Experience

Distribution by Scientific Domains
Distribution within Medical Sciences

Kinds of Experience

  • accumulated experience
  • active learning experience
  • actual experience
  • adolescent experience
  • adverse experience
  • affective experience
  • american experience
  • anecdotal experience
  • asian experience
  • attachment experience
  • australian experience
  • author clinical experience
  • author experience
  • author personal experience
  • bad experience
  • birth experience
  • birthing experience
  • bodily experience
  • body experience
  • boy experience
  • brand experience
  • breastfeeding experience
  • breeding experience
  • british experience
  • canadian experience
  • cancer experience
  • care experience
  • caregiver experience
  • caregiving experience
  • carer experience
  • caries experience
  • caring experience
  • center experience
  • centre experience
  • child experience
  • childbirth experience
  • childhood experience
  • children experience
  • classroom experience
  • client experience
  • clinical experience
  • collective experience
  • college experience
  • common experience
  • community experience
  • complex experience
  • computational experience
  • computer experience
  • conscious experience
  • considerable experience
  • consumer experience
  • contemporary experience
  • country experience
  • course experience
  • cultural experience
  • cumulative experience
  • current experience
  • customer experience
  • daily experience
  • day experience
  • dental caries experience
  • development experience
  • different experience
  • direct experience
  • disease experience
  • diverse experience
  • early clinical experience
  • early experience
  • early life experience
  • educational experience
  • embodied experience
  • emotional experience
  • employee experience
  • employment experience
  • environmental experience
  • european experience
  • everyday experience
  • extensive experience
  • family experience
  • female experience
  • field experience
  • fieldwork experience
  • first clinical experience
  • first experience
  • first-hand experience
  • greater experience
  • group experience
  • growth experience
  • hands-on experience
  • health experience
  • healthcare experience
  • historical experience
  • hospital experience
  • human experience
  • illness experience
  • immediate experience
  • immigrant experience
  • increasing experience
  • indian experience
  • individual experience
  • initial clinical experience
  • initial experience
  • institution experience
  • institutional experience
  • international experience
  • interpersonal experience
  • italian experience
  • japanese experience
  • job experience
  • korean experience
  • labor market experience
  • laboratory experience
  • language experience
  • leadership experience
  • learning experience
  • life experience
  • limited experience
  • little experience
  • lived experience
  • local experience
  • management experience
  • managerial experience
  • market experience
  • mastery experience
  • maternal experience
  • medical experience
  • member experience
  • men experience
  • mental experience
  • migrant experience
  • migration experience
  • military experience
  • mixed experience
  • mortality experience
  • mother experience
  • negative experience
  • negative life experience
  • new experience
  • new zealand experience
  • nurse experience
  • nursing student experience
  • older people experience
  • one experience
  • operative experience
  • operator experience
  • own experience
  • own personal experience
  • pain experience
  • painful experience
  • parent experience
  • parental experience
  • participant experience
  • particular experience
  • partner experience
  • past experience
  • patient experience
  • peer experience
  • people experience
  • perceptual experience
  • personal experience
  • placement experience
  • political experience
  • positive experience
  • positive learning experience
  • practical experience
  • practice experience
  • practitioner experience
  • preliminary clinical experience
  • preliminary experience
  • prenatal experience
  • present experience
  • previous experience
  • prior experience
  • procedural experience
  • professional experience
  • psychological experience
  • psychosocial experience
  • psychotic experience
  • real-life experience
  • recent experience
  • relationship experience
  • relevant experience
  • religious experience
  • reported experience
  • reproductive experience
  • research experience
  • resident experience
  • review experience
  • rewarding experience
  • school experience
  • sensory experience
  • sexual experience
  • shared experience
  • shopping experience
  • similar experience
  • simulation experience
  • single center experience
  • single centre experience
  • single-center experience
  • single-centre experience
  • single-institution experience
  • social experience
  • species experience
  • specific experience
  • spiritual experience
  • staff experience
  • stress experience
  • stressful experience
  • student experience
  • student first experience
  • student learning experience
  • subjective experience
  • substantial experience
  • surgeon experience
  • surgical experience
  • survival experience
  • symptom experience
  • teacher experience
  • teaching experience
  • therapeutic experience
  • therapy experience
  • total experience
  • training experience
  • transition experience
  • trauma experience
  • traumatic experience
  • treatment experience
  • u.s. experience
  • uk experience
  • unique experience
  • unit experience
  • us experience
  • user experience
  • valuable experience
  • varied experience
  • vicarious experience
  • victimization experience
  • visitor experience
  • visual experience
  • woman experience
  • women experience
  • work experience
  • worker experience
  • workplace experience
  • year experience
  • young people experience
  • zealand experience

