• Material Detail: Case Based Pediatrics for Medical Students and Residents

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Case based pediatrics for medical students and residents.

Online Pediatric textbook, covering many pediatric problems.  Presented in a case based format with questions and answers at the end of each chapter.  The entire text and questions and answers are downloadable to a computer or PDA.

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This is one of the best sources for case based learning I have come across.  I have used the cases for Case discussions in class and for discussion boards. These cases would be very helpful to learners in an online course to master the content.

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  • Hawaii J Health Soc Welf
  • v.79(5 Suppl 1); 2020 May 1

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The Hawai‘i Child and Adolescent Psychiatry Resources for Primary Care: An Evidence-Informed Tool to Improve Quality of Care

Mental health continues to be a significant concern both globally and locally in Hawai‘i, with nearly half of all mental illness beginning in childhood or adolescence. A shortage of mental health providers has led to less than a third of patients receiving appropriate and timely care. Primary care providers are often the first-line responders to untreated mental health conditions, but they are often underprepared to address these conditions. To help provide guidance to primary care providers and other first-line responders, a child and adolescent mental health resource manual was developed, that is tailored to Hawai‘i. This manual was presented at several pediatric didactic sessions and general conferences to describe its evolution, utility, to elicit feedback, as well as for an initial distribution. While feedback was overall positive, future manual development and strategic updates will be made to insure its suitability and timeliness, while continuing circulation efforts to primary care providers will ultimately benefit a greater proportion of children in need.

Introduction

Pediatric mental illness and access to psychiatric care.

In the United States, mental health conditions, defined as conditions affecting mood, thoughts, and behavior, affect about 20% of youth with about half occurring in childhood (<12 years of age) and the other half with an onset during adolescence. 1 Less than one-third of those in need, receive appropriate and timely care, in large part due to the shortage of mental health providers. 2 Compounded by stigma, these conditions, left untreated, worsen with time and affect both mortality and disability among children and adolescents. 3 Untreated and undertreated mental illness contributes to about one-third of excess cost and waste in our national health care system. 4

In Hawai‘i, the staggering shortage of mental health providers is further magnified by the dearth of psychiatrists on the neighbor islands. 5 Although the prevalence of these conditions in Hawai‘i is consistent with those across the country, 6 ethnic and socioeconomic disparities unique to the islands further compound this problem, as demonstrated by Andrade and colleagues. 7 Common disorders in childhood include attention-deficit/hyperactivity disorder, anxiety, autism spectrum disorders, bipolar disorders, depression, eating disorders, disruptive behavior, and substance use disorders. Locally, Native Hawaiian youth had significantly higher rates of any psychiatric disorder (32.7%) when compared with non-Hawaiian youth (23.7%). This was due to significantly different anxiety disorder rates in Native Hawaiian. 7 Furthermore, Youth Risk Behavior Survey studies from 1999–2009 show that Native Hawaiian and Pacific Islander youth self-reported the highest rates of suicide-related behaviors, including but not limited to depression, and suicide attempts. 8 Native Hawaiians are more likely to live on the neighbor islands and rural parts of O‘ahu, isolated from mental health resources. Proportionally, more youth from these rural communities present to emergency rooms for treatment of mood and anxiety disorders, with discharge to outpatient services or transferred to inpatient care than youth residing in urban and suburban areas. 9

Role of Primary Care Providers

Primary care providers (PCPs) are critical to the care of youth with mental illness, particularly on the neighbor islands, as they are often the first-line responders to untreated mental health conditions. Only about 20% of medical centers in Hawai‘i have access to onsite psychiatric consultation, 10 so providing opportunities for education and training of mental health conditions is crucial to improving patient care in emergency settings. 11 However, PCPs can feel pressured or unprepared to address complex psychiatric conditions and in prescribing psychotropic treatments. Indeed, professional isolation is a constant challenge and stressor in rural settings when providing care for complex patients, which can lead to physician burnout. 12

PCPs who feel competent in suicide prevention are more willing to assess and treat suicidal patients in health care and community settings. 13 – 14 One goal of the National Strategy for Suicide Prevention is to increase the proportion of health care providers who receive training in the assessment and management of patients with risk of death by suicide. Indeed, this can be greatly reduced by 20%–70% via training of community-based mental health providers by recognizing and responding appropriately to suicidal individuals. 15 – 16

The Department of Psychiatry within the University of Hawai‘i’s John A. Burns School of Medicine (JABSOM) has taken a leadership role in ensuring education and training needs are met in community and clinical settings with tangible benefits as physician education in suicide prevention has been shown to reduce suicide rates. 9 , 17 The DOP has also been involved in pilot programs involving behavioral health care integration in rural primary care settings in Hawai‘i and elsewhere in the Pacific. 12 , 18 However, even for these pilot programs, structured to enhance accessibility of psychiatric expertise in rural primary care settings and provide real-time psychiatric consultation and supervision/training for PCPs, a need for accessible, relevant, up-to-date, and evidence-based resource manuals remains.

This quality improvement project was conducted by the Chief Fellows in child and adolescent psychiatry. The project goal was to develop and disseminate a handbook for PCPs to guide triage and psychiatric safety issues, manage basic psychiatric conditions, and recognize when to obtain specialized guidance for more complex psychiatric conditions. The goal was to mitigate some of the professional isolation experienced by PCPs in order to embolden them to approach mental health conditions with more confidence, as well as to offer their patients recommendations for additional community resources.

The manual was based on a similar publication from Seattle Children’s Hospital, which focused on conditions that their primary care colleagues often sought guidance with. 19 The resources were tailored to those conditions considered relevant, as well as the appropriate resources available in the state and in the nation. Although the Chief Fellows did not engage the PCPs in the creation of this manual, the experience working with PCPs over time, especially those unfamiliar with managing basic psychiatric conditions and subsequently seeking appropriate resources, informed the writing group with the content and overall dimension of the manual. In order to compile a manual of resources, the authors looked to our training program for expertise as the training program included various sites that worked specifically with child populations, and the treatment teams consisted of members from various disciplines. The treatment teams included health care professionals in the community, such as social workers, researchers, and child and adolescent psychiatrists (both in practice and in training). Several questions were informally asked of them regarding the resource information they thought would be helpful to a PCP looking for guidance in managing mental health care needs. After integrating the catalogued resource information with the treatment guidelines, the Hawai‘i Child and Adolescent Psychiatric Resources for Primary Care Manual was completed. The University of Hawai‘i’s Institutional Review Board acknowledged the project as quality improvement rather than research. Therefore, no formal review approval was necessary. The principles outlined in the Declaration of Helsinki and the Belmont Report were followed.

The Hawai‘i Child and Adolescent Psychiatry Resources for Primary Care Manual includes sections on how to access a provider, how to access community resources (eg, Hawai‘i State Department of Health Child and Adolescent Mental Health Division and affiliated Family Guidance Centers), and a basic safety assessment tool called the “Crisis Intervention and Prevention” flowchart ( Figure 1 ). For the most common pediatric mental health complaints presenting to the PCP, diagnosis and treatment flow charts as well as affiliated local and national resources are included. This is in alignment with the flow charts of the Seattle Children’s Partnership Access Line, which created a similar guide specific for the Washington State area. 19 The manual included multiple mental health disorders: attention-deficit/hyperactivity disorder, anxiety, anxiety spectrum disorders, bipolar disorder, depression, disruptive behavior, and substance use disorder. The manual is available on the DOP JABSOM website under the resources tab. The manual also includes case presentations to inform the PCP. An example case involves a PCP with a 14-year-old patient seen in the office with suicidal ideation in the context of depression. The PCP, using the crisis flowsheet shown in Figure 1 , and other resources included in the manual, determines the necessity for emergency intervention based on the presenting risk factors. If the risk is low, the PCP is guided with an additional flowsheet detailing medication treatment options, scales for further assessments, as well as community resources appropriate for individuals with depression. Conversely, if initial primary care driven interventions are insufficient, PCPs are also provided with information regarding how to refer a patient for more specialized psychiatric care services.

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Flowchart of Crisis Intervention and Prevention in Assessment of Need for Emergency Room (ER) Evaluation

This manual was first presented at the annual Hawai‘i Association of Osteopathic Physicians and Surgeons Conference in March 2017, and subsequently as an in-service at JABSOM, a Department of Pediatrics presentation lecture, and a Continuing Medical Education luncheon at the Queen’s Medical Center. In addition to providing an overview of the manual, these presentations were held, in part, to elicit feedback for improvement. The audiences were chosen based on the desire to address a wide spectrum of PCPs, including general pediatricians affiliated with the 2 major community hospitals in Honolulu. To be sure, these providers are often first-line physicians involved in managing mental health conditions, who are also tasked with determining whether additional referrals to specific mental health providers are needed. After presenting the overview of the content and instruction on the use of the manual followed by a question and answer period, the manual was available for immediate distribution. The writing team did not systematically catalogue any formal feedback, nor did they seek or receive critiques of the manual after the distribution. Nevertheless, the response from PCP’s in the community was perceived as very positive, and the authors will formally solicit feedback in the future to inform future editions. This manual has also been used as a resource for medical students’ psychiatry clerkship, general psychiatry residents, and child and adolescent psychiatry fellows while rotating through the inpatient child and adolescent psychiatry unit. The document is will be updated annually or as best practices evolve. The process will be managed by the original author who is a practicing psychiatrist (RSL) engaged in both inpatient and outpatient psychiatric care.

Feedback from the local practitioners was positive over the utility of the manual, while acknowledging its primary focus on Hawai‘i. Indeed, the intended use in our local community guided the selection of content, tailored to medical practitioners in the state of Hawai‘i as well as concentrating on identifying appropriate health care resources. A manual applicable to a nationwide audience would also be of value. To be sure, the broader distribution would result in assisting PCPs globally in providing greater access to those seeking mental health services. Finally, the utility of formal user feedback may be exploited to inform future updates in an ongoing adaptation of the handbook’s content, as well as an assessment tool of its usefulness. In this context, the utility of the manual may also be linked to numerous longitudinal assessment measures, including increased health care quality, increased accessibility, improved timeliness of diagnosis and treatment, established cost effectiveness (as assesed through rates of psychiatric hospitalizations and emergency visits), and decreased suicide and violence rates in the community.

