Total Quality Management (TQM) is a new management philosophy and a set of guiding principles that represent the basis of a continuously improving organization. This paper sheds light on the application of TQM concepts for software development. A fieldwork study was conducted on a Lebanese software development firm and its ...

Radionuclides with medium energy beta emission and a several day half-life have often been viewed as attractive candidates for radioimmunotherapy. Among the most promising in this category are 47Sc, 67Cu, 153Sm, 188Re, and 199Au. The production of 67Cu, 153Sm, 199Au at BNL is summarized and the development of the latest ...

This article gives practical advice about how to develop an annual report to a governing body. The author urges involvement of staff to prepare the data, exhibits and financial information; external advisors such as CPAs should review the data to add creditably. The narrative section should be easy-to-understand by physicians; ...

We describe a 58-year-old man who developed hemobilia following hepatic cryotherapy. This was complicated by acute pancreatitis and recurrent cholangitis, which necessitated multiple endoscopic procedures (including biliary stenting) for successful management. As cryotherapy becomes more widely applied in the management of patients with liver tumors, it is essential that surgeons ...

The treatment of haemophilia in both the developed and developing world countries need not be complicated. The person with haemophilia can be treated and managed by common sense and the application of basic knowledge and understanding of the physiology and pathology. Emphasis needs to be placed on training people rather ...

Why is it that successful strategies are rarely developed as a result of formal planning processes? What is wrong with the way most companies go about developing strategy? Andrew Campbell and Marcus Alexander take a common sense look at why the planning frameworks managers use so often yield disappointing results. ...

Faculty development is an important, multifaceted topic in academic medicine. In this article, academic emergency physicians discuss aspects of faculty development, including: 1) a department chair's method for developing individual faculty members, 2) the traditional university approach to promotion and tenure, 3) faculty development in a new department, and 4) ...

Computerized simulations have been used for many years for teaching principles of management in business schools. This paper describes the development of a computerized business simulation for use in dental school practice management courses. The simulation is in a competitive game format. It requires students to formulate strategies and to ...

Vic, the CEO of a sporting goods company in this fictional case study, is pleased with the numbers. For several years now, they've gone steadily in one direction: up. But there's trouble in paradise Hidden from the public's view of industry-dominating winners--from the coolest snowboards to the hottest in-line skates--lies ...

Addiction medicine must fight for its space in the undergraduate, graduate and continuing medical education curricula, as do most other clinical domains. Often curriculum time is provided to specialty areas when a clear relevance to the overall curriculum is made obvious. Increasing the awareness of addiction medicine through institutionalized faculty ...

De nobis ipsis silemus: About ourselves-we keep silent. If we violate this prudent rule by the least modest of literary exercises-the autobiography-we must be able to say that we do so to bear witness. From my intellectual vocation of physician and philosopher, I have received the Chinese blessing of "living ...

As midwives we have developed excellent skills in abdominal palpation. However assessment and physical examination of the woman and her family requires more than this. We need to develop a full repertoire of assessment skills that we can use, as midwives, to work in collaboration and partnership with women to ...

This paper presents a reflection based on 15 years' experience of studies on the pharmacology of medicinal plants in an underdeveloped country, Brazil. In these countries the investment in research is small and frequently interrupted. There is no new-medicines development program. Brazilian pharmaceutical companies have been short-sighted and have not ...

Guidelines and protocols are increasingly becoming part of routine clinical practice. A standardised methodology has been proposed for the development of national guidelines based on principles which are known to effect validity. However, less is known about the most appropriate methodology for the development of local protocols. A case study ...

The fact that in the past each medical student was assured of a post when qualified has led many in medicine to believe that selection for recruitment is merely a formality based on qualification and accreditation. Consequently little thought has gone into developing detailed person or post selection criteria. As ...

Reports the results of a survey of 209 senior registrars and 269 consultants throughout Wales to identify the management development needs of doctors and ascertain their views of the value and utility of current management development course offerings in Wales. Finds that, currently, management development for doctors in Wales is ...

There is much advice available about the development of risk management strategies within the NHS. There are booklets and magazines and there are many management consultancies willing to give advice on the development of strategies. NATN is also working on the development of advice on risk management within the operating ...

