Professional Consultation Research Articles

Patterns of concomitant prescription, over-the-counter and natural sleep aid use over a 12-month period: a population based study.

Concomitant patterns of sleep aid use may provide insight for understanding the transition to chronic sleep medication use. Therefore, we sought to characterize the trajectories of concomitant natural product (NP), over-the-counter (OTC), and prescribed (Rx) sleep aid use in a population-based sample over 12-months. Self-reported data on the use of NP, OTC, and Rx sleep aids were extracted from a Canadian longitudinal study on the natural history of insomnia (N = 3416, M age = 49.7 ± 14.7 years old; 62% women) at baseline, 6-month, and 12-month. Latent class growth modeling was used to identify latent class trajectories using MPlus Version 7. Participants completed a battery of clinical measures: Ford Insomnia Response to Stress Test, abbreviated Dysfunctional Beliefs and Attitudes about Sleep Scale, Beck Depression Inventory, Insomnia Severity Index and, the Pittsburgh Sleep Quality Index. Associations between class membership and baseline covariates were evaluated. Concurrent sleep aid use fell into six distinct latent class trajectories over a 12-month period: Minimal Use (74.5%), Rx-Dominant (11.3%), NP-Dominant (6.3%), OTC-Dominant (4.3%), Rx-NP-Dominant (2.4%), and Rx-OTC-Dominant (1.1%). The three latent classes with prominent prescribed agent use predicted greater incidence of healthcare professional consultations for their sleep (p < 0.05), poorer sleep quality (p < 0.001), elevated dysfunctional sleep beliefs (p < 0.001), and sleep reactivity (p < 0.001). Compared to the other four latent classes, clinical profiles of Rx-NP-dominant and Rx-OTC-dominant groups endorsed greater severity across measures. Patterns of sleep aid use may provide insight for identifying individuals who may be vulnerable to inappropriate self-medicating practices.

Community paramedicine home visits: patient perceptions and experiences

Background:Community paramedicine (CP) is an emerging model of community-based healthcare delivered around the world by paramedics with additional skills, education and training. There is a lack of qualitative research on patient perceptions and experiences of this phenomenon.Aims:The study aimed to explore patient perceptions and experiences of CP home visits delivered by specialist paramedics (SPs) in a Scottish urban general practice home-visit setting. Patient acceptance and CP primary-care strategic value were examined.Methods:An explorative qualitative study using purposive sampling, semi-structured interviews and thematic analysis.Findings:Five main themes were identified: provide a well-communicated, professional, knowledgeable and comprehensive home visit consultation; SP-patient relationship and continuity of care; acceptance of SP home visits in place of GP home visits; quicker response and an increased possibility of a home visit; and limitations of the SP role.Conclusion:Patient perceptions and experience of CP were positive, with patients accepting this model of care. Opportunities to improve healthcare, including better continuity or care and health monitoring, were found.

Posthumous trading patterns affecting artwork prices

Abstract This study aims to identify factors contributing to price fluctuations in artworks after an artist’s death. With access to information on seller characteristics from a historical dataset of all art auctions that took place in London between 1741 and 1913, we investigate how trading patterns and network effects at auctions affect art sales prices. Following an artist’s death, we capture dynamic effects in sales patterns and find that prices decline by 7%. We attribute this decline on the confluence of non-strategic and strategic effects, first on a frequent lack of access to professional consultation and secondly on changes in trading patterns of art dealers posthumously. Our results highlight the long-term influence of those factors on high valued art.

Current View on Green Tea Catechins Formulations, Their Interactions with Selected Drugs, and Prospective Applications for Various Health Conditions

Green tea extract (GTE) is one of the most popular beverages globally, traditionally prepared from Camelia sinensis leaves. Therefore, it is beneficial to define the impact of GTE and its ingredients on the human organism. Epigallocatechin-3-O-gallate (EGCG) is the most abundant catechin in green tea leaves, belonging to the group of tannins and flavonoids, demonstrating pharmacological activity, but so far, it has not been applied as a drug. This is because EGCG does not present sufficient stability and quickly decomposes through epimerization or autooxidation mechanisms under the influence of light, temperature, changes in pH, or the presence of oxygen. Another limiting factor is EGCG’s low bioavailability after oral administration. Nevertheless, the growing market of dietary supplements together with increasing growing consumption of green tea extracts should prompt us to pay more attention to the safety of both EGCG itself, as well as its influence on other simultaneously used drugs. Previously published data confirm the relationship between healthcare professionals’ access to professional knowledge and their willingness to engage in patient education. For this reason, in this review article, we report the formulations of EGCG and GTE, discuss the data on the safety of EGCG and its possible interactions with drugs, as well as gather various recommendations from medical specialists. Particular attention should be paid to the consumption of green tea during pregnancy and breastfeeding, as well as in the elderly. Patients taking clozapine, digoxin, and warfarin should avoid consuming GTE extracts and dietary supplements containing EGCG. Professional consultation seems especially important for patients treated with statins, calcium channel blockers, or sildenafil.

