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At least 253 records · Page 14Linked to original sources

Managing the dairy cow at calving time.

Managing the dairy cow at calving, unlike artificial insemination or transrectal ultrasonography, is often perceived as an unskilled task, not requiring specialist training. This article presents the argument for the financial and welfare costs associated with poor periparturient management, and how to address them by veterinarian-led education and upskilling of herd personnel. Successful management of the dairy cow at calving will result in the birth of a healthy calf and a smooth transition of the cow into the milking string with minimal calving problems and their sequelae. The tenets of good calving management are predicting accurately when calving is due, moving cows to the maternity unit on time, discrete calving supervision, knowing when and how to intervene, and ensuring the calf is vigorous and fed colostrum and the cow is healthy postpartum.

Animal Husbandry↗

Management tips. Managing people, time, paperwork.

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 the staff. Management in the OR is not limited to the director and the head nurse. It includes all the staff. If the staff is involved and willing to participate, everybody functions better.

Humans↗

[What factors modify the condition of the newborn infant in emergency cesarean section?].

Based on 207 emergency caesarean sections carries out in 66 maternity units in North Rhine Westphalia, the condition of the newborns (pH, UA and Apgar-index after 1 minute) was examined focusing the dependence of these variables from the time management (5 time factors were analysed). Rank-correlation coefficients according to SPEARMAN were calculated and a stepwise multiple regression analysis was performed. We found a significant (P less than 0.005) positive correlation on the one hand between the preparation time for the caesarean-section (time 1) and the actual pH (UA) and on the other hand between the total time (decision to perform a caesarean section up to the delivery of the baby (time 3)) and the actual pH, UA. No significant correlation was found between the time-factors and the Apgar-index (1 min). As the correlations are positive, this means that very low pH values are associated with short time intervals and high pH values with longer time intervals respectively. We concluded, that in case of an emergency caesarean section the urgency of the emergency itself controls and determines the time management. The spatial situation in each hospital which is reflected in the time factors 4 and 5 seems to be of less important for the overall result.

Acid-Base Equilibrium↗

Wound bed preparation and a brief history of TIME.

Management of chronic wounds has progressed from merely assessing the status of a wound to understanding the underlying molecular and cellular abnormalities that prevent the wound from healing. The concept of wound bed preparation has simultaneously evolved to provide a systematic approach to removing these barriers to natural healing and enhancing the effects of advanced therapies. This brief review of wound bed preparation traces the development of these concepts and explains how to apply systematic wound management using the TIME acronym - tissue (non viable or deficient), infection/inflammation, moisture (imbalance) and edge (non advancing or undermined).

Bandages↗

Periimplant tissue management: optimal timing for an aesthetic result.

When implants are utilized to restore the dentition in an aesthetically prominent region, there are four different time points when the periimplant tissue can be influenced-prior to implant placement, simultaneously with implant placement or during the healing phase of the implant, at second-stage surgery, and during the maintenance phase. There is no single optimal point in time for managing the periimplant tissues; the patients present for treatment at various stages, and each case has to be individually evaluated and an appropriate treatment plan designed. The earlier periimplant tissue management is initiated, the greater are the opportunities for a successful result. The learning objective of this article is to review these options by means of case presentations. The different surgical procedures are explained and their advantages or disadvantages discussed. Four case reports are used to demonstrate the rationale and the clinical procedures. An improvement in the aesthetic harmony was attained in all four cases.

Adult↗

Does your hospital need a full-time physician manager?

Full-time medical administrators are leaving their mark on health care administration. As the physician member of the hospital's top management team, the vice-president for medical affairs has a major impact on quality assurance efforts, utilization review, risk management, and strategic planning.

Medical Staff, Hospital↗

Development of on-line real-time menu management system.

An on-line, real-time menu management system was developed as a module of the integrated computer-assisted food management system implemented at the University of Missouri-Columbia Health Sciences Center Department of Nutrition and Dietetics. This system supplants a former automated form generating system and permits flexibility in menu design. The major data base in the system is the Master Menu File, which is updated using real-time processing. This file contains data about each occurrence of menu items and is interfaced with existing recipe files to produce numerous printed documents and to display the menu on a video display terminal. The major benefits of the system are flexibility and elimination of typing of worksheets. Entering a new menu or changes to the menu require only a brief amount of time; new revised documents relative to the menu can be generated on the same day. Some of the types of documents available from this system are: master menu, nutrient syllabi, menu audit, and food production forms. The menu is available on-line at all times for reference by dietitians and supervisors. The Master Menu File will be utilized more fully as new modules are designed to interface with the Menu Management System. Production forecasting, patient menu printing, and individualized diet planning are three potential enhancements to the system which will utilize data in the Master Menu File. The file was designed to accommodate additional data as the system in further matured.

Food Service, Hospital↗

Executive skills for medical faculty: a workshop description and evaluation.

As the healthcare system continues to change, healthcare professionals will need to assume an increasing number of administrative and management responsibilities. The goal of this article is to describe a two-day workshop on Executive Skills for Medical Faculty and the results of an evaluation conducted one year later. This workshop consisted of specific modules on analyzing time-management skills, determining goals and priorities, improving time-management strategies, assessing leadership styles and skills, and conducting effective meetings. The workshop evaluation consisted of an immediate post-workshop questionnaire administered to all of the participants, and semi-structured interviews, conducted on the telephone, with half of the attendees. Both evaluations were designed to assess perceptions of the workshop's usefulness and areas of individual change. Feedback from the participants immediately after the workshop indicated an overall satisfaction with the workshop content and methodology and a desire to try new time-management strategies. Evaluation of the workshop one year later indicated that the majority of the participants had determined their priorities more clearly, altered their time-management strategies, and planned more effective meetings. Less change was noted in the area of leadership styles and skills. Both the immediate and delayed workshop evaluations indicated that the most useful sessions were those devoted to determining goals and priorities, time management and effective meetings. These results suggest that a two-day workshop can improve health care professionals' administrative and management skills in certain areas. A longer workshop and built-in 'follow-up' activities would enhance the potential for change.

Attitude of Health Personnel↗

Effect of students' perceptions of course load on test anxiety.

OBJECTIVES: The objective of this study was to examine the association between student perceptions of course load, their ability to manage time, and test anxiety. METHODS: A survey was self-administered to all students (professional years 1 through 4) enrolled in the PharmD curriculum at the University of Houston (2001) with items measuring test anxiety, perceived course load, and ability to manage time. RESULTS: One hundred ninety-eight students participated in the survey (response rate P1 = 48%, P2 = 52%, P3 = 52%, P4 = 72%). There was a significant difference in students' perception of course load, ability to manage time, and test anxiety scores across the 4 years. Test anxiety was positively correlated with students' perceptions of course load and negatively related to their ability to manage time with course work. CONCLUSIONS: Students' perception of course load and their ability to manage time with their course work is associated with test anxiety. Future studies should evaluate the role of stress/time management programs to reduce stress and anxiety.

Anxiety↗