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Carmichael J - - 1992
Jane Carmichael's views on Managing Inputs provide a further interesting contribution on a topic, strategic control, that we have covered on several occasions in this column. Carmichael's approach is to dig back behind the results being achieved to the 'inputs' on which they depend. But, while this may unearth causes ...
King W W - - 1991
Tetanus is often accompained by autonomic instability, rendering hemodynamic management difficult. Death is frequently secondary to an inability to control this instability. A variety of modalities have been used to stabilize the cardiovascular system, but all are not ideal. Esmolol offers theoretical advantages over other modalities. We report a case ...
Randall D A - - 1991
Management of epistaxis is directly related to the site of the bleeding. Anterior nosebleeds are the least dangerous and the most common, especially among children. Sinus disease, colds, allergies, abrupt temperature changes and dry heat produce fragile and hyperemic nasal mucosa that bleeds easily with nose blowing or mild abrasion. ...
Carlson D B - - 1991
For the past decade, salt marsh management in Florida has been a central issue in attempts to reconcile mosquito control and natural resource interests. Progress has been made in trying to maintain effective mosquito control while protecting and enhancing salt marsh resources primarily due to: 1) efforts by the Florida ...
Hassan S M - - 1991
Chickens were shown to be natural predators of ticks. Rhipicephalus appendiculatus were recovered in large numbers from the crops and gizzards of chickens which had scavenged for 30 min-1 h among tick-infested cattle. Other ticks recovered were Amblyomma variegatum and Boophilus decoloratus. The numbers of ticks recovered ranged from 3 ...
Tsoi W F - - 1990
Two hundred male and 100 female transsexuals compared with 100 male and 80 female heterosexuals were studied in Singapore. Transsexuals started their psychosexual development earlier than controls. Transsexual feelings started in childhood. Male transsexuals went through a homosexual phase followed by a transvestite phase, before they became transsexual. Female transsexuals ...
Oncken W W - - 1990
In any organization, the manager's bosses, peers, and subordinates--in return for their active support--impose some requirements, just as he imposes upon them some of his own where they are drawing upon his support. These demands on him constitute so much of the manager's time that successful leadership hinges on his ...
Gill R - - 1990
The frequency of use and the effects of mastitis control practices on SCC and milk yield were investigated. A survey of current management practices was combined with DHI production information to determine the relationship between milk yield, SCC, management practices, and production and producer characteristics under field conditions. The expected ...
Walker J S JS - - 1990
As managers, dentists must be concerned with the daily control of their practices. Traditional management reports and graphs are not capable of indicating when specific action or intervention has become necessary. They fail to recognize that all processes--including the administrative functions of a dental office--exhibit variability. Only a control technique ...
Makin T - - 1990
The efficacy of secondary control measures on showers colonized with legionellae was assessed. Hyperchlorination of shower heads and angle valve strainers had only a short-lived effect on legionellae. Automatic drain valves fitted to showers were ineffective in maintaining a reduction in the number of legionellae in shower water. Regular flushing ...
Widran J - - 1990
Two hundred transurethral resections of the prostate (TURPs) were performed using a controlled continuous flow (CCF) resectoscope attached to a video camera by direct-beam coupler. Standing comfortably, the surgeon used a video monitor as the source of judgment for manipulating the loop. Data obtained were statistically similar to those obtained ...
Chandler N P - - 1990
In previous experiments, the sucrose substitute Lycasin has been shown to possess low acidogenic potential. Intra-oral cariogenicity tests were carried out in humans to explore the enamel softening effects of Lycasin, using sucrose and saline as controls. The results confirmed that Lycasin would be preferred to sucrose as a sweetener ...
Meisch M V - - 1990
Granular, liquid and briquette formulations of Bacillus thuringiensis var. israelensis were tested in small rice plots during 1984-88 against Psorophora columbiae larvae. Vectobac AS, Skeetal G, Teknar HPD, ABG 6172, ABG 6188, ABG 6193, ABG 6197, ABG 6199, ABG 6138F and ABG 6221 provided excellent control at high dosages and ...
Christie G D - - 1990
The Portsmouth, Rhode Island Mosquito Control Program used granular Bacillus thuringiensis var. israelensis to successfully control salt marsh mosquitoes in a 9 acre salt marsh while monitoring for, planning and implementing small scale open marsh water management in the marsh. Single season larviciding costs were roughly 4% that of contracted ...
Morrow-Tesch J - - 1990
The influence of piglet sensory systems and the role of odors from the sow's ventrum on piglet nipple attachment were investigated. In Experiment 1, four sows had their ventrum washed with organic solvents and four were unwashed control sows. Piglets were given one of four treatments shortly after birth: nares ...
Williams J N - - 1989
Management of a dental practice is challenging. The implementation of a management control system will improve practice performance. This system consists of planning practice goals and objectives, gathering information about the practice activity related to the planned goals and objectives, and taking corrective actions to remedy deviations from the practice ...