Can financial education improve consumer welfare in investment markets? Evidence from China

Under the current complex economic situation and the impact of COVID-19, China’s capital market reform has entered a critical period, with opportunities and challenges coexisting. One of the important challenges is how to improve the well-being of investors in capital markets. Financial education, which has been offered by financial institutions in many countries in recent years, is likely to become an effective policy instrument to meet this challenge. Using survey data of individual investors from China, this study examines the potential impact of financial education programs offered by financial institutions on individuals’ investment diversification. The results show financial education is positively associated with the investment diversification of individual investors. An analysis of the underlying mechanism shows that financial education contributes to the improvement of investment diversification by mitigating limited attention bias, strengthening social trust, and promoting the use of professional investment advisors. These findings suggest that the persistent promotion of financial education programs has a positive effect on optimizing financial asset allocation decisions and improving financial welfare of Chinese households.

Regenerating Stormwater Infrastructure into Biophilic Urban Assets. Case Studies of a Sump Garden and a Sump Park in Western Australia

The main purpose of this paper is to demonstrate how the old modernist engineering technologies, such as single purpose stormwater infiltration basins, can be transformed into quality environments that integrate ecological and social functions and promote multiple sets of outcomes, including biodiversity restoration, water management, and cultural and recreational purposes, among other urban roles. Using the principles and theories of biophilic urbanism, regenerative design, and qualitative inquiry, this article analyzes and discusses the actors, drivers, strategies, constraints, and values motivating the stakeholders to reinvent Perth’s stormwater infrastructure through two local case studies. The “WGV sump park” was developed through a public-private partnership, including professional consultants with community input, and the “Green Swing sump garden” was an owner-builder community-driven project involving volunteers, who maintain it. The results of this research suggest that both projects are successful at managing stormwater in a way that creates multiple community and biodiversity benefits. Communities could gain improved access to nature, social interaction, health, and well-being if local governments support these alternative approaches to regenerate underutilized stormwater infrastructure by promoting biophilic interventions. Mainstreaming this design approach identified some issues that may arise during the implementation of this biophilic urban approach, and the paper suggests ways to enhance the wider delivery of regenerative and biophilic design into urban planning, involving volunteer delivery and maintenance for small scale projects and fully professional assessments for large scale projects.

Physical Activity Counseling among Adults in Primary Health Care Centers in Brazil.

Physical activity (PA) counseling by health professionals has promising results in behavior change. However, few studies have evaluated its prevalence in Primary Health Care in Latin American countries. This study aimed to describe the prevalence and analyze the associated factors of PA counseling in adults in Primary Health Care in Brazil. This is a cross-sectional study with a representative sample of 779 adults (70% women). Counseling was identified among those who reported having received PA counseling during a health professional consultation in the last 12 months. Sociodemographic factors, health conditions, and leisure-time PA were analyzed with Poisson regression. The prevalence of counseling was 43% (95% Confidence Interval [CI]: 39.5–46.4%), higher in people aged ≥40 years (Prevalence Ratio [PR]: 1.44; 95% CI: 1.19–1.75], who are married (PR: 1.27; 95% CI: 1.07–1.59), obese (PR: 1.53; 95% CI: 1.23–1.90), take prescription medication (PR: 1.83; 95% CI: 1.47–2.27), and walk for leisure (PR: 1.28; 95% CI: 1.06–1.54). People with more education were less likely to receive PA counseling (PR: 0.82; 95% CI: 0.68–0.99). In conclusion, 4 out of 10 users reported receiving PA counseling and this was associated with sociodemographic factors, health conditions, and walking for leisure. These results can guide PA promotion in Primary Health Care.