Acknowledgements

Dr. Robert Hilt and the Seattle Children’s Partnership Access Line; University of Hawai‘i Faculty: Dr. Earl Hishinuma, Dr. Daniel Alicata, Dr. Roshni Koli, Dr. Lee Buenconsejo-Lum; University of Hawai‘i Child and Adolescent Psychiatry Fellows: Dr. Trisa Danz, Dr. Wai Jenn Lim, Dr. Andrew Smith, Dr. Sarah Johnson; Queens Family Treatment Center Social Workers: Andrea Chun and Justin Oliver; Kapiolani Medical Center for Women and Children Social Workers and staff: Candyce Kaaiai, Melissa Willke, Cindy Mekdara, Yvette Smith, Kathy Hanson, Kelly Devine, Lynette Miki, Kathleen Han; Department of Health Developmental Disabilities Division: Dr. Okamoto and Laine Tokumoto.

The authors would like to acknowledge the contribution of Dr. David Easa for his mentoring through review and careful editing in the development and completion of this manuscript in conjunction with his professional development role of junior investigators as part of HIPACT (Hawai‘i IDeA Center for Pediatric and Adolescent Clinical Trials) (NIH UG1OD024948).

Abbreviations

Conflict of interest.

None of the authors identify any conflict of interest.

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The condition, lessons for the clinician, poster presentations:, section editor’s note, suggested readings, case 5: a 13-year-old boy with abdominal pain and diarrhea.

AUTHOR DISCLOSURE

Drs Sudhanthar, Okeafor, and Garg have disclosed no financial relationships relevant to this article. This commentary does not contain a discussion of an unapproved/investigative use of a commercial product/device.

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Anjali Garg , Sathyan Sudhanthar , Chioma Okeafor; Case 5: A 13-year-old Boy with Abdominal Pain and Diarrhea. Pediatr Rev December 2017; 38 (12): 572. https://doi.org/10.1542/pir.2016-0223

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A 13-year-old boy presents to his primary care provider with a 5-day history of abdominal pain and a 2-day history of diarrhea and vomiting. He describes the quality of the abdominal pain as sharp, originating in the epigastric region and radiating to his back, and exacerbated by movement. Additionally, he has had several episodes of nonbloody, nonbilious vomiting and watery diarrhea. His mother discloses that several family members at the time also have episodes of vomiting and diarrhea.

He admits to decreased oral intake throughout the duration of his symptoms. He denies any episodes of fever, weight loss, fatigue, night sweats, or chills. He also denies any hematochezia or hematemesis. His medical history is significant for a ventricular septal defect that was repaired at a young age, but otherwise no other remarkable history.

During the physical examination, the adolescent is afebrile and assessed to be well hydrated. Examination of the abdomen reveals tenderness in the epigastric region and the right lower quadrant on light to deep palpation, with radiation to his back on palpation. There are no visible marks or lesions on his abdomen. Physical examination is negative for rebound tenderness, rovsing sign, or psoas sign. The remainder of the examination findings are negative.

Complete blood cell count, liver enzyme levels, pancreatic enzyme levels, and urinalysis results are all within normal limits.

Our patient was asked to observe his hydration status and pain at home and to report any changes. However, he arrived at the emergency department the next day due to increased severity of abdominal pain. The pain had localized into the right lower quadrant. Further imaging revealed the diagnosis.

The differential diagnosis for an adolescent who presents with abdominal pain is broad, including gastrointestinal causes such as gastroenteritis, appendicitis, or constipation and renal causes such as nephrolithiasis or urinary tract infections. With our patient, the more plausible answers were ruled out through laboratory studies and physical examination, and he was assumed to have gastroenteritis based on the history of similar symptoms in his family members. However, with the worsening of his abdominal pain, further diagnostic study became imperative and a computed tomographic (CT) scan of the abdomen was obtained to assess for appendicitis or nephrolithiasis.

The CT scan showed a cecum located midline; the large intestine was on the left side of the abdomen, and the small intestine was on the right ( Figs 1 and 2 ). The appendix was buried deep in the right pelvis, and there was no indication of appendicitis. These findings were consistent with intestinal malrotation. Intestinal malrotation is rare beyond the first year of life. Maintaining a higher index of suspicion in any patient with an acute presentation of severe abdominal pain is imperative because of the severity of potential complications such as bowel obstruction, volvulus, and eventual necrosis. Our patient’s pain is assumed to have been due to compressive effects of the peritoneal bands (Ladd bands), which were irritated by an initial gastroenteritis. He did not have the signs or symptoms of a more severe complication, such as bowel obstruction or volvulus.

Figure 1. Computed tomographic scan of the abdomen showing intestinal malrotation, specifically of the subtype nonrotation. The small bowel is present in the right hemi-abdomen and the large bowel in the left hemi-abdomen. The cecum is midline in the pelvis. Haustra are still present, excluding any sign of obstruction.

Computed tomographic scan of the abdomen showing intestinal malrotation, specifically of the subtype nonrotation. The small bowel is present in the right hemi-abdomen and the large bowel in the left hemi-abdomen. The cecum is midline in the pelvis. Haustra are still present, excluding any sign of obstruction.

Figure 2. Swirling appearance of the mesentery is known as the whirl sign, which is also indicative of malrotation. This computed tomographic scan shows the superior mesenteric vein wrapped around the superior mesenteric artery.

Swirling appearance of the mesentery is known as the whirl sign, which is also indicative of malrotation. This computed tomographic scan shows the superior mesenteric vein wrapped around the superior mesenteric artery.

Owing to the severity of the pain, our patient was taken for surgery, specifically, a Ladd procedure and a prophylactic appendectomy. Ladd bands were seen to extend from the cecum to above the duodenum. During the procedure, these bands were lysed, then the mesentery was spread out, and the bowels were rearranged. He tolerated the surgery well and was discharged 3 days after the operation.

His abdominal pain improved after surgery, and he has been doing well at his postoperative checks.

Intestinal malrotation is when the intestines fail to rotate properly in utero. From the fifth to 10th weeks of embryologic development, the small intestine lies in the right aspect of the abdomen, with the ileocecal junction midline, and the large intestine in the left hemi-abdomen. The segments are then pushed out of the abdomen into the umbilical cord. Both segments grow in the first stage of rotation. During the second stage of rotation, the small intestine rotates counterclockwise 270 degrees around the superior mesenteric artery. The remaining intestine is pulled into the abdomen, and the mesentery is fixed to the retroperitoneal space. The large intestine comes in last, with the final segment of the cecum lying anterior to the small intestine in the right lower quadrant.

Nonrotation is the most frequent cause of intestinal malrotation. Nonrotation occurs when the 270-degree rotation does not occur and, thus, the mesentery is not fixed to the retroperitoneal space. Derangements of the second stage of rotation are defined as having the small intestine in the right hemi-abdomen, with the cecum midline in the pelvis, and the large intestine in the left hemi-abdomen.

One percent of the population has intestinal rotation disorders. The incidence decreases with age. Approximately 90% of patients are diagnosed within the first year of their life, with 80% among them within the first month after birth. Due to a delay in diagnosis, the 10% of patients who present beyond that first year after birth can have severe complications.

Symptoms of malrotation are different in infants compared with adolescents. Neonates typically will have bilious emesis. In contrast, children and adults commonly exhibit acute abdominal pain. Some older patients have had chronic abdominal pain that goes unnoticed; others may be asymptomatic before diagnosis. The co-occurrence of intestinal malrotation with congenital cardiac anomalies is a common finding. Twenty-seven percent of intestinal malrotation patients were found to have a concurrent cardiovascular defect such as ventricular septal defect or another minor/major abnormality.

The diagnostic modality of choice is an upper gastrointestinal tract contrast study. This study modality shows any obstruction and depicts the malrotation through contrast media. Sometimes a contrast medium is not needed for diagnosis, as in the case of our patient, where CT scanning was enough to diagnose the malrotation.

Asymptomatic neonates and all symptomatic individuals, regardless of age, go through the Ladd procedure to correct the abnormality. However, the guidelines are not as clear for treatment of children older than 1 year who are asymptomatic. Currently, there is some consensus for performance of the procedure regardless of symptom status because of the severity of the complications or mortality that can occur due to malrotation. The narrow pedicle of the mesentery that forms in malrotation is prone to volvulus and ischemia, leading to complications at any point in an individual’s life. A diagnostic laparoscopy should be performed at the very least and can be therapeutic as well. Removal of the appendix has been suggested to prevent any diagnostic complications on future presentation. Additionally, the Ladd procedure can lyse Ladd bands, which are abnormal fibrous adhesions from the cecum that also arch over the duodenum. Removal of these bands is imperative because they can cause intestinal obstruction and ischemia as well.

Diagnosis of intestinal malrotation should be considered in a patient presenting acutely with severe abdominal pain, especially in a patient with known cardiac anomalies.

Often the symptoms of intestinal malrotation can be vague, and a patient can be asymptomatic for years before presentation.

The diagnostic modality of choice is an upper gastrointestinal tract series, but other imaging, such as computed tomographic scan, can help diagnose the presence of malrotation in emergency situations.

A Ladd procedure should be conducted on a patient even if he/she does not have current symptoms of obstruction due to increased risk of obstruction or complications such as volvulus and gut necrosis with this disease.

This case is based on a presentation by Ms Anjali Garg and Drs Sathyan Sudhanthar and Chioma Okeafor at the 39th Annual Michigan Family Medicine Research Day Conference in Howell, MI, May 26, 2016.

Poster Session: Student and Resident Case Report Poster Presentation

Poster Number: 23

This case is based on a presentation by Ms Anjali Garg and Drs Sathyan Sudhanthar and Chioma Okeafor at the 2016 AAP National Conference and Exhibition in San Francisco, CA, October 22-25, 2016.

Poster Session: Section on Pediatric Trainees Clinical Case Competition

Abdominal Pain in Children: https://www.healthychildren.org/English/health-issues/conditions/abdominal/Pages/Abdominal-Pain-in-Children.aspx

Diarrhea: https://www.healthychildren.org/English/health-issues/conditions/abdominal/Pages/Diarrhea.aspx

For a comprehensive library of AAP parent handouts, please go to the Pediatric Patient Education site at http://patiented.aap.org .

