Successful Achievement (successful + achievement)

Distribution by Scientific Domains

Selected Abstracts

Bone marrow transplantation in subjects with mental disorders

Rie Akaho
Abstract Bone marrow transplantation (BMT) is a critical treatment of malignant illnesses including leukemia and others. Successful achievement of BMT requires the patients to tolerate isolation for several weeks to avoid infections. They are also required to follow several regulations and instructions to survive the treatment because the patients' physical condition is complicated due to the malignant illness, preparatory treatment and transplant of bone marrow from other subjects. These could be a significant challenge for patients with mental disorders. Here the cases are reported of seven leukemia patients who were referred to the Metropolitan Komagome Hospital for BMT from April 1996 through May 2000, who had been suffering from mental disorders, including schizophrenia, bipolar I mood disorder, panic disorder, dysthymic disorder, autistic disorder, and borderline personality disorder, prior to the treatment. The BMT was achieved in six out of the seven subjects; the exception was a subject with borderline personality disorder. Psychiatric treatments, including medication, to improve and maintain mental status appeared to be critical for the achievement of BMT in several patients. Understanding of the status of the malignant disease and the role of BMT was another significant issue. Test admission seemed to be helpful to reduce concerns and anxiety both in the patients and hospital staff. [source]

IT professionals and organisational ascendancy: theory and empirical critique

Michael Rose
IT expertise cannot be viewed as a decisive asset in organisational tournaments. Survey findings suggest IT competence is associated with severe handicaps in power contests between professional/managerial strata. At least for the present, there are strongly negative implications for hypotheses of organisational ascendancy for IT professionals or for their successful achievement of a collective mobility project. [source]

Use of a Standardized Order Set for Achieving Target Temperature in the Implementation of Therapeutic Hypothermia after Cardiac Arrest: A Feasibility Study

J. Hope Kilgannon MD
Abstract Objectives:, Induced hypothermia (HT) after cardiac arrest improved outcomes in randomized trials. Current post,cardiac arrest treatment guidelines advocate HT; however, utilization in practice remains low. One reported barrier to adoption is clinician concern over potential technical difficulty of HT. We hypothesized that using a standardized order set, clinicians could achieve HT target temperature in routine practice with equal or better efficiency than that observed in randomized trials. Methods:, After a multidisciplinary HT education program, we implemented a standardized order set for HT induction and maintenance including sedation and paralysis, intravenous cold saline infusion, and an external cooling apparatus, with a target temperature range of 33,34C. We performed a retrospective analysis of a prospectively compiled and maintained registry of cardiac arrest patients with HT attempted (intent-to-treat) over the first year of implementation. The primary outcome measures were defined a priori by extrapolating treatment arm data from the largest and most efficacious randomized trial: 1) successful achievement of target temperature for ,85% of patients in the cohort and 2) median time from return of spontaneous circulation (ROSC) to achieving target temperature <8 hours. Results:, Clinicians attempted HT on 23 post,cardiac arrest patients (arrest location: 78% out-of-hospital, 22% in-hospital; initial rhythm: 26% ventricular fibrillation/tachycardia, 70% pulseless electrical activity or asystole) and achieved the target temperature in 22/23 (96%) cases. Median time from ROSC to target temperature was 4.4 (interquartile range 2.8,7.2) hours. Complication rates were low. Conclusions:, Using a standardized order set, clinicians can achieve HT target temperature in routine practice. [source]

The Politics of Privatization in Russia: From Mass Privatization to the Yukos Affair

PACIFIC FOCUS, Issue 1 2006
Duckjoon Chang
Privatization constitutes one of the most successful achievements in Post-Soviet Russian reform. However, apparent great successes notwithstanding, the privatization program tainted with distortions of its original ideas, political compromises and collusions between political leaders and business elites produced tremendous criticisms and distrust as well. Given those negative aspects of privatization, some people raised the necessity of review of the privatization programs conducted during the 1990s. But despite such criticisms and negative evaluations of the privatization program, as was shown in the case of the Yukos affair, the Russian government never denied the principle of private ownership nor reexamined the privatization results. To explain such a trend in Russian privatization, this paper adopts the concept of policy learning, in which reconceptualization of policy agendas-adopting private property as an essential element of the market economy, for example-take place. [source]