  • Terms modified by Experience

  • experience abuse
  • experience adverse effects
  • experience adverse event
  • experience auditor
  • experience centre
  • experience clinician
  • experience complications
  • experience difficulty
  • experience goods
  • experience hand
  • experience high level
  • experience improvement
  • experience increase
  • experience investigator
  • experience level
  • experience loss
  • experience male
  • experience nurse
  • experience observer
  • experience operator
  • experience operators
  • experience pain
  • experience patient
  • experience physician
  • experience practitioner
  • experience problem
  • experience questionnaire
  • experience radiologist
  • experience rater
  • experience recurrence
  • experience report
  • experience researcher
  • experience scale
  • experience shows
  • experience significant improvement
  • experience significant increase
  • experience staff
  • experience stress
  • experience surgeon
  • experience symptom
  • experience teacher
  • experience user

  • Selected Abstracts


    OUTCOMES AND EXPERIENCE: NEW PRIORITIES FOR MUSEUMS

    CURATOR THE MUSEUM JOURNAL, Issue 1 2001
    Judith C. Siegel
    First page of article [source]


    CERVICAL CYTOLOGY EQA,THE NORTHERN EXPERIENCE (a)

    CYTOPATHOLOGY, Issue 4 2001
    H. LlewellynArticle first published online: 20 DEC 200
    [source]


    CERVICAL CYTOLOGY EQA,THE NORTHERN EXPERIENCE (b)

    CYTOPATHOLOGY, Issue 4 2001
    D. N. Slater
    [source]


    PRELIMINARY EXPERIENCE OF A PROTOTYPE FORWARD-VIEWING CURVED LINEAR ARRAY ECHOENDOSCOPE IN A TRAINING PHANTOM MODEL

    DIGESTIVE ENDOSCOPY, Issue 2010
    Hiroshi Imaizumi
    Oblique-viewing curved linear array (OV-CLA) echoendoscopes have been widely used to perform endoscopic ultrasonography-guided fine needle aspiration and interventional endoscopic ultrasonography. Recently a prototype forward-viewing curved liner array (FV-CLA) echoendoscope was developed. In the present trial, 11 endoscopists participated in a hands-on trial and a questionnaire survey to evaluate the operation performance and visualization performance of a prototype FV-CLA scope in a phantom model designed for training of endoscopic ultrasonography. The results of our trial suggested that the FV-CLA scope is slightly inferior or equivalent to the conventional OV-CLA scope in operation performance, and that the FV-CLA scope is equivalent to the OV-CLA scope with regard to the visualization performance in a phantom model. [source]


    CURRENT TECHNIQUES AND DEVICES FOR SAFE AND CONVENIENT ENDOSCOPIC SUBMUCOSAL DISSECTION (ESD) AND KOREAN EXPERIENCE OF ESD

    DIGESTIVE ENDOSCOPY, Issue 3 2008
    Sang-Yong Seol
    Conventional endoscopic mucosal resection (EMR) technique has limitations in its capacity of achieving en bloc resection and, for lesions greater than 20 mm, removal in a piecemeal resection is often required. This leads to uncertainty as to whether or not the lesion has been completely removed and to an increase in local recurrence. To overcome this limitation, a new technique using specifically designed cutting devices, termed endoscopic submucosal dissection (ESD) has been developed. The present article discuss the current indication, new diagnostic, cutting and hemostatic devices and long-term outcomes of EMR and ESD in early gastric cancer in Korea. [source]


