9 research outputs found
Pancreatic cancer masquerading as ischemic enteritis on endoscopy
Abstract Pancreatic tumors usually produce painless jaundice. Other associated symptoms may be secondary, from a direct extension of the tumor, resulting in bowel obstruction. It is extremely rare that pancreatic malignancy presents with ischemic enteritis by invasion of the major arteries, and no report has documented it endoscopically. We present a rare case of pancreatic adenocarcinoma masquerading as ischemic enteritis diagnosed on enteroscopy and endoscopic ultrasound. An initial computed tomography (CT) scan performed in another hospital showed long segmental wall thickening involving the third part of the duodenum to the proximal segment of the jejunum. The patient was referred to our institution for enteroscopy, which showed a poorly distensible third part of the duodenum with purplish mucosa starting at the fourth part of the duodenum until the proximal jejunum. With suspicion of ischemic enteritis, a mesenteric CT angiography was performed, which showed a long segment circumferential wall thickening of the duodenum to jejunum with fullness of the pancreatic head and uncinate process that encases the superior mesenteric artery. Endoscopic ultrasound (EUS) showed a hypoechoic lesion at the head of the pancreas. EUSâguided fineâneedle biopsy was performed, which revealed pancreatic adenocarcinoma on histopathology
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Ammattiosaamisen nÀytöt yrityksen ja ammattiopiston yhteistyössÀ
OpinnÀytetyön aiheena oli selvittÀÀ, miten ammattiosaamisen nÀytöt toimivat paikallisen osuuskaupan ja ammattiopiston yhteistyössÀ koskien ravintolan salipuolen tarjoilijoita. Ammattiosaamisen nÀytöt ovat olleet kÀytössÀ työssÀoppijoiden arvioinnissa viisi vuotta. Tavoitteena oli saada tietoa nÀyttöjen hyödyistÀ työantajanÀkökulmasta katsottuna sekÀ löytÀÀ mahdollisia kehittÀmiskohteita.
OpinnÀytetyön teoreettisessa osassa selvennettiin työssÀoppimisen ja ammattiosaamisen nÀytön kÀsitteitÀ, mikÀ on niiden merkitys ammattikoulutuksessa ja toisaalta niiden merkitys työelÀmÀlle. LisÀksi selvitettiin yritysten rekrytointikÀytÀntöjÀ ja sitÀ, mitÀ on työelÀmÀn ja oppilaitosten yhteistyö.
Tutkimuksen empiirisessÀ osassa kÀytettiin puolistrukturoitua teemahaastattelua. Haastateltavat olivat paikallisen osuuskaupan ravintoloiden esimiehiÀ, ja haastattelut tehtiin kuudelle henkilölle. Haastattelut nauhoitettiin ja litteroitiin sanasta sanaan tietokoneelle jatkoanalyysia varten.
Tutkimuksen tuloksena vahvistui se, ettÀ ammattiosaamisen nÀytöt ovat kaikille selkeÀ asia ja niistÀ on hyötyÀ sekÀ työnantajalle ettÀ opiskelijalle. Yhteistyö osuuskaupan ja ammattiopiton kanssa toimii hyvin, eivÀtkÀ nÀyttötilanteet ole aiheuttaneet suurempia ongelmia. Ainoastaan työssÀoppijan osaamisen arviointi koetaan hankalana nykyisellÀ asteikolla.
Alan ammattiopistotasoista koulutusta tarvitaan edelleen Joensuun alueella, ja tutkimuksen mukaan sitÀ pitÀisi jopa lisÀtÀ. Koulutetun työvoiman puute ei vielÀ ole maakunnassa suuri ongelma verrattuna pÀÀkaupunkiseutuun, mutta uhkakuvia on jo nyt havaittavissa. TÀhÀn tulisi yhteistyökumppaneiden kiinnittÀÀ huomiota, jotta jatkossa Joensuun alueella koulutetaan riittÀvÀsti työvoimaa alalle.The purpose of the thesis was to find out how the collaboration between a company and vocational college works concerning vocational skills demonstrations of restaurant waiters. In addition, the task was to examine if there is any benefit of skills demonstrations for the company, and how to develop co-operation. Partners for the study are a local hotel and restaurant company and a local vocational college.
The information was gathered from literature, journals, the Internet and by interviewing. In the theoretical part of the study the main issue was to explain what on-the-job learning is and what vocational skills demonstrations are, and what their consequence is for vocational education and for work life. Also how companies carry out their recruitment was clarified.
Data for this study were collected by interviewing six supervisors in partner restaurants. The results of the study show that vocational skills demonstrations are perceived well without any complexities. Rather the results indicate more utilities for students, for the company and for the vocational school.
The final result of this thesis was that it is important to keep on vocational education in Joensuu and even to enhance it. Now the lack of trained waiters is a fact in southern Finland. A vision is that it will be a threat also in eastern Finland in the future. To ensure professional labour for hotel and restaurant business, companies support for vocational education is essential