A 65-year-old hypertensive male smoker requires a low anterior
resection for treatment of an upper rectal cancer. A CT scan of
the chest, abdomen, and pelvis does not show any distant metastatic
spread and his carcinoembryonic antigen is normal. What
additional preoperative laboratory studies and adjunctive testing
A complete history and physical examination is perhaps the
single most important step for guiding preoperative preparation.
At KPMG, we encourage businesses to understand this
system of forces; we help them assess the implications
for their own organizations and to devise strategies for
managing the risks and harnessing the opportunities. We
can never know the future. But it is good business sense to
be prepared for the possibilities: to expect the unexpected.
This report cannot provide all the answers, and does not
set out to, but it does suggest approaches that we believe
will help to build business value in a changing world.
The Nongynecological Cytology Practice Guideline is not intended for use as or a substitute for a
procedure manual for cytology technical protocols. Readers may use references cited at the end of
this Guideline, or other sources, for information such as preparation methodology or staining
The process of creating a guideline represents consensus building within a specialty with
subsequent endorsement by national professional organizations.
The work reported here was conducted in the Penn Exchange Simulator (PXS), a
novel stock-trading simulator that takes advantage of electronic crossing networks to
realistically mix agent bids with bids from the real stock market . In preparation
for an open live competition, we developed three parameterizable trading agents and
deﬁned several instantiations of each strategy. We optimized each agent independently,
and then conducted detailed controlled experiments to select the strongest of the three
for entry in the live competition.
(BQ) Part 1 book "Perioperative practice at a glance" presents the following contents: Introduction to perioperative practice (Preoperative patient preparation, theatre scrubs and personal protective equipment (PPE), preventing the transmission of infection,...), anaesthesia, surgery.