7 research outputs found
Cooperative learning and teamwork effectiveness: impacts of education period on cadets
The maritime industry is a multinational industry where participants of several languages and cultures operate in a global teamwork environment. Seafarers' operating procedures are totally based on a teamwork infrastructure and climate. By the introduction of Safety Management Systems, shore-based human resources are also included in the wider system of the maritime teamwork of the company where information and communication technologies have accelerated this integration. Goals and tasks for the team, team composition, team-player styles, phases of learn development, communication and interpersonal skills, decision making, leadership, and evaluation of team performance are the key elements in developing the structure of the teamwork based systems
Delusional parasitosis with hyperthyroidism in an elderly woman: a case report.
Introduction: Delusional parasitosis is a rare, monosymptomatic psychosis involving a delusion of being infested
with parasites. It is commonly observed among female patients over the age of 50. It is classified as a ‘delusional
disorder’ according to the 10th revision of the International Classification of Diseases and as a ‘delusional disorder -
somatic type’ according to the Diagnostic and Statistical Manual, Fourth Edition. Delusional parasitosis was reported
to be associated with physical disorders such as hypoparathyroidism, Huntington’s chorea and Alzheimer’s disease,
among others. Other than vitamin deficiencies however, a causal relationship has not to date been identified. We
present this case due to the rarity of Turkish patients with this condition, its duration of follow-up, and its temporal
pattern of symptoms paralleling thyroid function tests.
Case presentation: Our patient was a 70-year-old white Anatolian Turkish woman with primary school education
who had been living alone for the past five years. She presented to our psychiatry department complaining of
‘feeling large worms moving in her body’. The complaints started after she was diagnosed with hyperthyroidism,
increased when she did not use her thyroid medications and remitted when she was compliant with treatment.
She was treated with pimozide 2mg/day for 20 months and followed-up without any antipsychotic treatment for
an additional nine months. At her last examination, she was euthyroid, not receiving antipsychotics and was not
having any delusions.
Conclusion: Although endocrine disorders, including hyperthyroidism, are listed among the etiological factors
contributing to secondary delusional parasitosis, as far as we are aware this is the first case demonstrating a
temporal pattern of thyroid hyperfunction and delusions through a protracted period of follow-up. It may be that
the treatment of delusional parasitosis depends on clarifying the etiology and that atypical antipsychotics may help
in the management of primary delusional parasitosis. Further studies on the relationship between thyroid
hormones and dopaminergic neurotransmission may be warranted
Advanced production routes for metal matrix composites
The use of metal matrix composites (MMCs) in a variety of products is significantly increasing with time due to the fact that their properties can be tailored and designed to suit specific applications. However, the future usage of MMC products is very much dependent on their beneficial aspects and hence it is critical to ensure in a robust repeatable manner the superior physical property advantages compared to conventional unreinforced monolithic metal counterparts. Although numerous routes are available for production of MMC products, each of them has their own advantages and disadvantages. This article provides an overview of advanced production routes for MMCs. The discussion also highlights challenges and presents a future prospectus for MMCs. Powder metallurgy and casting routes are still extensively used for production of MMCs. Aluminum alloys are today the most commonly used matrix materials in MMC products. Carbides (eg, SiC, TiC, and B4C), carbon allotropes (eg, CNTs and graphene), and alumina (Al2O3) are currently the most used reinforcement materials. Nevertheless, the use of nano and of hybrid reinforcements are seeing increased usage in niche applications. Additive manufacturing (AM) is discussed as a novel production route for MMC products. This process represents a promising method for the production of MMC products