Dr Francis Adams practised medicine in Banchory from 1819-1861. At that time there was no translation in English of the classic medical literature of the Greeks, Romans and Arabians. Almost entirely self-taught, and in spite of the demands of a large scattered practice, Dr Adams found time to remedy this ...

The double-eyelid procedure used to create a second palpebral sulcus in the Asian eye is fundamental to modern Asian aesthetic surgery. M. Mikamo, a nineteenth-century Japanese physician, reported the first cases of the double-eyelid procedure for aesthetic purposes in 1896, a time of social transition and early Westernization in Japan. ...

Managed disability is an effective tool to reduce the expense of disability claims. However, many employers have not realized the financial significance of lost time due to unexpected absence. This article discusses emerging trends that contribute to the need for absence/lost time management, quantifying the costs of lost time to ...

Hyphomycetes in morning dew of meadows in northeastern Poland. The authors investigated of the Hyphomycetes in morning dew of meadows grass in the morning hours of sunny days in May and September 1994. The presence 23 Hyphomycetes species was noted. The following fungi were recorded for the first time from ...

Selecting the right staff for employment in an operating room (OR) is critical to the success of any OR manager. Legal considerations limit the ability to gather certain information. However, by applying the correct skills and techniques, the manager can develop an information base that will lead to better decisions ...

A national US survey collected data on herd milk production and management of Holstein herds. Step-wise selection identified management practices that were related to herd milk production using only operations that calculated herd milk production as well as using data from all operations. Results were similar. Milk production was highest ...

The authors consider three aspects of managing fatigue in the workplace. They provide a brief overview of important scientific findings related to sleep and circadian physiology that establish the psychobiological foundation of fatigue. Their major focus is on the relevance of these findings to operational settings. In addition, they provide ...

Managing fatigue in complex operational settings requires attention to multiple factors, including hours of service, scheduling, education and training, counter-measures, technology, and research. Alertness-management strategies can be used to promote safety, performance, and productivity in operational settings. These strategies can involve both preventive (used prior to duty/shift) and operational (used ...

Of 3841 serum samples from sows received from the Tennessee State Diagnostic Laboratory in 1991-1992, 1130 were positive for Toxoplasma gondii antibody. The total number of farms sampled was 343. The observed seroprevalence was 36% for both years. A questionnaire that dealt with herd management practices was mailed to 303 ...

Non-operative management of splenic trauma is now well established; however, the role of conservative management in spontaneous splenic rupture is undetermined. The leading cause of spontaneous splenic rupture is infectious mononucleosis. We report on the management of four patients with spontaneous rupture, in association with infectious mononucleosis. Three patients eventually ...

The concepts at the heart of total quality management (TQM) have existed for several decades, resurfacing every few years with variations, each time under a new name. Most efforts at incorporating these concepts into the operation of a business organization have failed, but each time the concepts come back, they ...

This article describes in detail an implementation of John von Neumann's self-reproducing machine. Self-reproduction is achieved as a special case of construction by a universal constructor. The theoretical proof of the existence of such machines was given by John von Neumann in the early 1950s [6], but was first implemented ...

OBJECTIVES: Traditionally, management of incomplete abortion involves use of D&C or suction curettage in the operating room. Such management is costly and time-consuming. In order to potentially save time and money, we studied the use of manual vacuum aspiration curettage (MVAC) for the management of this problem. METHODS: Data on ...

Technological innovations sometimes compel paradigm shifts. Two decades ago the CT scanner was one such phenomenon: It quickly and absolutely transformed medical practice. A marriage of medicine and telecommunications could engender a similar transformation. The timing surely is favorable, as pressing requirements of healthcare reform coincide with the flowering of ...

Spending time in activities consistent with priorities and goals provides greater work satisfaction and reduced stress. The Covey Time Management Matrix provides a framework for organizing daily tasks according to urgency and importance. Important activities contribute to one's goals. Managers must spend some time on the urgent, important aspects of ...

Operating rooms are probably the most difficult of all hospital areas to manage. This article describes a number of common management problems in operating rooms and identifies four broad management areas that must be adequately addressed to ensure an effectively run O.R. It also suggests possible approaches for dealing with ...

The topic of time management is an area that is very important to today's nurse educationalist, especially with the ever increasing demands being made upon her time. In this paper the writer examines the concept of time management, and some of the issues which should be given due consideration by ...

