Reports on a study of consumer banking habits in Poland compared with findings in other countries to determine whether bankers need to adopt different strategies in the relatively new free‐market economies. First, presents an overview of the evolution of the Polish banking system since the restructuring of the National Bank of Poland in 1987 and the resulting intensively competitive environment for new banks. Second, reports on the reasons why Poles have chosen specific banks. Finds that in Poland, as in other countries, the most important variables influencing customer choice are reputation, price and service, but with certain variations related to the Polish context. Concludes with a discussion of the implications for marketing strategy formulation and implementation.
Implementation of a clinical evaluation pathway emphasizing examination, early surgeon involvement, and utilization of ultrasound as the initial imaging modality for evaluation of abdominal pain concerning for appendicitis resulted in a marked decrease in the reliance on CT scanning without loss of diagnostic accuracy.
Lactobezoar is a compact mass of undigested milk concretions located within the gastrointestinal tract. Most often found in infants, they can precipitate gastric outlet obstruction, mimicking a variety of medical and surgical conditions. A common etiology and method of cure have yet to be elucidated. A review of the literature provides some insight into causes, clinical presentations, diagnosis, and management. Data from the Medical University of South Carolina further help dispel the belief that lactobezoars are isolated to pre-term infants on caloric-dense formulas. Findings suggest bezoar formation may be more common than previously thought and a high index of suspicion could help avoid costly evaluations for obstructive symptoms.
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