Sometimes a hospital materials manager wonders if the parties with whom he contracts are really agreeing to the terms of the contract. Also occasionally there are facts which cause a question to arise as one's capacity to enter into a contract. These questions raise issues which are part of the ...

Today's unstable healthcare environment is prompting not-for-profit hospitals to explore ways to preserve a fading altruistic posture. Holy Cross Hospital, Salt Lake City, sees middle management as a key to preserving a mission-oriented commitment to the delivery of healthcare. It is tapping the potential of its middle managers through a ...

In this paper a fuzzy model of inexact reasoning in medicine is developed. Both diagnosis and choice of therapy are considered. In the context of diagnosis a model used as the mathematical basis of MYCIN is given in a fuzzy interpretation. Single combining functions are identified with basic fuzzy operations ...

Unionization presents a potential source of cost escalation for hospitals, particularly involving health benefits. The best way to minimize chances that staff members will opt for union representation is to develop personnel practices that demonstrate management's commitment to treating employees fairly, such as providing competitive salaries and benefits, scheduling regular ...

A computerised program devised to manage patients undergoing TPN has been operating in the Parenteral and Enteral Nutrition Unit of the II Clinica Chirurgica of the University of Rome. The program includes sections to manage information, monitoring and therapy. The package was compiled using the new Language C, which is ...

The concepts of human resources management (HRM) are presented, and the application of HRM concepts to a hospital pharmacy department is described. Low salaries and poor working conditions had precipitated a mass exodus of pharmacists from a 650-bed, tertiary-care medical center. The newly hired director of pharmacy sought to rebuild ...

This article discusses the use of computer technology in expediting and simplifying the retrieval of data generated from clinical practice. The article describes the collaboration between academic faculty and nurse clinicians in developing a computerized database to report birth statistics incurred by a busy obstetrical unit. A secondary purpose of ...

In this paper, adapted from the Keynote address to the 30th Annual Scientific Assembly of the College of Family Physicians of Canada, May 1988, in Montréal, Quebec, it is pointed out that family medicine has been successfully establishing itself as a distinct academic discipline since the early 1950s. Yet family ...

The NHS must develop its own managers and the biggest task, and one which cannot be postponed, is the development of many thousands of in-service personnel such as department heads. Last year the NHSTA announced the launching of MESOL, which is designed to this end. Alison Baker describes the thinking ...

Third-party prescription coverage is becoming an important facet of pharmacy practice. Pharmacy managers must be able to evaluate contracts and to decide which contracts are more profitable. This paper presents a methodology for evaluating and comparing third-party contracts. An example demonstrates the proposed methodology, and a specific contract is identified ...

In this article we have described studies using animals with genetic lysosomal defects with particular emphasis on mutant disorders that have contributed toward understanding of pathogenesis and/or management of analogous human conditions. The development of newer strategies in the production and use of animal models will greatly expand the contribution ...

New developments in the management and evaluation of military aviators, divers, submariners, or other special duty personnel with renal stone disease have simplified surgical management of this difficult problem and markedly reduced recuperation time. Aggressive treatment with newly developed modalities such as ureteroscopy and extracorporeal shock-wave lithotripsy, and careful metabolic ...

This paper discusses the place of occupational therapy technology in practice and the growth of scientific technology. It is suggested that practice is an important source for the development of technological theory. A historical review of the treatment of hand dysfunction in cerebral palsy is presented as an illustration of ...

The following developments of interest to opticists were selected from NASA Tech Briefs12, No.3 (Mar. 1988) by Franklin S. Harris, Jr. Further information can be obtained by writing to NASA STI Facility, Manager TU Division, P.O. Box 8757, BWI Airport, MD 21240-0757, and giving the identifying number.

Modern medicine is the result of a long historical development. It evolved from instinct and experience in prehistoric times to observation and reasoning in the Hippocratic period, to the formulation of a scientific system in Galen's period and experimentation in the 19th century. Philosophically, Aristotelian rationalism was challenged by Bacon's ...

