5Th Edition (2012) Tems and Disease Management That They Will Need to Be Available in Conjunction with the Fully Conversant in to Successfully Complete the Exam
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Focus on Assessment and Feedback
FEBRUARY 2014 | VOLUME 9 | ISSUE 2 FOCUS ON ASSESSMENT AND FEEDBACK What kinds of assessments improve learning and teaching? ACCESS ACTFL 2013 Now Online: Nominate Someone SPECIAL ISSUE: • Integrated • Creating Rubrics for an ACTFL Award FOCUS ON ASSESSMENT Experience the Recent Performance • Assessing What AND FEEDBACK ACTFL Convention in a Language Learning Assessments Matters for a Lifetime Whole New Way! • Using Real-World • Cultural Portfolios • Self-Assessment Tasks with AAPPL • Seal of Biliteracy Strategies ACTFL IS COMING TO San Antonio! Chart Your Way Forward! SAVE The American Council on the Teaching of Foreign THE DATE Languages (ACTFL) Annual Convention and World November Languages Expo features over 600 educational sessions covering a wide spectrum of the language profession 21–23 addressing the theme Reaching Global Competence. Advance Registration Deadline Pre-Convention October 29 Workshops on Thursday, November 20 The ACTFL Convention is an international event bringing together over 6,000 language educators from all languages, levels and assignments within the profession. Early Bird Deadline July 9 More than 250 exhibiting companies will be showcasing the latest products and services for you and your students. You are Registration here and Housing opens in March START Visit www.actfl.org for all Convention information and updates The American Council on the Teaching of Foreign Languages Volume 47 • No. 1 • Spring 2014 Foreign Language Annals YOUR RESOURCE FOR RESEARCH: Hear Directly Don’t Miss the Spring Issue of from the Authors! Readers of Foreign Language Annals are now Foreign Language Annals able to view video podcasts prepared by some of the issue’s authors highlighting their research and ARTICLES ONLINE You can also view published articles from Foreign Language explaining how it translates Annals even before they are in print. -
The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Management of Inherited Polyposis Syndromes Daniel Herzig, M.D
CLINICAL PRACTICE GUIDELINES The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Management of Inherited Polyposis Syndromes Daniel Herzig, M.D. • Karin Hardimann, M.D. • Martin Weiser, M.D. • Nancy Yu, M.D. Ian Paquette, M.D. • Daniel L. Feingold, M.D. • Scott R. Steele, M.D. Prepared by the Clinical Practice Guidelines Committee of The American Society of Colon and Rectal Surgeons he American Society of Colon and Rectal Surgeons METHODOLOGY (ASCRS) is dedicated to ensuring high-quality pa- tient care by advancing the science, prevention, and These guidelines are built on the last set of the ASCRS T Practice Parameters for the Identification and Testing of management of disorders and diseases of the colon, rectum, Patients at Risk for Dominantly Inherited Colorectal Can- and anus. The Clinical Practice Guidelines Committee is 1 composed of society members who are chosen because they cer published in 2003. An organized search of MEDLINE have demonstrated expertise in the specialty of colon and (1946 to December week 1, 2016) was performed from rectal surgery. This committee was created to lead interna- 1946 through week 4 of September 2016 (Fig. 1). Subject tional efforts in defining quality care for conditions related headings for “adenomatous polyposis coli” (4203 results) to the colon, rectum, and anus, in addition to the devel- and “intestinal polyposis” (445 results) were included, us- opment of Clinical Practice Guidelines based on the best ing focused search. The results were combined (4629 re- available evidence. These guidelines are inclusive and not sults) and limited to English language (3981 results), then prescriptive. -
Guidelines for the Management of Patients with Pancreatic Cancer
