Classification, management, and tracking of abnormal Papanicolaou smears

A system of classifying, managing, and tracking abnormal Papanicolaou (Pap) smears was used at a California university where 3,289 patients were tested. Classification was based on use of the latest cytopathological techniques for identifying characteristics associated with dysplasia and human papilloma virus (HPV). The follow-up success rate was determined for 6-month repeat Pap smears, colposcopy patient contact, and biopsy results. Pathology report correlations were determined for the noncolposcopy group by using repeat Pap smear results. Biopsy results were correlated with Pap smear readings for accuracy and yielded significant statistical information for the program.     

SSRIs & the risk of abnormal bleeding

Considerable research is needed to fully understand the interactions of SSRIs and hematological functioning. Adequate studies of platelet function in patients taking SSRIs are lacking. The risk of bleeding with SSRI treatment appears to be low, and the occurrence of bleeding is usually minor when it does occur. However, the risk does exist and must be considered in any patient taking SSRIs who develops abnormal bleeding or bruising not otherwise explained by an appropriate assessment to determine the etiology. Routine monitoring of patients taking SSRIs should probably include questions about bruising or bleeding, particularly in patients with blood dyscrasias and in older patients taking medications that affect platelet function. Caution should be exercised before starting patients with preexisting bleeding risks on SSRIs, including patients taking NSAIDs, aspirin, or other drugs that may impair coagulation.     

Majoritarian Management of the Commons

This article analyzes usage of a common property resource, the commons, under collectivization as compared with more familiar privatization institutional arrangements. Particular emphasis is on majority decision rules. When separate majority coalitions may authorize simultaneous usage of a common resource, total value is dissipated, but the interdependencies introduced by possible membership in differing coalitions to an extent reduce the incentives for exploitation. The formal analysis is analogous to that familiar in Cournot-Nash duopoly-oligopoly models but with differing efficiency implications. The argument has relevance for differential-benefit public spending from general tax sources, as well as other applications.     

Changing the Face of Nonprofit Management

High‐Performance Nonprofit Organizations: Managing Upstream for Greater Impact, by Christine W. Letts, Allen Grossman, and William P. Ryan. Wiley, 1998. 207 pp. $29.95 cloth. Mission‐Based Management: Leading Your Not‐for‐Profit into the Twenty‐First Century, by Peter C. Brinckerhoff. New York: Wiley, 1998. 258 pp. $51.95 cloth. Financial Empowerment: More Money for More Mission, by Peter C. Brinckerhoff. New York: Wiley, 1998. 238 pp. $51.95 cloth. Mission‐Based Marketing: How Your Not‐for‐Profit Can Succeed in a More Competitive World, by Peter C. Brinckerhoff. New York: Wiley, 1998. 214 pp. $51.95 cloth.     

关于社会管理框架中的人口管理创新的理论思考

转型期的中国处于人口问题的聚集期和凸显期,更是人口发展的关键期,经济发展和社会建设面临的重大问题无不与人口密切相关。现阶段,社会管理框架中人口管理的基础性、先导性和全局性的地位和作用愈发突出。“在社会管理框架中突出人口管理的创新”这一重大的现实主题是统筹解决人口问题,切实提高社会管理科学化水平的历史选择,更是建设服务型政府,推进和谐社会建设的必然要求。如何在社会管理框架中客观认识人口管理的创新,确定现阶段其内涵、任务、特点和作用具有相当的重要性和紧迫性。     

Negotiating the Middle Management Triangle

This paper critiques and expands on a paper published by Havassy (1990) which suggested that the middle manager in a human service agency must maintain multiple loyalties with both management and staff and be able to communicate this loyalty through cross-system translation. Bowen's family systems theory and organisational design theory are used to argue that neutrality may be a more useful concept in learning to negotiate the middle management triangle.     

