New Methods Of Management Research Articles

Treatment of phantom pain with contralateral injection into tender points: a new method of treatment

The aim of this study was to ascertain the existence of contralateral painful muscle areas mirroring phantom pain and to evaluate the short-term effects of anaesthetics versus saline, injected contralaterally to control phantom and phantom limb pain. This was a double-blinded cross-over study. This study included eight lower-limb amputees with phantom limb pain in the past 6 months. Either 1 ml of 0.25% bupivacaine or 0.9% saline was injected alternately in each point with a 28-G needle, with 72 h between injections. The main outcomes measured were phantom sensation modification and the intensity of phantom limb pain (visual analogue scale) before and after injections. Painful muscle areas in the healthy limb do not mirror the topographical distribution of phantom limb pain. At 60 min after the injection, a statistically significantly greater relief of phantom limb pain was observed after using a local anaesthetic compared with that when using saline injection (P = 0.003). Bupivacaine consistently reduced/abolished the phantom sensation in six out of eight patients. These effects on phantom sensation were not observed after saline injections. Contralateral injections of 1 ml of 0.25% bupivacaine in the myofascial hyperalgesic areas attenuated phantom limb pain and affected phantom limb sensation. Our study gives a basis of a new method of management of that kind of severe pain to improve the method of rehabilitation of amputee. However, further longitudinal studies with larger number of patients are needed to confirm our study.

Infromative and consultative guidance of Ukrainian agro-industrial complex management

Modern Ukrainian agro industrial production needs some new methods of management. The governing principle is proportionality of the type and scale of consultation to the potential impacts of the proposal or decision being taken, and thought should be given to achieving real engagement rather than merely following bureaucratic process. Consultation forms part of wider engagement and decisions on whether and how to consult should in part depend on the wider scheme of engagement. The purpose of the study is to extend the theoretical justification and organizational and methodological foundations of the agrarian producers’ guidance. The essence and the need for the informative and consultative guidance are revealed. The ways of informative and consultative agrarian system’s guidance improvement are developed. The paper proposes the priority of advisory services’ development is given.

Marketing and Logistics Management as an Innovative Direction of Management in the SMEs Sector

AbstractMarketing and logistics management is now becoming an interesting concept for entrepreneurs, and thus perpetuates the belief that the skills of marketing and logistics of the company contributes to the improvement of the company’s competitive position in the market. The activity of businesses from the SME sector is based on a much more modest material resources than it is in large enterprises, thus building logistic and marketing advantages through innovation strategies is often the right direction of improving the competitiveness of the SME sector. The aim of the paper is to present the areas and potential use of new methods of management, with the application of integration of marketing management and logistics processes. Knowledge of the characteristics of both types of processes in the SME sector becomes necessary. Insufficient knowledge of marketing and logistics in SMEs, both in the field of logistics and marketing should be complemented by the development of educational offer by institutions of science.

Electronic resource “Electrotechnics” as a tool of students’ educational activity management

The variety of the ways to manage educational activities of studentscharacterizes the present state of the educational thought development.According to the different authors’ propositions there are the followingmethods of this aim achievement: the structuring of educational information,the new forms of knowledge representation, the programmingof training activities, and different types of educational assessment.The electronic resource “Electrotechnics with Fundamental of IndustryElectronics” uses new methods for management of the students’ trainingactivities, such as hard feedback technology, a new form of didactic system,new ways of interaction between theoretical and practical materialin laboratory work. This electronic resource has been created on basis ofa teaching of the electrotechnics in Poland.The electronic resource developed and implemented a number ofimportant didactic principles: the principle of scientificity of knowledgeis implemented through actualized information about the methods ofa current measuring, description of a modern point of light sources andmodern magnetic materials; the principle of visibility was implementedthrough the introduction of links to online video resources; the principleof differentiation of learning has been implemented with a special form offeedback between students and the educational system – the proposeddifferentiation consist in the ways of the problem solving and not in thedifferentiation of the subject complexity, as previously. Thus, the use ofthe MOODLE platform with additional programming modules allows creationof a new type of electronic resource for distance learning.

New perspective in heart failure management: could myosin activators be the answer?

Heart failure is a worldwide leading cause of hospital admissions. There is a critical need for new methods of management in acute heart failure. The current drug panel available in the treatment of hemodinamically unstable patients is not only limited, but it is also associated with deleterious side effects. Discoveries in the heart failure field seemed to lack an adequate answer and a change in paradigm may be necessary. The cardiac myosin activator omecamtiv mecarbil is a new therapeutic approach that improves the myocardial contractility through an innovative mechanism, avoiding the harmful effects of currently used inotropic agents. Several studies provided us with promising results, but further scientific proofs are needed.

