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PubMedDate not supplied

California National Animal Health Monitoring System for meat turkey flocks-1988-89 pilot study: management practices, flock health, and production.

A pilot project for a meat turkey National Animal Health Monitoring System was undertaken in California in 1988-89 to explore data gathering techniques and to estimate the frequency, magnitude, and variability of management, flock health (including administration of pharmaceuticals for prevention and treatment of disease), and production variables in order to facilitate planning for future food animal monitoring systems. Enteritis, which occurred in over one-third of the flocks, and colibacillosis, which occurred in nearly one-quarter of flocks, were the most common diseases reported. Mycoplasma synoviae was reported in two flocks and Mycoplasma gallisepticum and Mycoplasma meleagridis each were reported in one flock. Total mortality rate in the sample flocks was 9.0% (95% confidence interval [CI] 8.2%-9.8%). The tom-specific mortality rate was 10.9% (95% CI 9.8%-12.1%) and the hen-specific mortality rate was 6.6% (95% CI 5.7%-7.4%).

Animals↗
PubMed1992

Criteria for determining medical practice management skills requirements: a case study.

Faced with the responsibility of filling a management void, the group could not reach a consensus as to what level of manager to recruit. While some physicians felt that the vacancy should be filled with an office manager-type individual (possibly promoting from within), others felt that the scope of lay management should be expanded.

Administrative Personnel↗
PubMed1990

Improving management practices: a case study of linen usage.

As part of an action research project, a thorough review was undertaken into the system for linen acquisition, distribution and usage in a large metropolitan hospital. As a result, new systems of management control were introduced, with considerable cost savings resulting. The project illustrated the importance to effective hospital management of the implementation of systematic review and redesign processes to incorporate measurement and accountability into management systems.

Bedding and Linens↗
PubMed2002

Recruiting physicians and long-term viability: perspectives of physicians and practice managers.

As outcome measures become more informative, staffing by high quality physicians becomes more important to the competitive position of care providers. Success in physician recruiting is, therefore, a key to the long-term success and viability of care providers. Perceived problems in recruiting physicians led the Cincinnati Academy of Medicine to sponsor a study in the agreement between physician recruiters and physicians on the relative priority of factors affecting physicians' choices of practice location. The study found general agreementon mostof the 15 factors considered. Disagreementexisted, however, on the importance of salary and benefits and the importance of physicians' ability to make management decisions.

Career Choice↗
PubMed2002

Dairy herd management practices that impact nitrogen utilization efficiency.

Improving the efficiency of feed N utilization by dairy cattle is the most effective means to reduce nutrient losses from dairy farms. The objectives of this study were to quantify the impact of different management strategies on the efficiency of feed N utilization for dairy farms in the Chesapeake Bay Drainage Basin. A confidential mail survey was completed in December 1998 by 454 dairy farmers in PA, MD, VA, WV, and DE. Nitrogen intake, urinary and fecal N, and efficiency of feed N utilization was estimated from survey data and milk analysis for each herd. Average efficiency of feed N utilization for milk production by lactating dairy cows (N in milk/N in feed x 100) was 28.4% (SD = 3.9). On average, farmers fed 6.6% more N than recommended by the National Research Council, resulting in a 16% increase in urinary N and a 2.7% increase in fecal N. Use of monthly milk yield and component testing, administration of bovine somatotropin (bST), and extending photoperiod with artificial light each increased efficiency of feed N utilization by 4.2 to 6.9%, while use of a complete feed decreased efficiency by 5.6%. Increased frequency of ration balancing and more frequent forage nutrient testing were associated with higher milk production, but not increased N utilization efficiency. Feeding protein closer to recommendations and increasing production per cow both contributed to improving efficiency of feed N utilization.

Animal Nutritional Physiological Phenomena↗
PubMed1996

[Abdominal gunshot wounds. Ballistic data and practical management].

The mortality from abdominal gunshot wounds remains high, either in civilian or military cases. The severity factors of these wounds include bullet calibre and energy transfer of the missile. This paper studies some of the ballistics features of abdominal gunshot wounds. Practical guidelines are inferred concerning diagnosis and treatment of these wounds.

Abdominal Injuries↗
PubMed2002

Baseline characteristics, management practices, and in-hospital outcomes of patients hospitalized with acute coronary syndromes in the Global Registry of Acute Coronary Events (GRACE).

