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What executives should remember.

In more than 30 essays for Harvard Business Review, Peter Drucker (1909-2005) urged readers to take on the hard work of thinking--always combined, he insisted, with decisive action. He closely analyzed the phenomenon of knowledge work--the growing call for employees who use their minds rather than their hands--and explained how it challenged the conventional wisdom about the way organizations should be run. He was intrigued by employees who knew more about certain subjects than their bosses or colleagues but who still had to cooperate with others in a large organization. As the business world matured in the second half of the twentieth century, executives came to think that they knew how to run companies--and Drucker took it upon himself to poke holes in their assumptions, lest organizations become stale. But he did so sympathetically, operating from the premise that his readers were intelligent, hardworking people of goodwill. Well suited to HBR's format of practical, idea-based essays for executives, his clear-eyed, humanistic writing enriched the magazine time and again. This article is a compilation of the savviest management advice Drucker offered HBR readers over the years--in short, his greatest hits. It revisits the following insightful, influential contributions: "The Theory of the Business" (September-October 1994), "Managing for Business Effectiveness" (May-June 1963), "What Business Can Learn from Nonprofits" (July-August 1989), "The New Society of Organizations" (September-October 1992), "The Information Executives Truly Need" (January-February 1995), "Managing Oneself" (March-April 1999 republished January 2005), "They're Not Employees, They're People" (February 2002), "What Makes an Effective Executive" (June 2004).

Administrative Personnel↗

Children's Hospital of Wisconsin promotes recent national award as third-best pediatric center.

After being dubbed the third-best pediatric hospital in the nation by Child Magazine last January, the Children's Hospital of Wisconsin produced a year-long campaign touting its feat. Through TV, radio, direct mail, and print ads, the hospital successfully increased consumer awareness and exceeded its fundraising goal for the first time in several years.

Awards and Prizes↗

[The Great Nationwide Physical Activity Campaign "Revitalize Your Heart" as an effective method to promote active lifestyle in Poland].

In most European countries including Poland prevalence of sedentary adult population varies between 40-70%. Thus nowadays one of the most important aims in public health is to elaborate and implement successful strategy to encourage people to be more active. Since 2001-2003 the Great Polish Nationwide Physical Activity Campaign "Revitalize Your Heart" has been organized during three summer months (July, August, September) as a part of WHO CINDI Programme. The main goal of the Campaign is to promote active lifestyle through education in mass-media, different interventions in local societies (sports events, outdoor family picnics) and countrywide contest for physically active. The effectiveness of the Campaign was estimated by means of questionnaire studies directed to the participants of the contest and over 1000 adult representatives of Polish population. The number of contest coupons, Campaign organizing centers, visits on Campaign website and information in mass-media were also analyzed. The results of analysis show a boost to awareness of low physical activity problem in Polish public opinion. Over 93% of representative sample of population find reducing sedentary lifestyle an important matter from medical point of view. Almost tripled amount of visits on the Campaign website, four times increased number of the Campaign organizing centers in Poland and doubled number of obtained contest coupons in the III Campaign in comparison to the First one can be the indicator of elevating interest in the influence of regular physical exertion on human health. Large broadcasting stations, public television, popular newspapers, magazines and leading electronic media were deeply involved in "Revitalize Your Heart". The Campaign has significantly affected health behaviour of the contest participants. Almost 60% of participants declare increasing the frequency and duration of exercises during the Campaign. A permanent beneficial modification of lifestyle has been undertaken by over 16% and 18% of them (in the First and the Second edition, accordingly). Improvement in knowledge of the importance of physical activity in everyday life was also noticed. Above 60% of participants of the first two editions of the Campaign can correctly point recommended minimal dose of physical activity beneficial for health. There is a strong correlation between the level of knowledge and lifestyle of the respondents: 92% of those giving the proper answer led active life.

Health Promotion↗

[Cord blood leptin concentration and somatic parameters of smoking mother's newborns].

