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They conclude that the use of social capital to analyse knowledge sharing initiatives will lead to more holistic approaches order ventolin 100mcg. I hope that academics, clinical practitioners, managers, and students will value this text on their bookshelves as, in the ensuing pages, there is much food for thought— bon appétit. Quantifying value for physician order-entry systems: A balance of cost and quality. The book has truly been a coming together of academic and practitioner minds, without whom this book would merely have remained a scintilla of an idea quietly percolating away in the deepest recesses of my mind. I thank all contributors of this book for their excellent chapters; many contributors also served as reviewers, and additional thanks are due to these hard-working soles for giving up so much of their valuable time and collective energies. Thanks also to every- body who submitted proposals for giving me that most rare and coveted of headaches: a plethora of high quality and relevant submissions from which to choose. Sincere thanks to Professor Swamy Laxminarayan, chief of biomedical information engi- neering at Idaho State University in the USA for writing such a fine foreword and for his kind words and unstinting support in recent years. Professor Raouf Naguib, head of the Biomedical Computing Research Group (BIOCORE) at Coventry University in the UK was a great source of encouragement and provided me with extensive insights into the crazy world of academia. Virtually his first words to me came in the form of advice: to focus on that which I did best, words which obviously stuck with me. I additionally thank Raouf for encouraging me to form my Knowledge Management for Healthcare (KMH) research subgroup, which generated immediate interest and recognition from international academic and healthcare institutions and which continues to go from strength to strength. Ashish Dwivedi for his seminal work in the area of clinical and healthcare knowledge management and for forming the granite-like founda- tion of the KMH subgroup. I appreciate also the expressions of interest and words of support from my numerous interactions with conference delegates in the USA, Singapore, Mexico and the UK. Last, but by no means least, I thank my family for their support during the management of this, my latest project. Warwickshire, UK August 2004 Section I Key Opportunities and Challenges in Clinical Knowledge Management Issues in Clinical Knowledge Management 1 ChapterI Issues inClinical Knowledge Management: Revisiting Healthcare M anagement Rajeev K. Bali, Coventry University, UK Ashish Dwivedi, The University of Hull, UK Raouf Naguib, Coventry University, UK Abstract The objective of this chapter is to examine some of the key issues surrounding the incorporation of the Knowledge Management (KM) paradigm in healthcare.

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Aston recovered from her injuries buy ventolin 100mcg on-line, Rolf asked her to de- She graduated from University of California at Los An- velop a movement education program that would com- geles with a B. Aston left Rolf and established her own techniques, which she called Aston-Patterning. Five years later, while recovering from injuries sus- She has also developed a special program for older peo- tained during two consecutive automobile accidents, ple called the Aston-Patterning Fitness Program for Se- Aston met Ida Rolf, the developer of rolfing. Today Aston-Patterning is a registered trademark began working for Rolf, teaching a movement educa- tion program called Rolf-Aston Structural Patterning that of the Aston Paradigm Corporation of which Judith emphasized using the body with minimum effort and Aston is the director. Aston-Patterning assists people in finding more effi- Aston formed her own company called the Aston Para- cient and less stressful ways of performing the simple digm Corporation in Lake Tahoe, California. This com- pany provides training and certification for Aston practi- movements of everyday life to dissipate tension in the tioners. This is done through massage, alteration of the en- conditions affect body movement, foreshadowing the vironment, and fitness training. Over time, Aston has expanded her move- Description ment work to include a fitness program for older adults. Today, Judith Aston serves as director of Aston Paradigm Seeking to solve movement problems, Aston-Pat- Corporation. Rather it works with asymmetry in the human body to develop patterns of alignment and movement that feel right to the individual. Aston also introduced the idea of netics uses touch to release tension in the face and neck. Aston-Patterning sessions have four general compo- This massage is accompanied by education about the es- nents. Since clients typically work with an Aston-Pattern- Aston-Patterning requires more participation from ing practitioner for extended periods of time, it is impor- the client than many bodywork techniques. The massage tant that they feel comfortable with their specific practi- aspect of Aston-Patterning is designed around a three-di- tioner.

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Forehead prominence cheap 100mcg ventolin with mastercard, increased distance altered form of the gene and the affected child inherited between the eyes, and an enlarged head are the main fea- both copies. The To help determine which chromosome or gene loca- infant will usually display reduced muscle tone (hypoto- tion causes the syndrome, acrocallosal syndrome has nia). This may lead to a drooling condition or feeding dif- been compared with similar disorders. Hypotonia can also contribute to a delay in presents similar symptoms and has a known genetic growth and motor skills. To date, no specific genetic cause for acrocal- Progress and functioning during the first year of life losal syndrome is known, and the disorder can only be is dependent upon the severity of the symptoms. Some children develop normally and will walk and Demographics talk within normal age limits, while others may experi- Acrocallosal syndrome is extremely rare. Some GALE ENCYCLOPEDIA OF GENETIC DISORDERS 27 Acrocallosal Syndrome Polydactyly Severe mental delays Congenital heart defect Prominent forehead Muscle weakness Congenital heart defect Polydactyly (Gale Group) children may develop seizure disorders. The degree and Prognosis progression of mental retardation also varies by individ- At present, there are no preventative measures for ual. It has been found that the Diagnosis lifestyle of an individual with acrocallosal syndrome is The diagnosis of acrocallosal syndrome is based ini- dependent upon the degree of mental retardation and tially on the distinct pattern of facial and limb malforma- reduced muscle tone, rather than the extent of facial and tions. Hand and foot x rays can be taken Resources to confirm finger or toe abnormalities, and will determine PERIODICALS the extent of fusion, webbing, or duplication of the digits Bonatz, E. However, prenatal ultrasound Partial Agenesis of the Corpus Callosum: An Example of can detect duplication of the digits (polydactyly) and the Variable Clinical Spectrum of the Acrocallosal cerebral malformations. Surgery to separate or remove affected toes may assist in walking and the comfort of footwear. ORGANIZATIONS Anti-epileptic therapy should be considered if a seizure Agenesis of the Corpus Callosum (ACC) Network. Special education may be required, Hall, University of Maine, Room 18, 5749, Orono, ME depending on the level of mental impairment. Cushing believed acromegaly was due to the FACES: The National Craniofacial Association.

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