Administrator\u27s View of Doctor-Lawyer-Hospital Relations

In the September 1959 issue of the Cleveland-Marshall Law Reivew, Mr. Howard Oleck, Assistant Dean and Professor of Law of the School, has written an article discussing the legal relationships of physician, lawyer, and hospital administrator. While he addresses himself primarily to the legal relationships between these three groups, his article also concerns itself to some extent with the professional and administrative relationships involved. The article then goes on to discuss the case of Morwin v. Albany Hospital, and certain conclusions are drawn from the author\u27s interpretation of this case which he applies to the triangle of doctor, lawyer, and hospital administrator. I believe that Mr. Oleck has presented a misleading viewpoint of both the legal and professional relationships which exist between physician and hospital

Clarifying and Measuring the Value of Human Capital Resources

The concept of value is central to the strategic human resources (SHRM) and strategic human capital resource literatures (SHCR) because of their grounding in Resource Based Theory (RBT). In order to facilitate a firm’s competitive advantage, both the SHRM and SHCR literatures argue that the practices and people in a firm must work together to generate resources that are valuable, rare, inimitable, and non-substitutable. Value is the first and primary consideration in this logic. Despite the centrality of value in both literatures, prior attempts to identify and measure human capital resource (HCR) value (e.g. utility analysis) have produced mixed results at best. This oversight is problematic because it prevents a thorough understanding of how people, one of a firm’s most important assets, contribute to the competitive advantage of firms. Therefore, the purpose of this study is four-fold. First, I explore the concept of employee value as a unique construct which has inherent theoretical value in the SHRM and SHRC literatures. Second, I draw upon the customer lifetime value (CLV) literature in marketing to propose a robust framework in which to create employee financial valuations models (EFVal). Third, I test the EFVal framework by comparing and contrasting its performance with utility analysis on a sample of 4,196 employees nested in 34 units of a large U.S. communications company. Lastly, I discuss the practical and theoretical implications of EFVal models in the SHRM and SHCR literature

Phenylephrine Versus Ephedrine: Safest Vasopressor for the Neonate During Caesarean Section

One of the most common side effects of spinal anesthesia is the development of hypotension. Data collected has determined that 80% of parturients that undergo spinal anesthesia for this mode of delivery experience hypotension (Chestnut et al., 2014). Hypotension, if sustained and severe, can lead to fetal hypoxia, neonatal depression or injury, and decreased uteroplacental perfusion. Hypotension can also cause severe health issues for the parturient including apnea, altered level of consciousness, cardiac arrest, and pulmonary aspiration. This systematic review of the literature was conducted to determine whether the administration of phenylephrine or ephedrine was safer for the neonate to administer to a hypotensive parturient during cesarean delivery while undergoing a spinal anesthetic. Inclusion criteria included parturients that were classified as an American Society of Anesthesiologists physical status score of II that experienced hypotension after undergoing spinal anesthesia for elective cesarean section. Exclusion criteria included any parturient classified as an ASA physical status score \u3e 2, any cesarean section classified as emergent, or those parturients that received an epidural as the method of anesthesia for elective cesarean section. A systematic review of the literature was performed and the results of randomized control trials and other studies were analyzed that measured neonatal outcomes following the administration of ephedrine and phenylephrine to the hypotensive parturient. The results of these studies were disseminated and the conclusions reached were implemented into a white paper change proposal

The Cohesion-Based Requirements Set Model for Improved Information System Maintainability

The concept of cohesion, which is normally associated with software design, is commonly used to measure the degree to which elements of a module are related. Systems constructed adhering to the principle of cohesion are expected to be more maintainable. It is proposed in this research that it may be more advantageous to apply the principle of cohesion at an earlier phase of the software development life cycle, thus placing more responsibility on the analyst who has a better understanding of the business. This paper proposes the Cohesion-Based Requirements Set (CBRS) model for improved information system maintainability. Using the CBRS technique, one may be able to positively affect the overall maintainability of the resulting system by applying a synthesis or expansion approach when gathering requirements rather than using an approach based on analysis or reduction

Giving Voice to Voiceless: Engaging Urban Youth for Possibilities

This symposium will discuss the expansion of The Education Effect – Booker T. Washington, as a university community school partnership designed to engage urban youth for college and career readiness. The partnership is focused on developing collective impact and capacity for academic achievement, social success and college completion. The partnership aligns university expertise, resources and evidenced based strategies to address educational needs through the improvement of teaching and learning; increase graduation rate and parental involvement

Monotonic properties of the shift and penetration factors

We study derivatives of the shift and penetration factors of collision theory with respect to energy, angular momentum, and charge. Definitive results for the signs of these derivatives are found for the repulsive Coulomb case. In particular, we find that the derivative of the shift factor with respect to energy is positive for the repulsive Coulomb case, a long anticipated but heretofore unproven result. These results are closely connected to the properties of the sum of squares of the regular and irregular Coulomb functions; we also present investigations of this quantity.Comment: 13 pages, 1 figur

4He experiments can serve as a database for determining the three-nucleon force

We report on microscopic calculations for the 4He compound system in the framework of the resonating group model employing realistic nucleon-nucleon and three nucleon forces. The resulting scattering phase shifts are compared to those of a comprehensive R-matrix analysis of all data in this system, which are available in numerical form. The agreement between calculation and analysis is in most cases very good. Adding three-nucleon forces yields in many cases large effects. For a few cases the new agreement is striking. We relate some differencies between calculation and analysis to specific data and discuss neccessary experiments to clarify the situation. From the results we conclude that the data of the 4He system might be well suited to determine the structure of the three-nucleon force.Comment: title changed,note added, format of figures changed, appearance of figures in black-and-white changed, Phys. Rev. C accepte