This case was selected for publication from the finalists in the 2016 Clinical Case Presentation program for the Section on Pediatric Trainees of the American Academy of Pediatrics (AAP). Ms Anjali Garg, BS, was a medical student from Michigan State University College of Human Medicine, East Lansing, MI, when she wrote this case report, and she now is a medical resident at Rainbow Babies and Children's Hospital in Cleveland, OH. Choosing which case to publish involved consideration of not only the teaching value and excellence of writing but also the content needs of the journal. Other cases have been chosen from the finalists presented at the 2017 AAP National Conference and Exhibition and will be published in 2018.

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essay on excellence through integrity

Integrity essay for students and children.

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500+ Words on Integrity Essay

There is a famous saying which perfectly describes integrity. “Honesty is telling the truth to other people, integrity is telling the truth to myself.” The word ‘integrity’ itself has a Latin origin. It is derived from the word ‘integer’ and means to feel whole, i.e. a complete person. So it refers to the sense of completeness and togetherness one enjoys when they live their lives honestly and morally. So a person that has integrity will act and behave as per set values and believes they hold dear. Let us explore this concept more in this integrity essay.

essay on integrity

  • Academic Integrity

Academic integrity refers to the ethical policies and moral code employed in the academic world by all members – the students and the teachers. So as we saw previously in this integrity essay, it involves being honest and doing the right thing even if you get no recognition for doing so. It involves being honest and correct when no one is watching.

essay on excellence through integrity

Academic integrity is important to lay down a good foundation for the student, so he can follow the same principles for the rest of his life. Integrity leads to trust-building among colleagues and friends. It is also the sign of a good future leader. It is a good habit to develop early in your life, it will hold you in good stead as you progress in your life.

So basic things like doing your own homework, writing your own papers, not plagiarizing your essays or dissertations, not cheating on home tests, never cheating on any assignments, and generally doing your work ethically and honestly are the all essential. They are the building blocks of academic integrity.

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Professional Integrity

Next, we shall explore professional integrity in this integrity essay. As we know, integrity is one of the essential value an employer always seeks in his employees. So professional integrity is when a person adopts his values and integrity to his chosen profession and job.

Sound moral and ethical beliefs and basic honesty are highly valued characteristics in an employee. Such an employee behaves morally with his co-workers, his superiors and all other stakeholders of the organization.  Acting with integrity and honesty is an actual advantage in the workplace. It builds trust and people are drawn towards such honest and dependable behavior. Integrity in a workplace also promotes a positive environment which encourages higher productivity.

Not only students and professionals, but integrity is also a value that everyone should strive for. Integrity is a trait that goes a long way in making people a better version of themselves, better human beings in general. And a person with true integrity does things because it is the right thing to do, and never for any praise or recognition. True integrity is never practiced for recognition or praise but to fulfill personal values.

FAQ’s on Integrity

Q: State some of the traits of a person with integrity

Ans: A person with true integrity exhibits certain traits such as,

  • they take responsibility for all their actions
  • always help others in need
  • often put the needs of others above themselves
  • respect everyone that deserves their respect
  • are usually humble and exhibit humility
  • generally very reliable in nature
  • they are kind by nature

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What is integrity? Definition and meaning

7 traits associated with integrity

What does it mean to have integrity at work?

The importance of integrity in the workplace?

Key examples of integrity in the workplace

5 ways to foster integrity at work, prioritizing integrity in the workplace.

Having integrity means that you are honest, ethical, and follow defined moral principles. And integrity at work is about even more than honesty and respect. If an organization has a true culture of integrity, that means employees take their commitments seriously, are proactive when they don’t understand their responsibilities, and ultimately, are accountable for their results. As a result, the business thrives.

We all want to make other people happy and succeed professionally. However, that can lead employees to overpromise on what they’re capable of, resulting in burnout and lack of engagement. Whether it’s constantly missing deadlines or losing interest in work altogether, a lack of integrity will harm both the company and the individuals who make it up. 

Integrity isn’t easy, but it’s incredibly important for real, lasting growth. From fostering an open and positive work environment to promoting strong and resilient teams , integrity in the workplace benefits employers and employees. 

Let’s review what integrity means, why having integrity at work matters, and how to foster it at your workplace.

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Integrity means being honest and having strong moral principles. A person with integrity behaves ethically and does the right thing, even behind closed doors. 

For instance, informing a cashier that they gave you too much change or going back to the store to pay for something you forgot to pay for are two examples of showing integrity in everyday circumstances.

7 traits associated with integrity 

Integrity may seem like a vague concept. If you want to encourage integrity at your workplace and live it out for yourself, you might need a more concrete definition. One of the best ways to understand this concept is to look at the traits associated with integrity.

integrity-traits -at-work-- what is integrity

Here are the 7 most common traits that a person with integrity shows: 

  • Expressing gratitude for others
  • Valuing honesty and openness 
  • Taking responsibility and accountability for your actions, good and bad
  • Respecting yourself and others around you no matter where you are

Helping those in need without sacrificing your own health

  • Demonstrating reliability and trustworthiness  
  • Showing patience and flexibility, even when unexpected obstacles show up

1. Expresses gratitude for others

People with integrity recognize that their friends, coworkers, and community make their lives better. They show gratitude by always remembering to say a simple “thank you” when someone helps them out. They might also take the time to write a thoughtful note to a coworker who helped them complete an important project. Or, they may go the extra mile to give their friend a gift when they’ve supported them through a difficult time. 

2. Communicates honestly and openly 

A person with integrity doesn’t run away from difficult conversations or situations. If they have a conflict with another person, they’re open about it — they don’t hide their feelings only to become resentful later on. They are also honest about their time, abilities, and preferences. No matter the situation, integrity ultimately means your moral principles are more important than your personal comfort — and honesty can be uncomfortable sometimes.

3. Takes responsibility for your actions, good and bad

If you have integrity, it means you’re accountable for your actions — even when you miss the mark. It’s easy to take ownership when you do something well. However, integrity really comes into play when you face failure. If you want to live with integrity and grow personally, you must learn to admit when you make a mistake and then choose to learn from it. 

4. Respects yourself and those around you, no matter where you are

You might not think of boundaries when you think of integrity. However, living in integrity means living at peace with yourself and your values — and relationship boundaries , whether it’s with your coworkers or your family, help you do that. For example, if your friend wants to call you during work, but you need to finish a project, you need to set a boundary and call them later. 

Integrity also means respecting others’ boundaries. Let’s say your coworker doesn’t want to talk about their dating life. So as a person with integrity, you don’t ask them certain questions. You also need to respect their time, personal values, and their identity — for example, using correct gender pronouns .

5. Helps those in need without sacrificing your own health 

This trait goes hand in hand with respecting yourself and others. People with integrity naturally want to help others — but what separates them from most people is their ability to know their own limits. A person with integrity will help others with their time, abilities, and even finances. But they’ll always also prioritize self-care , fueling themselves so that they can stay resilient for years to come. 

6. Demonstrates reliability and trustworthiness 

Knowing how to build trust is important in all of life, especially when it comes to integrity at work. If you’re a member of a team or organization, people count on you to do what you say you will. If you don’t, there will be consequences for not just you, but everyone around you. Being a reliable and trustworthy person is crucial to living with integrity. 

7. Shows patience and flexibility, even when unexpected obstacles show up

People with integrity overcome life’s obstacles with resilience. For example, let’s say they lost their job . They may feel hopeless or frustrated at first. However, a person with integrity would eventually see that this challenge is just another opportunity for growth. With a bit of patience and flexible expectations, they can take positive action.

What is integrity at work?

Now that you have a clear idea of what integrity is in general, let’s go a little deeper by answering the question, “what is integrity at work?”

Integrity at work supports a company and a leader's set of moral and ethical standards . This will result in both happier employers and employees.

What is integrity in the workplace? 

Workplace integrity can be exemplified by many traits, including honesty, loyalty, respect, and responsibility, and it is vital to decision-making , serving customers, and managing employees. It’s also crucial to reducing costly errors, avoiding illegal activity, and keeping the organization’s core values top of mind.

For instance, reviewing policies and procedures before starting a complex task or being honest about forgetting to do an important task are two examples of showing integrity at work.

Integrity at work is also about committing with integrity. For example, if a team leader shares a new project, employees with integrity need to be honest about their time and abilities before agreeing to take on more work. They also need to make sure they have an understanding of what’s needed and the scope of the project. 

If there’s a lack of integrity on the team, members will halfheartedly accept new assignments, even if they are not able to accomplish them on time. They might also walk out of the meeting still wondering what their role in the project actually is.

At its core, integrity at work is about taking the initiative, negotiating your time honestly, and staying aligned with your personal and work values . That also means delivering on your commitments when you make them, and saying no when you can’t take on anything new. Finally, it’s about knowing how to communicate — so if you do get out of integrity, you can admit your mistakes honestly and share how you will fix the situation.

what having integrity in the workplace means graphic

  • Are reliable and dependable (i.e., you show up to work on time)
  • Are trustworthy, especially with classified information and high-risk tasks
  • Practice and encourage open communication with your colleagues and managers
  • Are respectful, honest, and patient with your colleagues, managers, and customers
  • Have a strong work ethic and strive to produce high-quality work consistently 
  • Are responsible for your actions, especially when you make a mistake
  • Make sound decisions, even under high-stress situations 
  • Are equipped to provide high-quality service to your customers

Here are three real-life examples of integrity at work:

  • A teacher addressing childhood conflict head-on by being honest with their superiors.
  • A banker and loan officer owning up to their mistakes when a processing step is missed.
  • A digital marketer doing the right thing by stepping into a leadership role during their manager's absence.

Example 1: being honest when faced with a difficult challenge 

Kate, a kindergarten teacher, has been struggling to help two of her students get along. The two students often push and hit each other, call each other names, and sometimes even get the rest of the class involved. 

Because of this conflict, the two students can’t concentrate on assignments and are struggling to turn in work on time. Sometimes the conflict also prevents the rest of the class from staying focused on their work. 

After trying to solve the problem on her own, Kate reaches out to the school principal. The principal values her honesty. After discussing the problem with the two students, they ask the school counselor to mediate the situation.

