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The article focuses on the use of technology for conflict resolution. The authors say that when couple quarrels or when they are physically separated, they need to view the photographs or videos of the time when they were together so that good memories are relived. The use of mobile phones, webcams and short messages called tweets on Twitter.com or with a mobile device can help in resolving conflicts. DNA technology analyzes and compares DNA extracted from blood samples contributed by family members, and can be used for supplying evidences for conflict resolution in cases, particularly, to determine family's matching genetic profiles.

The study, an update of a study made in 2005, begins by defining values, and through literature survey highlights that corporate leaders - through their own values held - play a large part, if not a key role in molding their organizations and establishing their organizations' core values. Using Low's (2009, 2002) study/thesis as a foundational resource and data where twelve key Singaporean values were uncovered, this further research study, by means of questionnaire survey-cum-interviews, examines the core values held by Singapore's corporate leaders when running their Singapore companies. A framework with local analogies or metaphors, are then drawn. The results indicate that a pattern can be extrapolated to portray the various Singapore corporate cultures in existence, and implications of findings for corporate leaders are also discussed. [ABSTRACT FROM AUTHOR]

The Bhagavad Gita, Tthe sacred song of God composed about 200 BC,T is really ancient truths for our modern world, and these will be related to the art and wisdom of ssential leadership. Here, in this short essay, the practitioner-academician author examines the various tenets of the Bhagavad Gita and applies them and their relevance to leadership. Some of these teachings will indeed inspire the readers. [ABSTRACT FROM AUTHOR]

The article examines the impact of motivational ideas and insights with regards to Sun Tzu, the Chinese philosopher and Taoist Master strategist's reference to motivation in his art of war treatise as well as identifying one's own key source of motivation. The researchers examined the key sources of motivation formulated by Sun Tsu including one's action in conformity of Tao principles, communication, and by setting oneself as a good example. The study concludes that Sun Tzu's motivational ideas are effective in gaining workforce momentum. It explains an analogy that when people are skillfully led, it is like round rocks rolling down a high mountain, which is considered a great force.

In this paper, when place marketing Singapore - the Lion-city - making it a global magnet, the critical importance of strategic maintenance is uncovered and emphasized. Here, strategic maintenance and marketing is linked to leadership excellence in ensuring market leadership in place marketing; and this perspective is seen through the Singapore visor. The paper is also intended to specifically deal with the concept, reasons for as well as use and applications of continuous improvement and its effects and impact in place marketing. [ABSTRACT FROM AUTHOR]

In this paper, when place marketing Singapore - the Lion-city - making it a global magnet, the critical importance of strategic maintenance is uncovered and emphasized. Here, strategic maintenance and marketing is linked to leadership excellence in ensuring market leadership in place marketing; and this perspective is seen through the Singapore visor. The paper is also intended to specifically deal with the concept, reasons for as well as use and applications of continuous improvement and its effects and impact in place marketing. [ABSTRACT FROM AUTHOR]

Reviews several music recordings performed by Nicolas Hodges. 'Complete Piano Music--Sous-Structures'; 'Etudes en Série'; '2 Ebauches.'

Objectives: To assess the volume of foley catheter balloon rupture and the incidence of free fragment formation.Materials and Methods: Forty Latex and 30 Silicone catheters of common sizes (14-20 French) were inflated with sterile water in an aqueous environment without positive pressure. Catheters producing fragments, fragment size, and maximum instilled volume prior to rupture ("burst volume") were recorded. A subset of catheters was inflated to recommended balloon volume and the balloon was needle punctured.Results: Of the 40 latex catheters, 32 (80%) produced a free fragment during spontaneous rupture. Fragments ranged from 2.1 to 3.2 cm with an average size of 2.74 ± 0.33 cm. Latex catheters had average burst volume of 83 mL, 90 mL, 112 mL,120 mL, and 422 mL for 14 Fr, 16 Fr, 18 Fr, 16 Fr 3-way, and 20 Fr 30 cc, respectively. Of the 30 silicone catheters, spontaneous rupture produced no fragments. Average burst volume for silicone catheters was 57 mL, 45 mL, and 55 mL for 14 Fr, 16 Fr, and 18 Fr, respectively. No catheter balloons produced fragments when needle punctures at recommended balloon volumes.Conclusion: Latex catheter balloons tolerate higher fill volumes but have a high likelihood of releasing fragments. Silicone catheters burst at lower volumes, but do not release fragments. At normal fill volumes, needle puncture is safe, and cystoscopy is likely unnecessary. [ABSTRACT FROM AUTHOR]