    NARROW BAND IMAGING IN THE DETECTION OF COLORECTAL POLYP: KOREAN EXPERIENCE

    DIGESTIVE ENDOSCOPY, Issue 2 2008
    Jeong-Sik Byeon
    Background:, Although white light (WL) colonoscopy is a gold standard to detect colorectal polyps, substantial polyps are missed. Narrow band imaging (NBI) is a new technology that enables a more detailed visualization of the mucosal surface. The aim of the present study was to determine whether NBI can improve the detection of colorectal polyps. Methods:, We prospectively enrolled 188 (M : F = 99:89, 21,80 years) subjects undergoing colonoscopy as a screening procedure in nine referral centers. After a careful WL examination of the whole colorectum, rectosigmoid colon (0,30 cm from the anal verge) was reobserved by NBI. Size, macroscopic morphology, and the histology of all the polyps detected during WL and NBI examination were analyzed. Results:, WL examination detected 162 polyps in 188 subjects, of which 106 lesions were neoplastic, while NBI of rectosigmoid colon detected an additional 61 polyps of which eight lesions were neoplastic. Only 10 (6.2%) of 162 polyps discovered during WL examination were flat polyps compared to 10 (16.4%) of 61 newly detected polyps during NBI being flat type (P = 0.002). The mean polyp size detected by NBI was smaller than that found by WL colonoscopy (2.8 ± 1.0 mm vs 6.5 ± 4.5 mm, P < 0.001). Conclusion:, Many additional colorectal polyps, especially flat type, could be detected by NBI examination for normal-looking rectosigmoid mucosa. The role of NBI in colorectal neoplasm screening needs to be further investigated in future studies. [source]


    RAMPING UP AFRICAN GROWTH: LESSONS FROM FIVE DECADES OF GROWTH EXPERIENCE

    ECONOMIC AFFAIRS, Issue 4 2006
    Benno J. Ndulu
    Since the 1960s economic growth rates have been far lower in sub-Saharan Africa than in other developing regions. This poor performance has resulted primarily from endemic rent-seeking and the over-regulation of markets. To achieve high growth rates, African countries must improve the investment climate by reforming institutions, enhancing infrastructure and protecting property rights. [source]


    THE REGULATION OF LIFE ASSURERS IN A LOW SOLVENCY ENVIRONMENT: THE UK EXPERIENCE

    ECONOMIC AFFAIRS, Issue 3 2003
    Chris O'Brien
    When adverse financial conditions mean that many life assurers have sharply reduced solvency levels, a number of new issues arise for regulators, including the basic issue of how solvency is measured. There are also issues about life assurers' investments, and their products and how they are priced. Lastly, the regulator (in the UK, the Financial Services Authority) needs to ensure that customers and their advisers have suitable information about the solvency of the firms they are dealing with. [source]


    SIMONE DE BEAUVOIR: THE PHILOSOPHY OF LIVED EXPERIENCE

    EDUCATIONAL THEORY, Issue 2 2006
    James D. Marshall
    In this essay, James D. Marshall aims to present Beauvoir, not as a mere entry in the history of French philosophy, nor as an under-laborer to Jean-Paul Sartre, but as someone who has important philosophical insights to contribute to ongoing debates on the human condition, including those concerned with education. Central to these debates are issues such as what does it mean to be an individual human being and what characterizes the relations between individuals and others and between individuals and society. Marshall argues that Beauvoir can participate in such philosophical and educational debates, for philosophy of education has major interests in such questions as who or what is this "person" whom we profess to be educating, what kind of person or outcome of education is desirable, and in what kind of society should these individuals take part? [source]


    COMPUTER MEDIATED EXPERIENCE AND EDUCATION

    EDUCATIONAL THEORY, Issue 4 2001
    Leonard J. Waks
    First page of article [source]


    MANAGING PLACE AND IDENTITY: THE MARIN COAST MIWOK EXPERIENCE

    GEOGRAPHICAL REVIEW, Issue 1 2002
    JENNIFER SOKOLOVE
    ABSTRACT. Group identity serves as a mechanism for claiming rights of control and access to land in the United States. Public land managers face myriad identity-based claims to land in their care. Identity shapes claims that must appear valid within the strictures of a legal system created by a dominant culture to serve its interests. The very form of those systems,of which public lands are a large part,makes possible the expression of particular forms of identity. The story of the Coast Miwok community and the Point Reyes National Seashore suggests that geographical links among identity, landscape, and history are actively constructed through political work and rarely are as obvious as they first appear. Both the formal legal process of federal tribal recognition and restoration and the far less formal Coast Miwok claims to land at Point Reyes National Seashore teach important lessons about neotraditional identity-based claims to public land. [source]


