Board Decisions Research Articles

Eğitim Yöneticilerinin İletişim Becerileriyle İlgili Alanyazın Araştırmalarının İncelenmesi

Communication is classified as oral, written and receptive communication, as well as generalized, interpersonal, intergroup, person-group, situational and pathological communication can also be Decoupled Decoupled. Verbal communication, which is one of the types of interpersonal communication, is the type of communication that is usually used. The definition is made in the form of individuals making various sounds and transmitting their feelings and ideas to the other side. Face-to-face conversations of individuals, songs, expressing lessons or fairy tales, etc. verbal communication is in the examples. Oral communication provides time for individuals who communicate because it allows for questions and answers during face-to-face conversation, it allows for the perception of issues that do not perceive and the ability to return immediately. The first type of interpersonal communication is nonverbal communication, which is carried out by making gestures and facial expressions, and therefore using body language. When the types of communication have been investigated throughout history, it has been understood that nonverbal communication has been used primarily. Messages of this type are transmitted by using gestures and gestures. Feelings and ideas that words are not enough to express are easily and clearly conveyed through the use of body language. An occasional contact, hug or kiss can have more of an impact than Decrees. Nonverbal communication is usually more effective on the recipient than verbal communication. The last one of the interpersonal communication situations is the written form of communication. The acquisition of feelings and ideas into a concrete form with various types of symbols is called written communication. Written communication has been carried out from the discovery of writing to the present day. Written communication is mainly used in educational institutions. Forms of corporate correspondence, guidelines, journals, communiqués, newsletters, authorized board decisions, letters, registration reports, prescriptions, petitions can be cited as examples. Key Words: Educational Management, Educational Managers, Communication Skills, Literature Research

Prepare for undergrad student‐workers to bring more labor unions to campus

The confluence of increased interest in unionization among undergraduate workers and a recent National Labor Review Board decision that made it far easier for unions to be recognized may mean more unions on campus in the very near future.

Rehabilitation vs. risk: What predicts parole board decisions and rehabilitation authority recommendations?

Parole decisions have a dramatic impact on individuals’ lives as well as public safety. Studies seeking to discern which factors predict parole decisions highlighted the role played by correctional reports submitted to parole boards by rehabilitation authorities; however, very few offered any in-depth insight into them. Moreover, research also failed to explore the interplay of reasoning employed by parole boards and rehabilitation authorities, which seem to represent different orientations and interests—risk reduction vs. the chances of rehabilitation. Using a quantitative content analysis of documents composed by parole boards and the rehabilitation authority in Israel, we have extracted risk or chance factors from 306 cases. Logistic regression models demonstrated that, while rehabilitation authority recommendations may be predicted solely by factors that focus on rehabilitation, as can be expected, parole board decisions seem to give similar weight to both rehabilitation and risk factors. The study's findings shed light on the dynamic of these two organizations and could enhance public trust in the early release process.

Mismatch between preoperative imaging and surgical findings in clear cell renal carcinoma: A case report

Renal tumors, particularly clear cell renal carcinoma, often present a perplexing discordance between preoperative radiological findings and surgical observations. This case study describes a 33-year-old female with a large renal tumor that extended into adjacent structures, as suggested by preoperative imaging. However, intraoperative assessment revealed an absence of liver invasion, emphasizing the complexity of preoperative evaluation. The multidisciplinary tumor board's decision to proceed with surgery played a pivotal role in her successful management. The case underscores the significance of multidisciplinary collaboration, adaptability in surgical planning, and meticulous clinical attention in addressing radiological-surgical discordance in renal tumor cases. words:

The Pediatric Epilepsy Surgery Interest Group (PESIG) under the auspice of the ISPN Research Committee: Availability of relevant technology and geographical distribution.

