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1

Brown, Alan. "Industrial experience with total quality management". Total Quality Management 3, n.º 2 (enero de 1992): 147–56. http://dx.doi.org/10.1080/09544129200000016.

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Messenger, Sally J. y Tony Atkins. "The Prudential Experience of Total Quality Management". International Journal of Contemporary Hospitality Management 6, n.º 1/2 (febrero de 1994): 37–41. http://dx.doi.org/10.1108/09596119410052071.

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김은아 y 김철호. "Design Management of a TUE(Total Urban Experience) Prototype". Journal of Korea Design Forum ll, n.º 21 (noviembre de 2008): 263–72. http://dx.doi.org/10.21326/ksdt.2008..21.024.

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Suárez-Barraza, Manuel F. y José Humberto Ablanedo-Rosas. "Total quality management principles: implementation experience from Mexican organisations". Total Quality Management & Business Excellence 25, n.º 5-6 (8 de enero de 2014): 546–60. http://dx.doi.org/10.1080/14783363.2013.867606.

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5

De Wouters, Solange, Steven Petronilia, Daniel Paulet, Tom De Baere, Etienne Willemart y Olivier Cornu. "Outpatient total hip arthroplasty : the future?" Acta Orthopaedica Belgica 87, n.º 2 (30 de junio de 2021): 313–19. http://dx.doi.org/10.52628/87.2.16.

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With advancements in minimally invasive surgical technique, pain management and rehabilitation proto- cols, and prevention of post-operative complications, outpatient total hip arthroplasty became a realistic goal. This study reports our experience of performing outpatient total hip arthroplasty assessing its feasi- bility and safety. Between December 2015 and January 2018, 52 outpatient total hip arthroplasties were performed. We implemented a peri-operative management proto- col that included education, improved analgesia and rapid rehabilitation. Patients were asked about any complications they had experienced after surgery and about the perception of their experience as outpatient. Any early post-operative emergency department visits, acute office appointments or hospital re-ad- missions were registered. Fifty-one of 52 patients (98,1%) enrolled in the study met the discharge criteria and achieved their goal of going home on the day of surgery, and only one patient (1,9%) required an overnight stay. There were two visits to the emergency room, with one hospital re-admission (1,9%) on the night of the surgery. There were no major post-discharge complications in the short-term follow-up (minimum of three months). Only one patient (1,9%) reported a significantly negative experience. With this first Belgian experience reporting on out- patient primary total hip arthroplasty, our data demonstrate that early discharge does not result in excessive re-admissions or other post-discharge complications due to an early discharge. This study suggests that total hip arthroplasty can be performed safely and successfully in appropriately selected patients and that patients who experienced that ambulatory protocol declared themselves highly satisfied.
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Anupama, Basnet, Shan Zheng y Xianmin Xiao. "Ten-year experience in the management of total colonic aganglionosis". Journal of Pediatric Surgery 42, n.º 10 (octubre de 2007): 1671–76. http://dx.doi.org/10.1016/j.jpedsurg.2007.05.021.

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7

Emison, Gerald A. "Total Quality Management and Strategic Change: The Pacific Northwest Experience". Engineering Management Journal 7, n.º 2 (junio de 1995): 35–41. http://dx.doi.org/10.1080/10429247.1995.11414840.

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8

Maqbool, Muhammad Adnan y Mahr Muhammad Saeed Akhtar. "Relationship of Total Quality Management with Knowledge Management and Organizational Culture". I V, n.º I (30 de marzo de 2020): 207–20. http://dx.doi.org/10.31703/ger.2020(v-i).17.

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The study is an empirical exploration into TQM practices in Pakistani higher education with a focus on determining relationship between the variables: Knowledge Management (KM) and Organizational Culture (OC) in the context of higher education in Pakistan. It employed a quantitative paradigm to the investigation with correlational design. All the university teachers comprised the population of this study. Six public sector universities of Punjab were randomly selected. The results of the analysis showed all the three variables summed mean as 3.41, 3.3, 3.5 respectively all indicating a minor level of the presence of the TQM practices. OC showed relatively higher favorable response. The inferential statistics revealed that the relationship between OC and KM was positive, moderate and statistically significant (r=.491, p<.05). Demographical variables included respondents� gender, qualification, experience. Gender and Qualification was found to have no influence on KM and OC, while experience showed significant effect on the two variables.
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9

Khanna, Vinod Kumar. "Total productive maintenance experience: a case study". International Journal of Productivity and Quality Management 3, n.º 1 (2008): 12. http://dx.doi.org/10.1504/ijpqm.2008.017329.

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Mohil, Randeep S., Iheanyi Chidi Nwachuku, Sumedh C. Talwalkar, Anthony Hearnden, Michael J. Hayton y Ian A. Trail. "The Management of the Failed Total Wrist Replacement – The Wrightington Experience". Journal of Hand Surgery 35, n.º 10 (octubre de 2010): 47. http://dx.doi.org/10.1016/s0363-5023(10)60131-1.

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11

Lin, Binshan y Francine Ogunyemi. "Implications of total quality management in federal services: the US experience". International Journal of Public Sector Management 9, n.º 4 (julio de 1996): 4–11. http://dx.doi.org/10.1108/09513559610128654.

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Banerjee, Pranabashish, B. Sikdar, Gautam Das, Arijit Das y Arunava Ghosh. "Parotidectomy, complications and management: our experience". International Journal of Otorhinolaryngology and Head and Neck Surgery 6, n.º 9 (25 de agosto de 2020): 1617. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20203560.

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<p><strong>Background:</strong> Salivary gland neoplasms constitute 0.3% of all malignancies and 2%-6.5% of the head-and-neck tumors. Considering the unique anatomy of the gland and its intricate relationship with the facial nerve, significant complications may arise which can result in varying degrees of morbidity.</p><p><strong>Methods:</strong> We present here our experience of Parotid surgery done at two institutes, NRS medical College in Kolkata and North Bengal medical College and Hospital in the Darjeling district from 2013 to 2019 in the department of ENT and Head neck Surgery. Patients were subjected to superficial parotidectomy, total conservative and total parotidectomy depending upon the preoperative FNAC report.</p><p><strong>Results:</strong> 47 patients were subjected to different types of parotidectomies. Pleomorphic adenoma was the most common pathology encountered and facial nerve palsy was the most common post-operative complication in our series, followed by GAN injury, flap necrosis and Frey’s syndrome.</p><p><strong>Conclusions:</strong> This demographic study will help future parotid surgeons to understand various complications encountered during the surgery and management of those aforesaid complications, improving surgical outcome.</p>
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13

Valipour, Mohammad. "Global experience on irrigation management under different scenarios". Journal of Water and Land Development 32, n.º 1 (1 de marzo de 2017): 95–102. http://dx.doi.org/10.1515/jwld-2017-0011.