v1 GUIDELINES Guidelines for the management of patients with pancreatic Gut: first published as 10.1136/gut.2004.057059 on 11 May 2005. Downloaded from cancer periampullary and ampullary carcinomas Pancreatic Section of the British Society of Gastroenterology, Pancreatic Society of Great Britain and Ireland, Association of Upper Gastrointestinal Surgeons of Great Britain and Ireland, Royal College of Pathologists, Special Interest Group for Gastro-Intestinal Radiology ............................................................................................................................... Gut 2005;54(Suppl V):v1–v16. doi: 10.1136/gut.2004.057059 1.0 GUIDELINES—SUMMARY lymph node metastases. Variants of ductal DOCUMENT carcinomas and other malignant tumours of The following recommendations are introduced the pancreas are rare. by brief statements which summarise the evi- dence and discussion presented in the relevant section of the full text of the guidelines. Recommendations 1.1 Incidence, mortality rates, and N Proper recognition of variants of ductal aetiology carcinomas and other malignant tumours Pancreatic cancer is an important health problem of the pancreas require specialist pathol- for which no simple screening test is available. ogical expertise (grade C). The strongest aetiological association is with N The minimum data set proposed by the cigarette smoking, although at risk groups Royal College of Pathologists (see appen- include patients with chronic pancreatitis, adult dix for details) should be used for report- onset -
Duodenal Carcinoma from a Duodenal Diverticulum Mimicking Pancreatic Carcinoma
View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Okayama University Scientific Achievement Repository Acta Med. Okayama, 2012 Vol. 66, No. 5, pp. 423ン427 CopyrightⒸ 2012 by Okayama University Medical School. Case Report http ://escholarship.lib.okayama-u.ac.jp/amo/ Duodenal Carcinoma from a Duodenal Diverticulum Mimicking Pancreatic Carcinoma Masashi Furukawaa*, Sadanobu Izumib, Kazunori Tsukudaa, Masaki Tokumoc, Jun Sakuraid, and Shohey Manoe aDepartment of Thoracic Surgery, Okayama University Hospital, Okayama 700-8558, Japan, Departments of bSurgery, dDiagnostic Radiology, ePathology, Kagawa Prefectural Central Hospital, Takamatsu, Kagawa 760-8557, Japan, and cDepartment of Surgery, National Hospital Organization Minami-Okayama Medical Center, Hayashima-cho, Okayama 701-0304, Japan An 81-year-old man was found to have a pancreatic head tumor on abdominal computed tomography (CT) performed during a follow-up visit for sigmoid colon cancer. The tumor had a diameter of 35mm on the CT scan and was diagnosed as pancreatic head carcinoma T3N0M0. The patient was treated with pylorus-preserving pancreaticoduodenectomy. Histopathological examination showed that the tumor had grown within a hollow structure, was contiguous with a duodenal diverticulum, and had partially invaded the pancreas. Immunohistochemistry results were as follows: CK7 negative, CK20 positive, CD10 negative, CDX2 positive, MUC1 negative, MUC2 positive, MUC5AC negative, and MUC6 negative. The tumor was diagnosed as duodenal carcinoma from the duodenal diverticu- lum. Preoperative imaging showed that the tumor was located in the head of the pancreas and was compressing the common bile duct, thus making it appear like pancreatic cancer. To the best of our knowledge, this is the second report of a case of duodenal carcinoma from a duodenal diverticulum mimicking pancreatic carcinoma. -
B22397450.Pdf
The Hong Kong Polytechnic University Institute of Textiles and Clothing Strategic networking and transactional performance: a study of the Hong Kong clothing industry By Lau Mei Mei A thesis submitted in partial fulfilment of the requirements for the degree of Doctor of Philosophy November 2007 To My Family for Their Loves, Support and Understanding ii ABSTRACT Transaction cost analysis, relational governance and social capital issues have long drawn considerable attention from marketing scholars. In this research, transaction cost analysis, relational governance and social capital are used to understand buyer-supplier networking relationships within Hong Kong. By considering these theoretical perspectives together, this research focuses on the link between the antecedents of strategic networking, the intensity of collaborative relationships and transaction costs, between Hong Kong clothing manufacturers and their suppliers. The constructs of trust, commitment, reputation, communication, cooperation, risk management, guanxi , asset specificity, relationship continuity, size of supplier base and transaction costs are studied. Since the influence of Asian culture on strategic networking has not yet been satisfactorily explored, this research attempts to fill the gap by investigating the ways in which strategic networking between buyers and suppliers reduces transaction costs in the Hong Kong clothing manufacturing industry. A theoretical framework for networking relationships was integrated from the literature to investigate three research questions: RQ 1: How do the antecedents of strategic networking affect the intensity of collaborative relationships? RQ 2: How do the antecedents of strategic networking affect transaction costs? RQ 3: How does the intensity of collaborative relationships affect transaction costs? To answer these research questions, a two-stage approach was used, which consisted of theory building and theory testing. -