The University of Colorado Health Sciences Center School of Medicine has developed a course to teach business and management concepts to medical students, house-staff, and residents to enable young physicians to better understand and cope with the changing socioeconomic environment confronting medicine. An extracurricular course was developed to include an ...

Development of a construction or remodeling program for a materials management function is more than architectural and construction planning. If done properly, the process needs to consider issues and concerns much broader than those traditionally faced by the materials manager. By following these steps and insisting on the input of ...

The training of health workers for developing countries should include emphasis on preventive as well as curative medicine. It should also include the inculcation of concern for the feelings and needs of patients including their own beliefs and practices relating to disease, time constraints in coming either alone or with ...

Every HMO manager faces the monumental task of developing effective strategies and policies for his organization within a rapidly growing new industry. An exploratory study was conducted by the authors of this article in an effort to provide valuable information for assisting HMO managers in strategic development. By gleaning pertinent ...

The University of Ottawa's Department of Family Medicine has been developing software for family practice for ten years. The system started with remote keyboard data entry and has evolved through use of optical mark/sense reading to the use of two IBM personal computers for system maintenance. Programs have been developed ...

The authors discuss several recent developments in the diagnosis and management of cardiac arrhythmias in the young, focusing on areas in which the greatest progress has been made so that the pediatrician can incorporate these developments into his practice and participate more fully in the management of the patient requiring ...

Despite the dramatic growth in hospital contract management in the last decade, research only recently has begun to provide insights into the structure, operation, and effectiveness of these arrangements. Two descriptive questions regarding hospital contract management are addressed in an effort to increase correspondence between theoretical and evaluative research in ...

Aural hematomas in 9 dogs were managed by manual expression through stab incisions in the pinna and placement of indwelling silicone rubber drains, without compression bandaging. The drains were well tolerated. Seromas developed in 2 ears when the drains were removed at 7 and 10 days, but the seromas resolved ...

The use of real-time ultrasound and antepartum nonstress testing in the management of abruptio placentae is discussed. In one patient, fetal distress developed when the retroplacental clot volume reached 480 ml. Two cases in which retroplacental clot was less than 480 ml were managed expectantly with the use of ultrasound ...

The multidisciplinary nature of ergonomics requires the organisation of component disciplines into a recognisable technology for industrial practice, the development of methodologies for use by ergonomists and the specification of criteria for training courses. A simple model is presented and illustrated which has been developed and used in industrial practice ...

Forensic medicine and its development in Great Britain is presented in light of clinical as well as traditional forensic medicine. The development of the police surgeon and coroner have been uniquely British developments and the former's role is discussed. The medicolegal autopsy and the role of the University Department of ...

Fuller and Atherton discuss the relationship between management science specialists and managers. Management science specialists have developed expertise in the complex quantitative techniques available to aid in decision-making. Managers on the other hand, are expected to have a good understanding of the total organizational picture. The conflict arises when managers ...

The management of 58 failed midtrimester primary abortion procedures by vaginal uterine evacuation is described. The indications, technic, and complications of this procedure are presented. This method was the only means of managing failed primary abortion over a 3-year period in which 2045 elective midtrimester abortions were performed. With the ...

This paper proposes a simple and inexpensive method for the field assessment of certain objective indicators of nutritional status in children of preschool age. It emphasizes the need for statistically valid sample selection and presents a design for randomly selecting 30 children from each of 30 village sites in each ...

Hospital management must begin to face the implications of unionization more directly. Certain current practices of most hospitals tend to increase vulnerability to unionization; they must be evaluated and modified. Strategies and programs for modernizing personel practices, for developing better employee information systems, and for training and developing managers need ...

Many boar problems result from an insufficient number of boars in relation to the number of sows in the herd, sexually immature boars, inadequately preconditioned or improperly managed boars. The following factors which determine optimum boar efficiency are discussed: (a) sexual development and mating behaviour, (b) selection, (c) preconditioning, (d) ...

Erwidod and Astana present a "discussion on on further development of industrial timber and estate crop plantation as logical ways towards sustainable forest management in the future."