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Abstract This study aims to assess global experience on agricultural water management under different scenarios. The results showed that trend of permanent crops to cultivated area, human development index (HDI), irrigation water requirement, and percent of total cultivated area drained is increasing and trend of rural population to total population, total economically active population in agriculture to total economically active population, value added to gross domestic production (GDP) by agriculture, and the difference between national rainfall index (NRI) and irrigation water requirement is decreasing. The estimating of area equipped for irrigation in 2035 and 2060 were studied acc. to the three scenarios: I - the values of the main indices would be changed by the same slope of the past half of century, II and III - the slopes would be decreased by 30% and 50% respectively. The minimum and maximum values of pressure on renewable water resources by irrigation, are related to the third and first scenarios by 2035 (6.1%) and 2060 (9.2%), respectively.
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Horban, O., T. Kuprii, R. Martych y L. Panasiuk. "Implications of total quality management in Ukrainian higher education ­institutions: international experience". Naukovyi Visnyk Natsionalnoho Hirnychoho Universytetu, n.º 2 (2020): 126–30. http://dx.doi.org/10.33271/nvngu/2020-2/126.

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15

Savage, S., T. Gudex, M. McAleer, P. Ruygrok, S. Madenholt-Titley y J. White. "Patient experience survey: Total ambulatory management and coronary angiography day stay procedures". Heart, Lung and Circulation 23 (2014): e5. http://dx.doi.org/10.1016/j.hlc.2014.04.140.

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Turyanskyy, Yuriy, Irena Svydruk, Orystlava Sydorchuk, Nataliіa Mitsenko y Olga Klepanchuk. "Management priorities of tax reform in Ukraine: implementation of international experience". Investment Management and Financial Innovations 17, n.º 2 (2 de julio de 2020): 320–33. http://dx.doi.org/10.21511/imfi.17(2).2020.25.

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The paper proves that the Ukrainian economy’s systematic structural crises stipulated the necessity of choosing the effective forms of tax mechanism for its regulation. Systemic and institutional methods have been used to study the peculiarities of Ukrainian tax regulation. The methods of coefficient and relative values have been used to assess certain parameters of the tax burden. The dynamics of statistical data have been studied by the method of trend analysis. To determine the impact of the current tax system of Ukraine on economic growth, the authors tested several hypotheses about the dependence of the tax system and: GDP (1), industrial production (2), exports (3), investment dynamics (4), and unemployment rate (5) using econometric analysis with the package-statistical module EViews. The existence of a directly proportional relationship between the growth of tax revenues to the budget of Ukraine and the change of certain macroeconomic indicators is substantiated. It was found that the total tax burden on business in Ukraine reaches 41.5% of corporate profits, which exceeds similar indicators in most European countries. A tax regulation mechanism to stabilize the Ukrainian economy is proposed, in particular: proposals to revise tax rates, implement macroeconomic risk management tools, customs post-audit while providing transparency of tax legislation and its harmonization with the EU Customs Code, digitalization of the service component of tax administration.
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17

Hua, Xiao. "The Practice and Research for Total Contract Management Mode of Land Replacement - Total Contract Management Experience of Weifang Cultural Arts Center Project". Applied Mechanics and Materials 357-360 (agosto de 2013): 2282–88. http://dx.doi.org/10.4028/www.scientific.net/amm.357-360.2282.

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This paper takes Weifang cultural arts center project total contract management as an example with the practice for total contract management mode of land replacement in order to present the background and problems of total contract management mode of land replacement and to investigate the management characteristics of total contract management mode of land replacement. The innovational management structure, management mechanism and basic management methods of total contract management mode of land replacement were proposed. These works have a good guide for reforming and improving the total contract management mode, behavior and system of land replacement.
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18

Lee, Choong-Ki, Yvette Reisinger, Muhammad Shakil Ahmad, Yae-Na Park y Choong-Won Kang. "The influence of Hanok experience on tourists’ attitude and behavioral intention: An interplay between experiences and a Value-Attitude-Behavior model". Journal of Vacation Marketing 27, n.º 4 (20 de abril de 2021): 449–65. http://dx.doi.org/10.1177/13567667211011761.

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This study examines the impact of Hanok experience on tourists’ attitude and behavioral intention using the experience economy ( Pine and Gilmore, 1998 ) and the experienced utility theory ( Kahneman et al., 1997 ). Specifically, the study explores how tourists’ experiences are associated with a Value-Attitude-Behavior (VAB) model in the context of a heritage tourism attraction such as Jeonju Hanok Village in South Korea. A total of 323 responses were examined using SEM analysis. The results revealed that educational, entertainment, and escapism experiences significantly influenced functional value. Functional value had a significant relationship with attitude, which was positively related to behavioral intention. The results indicate the interplay of tourists’ experiences with the VAB model. The study provides theoretical and practical implications for tourism and hospitality academics and practitioners.
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19

Tahir, Lokman, Mohd Taufiq Mohd Thakib, Mohd Hilmi Hamzah, Mohd Nihra Haruzuan Mohd Said y Mohammed Borhandden Musah. "Novice head teachers’ isolation and loneliness experiences". Educational Management Administration & Leadership 45, n.º 1 (9 de julio de 2016): 164–89. http://dx.doi.org/10.1177/1741143215587302.

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Most studies in headship focus on the elements of training and head teachers’ capabilities in leading schools. The concept of isolation experienced by head teachers during the early years of their headship is, however, overlooked. This article attempts to explore the neglected aspect of headships’ experiences with isolation that later contributes to the betterment of the headship appointment. This mixed-methods study explores the experience of head teachers’ isolation in the early phase of their leadership years, and presents findings on the strategies used to overcome the isolation. Using an open-ended questionnaire, a total of 170 novice head teachers from Malaysian primary and secondary schools were asked to give their responses on experiences of isolation. Furthermore, 10 novice head teachers, who experienced isolation in the early phase of their leadership years, were interviewed. Findings revealed that the level of isolation among the head teachers was fairly low, and they perceived their isolation experience as temporary.
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20

Procter, Dave, Malcolm Young y Viv Howlett. "Training for total quality performance: the experience of British Steel". Total Quality Management 1, n.º 3 (enero de 1990): 319–26. http://dx.doi.org/10.1080/09544129000000040.

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Quazi, Hesan A. y Samuel R. Padibjo. "A journey towards total quality management through ISO 9000 certification ‐ a Singapore experience". TQM Magazine 9, n.º 5 (octubre de 1997): 364–71. http://dx.doi.org/10.1108/09544789710178659.

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22

Uden, Jacco van. "Transforming a football club into a ‘total experience’ entertainment company: Implications for management". Managing Leisure 10, n.º 3 (julio de 2005): 184–98. http://dx.doi.org/10.1080/13606710500239087.

