Organizational structure is built through dynamic processes which blend historical force and management decisions, as a part of a broader process of constructing organizational memory (OM). OM is considered to be one of the main competences leading to the organization's success. This study focuses on the impact of the Quality ...

This study focuses on the development of a multi-objective game-theory model (MOGM) for balancing economic and environmental concerns in reservoir watershed management and for assistance in decision. Game theory is used as an alternative tool for analyzing strategic interaction between economic development (land use and development) and environmental protection (water-quality ...

Repair of rotator cuff tears is technically challenging. Full thickness rotator cuff tears have no potential for spontaneous healing, no reliable tendons substitutes are available, and their management is only partially understood. Many factors seem to contribute to the final outcome, and considerable variations in the decision-making process exist. For ...

This article outlines the basic principles of evidence-based medicine (EBM) and provides urologists with some tools to further explore, understand, and work with EBM. A narrative review was conducted illustrating several aspects of EBM. Based on the definition of EBM, the aspects of evidence are clarified and a systematic approach ...

This essay reviews the historical circumstances surrounding the introduction and evolution of evidence-based medicine. Criticisms of the approach are also considered. Weaknesses of existing standards of clinical practice and efforts to bring more certainty to clinical decision making were the foundation for evidence-based medicine, which integrates epidemiology and medical research. ...

Management of intracardiac devices became a regular practice for a cardiologist. Current technology allows us to provide more sophisticated ways of pacing and defibrillating. We present two cases of multiple lead insertions to raise concern about possible interactions and complications.

OBJECTIVE: To determine the accuracy of palpating the long head of the biceps tendon (LHBT) within the intertubercular groove with the use of ultrasonographic localization as a gold standard. DESIGN: Prospective, single-blinded pilot study. SETTING: Sports medicine clinic at a tertiary care academic institution. PARTICIPANTS: Twenty-five male and female asymptomatic ...

Of the 31 recommendations made by the work group, 19 were determined to be inconclusive because of the absence of definitive evidence. Of the remaining recommendations, four were classified as moderate grade, six as weak, and two as consensus statements of expert opinion. The four moderate-grade recommendations include suggestions that ...

Bursitis is a common cause of musculoskeletal pain and often prompts orthopaedic consultation. Bursitis must be distinguished from arthritis, fracture, tendinitis, and nerve pathology. Common types of bursitis include prepatellar, olecranon, trochanteric, and retrocalcaneal. Most patients respond to nonsurgical management, including ice, activity modification, and nonsteroidal anti-inflammatory drugs. In cases ...

Learning to perform a skilled behavior is affected by the context of the practice session and the frequency of augmented feedback. We studied the combined effect of these variables in the acquisition of a ballistic, bi-directional lever movement pattern involving four different target locations as measured by performance in practice, ...

Despite regulatory restrictions, off-label marketing of pharmaceutical products has been common in the US. However, the scope of off-label marketing remains poorly characterized. We developed a typology for the strategies and practices that constitute off-label marketing. We obtained unsealed whistleblower complaints against pharmaceutical companies filed in US federal fraud cases ...

OBJECTIVE: To explore factors which may influence consumers when making decisions in relation to over-the-counter (OTC) medication. METHODS: Data were collected from members of the public using a face-to-face interviewer-administered structured questionnaire in 10 shopping centres. RESULTS: 1461 people participated (18.8% males, 81.2% females; ages ranged from under 20 to ...

Ecology Letters (2011) ABSTRACT: Biological invasions are a global and increasing threat to the function and diversity of ecosystems. Allee effects (positive density dependence) have been shown to play an important role in the establishment and spread of non-native species. Although Allee effects can be considered a bane in conservation ...

This article is a summary of the key elements presented during the conference held as part of the Practice Management and Development course sponsored by the Multi-Specialty Foundation in Las Vegas, Nevada in 2009. This article represents an amalgam of perspectives from practices across the United States. The Office Managers' ...

This paper is in the form of a case study that relates how KPMG's crisis management, business recovery and risk mitigation plans, methods and organisation were applied to ensure its clients' services were not compromised following significant damage to a major office following an arson attack. The paper describes the ...

Exertional collapse is a commonly encountered phenomenon among runners, particularly in the setting of long distances and extreme environments. Although exertional collapse is generally a benign event occurring in an exhausted finisher at race completion, the multifactorial nature of this disorder creates a broad differential diagnosis. The ability of the ...

In 1980, William White published a paper "Why I Hate the Index Finger". The National Library of Medicine never indexed it so it has been missing for almost 30 years. It is reprinted here for the benefit of the current generation of hand surgeons.