Afterward, they give the students the chance to rejoin the class, with the expectation to show improved behavior.

Thanks to Kate’s honesty about facing a difficult challenge:

  • The two students were able to resolve the conflict without switching classes. 
  • Kate’s class regained focus and began turning in assignments on time.
  • Kate earned more trust from her principal.

Example 2: owning up to mistakes

Jared, a banker and loan officer, has just accepted a new position as a home equity loan officer at a nearby bank. During his first month of employment, he mentors under another loan officer and takes notes to understand his responsibilities.

During the second month of employment, he meets with his manager and his mentor about managing a new loan application. 

Under the impression that they would be working on this loan as a team, Jared collects the customer’s loan application, stores it in the online directory for his manager and mentor to finish, and then moves on to other tasks.

Two weeks later, he comes across the same loan application and realizes no one ever sent the application to the underwriter for approval. It turns out it wasn’t meant to be a team effort — Jared was responsible for the loan application all along.

Embarrassed by his mistake, Jared turns to his manager to explain the situation. Although his manager isn’t happy that the loan application was never processed, he appreciates Jared's transparency. 

Thanks to Jared owning up to his mistake:

  • The manager was able to help Jared speed up the loan process. 
  • Jared understood that he was officially responsible for his customers’ loan applications on his own.
  • Jared’s manager valued his transparency and taking responsibility for his mistake. 

Example 3: doing the right thing, even when nobody's watching 

Mary, a digital marketer, is in the middle of a huge project with her team. They’re in charge of planning 90 days worth of digital content for a new client by Thursday morning. 

On Monday and Tuesday, Mary and the other team members work hard on the project. However, by Wednesday, morale is low, and her teammates start to move slower and slower. 

When the marketing manager announces she’ll be leaving for the rest of the day to attend a funeral, the team breathes a sigh of relief. Then, they stop working on the project altogether. 

While her teammates waste time, Mary continues with her work, even though her manager is gone. 

Not wanting to disturb her manager during a funeral, Mary politely tries to encourage her team to get back to work. While most of the team members don’t listen, a few of them decide to pitch in to help her finish the project. 

By the end of Wednesday, Mary and a few teammates finished the project without help from the rest of the team. On Thursday, Mary met with her manager to explain what happened and turn in the final project. 

Thanks to Mary doing the right thing:

  • The project was turned in on time. 
  • Her manager set up accountability checkpoints for the team.
  • Her manager promoted her to team supervisor.

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The importance of integrity at work

But why does integrity at work truly matter? Workplace integrity should be a core value for any organization that wants to succeed, grow, and maintain ethical practices. When employees have integrity, companies and their teams can operate smoothly. 

Organizations with integrity can also keep high-value customers, reduce employee turnover , improve productivity, and make smart decisions. Plus, integrity leads employees to be honest about what they accomplish and proactive when they have questions. That means fewer missed deadlines and less employee burnout .

why-it’s-important-to-have-integrity-at-work-graphic

Here are six more benefits that come from a culture of integrity at work:

1. Promotes better leaders

Companies that hold their managers up to high ethical standards promote strong and ethical leaders. 

Leaders with integrity understand that their actions, words, and  decisions shape the company’s values, culture, and morale . They value their customers, become role models for their team, and act with good intentions rather than with selfish motives.

2. Helps foster an open and positive work environment

A strong organization values integrity as a way to foster an open and positive work environment . When employees know their company operates based on strong values, they feel comfortable sharing ideas, connecting with their team, and being themselves.

3. Promotes an ethical approach to decision-making

From protecting stakeholders to creating new products, upholding strong moral standards in the workplace helps team members make deliberate, thoughtful decisions.

4. Encourages diversity, equity, and inclusion

Companies that promote integrity value having a diverse team . They welcome a variety of perspectives, celebrate differences, and strive for equality in the workplace.

5. Promotes strong and resilient teams

Teams are strong and resilient when they have a set of standards as guidance. They also feel a sense of meaning and purpose at work . This contributes to their morale, productivity, and engagement. It can even push employees to reach peak performance .

6. Actively builds and maintains trust

Honesty and integrity are the main pillars of trust — an essential component for building credibility. As businesses strive to keep customers and employees, their credibility is the driving force that influences them to stay.

how-to-foster-integrity-at-work-integrity-in-the-workplace

Clearly, a culture of integrity can help an organization reach its goals while creating a better workplace for its employees. If you want to help foster more integrity among your employees — and within yourself — here are five ways to get started:

1. Respect others’ opinions

One of the best ways to demonstrate integrity at work is by honoring your colleagues’ and employees’ opinions and ideas, even if you disagree. 

For instance, instead of turning down an idea, try to see things from their perspective first. Why do you think they chose that idea? Could you be wrong with your opinion? 

If you’re unclear about what they mean, kindly ask for clarification or ask specific questions to understand. For example, you could say, “Can you please explain how we could implement your idea step-by-step?” Or, “Can you clarify what you mean by ___?”

Or, you can use the tried-and-true ‘treat others how you want to be treated’ philosophy when responding.

2. Address conflict honestly and respectfully 

Workplace conflict can quickly turn into a sticky situation and may even lead to termination if not handled well. The best way to address conflict is to respond calmly, honestly, and respectfully. 

First, make sure you understand what the conflict is really about. Is a customer unhappy with a transaction? Do you disagree with your manager’s decision? Why? 

Once you’re clear on the root of the conflict, validate feelings, apologize if needed, and try to reach a solution. If you can’t find a solution, ask for support from a manager or HR if needed.

3. Be a role model 

Modeling integrity is a powerful way to be a change-maker at your organization. This means taking responsibility for your decisions and actions, especially when you make a mistake. Being honest and respectful, keeping your promises, and staying engaged with your work are crucial. 

As a role model, you’ll not only encourage other team members to follow suit, but you’ll also promote positive company culture. 

4. Be ready to work

Coming to work prepared and ready to tackle your responsibilities is essential to integrity at work. 

When you get to work, grab a notepad and plan your schedule for the day. What do you need to accomplish by the end of the day? Who do you need to speak with? 

Once you’re set on your goals for the day, make sure you have all the tools you need to complete your work. Then, start taking action and check off the items on your to-do list, one by one. 

5. Report unethical behavior 

It may seem uncomfortable to report your colleagues, employees or managers for unethical behavior. However, it’s a vital part of holding your company accountable to the moral standards they’ve set in place.

When reporting unethical behavior, be as specific as possible. Explain who offended company policies, how they offended them, and where and when you saw the action take place.

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  • Promoting Integrity
Designing essays and research assignments that make plagiarism difficult often allow students to do better work and engage more with their projects.

Creating assignments that encourage integrity

  • Show students the value of citation and how and what to cite sources (including what constitutes acceptable paraphrase and what is common knowledge.) Address these issues throughout the course. Penn's library offers a  guide on proper citation .
  • Change topics and readings regularly. If you avoid topics that are frequently assigned students will have difficulty finding papers to plagiarize and will see themselves as creating new ideas.
  • When appropriate for the assignment, make it clear which readings or specific topics students should address, so it is difficult to find generic papers to meet the assignment.
  • Emphasize the process of the paper: have students turn in their work in stages (proposals, outlines, bibliographies, and drafts) before the final version. Assigning these stages allows you to give students feedback throughout, check when students are having trouble and also prevent plagiarism that can arise from last minute panic.
  • Give students a variety of assignments throughout the semester, so that their whole grade does not rest on one paper, raising the stakes of that assignment.
  • Make your assignment clear and specific so students have a sense of what you expect and how to meet those expectations. Make those expectations realistic for your students.

Detecting Plagiarism

Penn instructors have access to the plagiarism detection software  Turnitin through Canvas.  Some instructors have all student papers run through this program and others use the program only occasionally. Turnitin can also be an effective way to help students assess the integrity of their own work.

Some Possible Signs of Plagiarism

Advice from Penn's Critical Writing Program

  • Outdated allusions, sources or bibliographies.
  • Odd formatting; changes in formatting
  • Notable disparity between writing from one assignment to the next.
  • Assignments that are off the topic or only loosely related to the assignment.
  • Papers with outside research when you haven't asked for any.
  • Faculty Advice on Penn’s Academic Integrity Policies
  • Reporting Academic Integrity Violations
  • Academic Integrity Statements for Your Syllabus
  • Creating & Proctoring Exams
  • Guidelines on Collaboration
  • Online Exams and Assessments
  • FAQ about Penn’s Integrity Policy

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  • Integrity Essay

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Essay on Integrity

What are the basic characters of a person that constructs a strong personality? It is the integrity of a person that defines how strong he can be. What is integrity? It is the power to stand, confront, and tell the truth to yourself. A person who can understand the difference between good and bad and make the right choice even if he is in a favourable position to make any decision is a person of integrity.

What is Integrity? Essay- Long format

How can we define integrity? If a person is honest, virtuous, and decent in all conditions, this trait is called integrity. The term is derived from the Latin word ‘Integer’ which means complete or whole. This term is used in the mathematical language to determine the whole numbers. The same can be used in defining a person’s character that has completeness as the ideal trait.

This trait comprises honesty and morale as the prime elements. These elements are the valuable assets a person holds dear and sticks to them. This is what integrity stands for. Integrity is how we decide to live and lead our lives without harming others’ interests. We face different choices every day and make different decisions. All these decisions and choices are made based on the traits of a person’s character. In this aspect, integrity stands for the virtue where right wins over wrong.

A virtuous man will take the right turn and choose the path that does not harm anyone. Even if he falls in the pit of hurdles, he will not take the easy path as it will cause damage to others. This shows integrity. For instance, if a person chooses to stay honest even though he has the fullest advantage, he has the power of integrity embedded in his personality. These people also value the same trait among others and tend to bond well.

What Traits Construct Integrity? 

Honesty, morality, virtue, freedom, the backbone to stand against corruption, the power to choose the right thing, etc add and form integrity. It is the values that we gather across the years that build our personality brick by brick. These values construct positive traits in a person that leads to the development of integrity in the future. It is the environment and circumstances that construct a person’s character. These values are imbibed in a child’s mind from the very beginning by the parents, teachers, family members, and other persons in the clan.