329 High Prevalence of Sleep Difficulties and Low Rate of Seeking Professional Help in Polish Population

Abstract Introduction The number of people suffering from sleep disorders is on the rise. Insomnia is a complex issue with an impact on numerous aspects on everyday functioning. At the same time it is highly dependent on an individual’s lifestyle and untreated episodic sleep issues may lead to chronić insomnia. The aim of the present study was to assess complaints regarding sleep difficulties among men and women in Poland, as well as their severity and whether it leads to seeking treatment. Methods Data was gathered as a part of an online-based nationwide campaign on insomnia, which included a survey assessing sleep quality. The survey was developed for the purpose of this study. Statistical analysis included Chi-Square and Mann-Whitney tests as well as Spearman’s correlations. Results Responses were obtained from 3807 individuals – 2616 (68.7%) women and 1191 (31.3%) men. Sleep issues with the highest prevalence were sleep maintenance difficulties reported by 62.8% of the respondents, snoring among 61.2%, sleep initiation difficulties (sleep latency of over 30 minutes) among 55.6%, daytime sleepiness among 49.5%, and symptoms of Restless Leg Syndrome among 45.1%. Out of the participants who reported at least one sleep issue, the rate of having been to a professional consultation was 20.8% - 22.8% among women and 16.4% among men. Conclusion Even though the prevalence of different sleep troubles was very high, it did not correspond to the rate of seeking professional help. The vast majority of both men and women who experienced sleep difficulties had never consulted with a specialist regarding their sleep quality. There is a great need for psychoeducation of the general public on sleep as a vital component of health and on benefits of professional help. Support (if any) This study was supported by an unrestricted educational grant by Polfarmex. The funding source had no role in the design and conduct of the study, collection, management and analysis of the data, or preparation of the abstract. The authors declare no other conflicts of interest.

Comparing older nonmedical and medical cannabis users: health-related characteristics, cannabis use patterns, and cannabis sources

ABSTRACT Background: US epidemiologic data show that nearly one in 10 individuals aged 50+ report past-year cannabis use, and nearly one in five users report medical use. However, research on older cannabis users, especially medical cannabis users, is scant. Objectives: We examined medical and nonmedical cannabis users aged 50+ on health-related characteristics, cannabis use patterns, and cannabis sources. Hypotheses were that compared to nonmedical users, medical users are more likely to have physical and mental health problems, use healthcare services, discuss their drug use with a healthcare professional, use cannabis more frequently, and purchase cannabis from a medical dispensary and other sources rather than obtain it as a gift, share someone else’s, or use other means. Methods: We used 2018 and 2019 National Survey on Drug Use and Health data (N = 17,685 aged 50+; male = 8,030; female = 9,655). Hypotheses were tested using logistic regression analysis. Results: The past-year cannabis use rate was 8.9%. Of past-year users, 18.5% reported medical use. Compared to nonmedical use, medical use was associated with lower odds of alcohol use disorder but higher odds of discussing drug use with a healthcare professional (AOR = 4.18, 95% CI = 2.53–6.89), high-frequency use (e.g., AOR = 2.56, 95% CI = 1.35–4.86 for 200–365 days), and purchase at a medical cannabis dispensary (AOR = 4.38, 95% CI = 2.47–7.76). Conclusion: Medical and nonmedical users did not differ on physical and most behavioral health indicators. Most obtained cannabis from private/informal sources. Some medical users are likely to self-treat without healthcare professional consultation. Healthcare professionals should engage older adults in discussions of cannabis use and behavioral health needs.

Effects of a single-entry intake system on access to outpatient visits to specialist physicians and allied health professionals: a systematic review.

Background:Canada lags behind other countries with respect to wait times for specialist physician and allied health professional consultations. We conducted a systematic review to assess the effects of a single-entry model on waiting time, referral volume and the satisfaction of patients and health care providers.Methods:We searched MEDLINE, Embase, Cochrane CENTRAL and CINAHL databases from inception to December 2019. We included studies from countries in the Organisation for Economic Co-operation and Development that reported on the effects of a single-entry model on the time between referral to first assessment by a specialist physician or allied health professional, termed wait time 1 (WT1). Patient volume and the satisfaction of providers and patients were secondary outcomes. We conducted a narrative synthesis using descriptive statistics.Results:Of the 4637 citations identified, 17 met the eligibility criteria, and we included 10 of these in the final analysis. All of the included studies reported an absolute reduction in WT1 after implementation of the single-entry model. The average percent reduction in WT1 across specialties was greatest for surgical referrals (57%) and urgent internal medicine referrals (40%). Higher initial WT1 was associated with a greater absolute reduction in WT1 after implementation of the single-entry model (p = 0.002). Patient and provider satisfaction with the single-entry model was high in all studies. The effect estimates from all included studies were at high risk of bias.Interpretation:Single-entry models were associated with an absolute reduction in time from referral from primary care to consultation. These models represent a promising option to improve access to a range of health services, but there is a need for rigorous prospective evaluations to inform policy. PROSPERO Registration:CRD42018100395