    KOSELLECK, ARENDT, AND THE ANTHROPOLOGY OF HISTORICAL EXPERIENCE

    HISTORY AND THEORY, Issue 2 2010
    STEFAN-LUDWIG HOFFMANN
    ABSTRACT This essay is the first attempt to compare Reinhart Koselleck's Historik with Hannah Arendt's political anthropology and her critique of the modern concept of history. Koselleck is well-known for his work on conceptual history as well as for his theory of historical time(s). It is my contention that these different projects are bound together by Koselleck's Historik, that is, his theory of possible histories. This can be shown through an examination of his writings from Critique and Crisis to his final essays on historical anthropology, most of which have not yet been translated into English. Conversely, Arendt's political theory has in recent years been the subject of numerous interpretations that do not take into account her views about history. By comparing the anthropological categories found in Koselleck's Historik with Arendt's political anthropology, I identify similar intellectual lineages in them (Heidegger, Löwith, Schmitt) as well as shared political sentiments, in particular the anti-totalitarian impulse of the postwar era. More importantly, Koselleck's theory of the preconditions of possible histories and Arendt's theory of the preconditions of the political, I argue, transcend these lineages and sentiments by providing essential categories for the analysis of historical experience. [source]


    THE EFFICACY OF SHORT DAILY DIALYSIS,A SINGLE-CENTRE EXPERIENCE

    JOURNAL OF RENAL CARE, Issue 3 2010
    Glenda Rayment M Nursing (Renal)
    SUMMARY Studies have shown that patients converted to short daily haemodialysis (SDHD) have reported many clinical benefits, decreased complications during dialysis and a better quality of life. A six-month prospective cohort study was conducted to examine the efficacy of SDHD to patients previously receiving three times per week haemodialysis therapy. Following informed consent, participants received haemodialysis daily, Monday,Saturday, between 2 and 2.5 hours for each treatment and followed-up for a six-month period. The participants continued to experience hypotension, cramping and headache and were noncompliant with fluid intake. There was a gradual reduction in blood pressure, cessation of antihypertensives and reduction of erythropoietin therapy (ERT). There were no hospital admissions or reports of access complications. The nursing staff reported an increase in activity levels and nursing interventions with the participants following conversion to SDHD. However, the participants reported a better quality of life. [source]


    A PRACTICAL GUIDE FOR THE DEVELOPMENT OF A WETLAND ASSESSMENT METHOD: THE CALIFORNIA EXPERIENCE,

    JOURNAL OF THE AMERICAN WATER RESOURCES ASSOCIATION, Issue 1 2006
    Martha A. Sutula
    ABSTRACT: Wetland rapid assessment methods (RAMs) can provide a cost effective, scientifically defensible estimate of wetland and riparian condition for use in ambient and project monitoring in resource management and regulatory programs. Those who have chosen to develop a RAM to assess wetland and riparian condition are faced with a range of issues and important choices that they must make throughout the development process. This paper is intended as a practical guide to RAM development. Six basic stages in the RAM development process are discussed: (1) organize RAM development by identifying the intended applications, assessment endpoints, and geographic scope of the RAM and forming appropriate teams to advise and review the development process and its products; (2) build a scientific foundation for method development by conducting a literature review, choosing a wetland classification system, building conceptual models, and identifying the major assumptions underlying the model; (3) assemble the method as a system of attributes and metrics that describe a full range of conditions; (4) verify the ability of the method to distinguish between wetlands along a continuum of conditions; (5) calibrate and validate the method against sets of quantitative data representing more intensive measures of wetland condition; and (6) implement the method through outreach and training of the intended users. Important considerations within each of these stages lead to choices in accuracy, precision, robustness, ease of use, and cost. These are identified and the tradeoffs of the various options discussed. Experience with the ongoing development and implementation of the California Rapid Assessment Method (CRAM) is used to illustrate these stages and associated choices in RAM development. [source]


