Domestic Violence Risk Assessment and Case Documentation

Risk assessment is a cornerstone of domestic violence prevention and intervention. From the front-line responders' perspective, risk assessment constitutes a process that starts from identifying the factors increasing the likelihood of violence and then continues to plan safety measures to manage the sources of risks and prevent the recurrence of violence. To address some of the shortcomings related to the risk assessment of domestic violence, the IMPRODOVA project developed a Risk Assessment Integration Module, RAIMO. The overall purpose of RAIMO is to bridge the gaps between different risk assessment tools and professional perspectives and thereby to generate a shared understanding of risk assessment in multiprofessional and cooperative contexts. While RAIMO can be utilised in learning, teaching and as a databank, in this chapter, we focus on the key aspects and findings in risk assessment research. The chapter also aims to equip front-line responders with applicable information to revise or remodel the existing risk assessment procedures, networks, and tools.

Roadmap Towards an Integrated European Response to Domestic Violence

The main goal of the IMPRODOVA project was to find ways to optimise domestic violence intervention and prevention. We found that effective cooperation of front-line responders comes from a common understanding of the problem. When trying to understand the phenomenon thoroughly, we realised that cross-national comparison of domestic violence definitions is a complex undertaking, as different countries use varied definitions. Intimate partner violence, domestic violence and family violence are used across all countries to describe the phenomenon. However, we can observe primarily gender-based definitions in all three front-line responders sectors. One of the promising findings of our analyses is that international standards are relatively well implemented in all the partner countries. For better cooperation of all stakeholders, we developed a training platform on domestic violence and supported it by analysing the possibilities of using the digital communication platform for inter-agency collaboration to address domestic violence adequately. Multidisciplinary cooperation across the sectors in risk assessment and case documentation was mentioned by many countries as a favourable objective, resulting in more dynamic and comprehensive risk assessment processes. That leads to developing a risk assessment tool – the Domestic Violence Risk Assessment Integration Module to achieve a more integrated European response to domestic violence.

Case Reporting in Homeopathy—An Overview of Guidelines and Scientific Tools

Case reports have been of central importance to the development of homeopathy over the past 200 years. With a special focus on homeopathy, we give an overview on guidelines and tools that may help to improve the quality of case reports. Reporting guidelines such as CARE (Case Report), HOM-CASE (Homeopathic Clinical Case Reports), and the WissHom Documentation Standard help to improve the quality of reporting and strengthen the scientific value of a case report. Additional scientific tools such as prospective outcome assessment, prognostic factor research, cognition-based medicine, and the Modified Naranjo Criteria for Homeopathy (MONARCH) score may be helpful in improving case documentation and evaluation.

Defining and documenting threats in the context of ill-treatment and torture

Threats are a common feature of detention and interrogation settings and have long been regarded as a routine procedure. Despite their prevalence and propensity to amount to ill-treatment and torture, threats have not been systematically and thoroughly analysed in case documentation processes. Given a lack of understanding, threats have unduly been considered a form of “torture-lite” at best by some juridical actors. However, its effect as an instrument of coercion can be devastating – engendering states of fear and anxiety and forcing its subject to act against their will. There is an important lack of theoretical reflection on what threats are, what types exist and how they impact the survivor. In this editorial, we aim to partly fill this gap from a medical and psychological perspective, providing a framework of understanding that will hopefully improve conceptual and practical assessment, documentation and qualification.

Searching for Flexibility in Corporate Real Estate Portfolio: Six Co-Working Strategies for User Corporations

The increasing competitive pressures and dynamic user preferences have resulted in a fast-paced and uncertain business environment. In the face of these circumstances, organizations are looking into alternatives to incorporate flexibility to become more adaptive and responsive to change. In this line, co-working, typically associated with freelancers, entrepreneurs, and startups, has become a particularly interesting alternative in the market that has caught the attention of corporate occupiers. Therefore, the aim of this paper is to identify co-working strategies that can be implemented as part of the corporate real estate portfolio, in alignment with the flexibility demands of the organization. This nascent research topic is studied through 5 qualitative case studies including in-depth, semi-structured interviews with corporate real estate managers and related case documentation. The results evidence the different motivations that the organizations have when incorporating co-working in their property portfolio. As seen across the cases, organizations in different stages of maturity are implementing co-working as the main office location or as a temporary or complementary space solution, through six different strategies: (1) Swing Space, (2) Expansion Space, (3) Core and Flex, (4) Touchdown Space, (5) Testing Market, and (6) Temporary Projects and Staff. This research evidences that each strategy plays a specific role in the corporate real estate portfolio and implies different sources of flexibility that support the physical, functional, and financial flexibility demands of the organization.

The Incidence of Thyroid Gland Invasion in Patients with Carcinoma of the Larynx who Underwent Total Laryngectomy

Introduction: Total thyroidectomy or at least hemithyroidectomy is routinely performed alongside total laryngectomy in patients with advanced carcinoma of the larynx. Life-threatening hypocalcaemia and hypothyroidism are common sequelae especially with adjuvant radiation. The study aims to determine the incidence of microscopic thyroid gland invasion and challenge the idea of routine thyroidectomy in advanced carcinoma of the larynx. Materials and Methods: This study was a retrospective observational study. It was done in two tertiary centres in Malaysia between 2003 and 2013 for a total duration of 11 years. A total of 72 patients were included in this study. Data from medical records, operative notes, and histopathological reports were collected and analysed. Results: Three patients (4.2%) had the presence of microscopic thyroid gland invasion. There were no significant associations between microscopic thyroid gland invasion and tumour subsites, histological types of a tumour nor T staging (p>0.05) Conclusion: The incidence of microscopic thyroid gland invasion in advance carcinoma of the larynx is low, disavowing routine thyroidectomy. Limitations: Some factors such as cartilage invasion on CT imaging and central lymph node treatment were not considered due to limitations in case documentation.

Current literature review on methods for measuring the stability of osseointegrable implants.

“Osseointegration” as formulated by Alberktson is crucial for implant survival and success. Osseointegration is a measure of implant stability. Measuring implant stability helps to arrive at decisions as to loading of an implant, allows choice of protocol on a patient to patient basis and provides better case documentation. A successful implant reflects good bone to implant contact and is determined by implant stability both primary and secondary. Implant stability is achieved at two different stages – primary (immediately after implant placement) and secondary (3-4 months after implant placement). Implant stability has been confirmed to affect the process of osseointegration and therefore is essential to understand the methods to measure implant stability and factors influencing. Various methods are developed to assess implant stability which suggests the prognosis of an implant.