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

Observations and Scaling of Tidal Mass Transport Across the Lower Ganges-Brahmaputra Delta Plain: Implications for Delta Management and Sustainability

The landscape of southwest Bangladesh, a region constructed primarily by fluvial processes associated with the Ganges River and Brahmaputra River, is now maintained almost exclusively by tidal processes as the fluvial system has migrated east and eliminated the most direct fluvial input. In natural areas such as the Sundarbans National Forest, year-round inundation during spring high tides delivers sufficient sediment that enables vertical accretion to keep pace with relative sea-level rise. However, recent human modification of the landscape in the form of embankment construction has terminated this pathway of sediment delivery for much of the region, resulting in a startling elevation imbalance, with inhabited areas often sitting \u3e1 m below mean high water. Restoring this landscape, or preventing land loss in the natural system, requires an understanding of how rates of water and sediment flux vary across timescales ranging from hours to months. In this study, we combine time series observations of water level, salinity, and suspended sediment concentration with ship-based measurements of large tidal-channel hydrodynamics and sediment transport. To capture the greatest possible range of variability, cross-channel transects designed to encompass a 12.4 h tidal cycle were performed in both dry and wet seasons during spring and neap tides. Regional suspended sediment concentration begins to increase in August, coincident with a decrease in local salinity, indicating the arrival of the sediment-laden, freshwater plume of the combined Ganges–Brahmaputra–Meghna rivers. We observe profound seasonality in sediment transport, despite comparatively modest seasonal variability in the magnitude of water discharge. These observations emphasize the importance of seasonal sediment delivery from the main-stem rivers to this remote tidal region. On tidal timescales, spring tides transport an order of magnitude more sediment than neap tides in both the wet and dry seasons. In aggregate, sediment transport is flood oriented, likely as a result of tidal pumping. Finally, we note that rates of sediment and water discharge in the tidal channels are of the same scale as the annually averaged values for the Ganges and Brahmaputra rivers. These observations provide context for examining the relative importance of fluvial and tidal processes in what has been defined as a quintessentially tidally influenced delta in the classification scheme of Galloway (1975). These data also inform critical questions regarding the timing and magnitude of sediment delivery to the region, which are especially important in predicting and preparing for responses of the natural system to ongoing environmental change

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