Epilepsy surgery for pediatric drug-resistant epilepsy has been shown to improve seizure control, enhance patient and family QoL, and reduce mortality. However, diagnostic tools and surgical capacity are less accessible worldwide. The International Society Pediatric Neurosurgery (ISPN) has established a Pediatric Epilepsy Surgery Interest Group (PESIG), aiming to enhance global collaboration in research and educational aspects. The goals of this manuscript are to introduce PESIG and analyze geographical differences of epilepsy surgery and technology availability. PESIG was established (2022) following an ISPN executive board decision. Using a standardized form, we surveyed the PESIG members, collecting and analyzing data regarding geographical distribution, and availability of various epilepsy treatment-related technologies. Two hundred eighty-two members registered in PESIG from 70 countries, over 6 continents, were included. We categorized the countries by GDP as follows: low, lower-medium, upper-medium, and high income. The most commonly available technology was vagus nerve stimulation 68%. Stereoelectroencephalography was available for 58%. North America had statistically significant greater availability compared to other continents. Europe had greater availability compared to Africa, Asia, and South (Latin) America. Asia had greater availability compared to Africa. High-income countries had statistically significant greater availability compared to other income groups; there was no significant difference between the other income-level subgroups. There is a clear discrepancy between countries and continents regarding access to epilepsy surgery technologies. This strengthens the need for collaboration between neurologists and neurosurgeons from around the world, to enhance medical education and training, as well as to increase technological availability.

Accuracy of ChatGPT in head and neck oncological board decisions: preliminary findings.

To evaluate the ChatGPT-4 performance in oncological board decisions. Twenty medical records of patients with head and neck cancer were evaluated by ChatGPT-4 for additional examinations, management, and therapeutic approaches. The ChatGPT-4 propositions were assessed with the Artificial Intelligence Performance Instrument. The stability of ChatGPT-4 was evaluated through regenerated answers at 1-day interval. ChatGPT-4 provided adequate explanations for cTNM staging in 19 cases (95%). ChatGPT-4 proposed a significant higher number of additional examinations than practitioners (72 versus 103; p = 0.001). ChatGPT-4 indications of endoscopy-biopsy, HPV research, ultrasonography, and PET-CT were consistent with the oncological board decisions. The therapeutic propositions of ChatGPT-4 were accurate in 13 cases (65%). Most additional examination and primary treatment propositions were consistent throughout regenerated response process. ChatGPT-4 may be an adjunctive theoretical tool in oncological board simple decisions.

Óriás congenitális nevusból, csecsemőkorban kialakult melanoma malignum, esetbemutatás és az irodalom áttekintése

Authors present a case of a 37- year-old young female patient, who presented to the emergency department with transient dizziness. The performed cranial MRI confirmed the presence of a solitary brain metastasis. PET CT revealed an FDG-avid active lesion in the lung, with slightly enlarged lymph nodes. The brain tumor was surgically removed and histologically it corresponded to malignant melanoma metastasis. According to tumor board decision combined immunotherapy was initiated. Dermatological examination revealed that the patient was being treated for a histologically neuro-mixoid-appearing melanoma that developed at 3 months of age from a giant congenital nevus at birth and later metastasized regionally. Multiple radical surgeries were performed and she received vincristine and platina based chemotherapy. She was symptom-, and complaint-free for decades under regular check-ups until the onset of vertigo. In connection with the case the authors discuss the specific features of childhood melanomas, in particular the early-onset forms arising from congenital giant.

Rare adrenal cavernous hemangioma: a case report highlighting diagnostic challenges.

