For years, problems related to health-care efficiency have been at the top of the priorities of many hospitals systems and governments. The growing cost of health care, and particularly hospitals, is a significant factor in the increasing pressure for improvement of hospitals’ efficiency while maintaining a high quality of services. Hospitals are recognized as organizations in which waste, unnecessary administrative burdens, failures of care coordination, failures in execution of care processes, and even fraud and abuse are frequently identified as causes. Adoption of management control as a response to hospital problems is consistent with the conviction that control is a critical management function that has the greatest impact on organizational performance. Research proves that the lack of adequate control, adapted to modern organizational solutions, causes many harmful consequences, such as faulty services, dissatisfied patients and employees, inability to effectively compete on market, low flexibility and innovativeness, and, consequently, poor performance of the organization. This book comprehensively presents issues related to management control and develops a breakthrough theory about management control in hospitals. It is the result of many years of research and outlines the concept of control and related theories, which are discussed in detail, taking into account the unique characteristics of medical services, the health-care market, and hospitals as public organizations. Research has shown that the main elements of management control in hospitals are information systems, diagnostic control, interactive control, innovativeness, manager’s trust in physicians, and perceived uncertainty. And that proper relationships between these elements positively influence the hospital’s performance. This book describes how the success of the entire control process is based on the hospital’s top management and its interaction with clinical managers, department heads, and directors of other medical departments as well as clinicians. After reading this book, the implementation of the solutions suggested will help hospitals improve their performance, including the quality and effectiveness of the provided medical services and patient care.

For years, problems related to health-care efficiency have been at the top of the priorities of many hospitals systems and governments. The growing cost of health care, and particularly hospitals, is a significant factor in the increasing pressure for improvement of hospitals’ efficiency while maintaining a high quality of services. Hospitals are recognized as organizations in which waste, unnecessary administrative burdens, failures of care coordination, failures in execution of care processes, and even fraud and abuse are frequently identified as causes. Adoption of management control as a response to hospital problems is consistent with the conviction that control is a critical management function that has the greatest impact on organizational performance. Research proves that the lack of adequate control, adapted to modern organizational solutions, causes many harmful consequences, such as faulty services, dissatisfied patients and employees, inability to effectively compete on market, low flexibility and innovativeness, and, consequently, poor performance of the organization. This book comprehensively presents issues related to management control and develops a breakthrough theory about management control in hospitals. It is the result of many years of research and outlines the concept of control and related theories, which are discussed in detail, taking into account the unique characteristics of medical services, the health-care market, and hospitals as public organizations. Research has shown that the main elements of management control in hospitals are information systems, diagnostic control, interactive control, innovativeness, manager’s trust in physicians, and perceived uncertainty. And that proper relationships between these elements positively influence the hospital’s performance. This book describes how the success of the entire control process is based on the hospital’s top management and its interaction with clinical managers, department heads, and directors of other medical departments as well as clinicians. After reading this book, the implementation of the solutions suggested will help hospitals improve their performance, including the quality and effectiveness of the provided medical services and patient care.

Controlling the emission of volatile organic compounds (VOC) became a very prominent environmental issue with the passage of the 1990 Clean Air Act Amendments, and will continue to be an environmental priority through the next decade. No single technology has played as important a role in the control of VOC emissions as thermal oxidation. It has the ability to destroy VOCs in a one-step process that produces innocuous by-products.
Design of Thermal Oxidation Systems for Volatile Organic Compounds provides all the information needed for developing a thermal oxidation design in a single reference. It covers design, operation, and maintenance as well as the principles behind the classification of volatile organic compounds as hazardous waste. The author explores the primary purpose of thermal oxidizers and discusses their limitations.
The book provides:
· practical, complete, and concise thermal oxidizer design principles
· an outline of state-of-the-art design principles
· a practical rather than theoretical approach
· real industrial examples in each chapter
With the new regulations that affect VOC emissions, engineers from such diverse fields as oil refining, chemical distillation and separation processes, and pharmaceutical industries will need to design and implement thermal oxidation systems. Design of Thermal Oxidation Systems for Volatile Organic Compounds provides a reference to the entire design process, from conceptualization to operation and maintenance.

The book aims at giving the methodological framework for design decision support systems. Several applications are also described in detail, ranging from environment control, production planning, transportation planning. The book is of special interest to operations researchers, environment specialists, production planners, and transportation engineers.

Entre 5 y 10% de las consultas a los servicios de urgencias corresponden a una alteracion neurologica primaria y aunque la mayoria de estas manifestaciones no esta asociada a una afeccion que ponga en peligro la vida, un subconjunto importante si lo esta. El reconocimiento y el tratamiento tempranos de estas afecciones pueden marcar la diferencia entre un buen resultado funcional y una discapacidad permanente o la muerte. Motivados por su compromiso por mejorar la atencion al paciente, los doctores Andy S. Jagoda y Christopher A. Lewandowski aportaron su experiencia clinica para crear Manual de emergencias neurologicas, una guia practica y de facil lectura que, ademas de presentar las emergencias neurologicas mas frecuentes y las que tienen mayores repercusiones para la vida y la funcion de los pacientes, proporciona una importante cobertura de su diagnostico y manejo basada en evidencia clinica.