Purpose: To evaluate the rate of perioperative venous thromboembolism (VTE) among patients undergoing common benign urologic reconstructive cases. We hypothesize that this rate will be lower than previously described. Methods: We utilized the American College of Surgeons National Surgical Quality Improvement Project database from 2015 to 2019 to evaluate 30-day perioperative risk of VTE. Patients ≥ 18 years old undergoing benign urologic reconstructive cases were selected using Current Procedural Terminology (CPT) codes. Demographic, comorbidity, and operative variables were captured. The primary outcome was VTE within the 30-day postoperative period. Results: We identified 8467 patients who met inclusion criteria. The majority of patients were male (> 95%) with an average age of 65 and BMI of 29.6. There were 23 VTE events (0.27%) within the 30-day perioperative period. Fourteen (14/59) procedures had a perioperative VTE. Many of the traditional factors for VTE including operative time and obesity significantly increased risk of VTE in univariate analysis. In multivariate analysis, only BMI (OR 1.09; 95% CI 1.01–1.12) and inpatient status (OR 4.42; 95% CI 1.9–10.2) were correlated with increased perioperative VTE. Conclusion: The rate of VTE among patients undergoing benign urologic reconstructive cases is low. Providers should continue to have high index of suspicion particularly for inpatients with high BMI in addition to other known risk factors for VTE. [ABSTRACT FROM AUTHOR]

The article discusses a future research direction which may help shape the future of electronic health systems. It offers an examination of customers' expectations concerning the process of empowerment through CRM 2.0 to help customers more proficient in dealing with their own healthcare issues. The results of a survey regarding the empowerment of e-health services conducted in Brunei Darussalam are also presented.

Objective: To assess provider and practice characteristics that drive opioid prescription behavior using the American Urological Association census data.Methods: Stratified weighted analysis using 1,157 census samples was performed to represent 12,660 urologists who practiced in the United States in 2018. We compared urologists according to their opioid prescription patterns to evaluate factors and motivations behind opioid use in the post-operative setting.Results: Overall, 11,205 (88.5%) urologists prescribe opioids in the post-operative setting. The presence of procedure-specific institutional prescribing guidelines was associated with a greater tendency to prescribe ≤10 pills, and lesser tendency to prescribe 11 to 49 and ≥50 tablets following open abdominal (P = .003), laparoscopic (P < .001), scrotal (P < .001), and endoscopic surgeries (P < .001). The presence of institutional prescribing guidelines was associated with decreasing opioid prescriptions over a three-year period whereas not having guidelines was associated with an unchanged prescription practice over time. Basing current prescriptions on what was given to prior patients was reported by 85% and was more likely to result in an unchanged amount of prescriptions over time (29.2% vs 13.3%, P = .007). Motivations to avoid patient phone calls were reported by 23.8% and were more likely to increase the opioids provided within the next 3 years (3.2% vs 0.1%, P < .001).Conclusion: Practitioners who endorsed using institutional guidelines prescribed fewer opioids following all types of surgery and were more likely to decrease their prescription behavior over time. This data supports continued efforts to provide urologists with more evidence-based guidance on best practice opioid prescribing in the future. [ABSTRACT FROM AUTHOR]