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23

Naveen Kumar, A. G. "Clinical experience of thyroglossal cyst management". International Journal of Otorhinolaryngology and Head and Neck Surgery 5, n.º 1 (25 de diciembre de 2018): 29. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20185061.

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<p class="abstract"><strong>Background:</strong> Thyroglossal cyst is a cystic swelling arising from embryological remnant of thyroglossal cyst. Cyst is typically located in the midline of the anterior neck and moves upward with tongue protrusion. The gold standard management for thyroglossal cyst is the Sistrunk procedure.</p><p class="abstract"><strong>Methods:</strong> Total of 32 patients of all ages and both sexes operated at Sapthagiri Institute of Medical Science and Research Centre, Bangalore during the study duration were included a detailed history and thorough physical examination was done to arrive clinical diagnosis. Ultrasound studies and FNAC were done in all cases to confirm the clinical diagnosis of thyroglossal cyst. Management was mainly surgical and Sistrunk operation was done in all cases. </p><p class="abstract"><strong>Results:</strong> Thirty two patients of with the diagnosis of thyroglossal cyst were managed from 2011 to 2018 in the department of ENT, Sapthagiri Institute of Medical Science, Bangalore, 20 (62.5%) were females and 12 (37.5%) were males age ranged from 5 to 40 years; mean age was 16.5 years.</p><p class="abstract"><strong>Conclusions:</strong> Thyroglossal cyst presents most commonly in paediatric age as cystic painless midline neck swelling. Diagnosis is made on clinical examination complimented with ultrasound and FNAC. Sistrunk operation is the treatment of choice to prevent recurrence and histopathological examination of the surgical specimen is must to rule out malignant transformation in the cyst.</p>
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Matsuo, T. "Japanese experiences of environmental management". Water Science and Technology 47, n.º 1 (1 de enero de 2003): 7–14. http://dx.doi.org/10.2166/wst.2003.0003.

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Japan experienced a very rapid industrialization and economic growth in the era of income doubling in 1960s and at the same time Japan experienced very severe damage from various types of environmental pollution. In this paper, historical development of population, GNP, energy consumption with classification of petroleum, coal and electric power, and CO2 emission are introduced as basic background data on Japanese development. The tragic experience of Minamata disease and Itai-itai disease caused by methyl mercury and cadmium, respectively, are introduced. In two tables, historical development of water pollution and air pollution are summarized. Regarding solid wastes management, the total mass balance in Japan and recent development in legislation framework for enhancement of recycling of wastes are introduced briefly.
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Chatzopoulos, Christos G. y Marcel Weber. "Challenges of Total Customer Experience (TCX): Measurement beyond Touchpoints". International Journal of Industrial Engineering and Management 9, n.º 4 (diciembre de 2018): 187–96. http://dx.doi.org/10.24867/ijiem-2018-4-187.

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Plaskoff, Josh. "Employee experience: the new human resource management approach". Strategic HR Review 16, n.º 3 (12 de junio de 2017): 136–41. http://dx.doi.org/10.1108/shr-12-2016-0108.

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Purpose Organizations must reframe their approach to how they relate to their employees. The new multi-generational workplace demands a new way of thinking about human resource management. Putting the employee’s total experience at the center produces a very different approach, beyond increasing perks or “funifying” the workplace, to engaging the employee in the workplace. The purpose of this study is to reframe the traditional approach to human resource management that better fits that modern workplace and enables the empowerment and engagement that organizations so desperately seek. Design/methodology/approach Design thinking is applied to employee experience in an organization. By viewing employee experience as a set of holistic perceptions of that relationship, human resource management transforms into a more strategic process for engaging the employee through meaning and providing value. Six principles for employing this methodology are specified in this paper. Findings Perks are not the answer to employee engagement. An organization must understand each employee more deeply and co-design experiences with them that demonstrate care. It must embrace expansive and holistic thinking, face the intangible aspects of organizational life and use tools to help make them tangible, experiment and iterate, building solutions organically, while recognizing that the process is just as important, if not more important, than the product. Originality/value Organizations recognize a need for change and struggle with engaging employees. Most modern approaches to engagement and retention foundationally stem from old ways of thinking that will not work in today’s workplace. Design thinking has been applied successfully for customer experience and user experience; it is just beginning to be recognized as an approach for employee experience.
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27

Chui, Chan Hon y Anselm Lee. "Management of thoracoabdominal neuroblastoma: a 13-year experience". World Journal of Pediatric Surgery 2, n.º 2 (julio de 2019): e000055. http://dx.doi.org/10.1136/wjps-2019-000055.

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BackgroundThoracoabdominal neuroblastoma is a unique surgical challenge. We reviewed our experience focusing on disease patterns and corresponding surgical approaches.MethodsAmong 310 patients in our neuroblastoma database, 30 (9.7%) had thoracoabdominal neuroblastoma. Patients’ clinical charts were reviewed and analyzed. Two disease patterns were identified: solitary thoracoabdominal tumor (group A, n=15) and multifocal tumors in thorax and abdomen (group B, n=15). Operative approaches were categorized based on routes of surgical access.ResultsThirty patients with average age of 4.1 (range 0.8–12.8) years were studied. All received preoperative chemotherapy. Among 15 group A patients, four were stage 3 intermediate risk (IR) and 11 were stage 4 high risk (HR). Surgical approaches included single-incision thoracoabdominal approach (n=10), laparotomy-cum-transdiaphragmatic approach (n=3), and laparotomy-cum-thoracotomy approach (n=2). One patient had 10% residual disease and the rest achieved gross total resection. Postoperative complications included chylous ascites (n=3), intestinal obstruction (n=3), pneumonia (n=1), spinal cord infarction (n=1) scoliosis (n=2) and thoracoabdominal nerves palsy (n=3). Among 15 group B patients, all were stage 4 with five IR and 10 HR. Thoracic components were found in the posterior mediastinum (n=7), superior mediastinum (n=4), middle mediastinum (n=1), parietal pleura (n=3) and lungs (n=3). Surgical approaches included multi-incision laparotomy-cum-thoracotomy (n=14) and laparotomy-cum-transdiaphragmatic approach (n=1). Gross total resection was achieved in all surgeries. Postoperative complications included chylous ascites (n=3). Overall, all nine IR patients survived without evidence of disease and 9 (42.8%) HR patients died of disease. There was no perioperative mortality.ConclusionSurgical resection of thoracoabdominal neuroblastoma is feasible and safe. Despite its complexity, thoracoabdominal neuroblastoma has comparable treatment outcomes when compared with single-compartmental disease.
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Li, Guohua, Youxiang Chen, Xiaojiang Zhou y Nonghua Lv. "Early Management Experience of Perforation after ERCP". Gastroenterology Research and Practice 2012 (2012): 1–6. http://dx.doi.org/10.1155/2012/657418.