Principles of lean management encourage managers to exert tight control over office space and the people within it. Alternative, design-led approaches promote the value of offices that are enriched, particularly by plants and art. On the basis of a social identity perspective, we argue that both of these approaches may ...

Based on its experience with implementing a virtual central business office, UMMS recommends the following steps to ensure the success of such an initiative: Define the process flow for the organization's day-today revenue cycle operations prior to implementation. Then select best practices and milestones for managing accounts. Identify any possible ...

BACKGROUND AND OBJECTIVES: It is unknown whether an electronic medical record (EMR) improves the management of test results in primary care offices. METHODS: As part of a larger assessment using observations, interviews, and chart audits at eight family medicine offices in SW Ohio, we documented five results management steps (right ...

A central processing office (CPO) is an alternative to the traditional central billing office that can substantially improve the revenue cycle performance of a hospital's owned physician practices. A CPO's primary advantage is that it assigns accountability for results at each revenue cycle step, particularly to those individuals in the ...

Antiaging medicine is the fastest growing medical specialty. It would behoove plastic surgeons to give serious consideration to extending their practices to incorporate antiaging medicine given the similarities in their patient populations, office settings, and fee-for-service practices. It is important to find a practitioner board-certified in antiaging and regenerative medicine ...

On 15 December 2005, the European Medicines Agency (EMEA) launched an "SME Office" to provide financial and administrative assistance to micro-, small- and medium-sized enterprises (SMEs), with the aim of promoting innovation and the development of new human and veterinary medicinal products by SMEs. According to current EU definition of ...

Since the approval of botulinum toxin, dermal fillers, and lasers for cosmetic use, minimally invasive aesthetic procedures have rapidly become the treatments of choice for age-related facial changes. In the past 10 years, aesthetic procedures have increased nearly five-fold. Of the 10.2 million aesthetic treatments performed in 2008, 83 percent ...

Most clinical photographs utilized in a plastic surgical practice are taken in the office setting, primarily to document surgical results. This article will discuss the various ways that the office environment can be optimized for clinical photography.

PURPOSE: We wanted to explore test results management systems in family medicine offices and to delineate the components of quality in results management. METHODS: Using a multimethod protocol, we intensively studied 4 purposefully chosen family medicine offices using observations, interviews, and surveys. Data analysis consisted of iterative qualitative analysis, descriptive ...

INTRODUCTION: At variance from office spirometry, telespirometry has not been tested as a tool for improving the ability of general practitioners (GPs) to manage chronic airway diseases. METHODS: After adequate training, 937 Italian GPs agreed to perform telespirometry in subjects attending their clinics who had risk factors, persistent respiratory symptoms, ...

Dai-kenchu-to (DKT), a traditional Japanese herbal medicine (Kampo medicine), composed of zanthoxylum fruit, ginseng root, dried ginger rhizome and malt sugar, is clinically effective for postoperative ileus and chronic constipation. MMIHS and CIIP are severe motility disorder associated with high morbidity. The aim of this study was to evaluate the ...

Progressive Audiologic Tinnitus Management (PATM) is based on the premise that tinnitus is managed most efficiently using a hierarchy of clinical services that address different levels of need. PATM includes five levels of management: (a) triage; (b) audiologic evaluation; (c) group education; (d) tinnitus evaluation; and (e) individualized management. This ...

Bookkeeping practices in dental offices may be relatively simple, but care must be taken to prevent employee theft. Well-chosen accounting software and routine office practices may facilitate smooth operations. Systems of internal control should be established to safeguard the practice's finances. The dental practitioner should be very involved in their ...

Endoscopic ultrasound (EUS) is being used to diagnose and evaluate a number of conditions of the gastrointestinal tract. This article describes the type of EUS equipment that is being used in clinical practice, the type of conditions for which it is used to diagnose and evaluate, and its therapeutic uses.

Vital for any surgeon choosing to perform bariatric surgery is to be financially savvy. Establishing a practice is not a simple matter. This article will describe how physicians can establish their practice in weight loss medicine. To better insure success, wisdom dictates that one perform a geographical study with respect ...

OBJECTIVES: To assess elective surgery consent practices amongst senior house officers from a selection of UK ENT departments, and to compare results with those obtained in a similar survey in 2002. METHODS: A telephone survey of senior house officers in 40 UK ENT departments was carried out to assess departmental ...

