Consultation Conference Research Articles

Consultation Conference on Land Consolidation

On the 31th May 2023, Comenius University in Bratislava, Faculty of Law organized an international scientific conference entitled "Consultation conference on land consolidation”. The conference was organized at the faculty with the participation of several Slovak as well as foreign guests. The conference represented the outcome of the research team concerning the project No. APVV-19-0494 „Effective land consolidation“, granted by Slovak Research and Development Agency (APVV).

Interpretation and research advances on molecular biomarkers in prostate cancer from 2020 International Society of Urological Pathology consultation conference report

Interpretation and research advances on molecular biomarkers in prostate cancer from 2020 International Society of Urological Pathology consultation conference report

Re: Report from the International Society of Urological Pathology (ISUP) Consultation Conference on Molecular Pathology of Urogenital Cancers. I. Molecular Biomarkers in Prostate Cancer

Re: Report from the International Society of Urological Pathology (ISUP) Consultation Conference on Molecular Pathology of Urogenital Cancers. I. Molecular Biomarkers in Prostate Cancer

The International Society of Urological Pathology Consultation on Molecular Pathology of Urogenital Cancer.

The 2019 Consultation Conference on the molecular pathology of urogenital cancers was organized by the International Society of Urological Pathology (ISUP) to have an understanding of the current use of molecular-genetic markers and to make recommendations on their application in prostate, bladder, renal, testicular, and penile cancer. This brief introductory article describes the organization of this conference and provides its rationale and main findings.

Report From the International Society of Urological Pathology (ISUP) Consultation Conference On Molecular Pathology Of Urogenital Cancers. II. Molecular Pathology of Bladder Cancer

During the 2019 International Society of Urological Pathology Consultation Conference on Molecular Pathology of Urogenital Cancer, the Working Group on Bladder Cancer presented the current status and made recommendations on the diagnostic use of molecular pathology, incorporating a premeeting survey. Bladder cancers are biologically diverse and can be separated into "molecular subtypes," based on expression profiling. These subtypes associate with clinical behavior, histology, and molecular alterations, though their clinical utility has not been demonstrated at present and use in bladder cancer is not recommended. Mutations in the TERT promoter are present in the majority of bladder cancers, including the noninvasive stage of tumor evolution, but not in reactive conditions. Mutational analysis of the TERT promoter thus distinguishes histologically deceptive cancers from their benign mimics in some cases. A minority of pathologists employ this test. FGFR3 mutations are common in bladder cancer, and metastatic urothelial carcinoma (UC) with such mutations frequently responds to erdafitinib, an FGFR inhibitor. Testing for FGFR3 alterations is required before using this drug. Metastatic UC responds to immune-oncology (IO) agents in 20% of cases. These are approved as first and second-line treatments in metastatic UC. Several biological parameters associate with response to IO agents, including tumor mutational burden, molecular subtype, and infiltration by programmed death-ligand 1-positive lymphocytes, detected by immunohistochemistry. Programmed death-ligand 1 immunohistochemistry is mandatory before administering IO agents in the first-line setting. In conclusion, much has been learned about the biology of bladder cancer, and this understanding has improved the care of patients with the disease.

INTRADEPARTMENTAL CONSULTATION CONFERENCE - A GOOD QUALITY CONTROL PRACTICE AND A PROBLEM-SOLVING ACTIVITY

Objective: The objective of this study was to evaluate the effectiveness of intradepartmental consultation conference (IDC) as a good quality control measure and problem-solving activity in a busy histopathology department.Methods: This study was done at the histopathology department of a tertiary care hospital over a period of 6 years from 2011 to 2016. IDC is routinely held at 2 pm daily on multi-header microscope. All the difficult and problematic cases are discussed. Discussed cases with the recommendations of IDC are recorded. The cases were extracted from the record of IDC being maintained since 2011. All the record sheets were analysed and the cases were divided organ and system wise.Results: A total of 5766 (6.5%) cases were discussed in this 6-year period of a total of 89,253 cases reported at our centre. Of these, 2198 (38%) were solved on first viewing, 1783 (31%) in the second viewing and 1691 (29%) in thethird viewing. In total, 98% of the cases were resolved until the third viewing, leaving only 94 (2%) cases in which further studies were recommended. A variable number of pathologists were present in the meeting, and an average of4 was present in majority of the occasions.Conclusion: IDC is a good quality control measure to ensure quality in a busy histopathology department and an effective problem-solving activity.Key words: Intradepartmental consultation, histopathology, cancer

Sacred Starfish The Church of Scotland's HIV/AIDS Project: Marking a (Real) Difference

The Church of Scotland's HIV/AIDS Project is concerned with practical, person centred care of those affected by HIV/AIDS in many parts of the world. It aims to offer solidarity and practical support, through partnership with those at the grassroots. The author describes his recent experience as part of a Partners' Consultation Conference held in Limuru, Kenya.