Leptin is a peptide synthesised in white fat tissue adipocytes. It plays a key role in appetite regulation and body mass development. The leptin's concentration is correlated with body fat magazines. This hormone has also anorectic and sympatheticomimetic function. Leptin's concentration measured early after birth is strictly connected with birth-weight. Smoking during pregnancy leads to decrease of plasma leptin concentration in newborn. The aim of the study was estimation of the leptin level in umbilical cord blood of children born from smoking and no-smoking women. Some other somatic parameters were also analysed. A cohort of 210 women and their children born in the Institute of Obstetrics and Gynaecology Medical University of Gdansk was examined. The estimation of frequency of smoking during pregnancy was analysed by questionnaire done in this group. Samples of the umbilical cord blood were collected after birth and leptin concentration was analysed by standard RIA method. Significantly lower leptin concentration in smoking mothers' newborns was stated. Children born from smoking mothers had significantly lower birth weight and length. The frequency of smoking during pregnancy in analysed region is lower in compare to previous years.

Adipocytes↗

[Study of influences of social support and social networks on participation in periodic health examination of the elderly at home comparison of three regions with different social backgrounds].

PURPOSE: Periodic health examination are presumed to be important with respect to the well-being of aged individuals. The purpose of this study was to analyze the relationships between elderly at home accepting periodic health examination and their social support and social networks. METHOD: The survey was performed targeting so-called young elderly persons living at home in 3 regions in Hokkaido Prefecture, a large city (Sapporo), an ex-coalmining town (Yuubari) and a small farming town (Takasu). The study populations were asked about social support and social networks, and the Mantel-Haenszel method was applied to analyze the data. RESULTS: 1) Both males and females who received periodic health examination within the last one year (participants) were members of various groups, such as neighborhood societies, clubs for the elderly and so on, and were more interested in public magazines and political issues than those who had never received periodic health examination (non-participants). Elderly males who accepted periodic health examination were those who were interested in elections, who had a hobby, and who thought that life was worthwhile. 2) Both elderly males and females who accepted periodic health examination were those who had friends, and elderly males who accepted periodic health examination were those who had close relatives and who lived in a friendly neighborhood. 3) Elderly males who accepted periodic health examination were more likely to both receive and supply instrumental and emotional support in interaction with others.

Aged↗

Lessons in power: Lyndon Johnson revealed. A conversation with historian Robert A. Caro.

No one can lead who does not first acquire power, and no leader can be great who does not know how to use that power. The trouble is that the combination of the two skills is rare. Amassing power requires ambition, a focused pragmatism, and a certain ruthlessness that is often at odds with the daring, idealistic vision needed to achieve great things with that power. The tension is as real in business as it is in politics. This magazine is replete with examples of successful senior managers who could not make the switch from ambitious executive to corporate leader because they did not know what to do with the power they had so expertly accumulated. Robert Caro is a student of power. For the past 27 years, the two-time Pulitzer prize-winning biographer of Robert Moses and Lyndon Johnson has focused on the question of how Johnson amassed and wielded power. Caro's deep understanding of the inner workings of power offers senior executives a nuanced picture of leadership at the highest level. In this wide-ranging conversation, Caro shares his insights about the nature of power, the complexity of ambition, and the role that the greater good can play in the making of a leader. Power doesn't always corrupt, he insists. But what it invariably does is reveal a leader's true nature. "Today, when CEOs have acquired more and more power to change our lives," Caro says,"they have become like presidents in their own right, and they, too, need to align themselves with something greater than themselves if they hope to become truly great leaders."

Humans↗

Evidence-based management reconsidered.

