Aims. To study the factors associated with the DSH in the elderly group of 60 years and above and to recommend changes to be implemented in order to improve the management in this specific group. Materials and Methods. Five-year retrospective study was undertaken from July 2005 to July 2010 in the Plastic Surgery Department of the Royal Preston Hospital, NHS Trust. A Performa was designed to collect data about the inpatient admission and included certain areas of key information. The case notes for all patients were extensively analysed in order to gather adequate information for the devised Performa. Results. DSH is getting more common in the elderly group, and males are more affected than females. 60% of the patients had a previous history of DSH. A large number (80%) of patients had a previous history of mental illness. 60% of those DSH patients were living with family. Almost all patients (90%) were reviewed by the Psychiatry Liaison Team. The timing of patients being assessed was highly variable. Conclusions. Marriage is not a protective factor in the prevention of the DSH in the elderly group. A mental health team referral in the early phases of the management would be of huge benefit and a likely step to prevent possible future admissions. The Department would benefit from the creation of a protocol for the management of these patients. There should be a joint effort of the professionals in the management of DSH in the elderly, and GPs play a very important role in the prevention of DSH in the later life.

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Drawing on ego depletion theory and trait activation theory, this study examines why and when employee perfectionism personality is linked with incivility toward coworkers. The study indulges ego depletion as a mediator between perfectionism personality and incivility toward coworkers, with coworker empathic concern moderating the relationship between perfectionism personality and ego depletion. A three-waved questionnaire was incorporated with sample of 253 employee-coworker dyads. Our findings demonstrate that dimensions of perfectionism personality are positively associated with incivility toward coworkers. In addition, our study confirms that ego depletion mediates the relationship between self-oriented perfectionism, other-oriented perfectionism, and incivility toward coworkers. Furthermore, our study shows that high levels of coworker empathic concern weakens the direct effect of self-oriented perfectionism on ego depletion along with the indirect effect of self-oriented perfectionism on incivility toward coworkers. Theoretical and practical implications of the study are discussed in the organizational context.

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The application of controlled levels of negative pressure on to a wound has been shown to accelerate evacuation of dead cells, debris and fluid which eventually encourages wound healing in a verity of surgical wounds. Vacuum Assisted Closure (V.A.C.) therapy-KCI Medical Limited, the terminology by which this is widely known, became popular, especially among the plastic surgery professionals in America and soon gained recognition worldwide. It is now widely used in the UK to manage and assist healing in a wide variety of wounds. Although KCI's V.A.C. machines were the only ones on the market for a number of years, several wound management companies have now brought out their own machines and these are now known collectively as topical negative pressure therapy (TNPT). Traditional TNPT is often considered a relatively costly procedure. It is often used in patients with large wounds to facilitate dressing management and promote rapid cleaning and granulation. This may also allow them to be discharged to the community when they would otherwise remain inpatients, thereby saving bed days. Capital purchase of the machines is expensive and hospitals often rent or lease them on a short or long term basis. This can lead to difficulties in arranging the finances for discharge to the community. Subsequent dressing changes (recommended every 48 -72 hrs) also incur high costs and involvement of the trained medical or nursing staff. As we all know; "Need is the mother of invention". The disposable TNPT machine (V.A.C. Via™, KCI Medical Ltd.) has been introduced to help to solve these problems. It is a single use machine, inclusive of a dressing and canister and available off the shelf. It is very cost effective, easy to use and is used for small to moderate sized wounds. Senior author is using this machine which excellent results and illustrated the use of this machine with pictures in this paper.

Employee's satisfaction in service organization was one of the major concern of every employer to enhance the growth of the organization. This research has analyzed the perspective of different employees of public and private universities. The study examined the behavior of employee's who were asked to fill the questionnaire. This research was exploratory in nature and the measurement tool used for this study is quantitative. The Likert and dichotomous scale were used in questionnaire format. Data has been collected through properly administered questionnaire. Total respondents were 100. The research findings show that the independent variables motivation, feedback, job design, and healthy environment etc. have a significant impact on the employee's satisfaction. This research has an impact on all the small and medium scale organizations. There were some limitations due to a shortage of time and funds. That's why the large geographical area hasn't been covered. Through this research, the employees feel more comfortable in the organization and committed towards the betterment of the organization.

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This study primarily focused on the behavioral modifications among employees while keeping the contextual factors that enable them to strive for sustainable environmental performance in view. The aim of this research was to uncover the impact of GHRM practices on intrinsic motivation (IM), harmonious work passion (HWP), and sustainable environmental performance (SEP) in small and medium enterprises in Uzbekistan. Moreover, this study mainly investigated intrinsic motivation and harmonious work passion as potential mediators in the relationship between GHRM practices and sustainable environmental performance. Additionally, this study included green mindfulness as a moderator in the association between GHRM practices and mediators (i.e., intrinsic motivation and harmonious work passion). In total, 345 Uzbekistan employees from small and medium enterprises completed a survey. This study deployed the path-analytical approach by using Mplus 8.0. Our findings demonstrate that GHRM practices are positively associated with IM, HWP, and SEP. In addition, this research confirms that intrinsic motivation significantly mediates the relationship between GHRM practices and SEP. Consequently, harmonious work passion also significantly mediates the association between GHRM practices and SEP. Furthermore, this study shows that a high level of green mindfulness strengthens the direct effect of GHRM on IM and HWP, along with the indirect effect of GHRM practices on sustainable environmental performance. Indeed, investigating the associations among study variables via moderated mediation mechanisms remarkably contributes to the extant literature.