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Background and Aim. Perforation after endoscopic retrograde cholangiopancreatography (ERCP) is a rare complication, but it is associated with significant mortality. This study evaluated the early management experience of these perforations.Patients and Methods. Between November 2003 and December 2011, a total of 8504 ERCPs were performed at our regional endoscopy center. Sixteen perforations (0.45%) were identified and retrospectively reviewed.Results. Nine of these 16 patients with perforations were periampullary, 3 duodenal, 1 gastric fundus, and 3 patients had a perforation of an afferent limb of a Billroth II anastomosis. All patients with perforations were recognized during ERCP by X-ray and managed immediately. One patient with duodenal perforation and three patients with afferent limb perforation received surgery, others received medical conservative treatment which included suturing lesion, endoscopic nasobiliary drainage (ENBD), endoscopic retrograde pancreatic duct drainage (ERPD), gastrointestinal decompression, fasting, broad-spectrum antibiotics, and so on. All patients with perforation recovered successfully.Conclusions. We found that: (1) the diagnosis of perforation during ERCP may be easy, but you must pay attention to it. (2) Most retroperitoneal perforations can recover with only medical conservative treatment in early phase. (3) Most peritoneal perforations need surgery unless you can close the lesion up under endoscopy in early phase.
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Hernigou, Philippe, Victor Housset, Jacques Pariat, Arnaud Dubory y Charles Henri Flouzat Lachaniette. "Total hip arthroplasty for sickle cell osteonecrosis: guidelines for perioperative management". EFORT Open Reviews 5, n.º 10 (octubre de 2020): 641–51. http://dx.doi.org/10.1302/2058-5241.5.190073.

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The prognosis of sickle cell disease (SCD) has greatly improved in recent years, resulting in an increased number of patients reporting musculoskeletal complications such as osteonecrosis of the femoral head. Total hip arthroplasty (THA) can be utilized to alleviate the pain associated with this disease. Although it is well known that hip arthroplasty for avascular necrosis (AVN) in SCD may represent a challenge for the surgeon, complications are frequent, and no guidelines exist to prevent these complications. Because patients with SCD will frequently undergo THA, we thought it necessary to fulfil the need for guidance recommendations based on experience, evidence and agreement from the literature. For all these reasons this review proposes guidelines that provide clinicians with a document regarding management of patients with SCD in the period of time leading up to primary THA. The recommendations provide guidance that has been informed by the clinical expertise and experience of the authors and available literature. Although this is not a systematic review since some papers may have been published in languages other than English, our study population consisted of 5,868 patients, including 2,126 patients with SCD operated on for THA by the senior author in the same hospital during 40 years and 3,742 patients reported in the literature. Cite this article: EFORT Open Rev 2020;5:641-651. DOI: 10.1302/2058-5241.5.190073
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Penzhoyan, Grigoriy y Vladislava Novikova. "Management of Abnormally Invasive Placenta: One-center Experience". Donald School Journal of Ultrasound in Obstetrics and Gynecology 11, n.º 3 (2017): 184–88. http://dx.doi.org/10.5005/jp-journals-10009_1521.

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ABSTRACT Aim To present one-center experience of the management of abnormally invasive placenta (AIP). Materials and methods This was a retrospective cohort study of clinical cases of abnormally invasive placenta (the AIP) in Perinatal Center (PC), which is part of General Hospital— Regional Clinical Hospital N2 of Krasnodar city, in the period from 2014 to August 2016. Results The total number of childbirth for the period was 24 078, and AIP was diagnosed in 0.17%. The average age of women was 31.5 ± 0.8 years. About 97.5% were multiparous women and 85% women in the previous pregnancy had childbirth by cesarean section (CS): One CS—41.18%, two—32.35%, and three—23.53%. An AIP was first diagnosed in pregnancy at 11 to 39 weeks of pregnancy by ultrasound or magnetic resonance imaging (MRI). Cesarean section performed in the conditions of the X-ray operating of the endovascular department. The relative risk (RR) for accurate diagnosis of AIP by ultrasound was 1.789 ± 0.709 [95% confidence interval (CI) 0.446–7.186], and for MRI RR was 0.944 ± 0.142 (95% CI 0.715–1.246). At CS, in 85% of women balloon dilatation of the iliac vessels was performed, in 15%, uterine artery embolization (UAE), and in 72.5%, metroplasty. In 15% of women with AIP were the cause of hysterectomy without adnexa. The total blood loss was 1152.56 ± 107.67 (4,000–35,000) mL or 15.539 ± 1.7374 (5,0000–58,330) mL/kg. Maximum blood loss was in women with placenta previa and its localization in the area of the scar on the uterus that required a hysterectomy. Conclusion Despite increasing incidence of AIP, it is possible to prevent massive blood loss during delivery by combined treatment using radiological endovascular procedures for devascularization of the lower pelvis. Early diagnosis of placental abnormalities with regionalized approach in perinatal health makes it possible not only to preserve the women's reproductive health and fertility but also to minimize postpartum hemorrhage. How to cite this article Penzhoyan G, Novikova V. Management of Abnormally Invasive Placenta: One-center Experience. Donald School J Ultrasound Obstet Gynecol 2017;11(3):184-188.
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Nilvér, Helena, Anna Wessberg, Anna Dencker, Henrik Hagberg, Ulla-Britt Wennerholm, Helena Fadl, Jan Wesström et al. "Women’s childbirth experiences in the Swedish Post-term Induction Study (SWEPIS): a multicentre, randomised, controlled trial". BMJ Open 11, n.º 4 (abril de 2021): e042340. http://dx.doi.org/10.1136/bmjopen-2020-042340.