    ESTABLISHING WATERSHED MANAGEMENT IN LAW: NEW ZEALAND'S EXPERIENCE,

    JOURNAL OF THE AMERICAN WATER RESOURCES ASSOCIATION, Issue 4 2001
    Eric Pyle
    ABSTRACT: New Zealand is one of the first countries in the world to enshrine the concept of watershed management in law, through institutional arrangements and the Resource Management Act of 1991-a law constructed on a watershed management legacy begun in 1941. This paper outlines the development of New Zealand's Resource Management Act (as it applies to water management) and the lessons that have been learned in its implementation. [source]


    SURGICAL TREATMENT OF GLOSSOPHARYNGEAL NEURALGIA: A 10 YEAR EXPERIENCE

    JOURNAL OF THE PERIPHERAL NERVOUS SYSTEM, Issue 1 2002
    F. Rychlicki
    First described by Weisenburg in 1910, glossopharyngeal neuralgia is paroxysmal, lighting, excruciating pain referred to the posterior lingual region, tonsillar pillar, throat, external auditory canal and pinna. It is much less frequently encountered than trigeminal neuralgia with a reported relative frequency of the order of 1%. It is often secondary to neoplastic processes of the oropharyngeal region but can also be caused by mechanical compression of abnormal vessels on the nerve root. Less frequently it is of essential or idiophatic origin. Between 1990 and 2000, operations were performed at our Institute on 3 patients, all women ranging in age from 61 to 80 years, with glossopharyngeal neuralgia. All the patients had been taking caramazepine with only temporary initial improvement and in 2 cases parenteral feeding had been necessary before admission. The first 2 patients were submitted to percutaneous thermocoagulation rhizotomy of the inferior petrous ganglion of Andersch at the jugular foramen, the third to open procedure consisting in vascular decompression of the ninth nerve in posterior fossa. The follow-up ranges from 2 to 10 years. The results were excellent or very good in all cases at the time of evaluation. The authors emphasize the role of surgical therapy in glossopharyngeal neuralgia when medical therapy fails. [source]


    HOW TO ANALYZE IMMEDIATE EXPERIENCE:

    METAPHILOSOPHY, Issue 3 2008
    AND THE IDEA OF PHENOMENOLOGY, HINTIKKA, HUSSERL
    Abstract: This article discusses Jaakko Hintikka's interpretation of the aims and method of Husserl's phenomenology. I argue that Hintikka misrepresents Husserl's phenomenology on certain crucial points. More specifically, Hintikka misconstrues Husserl's notion of "immediate experience" and consequently fails to grasp the functions of the central methodological tools known as the "epoché" and the "phenomenological reduction." The result is that the conception of phenomenology he attributes to Husserl is very far from realizing the philosophical potential of Husserl's position. Hence if we want a fruitful rapprochement between analytical philosophy and Continental phenomenology of the kind that is Hintikka's ultimate aim, then Hintikka's account of Husserl needs correcting on a number of crucial points. [source]


    KINDS AND CONSCIOUS EXPERIENCE: IS THERE ANYTHING THAT IT IS LIKE TO BE SOMETHING?

    METAPHILOSOPHY, Issue 2 2008
    SIMON J. EVNINE
    Abstract: In this article I distinguish the notion of there being something it is like to be a certain kind of creature from that of there being something it is like to have a certain kind of experience. Work on consciousness has typically dealt with the latter while employing the language of the former. I propose several ways of analyzing what it is like to be a certain kind of creature and find problems with them all. The upshot is that even if there is something it is like to have certain kinds of experience, it does not follow that there is anything it is like to be a certain kind of creature. Skepticism about the existence of something that it is like to be an F is recommended. [source]


    HUMAN AGENCY AND THE "JOINTS" OF SOCIAL EXPERIENCE: A COMMENTARY ON WAINRYB, BREHL, AND MATWIN

    MONOGRAPHS OF THE SOCIETY FOR RESEARCH IN CHILD DEVELOPMENT, Issue 3 2005
    Bryan W. Sokol
    First page of article [source]


    RENAL ALLOGRAFT LOSS , THE AUSTRALIAN EXPERIENCE, 1988-1997

    NEPHROLOGY, Issue 3 2000
    Esther Briganti
    [source]


    DOSTOEVSKY AND THE DYNAMICS OF RELIGIOUS EXPERIENCE by Malcolm Jones, Anthem Press, London, 2005, Pp. xiv + 154, £16.99 pbk.

