RESUMO
Introduction: schwannoma is a nerve sheath tumor originates from Schwann cells, with slow growth and usually benign. Spinal schwannomas almost arises from dorsal [sensory] root. C1 ventral root schwannomas which limited to the anterior part of medullospinal junction is extremely rare. These tumors may extend to foramen magnum and manifest as foramen magnum syndrome
Case History: this report is presented a 60-years old female with cervical and occipital pain, spastic quadriparesis and dissociative sensory loss. Cervical MRI demonstrated an extramedullary intradural tumor in anterior part of foramen magnum.C1-2 Posterior midline suboccipital laminectomy with spinal cord decompression was performed. After surgery, her symptoms improved. Histopathological evaluation revealed schwannoma
Symptoms of foramen magnum syndrome are various and Conclusion: nonspecific, so diagnosis requires a high suspicious in early stages, when tumor resection may lead to significant improvement of the patients
RESUMO
Background and Objective: conflicts among health care personnel including nursing personnel who require extensive interaction with different people, is common and almost inevitable. As there is not sufficient information about the causes, types, and dimensions of interpersonal conflicts among clinical nurses and the adverse effects of these conflicts on the function of nursing team in Iran, we aimed to perform this study in order to find out causes of different inter-group or inter personal conflicts among nurses using qualitative research method and Grounded Theory Approach [GT]
Materials and Methods: the data was collected through interviews. Constant comparison method was used in order to perform qualitative analysis
Results: open coding process resulted in emergence of causal conditions and different types of conflicts within the nursing society. Exposure to imposed conditions, confronting with opposition, disagreement and destructive behaviors were indicative of characteristics of conflicting events and tasks, process, relational and marginal conflicts which were major categories of conflict in clinical settings. Feeling threats towards benefits was recognized as the main apprehension of participants. This core variable can explain how conflicts occur and develop within nursing society according to conflicts of benefits
Conclusion: the findings showed that individual factors and intra as well as extra-organizational factors were major and/or contextual causes of inter-group conflicts among nurses. One of the significant and interesting findings in this study was that the conflicts did not affect the occupational function of nurses despite the significant effect on marginal issues in their work environment. The study also showed that these conflicts are part of simulation process in nursing tasks