Perhaps the greatest strategist of all time was not a business executive but a general. Helmuth von Moltke, chief of the Prussian and German general staffs from 1858 to 1888, issued "directives" to his officers rather than specific commands. These guidelines for autonomous decision making encouraged Moltke's subordinates to show ...

Three patients with symptomatic intra- and extrahepatic choledocholithiasis who were not good candidates for retrograde endoscopy, surgery, or extracorporeal shock wave lithotripsy (ESWL) were treated successfully with endoscopically guided tunable dye laser lithotripsy via a 12-F transhepatic sheath. There were no complications secondary to the use of the laser. On ...

Grouping management is one of the most important activities on the farm. It requires careful assessment of the daily routine on the farm and the development of a grouping/feeding management plan as well as a management plan that includes prioritization of the needed changes. If a good job is being ...

Buttle's reply to my objections to buying kidneys is helpful but unconvincing in two respects. Doing something freely leaves quite open the possibility that one is thereby making a commodity of a person; and the effects of institutionalising such a practice is itself a matter for concern. And while his ...

This article surveys the contribution of decision analysis to diagnosis and treatment in medicine, beginning with a review of Dr. Lee B. Lusted's 1971 paper, "Decision-making studies in patient management." From this beginning methods of decision analysis were developed that were particularly appropriate to medical problems. The author reviews the ...

Good management is like good medicine. It is paying attention to details. It is also doing the right things at the right times. We find that most practices do some of the steps that follow. However, many do not do all the steps and therefore their results are not as ...

In summary, food service managers must use every available tool and resource to do their jobs. The development of self-motivated food service workers will help a great deal. Managers and dietitians must do a better job of dealing with employees as individuals and understanding the dynamics of the kitchen/service team. ...

Hospital experience of breast abscess is changing as nonpuerperal abscess associated with periductal mastitis assumes increasing importance. Clinical presentation, bacteriology, and management differ notably from acute puerperal abscess, but the latter can still cause severe morbidity. The standard management of puerperal abscess by incision, breaking down loculi, and dependent drainage ...

Finnish congenital nephrotic syndrome is fatal unless managed aggressively; treatment in hospital with albumin infusions and subsequent bilateral nephrectomy allows survival. However, it consistently results in protein malnutrition which may lead to serious infections and severe physical and developmental retardation, as well as the subsequent burden of dialysing an anephric ...

The description of male sexual disorders by ancient authors of Indian medicine is praiseworthy. Effort has been made to describe the standard of approach with reference to certain books on Ayurveda and astrology. The development of administration of mineral medicines has added a new aspect in their treatment, but the ...

Obturation of the root canal space with an inert filling material and creation of a hermetic apical seal has been shown to improve the success rate of endodontic therapy. A new technique of canal obturation with injection-molded thermoplasticized gutta-percha has been shown to create a good apical seal. However, failure ...

We describe hereditary retinoschisis without foveal retinoschisis in a girl (the product of a consanguineous marriage) and her father. The father had peripheral retinoschisis with dendritic changes of the retina and good visual acuity. The daughter had peripheral retinoschisis complicated by vitreous haemorrhage and retinal detachment. Neither had foveal retinoschisis. ...

The profession of pathology is a practice in the technical sense used by many philosophers. Such practices have internal goods, which, it is hoped, lead to the attainment of a certain end. The ultimate end of the practice of pathology must be the good of the patient in terms of ...

Somatostatin has been shown to be effective in the management of the dumping syndrome and there have been reports of the effective use of long acting somatostatin analogue in the management of this condition. However, there have been few reports of the prolonged use of a somatostatin analogue in the ...

The water permeability properties of a series of epithelial barriers (the toad urinary bladder [TUB], the rat caecum [RC], the distal human colon [DHC], and the human amnion [HA] were studied in different experimental conditions. Three parameters were simultaneously determined: the water permeability coefficient in the presence of a transepithelial ...

The carcinogen N-acetoxy-N-2-acetylaminofluorene reacts with dG and dG-containing nucleotides to give good yields of the C-8 adducts, but the analogous 4-aminobiphenyl derivative does not. Replacement of the N-acetoxy group by 2,6-dichlorobenzoyloxy circumvents this difficulty. This reaction is shown to be generally applicable, and biphenylamido adducts with dG, d(CpG), d(GpC) and ...

Until recent years, the designation of physicians as managers in medical complexes generally followed three criteria, professionally known as "SAG Factors"--Seniority, Accountability, and Gullibility. Within the scope of these salient features, little room for creative career design or targeting was possible. Given the unprogrammed and largely unprepared conscription of many ...

In 1907 Dr G. W. Bampfylde Daniell was the first doctor to be appointed an anaesthetist in a South African hospital. Little is known about his work, but due acknowledgement must be made to his pioneering efforts to place anaesthesia on a sound scientific basis, and to his various contributions ...

Physicians frequently recommend electroepilation (electrolysis) in the management of hirsutism, but there have been no English language reports of its clinical effectiveness. We performed over 35,000 hours of electroepilation (electrolysis) on two hundred eighty-one women over a 4-year period. We used conventional, commercially available electroepilation (electrolysis) equipment that produced both ...