Prevention and Management of Duodenal Polyps in Familial Adenomatous Polyposis
RECENT ADVANCES IN CLINICAL PRACTICE PREVENTION AND MANAGEMENT OF DUODENAL POLYPS IN FAMILIAL Gut: first published as 10.1136/gut.2004.053843 on 10 June 2005. Downloaded from 1034 ADENOMATOUS POLYPOSIS L A A Brosens, J J Keller, G J A Offerhaus, M Goggins, F M Giardiello Gut 2005;54:1034–1043. doi: 10.1136/gut.2004.053843 amilial adenomatous polyposis (FAP) is one of two well described forms of hereditary colorectal cancer. The primary cause of death from this syndrome is colorectal cancer which inevitably Fdevelops usually by the fifth decade of life. Screening by genetic testing and endoscopy in concert with prophylactic surgery has significantly improved the overall survival of FAP patients. However, less well appreciated by medical providers is the second leading cause of death in FAP, duodenal adenocarcinoma. This review will discuss the clinicopathological features, management, and prevention of duodenal neoplasia in patients with familial adenomatous polyposis. c FAMILIAL ADENOMATOUS POLYPOSIS FAP is an autosomal dominant disorder caused by a germline mutation in the adenomatous polyposis coli (APC) gene. FAP is characterised by the development of multiple (>100) adenomas in the colorectum. Colorectal polyposis develops by age 15 years in 50% and age 35 years in 95% of patients. The lifetime risk of colorectal carcinoma is virtually 100% if patients are not treated by colectomy.1 Patients with FAP can also develop a wide variety of extraintestinal findings. These include cutaneous lesions (lipomas, fibromas, and sebaceous and epidermoid cysts), desmoid tumours, osteomas, occult radio-opaque jaw lesions, dental abnormalities, congenital hypertrophy of the retinal pigment epithelium, and nasopharyngeal angiofibroma. -
The Characteristics and Outcomes of Small Bowel Adenocarcinoma: a Multicentre Retrospective Observational Study
FULL PAPER British Journal of Cancer (2017) 117, 1607–1613 | doi: 10.1038/bjc.2017.338 Keywords: small bowel; small intestine; adenocarcinoma The characteristics and outcomes of small bowel adenocarcinoma: a multicentre retrospective observational study Hiroyuki Sakae1, Hiromitsu Kanzaki*,1, Junichiro Nasu1,2, Yutaka Akimoto1, Kazuhiro Matsueda3, Masao Yoshioka2, Masahiro Nakagawa4, Shinichiro Hori5, Masafumi Inoue6, Tomoki Inaba7, Atsushi Imagawa8, Masahiro Takatani9, Ryuta Takenaka10, Seiyu Suzuki11, Toshiyoshi Fujiwara12 and Hiroyuki Okada1 1Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-Ku, Okayama 700-8558, Japan; 2Department of Internal Medicine, Okayama Saiseikai General Hospital, 2-25 Kokutai-cho, Kita-Ku, Okayama 700-8511, Japan; 3Department of Gastroenterology and Hepatology, Kurashiki Central Hospital, 1-1-1 Miwa, Kurashiki, Okayama 710-8602, Japan; 4Department of Endoscopy, Hiroshima City Hiroshima Citizens Hospital, 7-33 Motomachi, Naka-Ku, Hiroshima 730-8518, Japan; 5Department of Endoscopy, National Hospital Organization Shikoku Cancer Center, 160 Kou, Minamiumemoto-machi, Matsuyama, Ehime 791-0280, Japan; 6Department of Gastroenterology, Japanese Red Cross Okayama Hospital, 2-1-1 Aoe, Kita-Ku, Okayama 700-8607, Japan; 7Department of Gastroenterology, Kagawa Prefectural Central Hospital, 5-4-6 Ban-cho, Takamatsu, Kagawa 760-8557, Japan; 8Department of Gastroenterology, Mitoyo General Hospital, 708 Himehama, Kanonji, -
Cancer Surgeries in the Time of COVID-19: a Message from the SSO President and President-Elect