McFadden D - - 1989
Cash concentration and controlled disbursement are cash management techniques that can enable healthcare organizations, particularly those with multiple corporations, to improve the control of cash flows, reduce excess cash balances, and increase interest earnings. Cash concentration involves transferring all cash balances into one account, while controlled disbursement involves the early ...
Gibbs S - - 1989
Prescription information leaflets (PILs) for penicillins, diuretics and benzodiazepines were evaluated in a small Hampshire town. A second town, in which no leaflets were distributed, acted as a control. Knowledge about these medicines was greater amongst the 252 patients who received leaflets compared with 247 controls. Significantly more patients who ...
Mansour K A - - 1989
We describe two examples of successful management of a difficult PA. In the first, the posterior approach to the PA during completion pneumonectomy is demonstrated. In the second, the intrapericardial transection of the right PA is described when the tumor encroaches onto the right hilum. Maneuvers to ensure safe and ...
Trubo R - - 1989
With medicine under siege, many physicians no longer turn up their noses at unions. The number of doctors in unions remains small, but it is growing as third parties exert more control over the practice of medicine. Fee-for-service physicians still face antitrust barriers to joining, but even the lawsuit-conscious AMA ...
Salpietro F - - 1989
A simple and safe procedure is proposed to manage cases of "empty sella" complicated by rhinorrhea. It is performed under fluoroscopic control only by introducing a needle in the sphenoid sinus via a transnasal route and by injecting fibrin glue into the sinusal cavity. This procedure requires a short hospitalization ...
Harding J E - - 1989
Mothers and midwives who had participated in the Bristol randomized controlled trial of active versus physiologic management of the Third Stage of Labor were asked for their views. One hundred ninety-one mothers (11% of the total randomized) and 49 midwives completed self-administered questionnaires. Both mothers and midwives commented adversely about ...
Hughes E G - - 1988
The fallopian tube can be cannulated per vaginum under ultrasound control. The sensation and ultrasound appearance of smooth passage without visible kinking are accurate predictors of success. The average time taken for each cannulation was 7.2 minutes. Adequate practice in non treatment cycles is essential before proceeding to cell transfer, ...
Anderson S T - - 1988
Managing third-party requirements for payment is becoming increasingly complex. Specifically, preauthorizations and other utilization control features have greatly affected how both physicians and hospitals deal with insurance companies and other third-party payers. Providers that can effectively and efficiently manage the preauthorization process have the opportunity to transform an administrative burden ...
Zoltie N - - 1988
The sheep provides a suitable model for simulation of grade III human tibial trauma. Management in humans can easily be simulated in the sheep. But variability can be controlled, and the effect of particular methods of management can be compared more accurately than in the human situation, with more scientific ...
Konior R J - - 1988
Diffuse upper respiratory hemangiomas are extremely rare lesions. Unlike the much more common congenital subglottic hemangiomas, diffuse upper respiratory hemangiomas do not resolve spontaneously and may prove quite recalcitrant to conventional forms of therapy. Superselective embolization, a highly successful technique for the management of head and neck vascular lesions, was ...
Katz P M - - 1988
As managed care contracts grow in number and complexity, financial managers must develop strategies to manage and control them. Managers must gain the cooperation of the medical staff, improve financial controls and forecasting, develop an effective information system, improve case-mix management, and measure and control productivity in the hospital to ...
Barbash G I - - 1988
Aeromedical evacuation has been extensively used by military forces for evacuation of wartime casualties, but has also proven useful in civilian disaster response. In contrast to the broad coverage of the clinical aspects of the aeromedical evacuation, the operational and management control issues have rarely been addressed. The sophisticated battlefield ...
Siegrist R B RB - - 1988
Advantages and pharmacy applications of computerized hospital management-control and planning systems are described. Hospitals must define their product lines; patient cases, not tests or procedures, are the end product. Management involves operational control, management control, and strategic planning. Operational control deals with day-to-day management on the task level. Management control ...
Watkins C J - - 1987
A randomized controlled trial of an information and medical record booklet designed to improve patient understanding and participation in the management of hypertension was conducted in six inner London general practices. After one year there were no significant differences between the group who had received the booklets and the control ...
Gettinby G - - 1987
The results of a questionnaire circulated in 1984 concerning parasitic worm control on cattle and sheep farms in a veterinary practice in the west of Scotland are reported. Control by grazing management or anthelmintic treatment was used in 92 per cent of the cattle herds and in all the sheep ...
Heather N - - 1987
Sixteen general practitioners participated in a controlled trial of the Scottish Health Education Group's DRAMS (drinking reasonably and moderately with self-control) scheme. The scheme was evaluated by randomly assigning 104 heavy or problem drinkers to three groups - a group participating in the DRAMS scheme (n = 34), a group ...
Parker W S - - 1987
Eventually every orthodontist will leave his practice because of illness, death, or retirement. Two widely used methods to accomplish this separation are described. They are "sale of the practice" or "integrating an associate into the practice." This "alternate arrangement" provides that the outgoing orthodontist complete his own cases. The new ...
