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Open Access
Article
Publication date: 28 November 2019

Matthew Joseph Reed, Sean Comeau, Todd R. Wojtanowicz, Bharat Reddy Sampathi, Sofia Penev and Robert Bota

Since the development of antipsychotic drugs in the 1950s, a variety of studies and case reports have been published that suggest an association between exposure to typical…

1317

Abstract

Purpose

Since the development of antipsychotic drugs in the 1950s, a variety of studies and case reports have been published that suggest an association between exposure to typical antipsychotics and venous thromboembolisms (VTE). Therefore, when starting treatment with antipsychotics, especially low-potency typical antipsychotics and clozapine, health-care providers must account for the patient’s existing VTE risk factors.

Design/methodology/approach

In this case report, the authors describe the development of a pulmonary embolism associated with use of chlorpromazine in the treatment of an acute manic episode in a 51-year-old female patient with bipolar disorder type 1.

Findings

The patient was brought to the emergency room by the police on a legal hold for bizarre behaviors at a bus stop, which included incessantly yelling at bystanders. The patient was found to have disorganized thoughts, poor sleep, rapid speech, labile mood, distractibility, auditory hallucinations and grandiose delusions. During the course of her stay, the patient received extensive IM chlorpromazine for extreme agitation, in addition to chlorpromazine 200 mg IM Q8H, which was later decreased to chlorpromazine 100 mg chlorpromazine IM/PO Q8H. On day 4 of the treatment, the patient experienced difficulty breathing, hypoxia and tachycardia and was found to have bilateral expiratory wheezes. CT angiography showed sub-segmental pulmonary embolus and the patient was transferred to MICU service. The patient was then intubated and started on heparin by the medical team. Over the course of the next day, her respiratory distress resolved and the patient was extubated.

Originality/value

It is possible that chlorpromazine may indeed increase VTEs, and there are various physiological postulations regarding the mechanism of action. However, multiple confounding variables existed in the authors’ report, including venous stasis and the use of restraints, tobacco and valproic acid. Each of these variables has been shown to increase VTE occurrence. Further controlled studies are necessary to identify the true relationship between antipsychotics and VTEs.

Details

Mental Illness, vol. 11 no. 2
Type: Research Article
ISSN: 2036-7465

Keywords

Article
Publication date: 1 February 1986

Jon Drabenstott

Automation planners need to view retrospective conversion from an informed and balanced perspective. They must consider: 1) the technical dimensions of retrospective conversion…

Abstract

Automation planners need to view retrospective conversion from an informed and balanced perspective. They must consider: 1) the technical dimensions of retrospective conversion, 2) the appropriate standards to employ, 3) the proper relationship of conversion activities to the entire automation project, and 4) options available for converting a bibliographic database into machine‐readable format. Six prominent consultants provide important advice on this topic.

Details

Library Hi Tech, vol. 4 no. 2
Type: Research Article
ISSN: 0737-8831

Book part
Publication date: 13 August 2018

Robert L. Dipboye

Abstract

Details

The Emerald Review of Industrial and Organizational Psychology
Type: Book
ISBN: 978-1-78743-786-9

Article
Publication date: 6 April 2012

Bruno Dyck, Frederick A. Starke and Jade B. Weimer

The purpose of this paper is to describe the role of management in first century Palestine, and point to implications this has for subsequent management scholarship, especially…

Abstract

Purpose

The purpose of this paper is to describe the role of management in first century Palestine, and point to implications this has for subsequent management scholarship, especially Weber's widely accepted argument that contemporary management theory and practice is grounded in a Judeo‐Christian ethic.

Design/methodology/approach

The literature on the role and activities of managers in first century Palestine is reviewed and used to evaluate management scholarship that draws on biblical writings from this era.

Findings

Managers played an increasingly important role in all aspects of social life in first century Palestine, and functioned as go‐betweens amongst households that were embedded in a web of patron‐client relationships. Based on analysis the paper contends that it seems unlikely that the core features of the Protestant Ethic would have been a prominent part of the Judeo‐Christian ethic in first century Palestine. The paper's contention is consistent with the observation that in first century Palestine, the hallmarks of the Protestant Ethic – such as “calling,” “rationalization” and “spiritual (vs political) salvation” – would have been welcomed by the social elite but would have been perceived as a threat by the poor, whereas the historical record indicates that first century exemplars of the Judeo‐Christian ethic were instead welcomed by the poor and perceived as a threat by the elite.

Research limitations/implications

The paper questions whether the hallmarks of the Protestant Ethic as described by Weber represent a plausible interpretation of the biblical record. The paper also provides a basis for challenging common assumptions in the literature that contemporary management theory is based on a biblical Judeo‐Christian ethic.

Practical implications

This paper may facilitate a more accurate interpretation of historical texts as they relate to management, and inform the study and development of alternative ways of managing.

Originality/value

The research described here provides a foundation for examining aspects of Weber's widely accepted thesis, as well as the writings of modern scholars.

