Modern nursing work management trends: the case of cooperative companies

This article introduces the issue of nursing work management from a theoretical and conceptual perspective by raising some implications for the management of organizations, as well as its impact on work relationships and, consequently, on the worker's health. The main results about ways and modalities of cooperative companies bring about the consideration that proposals of positive changes in the category run contrary to progress. Indecent work conditions, poor quality assistance and low compensation make up the main negative factors in this work process. Therefore, it is urgent to resume the discussion of what one expects from nursing for the future.     

Contemporary disease management in Quebec

Health or disease management (DM) has emerged as a promising solution to improve the quality of healthcare and patient outcomes in a cost-efficient way. This solution is particularly relevant in the care of our increasing, and aging, patient populations with multiple chronic diseases. This article reviews the recent history and current status of DM in the province of Quebec and summarizes its evolving perspectives and future prospects. Most DM projects in Quebec have developed from a public-private partnership, and they have addressed several disease states. The results of completed programs confirmed the presence of care gaps--the differences between best and usual care in several disease states. They also identified process changes leading to improved practices and enhanced professional satisfaction among stakeholders. Priorities identified for further research include increased knowledge of the underlying causes of care gaps and greater concentration on the measurement of clinical, humanistic and fiscal outcomes and their causal links to DM structures and processes. Although still embryonic in Quebec and Canada, the available evidence suggests that DM partnerships are practical and functional vehicles to expedite knowledge creation and transfer in the care of whole populations of patients. Future projects offer the promise of updated knowledge and continuously improved care and outcomes.     

Emerging trends in health and productivity management

Many large U.S. employers have generally embraced a Health and Productivity Management (HPM) perspective to guide their multiple employee health management efforts. In looking ahead there are a number of emerging trends that are helping to shape these efforts. As health promotion professionals assess the implications of these trends on their respective role and function within the worksite, it may provide a very useful process for refining strategies for programming and professional development. The identified trends also have a variety of implications for health promotion vendors and the growth of the health management marketplace.     

Contemporary management of shoulder dystocia

Shoulder dystocia is an uncommon but potentially catastrophic intrapartum event. Although risk factors such as maternal diabetes, obesity and macrosomia can be identified, shoulder dystocia most frequently occurs in patients who lack risk factors. Many maneuvers have been described to assist the operator in the safe release of the shoulder and subsequent delivery; however, no prospective trials have compared these maneuvers in such a way to suggest that one maneuver is superior to another. This article describes the identification of patients at risk for shoulder dystocia, clinical management of the shoulder dystocia, event documentation and the contemporary use of drills and simulation training to improve team preparedness for this unpredictable and usually unavoidable event.     

食品安全性管理的发展趋势

食品安全问题，已远远超出传统的食品卫生或食品污染的范围，而成为人类赖以生存和健康发展的整个食物链的管理与保护问题。食品安全对发达国家与发展中国家都是至关重要的。因劣质食品引发的食源性疾病有时可能涉及许多国家；食品贸易的全球化带来无限商机的同时，也增加了食源性致病菌传播的机会。如何遵循自然界和人类社会发展的客观规律，把食品的生产、经营、消费建立在可持续的科学技术基础上，组织和管理好一个安全、健康的人类食物链，不仅需要科学研究、政策支持、法律法规建设，而且必须有消费者的主动参与和顺应市场规律的经营策略。食品安全问题，需要科学家、企业家、管理者和消费者的共同努力，也需要从行政、法制、教育、传媒等不同角度，提高消费者和生产者的素质，排除自然、社会、技术因素中的有害负面影响，并着眼于未来世界食品贸易前景，整治整个食物链上的各个环节，保证提供给社会的食品越来越安全。     

Controversies in case management

A myriad of controversies exists around the provision of case management services in the private, public, nonprofit or insurance sector. As our population ages, it will be important for all of us to confront these issues as our profession continues to grow and inevitably change. In addition, it will be increasingly important, given the limited resources which will be available, for all sectors to join and work together to ensure that the needs of our older clients are met with services of the highest quality.     

Human papillomavirus: emerging trends in detection and management

Cervical cancer continues to be a major epidemiologic problem in developed and underdeveloped nations alike. Current screening practices rely on cervical cytology for the early detection of cervical neoplasms. It has now been demonstrated that over 99% of cervical carcinomas are positive for human papillomavirus (HPV) DNA. This article reviews the currently available methods of HPV detection as well as emerging strategies for the implementation of HPV testing into clinical practice.     

Mitral regurgitation: current trends in diagnosis and management

Mitral regurgitation is the most prevalent heart valve disorder in the United States. Individuals with mitral regurgitation may be asymptomatic or may present with dyspnea, orthopnea, fatigue, and/or heart rhythm disturbances. Long-standing mitral regurgitation causes chronic left ventricular volume overload, which leads to left ventricular dilation and contractile dysfunction. Without treatment, mitral regurgitation results in biventricular failure and death. Echocardiography is the preferred diagnostic test to assess the presence and severity of mitral regurgitation. Mitral valve surgery, the only effective treatment for patients with severe mitral regurgitation, is recommended early in the course of the disease to prevent the development of heart failure. Early recognition of mitral regurgitation and timely referral for mitral valve surgery significantly improve symptoms and long-term survival.     

Linking the power of information technology and case management interventions: an assessment of recent medical-management trends

Imagine a case manager screening a large employer group of 20,000 participants and within less than a couple of minutes: Your first reaction may be one of disbelief. You might think, "Yes, maybe in 2020." However, the reality is that this type of information exchange in the context of case management (CM) is happening today, and it is revolutionizing the medical-management system as we once knew it. This article highlights some of the key changes that have recently occurred in the medical-management field and that are creating a paradigm shift in how CM services will be rendered in the future.     

Contemporary management of ST-segment elevation myocardial infarction

Coronary heart disease is the leading cause of death worldwide. In the United States, approximately 1 of every 6 deaths in 2007 was caused by coronary heart disease. Clinical presentation in the acute setting is mostly due to atherosclerotic plaque rupture leading to flow limitation in the affected vessel, and myocardial ischemia and infarction. ST-segment elevation myocardial infarction is usually associated with complete occlusion of the coronary artery and carries the worst prognosis in terms of in-hospital mortality. Despite various advances in treatment options, including percutaneous coronary intervention, ischemic heart disease still carries a significant morbidity and mortality. In this article, we aim to provide a summary of a few key advances in the management of ST-segment elevation myocardial infarction.     

Current trends in the management of chronic myeloid leukaemia.

Conventional or alkylating treatment for chronic myeloid leukaemia has little impact on overall survival. Recent treatments, however, are encouraging. Alpha interferon may prolong the chronic phase in some patients, while allogeneic bone marrow transplantation is curative in over 50% of patients with HLA-compatible donors.