Standards for NHS Scotland Chaplaincy Services

A scoping group established by NHS Quality Improvement Scotland and the Healthcare Chaplaincy Training and Development Unit, (HCTDU, now part of NHS Education for Scotland (NES)) was asked to scope awareness and provision of Spiritual Care in NHS Scotland. The group produced a report covering a survey and literature research. Following a seminar May 2005 in which this report was discussed along with some current research, a further group began work on chaplaincy service standards. A consultation conference held on 27 th June 2006 brought much support and many comments on the standards document. Despite some hesitation in trying to measure things spiritual, these standards should be a useful audit tool and an aid for future work on competencies and help development towards national standards or good practice statements on spiritual and religious care in NHS Scotland.

The Consultation Conference: A New Model of Collaboration for Child Psychiatry and Primary Care

Because of the relative shortage of available child psychiatrists, primary-care providers are increasingly expanding their role in the provision of mental health care. Accordingly, there is an increased need to develop a standardized approach to teaching specialized skills to these providers. One method of doing so is to expand the child psychiatrist’s consultative role to include the structured discussion of patient cases. By emphasizing the reasoning behind treatment recommendations, the psychiatrist can assist the primary-care provider in applying this knowledge to other patients in his or her practice. A group setting, or “consultation conference,” can be used to involve more providers—who, in turn, become resources for each other. This model of a group conference adapts principles of adult learning (1–5) to facilitate the dual consultative and educational goals. Providers who care for patients in the same (or similar) setting come together as a group to share their experience and knowledge. The psychiatrist assists in that group setting, functioning both as expert resource and facilitator. Participants discuss problem cases, thus learning in their own context while receiving assistance in the understanding and management of actual patients (indirect consultation).

In-house daily consensus conference: An important quality control/quality assurance activity - Experience at a major referral center

For every practicing histopathologist, improvement of diagnostic accuracy is an important objective. Personal consults are an important component of quality control (QC)/quality assurance (QA) in our Section of Histopathology. In addition, the College of American Pathologists recommends a daily in-house consensus conference, which is a prospective system by which all difficult and problematic cases are reviewed and discussed and signed out by consensus. In-house consensus conference is held daily using a multi-headed microscope. This collegial session is run by the seniormost consultant in the section and is attended by all histopathology consultants and residents. The consultants and residents present cases of their choice for discussion. The cases may be selected due to diagnostic difficulty, unusual nature of a case, management purposes such as performance of additional biopsies, special studies, etc., or request on the part of clinician or patient. Cases may be shown once or, in case of lack of consensus or difficulty in diagnosis, more than once after additional work-up suggested by the conference. In a 4-month period, 774 (4.1%) cases of a total of over 14,000 well-mixed surgical cases were brought to the in-house daily consultation conference. Four hundred ninety-three cases (63.7%) were conclusively decided the first time while 198 cases (25.5%) were decided by consensus after being shown twice. In 83 cases (10.7%), a definite diagnosis could not be given. The cases on which a definite diagnosis was not possible represents 0.59% of all cases received in the department during the study period. The most common cases were shown from the gastrointestinal tract (115 cases or 14.8%), lymph nodes (110 cases or 14.2%) and soft tissue (82 cases or 10.6%). In most cases in which a definite diagnosis could not be given, the main reason was scanty material or crushed nature of the tissue. The in-house daily consensus conference is an extremely useful QC/QA exercise, which is very important in reaching an accurate diagnosis in difficult and challenging cases and minimizing diagnostic errors.

Gaining insight from experience: what are service users saying about employment?

Developing employment services can feel like trying to push water uphill. Staff must often battle against local mental health services that have only a short history of interest in this issue, a welfare benefit system that speaks of promoting opportunity but seems to block every step forward, and discriminatory employment practices that appear to be rife despite the Disability Discrimination Act 1995. This means that anyone with the vision and determination to create an employment project deserves high praise.It takes unusual courage to listen to blunt and direct feedback about one's local employment service. This article describes the findings of a consultation conference, many of which will be of interest to anyone working in the field.

Refugee Resettlement: A New Policy

Review of the Ontario Consultation Conference on Refugee Resettlement, Toronto, November 2nd, 1984.

Biblioteca de Maidenhead - Gran Bretaña

The building which replaces the old Maidenhead public library, has been organized on three levels which adapt themselves to the sharp slope of the land. It has reading rooms for adults and children, research consultation sections, book exhibition and conference rooms, complementary Administrative and Management services and a garage for the mobile library bus. The design reveals a great care in organizing flexible and integrated spaces as well as offering adequate natural lighting in the reading rooms and in the library as a whole, by means of a strip of glass going around the building, located between the wail top and the metallic roof, which appears suspended and gives a light and pleasant effect. The outside has an interesting movement of bare brick sections which contrast with the roof's reticular structure.