The development of leadership and management skills requires a commitment to personal introspection and the development of self-knowledge. Difficult decisions concerning the determination of that which is truly important is central to the process. At both the personal and organizational levels, this process can be facilitated through the creation of ...

Successful managers are successful negotiators. This article addresses how to develop a negotiation strategy that fits an individual manager's personality and objectives. The authors provide 12 rules aimed at developing that personal strategy and also define the elements of power, skill, and timing, and their relevance to the negotiating process.

Speech results were surveyed in 110 adolescent patients with clefts: 53 with unilateral cleft lip and palate, 46 with bilateral cleft lip and palate, and 11 with isolated clefts of the secondary palate. Only 12 of the 110 teenagers had received consistent team care from infancy. The early physical management ...

An A1 body target with improved yields of electrophilic [18F]F2 on the Siemens/CTI 11 MeV proton cyclotron at Wisconsin has been developed. The saturation yield is 3.10 +/- 0.40 GBq/microA for beam currents up to 45 microA. The target has routinely produced 20-40 GBq of [18F]F2 for clinical and experimental ...

Palatal myoclonus is defined as a continuous, rhythmic contraction of the palatal musculature. Reverberant neuronal activity in a region of the brain stem known as the Guillain-Mollaret triangle is believed to underlie this condition. We present a case of palatal myoclonus which could be abolished by anterior neck flexion. The ...

Staff education will be an important component of managing changes in health care. The development of a "learning organization" will necessitate developing management processes to encourage team building and participation. This article describes a management process created to develop a comprehensive staff development plan for a rehabilitation center. Four components ...

Audit at regional level is a useful complement to local audit, especially in small specialties. Regional audit can reduce professional isolation and lead to the development of uniformly high standards in the care given by a variety of providers. The development of regional audit in genitourinary medicine in South East ...

BACKGROUND: Orbital emphysema is usually a benign, transient phenomenon. Rarely, the intraorbital air mass can cause central retinal artery occlusion. Because of the potential for severe visual loss, the rapid diagnosis and management of this condition are essential. Currently, there is no standard protocol for the treatment and management of ...

Caplan has argued that the philosophy of medicine does not exist. Although I will not deny the points he makes, I will argue that the philosophy of medicine has characteristics of a developing field with the potential to meet all of Caplan's criteria. The argument is based on Dewey's established ...

Unani medicine was introduced into India in the 7th century A.D. Its progress was not so significant during the reigns of Khiljis, Tughlaqs and Lodhis. Its real development took place during the Mughal period. Apart from the literary works done on the Unani medicine during this period, several hospitals were ...

It was apparent from Dr Turley's presentation that many cases, previously thought to be untreatable by conventional orthodontic means, can be managed with a high degree of success using the techniques described. It is hoped that this overview of management of the developing Class III malocclusion will provide a rationale, ...

Practice parameters, patient management strategies designed to help physicians make clinical decisions, can eliminate thousands of unwarranted medical procedures each year, resulting in greater satisfaction for patients and lower costs for payers. But physicians have yet to adopt many recently issued parameters. The enthusiasm with which they embrace newer guidelines ...

The Moller-Murphy Symptom Management Assessment Tool (MM-SMAT) was developed to assist in the identification of psychiatric symptoms, health, and environmental variables, problems related to medication management and provide a common language for everyone involved in the ongoing management of neurobiological disorders to use in identifying the frequency, intensity, and duration ...

The relationship between third-party payers and dermatologists is generally governed by a written contract. That relationship can be more beneficial to the dermatologist, and chances of liability may be decreased, both for breach of contract and for malpractice, if the dermatologist pays close attention to the language in the contract. ...

The theory underlying medical classification is not always given sufficient regard. Here systematic methods developed in biology are summarised and compared with parallel developments in nosology. The classification of the functional psychoses is discussed as an example of a methodological problem in medicine. We consider that cladism could have a ...

Historical profiles can be used to portray past pathways of agricultural development, the factors that affected pest status and the responses made by farmers in the form of pest management. Understanding the key factors affecting these historical developments is thought to be crucial for identifying likely future scenarios and associated ...

