In this study, the authors tested the comprehensiveness of the S. H. Schwartz (1992) value model as a conceptual framework for assessing supplementary person-organization fit. They conducted an extensive literature search in which they identified 42 value instruments or typologies that are used to measure life, work, or organizational values. Experts judged whether each of 1,578 items from these 42 instruments could be regarded as an indicator of 1 of the 10 value types identified by S. H. Schwartz (1992). The authors found that (a) 92.5% of the items could be classified into 1 of the 10 value types and (b) the remaining items suggested 2 possible new types (goal orientedness and relations). The authors also found indications that 2 value types could be split to obtain a more univocal meaning. Overall, these findings suggest that the S. H. Schwartz (1992) value model might be an appropriate comprehensive framework for studying supplementary person-organization fit.
Objective: Rare disease Background: Appendicitis is the most common cause of an acute abdomen. Approximately 1% of appendicectomies will have an incidental finding of an appendiceal neoplasm. A primary appendiceal lymphoma is extremely rare, and is found in 0.015% of all appendiceal specimens. Burkitt lymphoma is an aggressive B cell lymphoma characterized by translocation and dysregulation of the c-Myc gene. Burkitt leukemia is considered to be an alternative manifestation of the same pathology, and is defined by the presence of >25% Burkitt blasts within the bone marrow. The treatment approaches for Burkitt leukemia/lymphoma are similar. Case Report: A 6-year old girl presented with a history, examination, and radiological imaging consistent with acute appendicitis. An inflamed, edematous appendix was identified intraoperatively, and a cecectomy was performed. Histopathological investigations demonstrated Burkitt leukemia with isolated extra-nodal involvement of the appendix. The patient was subsequently started on a multi-agent steroid and chemotherapy regimen. A literature review was performed, identifying cases of Burkitt leukemia/lymphoma presenting as appendicitis. Conclusions: This case highlights the importance of clinical vigilance and routine specimen histopathology review, and explores key management considerations associated with the incidental diagnosis of Burkitt leukemia/lymphoma.
HighlightsSplenic rupture is a rare complication of community acquired pneumonia.Clinician vigilance is required to prevent subsequent morbidity and mortality.Post-operative follow-up must address the potential sequelae of asplenia.This research did not receive any specific funding and the authors declare no conflicting interests.
The acute abdominal compartment syndrome (ACS) is most often treated with surgical abdominal decompression. After the acute phase, primary closure of the abdominal wall may not be possible, due to tissue loss and retraction of the abdominal wall and its musculofascial components. This article gives an update of the reconstructive ladder for abdominal wall defects. Because of improved intensive care treatment and wound dressing, reconstruction can usually be delayed until infection and oedema have settled. Recent developments in bioprosthetics and new surgical techniques like component separation make better results with less donor site morbidity possible. However, there is still a place for local and distant flaps.
A 52-year-old man presented to the emergency department a few hours post gastroscopy with biopsies of the second part of the duodenum (D2) and colonoscopy with severe acute abdominal pain. On examination he had peri-umbilical tenderness. Subsequent laboratory and biochemical investigations revealed acute pancreatitis. The patient went on to develop complications of acute pancreatitis including bilateral pleural effusions and ascites. He was managed conservatively and was discharged home on day 16 of admission with a plan for elective laparoscopic cholecystectomy in the future.
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