Reports of medical mistakes have splashed across newspapers and magazines in the United States. At the same time, instances of overuse, underuse, and misuse of management tactics and strategies receive far less attention. The sense of urgency associated with improving the quality of medical care does not exist with respect to improving the quality of management decision making. A more evidence-based approach would improve the competence of the decision-makers and their motivation to use more scientific methods when making a decision. The authors of this article consider a study of 68 U.S. health services managers that found a low level of evidence-based management behaviors. From the findings, four strategies are suggested to increase health systems managers' use of research evidence to improve decision making: focusing evidence-based decision making on strategically important issues, developing committees and other structures to diffuse management research throughout the organization, building a management culture that values research, and training managers in the competencies required to apply research evidence to health services management decisions. To aid the manager in understanding and applying an evidenced-based approach to decision making, the article provides practical tools, techniques, and resources for immediate use.

Decision Making, Organizational↗

Diet, nutritional knowledge and health status of urban middle-aged Malaysian women.

The objective of the study was to assess nutritional and health status as well as nutritional knowledge in urban middle-aged Malaysian women. The impact of menopause on diet and health indices was also studied. The study included 360 disease free women, non users of HRT,aged > or =45 years with an intact uterus recruited from November 1999 to October 2001. Personal characteristics, anthropometric measurements and blood sample were acquired followed by clinical examination. Nutrient intake and nutritional knowledge was determined by a quantitative FFQ and KAP. The findings showed that urban middle-aged women, aged 51.65+/-5.40 years had energy intakes (EI) 11% below RDA, consisting of 53% carbohydrates, 15% protein and a 32% fat which declined with age. The sample which comprised of 42.5% postmenopausal women had a satisfactory diet and healthy lifestyle practices. Premenopausal women consumed more dietary fat (6%) with other aspects of diet comparable to the postmenopausal women. Iron intake was deficient in premenopausal women, amounting to 56% RDA contributing to a 26% prevalence of anaemia. Overall, calcium intake reached 440 mg daily but dairy products were not the main source. The postmenopaused had a more artherogenic lipid profile with significantly higher total cholesterol (TC) and LDL-C, but more premenopausal women were overweight/obese (49% versus 35%). EI was the strongest predictor for BMI and waist circumference (WC), with WC itself an independent predictor of fasting blood sugar and TC with BMI strongly affecting glucose tolerance. High nutritional knowledge was seen in 39% whereas 20% had poor knowledge. Newspapers and magazines, followed by the subject's social circle, were the main sources of nutritional information. Nutritional knowledge was positively associated with education, household income, vitamin/ mineral supplementation and regular physical activity but inversely related to TC. In conclusion, middle-aged urban women had an adequate diet with low iron and calcium intakes. Nutritional knowledge was positively associated to healthier lifestyle practices and lower TC. A comparable nutrient intake and lifestyle between pre and postmenopausal women suggested that health changes associated with menopause was largely independent of diet.

Anthropometry↗

The impact of the popular media on cosmetic dentistry.

UNLABELLED: The popular media's influence on social norms with respect to people's appearance is likely to have played a part in the recent growth of cosmetic dentistry. AIMS: This study was designed to investigate the manner in which the popular media have affected the perception and delivery of aesthetic dentistry in New Zealand. METHODS: A nationwide survey was posted to a random sample of 600 general dental practitioners (GDPs) requesting sociodemographic details and information on the types of aesthetic dental procedures provided and the demand for those. Information was also sought on GDPs' awareness of television programmes and reality "makeover" television shows (such as "Extreme Makeover") covering issues related to aesthetic dentistry, together with the impact of such programmes (and that of different print media) on their patients' perceptions of, and demand for, aesthetic dentistry. RESULTS: The response rate was 81.2 percent. A majority of participants perceived an increased demand for tooth whitening (77.8 percent) and veneers (54.8 percent) subsequent to the airing of those television programmes, with 85.2 percent reporting patients mentioning "Extreme Makeover" in relation to aesthetic dentistry. Some 56.8 percent believed that patients had higher aesthetic expectations subsequent to the airing of that programme. An increased demand for tooth whitening was reported by more female than male GDPs, and also by younger practitioners and those who were practising in larger centres. Similar patterns were observed with respect to GDPs recommending tooth whitening for patients. Women's magazines were ranked by GDPs as having the highest impact on patients' perceptions of aesthetic dentistry. CONCLUSION: The popular media (especially television) appear to have had an impact on the demand for various aesthetic dental procedures in New Zealand.