    NEW BLACKFRIARS, Issue 1010 2006
    Stephen Bullivant
    No abstract is available for this article. [source]


    ADAPTABILITY TO CHANGING TASK CONTEXTS: EFFECTS OF GENERAL COGNITIVE ABILITY, CONSCIENTIOUSNESS, AND OPENNESS TO EXPERIENCE

    PERSONNEL PSYCHOLOGY, Issue 3 2000
    JEFFREY A. LEPINE
    We examined the extent to which cognitive ability, Conscientiousness, and Openness to Experience predict decision-making performance prior to and after unforeseen changes in the task context. Seventy-three undergraduates made decisions on a series of 75 problems during a 3-hour computerized simulation. Unbeknownst to participants, the rules used in determining correct decisions changed after problems 25 and 50. Effects of the individual differences on decision-making performance became significantly stronger after the changes. Only cognitive ability explained variance in prechange performance. Individuals with higher cognitive ability made better decisions. After the change, the cognitive ability effect increased and the effects of Conscientiousness and Openness became statistically significant. As expected, those with high Openness made better decisions. Unexpectedly, those with low Conscientiousness made better decisions. Subsequent analyses revealed that this surprising effect for Conscientiousness was due to the traits reflecting dependability (i.e., order, dutiful-ness, deliberation) rather than volition (i.e., competence, achievement striving, self-discipline). [source]


    THE SEPARATION/SPECIFICATION DILEMMA IN CONTRACTING: THE LOCAL GOVERNMENT EXPERIENCE IN VICTORIA

    PUBLIC ADMINISTRATION, Issue 1 2008
    JANINE O'FLYNN
    This article draws on evidence from case studies of local government contracting in the Australian state of Victoria. It argues that one of the key elements of competitive tendering , the separation of purchasers from providers , undermines another of its essential mechanisms , the specification of services , at the point where previously in-house services are exposed to competition. The managers who are to become purchasers lack the requisite knowledge of services, which instead resides in the minds of the service delivery staff whose work is to be subjected to competitive processes. Separating purchasing from service-provision ,distances' the staff from the managers, impairing employees' willingness to share the relevant information. At the same time, the introduction of competition increases the probability that staff will withhold that knowledge, and makes it harder on probity grounds to maintain the type of collaborative relationship which might overcome their reluctance to share it. [source]


    THE REDISCOVERY OF AMERICAN SACRED SPACES

    RELIGIOUS STUDIES REVIEW, Issue 4 2004
    Louis P. Nelson
    Book reviewed in this article: THE HERMENEUTICS OF SACRED ARCHITECTURE: EXPERIENCE, INTERPRETATION, COMPARISON (2 volumes) By Lindsay Jones TEMPLES OF GRACE: THE MATERIAL TRANSFORMATION OF CONNECTICUT'S CHURCHES, 1790,1840 By Gretchen Buggeln WHEN CHURCH BECAME THEATRE: THE TRANSFORMATION OF EVANGELICAL ARCHITECTURE AND WORSHIP IN THE NINETEENTH-CENTURY AMERICA By Jeanne Kilde PRAYERS IN STONE: CHRISTIAN SCIENCE ARCHITECTURE IN THE UNITED STATES, 1894,1930 By Paul Eli Ivey SHUL WITH A POOL: THE "SYNAGOGUE-CENTER" IN AMERICAN JEWISH HISTORY By David Kaufman MYTHS IN STONE: RELIGIOUS DIMENSIONS OF WASHINGTON, D.C. By Jeffrey F. Meyer UGLY AS SIN: WHY THEY CHANGED OUR CHURCHES FROM SACRED PLACES TO MEETING SPACES AND HOW WE CAN CHANGE THEM BACK AGAIN By Michael S. Rose BUILDING FROM BELIEF: ADVANCE, RETREAT, AND COMPROMISE IN THE REMAKING OF CATHOLIC CHURCH ARCHITECTURE By Michael E. DeSanctis ARCHITECTURE IN COMMUNION: IMPLEMENTING THE SECOND VATICAN COUNCIL THROUGH LITURGY AND ARCHITECTURE By Steven J. Schloeder [source]