Adrenal cavernous hemangiomas are rare benign vascular tumors that pose significant diagnostic challenges. Despite their benign nature, features overlapping with malignancies often complicate management decisions. A 64-year-old male presented with a 4.4 cm necrotic left adrenal mass discovered incidentally on imaging. His medical history included papillary thyroid carcinoma, with subsequent thyroidectomy and radioactive iodine ablation. Evaluations for hiccups revealed multiple lung nodules, hypertrophic cardiomyopathy, and anemia. Given the patient's previous cancer history, elevated aldosterone/renin ratio, and mass size, our multidisciplinary tumor board decided to proceed with a left adrenalectomy. Post-surgical pathology confirmed a diagnosis of adrenal cavernous hemangioma. The occurrence of ambiguous adrenal mass with other pathologies, such as our patient's papillary thyroid carcinoma, complicates the diagnostic and therapeutic landscape. As demonstrated in our case, opting for surgery remains a viable solution for adrenal cavernous hemangiomas, especially for masses greater than 4 cm. Interdisciplinary collaboration, exemplified by our tumor board's decision-making process, is crucial for optimal management. This case underscores the need for a multifaceted approach when confronting adrenal masses with such diagnostic ambiguity.

Acetabular metastatic defect reconstruction using the modular revision support cup MRS-C

Stabilization of metastatic acetabular defects with abone cement-augmented revision support cup for remobilization of oncological patients in advanced cancer stages. Metastatic acetabular defects (Metastatic Acetabular Classification, MAC2-4) in patients with aprognostic medium or long-term survival. Highly limited survival due to metastatic disease (< 6weeks). Local bone or soft tissue infection. Primary bone tumor with curative treatment option. Advanced pelvic discontinuity. Recent wound compromising systemic therapy. Standard hip approach. Curettage of the metastatic defect and careful reaming of the acetabulum before insertion of the cup. Predrilling of the dome und flange screws before application of the bone cement through the center hole of the implant and filling of the acetabular defect. Complete insertion of the screws for compound osteosynthesis. Implant of amodular inlay or dual mobility system. Full weight bearing or mobilization with two crutches according to the level of pain. Adjuvant local radiation therapy after wound consolidation. Continuation of systemic therapy according to tumor board decision. Between 2012 and 2019, we treated 14patients with metastatic acetabular defects using the modular revision support cup "MRS-TITAN® Comfort", MRS-C, Peter Brehm GmbH, Weisendorf, Germany) at our institution. Mean Harris Hip Score improvement was 23.2 with amean patient's survival of 9.7months due to the reduced cancer-related prognosis; 13of the 14implants endured the patient's prognosis. One implant had to be removed due soft tissue defect-related periprosthetic joint infection.

SIOG2023-4-P-253 - Adherence to tumor board decisions and its impact on survival in older women with breast cancer

SIOG2023-4-P-253 - Adherence to tumor board decisions and its impact on survival in older women with breast cancer

Thoughts on the H-Bomb Decision, Oppenheimer’s Loyalty/Security Hearing, and Vacating of the AEC Decision

This summer’s release of Oppenheimer, the major Hollywood movie by Christopher Nolan, has brought renewed attention to J. Robert Oppenheimer’s thoughts, concerns, and intentions regarding the U.S. pursuit of thermonuclear weapons. This paper provides context surrounding the 1949 recommendation of the Atomic Energy Commission’s General Advisory Committee, chaired by Oppenheimer, against a crash program for hydrogen bombs, a recommendation that would be used against him in the 1954 decision to revoke his security clearance. An appendix reproduces the April 5, 2022, letter from Los Alamos National Laboratory directors to the secretary of energy. In December 2022, Secretary of Energy Granholm vacated the original security review board decision.