PuciƂowski O - - 1987
The aim of the present study is to present the experimental evidence, mainly that collected over recent years by the author, in support of the involvement of the dopaminergic mesolimbic system in the mechanism of affective aggression in the rat and its interactions with other monoaminergic systems. Dopamine has been ...
Armstrong D - - 1987
Orthodoxy traditionally manages to control the potential threat from the unorthodox by a strategy of either marginalisation or incorporation. Having for so long marginalised the social sciences, biomedicine now seeks to incorporate them in a new biopsychosocial alliance. The social sciences should resist such blandishments and, rather than act in ...
Nusbaum R C - - 1987
This article presents an overview of how radiology managers can establish a series of controls that will insure efficient recovery and maintenance of silver reclamation programs. Once this tracking system is established, it will become an easy task to evaluate equipment efficiency, refiner capabilities, and assure the highest return possible ...
Tritschler J P - - 1986
Six hundred and sixty-five New England sheep producers responded to a postal survey on management practices, anthelmintic use, and the perceived failure of anthelmintics to control nematodes. Although the average farm had 34.8 lambs and 29.8 stock sheep, 59.8% and 50.3% of the total number of lambs and stock sheep ...
Ray W A - - 1986
We conducted a controlled, statewide trial of the efficacy of an educational visit by a physician counselor in the reduction of diazepam prescribing in outpatient practice. A novel aspect of this trial was the provision of a schedule for gradual withdrawal of long-term diazepam users from drug therapy; 51% of ...
- - 1986
Materials managers do not really control most hospital inventory. As indicated in the first article in this series published in the previous issue, there is more official inventory in user areas under user control than exists in general stores, central supply, and/or SPD. In addition, users control all unofficial inventory ...
Patel M G - - 1986
Electrosurgery is a safe, effective modality for tissue management in conjunction with restorative dentistry. It can be used to remove redundant tissue to gain access for tooth preparation, develop a gingival trough around the margins of a prepared tooth for an accurate impression, control hemorrhage, remove opercula, and plane and ...
Barrett J P - - 1986
This article provides an approach to the recruitment and selection of staff with a review of indirect cost and complements. In screening candidates, sensitivity to discrimination issues can avoid liabilities. Compensation and benefits should be structured to both attract and retain competent personnel. Performance management coordinates short- and long-term objectives, ...
Harding L K - - 1986
The application of the 1985 Ionizing Radiations Regulations and Approved Code of Practice to a typical Nuclear Medicine Department has been considered. References to the Regulations are given so that their implications in a given department may be examined. The radiopharmacy, radioisotope dispensary and injection room will need to be ...
Briggs O M - - 1986
Aspects of the biology and life-cycle of the flea which are important to the practising veterinarian are discussed. The "cat flea", Ctenocephalides files is the most prevalent species on dogs and cats in those parts of the world where it has been surveyed. Whether the flea is a temporary or ...
Goldman L - - 1986
Because the skin is easily available, the combination of frequent periods of critical observation, the dermatologist's clinical experience, and carefully controlled documentation of these observations allow for self-experimentation in dermatologic disorders on the part of clinicians. The practical value of such self-experimentation has been shown over many years, especially by ...
Grünbaum A - - 1986
The standard technical vocabulary used to define placebo therapies and experimental placebo controls in medicine and psychiatry is both confusing and obscure. To achieve conceptual clarity in the theory of placebogenic phenomena, this paper offers a rigorous articulation of the placebo notion, a lucid new terminology that obviates the defects ...
Jemmett J C - - 1985
In one general practice over a six-week period three patients with atypical pneumonia were shown serologically to have psittacosis. All three patients had been exposed to the same flock of ducks but veterinary investigation three months after the first case had been reported did not show the ducks to be ...
Bredesen A C AC - - 1985
In the rush to join an HMO "like everyone else is," many physicians are blindly accepting the utilization controls imposed on them. The first step a medical group should take when considering HMO involvement is a careful evaluation of group objectives and analysis of whether an HMO plan is indeed ...
- - 1985
The swine industry in the United States is increasing in the Southeast. The proportion of pigs raised in confinement has increased to 25% and the trend is expected to continue. Changes in geographic origin and in management have affected the swine parasite fauna. A few parasites have almost disappeared and ...
Alonso J C - - 1985
Plasmid pC194-1, a mutant of pC194, and chimeric derivatives of pC194-1 are segregationally unstable in B. subtilis. Such instability could be enhanced by exposure of pC194-1-carrying cells to methyl methanesulfonate. pC194-1 is distinct from pC194 in the addition of two A:T base pairs within the previously defined D region of ...
Reingold A L - - 1984
The infection control and disinfection procedures employed by 434 oral surgeons were surveyed. Gloving practices varied substantially, with 55% of respondents wearing gloves during less than or equal to 10% of patient contacts and only 24% wearing gloves routinely. Gloving practices correlated strongly with having been taught in dental school ...
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