Case reports designed as an aid to professional education A personal experience of brittle diabetes Lessons learned and lessons still to learn

1996 ◽  
Vol 13 (2) ◽  
pp. 61-63 ◽  
Author(s):  
JM Steel ◽  
IW Campbell
Keyword(s):  
Professional Education ◽  
Personal Experience ◽  
Case Reports ◽  
Lessons Learned ◽  
Brittle Diabetes

scholarly journals Management of lymphoma in pregnancy

2009 ◽  
Vol 2 (2) ◽  
pp. 46-51 ◽  
Author(s):  
K Hodby ◽  
P A Fields
Keyword(s):  
Health Care Professionals ◽  
Personal Experience ◽  
Best Practice ◽  
Current Practice ◽  
Case Reports ◽  
Current Opinion ◽  
Diagnosis Of Cancer ◽  
Relative Rarity ◽  
The Impact ◽  
Common Malignancy

One in every thousand pregnancies is complicated by a concurrent diagnosis of cancer. Lymphoma is currently the fourth most common malignancy diagnosed during pregnancy and its incidence is rising. The diagnosis and management of any malignancy during pregnancy is clearly a clinical and emotional minefield for both patients and health-care professionals. The major challenge is to optimize medical treatment offered to the mother, while limiting the impact on the fetus. Given the relative rarity of the situation, current practice is guided by case reports and personal experience of management of similar patients. Our centre has a large and busy lymphoma practice, and has cared for several women diagnosed with a variety of subtypes of lymphoma over the years. This review aims to summarize current opinion about best practice regarding these patients and discusses options available from the current literature.

Overcoming Obstacles to Breast-Feeding in a Large Municipal Hospital: Applications of Lessons Learned

PEDIATRICS ◽  
1987 ◽  
Vol 80 (3) ◽  
pp. 423-433
Author(s):  
Beverly Winikoff ◽  
Deborah Myers ◽  
Virginia Hight Laukaran ◽  
Richard Stone
Keyword(s):  
Breast Feeding ◽  
Professional Education ◽  
Routine Care ◽  
Control Site ◽  
Lessons Learned ◽  
Pediatric Care ◽  
Institutional Constraints ◽  
Municipal Hospital ◽  
Intervention Site ◽  
Intensive Training

A project to overcome institutional constraints to breast-feeding was implemented in a large municipal hospital. Interventions included staff education, intensive training of a team of physicians and nurses, development of user-tested educational materials, and day and evening staffing by a breast-feeding counselor. A nearby hospital served as a control. Project evaluation entailed chart reviews at the intervention site and a control hospital (n = 812); interviews with mothers during their postpartum hospital stay and at return clinic visits (n = 180); and field observations in all areas of the hospital that provided prenatal, intrapartum, postpartum, and pediatric care. Comparisons of the incidence and pattern of breast-feeding were made before, midway through, and after the project. At the intervention site, the incidence of breast-feeding increased from 15% to 56%, and exclusive breast-feeding for more than 3/4 of feedings increased from 0% to 15%. At the control site, the respective changes were from 28% to 41% and from 5% to 7%. Formula use by breast-feeding women decreased but was nonetheless extensive, and the usual reason given by breast-feeding women for supplementation was a perceived insufficiency of breast milk. This may be due, in part, to the fact that bedside assistance to breast-feeding mothers was not integrated into the routine care provided by staff nurses but was relegated to the lactation nurse/counselors who were not available at all times. It is concluded that the process to overcome institutional constraints to breast-feeding is difficult but feasible. Repeated and extensive professional education helps create the context whereby clinical and administrative staff can reassess routines and policies.

scholarly journals (A292) Disaster Assessment and Gathering Medical Intelligence Following a Major Public Health or Complex Humanitarian Emergency

2011 ◽  
Vol 26 (S1) ◽  
pp. s81-s81 ◽  
Author(s):  
M. Reilly
Keyword(s):  
Public Health ◽  
Hurricane Katrina ◽  
Case Reports ◽  
Chain Condition ◽  
Lessons Learned ◽  
Limited Information ◽  
Humanitarian Emergency ◽  
Rescue Workers ◽  
Disaster Assessment ◽  
Agricultural Trends

IntroductionImmediately following a major public health emergency or complex humanitarian emergency such as the South East Asian Tsunami in 2004, the Haitian Earthquake in 2010 or Hurricane Katrina in 2005, there is a critical need to rapidly and as accurately as possible gather information not limited to morbidity and mortality, but necessary to assess the stability and existence of a public health or medical infrastructure, logistic supply chain, condition of food, water and shelter for victims and rescue workers, and particularly the security and stability of the region following the incident. With this information, only then can an effective humanitarian response be planned and executed that meets the actual versus perceived needs of an affected population.MethodsSpecific disaster risk assessment and medical intelligence techniques will be presented that are currently used by a variety of relief organizations. Specific topics of discussion include: Disaster epidemiology; Indicators of health in populations; Systems of surveillance; Impact of weather and climate; Displaced populations and refugee health; Tactical and combat medical intelligence; Zoonotic diseases; Agricultural trends and food security; Public health and health system infrastructure assessment; and Personal and physical security concerns.ConclusionsUtilizing case reports, best-practices and lessons learned from numerous international humanitarian responses, this session will guide participants though the performance of a rapid disaster assessment and the gathering of critical medical intelligence to determine the kinds and types of resources needed in an affected area. And the process of utilizing limited information to plan humanitarian relief efforts.