Indigenous activism debut in Brazil: the case of Rumo

Learning outcomes By the end of the case study discussion, it is expected that students will have learned to assess what makes it likely that firms will respond to episodes of stakeholder activism; establish the interplay between nonmarket strategies and corporate governance mechanisms in assessing shareholder activism; explain about the board of directors as a corporate governance mechanism; evaluate the threats of nonmarket dimensions as a strategic response from the board; and understand the impact and increasing power of shareholders over board decisions. Case overview/synopsis In April 2019, to pressure Rumo S.A. regarding the duplication of the Itirapina–Cubatão railroad, indigenous peoples from 12 São Paulo villages bought six Rumo shares, which were quoted on Tuesday, April 23, 2019, at around BRL17 each. Duplication of the railroad started in 2011 and affected the lives of the Indians. The company promised to implement more than 100 improvements to the villages, but as of 2019, half of the improvements were at a standstill. After buying enough shares to entitle them to participate in the annual general meeting (AGM) of shareholders, the Indians went to Rumo’s AGM to voice their concerns and show how the villages had been affected. It was the audit committee that needed to discuss and solve the case of the indigenous peoples. What steps would Rumo take next? What was the best thing to do with regard to the claims of the Indians? This case shows the start of corporate activism in Brazil. This case reports the dilemma that Rumo faced with the indigenous activism at the beginning of 2019 because of the expansion of their railroad network across indigenous lands. Complexity academic level This case is suited for a class in which the students are exposed to a corporate governance framework and internal and external governance mechanisms. The case can be applied at the graduate and executive levels in relevant courses such as corporate governance, corporate responsibility, strategic management, and the stock market. Supplementary material Teaching notes are available for educators only. Subject code CSS 11: Strategy.

Impact of Salvage Surgery on Health-Related Quality of Life in Oral Squamous Cell Carcinoma: A Prospective Multi-Center Study.

Patients with recurrent oral squamous cell carcinoma (OSCC) have limited treatment options. Salvage surgery offers potential curative therapy. The need for extensive ablative surgery together with microvascular reconstruction implies invasive and painful treatment with questionable functional outcome. To address the impact of salvage surgery on the health-related quality of life (HRQoL) of patients suffering from recurrent OSCC, a multi-center prospective analysis was initiated. Patients with recurrent OSCC from 2015 to 2022 at two German cancer centers were included. Interdisciplinary tumor board decisions determined surgery as the only curative treatment modality. HRQoL, was assessed via a EORTC questionnaire (European Organization for Research and Treatment of Cancer-EORTC: QLQ-C30 and QLQ-H&N35) in dependence of the recurrent tumor stage. Patients completed the questionnaires once before surgery (baseline) and then every 3 months during follow-up or up to the end of treatment. In total, 55 patients were included. The mean follow-up period was 26.7 ± 19.3 months. Global health status showed superior mean scores after 12 months (60.83 ± 22.58) compared to baseline (53.33 ± 26.41) in stage 1 and 2 recurrent tumors. In advanced recurrent tumors' mean scores for global health showed only minor positive differences after 12 months (55.13 ± 22.7) compared to baseline (53.2 ± 25.58). In terms of the mouth pain, mean scores were lower after salvage surgery in small recurrent tumors after 12 months (20.37 ± 17.73) compared to baseline (41.67 ± 33.07; Wilcoxon two-sample signed-rank test p = 0.028). In advanced recurrent tumors, a significant reduction in mean scores was detected 3 months after salvage surgery (29.7 ± 22.94) compared to baseline (47.76 ± 25.77; Wilcoxon two-sample signed-rank test p = 0.003). Up to 12 months, swallowing function was evaluated inferior compared to baseline independent of tumor stage (Mean score recurrent stage I/II: 12-months 48.15 ± 27.57, baseline 28.7 ± 22.87; stage III/IV: 12-months 49.36.42 ± 27.53; baseline 30.13 ± 26.25). Improved HRQoL could be obtained in advanced recurrent OSCC after salvage surgery despite reduced swallowing function. In small recurrent tumors, overall, HRQoL was superior to baseline. Salvage surgery positively affected pain burden. For advanced recurrent tumors, important pain relieve could be observed as soon as 3 months after surgery.

Impact of 18F-FDG PET/CT in the management decisions of breast cancer board on early-stage breast cancer.