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ObjectiveTo compare childbirth experiences in women randomly assigned to either induction of labour at 41 weeks or to expectant management until 42 weeks, in the Swedish Post-term Induction Study.DesignA register-based, multicentre, randomised, controlled, superiority trial.SettingWomen were recruited at 14 hospitals in Sweden, 2016–2018.ParticipantsWomen with an uncomplicated singleton pregnancy were recruited at 41 gestational weeks.InterventionsThe women were randomly assigned to induction of labour at 41 weeks (induction group, n=1381) or expectant management until 42 weeks (expectant management group, n=1379).Outcome measuresAs main outcome, women’s childbirth experiences were measured using the Childbirth Experience Questionnaire version 2 (CEQ2), in 656 women, 3 months after the birth at three hospitals. As exploratory outcome, overall childbirth experience was measured in 1457 women using a Visual Analogue Scale (VAS 1–10) within 3 days after delivery at the remaining eleven hospitals.ResultsThe total response rate was 77% (2113/2760). There were no significant differences in childbirth experience measured with CEQ2 between the groups (induction group, n=354; expectant management group, n=302) in the subscales: own capacity (2.8 vs 2.7, p=0.09), perceived safety (3.3 vs 3.2, p=0.06) and professional support (3.6 vs 3.5, p=0.38) or in the total CEQ2 score (3.3 vs 3.2, p=0.07), respectively. Women in the induction group scored higher in the subscale participation (3.6 vs 3.4, p=0.02), although with a small effect size (0.19). No significant difference was observed in overall childbirth experience according to VAS (8.0 (n=735) vs 8.1 (n=735), p=0.22).ConclusionsThere were no differences in childbirth experience, according to CEQ2 or overall childbirth experience assessed with VAS, between women randomly assigned to induction of labour at 41 weeks or expectant management until 42 weeks. Overall, women rated their childbirth experiences high.Trial registration numberISRCTN26113652.
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Taddio, Anna, Andrew F. Ilersich, Anthony N. Ilersich y Jenny Wells. "From the Mouth of Babes: Getting Vaccinated Doesn’t Have to Hurt". Canadian Journal of Infectious Diseases and Medical Microbiology 25, n.º 4 (2014): 196–200. http://dx.doi.org/10.1155/2014/470261.

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BACKGROUND: Analgesic interventions are not commonly administered during childhood vaccination, despite the fact that two-thirds of children are afraid of needles and one-tenth are noncompliant with immunization.OBJECTIVE: To explore children’s experiences of vaccination and preferences for analgesia.METHODS: A total of 17 children (four to 14 years of age) at an independent school in Toronto (Ontario) participated in three focus-group interviews. The majority had previous experience with pain management interventions during vaccination. Thematic content analysis was used to analyze interview transcripts.RESULTS: The findings were categorized into three main themes: experience of vaccination; roles and responsibilities regarding pain management; and impact of pain management. Children easily recalled previous vaccinations and discussed fear and distress experienced by themselves and others. Children believed that parents and immunizers should prepare them ahead of time and use interventions to manage and monitor pain. They also wanted adults to support their efforts to lead pain management. Children discussed benefits of managing pain, including reduced unnecessary suffering, improved vaccination experience, reduced risk of developing needle fears and reduced noncompliant behaviours. They were knowledgeable about strategies for reducing pain including distraction, topical anesthetics and injection techniques. They contrasted vaccination with and without pain management, and indicated a preference for pain management.CONCLUSION: Children reported that managing vaccination pain is important and that analgesic interventions should routinely be used. Incorporating pain management in the process of vaccination has the potential to improve children’s experiences with vaccination and promote more positive attitudes and behaviours.
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Cheng, Daryl R. y Mike South. "Electronic Task Management System: A Pediatric Institution's Experience". Applied Clinical Informatics 11, n.º 05 (octubre de 2020): 839–45. http://dx.doi.org/10.1055/s-0040-1721321.

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Abstract Background Electronic medical task management systems (ETMs) have been adopted in health care institutions to improve health care provider communication. ETMs allow for the requesting and resolution of nonurgent tasks between clinicians of all craft groups. Visibility, ability to provide close-loop feedback, and a digital trail of all decisions and responsible clinicians are key features of ETMs. An embedded ETM within an integrated electronic health record (EHR) was introduced to the Royal Children's Hospital Melbourne on April 30, 2016. The ETM is used hospital-wide for nonurgent tasks 24 hours a day. It facilitates communication of nonurgent tasks between clinical staff, with an associated designated timeframe in which the task needs to be completed (2, 4, and 8 hours). Objective This study aims to examine the usage of the ETM at our institution since its inception. Methods ETM usage data from the first 3 years of use (April 2016 to April 2019) were extracted from the EHR. Data collected included age of patient, date and time of task request, ward, unit, type of task, urgency of task, requestor role, and time to completion. Results A total of 136,481 tasks were placed via the ETM in the study period. There were approximately 125 tasks placed each day (24-hour period). The most common time of task placement was around 6:00 p.m. Task placement peaked at approximately 8 a.m., 2 p.m., and 9 p.m.—consistent with nursing shift change times. In total, 63.16% of tasks were placed outside business hours, indicating predominant usage for after-hours task communication. The ETM was most highly utilized by surgical units. The majority of tasks were ordered by nurses for medical staff to complete (97.01%). A significant proportion (98.79%) of tasks was marked as complete on the ETM, indicating closed-loop feedback after tasks were requested. Conclusion An ETM function embedded in our EHR has been highly utilized in our institution since its introduction. It has multiple benefits for the clinician in the form of efficiencies in workflow and improvement in communication and also workflow management. By allowing collection, tracking, audit, and prioritization of tasks, it also provides a stream of actionable data for quality-improvement activities.
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Pourrajab, Masoumeh, Ramli Basri, Shaffe Mohd Daud y Soaib Asimiran. "The resistance to change in implementation of total quality management (TQM) in Iranian schools". TQM Journal 27, n.º 5 (10 de agosto de 2015): 532–43. http://dx.doi.org/10.1108/tqm-04-2013-0044.

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Purpose – The purpose of this paper is to identify the level of resistance to change in implementation of total quality management (TQM) in Iranian schools and investigate the influence of principals’ and teachers’ gender and years of experience on resistance to change. Design/methodology/approach – This study presents the results of survey research carried out in Iran. The participants of this study are secondary school principals and teachers. The researchers employed descriptive analysis on data collected. Independent sample t-test was used to determine the difference in resistance to change based on teachers and principals gender, and one-way ANOVA and Kruskal-Wallis H-test were applied to determine the difference in resistance of teachers and principals based on years of experience. Findings – The researchers found that the level of resistance to change in Iranian schools is medium; the most important factor for resistance to change is confidence in the status quo. Gender has an effect on resistance to change only for teachers. Years of experience do not have an effect on resistance to change. Originality/value – The study identifies some useful points for school’s principals and teachers to implementation of TQM in school.
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Aleksic, Aleksandra, Mirjana Bogic, Vesna Tomic-Spiric, Aleksandra Peric-Popadic, Dalibor Vranjes y Borut Bosancic. "Pathophysiology, clinical manifestation and management of angioedema - our experience". Srpski arhiv za celokupno lekarstvo 143, n.º 9-10 (2015): 545–50. http://dx.doi.org/10.2298/sarh1510545a.