Competitive factors for microenterprises in the process of marketing and logistic management based on the Kuyavian-Pomeranian Voivodeship

Abstract Upon accession to the European Union, the SME sector in Poland found itself in a much more difficult situation than that of similar enterprises which had operated in the EU for years. New phenomena have occurred in this environment, including globalization, with not only its economic dimension, but also structural and functional ones, which comprehensively affects all fields of enterprises’ operations. Growth of competitiveness of SMEs, in particular of microenterprises, is a very interesting aspect and questions arise as to possible new methods of management which could help achieve this goal. This article presents the author's own research on SMEs in the Kuyavian-Pomeranian Voivodeship from the perspective of competitive factors in the management process. The factors of chief significance to growth and development are presented as exemplified by marketing and logistic management process in a microenterprise.

Combined Central and Peripheral Stimulation for Treatment of Chronic Tinnitus

Background. Tinnitus is a common untreatable condition that originates from central maladaptive plasticity initiated by peripheral injury. Repetitive transcranial magnetic stimulation (rTMS), direct cochlear low-level laser therapy (LLLT), and acupuncture were tried for tinnitus treatment, but the results of these methods were clinically unsatisfactory. Objective. This study aimed to test the combined effect of the 3 methods targeting both peripheral and central auditory areas as a new therapeutic strategy for tinnitus. Methods. For this, 30 patients were randomized to 3 equal groups receiving 3 different interventions: inhibitory rTMS to the left auditory cortex, LLLT (which includes a combination of direct cochlear LLLT and laser acupuncture) to the affected ear(s), and finally, a combination of rTMS and LLLT. The Tinnitus Handicap Inventory (THI) and Visual Analogue Scale (VAS) were assessed before, immediately after, and at 2 weeks and 4 weeks after 10 consecutive every-other-day sessions for each intervention type. Results. We found that combined stimulation was effective in tinnitus treatment. This effect remained for 4 weeks after the end of the treatment. However, each of rTMS and LLLT alone had no significant effect. Repeated-measures ANOVA showed a significant effect of Time and Time × Intervention interaction for THI and VAS scores. The post hoc t test for different time points per intervention revealed a significant difference between baseline and all postintervention measurements of both THI and VAS for the combination intervention. Conclusion. Combined central rTMS and peripheral LLLT is more beneficial as a new method for management of tinnitus rather than these two used separately.

Adolescent concussions

The amount of literature dealing with the diagnosis and treatment of adolescent concussions is considerable. Most articles focus on the athlete. This study examines both sports-related and nonsports-related concussions in adolescents, their etiology, mechanisms of injury (categorized by sport), symptoms exhibited, physical findings, computerized tomography scan results and the problem of prolonged recovery (persistent postconcussion syndrome used in this article to mean symptoms lasting over four weeks.)The purpose of this study is to present the data, their significance and a new method of management that has successfully allowed the author's concussed patients to recover more rapidly.A retrospective review of 863 adolescent concussions, in 11-year-old to 19-year-old patients, from July 2004 through December 31, 2008. Subjects were seen as a result of referrals largely from the author's practice (Pediatric Healthcare Associates), other physicians, athletic trainers or patients previously treated. All concussions, including nonsports-related concussions, were included in the study. Some patients had multiple concussions; 774 individuals accounted for the 863 concussions. The number of patients by age and the number of concussions they sustained are listed below.

Laser-Assisted Periodontal Management of Drug-Induced Gingival Overgrowth under General Anesthesia: A Viable Option

Gingival overgrowth/hyperplasia can be attributed to several causes, but drug-induced gingival overgrowth/hyperplasia arises secondarily to prolonged use of antihypertensive drugs, anticonvulsants and immunosuppressants. The management is complex in nature considering the multitude of factors involved such as substitution of drug strict plaque control along with excision of the tissue to be performed under local anesthesia as outpatient. In the recent times, the patient's psychological fear of the treatment with the use of surgical blade and multiple visits has developed the concept of single visit treatment under general anesthesia incorporating a laser as viable option. The present case highlights the new method of management of gingival overgrowth.

BLAZING NEW TRAILS: EXPERIMENTS IN MANAGEMENT

Experimenting with management techniques sounds dangerous. Could something explode? Or, perhaps worse, implode?Jules Goddard assures us that trying new methods of management is the only way for businesses to thrive in the future.

Prognosis after severe head injury.