Appartenenza e separazione nelle terapie del lutto: da un tempo bloccato alla presenza di un'assenza

2009 ◽  
pp. 5-21
Author(s):  
Anna Maria Rapone ◽  
Trasarti Wilma Sponti
Keyword(s):  
Personal Experience ◽  
Case Reports ◽  
Personal Resources ◽  
Past Century ◽  
Urban Context ◽  
Private Space ◽  
Death And Loss

- Rituals, of past century culture, allowed grieving to be socially expressed, thus facilitating its condivision and elaboration. Now day culture, in occidental urban context, often leaves in a private space, psychotherapy, the expression of it. The authors, from their personal experience of psychotherapists and teachers, individuate in block of time and in a blocking of grieving a possible source of psychopathology. Aim of this article is to offer a few points of reflection on the theme of grieving for a wider understanding and utilization of it. Then they suggest the concept of loyalty, resilience, together with the concept of pacing, to accept death and loss in an isomorphic possibility of individuation and personal resources utilization. The elaboration of grief can then evolve in a nurturing way. Case reports illustrate their experience on grief elaboration.

Innovation in Higher Education: Lessons Learned from Creating a Faculty Fellowship Program

2016 ◽  
Vol 44 (S1) ◽  
pp. 97-106 ◽  
Author(s):  
Nancy J. Kaufman ◽  
Charity Scott
Keyword(s):  
Higher Education ◽  
Graduate School ◽  
Subject Matter ◽  
Professional Education ◽  
Lessons Learned ◽  
Faculty Members ◽  
Fellowship Program ◽  
School Programs ◽  
Core Components ◽  
Innovation In Higher Education

This concluding essay offers reflections on core components of the faculty fellowship program, its outcomes and results, and program design and administration. Amid the current calls for reform in legal and other professional education, the lessons we learned and perspectives we gained during this fellowship program may be relevant to any faculty members and university administrations that are seeking to create more effective and engaged professional and graduate school programs, whatever may be their subject-matter discipline.

Documenting Intermenstrual Bleeding in a Vaginal Microbicide Study: Case Reports and Lessons Learned

2006 ◽  
Vol 22 (3) ◽  
pp. 294-296 ◽  
Author(s):  
Smita Joshi ◽  
Soma Dutta ◽  
Beverly Bell ◽  
Albert Profy ◽  
JoAnn Kuruc ◽  
...  
Keyword(s):  
Case Reports ◽  
Lessons Learned ◽  
Vaginal Microbicide ◽  
Study Case

scholarly journals Case Reports: Multifaceted Experiences Treating Youth with Severe Obesity

2019 ◽  
Vol 16 (6) ◽  
pp. 927 ◽  
Author(s):  
Karen Schaller ◽  
Linda Stephenson-Somers ◽  
Adolfo Ariza ◽  
Maheen Quadri ◽  
Helen Binns
Keyword(s):  
Severe Obesity ◽  
Child Protective Services ◽  
Case Reports ◽  
Tertiary Care ◽  
Lessons Learned ◽  
Medical Team ◽  
Health Providers ◽  
Protective Services ◽  
Integral Role

The management of youth with severe obesity is strongly impacted by social determinants of health and family dynamics. We present case studies of three patients seen in our tertiary care obesity treatment clinic as examples of the challenges faced by these patients and their families, as well as by the medical team. We discuss how these cases illustrate potential barriers to care, the role of child protective services, and we reflect upon lessons learned through the care of these patients. These cases highlight the need for comprehensive care in the management of youth with severe obesity, which can include: visits to multiple medical specialists, and mental and behavioral health providers; school accommodations; linkage to community resources; and, potentially, child protective services involvement. Through the care of these youth, our medical team gained more experience with using anti-obesity medications and meal replacements. The care of these youth also heightened our appreciation for the integral role of mental health services and community-based resources in the management of youth with severe obesity.

scholarly journals How to educate navigators in a complex world: making a case in higher professional education in The Netherlands

2018 ◽  
Vol 4 (1) ◽  
pp. 19
Author(s):  
Paul Van der Cingel
Keyword(s):  
The Netherlands ◽  
Real World ◽  
Professional Education ◽  
Lessons Learned ◽  
Network Visualization ◽  
Complex World ◽  
Starting Point ◽  
Higher Professional Education ◽  
Further Development

This article focuses on the increased relevance and urgency to pay explicit attention to complexity-informed perspectives on real-world issues in Dutch higher professional education. Moreover, it describes lessons learned from experiments with so-called Embedded Complexity Workshops. These workshops, comprised of activities like network visualization, yield promising results and can serve as a starting point for further development.

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