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The aim of this paper is to present a case of a cesarean section ectopic pregnancy (CSP) diagnosed in the second trimester and perform a literature review of current guidelines for the management of CSP in the second trimester. This was exempt from the Mount Sinai IRB. This is a case is of a 35-year-old P1122 at 13w4d who presented to our hospital with vaginal spotting and abdominal pain. The patient was found to have a cesarean section ectopic pregnancy with placenta increta. There are no management guidelines for second trimester CSP, and the published material is minimal. A literature review was completed and demonstrated two cases and one case series published on management of existing literature on management of second trimester CSP. Our patient underwent an uncomplicated total laparoscopic hysterectomy with bilateral salpingectomy, bilateral ureterolysis, and cystoscopy. She had an uncomplicated postoperative course and was discharged on postoperative day three with an unremarkable recovery at her two-week postoperative visit.

Based on social cognitive career theory (SCCT) this study explored the barriers to females choosing STEM disciplines at post-primary level. The study firstly explored national data from all secondary schools in Ireland, to compare subject uptake at the leaving certificate cycle and discipline uptake at third level. Secondly, a focus group was conducted with students in first, third and sixth year at one of Ireland’s top ranked post primary all-female schools to gain insights into subject availability, influencing factors and decision making for subject and discipline choices.The findings show that, some of the factors from the SCCT model have greater influence on the decision making of females to pursue a STEM related discipline at third level. Examining gender disparity under one theme labelled STEM may be skewing the reality of STEM subject uptake among genders. Nationally, females are strongly represented in the science disciplines, out representing males in science and health. Females are significantly underrepresented in technology, engineering, and technology-related design fields. Many aren’t exposed to, encouraged, or informed about these subjects in secondary school. Students’ career choices are mainly influenced by STEM subject availability at second level, career guidance, access to work placements and experience, along with social persuasion from, family, friends, and role models. Some of these sources of persuasion and influence were found to be at risk from bias and perceptions around status. The combination of these barriers in turn contributed to low self-efficacy, negative perceptions, and low interest amongst some females towards some STEM subjects.

Design education has moved towards a collaborative practice where designers work in teams and with other disciplines to solve unstructured problems. Along with the cognitive skills involved in the execution of the design process, designers also need skills to work in teams, share information, negotiate common ground and reach consensus. Conversation is core to establishing successful collaborations and learning for students. In order to assess and facilitate collaboration skills, it will become necessary to understand what constitutes constructive and effective dialogue amongst students. The aim of this research is to compare expert versus novice interdisciplinary teams to understand how to better support teams to engage in constructive dialogue during educational design projects. Two cases were studied across different design domains during the problem definition, ideation and concept development phases of the design process. The cases involved a bio-medical fellowship project and an undergraduate product design project. The teams’ conversations were recorded and qualitative content analysis was applied to reveal the cognitive processing and conversation activity that enabled the teams to progress during team collaborations. The findings show that during team interactions design teams alternate between four main cognitive processes, supported by a further six conversation activities to execute the design task. Experts were found to use these cognitive processes and conversation activities more effectively than novices. Recommendations are proposed that can guide design educators to support students during team interactions when solving design problems. The findings have implications for how team work is facilitated and assessed in education.

Purpose The purpose of this paper is to explore the conversation activities of design teams to negotiate task conflict and reach consensus. Design/methodology/approach Four case studies were conducted to analyse the conversation activities that teams use in the course of design projects. Findings The conversation activities that teams used to negotiate conflict and bring about consensus were identified. These conversation activities are associated with collaboration, communication and social skills enabling teams to engage in the high level of information exchange and negotiation that is required to manage task conflict. How they were used to negotiate conflict and help reach consensus is also discussed. Research limitations/implications The findings from this research are based on a small number of participants; hence, it cannot be generalised without further study with larger groups. However, the questions this paper has raised can be generalised to other design tasks and groups. Practical implications The findings have implications for the management of design teams and teams working on complex unstructured problems both in industry and education. They highlight how conflict can be constructively managed to bring about consensus that integrates the knowledge and perspective of all team members. Originality/value The benefits of task conflict have been disputed in the literature. This research has identified the conversation activities that facilitate the constructive management of task conflict to bring about consensus that integrates the perspectives and knowledge of a team.

The aim of this research is to report the finding from the perspective of the Healthcare Professionals and the adolescents and young adults (AYA's) to identify issues and barriers to a successful transition for adolescents with Juvenile Idiopathic Arthritis (JIA) as they move from Paediatric Healthcare setting to Adult Healthcare. Healthcare services that fail to adequately meet the needs of young people and their families at this time of considerable change may result in a decline in their health status that can have a negative long-term impact. Through a user-centered research design (UCD) and Universal Design, the needs of all participants and stakeholders will be assessed. This paper applies the most appropriate proposed methods for the development of a solution to mitigate against some of the issues in tangent with the needs and feedback identified during the research process.

Design driven innovation has a product focus, whilst design strategy is applied to the broader business context. Both approaches are embedded in a similar theoretical basis, which is derived from the innovation process of divergent/convergent thinking. The research question is how do the processes differ in application and implementation? The purpose of this research is to understand the nuances of approach in the processes which determine the various outcomes. The methodological approach was research through design, engaging with four SME owner/managers; two through facilitated design driven innovation with a product focus the other two through facilitated strategic design focusing on the broader business context for innovation opportunities. The data was collected through design workshops and analysis was carried out through visual mapping. The findings indicate emphasis on different tools in the early research phase of the process determine specific outcomes. User focus shifts to the interplay of broader stakeholder needs in strategic design for business as opposed to end user focus in product innovation. Assessment of stakeholder needs in traditional business mentoring has a focus on return of investment whereas the design approach extends to analyze the business ecosystem, interconnectedness, human drivers, and motivations including the owner/manager's vision, aspirations, and capabilities. The findings indicate that these human insights play a significant role in the viability of innovation. The implications are that many designers are attuned to beginning with the end user focus but in strategic design for business innovation we do not necessarily know who those end user groups are. The process is open to identifying many possible innovative routes for growth which may involve entirely new user groups or a new business model. These findings may assist designers in developing appropriate toolkits and methods of delivery and assist owner/managers in understanding and accessing these processes.

The two most detailed characters, [Jessica] and Coco, are, for all intents and purposes, sisters-in-law: Coco falls in love with Jessica's younger brother, Cesar, and they begin a long, stormy relationship that produces two children. The two women become friends.

Like Louisiana-born songwriter Lucinda Williams, [MARY KARR] possesses an idiosyncratic command of language that allows her to translate the particular, the awful -- parents removing bloodied sheets from the bed where their son committed suicide (Williams), a 7-year-old girl washing herself off at a spigot after being raped (Karr) -- into the poetic. Out of concrete and barbed wire, Karr makes music.

Last fall's annual meeting of the North Lawndale Employment Network celebrated the achievements of the two workers in its Sweet Beginnings program, which trains ex-offenders for the workplace by teaching them how to care for bees and make products from honey. Whitehead continued to work part time for the business, Magazine said, cleaning stores and doing other odd jobs, but he twice failed to show up for work or call to explain his absence.

What is remarkable about shopgoodwill.com, where Goodwill will auction items of special interest, is not just that it might turn Goodwill into the eBay of thrift stores. It could forever alter the wonderful, unpredictable experience of visiting an actual Goodwill emporium.