    ANSCOMBE ON A LAW CONCEPTION OF ETHICS AND THE EXPERIENCE OF OBLIGATION

    THE HEYTHROP JOURNAL, Issue 2 2010
    KEVIN E. O'REILLY
    First page of article [source]


    FROM EXPERIENCE: Creating Synergy between Marketing and Research and Development,

    THE JOURNAL OF PRODUCT INNOVATION MANAGEMENT, Issue 1 2004
    Gail L. Rein
    The tensions between marketing and research and development (R&D) are so common that we have come to accept them as the way organizations are. If we remain resigned like this, how will we ever reap some of the benefits that can accrue from these groups working better together? If we can improve the working relationships between marketing and R&D, researchers promise a variety of desirable organizational outcomes, such as cycle-time reduction and new product success. This article describes in detail the changes that a Fortune 500 company made to its product development process to foster synergy between marketing and R&D. The modified process formalized the roles of marketing and R&D at both the front and back ends of the product development process, increasing productive interaction between the groups. The company found that at the front end, marketing and R&D needed to work together (1) to clarify the market requirements implicit in the market attack plan and (2) to develop a technical strategy that responded to the market requirements and that consequently implemented the market attack plan. At the back end, the groups needed to work together (3) to formulate the value messages used to market the company's products. The synergy created between marketing and R&D through the new process is credited for enabling the company to compete successfully in a market it never before had entered. [source]


    BT03 SILASTIC RING MINI GASTRIC BYPASS FOR MORBID OBESITY: THE NEW ZEALAND EXPERIENCE

    ANZ JOURNAL OF SURGERY, Issue 2009
    K. C. Wong
    Purpose: , The laparoscopic mini gastric bypass (LMGB) is purportedly a technically simpler, yet equally effective operation to the laparoscopic Roux-en-Y gastric bypass as treatment for morbid obesity. This study reports the early results of LMGB in a major New Zealand bariatric centre. Methodology: , Clinical data was prospectively collected on all patients undergoing LMGB over a two year period. Results: , 142 patients were studied. 77% were females. Mean age was 43.8. Pre-operative mean body weight and body mass index (BMI) were 121.3 kg and 45.4 kg/m2 respectively. Mean BMI at one and two years follow up had decreased to 27.35 and 25.72 kg/m2 respectively. 83% of patients reported obesity associated co-morbidities pre-operatively. Post-operatively, 78% of patients reported a reduction in medication requirement. All surgery was performed laparoscopically. There were no anastomotic leaks and zero mortality. 8% of patients required further operations for complications or revision to a Roux-en-Y gastric bypass. 20% of patients required subsequent endoscopic interventions, the majority for investigation of vomiting and/or pain. 22% of patients required re-admission. 14% of patients reported new onset reflux or worsening of pre-existing reflux after LMGB. 82% of patients reported increased exercise capability post LMGB. 54% of patients required vitamin supplementation. Conclusion: , LMGB achieves significant weight loss and resolution of obesity related co-morbidities with a low short term complication rate. LMGB should be considered as a safe and simple surgical option for morbid obesity. [source]


    LAWN MOWER INJURIES IN CHILDREN: A 30-YEAR EXPERIENCE

    ANZ JOURNAL OF SURGERY, Issue 9 2008
    Anh Nguyen
    Background: Lawn mowers cause severe injuries that are particularly devastating to children. This study analyses the patterns and trends in lawn mower injuries involving children referred to Victoria's principal children's hospital. Methods: A retrospective review of the patient medical records at the Royal Children's Hospital (Melbourne) Victoria, Australia was carried out. The series included all patients admitted for lawn mower injury during the 30-year period spanning 1975,2004. Results: Lawn mower injuries treated at Royal Children's Hospital were severe and included partially amputated limbs. Overall, admissions for lawn mower injury generally decreased over time from n = 26 in the 1975,1979 interval to n = 14 in the 2000,2004 interval. However, the frequency of admission for injuries caused by ride-on mowers contradicted the overall trend and generally increased over time from n = 5 in the 1975,1979 interval to n = 11 in the 2000,2004 interval. This is of particular concern. Ride-on lawn mowers caused significantly more severe injuries requiring longer periods of admission and more operations during admission in comparison to standard mowers. Rural location at the time of injury was a risk factor associated with requiring longer periods of admission and more operations during admission. Children injured while operating mowers were generally older than children injured as bystanders. Conclusion: Lawn mower injuries are a significant cause of morbidity. These injuries are particularly devastating to children. The tragedy is keenly felt in the realization that these devastating injuries to children could all be prevented. Strategic preventative measures should be developed through partnership between the medical profession, the media, industry specialists and the wider community. [source]


