Restructuring: make certain you change everything?
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Biomedical subjects
Publications and source records attributed to D M Lehmann.
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Selecting, educating, and training managers for the future is not optional. If you leave this to chance, then you leave the organization's future to chance. The concept of identifying personal core competencies of future managers parallels the General's challenge of the "fog of war." You cannot tell people in advance all the things they will encounter as they march the organization forward. You can only prepare them so that they can handle the unexpected and unforeseen challenges that will occur. Building into the leader the necessary personal core competency is the best preparation for surprises. The personal core competencies for our organization's work of the future are shown below: Manager's Core Competencies: Teaming, Leadership, Process Management, Systems, Business Savvy, Product Knowledge, Job Knowledge. Each core competency includes a description that paints a clear picture of our expectations of our future managers. Your competencies may have similar labels or titles, but the descriptions will be unique to the vision of the future challenges for your organization.
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BACKGROUND: Argon laser suture lysis has been effectively used in the early post-operative period to enhance filtration after trabeculectomy. The most substantial reductions in intraocular pressure (IOP) occur when laser suture lysis is performed during the first 2 postoperative weeks, and virtually no effect has been reported after the fourth postoperative week. Mitomycin C, used as adjunct therapy, improves the success rate of trabeculectomy in high-risk eyes and may change the time course for effective suture lysis. METHODS: The authors used late laser suture lysis in five high-risk patients after mitomycin C trabeculectomy. The mean patient age was 66.8 +/- 15.7 years, and laser suture lysis was performed an average of 13 +/- 5.8 weeks (range, 7-21 weeks) after surgery. RESULTS: The mean IOP before suture lysis was 20.2 +/- 3.8 mmHg. The average IOP reduction immediately after suture lysis was 11.4 +/- 3.9 mmHg. The average IOP 3 to 4 months after laser suture lysis was 9.4 +/- 3.4 mmHg. CONCLUSION: The authors postulate that adjunctive mitomycin C therapy markedly delays wound healing and appears to extend the period that laser suture lysis is clinically effective.