A wandering spleen is in constant danger of torsion and infarction. Splenectomy, the traditional treatment, leaves children in danger of postsplenectomy sepsis. Three children with wandering spleens were treated by a new splenopexy technique, the splenic snood. After detorsion, the spleens were wrapped in polyglycolic mesh and anchored by the ...

Managing ourselves and putting first things first. That's the essence of fourth-wave time management. It's about prioritizing, organizing with set priorities in mind and finding the discipline to achieve these goals. If you and your team can master this, the important, not the urgent, will dictate how you use your ...

We report a retrospective analysis of 1202 deliveries assisted by the same medical team, evaluating the clinical management of labour and the resulting type of delivery. Examination of the data revealed a gradual reduction in the number of deliveries treated pharmacologically accompanied by a reduction in the incidence of operative ...

Although caesarean section is probably one of the oldest operations in the history of medicine, its origins are rather obscure. Very few surgical procedures have been the subject of such bitter controversy, and, it is only in relatively recent times that its performance changed from a last minute attempt to ...

A series of 740 vaginal hysterectomies with attempted vaginal oophorectomy is presented and compared with 700 vaginal hysterectomies without oophorectomy. Vaginal oophorectomy was successful in 94% of the patients. Factors influencing the success include obesity, nulliparity, decreased vaginal access and space, lack of uterine descent, increased uterine size and tubo-ovarian ...

Listening is an essential aspect of communication. It may take time to really listen to what is being said during many management meetings, however, the time saved by understanding the message the first time around and acting on the information in a quick and responsive manner is time gained by ...

Setting times were determined for mixtures consisting of the powder components of Grossman's sealer or Roth root canal cement with either eugenol, oil of pimento or oil of Melaleuca. The powder component of Grossman's sealer, when mixed with eugenol or oil of pimento, had a significantly shorter setting time than ...

In the microcosm of the operating room, where all actions and feelings appear intensified, anger can quickly become a significant obstacle to efficient functioning. The ability to therapeutically respond to angry feelings is an important skill for the OR manager. A manager who can respond to another's anger with a ...

Since 1969, all our constructive, reconstructive, and aesthetic otoplasties have been managed without a conformer dressing. U-sutures, loosely tied over coated cotton rolls up until 1975, when thin and elastic silicone tubes began to be used, maintain the tissues in their new position. Experience and results of 193 ear operations ...

Certain characteristics of the operating room are not conductive to successful manipulation. Given these characteristics, individuals who relate to others in a manipulative style are less likely to be found the operating room, but instead will choose a setting where there is more opportunity to meet needs in a manipulative ...

Although managerial networking in the operating room takes on different dimensions than elsewhere in the nursing arena, networking is nevertheless an important concept for the OR manager. The manager's network can assist in achieving both personal and surgical department goals. This article has identified key aspects of developing a network ...

Because the diversity of staff members who work in hospital operating rooms (ORs) can cause conflicts and lead to inefficiencies, a team approach must be used to ensure better management of resources. Administrators, financial managers, and materials managers can join with OR personnel to improve scheduling, reduce time spent preparing ...

This "how-to" article is designed to give physician executives a variety of time management ideas, strategies, and techniques. Time management is a critical skill that enables a manager to accomplish more with less effort. The benefits of improved time management are higher quality professional and personal life, and reduced stress.

Garcinia epuctata is an indigenous medicinal plant of Cameroon from which taxifolin 6-C-glucoside was isolated and characterized. The nmr assignments obtained from COSY and INAPT experiments are reported for the first time.

A manager works with people, time, and things to meet the goals of the organization. To meet those goals, the manager must motivate people to perform the jobs the manager has decided need to be done. The manager must manage his or her time as well as the time of ...

Spontaneous pneumothorax is infrequently diagnosed in aircrew personnel, but the aeromedical disposition of such cases provokes spirited controversy. Using the technique of decision analysis, epidemiological information is analyzed so that consequences of conservative vs. operative management can be appreciated. Data do not support a dogmatic approach to spontaneous pneumothorax. Flight ...

This paper reviews the post-operative management of 145 tendon grafts in 127 patients. 80 grafts were managed post-operatively by a period (three to four weeks) of immobilisation followed by gentle active mobilisation. 65 grafts were managed by immediate controlled mobilisation (Kleinert technique) for three to four weeks. The final motion ...

