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Aparna Singh and Mitushi Singh
This case can facilitate students to develop a deeper understanding of the social mission-based business enterprises, startups, solopreneurship, one-man companies, women-led…
Abstract
Subject area
This case can facilitate students to develop a deeper understanding of the social mission-based business enterprises, startups, solopreneurship, one-man companies, women-led businesses, benefits and challenges associated with service innovation and design thinking, along with the competitive forces and funding problems in scaling up a social enterprise. It can be used for the BBA, MBA or Executive MBA programs for courses on entrepreneurship, social entrepreneurship, design thinking, business strategy and service innovation.
Applicability/study level
This case is suitable for both the undergraduate or graduate-level programs in the area of entrepreneurship, innovation and startup management.
Case overview
Dr Anita Sharma was a solopreneur who started a car driving school in Amritsar, Punjab, deploying specially designed, retrofitted cars to train People with Disabilities (PwDs). She demonstrated exceptional prowess in defying the social taboos and popular stigmas associated with PwDs by establishing “Drive On My Own” (DOMO) as an innovative project, a first-of-its-kind car-driving training school in India to provide an accessible car-drive learning experience to PwDs. She ignored the extreme sensitivity displayed in the social behavior of people around her, who were either were too sensitive for the PwDs by treating them as Person with Special Abilities (PwSAs) or were completely insensitive toward them or their problems thinking that their disabilities are their misfortunes. This continuum of insensitive to overprotective societal attitudes and lack of infrastructure concerning travel for PwSAs made this service innovation possible by design thinking. This entrepreneurial initiative enabled solo as well as group travel and tours possible for PwDs, by bringing in new inclusive modes of communication and solutions for self-mobility. It has also paved a path for social inclusiveness and livelihood sustainability by bringing positive change in the lives of PwDs and their family members. Moreover, a new design implementation is in her plans, as she wants to redesign these cars further to be accessible for people using wheelchairs too. The potential growth of this solopreneur’s social enterprise calls for scaling up the business, but it may also attract competition as the existing big tech-travel automobile companies may enter this domain soon with their driver-less or self-drive cars. Considering all these factors, Dr Anita Sharma faced multiple dilemmas: Can she formalize her project? What can be the type of business she can proceed with? How can she sustain and scale up her women-led project, better qualifying as a PwD-led social enterprise? How can she resolve the challenges related to the design implementation, funding the project and facing competition while scaling up DOMO as her social and service innovation?
Expected learning outcomes
Thus, this case study enables the application of concepts and theories of business enterprise, business funding, service innovation and design thinking. It also helps recognize and understand the challenges related to social entrepreneurship.
Subject code
CSS: 3 Entrepreneurship.
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Hannah Muniz Castro, John Alvarez, Robert G. Bota, Marc Yonkers and Jeremiah Tao
Attempted and completed self-enucleation, or removal of one's own eyes, is a rare but devastating form of self-mutilation behavior. It is often associated with psychiatric…
Abstract
Attempted and completed self-enucleation, or removal of one's own eyes, is a rare but devastating form of self-mutilation behavior. It is often associated with psychiatric disorders, particularly schizophrenia, substance induced psychosis, and bipolar disorder. We report a case of a patient with a history of bipolar disorder who gouged his eyes bilaterally as an attempt to self-enucleate himself. On presentation, the patient was manic with both psychotic features of hyperreligous delusions and command auditory hallucinations of God telling him to take his eyes out. On presentation, the patient had no light perception vision in both eyes and his exam displayed severe proptosis, extensive conjunctival lacerations, and visibly avulsed extraocular muscles on the right side. An emergency computed tomography scan of the orbits revealed small and irregular globes, air within the orbits, and intraocular hemorrhage. He was taken to the operating room for surgical repair of his injuries. Attempted and completed self-enucleation is most commonly associated with schizophrenia and substance induced psychosis, but can also present in patients with bipolar disorder. Other less commonly associated disorders include obsessive-compulsive disorder, depression, mental retardation, neurosyphilis, Lesch-Nyhan syndrome, and structural brain lesions.
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Teresa Di Filippo, Lucia Parisi and Michele Roccella
Impairment of intelligence in Duchenne muscular dystrophy (DMD) patients was described by Duchenne de Boulogne himself in 1868. Further studies report intelligence disorders with…
Abstract
Impairment of intelligence in Duchenne muscular dystrophy (DMD) patients was described by Duchenne de Boulogne himself in 1868. Further studies report intelligence disorders with mayor impairment of memory. The aim of the present study was to assess the presence of affective and personality disorders in a group of children affected by DMD. Twenty six male DMD patients, mean age eleven and four months years old, were assessed for their affective and personality disorder. Only eight subjects had a total IQ below average with major difficulties in verbal and visual-spatial memory, comprehension, arithmetic and vocabulary. All the subjects presented some disorders: tendency to marginalization and isolation, self-depreciation, sense of insecurity, hypochondriac thoughts and marked state of anxiety. These disorders are often a dynamic prolongation of a psychological process which starts when the diagnosis is made and continues, in a slow and latent fashion, throughout the evolution of the disease.
