus attempted to maintain their control by introducing representative institutions into China. The development toward constitutional and representative government under the Manchus was checked in 1911 by the revolutionary movement. When the Chinese Republic was established as the successor to the alien Manchu Empire it was felt that the problem of modernizing China bade fair to be solved, and that in an orderly way her political institutions would be brought into harmony with western standards. Unfortunately that orderly progress has not come. Parliamentary government under the Nanking (provisional) Constitution was replaced by the dictatorship of Yuan Shih-kai under the arrangements of the so-called constitutional compact, which in turn was followed by the attempt to reëstablish the monarchy. The failure of the monarchy movement brought back parliamentary government, but before a permanent constitution could be adopted Parliament was again dissolved, and a government controlled by a military clique set up in its place. Since this military government was unacceptable to the southern provinces, the country became divided. So far it has not been possible for the country to reconcile its differences. Instead of an ordered constitutional progress, has come apparent failure in the effort to establish representative government. The name of a republic has been maintained, it is true, and the forms of constitutional government have been retained, but a permanent national government has not been set up, nor has popular government replaced the paternal despotism of the past.

Transatlantic Trade and Investment Partnership

2015 ◽  
pp. 14-22 ◽  
Author(s):  
P. Kadochnikov ◽  
M. Ptashkina
Keyword(s):  
Market Access ◽  
Trade Agreement ◽  
Government Procurement ◽  
Atlantic Trade ◽  
Bilateral Relations ◽  
The Us ◽  
The Future ◽  
High Standards ◽  
Set Up ◽  
Trade And Investment

The US and the EU are negotiating a comprehensive Trans-Atlantic Trade and Investment Partnership (TTIP). The main purposes of the agreement are to stimulate economic growth and employment, to facilitate trade and investment and raise competitiveness on both sides of the Atlantic. The US and EU are the biggest trade and investment partners for each other, as well as most important partners for a number of other countries. The Trans-Atlantic free trade agreement would not only facilitate bilateral cooperation, but has a potential to set up new, more advanced international trade and investment rules and practices. The agreement is aimed, among other point, at resolving some of the existing problems in bilateral relations, such as differences in regulatory practices, market access conditions, government procurement, intellectual property rights (IPR) and investor protection. However, some of these differences are deeply inherent in the regulatory systems and have become the reasons for numerous disputes. Despite the fact that the negotiations on TTIP are still in progress, it is already possible to identify and assess the underlying differences that would potentially hamper the creation of deep provisions in the future agreement. The paper aims at analyzing the most difficult areas of negotiations and giving predictions for the future provisions. Firstly, the paper gives an overview of the scope and structure of bilateral relations between the US and EU. Secondly, the authors give detailed analysis of the most important points of the negotiation’s agenda, making stress on the underlying differences in domestic regulation and assessing the depth of those differences. The conclusions are as follows. While some of the areas, such as tariffs, labor and environment, SMEs, state enterprises and others, are relatively easy to agree upon, as both economies are striving to achieve high standards, negotiations on other issues, such as government procurement, NTM regulation and IPR are less likely to achieve high standards.

scholarly journals Work and the Diaspora: Locating Irish Workers in the British Labour Market

2002 ◽  
Vol 11 (2) ◽  
pp. 27-53 ◽  
Author(s):  
Henrietta O'Connor ◽  
John Goodwin
Keyword(s):  
Public Administration ◽  
Migrant Workers ◽  
Significant Contribution ◽  
Labour Force ◽  
Qualitative Change ◽  
Work Experiences ◽  
The Past ◽  
British Labour ◽  
Using Data ◽  
The Uk

Irish migrant workers still make a significant contribution to the UK labour force, but this contribution is confined to particular occupation and industry groups. This paper begins with a brief review of the literature on Irish workers employment and an argument is developed that the work of Irish-born people in Britain is still both racialised and gendered. Then, using data from the UK Quarterly Labour Force Survey (QLFS), the work experiences of over one thousand Irish-born people in the UK are explored. The findings suggest that Irish-born men and women still work in the stereotyped occupations of the past. For example, most women work in public administration and health while twenty six per cent of men work in construction. The majority of Irish-born men work in manual skilled or unskilled jobs. The paper concludes that there has been no real qualitative change in the way that Irish-born workers experience employment in the UK.

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