Issues Management Mediation of Linkages Between Environmental Complexity and Management of the Public Relations Function

Issues management (IM) is the process that allows organizations to know, understand, and interact effectively with their environments. In this study, the approach to IM practices in organizations is posited to mediate the relation between perceived environmental complexity and the type of public relations practiced in organizations. Outer directed IM is a proactive, open-systems approach based on symmetrical presuppositions that uses IM instrumentally to make strategic decisions. Such an approach to IM is fostered by participative organizational cultures. When organizations face complex environments, outer directed IM and participative organizational culture increase the involvement of public relations practitioners in dominant coalition decision making. This, in turn, is positively related to practitioner enactment of the manager role. A study of public relations practitioners and IM specialists (N = 182) within large U.S. corporations confirmed the mediating influence of outer directed IM and participative culture on public relations practices.     

高职院校二级管理体制下学生管理工作机制的创新

人才培养工作是高等学校的主要任务,学生管理是人才培养工作的重要环节之一。针对当前高校学生管理工作实际,在二级管理体制下创新管理理念、运行机制和考核评价机制,并对提升学生管理水平进行了实践探索。     

小议高职学生管理

高职学生的管理是一门科学,需要首先深入了解学生的基本状况,在此基础上树立"以人为本"的管理理念,在教育教学过程中积极探寻高职学生管理对策。     

Toward the Management of Heterosexual Jealousy*

The findings of a recent study of extradyadic involvements and sexual jealousy among college-age couples are reported. Evidence is brought to bear in support of the principle finding that several aspects of the jealousy experience (eliciting factors, manner of expression) can and do vary widely among individuals. Despite the apparent universality of the jealousy phenomenon, communication in couples is inhibited by the social disapproval associated with its occurrence, and consequently discrepancies such as those evidenced in this study may pass entirely unobserved. As a result, jealousy problems remain unresolved and may serve to trigger further dissension. In light of these findings, developing communication skills is identified as the appropriate treatment mode for sexual jealousy.     

浅析高校班级管理

班级管理与学生的成长成才紧密联系,辅导员在班级管理中要起到良好的引导作用,使学生在自我教育、自我管理、自我服务中逐步得到提高和锻炼。     

Development of an expert system for abnormal operating procedures in a main control room

The study was conducted from the perspective of human factors engineering in order to compare the process that operators originally used to diagnose potential and actual faults with a process that included an expert system for diagnosing faults. The results of the study indicated that the existence of an expert system for fault diagnosis makes the task of fault diagnosis easier and reduces errors by quickly suggesting likely Abnormal Operating Procedures (AOPs).     

Computer-Based Case Management for the Elderly

A combination of economic, demographic, and political factors is pressuring health care providers into improving discharge planning and long-term care services for their clients, particularly the elderly and poor. Case management, with its emphasis on patient assessment, monitoring, and program evaluation, is one tool increasingly adopted to accomplish these goals. This paper examines the application of computer technology to case management and describes a computerized, hospital-based case management program for the elderly.     

Case Management for the Elderly:

Case management is proposed frequently as an all-purpose solution to the problems of access, fragmentation, unnecessary institutionalization, and excessive costs in long-term care of older persons. Case management, however, is not a particular structure or process but rather a complex arrangement of goals, client groups, agency settings, and procedures. Fifteen years of research on community-based care management fails to support most of the claims of its effectiveness in solving the problems for which it was intended. Long-term care policy, in the future, must consider a wide range of strategies including enhancing consumer decision making through disseminating information and expanding income supplements, and modifying the delivery system by encouraging more comprehensive organizations in which elders can enroll.     

High School Reunions and the Management of Identity

Organized around an intersection of the past with the present, high school reunions confront those who attend with discontinuities in their own lives as well as the lives of others. Based on observations of and interviews with attendees at five reunions, we argue, contrary to many claims about the contemporary segmentation of the self, that reunion goers are able to construct accounts of coherent lives by reference to “true selves” independent of appearances. Although reunion attendees may attempt to manage impressions by controlling information about themselves, these efforts are limited by attendees efforts to sustain convictions of their own integrity. These convictions, however, also depend on accounts, albeit accounts directed inward. Moreover, the maintenance of this conviction depends on the successful “neutralization” of others' judgments.