Suggests that managing performance should not just be a once-a-year appraisal of people, but should be a dynamic process integrating the various aspects of organizational and human resource management, including staff appraisal and development, as well as quality, standards, targets and outcomes, etc. Points out that the best route to ...

The author examines circular labor migration in Fiji. "This paper is organized into five sections. The first section provides a brief discussion of two major perspectives of labour circulation in developing countries. The second section presents the state of the Fijian village in the context of the current pattern of ...

Postlaminectomy instability of the cervical spine can be managed either anteriorly or posteriorly. The posterior procedures that have been described are best performed at the time of the original decompressive procedure. Thus, the development of a kyphotic deformity is prevented. Generally, it is technically easier to achieve anterior stabilization and ...

The tropical timber trade appears to have promoted neither sustained forest management nor sustained forest-based industrialization. The boom-and-bust export pattern is often blamed on demand by developed countries, high import barriers, and low international wood prices. In fact, it is rooted in tropical countries' own policies related to timber concessions ...

A 69-year-old man with a history of relapsing polychondritis developed a widespread cutaneous eruption that was clinically and histologically typical of erythema elevatum diutinum. This eruption was accompanied by a recurrence of arthralgias. The significance of this association between relapsing polychondritis and erythema elevatum diutinum, which has not been previously ...

The topic of this article is traffic planning and traffic planning methods and how they developed in Europe over three specific periods: before 1968, 1968-1979 and 1980-1990. Developments in traffic calming and speed management for some of the European countries are described by period, and each period is followed by ...

A four-physician group had developed a very successful practice model, but cost accounting was not well-developed as general ledger and accounts payable activities were performed using manual methods and financial statements were prepared on a spreadsheet program. The purpose of this case study is to describe the steps taken to ...

Baylor College of Medicine has developed the MEDLINE Retriever, a tool to query MEDLINE, the data-base of medical literature at the National Library of Medicine. The MEDLINE Retriever communicates via the Internet to achieve excellent response time for MEDLINE queries. It uses the X Window System and the Motif toolkit, ...

The congenitally contracted socket often poses a challenging management problem; early surgery may be necessary in spite of the attendant difficulties. A series of patients is presented, with particular emphasis upon the use of a new hydrophilic expander in the severely contracted socket, to illustrate our current management protocol. Factors ...

Approximately two-thirds of New York City's 800,000 buildings contain asbestos. Most of this material is damaged or deteriorating. Legislation pending in the New York City Council (Bill number 453) would require virtually all building owners to inspect for asbestos, to develop management and maintenance plans to prevent disturbance of intact ...

On March 9th, 1790, the first stomach tube was contrived. Today, Kussmaul's paper, read at the 41st meeting of German naturalists and physicians in Frankfurt on Main in September 1867 is considered to be the starting point for the development of gastroenterology. In 1879 Ewald delivered the scientific elements of ...

Strengthening management has been widely promoted as a critical component of any strategy concerned with improving the implementation of primary health care (PHC). Management development programmes are, however, subject to conflicting demands and differing expectations. The situation is confounded by the wide diversity of strategies subsumed under the heading of ...

A feature of many developed healthcare systems is the attempt to replace provider-driven services by managerially-driven services which are ostensibly more responsive to consumer preferences. Policy-makers anxious over the 'crisis' of escalating costs in healthcare delivery and over the efficiency of some medical treatments and interventions are turning to managerial ...

Audit as a requisite part of clinical practice in this country is in its infancy. As with all new arrivals, it has already begun to test relationships--particularly those between clinicians and general managers. There is some uncertainty about how audit will grow and develop--how big will it get? Will it ...

A materiel management system, developed into an efficient organization, seems to be the most practical solution to solve interrelations between two complex operational departments, the CPD and surgery, be it for supply acquisition, inventory, processing, or distribution. The goal is to develop the most intelligent and efficient method so that ...

The first two installments in this series dealt with contract negotiation methodology and contract contents. This final segment deals with subjects that all too often overlooked, but which are just as important as the first two. They are important because the attitude with which parties enter contractual arrangements largely determines ...

A supplier has notified the hospital materials manager that a contract delivery date for medical supplies won't be met. When pressed for an explanation, the supplier says that it is impossible for performance to be made. This puzzles the materials manager, and he wonders if the supplier can avoid performance ...