Breast cancer is the most common malignancy accounting for 11.7% of all cancer cases, with a rising incidence rate. Various diagnostic methods, including 18F-fluoro-2-deoxy-D-glucose positron emission tomography/computed tomography (18F-FDG PET/CT), play a crucial role in breast cancer diagnosis and staging. However, the unnecessary use of advanced imaging techniques such as PET/CT in early-stage breast cancer can have negative effects on both economics and patients. We aimed to investigate the impact of PET/CT on the management decisions of early-stage breast cancer patients by the breast cancer tumor board. A retrospective analysis was performed on a cohort of 81 patients with early-stage breast cancer who were evaluated by breast cancer tumor board from January 2015 to December 2020. Demographic, clinical, and radiographic data, along with surgical procedures and treatment options, were documented and analyzed. The results showed that 18F-FDG PET/CT had a moderate impact on treatment decisions of breast cancer tumor board, as only treatment decisions were changed in 14,86% of the patients. The surgical procedure decision of breast cancer tumor board changed in 12.35% of patients, while 87.65% of patients had consistent decisions before and after PET/CT. Pathological assessments revealed invasive ductal carcinoma as the most prevalent tumor type, and molecular subtypes were predominantly luminal B. PET/CT use had limited impact on surgical procedures and did not significantly alter treatment decisions of breast cancer tumor board in this early-stage breast cancer cohort. In conclusion, this study highlights the importance of adherence to the guidelines and appropriate use of PET/CT in early-stage breast cancer management. PET/CT should be reserved for cases where it is clinically warranted, considering the potential economic burden and minimal impact on treatment decisions of breast cancer tumor board in this patient population.

Intermittent negative pressure therapy in patients with no-option chronic limb-threatening ischemia.

Background: Aim of this study was to assess the influence of intermitted negative pressure (INP) therapy on the foot microcirculation in patients with no-option CLTI. Patients and methods: CLTI patients defined as no option for revascularization on the basis of an interdisciplinary vascular board decision (interventional radiology, vascular surgery) were included in this study. INP therapy was performed at home. Therapy regime was: 1 hour twice daily. Follow-up was after 6 weeks and 3 months. Microcirculation measurement was performed by laser Doppler flowmetry and white light spectrometry (oxygen to see, O2CTM). Following parameters were evaluated: oxygen saturation (sO2 in%), relative hemoglobin (rHb) and flow (in arbitrary units A.U.). Additionally the clinical outcome of the patients was assessed. Results: From September 2020 to June 2022, 228 patients were screened. In total 19 patients (13 men, 6 women, mean age was 73.95 years) were included. 6 weeks after INP therapy the microcirculation showed a significant improvement for the parameter sO2 (%) (p=0.004). After 3 months a non-significant decrease compared to 6 weeks follow-up was seen for the parameter sO2; however, the perfusion was still improved compared to baseline measurement. With regard to the microperfusion values flow (AU) and hemoglobin (AU), the changes were not significant. Clinically, the patients reported a significant reduction of rest pain after therapy (p=0.005). Conclusions: INP therapy in no-option CLTI patients showed a significant improvement of the skin perfusion after 6 weeks. Therefore, INP therapy might have therapeutic potential in these critical ill patients.

Challenging ChatGPT 3.5 in Senology-An Assessment of Concordance with Breast Cancer Tumor Board Decision Making.

With the recent diffusion of access to publicly available large language models (LLMs), common interest in generative artificial-intelligence-based applications for medical purposes has skyrocketed. The increased use of these models by tech-savvy patients for personal health issues calls for a scientific evaluation of whether LLMs provide a satisfactory level of accuracy for treatment decisions. This observational study compares the concordance of treatment recommendations from the popular LLM ChatGPT 3.5 with those of a multidisciplinary tumor board for breast cancer (MTB). The study design builds on previous findings by combining an extended input model with patient profiles reflecting patho- and immunomorphological diversity of primary breast cancer, including primary metastasis and precancerous tumor stages. Overall concordance between the LLM and MTB is reached for half of the patient profiles, including precancerous lesions. In the assessment of invasive breast cancer profiles, the concordance amounts to 58.8%. Nevertheless, as the LLM makes considerably fraudulent decisions at times, we do not identify the current development status of publicly available LLMs to be adequate as a support tool for tumor boards. Gynecological oncologists should familiarize themselves with the capabilities of LLMs in order to understand and utilize their potential while keeping in mind potential risks and limitations.