Prognosis depends on establishing a relationship between the patient's state in the early stages and the ultimate outcome. Both the severity of the initial damage (including early complications) and the degree of recovery need to be defined, but practical and statistical considerations impose a limit on the number of variables which can be manipulated. Variables chosen should be those likely to be relevant, and pilot studies are more reliable than intuition in indicating which items should be included. Data chosen should be of a kind likely to be readily available for most patients and should not therefore depend on complex laboratory investigation. The most reliable indicant of initial severity appears to be the depth and duration of coma or altered consciousness, and a scale has been devised for measuring these. Measures of outcome should include separate assessment of mental and physical disability as well as the overall social consequence of the brain damage. Prognosis should be expressed as the probability (mathematically expressed) that a patient will reach certain defined outcome categories, five of which are recognized in the present study. Predictions should begin only after initial resuscitative measures are complete (say six hours after ictus); they need not be limited to the early stages but can include estimates of the degree of further improvement expected in the light of progress in the early weeks after injuries. New methods of management cannot be critically assessed unless factors influencing prognosis are reliably identified and can be matched in comparative patient groups. An estimate of prognosis is also required for the selection of patients for intensive treatment, both in the acute and in the rehabilitation stage. Without such data there is a tendency to deploy an unduly high proportion of scarce resources on patients who have little prospect of recovery; this may deny the best chance of recovery to patients with severe, but less overwhelming, brain damage.

Using recombinant activated factor VII, B-Lynch compression, and reversible embolization of the uterine arteries for treatment of severe conservatively intractable postpartum hemorrhage: new method for management of massive hemorrhage in cases of placenta increta

To investigate a new method for management of massive postpartum hemorrhage in cases of abnormal placenta adhesion. Case report. University hospital. An 18-year-old nullipara presented with fulminant postpartum bleeding after cesarean section due to placenta increta. The patient developed hemorrhagic and septic shock associated with disseminated intravascular coagulation. Treatment with uterotonic drugs like oxytocin and prostaglandins and conservative procedures like transfusion of packed red cells and fresh frozen plasma failed to control the diffuse bleeding. Further intervention consisted of B-Lynch sutures, recombinant activated factor VII, and reversible embolization of the uterine arteries. The bleeding stopped after operative B-Lynch compression and recombinant activated factor VII. In the interval, the bleeding continued under therapeutically resistant disseminated intravascular coagulation, and finally bilateral reversible embolization of the uterine arteries was performed to avoid an emergency hysterectomy to preserve fertility in this young woman. This is a case of abnormal placenta adhesion with massive postpartum hemorrhage in which different conservative and operative treatments were combined to avoid a hysterectomy with loss of fertility and major psychological impact for the young mother.

Moderní metody retail managementu

Společnou charakteristikou moderních přístupů používaných v retailingových firmách je jejich komplexní přístup k řešení problémů vedoucích k dosažení větší efektivnosti integrovaných způsobů používaných na nabídkové i poptávkové straně. Mezi hlavní faktory ovlivňující vývoj a zavádění moderních metod řízení patří růst konkurence napříč všemi segmenty trhu, rostoucí náročnost spotřebitelů, změna spotřebitelských preferencí způsobená demografickými a ekonomickými faktory. Významným faktorem ovlivňujícím vývoj metod a konceptů aplikovaných retailingovými subjekty jsou informační technologie. Nástup nových informačních technologií způsobuje rovněž zesilování konkurenčních tlaků. Konkurenční výhoda dnes není založena výlučně na cenové soutěži, ale i na tom, zda je podnik schopen zákazníkovi nabídnout adekvátní přidanou hodnotu. Používání nových metod řízení je úzce spojeno s procesním řízením firem a připraveností lidského faktoru akceptovat tyto metody řízení. Category management představuje jednu z forem kooperativní spolupráce s cílem zvyšovat konkurenceschopnost, snižovat celkové náklady zúčastněných partnerů při zdokonalování péče o zákazníky.

Acute postpartum uterine inversion with haemorrhagic shock: laparoscopic reduction: a new method of management?

BJOG: An International Journal of Obstetrics & GynaecologyVolume 114, Issue 3 p. 377-378 Acute postpartum uterine inversion with haemorrhagic shock: laparoscopic reduction: a new method of management? PFW Chien, PFW Chien Department of Obstetrics and Gynaecology, Ninewells Hospital and Medical School, Dundee, UKSearch for more papers by this author PFW Chien, PFW Chien Department of Obstetrics and Gynaecology, Ninewells Hospital and Medical School, Dundee, UKSearch for more papers by this author First published: 13 February 2007 https://doi.org/10.1111/j.1471-0528.2006.01241.xRead the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL No abstract is available for this article. Volume114, Issue3March 2007Pages 377-378 RelatedInformation

Acute postpartum uterine inversion with haemorrhagic shock: laparoscopic reduction: a new method of management?