Thesis (Ph. D. (Ichthyology & Fisheries Science))--Rhodes University, 2004.

Thesis (doctoral)--Harvard University, 2002.

Thesis (Ph. D.)--University of Tennessee, Knoxville, 2004.

Chapter 1. The hardwood forests of Western Australia -- 2. Sustained yield management and its influence upon timber production -- The influence of technical developments upon sawmilling operations -- Labour organisation and sawmilling practice -- The rationalisation of the production of timber -- Future prospects for Western Australian hardwoods

<sec> Examination is made of recent developments in extraction methods in the state forests supplying the Fort William Pulp Mill. The salient operating characteristics of the machines being used or developed are outlined and their implication for management planning discussed. </sec>

Forestry in Nottinghamshire is best known for its historical associations with the old Royal Forest of Sherwood. The history of the County's woodlands is described against the background of its physical geography and human development. The part played by the Forestry Commission and other landowners in the past and present ...

Sal (<it>Shorea robusta</it> Gaertn. f.) forests cover over 11 million ha in India, Nepal and Bangladesh, and these forests are conventionally managed for timber. Recently, interest in producing multiple products from sal forests has increased; accordingly, a silvicultural regime for managing sal forest for multiple products is a central concern. ...

Based in Berlin, Germany, the European Academy of the Urban Environment (Europ&auml;ischen Akademie f&uuml;r st&auml;dtische Umwelt) aims to encourage the exchange of experience amongst local government decision makers in all spheres of sustainable urban development. The website provides information about the organisation and a link to SURBAN, which is a ...

Published by NHS Quality Improvement Scotland (NHS QIS) in March 2004, and funded by the Nursing and Midwifery Practice Development Unit (NMPDU), this document presents the findings of an evaluation of the dissemination, support and impact of the first five Best Practice Statements developed and launched by the NMPDU, NHSScotland ...

Homepage of the Forest Products Division of the FAO Forestry Department, which is responsible for the management and development of forest industries appropriate to the conditions of individual countries, and promotes forest products industries as a means of fostering rural development and environmentally sound sustainable management of forests in developing ...

Healthguides is a freely available resource for patients developed by the Map of Medicine. Healthguides have been developed by doctors and nurses and they provide in-depth clinical information which is used in the NHS. They aim to provide patients with a “clear understanding of the steps to better manage your ...

Published on the Web by Agriculture, Fisheries and Forestry - Australia (AFFA) as part of the forestry website, this page provides access to a range of documents on how certification developed in Australia, and on the Australia Forestry Standard, which is the national certification system being developed. Links to related ...

Commissioned by the National Assembly of Wales, this report was produced by Nautilus Consultants, in conjunction with EKOS Economic Consultants Ltd. This report details a study of the inland and sea fisheries of Wales and outlines a development strategy encompassing all sectors of the industry. Chapter headings include commercial fisheries, ...

The European Association for Quality in General Practice and Family Medicine (EQuiP) is a professional organisation which aims to contribute to the achievements of high levels of quality of care for patients in family and general practice throughout Europe. It provides a structure for collaboration and exchange of expertise and ...

This website provides information on the work that NHS Quality Improvement Scotland (NHS QIS) is doing to facilitate Practice Development. ‘Practice Development is the term used to describe a collection of processes which enable individuals, teams and organisations within NHSScotland to improve healthcare by sharing examples of good clinical practice ...

This 64-page manual, developed by WWF’s Global Forest & Trade Network (GFTN), is for use by organizations wishing to extend a programme of responsible purchasing to further address difficulties arising from possible trade in “illegal” forest products. It describes the nature and magnitude of the illegal logging problem, and the ...

The Midlands multiple sclerosis (MS) nurse group developed a benchmark for relapse management in MS, using the framework outlined in the DoH document Essence of Care (DoH 2001). The authors discuss the benchmarking process and demonstrate how specialist nurses can collaboratively establish best practice and influence the quality of care. ...

This article describes how a self management plan for people with chronic obstructive pulmonary disease was developed and implemented following consultation with patients and the multidisciplinary team.