Home About us Contact
|
Home About us Contact | ||
|
|
||
Interdisciplinary Cooperation (interdisciplinary + cooperation)
Selected AbstractsAn Approach to Interdisciplinary Training in Postgraduate EducationEUROPEAN JOURNAL OF DENTAL EDUCATION, Issue 2 2006P Brodin Aims, A primary goal for clinical graduate training is to provide the student with the expertise required for specialist treatment in the actual discipline. At the same time there is an increasing need for a broader perspective on specialist care and the students should be aware of the limitations inherent in own specialty. In order to plan treatment in the best interest of the patient, and to be prepared to take part in treatments involving other specialties, the students should be exposed to interdisciplinary cooperation throughout the training. An approach to joint academic and clinical training with the purpose of providing graduate students with a broader perspective on specialist care is described and discussed. Material and methods, During their first year graduate students in the 7 different disciplines complete a joint Core Curriculum consisting of 8 different courses to stimulate a scientific approach to their profession and understanding of basic biologic mechanisms. To create a learning environment focusing on the development of interdisciplinary competence, a joint clinic has been established. Teams of students from different disciplines have been organized in order to establish ,partnership' for the treatment of patients with complex problems. The students also take part in the sessions held by a faculty Team of experts for assessment and treatment planning of referred patients with complex problems. Furthermore, faculty members conduct courses and seminars for students from other disciplines and students also participate in selected parts of the regular program in other disciplines. Results, Formal evaluation has so far been conducted for the Core Curriculum. Most students respond that they are satisfied with the courses, and the curriculum has also been adjusted based on the comments. The students report that treatment of patients in need of interdisciplinary treatment has been facilitated by having ,partners' in other disciplines. Participation in the Team of expert's sessions has been appreciated, and the attendance at interdisciplinary courses and seminars has been good. Conclusions, Based on the experience over the last 5 years, the interdisciplinary aspects of graduate training should be expanded to stimulate a holistic approach also to specialist treatment. [source] Osteoblastoma of the mandible: Clinicopathologic study of four cases and literature reviewHEAD & NECK: JOURNAL FOR THE SCIENCES & SPECIALTIES OF THE HEAD AND NECK, Issue 7 2005Saverio Capodiferro DDS Abstract Background. Osteoblastoma is a benign bone tumor accounting for 1% of all bone tumors; it commonly involves the spine and the sacrum of young individuals, with less than 5% being localized to the posterior mandible. In view of its rarity in the maxilla and mandible, osteoblastoma is rarely diagnosed as such in the absence of interdisciplinary cooperation. Methods. A retrospective study of four benign osteoblastomas was performed based on a review of the clinical, radiographic, and histopathologic features of all cases. Results. The tumors involved the posterior mandible of young patients (age range, 10,21 years; two male and two female patients) and appeared as painful bone expansions. Radiologically, they were poorly defined, radiolucent/radiopaque lesions containing calcifications and not showing sclerotic borders or periosteal reactions. Histologically, they were composed of osteoid and woven bone surrounded by plump osteoblast-like cells with interposed fibroblasts, inflammatory cells, and red blood cells. All patients were disease free after prolonged follow-up. Conclusions. Osteoblastomas may be distinguished from other bone tumors, fibro-osseous lesions, and odontogenic neoplasms on the basis of integrated clinical, radiologic, and histologic features and usually manifest an indolent clinical course. © 2005 Wiley Periodicals, Inc. Head Neck27: XXX,XXX, 2005 [source] Forensic Risk Assessment in Intellectual Disabilities: The Evidence Base and Current Practice in One English RegionJOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES, Issue 4 2000Stephen Turner The growing interest in forensic risk assessment in intellectual disability services reflects the perception that deinstitutionalization has exposed more people to a greater risk of offending. However, ,risk' and the related idea of ,dangerousness' are problematic concepts because of connotations of dichotomous definition, stability and predictability. Assessment instruments in mainstream forensic psychiatry often combine actuarial and clinical