Cancer Surgeries in the Time of COVID-19: A Message from the SSO President and President-Elect March 23, 2020 Dear SSO Members, In these unprecedented times, we are forced to consider triage and rationing of cancer surgery cases. Here are a few of the reasons: • the potential shortage of supplies, such as masks, gowns, gloves • the potential shortage of hospital personnel due to sickness, quarantine and duties at home • the potential shortage of hospital beds, ICU beds and ventilators • the desire to maximize social distancing amongst our patients, colleagues and staff. We have asked each of the SSO Disease Site Work Group Chairs and Vice Chairs to provide their recommendations for managing care in their specialties, assuming a 3- to 6-month delay in care. We have summarized their recommendations below. Numerous organizations are publishing in-depth guidelines, such as the NCCN, ACS, and ASCO, and we will provide links to those documents on the SSO Website. We have also instituted a COVID-19 community discussion page in My SSO Community for members to share what is happening in their institutions. In the next few days, SSO will produce a series of podcasts featuring discussions with experts, regarding their opinions and institutional practices. These podcasts will be available on SSO’s Website, iTunes, Sticher and other podcast platforms. Please watch your email and SSO’s Twitter and Facebook pages for details. The Annals of Surgical Oncology will be publishing an editorial on this topic soon. As each institution across the world is experiencing this pandemic at different levels, the timing of rationing care will vary and must be decided locally. -
Prognostic Factors for Survival of Patients with Ampullary Carcinoma After Local Resection
UPPER GI ANZJSurg.com Prognostic factors for survival of patients with ampullary carcinoma after local resection Xiangqian Zhao, Jiahong Dong, Xiaoqiang Huang, Wenzhi Zhang and Kai Jiang Hospital and Institute of Hepatobiliary Surgery, Chinese PLA General Hospital, Beijing, China Key words Abstract ampullary cancer, local resection, pathology, prognosis. Background: Local resection (LR) is a potentially effective alternative to Correspondence pancreaticoduodenectomy for treatment of ampullary cancer, but the prognostic Professor Jiahong Dong, Hospital and Institute of factors remain undefined. The purpose of this study was to identify the prognostic Hepatobiliary Surgery, Chinese PLA General Hospital, factors for ampullary cancer patients who had undergone LR. 28 Fuxing Road, Beijing 100853, China. Methods: We retrospectively reviewed the clinical, pathological data and surgical Email: [email protected] approach of 34 ampullary cancer patients who had undergone LR during 1996–2009 X. Zhao MD; J. Dong MD, PhD; X. Huang MD; at People’s Liberation Army General Hospital. Prognostic factors for survival and W. Zhang MD; K. Jiang MD. recurrence were analysed. Results: The 1-, 3- and 5-year survival rates of the patients were 97.1, 69.5 and 53.7%, Accepted for publication 3 March 2014. respectively. The gender, age, preoperative bilirubin levels, CA19-9 levels and preop- erative biopsy did not correlate with the survival rates. The survival rates of patient doi: 10.1111/ans.12600 with T1 and T2 tumours were superior to that of patients with T3 tumours (P = 0.000). Tumour size, surgical margin status and the extent of differentiation had no effect on survival rates (P = 0.464, P = 0.601 and P = 0.121, respectively). -
Burnaby Hospital Report
Burnaby Hospital Community Consultation Committee Citizen Report November 2012 Burnaby Hospital Community Consultation Committee ʹ Citizen Report ʹ November 2012 Table of Contents 1. Table of Contents page 1 2. Acknowledgements from Committee Chair, MLA Harry Bloy page 3 3. Acknowledgements from Citizen Chair, Pamela Gardner page 5 4. Acknowledgements from Committee Spokesperson, Dr. David Jones page 6 5. Introduction page 7 6. Committee Mandate and Terms of Reference page 9 7. Assessment of Healthcare Needs page 12 8. Improving Healthcare Outcomes page 23 9. Needs for Burnaby Hospital Going Forward page 25 10. Conclusion page 28 11. Key Quotes from Presenters to the Committee page 30 12. Burnaby Hospital Community Consultation Committee Members page 40 13. List of Public Meetings and Open Forums page 43 14. Committee Terms of Reference page 44 15. Appendices: A. Written Submissions and Presentations (listed below) page 46 i. C. difficile letter to FHA submitted by Dr. David Jones page 47 ii. Robert Sondergaard page 58 iii. Dr. Ross Horton page 60 iv. Nick Kvenich page 66 v. Burnaby Hospice Society (Bonnie Stableford) page 69 vi. Gavin C. E. Stuart, Dean, Faculty of Medicine, UBC page 73 vii. Burnaby Hospital RNs page 75 1 Burnaby Hospital Community Consultation Committee ʹ Citizen Report ʹ November 2012 viii. Dr. Kathy Hsu page 78 ix. Carol Warnat page 85 x. Mel Shelley page 87 xi. Lisa Hegler, RN page 89 xii. Dr. Jeanne Ganry, Hospitalist at Burnaby Hospital page 91 xiii. Jean-Claude Ndungutse page 92 xiv. Pamela Cawley, Dean Health Sciences, Douglas College page 93 xv. -