Background: The obesity paradox has been recently demonstrated in trauma patients, where improved survival was associated with overweight and obese patients compared to patients with normal weight, despite increased morbidity. Little is known whether this effect is mediated by lower injury severity. We aim to explore the association between body mass index (BMI) and renal trauma injury grade, morbidity, and in-hospital mortality. Methods: A retrospective cohort of adults with renal trauma was conducted using 2013–2016 National Trauma Data Bank. Multiple regression analyses were used to assess outcomes of interest across BMI categories with normal weight as reference, while adjusting for relevant covariates including kidney injury grade. Results: We analyzed 15181 renal injuries. Increasing BMI above normal progressively decreased the risk of high-grade renal trauma (HGRT). Subgroup analysis showed that this relationship was maintained in blunt injury, but there was no association in penetrating injury. Overweight (OR 1.02, CI 0.83–1.25, p = 0.841), class I (OR 0.92, CI 0.71–1.19, p = 0.524), and class II (OR 1.38, CI 0.99–1.91, p = 0.053) obesity were not protective against mortality, whereas class III obesity (OR 1.46, CI 1.03–2.06, p = 0.034) increased mortality odds. Increasing BMI by category was associated with a stepwise increase in odds of acute kidney injury, cardiovascular events, total hospital length of stay (LOS), intensive care unit LOS, and ventilator days. Conclusions: Increasing BMI was associated with decreased risk of HGRT in blunt trauma. Overweight and obesity were associated with increased morbidity but not with a protective effect on mortality. The obesity paradox does not exist in kidney trauma when injury grade is accounted for. [ABSTRACT FROM AUTHOR]

Previous studies found associations between impairments of immune functions and exposure to polycyclic aromatic hydrocarbons (PAHs) in ambient air pollution in the U. S. and China. However, the results remain inconclusive due to the limitations of these studies. In this study, we aimed to examine the direction and magnitude of immune changes related to PAH exposure from household air pollution among rural women living in Gansu, China. Healthy village women (n = 34) were recruited and enrolled in the study. Questionnaires were administered. Blood and urine samples were collected and analyzed during non-heating (September 2017, "summer") and heating (January 2018, "winter") seasons. Urinary 1-hydroxypyrene (1-OHP) was quantified as the biomarker of PAH exposure. To evaluate Treg cell related immune functions, we examined immunoglobulin E (IgE), percent of T-regulatory (Treg) cells, and gene expression of following: forkhead box transcription factor 3 (Foxp3), transforming growth factor-β (TGF-β), interleukin 10 (IL-10), and interleukin 35 (IL-35), composed of interleukin-12 alpha (IL-12α) and Epstein-Barr-virus-induced gene 3 (EBi3). Urinary 8-hydroxy-2-deoxyguanosine (8-OHdG) was measured to evaluate oxidative DNA damage. The results showed that the concentration of 1-OHP increased from 0.90 to 17.4 μmol mol-Cr −1 from summer to winter (p < 0.001). Meanwhile, average percent of Treg cells decreased from 5.01% to 1.15% (p < 0.001); IgE and mRNA expressions of Foxp3, TGF-β, IL-10, IL-12α and EBi3 all significantly decreased (p < 0.001); Urinary 8-OHdG increased from 12.7 to 30.3 ng mg-Cr −1 (p < 0.001). The changes in 8-OHdG, Foxp3 and TGF-β were significantly associated with the increase of 1-OHP. The results suggested that we observed a substantial increase of PAH exposure in winter, which was significantly associated with the repression on Treg cell function and oxidative DNA damage. Exposure to PAHs in household air pollution possibly induced immune impairments among rural women in northwest China. • A unique household air pollution exposure scenario where solid fuel was used in winter and electricity was used in summer. • We observed a dramatic increase in 1-OHP concentrations from the non-heating to the heating season. • We found immune impairments and oxidative DNA damage in rural women in northern China exposed to household air pollution. • The immune impairments and oxidative DNA damage were potentially associated with the PAHs metabolite. [ABSTRACT FROM AUTHOR]