Recommendations against routine neonatal circumcision are based on the assumption that good penile hygiene can offer the same advantages as this procedure. The purpose of this study was to investigate hygienic practices of uncircumcised subjects and the relationship of these practices to the condition of the prepuce and glans. Outcome ...

We present a technique for reduction mammaplasty that produces small inframammary scars measuring a maximum of 8 cm in large reductions and practically eliminates the difficulty in the mobility of the nipple-areola complex. We believe that the greatest contribution of the technique presented here is that good aesthetic results were ...

Bell's phenomenon is an important physical sign in clinical medicine. An assessment of Bell's phenomenon may help to explain or localize the cause of ocular disease and lead to the diagnosis of systemic disease. We report in this paper our findings in 508 patients who presented consecutively to a general ...

The comet tail artifact appears as a dense tapering trail of echoes just distal to a strongly reflecting structure. This reverberation type of artifact occurs when there is a marked difference in acoustic impedances between an object and its surround. This paper presents a spectrum of comet tail artifacts seen ...

It has been claimed that the origin of the South Devon breed of cattle is 'unknown' and that biochemical polymorphisms '. . . indicate that Gelbvieh and South Devon had a common ancestry on the Continent and are distinct from other British breeds such as Hereford, Angus and Jersey' (Kidd ...

In this article, we examine the attempt of two hospitals to implement management by objectives (MBO) as a means of improving organizational planning and control. Our conclusion is that, as a goal-directed form of management technology, MBO may lead to dysfunctional decision making at the institutional level within organizations, especially ...

One of the first steps in implementing collaborative practice in the hospital is forming a collaborative practice committee to establish goals, to determine how to attain those goals, and to address any problems that may be encountered. This article offers some suggestions for getting the committee off to a good ...

You have seen your team in action and found out what the score is. Now you must interpret that score, build on the facts you have gleaned from the game so far. Certain concepts come into play if your managerial dossier is to do its analytic bit properly. Michael Walton ...

This article discusses three methods managers can use to make decisions: intuition, management analysis, and Type 1 and Type 2 error analysis. Olson identifies studies that have shown that top managers work at an unrelenting pace and jump from one activity to another. He claims that managers do not have ...

The oxidative N-demethylation was investigated for a series of 3,3-dimethyl-l-phenyl-triazenes. Triazenes, deactivated with halogene atoms in the phenylring, were expected to be better demethylated. The results do indicate a good trend that substitution of the ring with deactivating atoms and extent of demethylation compare well. The percentages of demethylation were: ...

In the interview published by Fortune, W. Michael Blumenthal, Secretary of the Treasury and former Chief Executive Officer and Chairman of Bendix Corporation, discusses his transition from being a business executive to becoming a senior member of the cabinet. Blumenthal compares the workings of the corporate world with the ways ...

One of the key components of effective management is the ability to make decisions. To more effectively assist hospital supervisors and managers in dealing with and making appropriate judgments, educators need to examine carefully the processes involved in decision making and how they impact on both the individual and the ...

Cryopreservation of semen has a place in reproductive medicine. It is done best using liquid nitrogen as the refrigerant and the pre-freeze semen should be of good quality. High quality spermatozoa survive the freezing-thawing process and ordinarily result in good babies. Abnormal sperm generally do not survive the freezing-thawing process, ...

It is not the purpose of this article to list the stethoscopic findings in various diseases, nor to discuss such conditions in detail, all of which may be found in any good text book of medicine. Rather, an attempt will be made to assess the significance of the stethoscope, with ...

Abyssotrema pritchardae gen. et sp. n. is described from the benthic teleost, Alepocephalus agassizi Goode and Bean 1883 (Alepocephalidae), taken from Hudson Canyon in the western North Atlantic. The new genus is placed in the subfamily Monascinae Dollfus 1947 and relationships among Abyssotrema, Elopsium Fischthal and Thomas 1972, and Monascus ...

Authored by Dr Caroline Lindsey <em>et al</em>, this document was published by the Royal College of Psychiatrists in April 2001. The document is concerned with the conduct of doctors towards patients and it outlines the principles underlying good practice, the situations of vulnerability in which awareness of these principles is ...

This document Good Surgical Practice was produced and published on the Web by the Royal College of Surgeons of England in September 2002. This guidance sets standards for surgeons, and is aimed specifically at surgeons (career grade and trainee), working within and outside NHS practice. Issues covered by this guidance ...

This 29 page document (PDF, 2007) discusses the impact of tourism in mountain ecosystems and advises on the benefits of good practice in these areas. Contents include Good business practices which covers visitor education and interpretation; infrastructure development; health and safety and interaction with local communities. The section on good ...

For legal reasons, but even more for the practice of good medicine, patients require much more information about their diseases, and about any proposed investigations or surgery than was customary in the past. In view of well-documented problems with the assimilation of purely verbal information, there is an increasing need ...

In 1693 John Marshall of London devised a novel method of grinding batches of identical, good quality, lenses of a specified focal length. Its commendation by the Royal Society led to a trade war between Marshall and rivals in the Worshipful Company of Spectacle Makers. Despite initial opposition the method ...