Six patients are described to illustrate the operative management of tubulovillous neoplasms of the duodenum. Pancreaticoduodenectomy is appropriate for associated invasive carcinoma. Transduodenal submucosal excision of tubulovillous neoplasms with resection and reconstruction of the distal bile and pancreatic ducts if necessary is a satisfactory alternative when the neoplasm has not ...

Having made out our points in relation to the "Anumanajnerya Bhavas" (Inferential examinations (with concrete example of "Manah Pariksana" and its actual practice we proceed in this present paper to 'Pratyaksa" Pariksa (Direct clinical observations).In this paper the utility and actual implementation of Ksaya and Vrddhi of DOSAS is being ...

Equipment "set-up" time must be kept to a minimum. Although equipment is available to rehabilitate the shoulder, often it is not utilized because of the time it takes to prepare. The use of a low stool can expedite set-up time and allow a vigorous workout for the orthopedic andlor sports ...

The prevalence of swine gastrointestinal parasites was determined from all listed large swine operations (28) and a geographically representative sample (70) of the population of small hog farm operations in Oklahoma. Fecal samples (n = 975) were collected from 98 farms. From the 98 farms, parasites were recovered in pig ...

The paper describes a case of suicide by the use of a chain saw. Visceral and tissue damage caused by vibrations are documented in occupational medicine, but fatal damage is not often seen at autopsy. This paper gives an account of the damage to viscera and tissues that has been ...

20 patient including 6 females and 14 males, between 20 years to 30 years of age, with complaints of chronic constipation refractory to various treatments by medicines, belching, sense of heaviness in the lower abdomen or pelvic region, offensive discharge from vagina (leucorrhoea) and bleeding per rectum with discomfort in ...

The author discusses in this paper the potentialities of Herbal medicine in modern therapy. Also he throws some light on the importance of natural drugs which bring about cure without generation side-effects.

Topical carbenoxolone was discovered by chance to be a highly effective anti-viral agent and was subsequently used in the management of Herpetic gingivostomatitis and recurrent Herpes labialis. A marked reduction in the healing time and pain associated with these lesions was noted. A discussion of the possible mechanisms of action ...

Till this date, Modern Medicine has not offered any satisfactory remedy for Jaundice. In contrast, Traditional Medicine and Tribal practices have been rescuing the patients since time immemorial. Presented in this article are some of such remedies rediscovered by the authors in the Dandakaranya area during the Ethno - Botanical ...

The paramount problem for the delivery of the medical services in the Orkneys has been that of effective transport. The development of an efficient air-ambulance service has had a major impact on medical care. The service started in 1934, but was abolished at the outset of the Second World War ...

The author introduces three steps in the technique of time management and gives examples of different "time waters." She outlines myths of time management and offers suggestions for eliminating these misconceptions, along with time-saving tips that will maximize productivity while minimizing stress. She concludes by pointing out the importance of ...

The management of lateral dislocations of the proximal interphalangeal joint is controversial. Absolute indications for operative management are few, and most dislocations can be treated nonoperatively. In this case, the ulnar collateral ligament was trapped between the lateral hand and central slip of the dorsal apparatus and required open reduction ...

The operation of oesophagoplasty and Nissen fundoplication has proved valuable in the management of intractable peptic stricture of the oesophagus. This report concerns its use in perforation of the oesophagus in an 81-year-old woman with benign peptic stricture in whom perforation occurred during instrumentation. She made an uneventful recovery from ...

The Flamingo forceps is an upbiting cup forceps with an angulated shaft of 7 3/8 in for use in the maxillary sinus using the operating microscope. The design is such that the surgeon's hand is not in the line of vision and the instrument can be used on the right ...

The deposition of trans-12-octadencenoate-12(13)-3H (12t-18:1-3H) was compared to cis-9-octadecenoate-10-14C (9c-18:1-14C) in the major egg yolk neutral lipids and phospholipids trans-12-Octadecenoate was preferentially incorporated into cholesteryl esters (CE), phosphatidylcholines (PC), and phosphatidylethanolamines (PE) but was discriminated against in triglycerides (TG). Isotopic ratios indicate that 5.9 and 5.6 times more 12t-18:1-3H than ...

François Rabelais (1494?-1553?) was, at one time or another in his life, a monk, physician, and writer. He lived in an era of controversy and conflict. An acknowledged scholar and classicist of the first order, he inveighed not only against church and government abuses at a time when it was ...