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Olawale O. Ogunsemi, Francis A. Oluwole, Festus Abasiubong, Adebayo R. Erinfolami, Olufemi E. Amoran, Adekunle J. Ariba, Christopher O. Alebiosu and Michael O. Olatawura
Mental disorders lead to difficulties in social, occupational and marital relations. Failure to detect mental disorder denies patients potentially effective treatment. This study…
Abstract
Mental disorders lead to difficulties in social, occupational and marital relations. Failure to detect mental disorder denies patients potentially effective treatment. This study aimed to assess the prevalence and nature of mental disorders at the primary care settings and the recognition of these disorders by the attending physicians. Over a period of eight weeks, consecutive and consenting patients who attended three randomly selected primary health care facilities in Sagamu Local Government Area of Ogun state were recruited and administered a questionnaire that included a socio-demographic section and Patient Health Questionnaire (PHQ). A total of 412 subjects took part in the study. Subject age ranged from 18-90 years with a mean age of 52.50±21.08 years. One hundred and seventy-six (42.7%) of the subjects were males. A total of 120 (29.1%) of the subjects had depressive disorder, 100 (24.3%) had anxiety disorder, 196 (47.6%) somatoform disorder and 104 (25.2%) met the criteria for an alcohol related problem. The PHC physicians were only able to diagnose disorders relating to mental health in 52 (12.6%) of the subjects. Health and work situations accounted for more than three-quarters of the causes of stress experienced by the subjects. We conclude that there is a high prevalence of mental disorders among patients seen in primary care settings and that a significant proportion of them are not recognized by the primary care physicians. Stress relating to health, work and financial problems is common among primary health care attendees. Physicians in primary health care should be alert to the possibility and the impact of undetected psychiatric morbidity.
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George Giannakopoulos, Haris Assimopoulos, Dimitra Petanidou, Chara Tzavara, Gerasimos Kolaitis and John Tsiantis
High school students are a common target group in initiatives addressing discriminatory attitudes towards people with mental illness. However, these initiatives are rarely…
Abstract
High school students are a common target group in initiatives addressing discriminatory attitudes towards people with mental illness. However, these initiatives are rarely evaluated and documented. The aim of our paper is to evaluate the effectiveness of a school-based educational intervention for improving adolescents' attitudes and reducing the desire for social distance from people with mental illness living in their community. A total of 161 students aged 16-18 years old were questioned at baseline assessment and 86 of them received a three-workshop educational intervention while 75 students comprised the control group. A follow-up assessment 1 month post intervention evaluated its impact. Attitudes and the social distance were assessed through the Community Attitudes towards the Mentally Ill scale and a 10-statement questionnaire based on the Self-report Inventory of Fear and Behavioural Intentions, respectively. Data from 140 subjects were analyzed. All attitude dimensions and half of the measured social distance statements were significantly improved in the intervention group at follow up assessment compared to controls. However, the statements measuring more intimate types of social relationships did not change significantly post intervention. In conclusion, short educational interventions can be effective to some extent in reducing discriminatory attitudes towards people with mental illness. However, effective interventions to address deeply held negative stereotypes will require further research.
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Both youngsters and adults with same-sex attraction are at greater risk for negative health outcomes. Despite mounting efforts to determine the biological background, a…
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Both youngsters and adults with same-sex attraction are at greater risk for negative health outcomes. Despite mounting efforts to determine the biological background, a satisfactory conclusion has not been reached and there is a need to explore alternate factors like functioning of thyroid system during pregnancy. A retrospective chart review was undertaken of 790 eligible children and adolescents who had been admitted to child psychiatry between 2005 and 2013. This population consisted of 520 (65%) males and 270 (35%) females, aged 8 to 17 years. Fifteen mothers (1.8%) were found to have a history of thyroid dysfunction during pregnancy. Sixteen youngsters (2%) had a history of same-sex attraction. Twelve overlapping cases with both same-sex attraction and maternal thyroid dysfunction during pregnancy were identified, which was extremely significant (P<0.0001, by Fisher's exact test). The association was also significant for each sex (P<0.0001, by Fisher's exact test). There is evidence that thyroid gland plays a crucial and decisive role in determining sexual orientation in people. Maternal thyroid dysfunctions during pregnancy may result in homosexual orientation in the off-spring.
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Lucia Parisi, Teresa Di Filippo, Sabina La Grutta, Rosa Lo Baido, Maria Stella Epifanio, Maria Esposito, Marco Carotenuto and Michele Roccella
Sturge-Weber-Krabe syndrome (SWS), also known as encephalotrigeminalangiomatosis and named the forthfacomatosis, recall the names of the authors who first describedit in its basic…
Abstract
Sturge-Weber-Krabe syndrome (SWS), also known as encephalotrigeminalangiomatosis and named the forthfacomatosis, recall the names of the authors who first describedit in its basic clinical, radiological andanatomopathological aspects. We report here 14 cases of Sturge-Weber disease. In 6 of these, despite what had been previously described in literature, an extension of the angioma has been noted in other parts of the body. The study of these subjects stresses not only the need for a pharmacological/neuropsychomotor intervention, but alsothe need of a psychotherapeutic approach, for the emotional and affective implications thatcould derive from this syndrome. The reported cases are similar to those presented in literature for their main features. In particular, two elements are interesting: i) the exceptional diffusion of the red nevousto the whole hemicorpo; and ii) the evaluation of the way the patients live the disease, which has not beenpreviously considered in literature. We can conclude that SWS is a multisystem disorder that requires the neurologist to be aware of the possible endocrine, psychiatric, ophthalmological, and other medical issues that can arise and impact on the neurological status of the patients.
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