It’s Not All ‘Bout the Money: (Un)doing the Gendered Economy

ABSTRACT During the past decade, gender equality has increasingly been motivated by economic gain, and has been described as a key to economic growth and “good for business”. This article draws on an ethnographic study of professional gender equality consultants in order to explore the effects of market feminism. The participants use entrepreneurship as a form of activism and try to make a difference regarding issues of gender by selling equality as a commercial service. By understanding markets as “performative”, the article characterizes the relationship between markets and feminism as one that is multi-facetted and plural, in order to explore the possibility to “take back the economy”. Many of the consultants who were interviewed for this study talked about making money on feminism as empowering and subversive, and as something that actually added value to gender issues. They claim that this is done by questioning what is valued in a society, and who should be paid and for what. The purpose of this article is to examine these gender consultants’ “ways of performing” the relationships that exist between markets, money, and feminism, and the feminist agencies that these performances afford them. In performing market feminism, these consultants create a disruption in established narratives within the economy, private enterprise, and economic growth. The article thus points to the importance of challenging these narratives in order to build more feminist economies.

Health service use of Australian unemployment and disability benefit recipients: a national, cross-sectional study

BackgroundHealthcare is funded and delivered separately from income support programs such as unemployment and disability benefits. Greater understanding of the health service use (HSU) of benefit recipients would support more effective design and delivery of health and income support programs. This study aimed to characterise the HSU of disability and unemployment benefit recipients relative to people earning wages, while controlling for personal, household and health-related factors associated with HSU in benefit recipients.MethodsA cross-sectional national survey of 9110 working age Australian adults in three groups: (1) 566 receiving the disability support pension (DSP); (2) 410 receiving unemployment benefits; and (3) 8134 earning wages. Outcomes included prevalence and frequency of health professional consultations, hospital attendance and admission in the past 12 months, as well as medication and supplement use in the past 2 weeks. Analyses compared DSP and unemployment benefit recipients to wage earners using prevalence ratios and incident rate ratios, adjusted for predisposing, enabling and need factors that may affect HSU.ResultsIn adjusted regression models, both DSP and unemployment benefit recipients were significantly more likely than wage earners to have consulted psychologists and social workers. DSP recipients also reported a significantly higher prevalence of consultations with General Practitioners (GPs), specialist physicians and podiatrists.. Both groups reported significantly more frequent consultations with GPs and DSP recipients with specialists. No differences were observed between groups for hospital attendance or admission, or supplement use in fully adjusted models, though the DSP group reported more prevalent medication use than wage earners. Inclusion of confounders including self-assessed health, disability severity, health insurance status, and financial resources attenuated the relationship between benefit receipt and HSU, however significant associations were still observed.ConclusionsPeople receiving unemployment and disability insurance benefits use significantly more health services than wage earners. A range of personal and clinical characteristics explained much, but not all, of the association between greater HSU and benefit receipt. Greater coordination between health and income support systems may improve health, reduce HSU and improve work ability in unemployed and working age people.

An Inception Convolutional Autoencoder Model for Chinese Healthcare Question Clustering.

Healthcare question answering (HQA) system plays a vital role in encouraging patients to inquire for professional consultation. However, there are some challenging factors in learning and representing the question corpus of HQA datasets, such as high dimensionality, sparseness, noise, nonprofessional expression, etc. To address these issues, we propose an inception convolutional autoencoder model for Chinese healthcare question clustering (ICAHC). First, we select a set of kernels with different sizes using convolutional autoencoder networks to explore both the diversity and quality in the clustering ensemble. Thus, these kernels encourage to capture diverse representations. Second, we design four ensemble operators to merge representations based on whether they are independent, and input them into the encoder using different skip connections. Third, it maps features from the encoder into a lower-dimensional space, followed by clustering. We conduct comparative experiments against other clustering algorithms on a Chinese healthcare dataset. Experimental results show the effectiveness of ICAHC in discovering better clustering solutions. The results can be used in the prediction of patients' conditions and the development of an automatic HQA system.

