129 research outputs found

    Dimensions of culture: A project perspective

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    This research in progress explores organizational culture from a project context. The paper takes the form of a case study with two projects, one from an oil company and the other from a bank, presented and analysed using Hofstede's [10] Six Dimensions of Organizational Culture. Data collection was Qualitative using the methods of reflective observation and informal discussion with project team members. The results show that for the bank project the culture of the project and the organization were along similar paths whereas for the oil company project the culture of the project and the organization were dissimilar in a number of dimensions. This research has also developed and pilot tested a questionnaire in relation to organisational culture in the context of projects, however this is not the focus of this paper

    Organisational culture in IT projects: A case study analysis

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    The aim of this research in progress paper is to explore the organisational culture in the context of information technology (IT) projects. Two case study projects are presented and analysed via the Johnson and Scholes (1999) Cultural Web. Data collection was undertaken using the qualitative methods of reflective observation and informal discussion with project team members which was made possible as one of the researchers had worked on both projects. The results show that both projects were quite dissimilar in all but the Rituals component of the Cultural Web. This research has also developed and pilot tested a questionnaire in relation to organisational culture in the context of IT projects, however this is not the focus of this paper. © 2007 Maggie Beshay and Alan Sixsmith

    Video thoracoscopic surgery used to manage tuberculosis in thoracic surgery

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    Background: The aim of this study was to evaluate the indications and results of video-assisted thoracic surgery (VATS) for the management of tuberculosis in 10 patients with unusual clinical and radiologic presentation for the disease. Methods: From March 2000 to March 2002, 96 diagnostic VATS operations for unclear thoracic lesions were performed at the authors' institution. Their final diagnosis for 10 (10.4%) of these patients was tuberculosis. The suspected preoperative diagnoses were pancoast tumour (n = 1), pericardial effusion (n = 1), pleural mesothelioma (n = 1), pleural empyema (n = 2), mediastinal lymphoma (n = l), and lung cancer (n = 4). Results: For all the patients, the diagnosis of tuberculosis was achieved by VATS. The duration of drainage was 2.5 days. There have been neither morbidity nor mortality since surgery. The hospital stay was 3 to 5 days. Conclusion: Thoracoscopy is a safe and effective procedure for the management of tuberculosis. Tuberculosis should be kept in mind during the differential diagnosis of unknown thoracic lesions, and also for patients who live in economically well developed countries and are not immune compromise

    Differentialdiagnose des pulmonalen Infiltrates nach Pneumothorax-Drainage

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    Zusammenfassung: Das Reexpansionsödem der Lunge stellt insgesamt eine seltene Komplikation sowohl im Rahmen der Pneumothoraxtherapie als auch bei der Behandlung des ausgedehnten Pleuraergusses dar. Die Pathogenese ist nicht vollstÀndig geklÀrt und scheint multifaktoriell zu sein. Bei Auftreten von Atembeschwerden nach Reexpansion einer zuvor kollabierten Lunge sollte unbedingt an ein Reexpansionsödem als mögliche Ursache gedacht werde

    The feasibility and added value of mapping music during awake craniotomy:A systematic review

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    The value of mapping musical function during awake craniotomy is unclear. Hence, this systematic review was conducted to examine the feasibility and added value of music mapping in patients undergoing awake craniotomy. An extensive search, on 26 March 2021, in four electronic databases (Medline, Embase, Web of Science and Cochrane CENTRAL register of trials), using synonyms of the words “Awake Craniotomy” and “Music Performance,” was conducted. Patients performing music while undergoing awake craniotomy were independently included by two reviewers. This search resulted in 10 studies and 14 patients. Intra‐operative mapping of musical function was successful in 13 out of 14 patients. Isolated music disruption, defined as disruption during music tasks with intact language/speech and/or motor functions, was identified in two patients in the right superior temporal gyrus, one patient in the right and one patient in the left middle frontal gyrus and one patient in the left medial temporal gyrus. Pre‐operative functional MRI confirmed these localizations in three patients. Assessment of post‐operative musical function, only conducted in seven patients by means of standardized (57%) and non‐standardized (43%) tools, report no loss of musical function. With these results, we conclude that mapping music is feasible during awake craniotomy. Moreover, we identified certain brain regions relevant for music production and detected no decline during follow‐up, suggesting an added value of mapping musicality during awake craniotomy. A systematic approach to map musicality should be implemented, to improve current knowledge on the added value of mapping musicality during awake craniotomy

    Millennium Development Goals: Tool or token of global social governance?