Integrity does not change by itself unless we change it. It all depends on the decisions we make. Only we can change the characteristics we hold. We imbibe what we see in the preliminary learning phases but then choose our path. Integrity comes in every phase of life as a test that we should all pass. Whether you are a student, an academician, or a professional, you have to show your integral part. A student with high moral values will not cheat or let others down. A professional will not practice illicit means that can harm the organization. This strong trait of a person’s character gives birth to all kinds of other positive traits such as honesty, punctuality, virtue, morality, decency, etc.

These strong traits attract other people and make a person beloved to all. In fact, an environment promoting integrity will always deliver excellent results and better productivity in due course of time. The personal values you choose will decide how much integrity you have

Short Essay on Integrity

Integrity is the ability to stand up, face your fears, and be honest with yourself. A person with integrity is able to distinguish between right and wrong and choose the appropriate course of action even when he is in a position to do so. The word "integrity" in Latin, which implies entire or whole, is where the phrase originates.

Integrity is the choice we make to live and conduct our life without jeopardising the interests of others. Integrity represents virtue when right triumphs over wrong in this regard.

A good man will take the path that harms no one. Even if he slips into the abyss of obstacles, he won't choose the simple route because it will harm others.

The values we accumulate over the years are what construct our personalities piece by piece. Parents, teachers, family members, and other members of the clan inculcate these values in a child's head from an early age. Integrity is a combination of honesty, morality, virtue, freedom, the fortitude to resist corruption, the ability to make the right decision, etc. Every stage of life has an integrity exam that we should all be able to pass. A pupil with strong moral principles won't lie or disappoint others. A professional won't use illegal tactics that could hurt the organisation. Excellent outcomes and increased productivity are always produced in a workplace that values integrity. Your level of integrity will depend on the personal ideals you pick.

Thus, Integrity is one of the greatest bonds and one of the most beautiful gifts one can ever ask for.  It is one which stays with a person forever. Fortunate are those who get friends they can trust, easily.

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FAQs on Integrity Essay

1. What are the Elements of True Integrity?

A person with strong integrity will show the following traits.

Absolute honesty

Helping needy persons even when he needs it too

Taking responsibility for his own actions

Considering the needs of others above himself

Extremely humble

Very much reliable

 He does not accept anything more than he deserves

Very kind to everyone

Respecting others and receiving respect

These traits are the signs of integrity a person carries in him. Even if the situations are not on the right side, he will never stop showing these traits. In fact, a strong-willed person will not make a wrong decision even when the situation is advantageous to him. This is what integrity stands for.

2. Why does Integrity Make a Person Stronger?

As you have seen the positive traits of integrity in the previous question, you can easily understand how strong a person can be. When someone is strong enough to take responsibility for his wrongdoings, he is quite courageous. This type of person has the guts to look into their own eyes and say that they did not do anything wrong the entire day. If you see a person helping others even though he needs someone like him too, he is the strongest person we can possibly meet. This is how integrity makes us stronger in every situation.

3. How Personal Values are Added?

Personal values are added from the very beginning of our lives. It all starts at home. The mind of a child is influenced by the characters of people surrounding him. These values still grow when he starts seeing the world with his mature mind. This is how personal values are added to a personality.

4. What do you mean by ‘Integrity’? Where does the word derive from?

Integrity is the quality of being truthful, upright, and decent at all times. The word "integer" is a Latin word that means "complete" or "whole," and that is where the term originates. In the language of mathematics, this phrase is used to determine whole numbers. Similar criteria can be used to describe a person's character, with completeness being the ideal quality.

5. What are the values that construct Integrity?

Ego and misunderstandings can occasionally hurt Integritys. However, it is the duty and responsibility of each and every friend to attempt to maintain a balance in Integrity by trusting one another without reservation, attempting to understand one another's issues and feelings, and encouraging and supporting one another while putting the past behind them. This will strengthen the Integrity.

6. What are the characteristic traits of a virtuous man?

A virtuous man will take the right decision and select the route that avoids hurting anyone. Even if he slips into the abyss of obstacles, he won't choose the simple route because it will harm others. This exhibits honesty. For instance, if a person decides to maintain their integrity even when they are at their most advantageous, they have the power of integrity ingrained in them. They tend to get along well with others and admire similar traits in others.

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The Importance of Ethics and Integrity in Academic Work

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Published: Aug 23, 2018

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Introduction, definition of terms, ethics and integrity in academic setting.

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essay on excellence through integrity

Students are often asked to write an essay on Integrity in their schools and colleges. And if you’re also looking for the same, we have created 100-word, 250-word, and 500-word essays on the topic.

Let’s take a look…

100 Words Essay on Integrity

Understanding integrity.

Integrity means being honest and having strong moral principles. It’s about doing the right thing, even when no one is watching.

The Importance of Integrity

Integrity is important because it builds trust. When we show integrity, people know they can rely on us. It helps us grow as better individuals.

Integrity in Daily Life

We can show integrity by being honest, keeping promises, and standing up for what’s right. It might be tough, but it’s always worth it.

Integrity shapes our character. It’s a value that makes us trustworthy and respected. Let’s strive to live with integrity every day.

Also check:

  • Speech on Integrity

250 Words Essay on Integrity

Defining integrity.

Integrity is a profound concept that transcends the simplicity of moral righteousness. It is the quality of being honest and having strong moral principles, but also encompasses consistency of actions, values, methods, measures, and principles. It is the inner compass that guides us when we are torn between right and wrong.

The Essence of Integrity

At its core, integrity is about wholeness and completeness. It is about aligning our actions with our beliefs and values, even when no one is watching. It is not a trait that can be turned on and off at will; rather, it is a constant state of being that permeates every aspect of our lives.

Integrity in Action

Integrity manifests itself in various ways in our daily lives. It is seen when a student refuses to cheat on an exam, when an employee declines a bribe, or when a friend keeps a secret. These actions may seem insignificant in the grand scheme of things, but they are the building blocks of a society founded on trust and mutual respect.

The Impact of Integrity

Integrity has far-reaching implications on both an individual and societal level. For individuals, it cultivates self-respect and earns the respect of others. On a societal level, integrity fosters trust and cooperation, which are essential for the functioning of any community.

In conclusion, integrity is a pivotal attribute that each individual should strive to uphold. It is more than just a moral virtue; it is a way of life that can lead to personal fulfillment and societal harmony.

500 Words Essay on Integrity

Introduction.

Integrity is a fundamental value that we should all strive to uphold. It is the quality of being honest and having strong moral principles. Beyond this, integrity also refers to the consistency of actions, values, methods, and principles. It is a concept that extends beyond simple honesty to encompass a broader range of ethical and moral standards.

At its core, integrity is about wholeness and consistency. It is about aligning your actions with your values, regardless of who is watching or what the potential rewards or punishments might be. This consistency between beliefs and behavior is what sets people of integrity apart. They are not swayed by changing circumstances, nor do they compromise their principles for temporary gain.

Integrity is also about accountability and transparency. It means acknowledging mistakes, taking responsibility for actions, and making amends when necessary. It is about being open and honest, even when it is uncomfortable or inconvenient.

Integrity in Personal Life

In personal life, integrity plays a crucial role in shaping one’s character and reputation. It builds trust and respect in relationships, whether they be familial, romantic, or platonic. When you consistently demonstrate honesty and uphold your moral principles, you show others that you are reliable and trustworthy. This can strengthen bonds and deepen connections.

Integrity also fosters self-esteem and personal growth. When you live in alignment with your values, you experience a sense of fulfillment and peace. You are not plagued by guilt or regret, as you know that you have acted in accordance with your moral compass.

Integrity in Professional Life

In professional life, integrity is equally important. It fosters a positive work environment, promotes ethical behavior, and enhances organizational reputation. Employees who demonstrate integrity contribute to a culture of trust and collaboration. They are more likely to be productive, engaged, and committed to their work.

Moreover, organizations that prioritize integrity are likely to be more successful in the long run. They attract loyal customers, dedicated employees, and positive attention. They also tend to be more resilient in the face of challenges, as they are guided by ethical principles rather than short-term profits.

In conclusion, integrity is a pivotal value that underpins personal and professional success. It is not just about honesty, but also about consistency, accountability, and transparency. Upholding integrity demands courage and conviction, as it often involves standing up for what is right, even when it is difficult. However, the rewards are immeasurable. A life lived with integrity is a life of authenticity, fulfillment, and respect. It is a testament to the power of moral principles in shaping our actions and our world.

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Effect of Organizational Integrity and Leadership Behavior

The article “Effect of organizational integrity and leadership behavior on organizational excellence: Mediator role of work engagement” by Hadi AL-Abrrow et al. first appeared in the 2019 edition of the International Journal of Organizational Analysis. The research that served as the basis of the article included confirmatory factor analysis and was devoted to revealing the connection between the behavior of leaders and the work engagement of the employees. In other words, the research aimed to measure the level of importance of leadership behavior for the employees’ performance.

Organizational Integrity’s Positively Relation to Work Engagement

The authors’ ideas stated in the article are mainly devoted to the effect that leadership has on the employees. Firstly, the study has revealed that organizational integrity, which means appropriate behavior of all the organization’s employees reflected in, for instance, their honesty, care, and respectability towards each other, influences work engagement positively. Thus, this combination of qualities and the commonness of their use among colleagues can lead to changes in the employees’ level of devotedness to work.

Leadership Behaviour’s Positively Relation to Work Engagement

Secondly, the research has shown that the factor mentioned above can even be considered more comprehensive. To be more exact, organizational integrity affects the performance rates and the leadership behavior as a holistic complex of actions does the same (AL-Abrrow, Abdullah, & Atshan, 2019). The authors highlight the vitality of proper behavior of the organizational leaders for the employees’ work engagement.

Work Engagement’s Positive Relation to Organisational Excellence

Thirdly, the authors have proved the connection between working engagement, which is influenced by the factors mentioned above, with the most complex factor in this analysis – organizational excellence. Although there cannot be any straightforward ways of reaching success, and the situation varies in every single case, the authors have revealed that a high level of working engagement among employees contributes to the company’s success. Therefore, AL-Abrrow et al. state that “achieving organizational excellence requires a focus on employees and customers,” which, for its part, implies that the level of personnel’s devotedness is vital for the whole company’s performance.

