Disseminated intravascular coagulation (DIC) is a clinico-pathological syndrome of variable expression, resulting from uncontrolled simultaneous activation of the coagulation and fibrinolytic systems. DIC can be initiated in a variety of different ways. Additional studies are needed to determine the importance of vascular endothelial damage, hemodynamic alterations and the role of ...

If a manager in an organization talks about making an "end run," what is he saying? Is he seeing life in the organization as a game; is he seeing it as hazardous and maybe nominating himself for a hero role; or is he merely saying he's going all the way ...

An easy, quick and practical way to determine the magnitude of gastric resection during operation consists of determining the length of the lesser and greater curvatures with a Nélaton's catheter. According to the extent of gastrectomy, different denominations should be used. If a precise antrectomy is desired, the physiologic antrum-corpus ...

The problems facing the catering manager are so multifarious they include the kitchen sink. Not only has he the whole spectrum of modern management skills to grapple with but tired appetites to tempt and the out-dated image of institutional 'gruel' to overcome. A catering manager for Birmingham Health District, describes ...

Under the guise of Management by Objectives, "goal setting" and "performance appraisal" have assumed many different shapes and purposes. To clarify the concept of MBO, this review examines the writings of leading MBO experts, extracts those elements common to their respective definitions of goal setting and performance appraisal, and joins ...

This article is introduced with the statement, "There is only one way to manage, and that is to keep it simple." The author is highly critical of the new managerial tools and decision-making modes developed by management scientists in business schools. He asserts that the use of these tools encourages ...

Although there were many physicians who treated athletes before Galen, I believe that he was the first to devote a major portion of his time to this field of endeavor. Furthermore, his systematic observations, his aggressive pursuit of newer and better ways of treatment, his teaching, and his publishing of ...

This article suggests three ways to manage organizational conflicts. The first is the collaboration theory which maintains that people should air their differences and work for mutually satisfactory solutions. Collaboration requires that members of the organization be interdependent, capable of interacting candidly, and sufficiently committed to the organization to justify ...

Biological and psychological research into the antecedents of altruism has considerable significance for those involved in the teaching or practice of medicine. The evidence available indicates that altruistic behaviour is a universal phenomenon influenced by intra-individual, interpersonal, situational and sociocultural factors. A central theme which emerges is the strikingly ambivalent ...

The usual way of presenting the content of general practice relates only to the main or presenting diagnoses. Although this is a valuable tool for epidemiological purposes, it seems inadequate as a description of the content of the actual contacts made between the doctor and his patient. The range of ...

The only justification for adding to the extensive literature on induction of labour is to bring together relatively inaccessible but relevant data for the general reader. Some of these data refer to current practice, and some to patients' experiences. The conflicting value systems of some doctors and some patients are ...

There are some traditional ways for instruction and training in ergonomics, for example the academic method or the empirical way of self-taught practitioners. Because of a usually disinterested management, the last way is very often difficult to achieve. This report deals with experiences where a lucky chance happened and the ...

Propoxyphene napsylate differs from the hydrochloride salt in several ways. It is much less soluble and bitter and poses few stability problems when capsulated or tableted with aspirin. There is some evidence in several animal species that the pattern and severity of poisoning may be different with the two salts. ...

In pigs given injections of 1.5 mill IU vitamin D3 in oil intramuscularly 9, 5 or 3 weeks before slaughter residues in the depots were very high (table 1). Certain cuts of pork from pigs treated in this way should therefore be regarded as unacceptably polluted. Furthermore the practise of ...

A chronic patient's environment becomes an important part of his life, and can actively be used in his treatment. This article describes ways of involving the patient's surroundings in a total management plan.

Glare can be caused by a direct view of the bright sky from the interior of a building. This glare can be an impediment to vision and even a direct hazard, as on a stairway, or it can cause serious or mild discomfort. Even minor effects may accumulate, as with ...

This 40-page manual, first published in 2002 by the National Council for Forest Research and Development (COFORD), suggests ways of minimising negative effects through appropriate forest planning which aims to optimise bird diversity, and of maximising the benefits of forest habitat through appropriate management or enhancement of forest structure and ...

This 58-page guide from WWF’s Global Forest & Trade Network (GFTN) is aimed at purchasing organizations wishing to develop a programme for the responsible purchasing of forest products. It outlines the various ways in which purchasing organizations can demonstrate compliance with best practice and ultimately with their own purchasing policies. ...

A sufferer's perspective on ways of coping with the initial and evolving impact of dementia is a largely unexplored area of theory and practice. This article, the first of two parts, outlines the development of a new instrument: the Index for Managing Memory Loss (IMMEL), which considers the early sufferer's ...

A systematic literature review recently highlighted the complexity of nursing practice in terms of detecting and managing deteriorating ward patients (Odell et al, 2009). The findings suggest that rapid response systems, including early warning scores, may not be the only solution to the problems of detecting and managing signs of ...

This article looks at graduated compression garments, one of the four cornerstones to lymphoedema management. It raises the awareness of the availability of differing compression classes, the differing ways the garments can be knitted and how to apply this to practice. It also aims to raise awareness of the importance ...