Acute coronary syndrome (ACS) represents a heterogenous spectrum of conditions. The Global Registry of Acute Coronary Events (GRACE) describes the epidemiology, management, and outcomes of patients with ACS. Data were collected from 11,543 patients enrolled in 14 countries. Of these patients, 30% had ST-segment elevation myocardial infarction (STEMI), 25% had non-ST-segment elevation myocardial infarction (NSTEMI), 38% had unstable angina pectoris, and 7% had other cardiac or noncardiac diagnoses. Over half of these patients (53%) were >/=65 years old. Reperfusion therapy was used in 62% of patients with STEMI. Percutaneous coronary intervention was performed in 40% of these subjects during the index admission. Intravenous glycoprotein IIb/IIIa blockers were used in 23%, 20%, and 7% of patients with STEMI, NSTEMI, and unstable angina, respectively (STEMI vs NSTEMI, p = 0.0018, and for either group vs unstable angina, p <0.001). Coronary artery bypass grafting was performed in 4%, 10%, and 5% of patients, respectively (p <0.0001). Hospital case fatality rates were markedly different among patients with STEMI, NSTEMI, and unstable angina (7%, 6%, and 3%, respectively; STEMI vs NSTEMI, p = 0.0459, and for either group vs unstable angina, p <0.001). Congestive heart failure complicated the hospital course in 18%, 18%, and 10% of the patients, respectively (p <0.0001), and recurrent angina with ST-segment changes occurred before discharge in 10%, 10%, and 9% of patients, respectively (p = 0.2644). GRACE provides a detailed and comprehensive global description of the spectrum of patients with ACS.

Aged↗
PubMed2004

Ingrowing toenails: management practices and research outcomes.

The ingrowing toenail, often seen as a trivial condition, can be a substantial source of pain and potential morbidity in high-risk patients. Furthermore, this malady is commonly seen by the general practitioner who possesses little training in the management of the condition. Compounding the problem is the myriad of reported nonsurgical and surgical treatments. This article reviews the topic of ingrowing toenails and offers treatment options based on a review of the literature.

Journal Article↗
PubMed2004

Long-term care insurance: care management practice issues.

There are numerous articles about the pros and cons of long-term care insurance. However, for many people it is a solution for funding long-term care when they are in need of these services. The provision of appropriate care management to individuals, providers, and insurers results in a "win-win" for everyone. The article discusses the issues surrounding long-term care financing and delivery from the perspective of the groups mentioned previously.

Case Management↗
PubMed1994

[Practical management of localized prostate cancer: surveillance, surgery or radiotherapy].

The discovery of a localised prostatic cancer has become an increasingly frequent clinical reality (60%). At this stage, the cancer is theoretically curable by radical prostatectomy. However, a number of factors prevent this surgery in practice, which is why the clinician often has to choose either radiotherapy or watchful waiting. This latter option is justified by the slow course of prostatic cancer and the mean age of detection of this cancer (70-75 years). The therapeutic approach to localised prostatic cancers is still a controversial issue, especially in men between the ages of 70 and 75 years. Progress must be made in the assessment of the aggressiveness of the prostatic cancer before this controversy can be resolved.

Age Factors↗
PubMed1995

Practical management of postmenopausal women with low bone mineral density.

For the management of postmenopausal women with low bone mineral density (BMD), the gynecologist, as a primary care physician, should play a central role in preventing osteoporotic fracture by educating them for elimination of risk factors and for healthy life-style and by providing an appropriate drug therapy. Because the risk of fracture usually increases after BMD decreases as much as 20-30% of peak bone mass, it is practically reasonable to set this level of BMD as a criteria for the initiation of management. As for a drug treatment, it is better to combine estrogen, the first choice drug, with progestogens to counteract any neoplastic effect of unopposed estrogen on the endometrium. Bisphosphonates and calcitonin, which are inhibitors of bone resorption, provide an alternative in prevention and treatment of postmenopausal bone loss in case of contraindication for estrogen or in those women who are unwilling to take estrogen.

Adult↗
PubMed2005

Infected physicians and invasive procedures: safe practice management.

There is currently no public policy that provides guidance concerning whether and when physicians infected with hepatitis B virus (HBV), hepatitis C virus (HCV), and/or human immunodeficiency virus (HIV) can safely perform invasive procedures. A committee of experts in the fields of medicine, law, and biomedical ethics and 1 community member, aided by an advisory board, was established to produce recommendations for policy reform. An extensive literature review was conducted for these 3 infectious diseases, medicine, surgery, epidemiology, law, and bioethics to gather all relevant data. Special recommendations are made regarding the management of physicians who are infected with HIV, HBV, and/or HCV. This policy proposal includes a list of exposure-prone procedures and a decision chart that indicates under what conditions infected physicians can practice beyond the need for disclosure of their serological status.

Decision Making↗