Ophthalmologists and WhatsApp: Teleophthalmology is already here.

To estimate the extent of WhatsApp utilization using text and media messages for inter-physician consultations among ophthalmologists (residents and specialists) at various clinical settings and its perceived benefits for ophthalmologists and their patients. We also aimed to detect obstacles that concern ophthalmologists when using WhatsApp as a consultation platform. This was a cross-sectional study using a self-administered survey through Google Forms, which was sent to 660 practicing ophthalmologists during April to May 2020. One hundred and ninety-two ophthalmologists completed the questionnaire, 151 of which (78.6%) were specialists and 41 (21.4%) were residents. Most ophthalmologists reported using WhatsApp at least once a day for both personal and professional use. Residents reported lower rates of contacting patients using WhatsApp than specialists (1.51 ± 0.98 vs 2.72 ± 1.32, p < 0.001). Respondents reported WhatsApp consultations frequently replaced referrals of patients to other physicians, with a median of once a week. 97.8% of residents and 91.4% of specialists reported the ability to share media is a major advantage of WhatsApp over other medias, followed by rapid responses for consultations. Many ophthalmologists already use WhatsApp as a tool for professional consultations with other providers, mainly thanks to its simplicity and wide availability. Residents use it more frequently than specialists, and ranked it higher when asked how much WhatsApp has improved the clinical setting. Policy makers should address concerns brought up by physicians, such as documentation in medical records and proper compensation for consulting ophthalmologists during and after work hours.

A Personalized Mean-CVaR Portfolio Optimization Model for Individual Investment

Investment as an important issue in daily life is accompanied by the occurrence of various financial assets, such as stocks, bonds, and mutual funds. However, risk tolerances vary across individuals. Individual investors have to select corresponding personalized investment portfolios to satisfy their own needs. Moreover, it is difficult for ordinary people to select a personalized investment portfolio by themselves, and it is too expensive and inefficient to look for professional consultation. Therefore, the objective of this research is to propose a personalized portfolio recommendation model, which can build the personalized portfolio based on investors’ risk tolerances. In this research, investors’ risk tolerance is determined by the fuzzy comprehensive evaluation method based on investors’ demographic characteristics. The CVaR is used as the risk measurement of financial assets. The dynamics of the distribution of returns are described in the combined Copula-GARCH model, and the future scenarios of returns are generated by the Monte Carlo simulation based on the combined Copula-GARCH model to estimate CVaR. The mean-CVaR portfolio optimization model is used to find out the best personalized portfolio. Finally, experiments are conducted to validate the applicability and feasibility of the personalized investment portfolio optimization model. Results show that the proposed investment portfolio optimization model can recommend personalized investment portfolio according to investor’s risk tolerance.

Patients response to pre-operative counseling for the appropriate type of bariatric surgery

IntroductionObesity is a major cause of metabolic and health disorders like diabetes mellitus (DM) and gastro esophageal reflux disease (GERD). Patients usually offered a professional preoperative consultation and objective information regarding the bariatric surgery type and the advantages and disadvantages of each type for best outcome and satisfaction. PurposeTo study the patient response to preoperative advice and recommendation and the patient's decision to undergo the recommended bariatric surgery. ObjectiveTo determine the statistical significance of preoperative recommendation and the patient personal choice of the type of bariatric surgery. Materials and methodsThis original article is a cross-sectional survey of 188 patients underwent bariatric surgery between February 2015 and December 2018 in the General Surgery Departments – Bariatric Surgery Clinics in Jordan University Hospital affiliated to the College of Medicine in the University of Jordan and Al Karak Governmental Hospital affiliated to the College of Medicine in Mutah University. 144 patients underwent longitudinal sleeve gastrectomy (LSG) and 44 patients underwent Roux en-Y gastric bypass (RYGB) as the recommended type of surgery for the selected comorbidities diabetes, gastroesophageal reflux disease, or both. ResultsOf 188 patients data collected, 54 patients who should had undergone RYGB as the recommended type of surgery, preoperative counseling did not have a significant effect on their decision to undergo the appropriate type of bariatric surgery. The number of patients who had pre-operative recommendation = 37 (68.5%). Out of these, only 15 patients choose the surgical team recommended surgery; p-value 0.183, odds ratio 2.22, (95% confidence interval (CI) = 0.6–8.12). ConclusionPreoperative surgical procedure type advice did not have a significant effect on patients’ choice of the recommended bariatric procedure.