data, and increasingly stress the dynamic nature of risk as well as the importance of situational and accidental triggers. Despite this increasing sophistication of research in mainstream forensic psychiatry, the ability to predict future offending behaviour remains very limited. Furthermore, actuarial predictors developed in studies of psychiatric or prison populations may not be valid for individuals with intellectual disabilities. Offending behaviour among people with intellectual disabilities is also hard to circumscribe because it often does not invoke full legal process or even reporting to the police. In order to discover how such problems were reflected in practice, a survey of providers in the North-west Region of England was undertaken. Seventy out of 106 providers identified as possibly relevant to this inquiry responded to a short postal questionnaire. Twenty-nine (42%) respondents , mainly in the statutory sector , reported operating a risk assessment policy relating to offending. The number of risk assessments completed in the previous year varied from none to ,several hundred'. Providers reported three main kinds of problems: (1) resources or service configuration; (2) interagency or interdisciplinary cooperation or coordination; and (3) issues relating to the effectiveness, design and content of assessment. [source] Value choices and considerations when limiting intensive care treatment: a qualitative studyACTA ANAESTHESIOLOGICA SCANDINAVICA, Issue 1 2009K. HALVORSEN Background: To shed light on the values and considerations that affect the decision-making processes and the decisions to limit intensive care treatment. Method: Qualitative methodology with participant observation and in-depth interviews, with an emphasis on eliciting the underlying rationale of the clinicians' actions and choices when limiting treatment. Results: Informants perceived over-treatment in intensive care medicine as a dilemma. One explanation was that the decision-making base was somewhat uncertain, complex and difficult. The informants claimed that those responsible for taking decisions from the admitting ward prolonged futile treatment because they may bear guilt or responsibility for something that had gone wrong during the course of treatment. The assessments of the patient's situation made by physicians from the admitting ward were often more organ-oriented and the expectations were less realistic than those of clinicians in the intensive care unit who frequently had a more balanced and overall perspective. Aspects such as the personality and the speciality of those involved, the culture of the unit and the degree of interdisciplinary cooperation were important issues in the decision-making processes. Conclusion: Under-communicated considerations jeopardise the principle of equal treatment. If intensive care patients are to be ensured equal treatment, strategies for interdisciplinary, transparent and appropriate decision-making processes must be developed in which open and hidden values are rendered visible, power structures disclosed, employees respected and the various perspectives of the treatment given their legitimate place. [source] Das Geschäft mit den Schutzplanken , Wissenschaftliche und andere InteressenBAUTECHNIK, Issue 3 2008Hans-A. Als Schutzeinrichtungen am Rande von Straßen und Brücken konnten Stahlschutzplanken fast ein halbes Jahrhundert lang einen unangefochtenen Spitzenplatz einnehmen. Zu ihrer erfolgreichen Vermarktung haben eine wirksame Interessenvertretung sowie unkritische Betrachtungen des Anprallvorgangs beigetragen. Unter Vernachlässigung der an einer Schnittstelle von Bau-, Fahrzeug- und Verkehrstechnik notwendigen interdisziplinären Zusammenarbeit kam auf europäischer Ebene eine fragwürdige Norm zustande. Daran geäußerte Kritik störte das gesicherte Geschäft mit Schutzplanken und wurde mit disziplinarischen Maßnahmen beantwortet. Nachdem auch auf deutschen Straßen Vorteile von Schutzwänden aus Beton sichtbar werden, bedürfen frühere Fehleinschätzungen und Festlegungen einer Korrektur. Business on guardrails , scientific and other interests. For about half a century steel guardrails could rank in first place among safety devices at the borders of roads and bridges. An effective lobby as well as an uncritical observation of the impact test contributed to a successful marketing. Disregarding the need of interdisciplinary cooperation concerning road construction, motor vehicles, and traffic a questionable standard on European level has been accepted. Criticism of that standard seemed to be out of line with safe business on guardrails and was responded by disciplinary measures. After advantages of concrete safety walls are visible on German highways, too, former wrong assessments and agreements should go under review. [source] | ||||||||||