Considering the authors’ first point, although it seems profoundly rational, it is significant to explain why people believe it is natural to see the relation between integrity among colleagues and the desire to work. The idea of the excellence of financial motivation may still be widespread. However, the economic and social changes have led to a change in the employees’ preferences. For instance, job satisfaction includes safety at work, job security, relationships with co-workers, motivation, and performance recognition (Increasing employee job satisfaction: Factors, 2020). This tendency is long-lasting and is spread world wide enough to make people aware of it despite their level of familiarity with the literature on the topic. Hence, it is logical that integrity, implying the essential human qualities, plays a significant role in the corporate culture, the employees, and their desire to bring results for the company they work at.

The same thing may be said about leadership behavior. More particularly, it is the critical factor influencing people’s performance, and its positive effect can be reached through the leaders’ interaction with employees. Proving the employees that they are valued and showing their irreplaceability for the company, leaders contribute to their level of job satisfaction (Increasing employee job satisfaction: Factors, 2020). With managers’ using the implantation of leadership skills and the fit between their words and actions, this interaction can create an atmosphere of trust and reliability at work.

As far as active engagement is concerned, its contribution to organizational excellence is not at all prominent. However, it is possible to explain it based on the logic of interactions between colleagues during their work time. The two factors above have been proven to impact the employees’ desire to work hard. Working hard in the context of an organization means doing one’s best to achieve the results set by the leadership. Thus, there is a direct connection between employees’ willingness to work and the performance results of the whole company because the more employees work hard, the better are the results of their work and the consolidation of them.

The results of the study can have a vast practical application. The research indicated that organizational excellence might only be achieved through focusing on building positive employees’ attitudes towards work. This, in turn, implies managers focusing on the interactions with employees aimed at showing that their words and actions do not contradict each other. Most importantly, this study shows that employees’ perceptions and vision of the organization depend on how the leadership and colleagues communicate with them. Thus, the instructions on how to behave and communicate with employees can be created to increase organizational success, as the study makes the importance of the employees’ comfort at work more notable.

This review evaluated the article “Effect of organizational integrity and leadership behavior on organizational excellence: Mediator role of work engagement” by Hadi AL-Abrrow et al. The connection between particular features of leaders’ and colleagues’ behavior such as integrity and reliance affecting the employees’ work engagement was revealed. The relation of those factors to organizational performance has shown that they are fundamentally crucial for reaching success.

AL-Abrrow, H., Abdullah, H., & Atshan, N. (2019). Effect of organisational integrity and leadership behaviour on organisational excellence: Mediator role of work engagement. International Journal of Organizational Analysis, 27 (4), 972-985. Web.

Increasing employee job satisfaction: Factors that have a positive effect. (2020). Development and Learning in Organizations, 34 (4), 53-55. Web.

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Integrity College Essays Samples For Students

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An analysis of an ethical dilemma and decision making based on ethical issues in the business environment are the most aspects in determining the integrity of an individual. I was confronted with a need to make an ethical decision in the case where there was no right or wrong decision. This is so because I was caught in the middle.

The Dilemma

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I Introduction Leadership is a combination of art, science and human nature. In the Introduction we will explain few important points about leadership with the proper definition. -Definition of leadership and detailed introduction of Effective leadership - Overview of the issues involved with this subject and contradictory statement. This will be supported by the statements from scholars. - The correct information on social, moral and business aspects of effective leadership. II Body

It will clearly present the idea of an Effective Leadership.

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The Mexican-American restaurant Chipotle has a fairly comprehensive code of conduct. According to the website, the first Chipotle opened in 1993 in Denver, Colorado. The store opened up several more Colorado locations before becoming a national chain (Chipotle, 2014). Chipotle is branded as, “food with integrity,” and social responsibility is a cornerstone to both the brand and the corporate culture. Their ingredients are organic and locally sourced and their meat and dairy is hormone free (Chipotle, 2014). Chipotle’s code of conduct reflects the company’s passion for healthy nutrition and its commitment to integrity.

Key Areas of Chipotle’s Code of Conduct

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Word integrity comes from Latin word integer which means complete or whole. Concept of integrity is disambiguated, however mostly it is used in relation with ethics. In ethics integrity is defined as truthfulness, honesty or accuracy. When they say that somebody has integrity it is understood that this person acts according to his or her beliefs, moral and ethical values. Integrity has opposite meaning of the word hypocrisy. Generally concept of integrity is used to describe whole system of individual values and believes of person but, when people refer to integrity mostly they mean single “absolute” morality.

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The Concept Of Integrity Essay Examples

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Hawthorn Corporation: Excellence Through Quality Presentation

  • Global competition require companies to adopt better competitive strategies.
  • Emerging companies from emerging economies such and China, India and Four small tigers countries is a major challenge to US companies.
  • Quality is a major competitive factor in global market.
  • Hawthorne Corporation is one of the pioneer companies in petrochemical Industry.
  • Quality and distribution challenge need to be addressed for Hawthorne to remain competitive.

Although globalization has brought more opportunities for business, it has come with its challenges. One of the major challenges is increased competition. Any company in the world has fairly equal opportunity in the global market. Emerging companies from emerging economies such and China, India and Four small tigers countries is a major challenge to US companies. Increased competition implies that companies in the US should do everything possible to remain competitive in the increasingly competitive global market. One of the areas of importance to manufacturing companies is quality. Without ensuring that commodities produced meet the required quality, manufacturing companies in the US cannot be able to compete effectively and may end up loosing market to emerging aggressive companies.

Hawthorne Corporation is one of the pioneer companies in petrochemical Industry. The company has a firm foundation in this industry and has established itself as a leader in technology in many of areas of the market. Despite of these successes, Hawthorne has address some of its current challenges to be able to remain competitive. One of Hawthorne’s competitiveness strategies is to provide its variety of products from a single location. By addressing current Quality and distribution challenges, Hawthorne can be able to solidify and increase its current 10 billion annual sales.

Introduction

Overview of Problem

  • Although quality and distribution problem is experienced in the whole company in general, some facilities have unique problems;
  • Need for new distribution facility in the Midwest;
  • Quality issues in the facility near Toledo;
  • Customer service issues;
  • inventory and material handling.

Identifying a problem is the first step towards coming up with solution. Although quality and distribution problem is experienced in the whole company in general, some facilities have unique problems. The company need to establish a new distribution facility in the Midwest in order to overcome distribution issues in that region. Apart from distribution, the company faces quality related issue. Quality issue is a major challenge in the facility near Toledo, especially with requirement of Iso 9000. Customer service is an important pillar in an organization’s competitive advantage. Customer service issues in the company but most especially at distribution facility near Denver is a major setback. In addition, the company experience challenges in inventory and material handling especially at production facility near Huntsville.

The above mentioned problems have various effects on Hawthorne. The distribution problem is a major setback to sales. Some manufactured goods are not able to reach the market in good times. The problem also hinders the company from exploiting the available market as well as venture in to other markets. Quality is an important factor that is considered by customers when making decision to by a product. Thus, the quality problem has negative long-term effect on the company.

Overview of Problem

Excellence through Quality

  • Quality is an important factor that is considered by customers when making decision to by a product.
  • Quality problem has negative long-term effect on Hawthorn corporation.
  • Excellence through Quality is a model where an organization try to achieve it goals by quality.
  • The bottom line to success through excellence is an organization to be keen is establishing new direction and come up with plans for improvement.
  • Excellence through quality calls for not only changing people but changing the systems.

Having superior products is not a guarantee to success; poor customer service has severe effect on sales. Customer service influence on the way customers perceive a company and its product thus influencing their buying decisions. Inventory system has great influence on a company’s ability to meet with demands for goods. Problems in supply of raw material and dispatch of finished products is a barrier to competitiveness.

Every organization want to succeed in its area of specialization. Excellence through Quality is a model where an organization try to achieve it goals by quality. Basically, an organization achieve excellence through quality by applying new knowledge. The baseline to success through excellence an organization to be keen is establishing new direction and come up with plans for improvement. Organizations also need to gain knowledge from current and prospective customers in order to recognize their needs and expectations. Improving quality is a far-reaching task. It does not involve only changing people but changing the systems. It is only by improving systems that that long-term improvement on quality. Changing ineffective people does not have major effect of quality. As long as the systems remain the same, quality level can go back to its initial level.

Excellence through Quality

Strategies for Achieving Excellence through Quality

  • Establish culture of Quality.
  • Adopt Total Quality Management (TQM) Model.
  • Offer Training to customer service representatives.
  • Improve delivery system.
  • Involve all state-holder.

Strategies for Achieving Excellence through Quality

Improve delivery System

  • Shortage of raw materials is one of the major challenges at Hawthorn;
  • This lead to negative effect on productivity and competitiveness of the company;
  • Hawthorn should be able to obtain raw materials whenever it requires it;
  • grand raw materials requirement can be calculated;
  • this would ensure that required raw materials for finished products are available.

One of the major challenges is shortage of raw materials as well as well as product. This has negative effect of productivity and competitiveness of the company. To be successful, Hawthorn should be able to obtain raw materials whenever it requires it. The supplies should be timely and in the right quantity. Since finished products cannot be produced without the raw material, the problem of delivery seems to be closely linked to scheduling. Usage of raw material should be well studied to ensure that the problem of scheduling is addressed. Taking this advice, grand raw materials requirement can be calculated. This would ensure that required raw materials for finished products are available. Appropriate scheduling criteria would help to shorten production process. This would lead to better utilization of resources and reduction in wastage. By matching scheduling criteria on known lead times and orders for all materials required can help in doing away with the problem. The implication of a better delivery system is that all required materials will be available when they are required in the production process . Having specific and limited suppliers is an important criterion for better scheduling. In addition, better relationship with suppliers would help to overcome most of the scheduling challenges.

Improve delivery System

Quality culture

  • Excellence through quality requires a cultural change in an organization.
  • leaders have a higher responsibility to establishing the culture.
  • Leaders should establish environment to support excellence through excellence.
  • reinforce principles that are geared towards quality.
  • Teamwork and cooperation;
  • Focus on good working environment;
  • alue towards employees and customers.