Impact of coronavirus disease 2019 on the clinical diagnosis and treatment of breast cancer in China.

Impact of coronavirus disease 2019 on the clinical diagnosis and treatment of breast cancer in China.

Environmental Genomics Applications for Environmental Management Activities in the Oil and Gas Industry - State of the Art Review and Future Research Needs

The International Association of Oil and Gas Producers (IOGP) Environmental Genomics Joint Industry Program (JIP) was formed in June 2019. The aim of the JIP is to facilitate the development of guidelines for the application of environmental genomics to support environmental management activities in the oil and gas industry. Towards this goal, a white paper summarizing the state-of-the-art in environmental genomics research and how it may be used to advance technology development opportunities for the oil and gas industry was drafted. More specifically, a series of applications and focus areas of primary interest to oil and gas companies were covered including: baseline assessments; detection of key species; rapid assessment of invasive species; population status and dynamics; monitoring of environmental effects of oil and gas activities; remediation and restoration; sampling design; data analysis and interpretation; community representation; species abundance, distribution and viability; and real-time on-site measurement and analysis. baseline assessments; detection of key species; rapid assessment of invasive species; population status and dynamics; monitoring of environmental effects of oil and gas activities; remediation and restoration; sampling design; data analysis and interpretation; community representation; species abundance, distribution and viability; and real-time on-site measurement and analysis. In addition to the literature review, consultation of professionals from academic, regulatory, and industrial backgrounds with expertise on these topics was conducted. While there was a consensus that the application of environmental genomics has advanced greatly in a short period of time with demonstrable benefit potential, there was acknowledgement that key aspects of best management practices are still lacking. Furthermore, while the majority of regulators interviewed were aware to varying degrees of the methodological limitations which restrict the present use of environmental genomics in regulatory affairs, it transpired that there is considerable appetite and capacity amongst the regulatory community to engage in collaborative research initiatives with the oil and gas industry and academia. Through these academic, regulatory, and industrial consultation, specific environmental genomics study areas and applications requiring further development and refinement were identified. These include: methodological standardization, persistence and dispersal of eDNA; eDNA data integration with various other data types; improvement of reference databases; and refinement of molecular indices. methodological standardization, persistence and dispersal of eDNA; eDNA data integration with various other data types; improvement of reference databases; and refinement of molecular indices. Based on the above and considering the most efficient path to greater regulatory uptake for environmental genomic approaches for the oil and gas industry, the JIP’s recommendation is to pursue a Common-Garden Experiment. Such experiment should seek the involvement and ultimately endorsement from the Regulators marking the path towards wider regulatory acceptance and uptake of eDNA-based approaches.

Evaluating experts may serve psychological needs: Self-esteem, bias blind spot, and processing fluency explain confirmation effect in assessing financial advisors' authority.

When making financial decisions, people often use recommendations from professional advisors. However, before doing so, they must first recognize whether the experts to whom they turn for advice are competent and trustworthy. In the present article, we show that decision-makers ascribe greater authority to those financial advisors whose recommendations confirm their own opinions. We document that this confirmation effect in perceiving financial experts' authority holds for two financial products (investment accounts and health savings accounts) and three different cultures (United States, Poland, and the United Kingdom). Most importantly, we found that the effect might be due to three distinct psychological mechanisms: self-esteem, bias blind spot, and processing fluency. The results presented in this project indicate that receiving financial advice consistent with one's own beliefs (compared to advice inconsistent with those beliefs) is related to higher evaluations of one's own competence in finances, higher self-esteem, and perceiving advisors as less biased and with better processing fluency, which in turn lead to ascribing greater epistemic authority to financial experts. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Managing global property portfolios, transactions and teams : A primer for corporate real estate executives — Part 3: Assembling and managing in-market teams

Part 3 in this series of papers begins with a self-assessment exercise in which the reader is invited to recognise how his or her planned on-site or remote involvement (and level of authority) can dramatically affect the selection, organisation and management of the team working on an in-market project. There is then consideration of scheduling and team management, as well as effective collaborations with chosen multinational and in-market legal and professional advisers.