Acute postpartum uterine inversion with haemorrhagic shock: laparoscopic reduction: a new method of management?

Acute postpartum uterine inversion with haemorrhagic shock: laparoscopic reduction: a new method of management?

Acute postpartum uterine inversion with haemorrhagic shock: laparoscopic reduction: a new method of management?

Authors response to: Acute postpartumuterine inversion with haemorrhagic shock: laparoscopic reduction: a new method of management

BJOG: An International Journal of Obstetrics & GynaecologyVolume 114, Issue 2 p. 234-235 Authors response to: Acute postpartumuterine inversion with haemorrhagic shock: laparoscopic reduction: a new method of management R Vijayaraghavan, R VijayaraghavanSearch for more papers by this authorY Sujatha, Y SujathaSearch for more papers by this author R Vijayaraghavan, R VijayaraghavanSearch for more papers by this authorY Sujatha, Y SujathaSearch for more papers by this author First published: 09 January 2007 https://doi.org/10.1111/j.1471-0528.2006.01212.xRead the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat No abstract is available for this article. Volume114, Issue2February 2007Pages 234-235 RelatedInformation

Acute postpartumuterine inversion with haemorrhagic shock: laparoscopic reduction: a new method of management

Sir, While this case report is interesting and there are very nice laparoscopic images to illustrate the inverted uterus, I was disturbed by several features of the report. Nobody can have much experience in this rare complication, however, with 35 years of obstetric practice, 25 years as a consultant, I have never found hydrostatic reduction of an inverted uterus to fail. Yet, this well-established technique was never even attempted, but only referred to in the discussion. There is no explanation why an attempt at hydrostatic reduction was not made. As described by Calder,1 as a youngster I scoffed at the concept when I first heard of the method. However, in practice I soon found that with uterine relaxation and patience, the uterine inversion is silently reduced under the hydrostatic pressure. WHO2 recommends that if manual reduction fails, then the hydrostatic method should be used. In hospital practice, we would favour the use of the hydrostatic method as the primary method. Any attempt at reduction of a complete inversion needs to be combined with some form of uterine relaxation and adequate analgesia. I was also puzzled by the details of the case report regarding haemorrhage. At the time of uterine inversion, there was a massive haemorrhage. This is not the time to attempt reduction. There is no description of continued bleeding, and this conforms to my experience that once the uterus is inverted and well contracted there is relatively little bleeding. Her collapse may well have been partly due to a vasovagal response associated with the attempt at reduction and the presence of the inversion itself. This is supported by the fact that she appears to have been given colloids only as there is no mention of a blood transfusion. It appears that there was rather quick resort to a completely unconventional although innovative management. We cannot accept that laparoscopic reduction can be any more likely to be successful than manual reduction, and much less effective than hydrostatic reduction. j References

Laparoscopic temporary clipping of the uterine arteries in massive postpartum haemorrhage: a new method of management? – Treatement of PPH by laparoscopy

Presentation is made of a novel treatment approach in a case of massive late postpartum haemorrhage ten days after caesarean delivery of premature twins by laparoscopic placement of YASARGIL aneurysm clips to the uterine arteries.

New method for management of massive haemorrhage in case of placenta increta

Aims: Abnormal placenta adhesion with massive postpartum haemorrhage (PPH) is a major cause of dangerous complications in obstetrics, with the highest risk for maternal mortality worldwide. Case: An 18-year old nullipara presented with fulminate postpartum bleeding after caesarean section due to placenta increta. The patient developed a haemorrhagic and septic shock associated with disseminated intravascular coagulation (DIC). Treatment with uterotonic drugs like oxytocin and prostaglandins and conservative procedures like transfusion of packed red cells and fresh frozen plasma failed to control the diffuse bleeding. The bleeding stopped after operative B-Lynch compression and recombinant activated factor VII. In interval, the bleeding continued under therapeutically resistant DIC and finally bilateral reversible embolisation of the uterine arteries was performed to avoid an emergency hysterectomy to preserve fertility in this case of a young woman. Conclusion: This is a case of abnormal placenta adhesion with massive postpartum haemorrhage in which different conservative and operative treatments were combined to avoid a hysterectomy with loss of fertility and major psychological impact for the young mother.