31 research outputs found
Mesenteric Panniculitis Mimicking Acute Pancreatitis: A Case Report and Literature review
No full textMesenteric panniculitis is a rare disease characterized by an chronic non-specific inflammation of the adipose tissue of the mesentery of the small intestine and colon. The specific etiology of the disease is unknown. The condition is referred to as retractile mesenteritis when fibrosis predominates but generally sclerosing mesenteritis is the common pathological terminology used for the condition. CT scan is highly suggestive of the diagnosis which may be confirmed by surgical biopsies. Treatment is empiric and surgical resection is sometimes attempted for definitive therapy. We report a case of a 77 year old man presenting with CT features of mesenteric panniculitis currently in remission. The aim is to highlight this condition and possibly avoid the negative laparotomies done on suspected cases of pancreatitis in our region.Key words: Mesenteric Panniculitis, Mimicking, Acute Pancreatiti
α-QUARTZ Plastic Strength Investigation Via Diffraction Experiments on Novaculite Using a D-Dia and Elastic Plastic Self-Consistent Interpretation
No full textThe plastic response of experimentally deformed quartz provides insight into the strength of ductile shear zones that has implications for tectonic, lithospheric, and ore deposit models. We present a suite of 15 uniaxial deformation experiments on Arkansas novaculite conducted in a DDIA apparatus with in-situ synchrotron x-rays. Experimental temperatures range from 25 C to 1334 C with pressures between 1.39 GPa and 3.1 GPa, and strain rates between 1x10-5 s-1 and 9x10-6 s-1. Macroscopic sample strain ranges from 3% to 24%. d-spacings from the (101), (110), (200), (201), and (112) lattice planes were measured, producing lattice strain up to ~5%. Diffraction data was forward modeled using elastic plastic self-consistent (EPSC) simulations to derive differential stress and the critical resolved shear stress (CRSS) of individual slip systems as a function of pressure and temperature. This study investigates the activation of basal (c), positive rhombohedral {r}, negative rhombohedral {z}, prismatic {m}, positive acute rhombohedral {pi}, negative acute rhombohedral {pi’} slip systems and their association with differential strain among quartz lattice planes during deformation prior to steady state flow. Modeled stress strain curves reflect a decrease in critical resolved shear stress with increased temperature and decreased stress. Microstructures observed from electron backscatter diffraction (EBSD) maps of our deformed samples indicate the presence of dauphine twins whose effects may be reflected in the alignment of the positive rhombohedral plane (10-10) in our deformation experiments. Additionally, inelastic behavior at low strain observed in all deformation experiments has been simulated with the use of an isotropic deformation system in the model. The differential stresses derived from EPSC simulation of our D-DIA experiments have been used to compare with deformation data from Griggs type experiments, that correlate well
Beyond Obligation: Social Workers as Lifelong Learners
No full textThe profession of Social Work is dynamic. “Social workers practice in rapidly changing and complex environments where they encounter challenges that include increasing evidence-based practice requirements, a shifting information landscape, and diminishing workplace resources” (Nissen, Pendell, Jivanjee, & Goodluck, 2014). Lifelong learning has long been recognized in the field; indeed, it is incorporated into our professional responsibilities. The National Association of Social Workers (NASW) Code of Ethics states, “social workers should critically examine and keep current with emerging knowledge relevant to social work” (2017, Section 4.01). Social workers are also held accountable by state licensure to participate in ongoing professional development. Lifelong learning in social work is deliberate and intentional with benefits on professional and personal levels. This article explores social workers’ inherent value of fortifying relationships which drives a need to continually learn, beyond the obligation, about the changing contexts in which we practice
Draft Direct Service Core Competencies
No full textAt the first quarterly meeting of the Pathways Transition Training Collaborative (PTTC), members approved the following definition of competency, and the structure of the core competency document. The definition is based in part on the work of Hoge, Tondora, and Marrelli (2005). We will be developing an interdisciplinary course for graduate students based on the core competencies that emerge from the PTTC and the research of the Pathways to Positive Futures RTC. Later, the PTTC will present webinar and online course modules that develop from the core competencies identified by our community of practice
The Age of Uncertainty: Parent Perspectives on the Transitions of Young People with Mental Health Difficulties to Adulthood
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Development and Psychometric Testing of the Transition Service Provider Competency Scale
No full textYouth in the transition years (ages 14 to 25) with mental health needs experience poor outcomes in terms of high school completion, access to post-secondary education, employment, criminal justice system involvement, homelessness, and unplanned pregnancy compared to other young people with disabling conditions.1–3 Poor outcomes have been associated with lack of access to needed services, poor quality and developmentally inappropriate programming, and underprepared service providers.2,4 While program quality is affected by many factors, well-trained service providers are believed to be essential for quality services.5 In response to concerns expressed about the quality of mental health services, there have been efforts to develop a workforce that possesses clearly defined competencies.6 Competent service providers possess specific attitudes, knowledge, and skills that “allow them to provide high-quality care that improves client outcomes”7 (p. 322). Competencies can lead to improved outcomes by guiding service provider recruitment, training, credentialing, supervision, and program design.7 Additionally, the identification of the components of specific competencies facilitates the creation of measures to assess training outcomes and ultimately the quality of performance.8
There is a continuing need for service providers to incorporate new knowledge from research and new information about emerging populations and to receive competency-based training to be able to individualize services to meet the needs of youth.2,4,9 This paper reports on the identification of a set of core competencies for service providers working with youth with mental health needs in the transition years and the development and psychometric testing of the Transition Service Provider Competency Scale (TSPCS), a 15-item self-report instrument.1
Building Competencies and Skills among Service Providers Working with Young People who Experience Serious Mental Health Conditions: State of the Science
No full textThis paper explores what is currently known about the most promising strategies for increasing providers’ capacity to deliver effective behavioral health services and supports. The paper also describes how this information has been—or could be—applied to the design of cutting-edge approaches for building skills and competencies among providers that work with young people who experience serious mental health conditions
Family Caregivers' Perceptions of Barriers to and Supports of Participation in Their Children's Out-of-Home Treatment
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