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New duties. New boss. New technology. In today's fast-paced business world, "But I've always done it this way" just won't cut it. For Penny McElroy, senior employee relations specialist for […]

It's important that your children feel comfortable telling you their problems. How to keep them talking. I was chatting with my 6-year-old, Eleanor, when she surprised me with a startling […]

Functional ability and participation in life situations are compromised in many primary Sjögren's syndrome (SS) patients. This study aimed to identify the key barriers and priorities to participation in daily living activities, in order to develop potential future interventions. Group concept mapping, a semiquantitative, mixed‐methods approach was used to identify and structure ideas from UKprimary SSpatients, adult household members living with a primary SSpatient, and health care professionals. Brainstorming generated ideas, which were summarized into a final set of statements. Participants individually arranged these statements into themes and rated each statement for importance. Multidimensional scaling and hierarchical cluster analysis were applied to sorted and rated data to produce visual representations of the ideas (concept maps), enabling identification of agreed priority areas for interventions. A total of 121 patients, 43 adult household members, and 67 health care professionals took part. In sum, 463 ideas were distilled down to 94 statements. These statements were grouped into 7 clusters: Patient Empowerment, Symptoms, Wellbeing, Access and Coordination of Health Care, Knowledge and Support, Public Awareness and Support, and Friends and Family. Patient Empowerment and Symptoms were rated as priority conceptual themes. Important statements within priority clusters indicate patients should be taken seriously and supported to self‐manage symptoms of oral and ocular dryness, fatigue, pain, and poor sleep. Our data highlighted the fact that in addition to managing primary SSsymptoms, interventions aiming to improve patient empowerment, general wellbeing, access to health care, patient education, and social support are important to facilitate improved participation in daily living activities.

One of the potentially devastating impacts of climate change is a shrinking supply of water. A growing world population and urbanization are placing greater demands on a smaller supply of [...]

The article focuses on the importance of a well-structured transition process in the success of financial advisory firm acquisitions, citing examples from MAI Capital and Allworth Financial, and emphasizes the need for a dedicated integration team, standardized procedures, and a focus on cultural alignment to effectively navigate the complexities of integrating newly acquired businesses.

The effect of the proposed incorporation of detailed enterprise risk management evaluations into the credit ratings of Standard & Poor's Corp., on the management of risk by business enterprises is described.

This article discusses services which assist families of elderly people who want to live at home during their old age. Eldercare Locator, a government-funded information and referral service can point one to the nearest Area Agency on Aging. At Extendedcare.com, one fills out a questionnaire about the elderly person's condition whether, for example, he can get dressed or bathe without help, as well as such questions as how much responsibility other family members are willing to take. Adult day-care centers offer a wide range of services.

To develop a novel method for capturing the discrepancy between objective tests and subjective dryness symptoms (a sensitivity scale) and to explore predictors of dryness sensitivity. Archive data from the UKPrimary Sjögren's Syndrome Registry (n = 688) were used. Patients were classified on a scale from −5 (stoical) to +5 (sensitive) depending on the degree of discrepancy between their objective and subjective symptoms classes. Sensitivity scores were correlated with demographic variables, disease‐related factors, and symptoms of pain, fatigue, anxiety, and depression. Patients were on average relatively stoical for both types of dryness symptoms (mean ± SDocular dryness −0.42 ± 2.2 and −1.24 ± 1.6 oral dryness). Twenty‐seven percent of patients were classified as sensitive to ocular dryness and 9% to oral dryness. Hierarchical regression analyses identified the strongest predictor of ocular dryness sensitivity to be self‐reported pain and that of oral dryness sensitivity to be self‐reported fatigue. Ocular and oral dryness sensitivity can be classified on a continuous scale. The 2 symptom types are predicted by different variables. A large number of factors remain to be explored that may impact symptom sensitivity in primary Sjögrenʼs syndrome, and the proposed method could be used to identify relatively sensitive and stoical patients for future studies.

The article profiles Jim P. Manzi, chief executive officer of Lotus Development Corp. in Cambridge, Massachusetts. According to the author, Manzi was perceived by other journalists and business analysts as insulting. He was also accused of arbitrary, autocratic decision-making by other former employees of Lotus.

The article reports on the new company of Benjamin M. Rosen, the personal computer industry's best-known venture capitalist in the U.S. Together with the marathon he also launch his new company, which poured some $3 million for a textbook example of how hard it is to succeed in the new world of computer software. Although the competition is tough, the company gained investment and several people have already work in his company.

Offers advice to baby boomers who are faced with the dilemma of saving for retirement while at the same time financing their children's future education. Estimate that the inflation rate for tuition may be lower, 4% or so; Suggestion to not save taxes by putting money in the child's name; View that for conservative investors, aggressively prepaying their mortgage can save a big hunk of change.

Advice on how to establish a daily routine for a baby and toddler is presented.