This article is introducing a new concept of organizational health and discussing its possible implications for health organizations and health management. The concept is developed against the background of New Public Management, which has coincided with increasing workplace health problems in health organizations. It is based on research mainly in health promotion and health management. Organi...

Since the first true herniorrhaphy was performed by Bassini over 100 years ago, all modifications and surgical techniques have shared a common disadvantage: suture line tension. The anatomic, physiologic, and pathologic characteristics of hernia recurrence are examined. The prime etiologic factor behind most herniorrhaphy failures is the suturing together, under tension, of structures that are ...

One meaningful and compassionate response to the stress faced by parents of children with cancer is mutual support groups. Such groups provide social and emotional support for families and advocate for improved medical and psychosocial services for children with cancer throughout the world. Sometimes parents form and conduct these groups in the context of harmonious and supportive relationships...

Issues of financial and intellectual conflict of interest in clinical practice guidelines have raised increasing concern. Professional organizations have responded by more rigorous regulation of conflict of interest. Nevertheless, tension remains between the competing goals of optimizing guideline quality by using the experience and insight of experts and ensuring that financial and intellectua...

As hospices have evolved and grown, from small community-based cottage institutions to larger and more complex healthcare providers, they have begun to acquire staff with characteristics that are significantly different from those of their founding members. Because the timeline of the modern hospice movement is so short, many still have founding members at work, and institutions find themselves...

Posterior bony defects of the glenoid rim, particularly those associated with instability, are often a frustrating challenge for arthroscopists because of the defects' inaccessibility from standard portals. This challenge is enhanced when the lesion is chronic and fibrous malunion of the fragment makes mobilization difficult. We present our technique for arthroscopic repair of the relatively un...

The effect of surface tension on the Rayleigh-Taylor (RT) instability and Richtmyer – Meshkov (RM) instability induced development of nonlinear structures like spike and bubble at two fluid interface have been investigated .In case of RT instability, the surface tension reduces the velocity of the tip of both the bubble and the spike by the factor (1-k /3 kc ) where, kc =(h-l)g/T .For k > 3 k...

The fracture resistance of structures is optimised using the level-set method. Fracture resistance is assumed to be related to the elastic energy released by a crack propagating in a normal direction from parts of the boundary which are in tension, and is calculated using the virtual crack extension technique. The shape derivative of the fracture-resistance objective function is derived. Two il...