    CT31 HYPERBARIC OXYGEN IN POST-CARDIAC SURGERY STROKE PATIENTS , THE CHRISTCHURCH EXPERIENCE

    ANZ JOURNAL OF SURGERY, Issue 2007
    A. J. Gibson
    Introduction Post-operative strokes occur in a small percentage of adult cardiac surgical patients and have devastating consequences for these patients. There is evidence to suggest that Cerebral Arterial Gas Embolism (CAGE) is an important aetiological factor in most of these cases. Hyperbaric Oxygen therapy (HBOT) is the administration of 100% oxygen at greater than atmospheric pressure. It is accepted as the definitive treatment for CAGE related to SCUBA diving accidents. The similarities between this and the pathophysiology of post cardiac-surgical strokes due to iatrogenic CAGE suggest that beneficial effects from HBOT may accrue to these patients. Purpose The purpose of this study is to review the experience of treating post cardiac-surgical stroke patients in our local hyperbaric oxygen facility, including their presentation, delay before treatment and outcomes. The current evidence base is reviewed. Method A retrospective case series analysis was conducted. Results Over a 10 year period, patients with post cardiac-surgical strokes and who presented within the first 48 hours were referred for HBOT, of whom 12 were treated. The neurological outcomes were excellent in all but one case who died. A review of the literature provides a rational basis for the potential benefits of HBOT in this scenario, but at present there is only limited clinical data to support its use. Conclusion The postulated mechanisms for the development of post cardiac-surgical strokes provide a sound theoretical basis for the suggestion that the use of HBOT is associated with improved outcomes. However there is no prospective data to support such a claim. Such a trial would be problematic and until more evidence is available, HBOT should be considered on a case by case basis. [source]


    ES08 DIAGNOSTIC AND THERAPEUTIC STRATEGIES OF ADRENOCORTICAL CARCINOMA-A 3-INSTITUTION EXPERIENCE

    ANZ JOURNAL OF SURGERY, Issue 2007
    A. H. Imisairi
    Objective This paper reviews the diagnostic, therapeutic strategies and outcomes of ADCC in 3 Institutions between Newcastle and Sheffield in United Kingdom and Putrajaya, Malaysia. Patients and Methods A 10-year retrospective analysis of proven cases of ADCC was collected from January 1997 to December 2006. The patients' demographic data, clinical manifestation, site and size of the tumour were analysed. The record of metastasis, and therapeutic modality and outcomes were evaluated. Results A total of 22 cases of ADCC were documented in United Kingdom with 11 cases in each respective center. 16 cases were reviewed from Putrajaya. There was no gender preponderance and age significance. Cushing's Syndrome was the most common clinical manifestation (36.4%) in United Kingdom and (37.5%) in Putrajaya. The mean size of the ADCC was 9.3 cm (5,15 cm) in Newcastle and 9.8 cm (6,15 cm) in Sheffield as compared to 15.7 cm (5,25 cm) in Putrajaya. There were 12(75%) of patients in Putrajaya were diagnosed with Stage IV disease upon presentation whilst only 3(27.3%) and 5(45.4%) patients had metastasis noted in Newcastle and Sheffield respectively. Of note, 7(63.3%) patients in Sheffield were offered radical adrenalectomy. Our data revealed that the 2 years survival of patients who had radical approach in Sheffield has the highest rate of survival of 8(72.7%) as compared to 5(45.4%) in Newcastle and 2(12.5%) in Putrajaya. Conclusions Surgical removal remains the only form of curative therapy and hope of prolonged survival. The poorer prognosis of patients in Putrajaya may be attributed to the advanced stage of the disease. [source]