Excellence through quality requires a cultural change in an organization. Although it require contribution from all individuals in an organization to achieve quality, leaders have a higher responsibility. The leaders have to create an environment that support change toward quality. Instead of delegating quality, leaders implementing quality through excellence establish environment that support this principle. This implies that management that is focused on excellence should have a different approach towards management. They should be able to reinforce principles that are geared towards quality. As a positive approach, cultivating a culture of quality should involve all individuals in management positions but must of all those with senior management positions.

Management in organizations that are focused quality is different from that in other organizations. Organizations that intend to achieve excellence through quality have to give importance on value adding principles. Value adding principles include such principles as teamwork, cooperation, focus of good working environment, and value towards employees and customers. Culture for quality implies that all individuals in an organization think differently towards quality. By having a culture for quality, an organization is guaranteed long-term high quality.

Quality culture

Total Quality Management

  • Hawthorne Corporation need to adopt Total Quality Management (TQM) model to achieve quality through excellence.
  • objective of this strategy is to reduce anomalies that can happen in service provision or manufacturing.
  • strategy hopes to bring about higher customer satisfaction by providing them with high quality products.
  • Strategy should aim at streamlining supply chain, incorporating modern equipments and providing high training to workers.
  • Set high standard such a maximum of one error in a million of produced goods.

To achieve quality through excellence, Hawthorne Corporation should adopt Total Quality Management model. Quality is an important factor in manufacturing. Many manufactures try to improve quality by performing various things. Total Quality Management (TQM) is one of the strategies that aim at improving quality (Greasley 74). The objective of this strategy is to reduce anomalies that can happen in service provision or manufacturing. As a consequence, the strategy hopes to bring about higher customer satisfaction by providing them with high quality products. Some of the strategies of the approach include streamlining supply chain, incorporating modern equipments and providing high training to workers. The approach set high standards for quality such as allowance of one error in a million of manufactured products. By incorporating total quality management principles, the organization will be able to ensure high quality in all its sectors. TQM principles ensure that no sector is left behind in quality but all departments move toward excellence through quality.

Total Quality Management

Training of Customer Service representatives

  • Customers today are kings.
  • An organization should ensure that is customers are well served in order to remain competitive.
  • customer complains at Hawthorn is a reason to worry.
  • Training is an important intervention the Quality issues.
  • Workers in organization are in constant contact with production and customers.
  • Customer service representatives have special role of being intermediaries between the company and its customers.
  • Ensure proper scheduling.

Unlike in the past, customers today are kings. Everything in organization is done with customers in mind. An organization should ensure that is customers are well served in order to remain competitive. Considering the importance of customers in success of an organization, high customer complains at Hawthorn is a reason to worry. Without immediate intervention, this stake to get out of hand leading to high loses. Total quality management approach a lot of emphasis on customers. TQM philosophy aims at tying customer need with profit. By implementing these principles, an organization is expected to take close focus on customers in its move toward profitability. Training is essential in achieving high customer service. Workers in organization are in constant contact with production and customers. This implies that workers are in a better position to identify any customers’ needs and respond appropriately to the needs. Customer service representatives have special role of being intermediaries between an organization and its customers.

Training of Customer Service representatives

Deming, Juran and Crosby Principles

  • Dr Deming has great contributions to quality management.
  • Propose that individuals involved in quality should have consistency in strive toward quality.
  • Borrowing from Deming, need for quality culture was identified.
  • Quality culture can constitute on-job training, good leadership and establish better working environment.
  • Juran emphasized on need for commitment on quality.
  • Top management is expected to lead by example by showing commitment to quality.
  • Training can help achieve ‘NO Defect’ as proposed by Crosby.

Dr Deming has great contribution to quality management. His fourteen quality management criteria forms a foundation for excellence through quality. Deming propose that individuals involved in quality should have consistency in strive toward quality. He advices that a company should be able to adopt a new philosophy that aims at implementing quality. Borrowing from Deming, need for quality culture was identified. Creating quality culture implies changing the way all individuals in a organization conduct themselves. Quality culture can constitute on job training, good leadership and establish better working environment. Deming advices on better inventory management by working with one or few supplies. This can help in reducing cost as well as establish better monitoring on suppliers.

Juran’s quality principles are incorporated. Juran emphasized on need for commitment for quality. He advice that all individuals in a company, from top management to junior workers, should be committed to quality. In establishing quality culture, top management is expected to lead by example by showing commitment to quality. According to Juran, setting goals and working toward the goals is essential in achieving sustainable high quality. Crosby on the other hand propose a ‘No Defect’ principle in order to ensure quality.

Deming, Juran and Crosby Principles

Reference List

  • Sharma, J. (1998). Excellence through Quality Circle . RBSA Publishers.
  • Barry, T. (1991). Management excellence through quality . ASQC Quality Press.

IvyPanda. (2022, July 14). Hawthorn Corporation: Excellence Through Quality. https://ivypanda.com/essays/hawthorn-corporation-excellence-through-quality/

"Hawthorn Corporation: Excellence Through Quality." IvyPanda , 14 July 2022, ivypanda.com/essays/hawthorn-corporation-excellence-through-quality/.

IvyPanda . (2022) 'Hawthorn Corporation: Excellence Through Quality'. 14 July.

IvyPanda . 2022. "Hawthorn Corporation: Excellence Through Quality." July 14, 2022. https://ivypanda.com/essays/hawthorn-corporation-excellence-through-quality/.

1. IvyPanda . "Hawthorn Corporation: Excellence Through Quality." July 14, 2022. https://ivypanda.com/essays/hawthorn-corporation-excellence-through-quality/.

IvyPanda . "Hawthorn Corporation: Excellence Through Quality." July 14, 2022. https://ivypanda.com/essays/hawthorn-corporation-excellence-through-quality/.

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essay on excellence through integrity

Integrity. What is integrity? What characterizes the integrity of a person, functionary, or organization? What characterizes, for example, politicians acting with integrity, what is an "integritous" politician? 1 In the literature on ethics and integrity, it is possible to distinguish at least eight perspectives (Huberts, Citation 2014, pp. 39-44) using the keywords wholeness and ...

Download. Integrity is essential in our daily lives. It shapes our character, influences our actions, and guides our interactions with others. Living with integrity requires a commitment to honesty, authenticity, and ethical behavior, even in difficult situations. In this essay, I will explore the importance of integrity and its relevance to ...

Good. Read Review. The dictionary definition of integrity is "The quality of being honest and having strong moral principles.". In my opinion, definitions were never good for anything except writing essays. Ultimately, we have to integrate these definitions into our lives before they become useful. Personally, I would take the definition of ...

500+ Words on Integrity Essay. There is a famous saying which perfectly describes integrity. "Honesty is telling the truth to other people, integrity is telling the truth to myself.". The word 'integrity' itself has a Latin origin. It is derived from the word 'integer' and means to feel whole, i.e. a complete person.

Or, they may go the extra mile to give their friend a gift when they've supported them through a difficult time. 2. Communicates honestly and openly . A person with integrity doesn't run away from difficult conversations or situations. If they have a conflict with another person, they're open about it — they don't hide their feelings ...

Integrity is the act of behaving honorably, even when no one is watching. People with integrity follow moral and ethical principles in all aspects of life. Integrity also extends to professional areas of work such as decision-making, interacting with colleagues and serving customers or clients. When employees have integrity, their managers can ...

Conclusion. Integrity is a quality every man worth his salt aspires to. It encompasses many of the best and most admirable traits in a man: honesty, uprightness, trustworthiness, fairness, loyalty, and the courage to keep one's word and one's promises, regardless of the consequences. But It is not always wise, to be honest, and Integral.

Definition of INTEGRITY. 1. firm adherence to a code of especially moral or artistic values : incorruptibility. 2. an unimpaired condition : soundness. 3. the quality or state of being complete or ...

The Oxford dictionary has two definitions of integrity: 1. The quality of being honest and having strong moral principles; moral uprightness. 2. The state of being whole and undivided. We're all ...

The Fundamental Values of Academic Integrity, Third Edition, from the International Center for Academic Integrity is available under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International license. ISBN: 978-0-9914906-7-7 (pbk) International Center for Academic Integrity [ICAI]. (2021). The Fundamental Values of Academic ...

Here are some tips you can use to maintain your own professional integrity and encourage an entire culture of ethical behavior in the workplace. Treat everyone the same. Reward honesty. Admit your mistakes. Encourage teams to speak freely. Conduct self-assessments. Keep your commitments. Put in maximum effort.

Integrity means adhering to a set of core values and ethical principles, even when no one is watching. In the workplace, displaying integrity involves taking responsibility for one's actions, showing respect for other team members, and maintaining a positive attitude. This approach encourages diversity, fosters open communication, and ...

Designing essays and research assignments that make plagiarism difficult often allow students to do better work and engage more with their projects. Creating assignments that encourage integrity Show students the value of citation and how and what to cite sources (including what constitutes acceptable paraphrase and what is common knowledge.) Address these issues throughout the course. Penn's...

Integrity is the ability to stand up, face your fears, and be honest with yourself. A person with integrity is able to distinguish between right and wrong and choose the appropriate course of action even when he is in a position to do so. The word "integrity" in Latin, which implies entire or whole, is where the phrase originates.

Conclusion. In this essay the author has firstly defined ethics and integrity. Ethics and integrity is proposed as being morally efficient and always doing the right thing, being "honourable and honest" linked basic morals, supported by the Nursing and Midwifery Council (NMC) Code (NMC, 2018), further developing how these can be applied to academic work.

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The answer is both, as they are not mutually exclusive. Integrity means the quality of being honest and having strong moral principles. It is the adherence to a code of ethics, even when no one is watching. It is about doing the right thing, even when it is difficult. Excellence means the quality of being outstanding or extremely good.

Conclusion. This review evaluated the article "Effect of organizational integrity and leadership behavior on organizational excellence: Mediator role of work engagement" by Hadi AL-Abrrow et al. The connection between particular features of leaders' and colleagues' behavior such as integrity and reliance affecting the employees' work ...