Intraoperative radiotherapy after resection of brain metastases located in the posterior fossa. Analysis of postoperative morbidity and mortality in a single center cohort

IntroductionIn order to improve surgical outcome and accelerate the adjuvant oncologic therapy, intraoperative Radiotherapy (IORT) has become a treatment option in oncologic surgery for various diseases including glioma and brain metastasis (BM). BMs are often located in the cranial posterior fossa (PF) requiring specific surgical considerations due to its complex anatomy. Up until now, data on IORT for BMs is limited and detailed description in the use of IORT for lesions in the PF is lacking. Our aim is to provide more insight into this emerging treatment strategy. MethodsWe performed a retrospective analysis of patients receiving surgery for BMs and undergoing IORT at our institution. Each patient was discussed at the interdisciplinary tumor board decision before the intervention. Patient characteristics, functional status (Karnofsky Performance Score, KPS) before and after surgery, disease (recursive partitioning analysis, lesion size) and operative parameters were analyzed. Adverse events (AE) were recorded up until 30 days after the intervention and rated according to the Clavien Dindo Rating scale. ResultsNine patients (5 female) were included. None underwent prior radiotherapy (RT). Mean age was 66 ± 11 years. Preoperative median KPS was 80%. Mean BM diameter was 3.2 ± 0.9 cm. There was no statistically significant deterioration of the functional status after the intervention. Two patients experienced AEs with both of them needing revision surgery. ConclusionSurgery for BMs with IORT in the PF seems safe and feasible. Further studies are needed to evaluate the influence of IORT on long-term outcome after BM surgery.

Get familiar with who is impacted by excess benefit/self‐dealing rules

Among other things, a nonprofit board's conflict of interest policies are meant to shield the organization from fraud and malfeasance that can come as a result of self‐dealing—that is, a board member benefiting financially off the board's decisions and organizations' operations.

Intersectional blackness matters: Why family science should care about the College Board's A.P. African American Studies course controversy

AbstractThis article examines how the recent controversy about the College Board's A.P. African American Studies course has implications for studies on Black families. In relegating Black feminism and Black queer theory as optional research topics in the course, the College Board failed to recognize the importance of theorizing intersectional blackness in research in Black Studies in general and research on Black families in particular. The College Board failed to recognize how race, gender, sexuality, and other social forces converge to provide a richer picture of Black lives. In utilizing a theoretical lens of intersectional blackness as a foundation, I use both the Florida Board of Education's position regarding the “merits” of the A.P. course and the College Board's decision to fringe certain topics as examples of how both Black families and Black Studies are maligned by framing both as inferior and lacking.

Monetary policy document analysis for prediction of monetary policy board decision

In terms of market capitalization, the bond market is larger than the stock market, and the bond market is affected by macroeconomic indicators. Despite this, there has been relatively little research, making it a good candidate for the use of data mining techniques. In this paper, a novel approach designed to predict the vote results of the Korean Monetary Policy Committee regarding the base interest rate was proposed. To predict sentence sentiment, prior monetary policy decision text was used as input for classification models. The sentence sentiment prediction model showed 83.7% performance when using a support vector machine. In addition, it was observed that the bigrams extracted from documents provided important descriptions of the Korean economy at the time. Finally, the document sentiment of monetary policy decision was calculated using aggregating sentence sentiment, and the vote results were predicted using this sentiment. As a result, when using the support vector machine to predict the Monetary Policy Committee vote results, the performance improved by 29.5% over the baseline model. Statistical tests confirmed whether there is a difference in document sentiments between unanimous and non-unanimous, and the null hypothesis was rejected at a significance level of 5%.