Age Factors↗

A biomedical information source: the National Clearinghouse for Alcohol Information.

The National Clearinghouse for Alcohol Information (NCALI) is an information resource developed by the National Institute on Alcohol Abuse and Alcoholism of the U.S. Department of Health, Education, and Welfare. It provides numerous alcohol-related information services to professionals in a wide spectrum of biomedical and other disciplines, services that are designed to aid information users in the discrimination and selection of useful literature from the volumes of available information. One such service will provide the biomedical professional, working in an alcohol-related field, with announcements of recent information in categories that he selects from 110 possible fields of interest. Another information service is the quality evaluation of technical documents. The quality evaluation system, which is under continuing development and refinement, serves the literature user by providing a literature quality prescreening process designed to aid users in their literature review and monitoring activities. Additional information services provided by the clearinghouse include Grouped Interest Guides, Subject Area Bibliographies, a quarterly magazine and a periodic general interest information service, and a wide range of special publications. Reference services provide a suitable depth of response to information requests through services that range from assemblages of standard information materials, such as pamphlets and similar publications, to automated data base searches for more technically oriented information requests.

Alcoholism↗

What business are you in? Classic advice from Theodore Levitt.

For all the talk about management as a science, experienced executives know that strategic decisions and tactics depend heavily on context. No one understood this better than Theodore Levitt (1925-2006). A Harvard Business School professor renowned as a founder of modern marketing, he sought above all to use his knowledge to serve the needs of businesspeople. In a series of powerfully insightful--and delightfully written--essays in Harvard Business Review, he provoked readers to reexamine their settled thinking about vital issues so that they could better meet the needs of customers. Levitt had the gifts of provocation and generalization, offering ideas that startled readers but compelled them to think creatively and intelligently about their companies. Writing in a period when business was held in far less esteem than it is today, he rejected the easy contempt that many intellectuals had for managers and consumers. Levitt carried that practical approach to his tenure at Harvard Business Review from 1985 to 1989. As one of HBR's most intellectual and most populist chief editors, he understood that the magazine's main purpose was to serve as a kind of sophisticated translation, clarifying authors' raw-and sometimes rough-ideas for impatient, time-pressed readers. This tribute, a look into one of business's great minds, offers excerpts from six of Levitt's most influential HBR articles: "Marketing Myopia" (July-August 1960) "After the Sale Is Over..."(SeptemberOctober1983) "Marketing Success Through Differentiation-of Anything" (January-February 1980) "Production-Line Approach to Service" (September-October 1972) "The Globalization of Markets" (May-June 1983) "Creativity Is Not Enough" (May-June 1963).

Commerce↗

[Public reporting on individual hospitals' quality: the risk of misinformation].

OBJECTIVE: increasingly information on individual hospital' clinical performance is disclosed to the general public through lay mass media. Usually the explicit goal of those initiatives is to guide citizens' choice identifying the "best", centres. However, these efforts rely either on simplistic approaches in comparing the clinical performance of individual hospitals or on inadequate quality indicators. Therefore, this information may easily misguide the general public. In this paper, in order to highlight the problems implied, we consider two recent cases of mass media reporting on hospitals' quality. METHODS: Two recent cases of mass media reporting on cardiac surgery centres' quality are considered: the BPAC study "Esiti a breve termine di interventi di by-pass coronarico nelle cardiochirurgie italiane" coordinated by the Italian Institute of Health, and the publication by the news magazine Panorama of the list of the "best" Italian cardiac surgery centres based on a reputational index. RESULTS: The first example points out the problems implied by presenting hospitals' clinical performance through league tables. Using the Markov Chain Monte Carlo method, this study shows how the conclusions merely based on ranking--even when these are based on a sensible quality indicator--can be potentially misleading. As for the second case study, it is shown the inadequacy of the quality indicator (the reputation index) adopted. CONCLUSION: despite the growing awareness in the health services community of the technical problems implied by describing and comparing the quality of care provided by individual hospitals, "real life" examples of provision of information on quality of care by the mass media to the general public appear to be largely unsatisfactory and potentially misleading.