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Introduction. Angioedema is characterized by subcutaneous and/or submucosal swelling usually localized to the lips, eyelids, tongue, oral cavity, larynx and pharynx. Various types of angioedema, caused by different pathophysiologic mechanisms, can have the same or very similar clinical picture and require different diagnostic and therapeutic procedures. The immediate threat to life as a result of rapidly developed edema of the pharynx and larynx with airway obstruction requires endotracheal intubation or emergency tracheotomy. Standard therapy, which includes epinephrine, second-generation antihistamines and steroids, is not effective in the treatment of all types of angioedema. Objective. On the basis of the clinical presentation and course of angioedema, this retrospective study was aimed at contributing to a better understanding of the etiopathogenesis of the disease and at helping determine the most effective available treatment modalities. Methods. This retrospective study included patients treated under the diagnosis of angioedema of the upper aerodigestive tract between 2000 and 2012 in the Department of Otorhinolaryngology, Clinical Center of Banja Luka. Results. A total of 76 subjects were included in the study. The average age was 62.8 years. There were 40 (52.6%) male and 36 (47.4%) female patients. The largest number of patients (44.7%) had type II angioedema. Almost half of the patients or 36 patients (47.4%) were on treatment with an angiotensinconverting enzyme inhibitor (ACEi), but there was no statistically significant difference under the total number of patients (p=0.678). Conclusion. Better understanding of pathophysiologic mechanisms and the adoption of diagnostic protocols contributes to more effective treatment of angioedema.
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de Macedo-Soares, T. Diana Lv A. y Sérgio G. R. Chamarte. "Total Quality Strategies in Industry: The Experience of Two Multinationals in Brazil". Quality Management Journal 1, n.º 3 (abril de 1994): 57–79. http://dx.doi.org/10.1080/10686967.1994.11918656.

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Brunori, Andrea, Alberto Delitala, Giuseppina Oddi y Francesco Chiappetta. "Recent Experience in the Management of Meningeal Hemangiopericytomas". Tumori Journal 83, n.º 5 (septiembre de 1997): 856–61. http://dx.doi.org/10.1177/030089169708300516.

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Although the histogenesis of meningeal hemangiopericytomas (HMP) remains controversial, both biological and clinical evidence seems to identify these neoplasms as a separate entity with respect to meningiomas. In order to assess the current prognosis of HMP we reviewed our personal experience limited to the last decade (1986-1995): during this period 7 patients (4M, 3F) were treated by surgery alone or surgery combined with postoperative radiotherapy. In spite of meticulous attempts at radical resection, the tumors recurred in all but two cases with a mean interval of 85 months, and a total of 18 operations were performed (2.57/patient; range 1-4). Massive intratumoral hemorrhage determined acute deterioration and required emergency surgery in two cases while in one patient diffuse visceral metastases were discovered at autopsy. Five patients are still alive at follow-up but only 2 of them are in good neurological conditions and without evidence of disease. These results are similar to those reported in other series. In view of our results we conclude that intracranial hemangiopericytomas still have a dismal prognosis. Advances in neuroimaging, neuroanesthesia, microneurosurgery and adjuvant therapy do not seem to have significantly affected the recurrence rate, quality of life and mortality.
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Digonnet, Antoine, Esther Willemse, Cécile Dekeyser, Nicolas de Saint Aubain, Moreau Michel y Guy Andry. "Surgical Management of Toxic Multinodular Goiter". World Journal of Endocrine Surgery 3, n.º 2 (2011): 69–73. http://dx.doi.org/10.5005/jp-journals-10002-1060.

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ABSTRACT Management of toxic multinodular goiter (TMNG) is still debated. We report our current experience with thyroidectomy for toxic multinodular goiter at a tertiary center. A retrospective database of 141 patients who underwent surgery for TMNG disease from January 1985 to December 2008. During that period, six patients underwent subtotal thyroidectomy and 135 patients underwent near total thyroidectomy. Around 53 patients (38%) underwent surgery for recurrent disease after medical therapy; 88 patients (62%) had surgery as a primary treatment, the indications were large goiter size in 58 (66%), associated cold nodule in 16 (18%), patient preference in 14 (16%). The incidence of cancer was 6.4%. Permanent hypoparathyroidism was observed in two patients. Unilateral transitory vocal cord palsy was observed in 11 patients (8%), no bilateral transitory vocal cord palsy was observed. One unilateral definitive vocal cord palsy was observed and was provoked by a mediastinal compression. Two patients (1.5%) experienced postoperative hemorrhagia requiring surgical revision. Near total thyroidectomy for TMNG provide an immediate and definitive treatment with a low complication rate. Near total thyroidectomy offers an appropriate treatment for coexisting malignancy. Only NTT can alleviate compressive symptoms. This procedure can be safely recommended even as a primary treatment.
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Klarskov Jeppesen, Kim y Christina Leder. "Auditors’ experience with corporate psychopaths". Journal of Financial Crime 23, n.º 4 (3 de octubre de 2016): 870–81. http://dx.doi.org/10.1108/jfc-05-2015-0026.

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Purpose The purpose of this paper is to analyse auditors’ experience with corporate psychopaths in their client management. Design/methodology/approach The research was conducted as a survey among Danish state-authorized auditors, to which 179 auditors responded, representing 9 per cent of the total population. Findings Of the participating auditors, 69 per cent had experienced corporate psychopaths in their client management and 70 per cent of these had experienced more than one case. In addition, 43 per cent of the auditors who had experienced psychopathic managers reported that they had committed fraud. The vast majority of cases were detected in the execution and completion phases of the audit and resulted in increased professional scepticism, the use of more experienced auditors and the requirement for more and better audit evidence. Research limitations/implications The findings confirm that corporate psychopaths actually exist and are a phenomenon worthy of research attention in areas such as accounting, auditing, internal control, fraud investigation, performance management and human resource management. Practical implications As auditors are likely to come across corporate psychopaths from time to time in their careers, awareness of this type of risk needs to be increased and better integrated into the risk assessment in audit planning. Auditing standards relating to fraud also need to be updated according to the latest developments in fraud theory. Originality/value This is the first research to address auditors’ experience with corporate psychopaths. It adds value by confirming the relevance of the topic for practice and research.
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Khan, Imran y Zillur Rahman. "Retail brand experience: scale development and validation". Journal of Product & Brand Management 25, n.º 5 (15 de agosto de 2016): 435–51. http://dx.doi.org/10.1108/jpbm-07-2015-0943.