An Honest View on Academic Integrity Essay Outline. I. Introduction A. Studies affirm that many students engage in academic dishonesty such as plagiarism. 1. Students attain academic success through plagiarism 2. Academic dishonesty became a norm in the academic community B.

Integrity is a trait that helps a human being live a long and healthy life. 10 Lines on Essay on Integrity in English. Integrity is the quality of a person being sincere, faithful, and truthful in appearance, speech, and action. Integrity is inherited from family, parents, and belief systems. Surroundings and situations also impact it.

This critical writing, "Managing for Quality and Performance Excellence" is published exclusively on IvyPanda's free essay examples database. You can use it for research and reference purposes to write your own paper. However, you must cite it accordingly . Donate a paper.

To achieve quality through excellence, Hawthorne Corporation should adopt Total Quality Management model. Quality is an important factor in manufacturing. Many manufactures try to improve quality by performing various things. Total Quality Management (TQM) is one of the strategies that aim at improving quality (Greasley 74).

Approach to the Patient: Case Studies in Pediatric Growth Hormone Deficiency and Their Management

Affiliations.

  • 1 Section of Endocrinology, Department of Pediatrics, Nationwide Children's Hospital/The Ohio State University College of Medicine, Columbus, OH 43205, USA.
  • 2 Division of Endocrinology, Department of Pediatrics, University of Minnesota Medical School, MHealth Fairview Masonic Children's Hospital, Minneapolis, MN 55454, USA.
  • PMID: 37246615
  • DOI: 10.1210/clinem/dgad305

Context: Pathologies attributed to perturbations of the GH/IGF-I axis are among the most common referrals received by pediatric endocrinologists.

Aim: In this article, distinctive cased-based presentations are used to provide a practical and pragmatic approach to the management of pediatric growth hormone deficiency (GHD).

Cases: We present 4 case vignettes based on actual patients that illustrate (1) congenital GHD, (2) childhood GHD presenting as failure to thrive, (3) childhood GHD presenting in adolescence as growth deceleration, and (4) childhood-onset GHD manifesting as metabolic complications in adolescence. We review patient presentation and a management approach that aims to highlight diagnostic considerations for treatment based on current clinical guidelines, with mention of new therapeutic and diagnostic modalities being used in the field.

Conclusion: Pediatric GHD is diverse in etiology and clinical presentation. Timely management has the potential not only to improve growth but can also ameliorate or even mitigate adverse metabolic outcomes, which can be directly attributed to a GH deficient state.

Keywords: GH; GHD; growth hormone; growth hormone deficiency; provocation testing.

© The Author(s) 2023. Published by Oxford University Press on behalf of the Endocrine Society. All rights reserved. For permissions, please e-mail: [email protected].

Publication types

  • Dwarfism, Pituitary* / drug therapy
  • Dwarfism, Pituitary* / therapy
  • Growth Hormone / metabolism
  • Human Growth Hormone* / therapeutic use
  • Hypopituitarism* / diagnosis
  • Hypopituitarism* / etiology
  • Hypopituitarism* / therapy
  • Insulin-Like Growth Factor I / metabolism
  • Growth Hormone
  • Human Growth Hormone
  • Insulin-Like Growth Factor I

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VIDEO

  1. Answers A Questions About The Medical School

COMMENTS

  1. Case Based Pediatrics Chapter

    Department of Pediatrics, University of Hawai`i John A. Burns School of Medicine Kapi`olani Medical Center For Women And Children 1319 Punahou Street, Honolulu, HI 96826. Return to Univ. Hawaii Dept. Pediatrics Home Page. View this text online or download the entire 2004 first edition text for your tablet, computer, or mobile device. Third ...

  2. Case Based Pediatrics Chapter

    Greg Y. Uramoto, MD December 2002 Return to Table of Contents This is a 9 year old boy who has enjoyed his usual state of good health until his polyuria started 2 months ago. He began to lose weight and reported worsening nocturia over this same period. His appetite increased although lately he has more episodes of stomachaches.

  3. Case Based Pediatrics Chapter

    No cephalohematoma or bruising is present. The sclera of both eyes are icteric. Muscle tone and activity are normal. The remainder of the physical exam is normal. The total bilirubin is 20 mg% with a direct fraction of 0.7 mg%. She is admitted to the hospital for phototherapy, supplementary formula feedings, and lactation consultation.

  4. Case Based Pediatrics Chapter

    Case Based Pediatrics Chapter May 2002 A 12 month old female of Hawaiian, Chinese, Portuguese and Japanese ethnicity is noted to have a hemoglobin of 9.1 g/dl with an MCV of 58 on a routine CBC screen at her one year well child check up. She is otherwise healthy and has no complaints. PE is normal.

  5. Case Based Pediatrics Chapter

    Case Based Pediatrics Chapter A 7 year old previously healthy female presents to her primary care physician with a 12 day history of persistent thick nasal discharge, nasal congestion, cough, and intermittent low grade fever.

  6. Case Based Pediatrics Chapter

    Case Based Pediatrics Chapter This is a newborn female born to a 17 year old gravida 1, para 0, B+, mother at 39 weeks gestation. Maternal risk factors include a kidney infection in the second trimester. All other risk factors are negative. After an uneventful vaginal delivery, the infant is discharged at two days of life breast feeding at home.

  7. Case 9-2021: A 16-Year-Old Boy with Headache, Abdominal Pain, and

    Presentation of Case. Dr. Neil D. Fernandes (Pediatrics): A 16-year-old boy was admitted to this hospital because of headache, nausea, vomiting, and abdominal pain. The patient had been well until ...

  8. Case Based Pediatrics for Medical Students and Residents

    March 15, 2012 Date Modified in MERLOT: March 10, 2022 Authors: Vince Yamashiroia, Univ of Hawaii, John A Burns School of Medicine Loren Yamamato, Univ of Hawaii, John A Burns School of Medicine Jeffrey Okomoto, Univ of Hawaii, John A Burns School of Medicine Alson Inabar, Univ of Hawaii, John A Burns School of Medicine

  9. Case 27-2018: A 3-Year-Old Boy with Seizures

    Presentation Of Case. Dr. Caitlin E. Naureckas Li (Pediatrics): A 3-year-old boy was admitted to this hospital during the summer because of a seizure. The patient had been well until 3 days before ...

  10. Hawai'i IDeA Center for Pediatric and Adolescent Clinical Trials

    ECHO ISPCTN Clinical Trials Activities in Hawai'i. Pharmacokinetics of Understudied Drugs Administered to Children Standard of Care (POPS Study): The POPS Study (NCT01431326) was designed to better characterize the pharmacokinetics of a variety of commonly used drugs in infants and children for which limited information was available in the pediatric population. 2 HIPACT was one of 15 ECHO ...

  11. The Hawai'i Child and Adolescent Psychiatry Resources for Primary Care

    Pediatric Mental Illness and Access to Psychiatric Care. In the United States, mental health conditions, defined as conditions affecting mood, thoughts, and behavior, affect about 20% of youth with about half occurring in childhood (<12 years of age) and the other half with an onset during adolescence. 1 Less than one-third of those in need, receive appropriate and timely care, in large part ...

  12. Case Challenge

    At a routine pediatric examination when the patient was 14 days of age, the patient's mother reported that she had been breast-feeding him for 20 minutes every 2 to 3 hours and that he was having...

  13. Pediatric Hip Pain: A Case Study

    Hip pain in children can present a diagnostic challenge for the pediatric primary care provider. This case study examines an otherwise healthy 3-year-old girl with unilateral hip pain and intermittent refusal to bear weight on the affected side. Through history and physical examination, the provider was able to appropriately diagnose transient synovitis. This case study will summarize the care ...

  14. Case 5: A 13-year-old Boy with Abdominal Pain and Diarrhea

    A 13-year-old boy presents to his primary care provider with a 5-day history of abdominal pain and a 2-day history of diarrhea and vomiting. He describes the quality of the abdominal pain as sharp, originating in the epigastric region and radiating to his back, and exacerbated by movement. Additionally, he has had several episodes of nonbloody, nonbilious vomiting and watery diarrhea. His ...

  15. university of hawaii pediatric case studies

    Material Detail: Case Based Pediatrics for Medical Students and Residents; Material Detail. Case based pediatrics for medical students and residents. Online Pediatric textbook, co

  16. Cases in Pediatric Acute Care

    Cases in Pediatric Acute Care presents over 100 real-world pediatric acute care cases, each including a brief patient history, a detailed history of present illness, presenting signs and symptoms, vital signs, and physical examination findings. Ideal for developing a systematic approach to diagnosis, evaluation, and treatment, this resource provides students and advanced practitioners with the ...

  17. Pediatric Headache: A Case Study

    Langdon, DiSabella, 2017 ). This case presentation describes a school-age boy who is following up for headaches after his vision test from his last appointment showed that he needed prescription glasses. Case Presentation Chief Complaint and History of Present Illness

  18. Ped Case Study

    Ped Case Study - Jodi-Lynn or Allisons Dehydration Case - November 10, 2020 Pediatric Case Study 1. - Studocu As asked by Brenda: Based on this information, what are your primary concerns forJodi-Lynn at this time? Based on the information, Jodi-Lynn (JL) - a 12-month-old infant - has a risk of becoming/being severely dehydrated.

  19. Approach to the Patient- Case Studies in Pediatric Growth Hormone

    Approach to the Patient- Case Studies in Pediatric Growth Hormone Deficiency and Their Management. doi: 10.1210/clinem/dgad305. Bradley S Miller. 37246615. 10.1210/clinem/dgad305. Pathologies attributed to perturbations of the growth hormone/insulin like growth factor-I (GH/IGF-I) axis are among the most common referrals received by pediatric ...

  20. Pediatrics Cases

    University of Hawaii Radiology Cases In Pediatric Emergency Medicine

  21. OB Case Study

    Read the following Obstetric Case study and write your answers directly onto this form or feel free to use a separate sheet of paper. Answer all questions in complete paragraph form and submit into your Assignment tab in Laulima by the due date of 10/02/21 by 2330 late submissions will have a deduction of one point for each hour it is late.

  22. Pediatric Dentistry Residency

    Postgraduate study in pediatric dentistry at Case Western Reserve University School of Dental Medicine and UH Rainbow Babies & Children's Hospital is an intense educational experience.