Bayes Theorem↗

An update in periapical surgery.

Periapical surgery has largely improved at all levels due to new technologies provided by researchers throughout the last years. The aim of this article is to carry out a bibliographic revision of the last seven years. For this reason, we will analyse the studies published in Medline and the most important Spanish dental magazines. The subjects to investigate are mainly based on the incorporation of ultrasonic root-end, which allow the performance of small and adjusted retrograde cavities; as well as the new filling materials. We also include magnifying glasses or surgical microscope to the work material, plus surgical laser and the application of guided tissue regeneration.

Humans↗

How to search for and use 'grey literature' in research.

An ever-growing amount of grey literature is available to nurses, including oral presentations, personal communication, leaflets, newspapers and magazines, unpublished research, internal reports and minutes of meetings. It can be an invaluable research resource.

Data Collection↗

Rising voices: how editorial writers looked at health care.

With attention turning to the nation's domestic problems and the 1992 presidential election coming up, the last quarter of 1991 saw a marked increase in the number of editorials and opinion pieces devoted to health care topics. Many newspapers and magazines targeted the broader--and thornier--issue of national health care reform, but narrower and no less critical issues also received play, including Medicaid underpayment, emergency department overcrowding and HIV testing for health care workers.

Attitude to Health↗

The menopause and hormone replacement therapy: views of women in general practice receiving hormone replacement therapy.

Women's views on the menopause and hormone replacement therapy were explored using a questionnaire given to women attending one general practice who were having hormone replacement therapy under the supervision of their doctor. Sixty four women (67%) responded. Although only 5% of women had requested hormone replacement therapy from their general practitioner the majority of women indicated that they had been helped by hormone replacement therapy. Eight per cent of women were using hormone replacement therapy primarily to treat menopausal symptoms with only 6% of women using it primarily as prophylaxis against osteoporosis. Many women were correctly informed about the effects of hormone replacement therapy but mistaken beliefs about its side effects may indicate the need for further health education. The desire for further information was striking: 59% of women wanted further information about hormone replacement therapy, and 80% of women would have liked to have had more information about the menopause before its onset. The media appeared to be an important source of information about health matters: 61% of women obtained information about hormone replacement therapy from either the television, magazines or newspapers. The role of the media and health workers in health education is discussed.

Attitude to Health↗

Strategies for effective corporate participation in standards development and implementation.

There has to be a champion of EC 1992 preparedness within each company or division. For large corporations whose divisions have relatively similar products and operations, more centralized coordination may be useful. The cooperation of companies, organizations, and individuals in standards-setting activities like those of AAMI will help ensure that all suppliers to the European Community are operating on a level playing field. I have described how we are taking advantage of our experience and staff resources in the United States and Europe in order to avoid delays or difficulties in obtaining the CE mark. High-quality assistance is also available to smaller companies. Internal auditors can receive lead assessor training through contract courses as our corporate auditors did. Several medical device, quality control, and quality assurance magazines and newsletters routinely publish information on EC 1992. Finally, there are numerous consultants working actively in this area. The Journal of the American Society of Quality Control periodically publishes a list of consultants in various areas of specialization.

Equipment and Supplies, Hospital↗

Plastic surgery in Sheffield--an Australian trainee's view.

A common misconception by those that have not worked with us, and sorry to say even some of our colleagues in other specialties, is that plastic surgery is unimportant and is all cosmetic surgery, aimed at making vain people look as if they have just walked off a movie set in Hollywood. This is not so. Most people just want to look normal and fit in with their peers. Cosmetic surgery is beginning to be more socially acceptable and openly talked about in Australia. Even our Prime Minister's wife has done a story in a magazine about her recent face-lift. Years ago this would never have been talked about openly.

Cultural Characteristics↗