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Purpose The purpose of this paper is to develop and validate a multi-dimensional scale to measure retail brand experience. Design/methodology/approach Literature review and open-ended survey have been carried out to generate an initial pool of items. Item reduction has been done using exploratory factor analysis and validation of measures performed through confirmatory factor analysis and structural equation modeling. A total of six separate studies have been conducted to develop and validate the retail brand experience scale. Findings A 22-item seven-dimensional retail brand experience scale is developed. The proposed scale has exhibited sound psychometric properties based on the findings from different reliability and validity tests, as well as from robust scale replications across several different samples. Findings support that retail brand experience has a significant impact on consumer intentions (word-of-mouth and pay more). Practical implications This research develops a set of retail brand experience measures that can provide retailers a way to examine the experiences evoked through retail brand-related stimuli. Originality/value This study is the first of its kind of its kind that develops and validates the measures of the retail brand experience.
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Kim, Yong Sik, Jin Wha Chung, Byung Yun Sung, Young Kyun Woo y Soon Yong Kwon. "Total Hip Replacement Arthroplasty in Patient with Idiopathic Thrombocytopenic Purpura: Clinical Experience of Perioperative Management". Journal of the Korean Hip Society 20, n.º 1 (2008): 15. http://dx.doi.org/10.5371/jkhs.2008.20.1.15.

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Gonullu, Emre, Merve Yigit, Baris Mantoglu, Recayi Capoglu, Tarik Harmantepe, Yasemin Gunduz, Fatih Altintoprak, Zulfu Bayhan y Unal Erkorkmaz. "Management of solitary cecum diverticulitis – Single-Center Experience". Polish Journal of Surgery 93, n.º 3 (16 de marzo de 2021): 1–5. http://dx.doi.org/10.5604/01.3001.0014.8057.

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Objective: Cecal diverticulitis may be encountered as a real etiological factor in 1/300 appendectomies. Differential diagnosis of acute appendicitis and cecal diverticulitis is crucial because of the different treatment methods. Our aim is to reveal the importance of distinguishing acute appendicitis from cecal diverticulitis. Methods: The data of patients who were admitted to the hospital between 2015 and 2019 with the complaint of abdominal pain and then finally diagnosed with colon diverticular disease, colon diverticulitis, or acute appendicitis, analyzed retrospectively. Results: A total of 19 cecum diverticulitis patients were detected during surgery for acute appendicitis or during clinical and radiological evaluation. 1247 appendectomies were evaluated; the final diagnosis was observed as cecal diverticulitis in 5 patients (0,4%). One hundred nineteen patients diagnosed with colonic diverticulitis at admission were evaluated, while 105 (88,2%) of them had left-sided diverticulitis, 14 (11,7%) of them had solitary cecal diverticulitis. All of the solitary cecal diverticulitis patients were treated conservatively, except one patient who has Hinchey 3 diverticulitis. Conclusion: Differential diagnosis of cecum diverticulitis with acute appendicitis is important because cecum diverticulitis can be managed as conservatively in most cases. In order to prevent unnecessary surgical interventions, this importance has increased, especially during the COVID-19 pandemic period.
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Hedman, Eerika y Maarit Valo. "Communication challenges facing management teams". Leadership & Organization Development Journal 36, n.º 8 (2 de noviembre de 2015): 1012–24. http://dx.doi.org/10.1108/lodj-04-2014-0074.

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Purpose – The purpose of this paper is to explore what kinds of communication challenges management teams (MTs) experience and to suggest ideas for developing competent communication practices. Design/methodology/approach – Working according to the principles of qualitative research, a total of seven MT members from seven different international companies were interviewed. The thematic in-depth interviews were analyzed by first looking at all references of communication challenges, and then grouping them into six different dimensions. Findings – Most of the communication challenges facing MTs are related to the teams’ meetings, where issues of leadership, decision making and participation may well be intensified. The meetings were experienced as formal communication forums, where MT members do not always express their true opinions either because other team members prevent it or because they are unable to do so. Informal communication plays a pivotal role in facilitating trust and competent communication practices. Practical implications – MTs need to be mindful of how they communicate and develop a reflective practice in order to develop competent communication practices. Originality/value – The study illustrates the essential themes that the MT members experience and perceive as central in MT communication and teamwork. Studying MTs from a communication perspective adds a valuable contribution to MT research.
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Cederblom, Doug y Dan E. Pemerl. "From Performance Appraisal to Performance Management: One Agency's Experience". Public Personnel Management 31, n.º 2 (junio de 2002): 131–40. http://dx.doi.org/10.1177/009102600203100201.

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This article first outlines recent suggestions for improving agencies' performance appraisal systems: incorporating the developments of Total Quality Management (TQM) and core competencies into appraisals, and moving toward performance management. We then relate the experience of a state enforcement agency in applying these suggestions. What began as an objective of updating officers' performance appraisals to include recent agency developments, evolved into significantly overhauling this appraisal system; adding a new performance mechanism at the manager level; and using both of these processes to drive the agency's new strategic plan and promote “a different way of doing business.” This agency's experience seems applicable beyond enforcement agencies, and relevant both for those wanting to move performance in new directions, and for those wanting to energize ongoing performance. Suggestions are offered for moving toward effective performance management.
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Yawson, David Eshun, Fred Amofa Yamoah, Frederick Owusu Sarpong y Grace Abban-Ampiah. "Inculcating Employability Skill Sets in Undergraduates Through Employability Embedded Courses: Students Experience Anatomisation". Archives of Business Research 8, n.º 6 (29 de junio de 2020): 165–79. http://dx.doi.org/10.14738/abr.86.8480.

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Embedding employability skill sets into management education is important yet the experience student stakeholder gains on employability embedded courses remains unclear. We examine undergraduate student experience of the learning outcomes of work-related employability course. The survey results suggest mode of delivery and problems encountered with the course content are factors that sum up their total experiences. The results also indicate a triad consisting of difficulty of the course content, student’s work experience and satisfaction with the course content are strongly associated in determining students’ experiences. We discuss the implications of these findings for employability embedded curriculum development theory and practice.
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Waghmare, Mukta, Hemanshi Shah, Charu Tiwari, Kiran Khedkar y Suraj Gandhi. "Management of Liver Abscess in Children: Our Experience". Euroasian Journal of Hepato-Gastroenterology 7, n.º 1 (2017): 23–26. http://dx.doi.org/10.5005/jp-journals-10018-1206.