: Stanis?aw Skalski was an eminent Polish specialist in internal medicine. He lived at the turn of the 20th century. He received his medical doctor's diploma at the Kiev University. His professional career and social activity were associated with L?d? where he performed a variety of management functions, among others ...

For many years, office based anesthesia (OBA), has been considerably increasing in the US. This type of practice is starting to develop in Belgium. On the other side of the atlantic, legislation concerning this practice is becoming more and more precise, whereas the same isn't true in our country. It ...

The major volatile constituents of leaves and flowers of Cymbopogon martini from the volatile oil obtained by steam distillation were identified by GC/MS. Five constituents were identified from the volatile oil of leaves and flowers, which constituted about 82.49 and 75.63% of the total amount, respectively. A monoterpene, piperitone (6.00%), ...

Hypothyroidism is one of the most common disorders encountered in an endocrine office practice. This article reviews the epidemiology, etiology, clinical presentation, diagnosis, and treatment of hypothyroidism. We emphasize some of the more recent issues, such as combination thyroid hormone therapy, management of hypothyroidism during pregnancy, and the management of ...

The management of cosmetic vein problems requires a very different approach than that for the majority of most other vascular disorders that occur in a vascular surgery practice. This article focuses on the business aspects of a cosmetic vein practice, with particular attention to the uniqueness of these issues. Managing ...

The red bud borer Resseliella oculiperda (Rübs.) is a pest insect of apple trees when rootstocks are grafted with scion buds by 'shield budding'. The female midges are attracted to the wounds of the grafted buds where they lay their eggs. The larvae feed on the cambium and destroy the ...

Sir Thomas Spencer Wells (1818-97) is best remembered both as a gynaecological surgeon, who introduced ovariectomy, and as the one who introduced the surgical forceps named after him. Far less is known of his career in the Royal Navy (RN) as an assistant surgeon and then a surgeon, and his ...

Heckel analysis, tablet tensile strength, and indentation hardness were determined for a series of sieved and roller compacted microcrystalline cellulose mixtures under both unlubricated and lubricated conditions with magnesium stearate. These results have been used to evaluate the loss of reworkability following roller compaction for microcrystalline cellulose and show the ...

I have earned my gray hair honestly and have come to realize that one of the things that everyone wants and needs is respect. I hear it over and over again, on the street and in the office. So, I would close by saying that to be successful with employees ...

In early 2007, President Bush issued Executive Order 13,422, extending executive review to significant guidance documents, requiring the designation of a politically-appointed Regulatory Policy Officer (RPO) within each agency, and strengthening the review and consultation role of the Office of Management and Budget's (OMB) Office of Information and Regulatory Affairs ...

BACKGROUND: While office spirometry is seen as potentially useful and feasible in general practice, little is known about its use in Flemish general practice. Our aim was to describe the use of spirometers by Flemish GPs, characteristics of their spirometry practice, training needs and preferences, and attitudes towards office spirometry. ...

Perception of stress, control, and satisfaction was measured by office managers in medical practices. Office managers spend enormous amounts of time each day handling difficult interpersonal issues among staff physicians, and patients. As a group, physician disruptions were the most prevalent per day. Other staff members were considered the most ...

The contamination rate of phlebotomy tourniquets with meticillin-resistant Staphylococcus aureus (MRSA) was assessed, and it was determined whether this could be reduced by changes in practice or by the use of a physical barrier. Initially, the tourniquets of both preregistration house officers and phlebotomists were investigated, but as phlebotomists reported ...

This paper describes an eight month experience with three of the four main assessment tools that will be used to validate the successful completion of the FY1 placement. The practical issues around the implementation of these new tools is of great concern to all involved in the management of postgraduate ...

The occurrence of the tachinid parasitoid Billaea rhynchophorae (Blanchard) on larvae of the palm weevil Rhynchophorus palmarum (L.) was evaluated in plantations of piassava palm (Attalea funifera Mart.) and African oil palm (Elaeis guineensis Jacquin), in southeastern Bahia, Brazil. The monthly percentages of parasitism were evaluated during 13 months, from ...

BACKGROUND: Hospital-based clinicians have been shown to use and attain benefits from online evidence systems. To our knowledge there have been no studies investigating whether and how ambulance officers use online evidence systems if provided. We surveyed ambulance officers to examine their knowledge and use of the Clinical Information Access ...

The pace at which we live and practice in this new century leaves little time to manage many of the menial tasks of day-to-day survival. This is especially true in the field of medicine. With today's insurance policies and procedures, Health Information Privacy Protection Act (HIPPA) regulations, and the low ...