52198-Primary-Duodenal-Periampullary-Adenocarcinoma-An-Uncommon-Presentation.Pdf
Open Access Case Report DOI: 10.7759/cureus.14323 Primary Duodenal Periampullary Adenocarcinoma: An Uncommon Presentation Rasiq Zackria 1, 2 , Mahesh Botejue 2 , Andrew W. Hwang 1, 2 1. Internal Medicine, University of California, Riverside School of Medicine, Riverside, USA 2. Graduate Medical Education, Riverside Community Hospital, Riverside, USA Corresponding author: Rasiq Zackria, [email protected] Abstract Periampullary carcinoma is a broad term used to define the group of carcinomas arising from the head of the pancreas, the distal common bile duct, and the duodenum. It is clinically important to differentiate ampullary from periampullary carcinoma as this can affect resectability and prognosis. Atypical left-sided chest pain is an atypical presentation of periampullary duodenal adenocarcinoma. A 58-year-old man presented with a two-month duration of worsening intermittent, atypical, migratory left-sided chest pain. Imaging studies were unremarkable; however, endoscopic evaluation demonstrated a duodenal mass. While most periampullary carcinomas are generally curable with pancreaticoduodenectomy, if left untreated, these tumors are uniformly fatal. Categories: Gastroenterology, General Surgery, Oncology Keywords: periampullary carcinoma, duodenal neoplasm Introduction Periampullary carcinoma is a broad term used to define the group of carcinomas arising from the head of the pancreas, the distal common bile duct, and the duodenum. Overall, periampullary carcinoma accounts for more than 30,000 deaths per annum in the United States. This neoplasia should be differentiated from ampullary carcinoma, as periampullary carcinoma tumor is anatomically centered in the region of the ampulla of Vater and the duodenal portion of the bile and pancreatic duct. It is clinically important to differentiate ampullary from periampullary carcinoma as this can affect resectability and prognosis. -
Morphological Patterns of Primary Nonendocrine Human Pancreas Carcinoma'
[CANCER RESEARCH 35, 2234-2248, August 1975] Morphological Patterns of Primary Nonendocrine Human Pancreas Carcinoma' Antonio L Cubifla and Patrick J. Fitzgerald2 Department of Pathology, Memorial Hospital, Memorial Sloan-Kettering Cancer Center, New York, New York UX@21 Summary the parenchymal cells. In the subsequent 5 decades terms such as mucous adenocarcinoma, colloid carcinoma, duct The study of histological sectionsof 406 casesof nonen adenocarcinoma, pleomorphic cancer, papillary adenocar docrine pancreas carcinoma at Memorial Hospital mdi cinoma, cystadenocarcinoma, and other variants, such as cated that morphological patterns of pancreas carcinoma epidermoid carcinoma, mucoepidermoid cancer, giant-cell could be delineated as follows: duct cell adenocarcinoma carcinoma, adenoacanthoma, and acinar cell carcinoma, (76%), giant-cell carcinoma (5%), microadenocarcinoma have appeared (7, 18, 23, 47, 62). Subtypes of islet-cell (4%), adenosquamous carcinoma (4%), mucinous adeno tumors have been defined (27). As pointed out by Baylor carcinoma (2%), anaplastic carcinoma (2%), cystadenocar and Berg (5) in discussing the limitations of their study of cinoma ( 1%), acinar cell carcinoma (1 %), carcinoma in 5000 patients with pancreas cancer from 8 cancer registries, childhood (under 1%), unclassified (7%). few pathologists precisely characterize the microscopic In 195 cases of patients with pancreas carcinoma, search features of their cases. was made for changes in the pancreas duct epithelium and We have reviewed cases of cancer of the pancreas at these were compared to duct epithelium in a control group Memorial Hospital to determine whether there are defina of 100 pancreases from autopsies of patients with nonpan ble morphological subgroups and to indicate their relative creatic cancer. The following incidences were found for distribution in our material.