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ABSTRACT Introduction Liver abscess is common in pediatric population in India. Children have unique set of predisposing factors and clinical features. Liver abscesses are infectious, space-occupying lesions in the liver; the two most common abscesses being pyogenic and amebic. Its severity depends on the source of the infection and the underlying condition of the patient. Materials and methods A total of 34 patients less than 12 years were assessed in a retrospective study from January 2012 to 2016. Patients were assessed in terms of age of presentation, etiology, bacteriology, diagnosis, and modality of treatment. Results The mean age of presentation was 6.3 years. Average volume of abscess was 164 cc. Nine patients (26.4%) underwent percutaneous needle aspiration under ultrasound guidance with wide bore needle (18 G disposable needle). Three patients required more than two sittings of aspiration. Patients with volume more than 80 cc were treated with catheter drainage. Twenty patients (58.8%) underwent ultrasound-guided percutaneous catheter drainage. Two patients required catheter drainage for large abscess and needle aspiration for the smaller abscess. Conclusion Antimicrobial therapy along with percutaneous drainage constitutes the mainstay of treatment, whereas open surgical drainage should be reserved for selected cases. How to cite this article Waghmare M, Shah H, Tiwari C, Khedkar K, Gandhi S. Management of Liver Abscess in Children: Our Experience. Euroasian J Hepato-Gastroenterol 2017;7(1):23-26.
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Shahjahan, Md, Kazi Md Noor-ul Ferdous, Md Ashrarur Rahman Mitul y M. Kabirul Islam. "Management of Jejunoileal Atresia : Our 5 year Experience". Chattagram Maa-O-Shishu Hospital Medical College Journal 12, n.º 3 (28 de octubre de 2013): 52–55. http://dx.doi.org/10.3329/cmoshmcj.v12i3.16715.

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Purpose: The purpose of the study was to see the outcome of primary anastomosis and enterostomy in jejunoileal atresia, to identify the complications associated with these surgical procedures and to find out a preferable surgical option for the complicated atresia. Methods: This prospective study was carried out in the Department of pediatric Surgery, in a tertiary pediatric hospital during the period of 5 years (July 2006 to June 2011). The study included neonates of both sexes, who were per operatively diagnosed as jejuno-ileal atresia. We excluded the patients of jejunoileal atersia with associated major anomaly like complex ARM, gastroschisis, omphalocele etc. Results: During this study period, a total 176 patients were diagnosed as jejunoileal atresia. Twelve of them were excluded due to presence of major associated anomaly. So the sample size was 164. Resection and primary anastomosis were done in 132 jejunoileal atresia with or without gangrene. Enterostomy were done in 32 cases, complicated by perforation of proximal segment with gangrene and peritoneal soiling. Mortality was higher after primary anastomosis in complicated atresia but much better than enterostomy. Complications were also more frequent and troublesome after enterostomy. Conclusion: Primary anastomosis gave better outcome in all types of jejuno-ileal atresia with or without complication which reduce the post operative morbidity and mortality. Chattagram Maa-O-Shishu Hospital Medical College Journal Volume 12, Issue 3, September 2013: 52-55
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Rasool, Mumtaz, Mudasar Saeed Pansota, Muhammad Shehzad Saleem, Fariha Mumtaz y Shafqat Ali Tabassum. "Surgical management of vesicovaginal fistula repair: Our experience." Professional Medical Journal 27, n.º 09 (10 de septiembre de 2020): 1872–77. http://dx.doi.org/10.29309/tpmj/2020.27.09.4124.

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Objectives: The results of our study would generate useful baseline database which would help the surgeons to manage these fistulae and their related complications properly. Study Design: Non-randomized Clinical Control Trial study. Setting: Department of Urology, Bahawal Victoria Hospital, Bahawalpur and Shahida Islam Medical College, Lodhran. Period: From July 2015 to June 2016. Material & Methods: Total 150 women with vesico-vaginal fistula (VVF) on cystoscopy of either age were selected. Patients with history of recurrence of fistula, multiple fistulae, radiation and severe vaginal scarring were excluded. The transvaginal management was approached in cases of simple fistula, VVF located at trigone of bladder while transabdominal route was preferred when the fistula site could not be easily accessed per vagina, when VVF was above trigone or when the VVF was complex. These patients were followed for 6 weeks at 2 week time interval. Results: Age range in this study was from 20 to 60 years with mean age of 38.18 ± 10.64 years. Majority of patients were (41.72%) with medium sized fistula. In 92 patients, abdominal repair was done while in 52 patients vaginal repair was done. Unsuccessful repair was seen in 14 (9.33%), infection in 25 (16.67%) and recurrent fistula formation in 21 (14.0%) patients. Conclusion: This study concluded that the frequency of unsuccessful repair and recurrent fistula is more after vaginal repair compared to abdominal repair while infection rate was more after abdominal repair.
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Suárez, Julio César, Enrique José Herrera, Alberto Surur, Ricardo Theaux, Silvia Zunino, Gustavo Jarchum, Daniel Lerda et al. "Our Experience in Brain Oligodendroglioma Management in Adults". JBNC - JORNAL BRASILEIRO DE NEUROCIRURGIA 23, n.º 1 (24 de marzo de 2018): 26–31. http://dx.doi.org/10.22290/jbnc.v23i1.1081.

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Objective: to present our 19 years’ experience in the management of oligodendroglioma brain tumors in adults. Materials and Methods: From a series of 505 adult patients with brain tumors operated on from January 1991 to December 2009, 30 cases (5.9%) were histopathologically diagnosed as oligodendrogliomas. Twenty-six of them achieved a good follow-up. Results: from the 26 patients, the age ranged between 23 and 72 years. Histological diagnosis showed pure oligodendrogliomas in 17 patients and 9 cases of oligoastrocytomas. Ki-67 immunohistochemistry was performed in 23 patients: in 16 positivity was less than or equal to 5% and in 7 it was greater than 5%. Chromosomes 1p and 19q were studied in 12 patients with positive co-deletion in 2 and negative in the other 10. Twenty patients were operated on,3 received radiation therapy and chemotherapy, and 1 brachytherapy with Iodine-125 and two were not operated on (because the diagnosis was incidental, the tumor was small and was located in the motor area). Currently, 19 patients are alive (73%) and 7 died (27%). Mean survival time of the deceased patients was 7 years and 2 months and a median of 5 years and 8 months. Conclusion: it is not possible to make statistical analysis because small number of cases, although total removal seems to be the best treatment option, due to our small series of cases, we hope randomized double-blinded future studies will clear up the best choice of diagnosis and treatment.
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Gupta, Devang P., Shreya Rai y K. S. Dinesh. "Surgical management of facial nerve palsy: our experience". International Journal of Otorhinolaryngology and Head and Neck Surgery 4, n.º 1 (22 de diciembre de 2017): 38. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20175563.

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<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Facial nerve palsy is a challenging task to deal with in patients as it has medical as well as social implications. The aim of this study was to examine the efficacy of different surgeries for facial palsy according to pathology and the ideal time for surgery. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">This prospective study was conducted with the help of a structured proforma for history and examination. Defined diagnostic tests were performed and depending on complexities of cases, different surgical approaches were done. </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">A total of 50 patients with secondary facial nerve palsies were included in our study and after thorough evaluation surgical management was planned. Ninety two percent were treated with facial nerve decompression, 4% with neurorrhaphy of the nerve and another 4% with cable graft. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">High prevalence of facial nerve palsy in today’s era necessitates early diagnosis and management in order to prevent complications and thereby reducing the risk of permanent disfigurement.</span></p>
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