Abstract

Details

Business and Management Doctorates World-Wide: Developing the Next Generation
Type: Book
ISBN: 978-1-78973-500-0

Article
Publication date: 1 March 1994

Richard A. Gray

In his apocalyptic book on the environment and public policy, Timothy C. Weiskel warned of the consequences of humanity's intrusion into the biological and geo‐chemical processes…

Abstract

In his apocalyptic book on the environment and public policy, Timothy C. Weiskel warned of the consequences of humanity's intrusion into the biological and geo‐chemical processes of the natural world. He said that our intrusions have been massive and thorough; that they now threaten to transform ecosystemic parameters; and that unless responsible public policy directs itself toward moderating our current destructive impact on the environment, we will face ecosystemic collapse and human catastrophe “on a vastly greater scale than has ever been recorded in human history.”

Details

Reference Services Review, vol. 22 no. 3
Type: Research Article
ISSN: 0090-7324

Article
Publication date: 1 March 1974

Tom Schultheiss, Lorraine Hartline, Jean Mandeberg, Pam Petrich and Sue Stern

The following classified, annotated list of titles is intended to provide reference librarians with a current checklist of new reference books, and is designed to supplement the…

Abstract

The following classified, annotated list of titles is intended to provide reference librarians with a current checklist of new reference books, and is designed to supplement the RSR review column, “Recent Reference Books,” by Frances Neel Cheney. “Reference Books in Print” includes all additional books received prior to the inclusion deadline established for this issue. Appearance in this column does not preclude a later review in RSR. Publishers are urged to send a copy of all new reference books directly to RSR as soon as published, for immediate listing in “Reference Books in Print.” Reference books with imprints older than two years will not be included (with the exception of current reprints or older books newly acquired for distribution by another publisher). The column shall also occasionally include library science or other library related publications of other than a reference character.

Details

Reference Services Review, vol. 2 no. 3
Type: Research Article
ISSN: 0090-7324

Content available
Book part
Publication date: 6 November 2020

Cheryl K. Crawley

Abstract

Details

Native American Bilingual Education
Type: Book
ISBN: 978-1-83909-477-4

Article
Publication date: 1 February 1974

Frances Neel Cheney

Communications regarding this column should be addressed to Mrs. Cheney, Peabody Library School, Nashville, Term. 37203. Mrs. Cheney does not sell the books listed here. They are…

Abstract

Communications regarding this column should be addressed to Mrs. Cheney, Peabody Library School, Nashville, Term. 37203. Mrs. Cheney does not sell the books listed here. They are available through normal trade sources. Mrs. Cheney, being a member of the editorial board of Pierian Press, will not review Pierian Press reference books in this column. Descriptions of Pierian Press reference books will be included elsewhere in this publication.

Details

Reference Services Review, vol. 2 no. 2
Type: Research Article
ISSN: 0090-7324

Article
Publication date: 22 March 2010

Pamela Inglis and Colin Dale

This paper describes the ideas related to forensic practice with people with learning disabilities through a study that explores the apparent ‘truths’ about people with learning…

Abstract

This paper describes the ideas related to forensic practice with people with learning disabilities through a study that explores the apparent ‘truths’ about people with learning disabilities who are detained in forensic settings (referred to here as ‘the men’) and the staff who work with them by an analysis the dialogue contained in retrospective data from interviews and focus groups.The men in these settings are subject to intense stigma and disadvantage; socially and legally. Not only are they categorised as having a learning disability, but also have the added stigma of being offenders, and commonly having mental health issues that expose them to the worst of myths surrounding learning disability; such as the possibility of being viewed as ‘dangerous monsters and sex fiends’ (French & Swain, 2008). Similarly, but to a lesser degree, forensic nurses are stigmatised and subject to strict laws, policies and practices and stereotyped as prison wardens and ‘tough guys’. These ideas may be exposed and challenged through studying the discourses in the dialogue. Therefore, the general research questions included the following.• What are the discourses related to learning disability and forensic practice?• What ideologies underpin and justify forensic practice?This paper is primarily concerned with the way that the staff and the men experience the medium secure unit (MSU) and their views as to the advantages and disadvantages of secure care.The findings generally suggest that the men and the staff are very positive about their lives.They report that the men have many attributes and talents, and view having a learning disability as an advantage at times; the staff enjoy their work and have good relationships with the men. Paradoxically1, there are also negative discourses identified, some of which permeate from macro ideologies into policy and practice to justify the men's treatment in the MSU.The analysis showed that despite the certainty that many feel about the justifications for holding men with learning disabilities in secure settings, many paradoxes exist in the discourses in this setting, which question the validity of official knowledge in this area ‐ this is essentially a Foucauldian idea (Foucault, 1975). Foucault's ideas on the way that knowledge and practice may be challenged are important to this paper.

Details

Journal of Learning Disabilities and Offending Behaviour, vol. 1 no. 1
Type: Research Article
ISSN: 2042-0927

Keywords

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