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    In this paper we argue that the Millennium Development Goals (MDGs) experience suggests that Global Social Governance (GSG) exists and that the MDGs have been an effective tool in creating a global accountability framework despite shortcomings mainly arising in the formulation process. The paper first discusses the historical emergence of the MDGs, leading to questions of ownership and responsibilities of developing and developed countries respectively. Subsequently, we assess whether the MDGs comprehensively reflect development concepts and address the question whether the MDGs had an impact on national policies, and ultimately on people's lives. Eventually, these questions and their answers are intended to stimulate and inform discussions on the post-2015 development agenda as a - potentially improved - GSG tool. Keywords: Millennium Development Goals, Global Social Governance, post-2015 development agend

    Cerebral relapse of metastatic gastrointestinal stromal tumor during treatment with imatinib mesylate: Case report

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    BACKGROUND: The management of unresectable or metastatic gastrointestinal stromal tumors (GISTs) has previously been difficult as they are resistant to conventional chemotherapy and radiation. The development of imatinib mesylate has made a major impact on the management of advanced GISTs. It is apparent that there are sanctuary sites such as the central nervous system where imatinib does not achieve adequate concentrations. We describe the case of a man with metastatic GIST who experienced multiple cerebral relapses of disease while systemic disease progression appeared to be controlled by imatinib. CASE PRESENTATION: A 47-year-old man presented in July 1999 with a jejunal GIST with multiple hepatic metastases. The jejunal primary was resected and after unsuccessful cytoreductive chemotherapy, the liver metastases were also resected in December 1999. The patient subsequently relapsed in August 2001 with symptomatic hepatic, subcutaneous gluteal, left choroidal and right ocular metastases all confirmed on CT and PET scanning. Biopsy confirmed recurrent GIST. MRI and lumbar puncture excluded central nervous system involvement. The patient was commenced on imatinib 400 mg bd in September 2001 through a clinical trial. The symptoms improved with objective PET and CT scan response until December 2002 when the patient developed a right-sided foot drop. MRI scan showed a left parasagittal tumor which was resected and confirmed histologically to be metastatic GIST. Imatinib was ceased pre-operatively due to the trial protocol but recommenced in February 2003 on a compassionate use program. The left parasagittal metastasis recurred and required subsequent re-excision in September 2003 and January 2004. Control of the systemic GIST was temporarily lost on reduction of the dose of imatinib (due to limited drug supply) but on increasing the dose back to 800 mg per day, systemic disease was stabilized for a period of time before generalised progression occurred. CONCLUSION: This case illustrates that the brain can be a sanctuary site to treatment of GISTs with imatinib. Maintaining dosing of imatinib in the face of isolated sites of disease progression is also important, as other metastatic sites may still be sensitive

    Analisis Penerapan Sistem Akuntansi Penjualan Kredit Dan Penerimaan Kas Dalam Mendukung Pengendalian Intern Perusahaan (Studi Kasus PT. Smart Tbk Refinery Surabaya)

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    System of selling credit accounting and system of cash receiving from account receivable is the source of life to achieving company goals. This research on the system of credit sales and cash receipts to support the company internal control. This research was conducted at PT. SMART Tbk Refinery Surabaya. PT. SMART Tbk Refinery Surabaya only selling cooking oil in the form of branded product and trading product on credit. PT. SMART Tbk Refinery Surabaya still has any weakness on system of selling credit accounting and system of cash receiving from account receivable, some of the sales transaction activity that occurred less supportive of the company\u27s internal control. This study aims to provide information to companies about the advantages and weakness of credit sales accounting system and cash receipts that have been applied by the company
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